ExhibitA_1423_CDRLs.pdf

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Gas Absorbant Modules
Solicitation number
W15QKN20B0001
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This document outlines a federal contract opportunity for the production of Gas Adsorbent Modules. The Army Contracting Command-New Jersey will issue an Invitation for Bid on or about October 21, 2019 for the production of up to approximately 285,000 Gas Adsorbent Modules over five years. The contract will have a single Firm Fixed Price base award and four option years. This will be a total small business set-aside for United States small businesses. Interested parties must submit documentation including a Militarily Critical Technical Data Agreement and Non-Disclosure Agreement to be considered for the technical data package. The point of contact is Sean Doyle at the Army Contracting Command-New Jersey for any questions by email only.

Exhibit A - 1423 CDRLs

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W15QKN20B0001_ Amendment_0001.pdf PDF
US_Government_NDA.doc DOC document
Contract_Quality_Clause_Addendum.docx DOCX document
Attachment_0003_-_AMSTA_1350_FORM.PDF PDF
Attachment_0004_-_CERTIFICATE_OF_DESTRUCTION.DOC DOC document
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED Page____of____

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A001 Engineering Change Proposal (ECP)

SOW para C.3.2 FCDD-ACM-MM

LT D As Required

As Required

As Required

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

22 May 2019

The Government will respond within 45 calendar days of receipt. Revision due not later than 7 days calendar days after receipt of Government comments.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.22 15:17:39 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:11:15 -04'00'

DI-SESS-80639D

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A002 Request for Variance (RFV)

SOW para C.3.2 FCDD-ACM-MM

LT D As Required

As Required

As Required

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

22 May 2019

A Request for Variance describes a proposed departure from (a non-conformance with) approved product definition information for a limited amount of time/specified effectivity or a product found to be nonconforming with product definition information after the product has been produced by the production process.

The Government will respond within 45 calendar days of receipt. Revision due not later than 7 calendar days after receipt of Government comments.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.22 15:19:24 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:10:46 -04'00'

DI-SESS-80640D

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A003 Test/Inspection Report First Article Test(FAT)/Lot Acceptance Test (LAT)

SOW para C.3.3.2.1 & C.3.3.2.2 ACC-NJ-CA

LT D As Required

As Required

As Required

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

22 May 2019

BLOCK 4: In preparation of FAT Report, use 10.1, 10.2, 10.2.1, 10.2.3.1, 10.2.3.2, 10.2.3.3, 10.2.6, 10.2.6.1, 10.2.6.3, 10.2.6.4, 10.2.6.4.1, 10.2.6.4.2,

10.2.7 and 10.2.7.1

BLOCK 4: In preparation of LAT Report, use 10.1, 10.2, 10.2.1, 10.2.3.1, 10.2.3.2, 10.2.7, and 10.2.7.1

First Article Acceptancee Test (FAT) and the Lot Acceptance Test Report (LATR) shall be provided electronically in PDF file format. The LAT shall be uploaded to the Worldwide Ammunition Repository Program (WARP) Lot Acceptance Test Report (LATR) module located on the Army Electronic Product Support (AEPS) website at: https://mhpwarp.redstone.army.mil

LATR shall consist of the following documentation: Material Certifications, SPC data and chart collected for the lot. The FAT Report shall include variables data for all gage inspections in addition to the AIE approved gage inspection results, unless otherwise previously approved by the PCO.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.22 15:20:41 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:10:30 -04'00'

DI-NDTI-80809B (Tailored)

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A004 Certification/Data Report Material Certification

SOW para C.3.3.3 ACC-NJ-CA

LT D As Required

As Required

As Required

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

4 Sep 2019 4 Sep 2019

Material Certification, Inspection Certification and/or Independent Verification shall be submitted with FAT and shall be available on site during production for Government inspection and submitted as a part of the Lot Acceptance Test Report (LATR) for each production lot.

Certificate of analysis is required.

BLOCK 4: Do not address paragraphs 10.2, 10.3 and 10.4 of the DID.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 16:32:41 -04'00'

MICHAELS.ROSE.M.109

4965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 16:33:07 -04'00'

DI-MISC-80678 Tailored

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A005 Measurement System Evaluation (MSE) Acceptance Inspection Equipment (AIE)

SOW para C.3.3.4 FCDD-ACE-QM

LT D As Required

As Required

As Required

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

22 May 2019

Submit at least 60 calendar days prior to FAT, or production is FAT is waived.

The government will respond within 30 calendar days of receipt. Revisions are to be submitted within 10 calendar days of government response.

Note: Incomplete submission is considered delinquent.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.22 15:22:32 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:10:10 -04'00'

DI-QCIC-81960A

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A006 Configuration Audit Plan Physical Configuration Audit (PCA)

SOW para C.3.3.8.1 FCDD-ACE-QM

LT D As Required

As Required

As Required

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

4 Sep 2019 4 Sep 2019

At the option of the Government, the Integrated Product Team (IPT) may conduct a Physical Configuration Audit (PCA) assessing the conformance of the built hardware to the Technical Data Packages. Appendix H of MIL-STD-973 may be used as a reference on the conduct of the audit. The Contractor shall be responsible for the performance of inspections and tests determined necessary by the IPT to demonstrate conformance with the Technical Data Packages. The Contractor shall submit the data for the PCA built hardware. The audit shall consider materials, components, subassemblies and complete assemblies.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 16:58:36 -04'00'

MICHAELS.ROSE.M.109

4965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 16:58:54 -04'00'

DI-SESS-81646B

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A007 Quality Management System (QMS) Audits

SOW para C.3.3.8.2 FCDD-ACE-QP

LT D As Required

As Required

See Block 16

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

4 Sep 2019 4 Sep 2019

The contractor shall develop and maintain a plan for Quality Management System (QMS) audits (including vendor & suppliers) to verify compliance to contract requirements.

