Exhibit_A_CDRL_A001_to_A020_DD1423.pdf
PDF 5 MB Posted
- Attached to
- 40mm Grenade Ammunitions - Medium Caliber (MC) Federal contract opportunity
- Solicitation number
- W15QKN19R0033
About this file
CDRLS
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W15QKN19R0033-0002.pdf | ||
| W15QKN19R0033-0001.pdf | ||
| Attachment_0007_FFP_Requirements_v2.0.xlsx | XLSX spreadsheet | |
| Attachment_0008_CPFF_Requirements.xlsx | XLSX spreadsheet | |
| Attachment_0003_Disclosure_of_Lobbying_Activities.pdf | ||
| Attachment_0006_AMSTA-AR_1350_Tech_Data_Request_Questionnaire.pdf | ||
| Attachment_0004_Clearance_of_Tech_Info_for_Public_Release.pdf | ||
| Attachment_0007_FFP_Requirements.xlsx | XLSX spreadsheet | |
| Attachment_0002_-_Non-Disclosure_and_Non-Use_Agreement_NRE.DOC | DOC document | |
| Attachment_0010_-_Contract_Quality_Requirements.docx | DOCX document | |
| W15QKN19R0033.pdf | ||
| Attachment_0001_Past_Performance_Questionnaire.docx | DOCX document | |
| Attachment_0009_Additional_Solicitation_and_Contract_Requirements.docx | DOCX document | |
| Attachment_0005_DD2345_Military_Critical_Technical_Data_Agreement.pdf |
Show all 14
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
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 (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 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
40mm Grenade Ammunitions - Medium
A001 Critical Safety Item, Characteristic and Critical Defect Report Critical Defect Control
DI-SAFT-80970A SOW Paragraph 3.5.4 SFAE-AMO-MAS-MC
LT
D
As Required
As Required
Block 16
Block 16
ACC-NJ-MC 0 2 0
SFAE-AMO-MAS-MC 0 1 0
RDAR-MEF-F 0 1 0
RDAR-EIQ-MF 0 1 0
0 5 0
EXPORT CONTROL WARNING NOTICE: WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (TITLE 22, U.S.C. , SEC 2751, ET SEQ) or the Export Administration Act of 1979, as amended, (TITLE 50, U.S.C. , APP 2401ET SEQ). Violations of these export laws are subject to severe criminal penalties. Dissemination shall be in accordance with provisions of DOD directive 5230.25.
(DID Paragraph 3.3 - Critical Item Characteristics List CICCL) BLOCK 12 and 13: If applicable, the Contractor shall submit sixty (60) days prior to First Article (FA) or production if FA is not required. Government will respond within forty-five
(45) days of receipt of complete original and any revisions required. Unless otherwise stated, contractor shall submit revisions within ten (10) days of receipt of Government response.
(DID Paragraph 4.1 - Notification of Critical Defect) BLOCK 12 AND 13: Unless otherwise approved by the PCO, notification of the occurrence of any critical defects shall be made to the Government (see distribution list) within twenty-four (24) hours of event, by the most expedient means available.
(DID Paragraph 4.2 - Root Cause Investigation and Corrective Action) BLOCK 12 and 13: Contractor shall submit to the Government (see distribution list) for approval. Government will respond within forty-five (45) days of receipt of original and any required revisions. Unless otherwise stated, contractor shall submit revisions within ten
(10) days of receipt of Government response.
(DID Paragraph 4.3 - Segregated Suspect Material Use) BLOCK 12 and 13: Contractor shall submit to the Government (see distribution list) for approval. Government will respond within forty-five (45) days or receipt or original and any required revisions. Unless otherwise stated, contractor shall submit revisions within ten
(10) days of receipt of Government response.
(DID Paragraph 4.3 - Request to Restart Operations) BLOCK 12 and 13: Contractor shall submit to the Government (see distribution list) for approval. Government will respond within ten (10) days of receipt.
See Section G, "Contract Administration Data" for POC details.
Send electronic copies to:
(1) Contracting Officer, ACC-NJ-MC
(2) Contract Specialist, ACC-NJ-MC
(3) Technical POC, SFAE-AMO-MAS-MC
(4) Technical POC, RDAR-MEF-F
(5) Technical POC, RDAR-EIQ-MF
Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629
Date: 2018.11.30 13:01:55 -05'00'
30-NOV-18
TORRES.JAIME.1367979301
Digitally signed by
TORRES.JAIME.1367979301
Date: 2018.12.03 09:55:03 -05'00'
03-DEC-18
Adobe Professional 8.0
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
40mm Grenade Ammunitions - Medium
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 delivering such data item to the Government.
