Exhibit_A_CDRLs.pdf

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Attached to
Mounted Machine Gun Optic (MMO) Federal contract opportunity
Solicitation number
W15QKN-18-R-0065
Issued by
Department of the Army Materiel Command Contracting Command Picatinny Arsenal

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Exhibit A - CDRLS

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A012 title: System Safety Program Plan sub:

auth: DI-SAFT-81626 ref: SOW C.4.1.3.7.1 req_ofc: RDAR-EIQ-C/F dd250: LT appcode:

dist: A freq: A/R asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: ACC-NJ-SW draft1:

reg1: 1 repro1:

addressee2: SFAE-SDR-CSW draft2:

reg2: 1 repro2:

addressee3: RDAR-EIQ-C/F draft3:

reg3: 1 repro3:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: The Contractor shall develop, maintain and update as necessary a System Safety Program Plan throughout the program and shall make this program plan available for Government review. The System Safety Program Plan shall define the planned safety activities for the system. Contractor format acceptable, use DI-SAFT-81626 for guidance.

BLK 12:

The initial System Safety Program Plan shall be submitted to the Government within 30 days of production option contract award.

BLK 13:

An up-to-date System Safety Program Plan shall be submitted to the Government no later than 10 working days after the Government request.

BLK 14:

Data shall be in MS WORD and MS EXCEL format and sent electronically to:

daniel.l.potempa2.civ@mail.mil danielle.m.bisordi.civ@mail.mil pica.systemsafety@conus.army.mil group:

total_price:

prep_name: Danielle Bisordi line_item:

exhibit:

xtdp: Off xtm: Off othercat: X system: MMO ctr_no:

contr:

remarksb:

Page2:

Reset:

2018-01-26T12:14:12-0500

BISORDI.DANIELLE.M.1400687427

prep_date: 24 JAN 2018 app_by: DANIELLE BISORDI

2017-11-22T10:05:31-0500

BISORDI.DANIELLE.M.1400687427

app_date: 24 JAN 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A013 title: Accident and Incident Report sub:

auth: DI-SAFT-81563 ref: SOW C.4.1.3.7.2 req_ofc: SFAE-SDR-CSW dd250: LT appcode:

dist: A freq: A/N asof: N/A firstsub: A/N subsub: A/N addressee1: ACC-NJ-SW draft1:

reg1: 1 repro1:

addressee2: SFAE-SDR-CSW draft2:

reg2: 1 repro2:

addressee3: RDAR-EIQ-C/F draft3:

reg3: 1 repro3:

addressee4:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: The Contractor shall report immediately any major accident/incident (including fire) resulting in any one or more of the following: causing one or more fatalities, or one or more disabling injuries; damage of Government property exceeding $10,000; affecting planning or production schedules; degrading the safety of equipment under contract, such that personal injury or property damage may be involved; identifying a potential hazard requiring corrective action. The Contractor shall prepare a separate report for each incident. Contractor format acceptable, use DI-SAFT-81563 for guidance.

BLK 14:

Reports shall be in MS WORD and MS EXCEL format and sent electronically to:

daniel.l.potempa2.civ@mail.mil danielle.m.bisordi.civ@mail.mil pica.systemsafety@conus.army.mil group:

total_price:

prep_name: Danielle Bisordi line_item:

exhibit:

xtdp: Off xtm: Off othercat: X system: MMO ctr_no:

contr:

remarksb:

Page2:

Reset:

2018-01-26T12:16:27-0500

BISORDI.DANIELLE.M.1400687427

prep_date: 24 JAN 2018 app_by: DANIELLE BISORDI

2017-11-22T10:06:42-0500

BISORDI.DANIELLE.M.1400687427

app_date: 24 JAN 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A014 title: Comprehensive Safety Assessment Report sub:

auth: DI-SAFT-80102 ref: SOW C.4.1.3.7.3 req_ofc: SFAE-SDR-CSW dd250: LT appcode:

dist: A freq: N/A asof: N/A firstsub: SEE BLK 16 subsub: N/A addressee1: ACC-NJ-SW draft1:

reg1: 1 repro1:

addressee2: SFAE-SDR-CSW draft2:

reg2: 1 repro2:

addressee3: RDAR-EIQ-C/F draft3:

reg3: 1 repro3:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: This SAR shall contain the safety methodology used to classify and rank hazards, the results of the analyses and tests performed to identify and assess hazards inherent to the system. It shall include a list of all hazards, specific safety recommendations or precautions, and hazardous materials information including identification, transportation and the disposal procedures. The conclusion of the SAR shall state the system is adequately safe for its intended use and environment, and is safe to operate. The report shall contain sufficient “safety case” evidence to support this conclusion.