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
(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 (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 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
40mm Grenade Ammunitions - Medium
A002 Ammunition Data Card (ADC) Ammunition Lot Numbering and Ammunition Data Card
DI-MISC-80043B SOW Paragraph 3.5.5 RDAR-EIQ-PB
LT
D
Block 16
As Required
Block 16
Block 16
RDAR-EIQ-PB 0 1 0
Local DCMA 0 1 0 With Shipment 0 2 0
0 4 0
Ammunition Data Cards (ADCs) must be prepared IAW MIL-STD-1168 (most current revision) and the applicable contract clause. Electronic submission must be accomplished by accessing the Worldwide Ammunition Data Card Repository Program (WARP) which can be found on the Munitions History Program located at https://mhpwarp.redstone.army.mil>.
Each individual responsible for submission of ADCs into the Worldwide Ammunition-Data Repository Program (WARP) system must apply for individual access to this system. Log in identification and passwords are unique to the individual and must NOT be shared or otherwise disseminated. Log in identification and passwords must be updated/changed every one hundred twenty (120) to one hundred fifty (150) days OR when there is a change in Government Agency Responsible for Acceptance (GARA) or DCMA QAR.
BLOCK 10, 12 and 13: Hard copy ADCs must be generated from WARP, reviewed for accuracy then signed and dated by the GARA. The GARA is typically the DCMA QAR but could be another designee as authorized by the contracting instrument. This hard copy ADC must accompany each lot shipment. Submission must commence with the first deliverable lot and continue with each subsequent lot. ADCs must include procurement acquisition numbers for each approved and applicable RFD and/or ECP with a brief description for each RFD and ECP listed on the card.
BLOCK 14: Electronically submit using electronic mail transfer a Letter of Transmittal (LT) notifying the Local DCMA and Product Quality Manager (PQM) identified below when an ADC has been entered into the WARP system.
Email to: Linda Torres (PQM), RDAR-EIQ-PB, linda.torres4.civ@mail.mil
Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629
Date: 2018.11.30 13:06:07 -05'00'
30-NOV-18
TORRES.JAIME.1367979301
Digitally signed by
TORRES.JAIME.1367979301
Date: 2018.12.03 09:55:29 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
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 delivering such data item to the Government.
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
(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 (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 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
40mm Grenade Ammunitions - Medium
A003 MEASUREMENT SYSTEM EVALUATION (MSE) Acceptance Inspection Equipment
DI-QCIC-81960 SOW Paragraph 3.5.6, 3.5.6.1 SFAE-AMO-MAS-MC
LT
D
As Required
As Required
Block 16
Block 16
ACC-NJ-MC 0 2 0
SFAE-AMO-MAS-MC 0 1 0
RDAR-MEF-F 0 1 0
RDAR-EIQ-MF 0 1 0
0 5 0
EXPORT CONTROL WARNING NOTICE: WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (TITLE 22, U.S.C. , SEC 2751, ET SEQ) or the Export Administration Act of 1979, as amended, (TITLE 50, U.S.C. , APP 2401ET SEQ). Violations of these export laws are subject to severe criminal penalties. Dissemination shall be in accordance with provisions of DOD directive 5230.25.
BLOCK 12 and 13: AIE submission due within fifteen (15) days after task award.
Revisions, when applicable, are to be submitted within fifteen (15) days of receipt of Government response.
If documentation was approved on a prior contract with this activity and no changes were made, submit evidence of most recent prior approvals. If AIE design changes occur after initial approval, submit revised design for approval.
NOTE: Incomplete submissions shall be considered delinquent.
See Section G, "Contract Administration Data" for POC details.
Send electronic copies to:
(1) Contracting Officer, ACC-NJ-MC
(2) Contract Specialist, ACC-NJ-MC
(3) Technical POC, SFAE-AMO-MAS-MC
(4) Technical POC, RDAR-MEF-F
(5) Technical POC, RDAR-EIQ-MF
Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629
Date: 2018.11.30 13:10:33 -05'00'
30-NOV-18
TORRES.JAIME.1367979301
Digitally signed by
TORRES.JAIME.1367979301
Date: 2018.12.03 09:55:47 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
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 delivering such data item to the Government.
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
(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 (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 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
40mm Grenade Ammunitions - Medium
A004 Accident/Incident Report
DI-SAFT-81563 SOW Paragraph 3.6.1 SFAE-AMO-MAS-MC
LT
D
As Required
As Required
Block 16
Block 16
ACC-NJ-MC 0 2 0
SFAE-AMO-MAS-MC 0 1 0
RDAR-MEF-F 0 1 0
RDAR-EIQ-MF 0 1 0
0 5 0
EXPORT CONTROL WARNING NOTICE: WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (TITLE 22, U.S.C. , SEC 2751, ET SEQ) or the Export Administration Act of 1979, as amended, (TITLE 50, U.S.C. , APP 2401ET SEQ). Violations of these export laws are subject to severe criminal penalties. Dissemination shall be in accordance with provisions of DOD directive 5230.25.
BLOCK 12 and 13: Accident and Incident Reporting: The Contractor shall immediately report any major accident/incident (including fire, or environmental accidents) resulting in any one or more of the following: causing one or more fatalities, and/or any disabling injuries; damage to the environment; damage of Government property exceeding $10,000;
affecting program planning or production schedules; degrading the safety of the equipment under contract, such that personal injury or property damage may be involved; identifying a potential hazard requiring corrective action, in accordance with DOD 4145.26M, Chapter 2, Paragraph B. The Contractor shall report accidents or incidents during production DI-SAFT-81563 and submit within forty eight (48) hours of incident/accident.