Contractor format acceptable, use DI-SAFT-80102 for guidance.

BLK 14:

Reports shall be in MS WORD and MS EXCEL format and sent electronically to:

daniel.l.potempa2.civ@mail.mil danielle.m.bisordi.civ@mail.mil pica.systemsafety@conus.army.mil group:

total_price:

prep_name: Danielle Bisordi line_item:

exhibit:

xtdp: Off xtm: Off othercat: X system: MMO ctr_no:

contr:

remarksb:

Page2:

Reset:

2018-01-26T12:16:59-0500

BISORDI.DANIELLE.M.1400687427

prep_date: 24 JAN 2018 app_by: DANIELLE BISORDI

2017-11-22T10:07:56-0500

BISORDI.DANIELLE.M.1400687427

app_date: 24 JAN 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Government Testing Safety Assessment Report (SAR) sub:

auth: DI-SAFT-80102 ref: SOW C.3.1.1.3.1 req_ofc: RDAR-EIQ-C/F dd250: LT appcode:

dist: A freq: N/A asof: N/A firstsub: SEE BLK 16 subsub: N/A addressee1: ACC-NJ-SW draft1:

reg1: 1 repro1:

addressee2: SFAE-SDR-CSW draft2:

reg2: 1 repro2:

addressee3: RDAR-EIQ-C/F draft3:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: This SAR shall identify all safety features of the system, all related hazards associated with testing, and the mitigations (procedures, precautions, etc) required to minimize risks and safety conduct testing. The SAR shall contain range safety date (ie., Recommended Surface Danger Zone). The SAR shall contain results from the Contractor’s safety assessments, hazard analyses, and testing. A Government Testing SAR shall be submitted for each unique configuration submitted to the Government.

Contractor format acceptable, use DI-SAFT-80102 for guidance.

BLK 12:

A Comprehensive Safety Assessment Report (SAR) shall be provided within 30 days of contract award

BLK 14:

Reports shall be in MS WORD and MS EXCEL format and sent electronically to:

daniel.l.potempa2.civ@mail.mil danielle.m.bisordi.civ@mail.mil pica.systemsafety@conus.army.mil group:

total_price:

prep_name: Danielle Bisordi line_item:

exhibit:

xtdp: Off xtm: Off othercat: X system: MMO ctr_no:

contr:

remarksb:

Page2:

Reset:

2018-01-26T11:49:32-0500

BISORDI.DANIELLE.M.1400687427

prep_date: 24 JAN 2018 app_by: DANIELLE BISORDI

2017-11-22T09:43:58-0500

BISORDI.DANIELLE.M.1400687427

app_date: 24 JAN 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Technical Data Package (TDP)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-SESS-81003

5_CONTRACT_REFERENCE: SOW C.4.1.1.3.1

6_REQUIRING_OFFICE: SFAE-SDR-CSW

7_DID_250_REQ: LT

8_APP_CODE:

DIST_STATEMENT: A

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: Contractor shall provide a 2D and a 3D (if used by the Contractor) Technical Data Package/Drawings shall in in accordance with DI-SESS-81000D . Contractor format acceptable for configuration management oversight to include analysis of how component subsystems and components are integrated into the complete system, for Army provisioning and cataloging, for configuration audit, and for the development of maintenance activities. These drawings shall include interface drawings documenting all interface areas of the design, (e.g. a top drawing specifying all components of the system including: all assemblies and individual piece parts, electronics units, wiring connector(s) and cables, maintenance drawings, major assembly drawings, complete parts lists, and all other ancillary equipment drawings). The Contractor shall arrange the drawings in a "drawing tree" to ensure that all the necessary drawings have been provided. The Contractor shall make available to the Government Inspector all drawings to which the product was manufactured for product inspection and acceptance purposes. The contractor shall deliver the 2D TDP and/or 3D TDP that is utilized for production.

BLK 10 AND BLK 13:

The Government reserves the right to request an current copy of the TDP throughout the contract. Requested drawings and/or lists shall be delivered within 14 working days of receipt of request.

BLK 12:

Technical Data Package shall be delivered no later than 60 days after contract award.

BLK 14:

Drawings and lists (to include current revision levels) shall be provided in electronic format (MS WORD, MS EXCEL, or ADOBE PDF) and sent electronically to:

daniel.l.potempa2.civ@mail.mil danielle.m.bisordi.civ@mail.mil

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 24 JAN 2018

1_APPROVED_BY:

J_DATE: 24 JAN 2018

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

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2012-04-12T10:22:32-0400

BISORDI.DANIELLE.M.1400687427

2012-04-12T10:22:58-0400

BISORDI.DANIELLE.M.1400687427

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Physical Configuration Audit (PCA) Summary Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-CMAN-81022

5_CONTRACT_REFERENCE: SOW C.4.1.1.3.2

6_REQUIRING_OFFICE: SFAE-SDR-CSW

7_DID_250_REQ: LT

8_APP_CODE:

DIST_STATEMENT: A

10_FREQUENCY: N/A

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: N/A

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16_REMARKS: A PCA shall be conducted by the Contractor, and witnessed by a Government Official no later than 45 days after the First Article Test Report is accepted by the government. The PCA Summary Report shall summarize the PCA.

Contractor format acceptable, use DI-CMAN-81022 for guidance.

BLK 12:

A PCA Summary Report shall be submitted to the Government 14 days after the PCA is conducted.

BLK 14:

Data shall be in MS WORD format and sent electronically to:

daniel.l.potempa2.civ@mail.mil danielle.m.bisordi.civ@mail.mil

17_PRICE_GROUP:

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J_DATE: 24 JAN 2018

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DSYSTEMITEM: MMO

E_CONTRACTPR_NO:

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of_pages: 1

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2012-04-12T10:22:32-0400

BISORDI.DANIELLE.M.1400687427

2012-04-12T10:22:58-0400

BISORDI.DANIELLE.M.1400687427

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: First Article Qualification Test Plan and Procedures sub:

auth: DI-NDTI-81307 ref: SOW C.4.1.3.1 req_ofc: SFAE-SDR-CSW dd250: LT appcode:

dist: A freq: SEE BLK 16 asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: ACC-NJ-SW draft1:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: After submittal, the Government has 45 business days to approve/reject First Article Qualification Test Plan and Procedures.

Contractor shall not proceed with First Article Testing until First Article Qualification Test Plan and Procedures has been approved by the Government.

Contractor formal acceptable, use DI-NDTI-81307 for format Guidance.

BLK 10:

As requested. See BLK 13.

BLK 12:

45 days prior to initial planned First Article Test.

BLK 13:

If the Government deems it necessary due to a configuration or process change, the Government may request a partial of full additional First Article Test. In this circumstance, a First Article Qualification Test Plan and Procedures shall be provided by the Contractor 10 days after the Government informs the Contractor of the additional First Article Requirement. The Government shall have 20 business days to review and approve/reject the additional First Article Qualification Test Plan and Procedures. The Contractor shall not proceed with additional First Article Testing until First Article Qualification Test Plan and Procedures has been approved by the Government.

BLK 14:

Reports shall be in MS WORD format and sent electronically to:

daniel.l.potempa2.civ@mail.mil danielle.m.bisordi.civ@mail.mil mark.j.lindenbaum.civ@mail.mil group:

total_price:

prep_name: Danielle Bisordi line_item:

exhibit:

xtdp: Off xtm: Off othercat: X system:

ctr_no:

contr:

remarksb:

Page2:

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BISORDI.DANIELLE.M.1400687427

prep_date: 24 JAN 2018 app_by: DANIELLE BISORDI

2017-11-22T09:47:50-0500

BISORDI.DANIELLE.M.1400687427

app_date: 24 JAN 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: First Article Qualification Test Report sub:

auth: DI-NDTI-81307 ref: SOW C.4.1.3.1 req_ofc: SFAE-SDR-CSW dd250: LT appcode:

dist: A freq: SEE BLK 16 asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: ACC-NJ-SW draft1:

reg1: 1 repro1:

addressee2: SFAE-SDR-CSW draft2:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: After submittal, the Government has 45 business days to approve/reject First Article Qualification Report.