See Section G, "Contract Administration Data" for POC details.
Send electronic copies to:
(1) Contracting Officer, ACC-NJ-MC
(2) Contract Specialist, ACC-NJ-MC
(3) Technical POC, SFAE-AMO-MAS-MC
(4) Technical POC, RDAR-MEF-F
(5) Technical POC, RDAR-EIQ-MF
Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629
Date: 2018.11.30 13:13:03 -05'00'
30-NOV-18
TORRES.JAIME.1367979301
Digitally signed by
TORRES.JAIME.1367979301
Date: 2018.12.03 09:56:08 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
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 delivering such data item to the Government.
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
(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 (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 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
40mm Grenade Ammunitions - Medium
A005 SAFETY ASSESSMENT REPORT (SAR)
DI-SAFT-80102C SOW Paragraph 3.6.2 SFAE-AMO-MAS-MC
LT
D
As Required
As Required
Block 16
Block 16
ACC-NJ-MC 0 2 0
SFAE-AMO-MAS-MC 0 1 0
RDAR-MEF-F 0 1 0
RDAR-EIQ-MF 0 1 0
0 5 0
EXPORT CONTROL WARNING NOTICE: WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (TITLE 22, U.S.C. , SEC 2751, ET SEQ) or the Export Administration Act of 1979, as amended, (TITLE 50, U.S.C. , APP 2401ET SEQ). Violations of these export laws are subject to severe criminal penalties. Dissemination shall be in accordance with provisions of DOD directive 5230.25.
BLOCK 12 and 13: The Contractor shall be required to perform a Safety Assessment Report (SAR) of the item, in accordance with (IAW) Contract Data Requirements List (CDRL) requirements and deliver a SAR to the Government within ninety (90) days prior to testing. The SAR shall contain results from the contractor’s safety assessments, hazard analyses, and testing IAW DI-SAFT-80102C. MIL-STD-882 (latest revision) can be used for guidance. A SAR shall be submitted for each unique configuration to be tested/demonstrated at a government facility. This may require preparation and delivery of more than one (1) SAR.
See Section G, "Contract Administration Data" for POC details.
Send electronic copies to:
(1) Contracting Officer, ACC-NJ-MC
(2) Contract Specialist, ACC-NJ-MC
(3) Technical POC, SFAE-AMO-MAS-MC
(4) Technical POC, RDAR-MEF-F
(5) Technical POC, RDAR-EIQ-MF
Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629
Date: 2018.11.30 13:15:50 -05'00'
30-NOV-18
TORRES.JAIME.1367979301
Digitally signed by
TORRES.JAIME.1367979301
Date: 2018.12.03 10:07:02 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
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 delivering such data item to the Government.
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
(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 (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 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
40mm Grenade Ammunitions - Medium
A006 EXPLOSIVE HAZARD CLASSIFICATION DATA REPORT
(EHCDR)
Interim Hazard Classification (IHC)
DI-SAFT-81299C SOW Paragraph 3.6.3, 3.6.4 SFAE-AMO-MAS-MC
LT
D
As Required
As Required
Block 16
Block 16
ACC-NJ-MC 0 2 0
SFAE-AMO-MAS-MC 0 1 0
RDAR-MEF-F 0 1 0
RDAR-EIQ-MF 0 1 0
0 5 0
EXPORT CONTROL WARNING NOTICE: WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (TITLE 22, U.S.C. , SEC 2751, ET SEQ) or the Export Administration Act of 1979, as amended, (TITLE 50, U.S.C. , APP 2401ET SEQ). Violations of these export laws are subject to severe criminal penalties. Dissemination shall be in accordance with provisions of DOD directive 5230.25.
BLOCK 12 and 13: The Contractor shall submit data sixty (60) days prior to scheduled shipment. The information of DOD Hazard Class and DOD Storage Compatibility Group can be obtained from the Army Technical Bulletin TB 700-2. The Department of Transportation (DOT) and United Nations (UN) Serial Number information and packaging method is available in Title 49, Code of Federal Regulation. The explosive weight for quantity distance determination is obtained using the guidance of paragraph 15.4 of AMC-R-385-100 (Safety Manual).
See Section G, "Contract Administration Data" for POC details.
Send electronic copies to:
(1) Contracting Officer, ACC-NJ-MC
(2) Contract Specialist, ACC-NJ-MC
(3) Technical POC, SFAE-AMO-MAS-MC
(4) Technical POC, RDAR-MEF-F
(5) Technical POC, RDAR-EIQ-MF
Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629
Date: 2018.11.30 13:20:51 -05'00'
30-NOV-18
TORRES.JAIME.1367979301
Digitally signed by
TORRES.JAIME.1367979301
Date: 2018.12.03 10:07:23 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
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…
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it.