Contractor shall not proceed with production until First Article Qualification Test Report has been approved by the Government.

Contractor formal acceptable, use DI-NDTI-81307 for format Guidance. Shall be in a comparable format to the First Article Qualification Test Plan and Procedures, and shall include an additional section that encompasses the results of each test.

BLK 10:

As requested. See BLK 13.

BLK 12:

No later than 90 days after contract award

BLK 13:

If the Government deems it necessary due to a configuration or process change, the Government may request a partial of full additional First Article Test. In this circumstance, a First Article Qualification Test Report shall be provided by the Contractor within 10 days of the completion of the additional First Article Test. The Government shall have 20 business days to review and approve/reject the additional First Article Qualification Test Report. The Contractor shall not proceed with additional production until First Article Qualification Test Report has been approved by the Government.

BLK 14:

Reports shall be in MS WORD format and sent electronically to:

daniel.l.potempa2.civ@mail.mil robert.n.dewitt.civ@mail.mil mark.j.lindenbaum.civ@mail.mil group:

total_price:

prep_name: Danielle Bisordi line_item:

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xtdp: Off xtm: Off othercat: X system:

ctr_no:

contr:

remarksb:

Page2:

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2018-01-26T12:02:30-0500

BISORDI.DANIELLE.M.1400687427

prep_date: 24 JAN 2018 app_by: DANIELLE BISORDI

2018-01-26T12:04:06-0500

BISORDI.DANIELLE.M.1400687427

app_date: 24 JAN 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A007 title: Lot Acceptance Inspection and Test Plan sub:

auth: DI-QCIC-81110 ref: SOW C.4.1.3.2 req_ofc: SFAE-SDR-CSW dd250: LT appcode:

dist: A freq: A/R asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: ACC-NJ-SW draft1:

reg1: 1 repro1:

addressee2: SFAE-SDR-CSW draft2:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: Inspection and Test Plan shall describe Lot Acceptance Test procedures and quantities, as agreed to by the Government after First Article Testing, in addition to all items requested in DI-QCIC-81110. Flowcharts are not required. Full rate production shall not begin until Government has approved the Inspection and Test Plan. The Government shall have 30 days to review and approve/reject Inspection and Test Plan.

Contractor format acceptable, use DI-QCIC-81110 for format guidance.

BLK 12:

Inspection and Test Plan shall be submitted within 10 working days after Government's acceptance and approval of First Article Test Report.

BLKs 10 and 13:

The Government reserves the right to request revised Inspection and Test Plans if the Government finds it necessary based on the contractor's quality performance.

BLK 14:

Reports shall be in MS WORD format and sent electronically to:

daniel.l.potempa2.civ@mail.mil danielle.m.bisordi.civ@mail.mil mark.j.lindenbaum.civ@mail.mil group:

total_price:

prep_name: Danielle Bisordi line_item:

exhibit:

xtdp: Off xtm: Off othercat: X system: MMO ctr_no:

contr:

remarksb:

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2018-01-26T12:09:29-0500

BISORDI.DANIELLE.M.1400687427

prep_date: 24 JAN 2018 app_by: DANIELLE BISORDI

2017-11-22T09:51:45-0500

BISORDI.DANIELLE.M.1400687427

app_date: 24 JAN 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A008 title: Final Inspection Record sub:

auth: DI-QCIC-81068 ref: SOW C.4.1.3.3 req_ofc: SFAE-SDR-CSW dd250: LT appcode:

dist: A freq: SEE BLK 16 asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: ACC-NJ-SW draft1:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: At the end of each Lot Acceptance Test, for each item submitted for Lot Acceptance Testing, the Contractor shall provide a Final Inspection Record (FIR) of all tests performed on the item during its manufactu

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