BLOCK 4: Do not address paragraphs 2.b - 2.d, 2.f - 2.j

BLOCK 12: The contractor shall submit their QMS Audit schedule to the government within 60 days after contract award. The Contractor shall provide a minimum of 30 days (CONUS) and 60 days (OCONUS) notification for vendor & supplier audits to the personnel listed in BLOCK 14 so that the Government may witness the audit at their discretion. Contractor shall submit audit report to government within 15 days after audit is completed.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 20:53:21 -04'00'

MICHAELS.ROSE.M.109

4965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 20:53:48 -04'00'

DI-MGMT-82185 Tailored

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A008 Statistical Process Control (SPC) Plan Statistical Process Control (SPC) Requirements

SOW para C.3.3.9 FCDD-ACE-QM

LT D As Required

As Required

See Block 16

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

22 May 2019

BLOCK 12: SPC Plan must be submitted at least 60 calendar days prior to FAT (or production if FAT is waived). Approval of SPC plan is required prior to FAT.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.22 15:58:16 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:12:49 -04'00'

DI-MGMT-81987

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81mm, M819, Smoke, Mortar Cartridge

A009 Ammunition Data Card (ADC) Ammunition Data Card (ADC) and Lot Numbering

SOW Para C.4.1 FCDD-ACE-QP

LT D As Required

As Required

See Block 16

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QP 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

DCMA QAR 1

4 Sep 2019 4 Sep 2019

Ammo Data Card's (ADC) shall be prepared in accordance with MIL-STD-1168B and electronic submission shall be accomplished by accessing the Worldwide Ammunition Data Repository Program

(WARP).

Input a sample card into WARP 30 days prior to First Article (FA), or production if FA is not applicable, for review and approval of technical content. When submitting the sample ADC for review input the words “SAMPLE CARD ONLY” in the remarks section of the ADC.

Hard copy ADCs shall be generated from WARP and accompany each Lot, and shall be signed & dated by the representative of the Government Agency Responsible for Acceptance (GARA)usually the DCMA QAR or other government designee. When ballistic tests at Government proving grounds are required, two hard copy ADCs generated and accompany the Lot.

*****Every avenue shall be pursued to assure an accurate ADC is produced with all the appropriate documentation included. Any unknown components, older components, off the shelf items and different lot interfix numbers (with the reason for different interfix numbers) can be annotated in the "REMARKS SECTION." This is to include any and all information that is unavailable at the time of production.

*****With the permission of the GARA older lots of ammunition that undergo the renovation processes may not contain all the required information. This unknown information can be clarified in the “REMARKS SECTION” of the ADC. When an older lot of ammunition is used and a lot number is not available for reference a detailed explanation should be documented in the “REMARKS SECTION.” Any additional special conditions that apply to the lot shall be documented in the “Remarks Section"

Note: Submission shall commence with the first deliverable lot and continue with each subsequent lot.

ADCs shall include procurement acquisition numbers for each applicable Request for Deviation, Notice of Revision and Engineering Change Proposal listed on the card.

Submit an email Letter of Transmission (LT) notifying the Product Quality Manager identified below when a card has been entered into WARP

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 18:33:35 -04'00'

MICHAELS.ROSE.M.109

4965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 18:33:50 -04'00'

DI-MISC-80043B

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81MM, M819, Smoke, Mortar Cartridge

A010 Production Status Report Delay of Delivery Report

SOW para C.5.2 SFAE-AMO-CAS

LT D As Required

As Required

As Required

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

FCDD-ACE-QP 1

DCMA QAR 1

22 May 2019

The contractor shall provide a status report in case of production delays. The report shall provide details on the problem description, schedule impacts, the proposed solution and recovery schedule.

Block 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.23 07:54:49 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:12:04 -04'00'

DI-MGMT-81225

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81MM, M819, Smoke, Mortar Cartridge

A011 Accident/Incident Report

SOW para C.5.3 SFAE-AMO-CAS

LT D As Required

As Required

As Required

As Required

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

FCDD-ACE-QP 1

DCMA QAR 1

22 May 2019

Block 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.23 07:56:00 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:14:39 -04'00'

DI-SAFT-81563

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81MM, M819, Smoke, Mortar Cartridge

A012 Contract Summary Report End of Contract Report

SOW para C.5.4 SFAE-AMO-CAS

LT A As Required n/a

As Required n/a

ACC-NJ-CA 1

SFAE-AMO-CAS 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

FCDD-ACE-QP 1

DCMA QAR 1

4 Sep 2019 4 Sep 2019

Block 10 & 12: One report submission is required at the conclusion of the contract effort.

Block14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 18:48:08 -04'00'

MICHAELS.ROSE.M.109

4965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 18:48:19 -04'00'

DI-ADMN-80447A

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

GAM for the 81MM, M819, Smoke, Mortar Cartridge

A013 INTEGRATED MASTER SCHEDULE (IMS) Schedule and Plan

SOW para C.6.1 AFAE-AMO-CAS

LT D As Required

As Required

30 calendar days ACA

See Block 16

ACC-NJ-CA 1

AFAE-AMO-CAS 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

FCDD-ACE-QP 1

DCMA QAR 1

22 May 2019

Contractor’s format is acceptable.

Block 4: Contractor shall submit the IMS: Summary Master Schedule and Intermediate Schedules per paragraphs 2.2, and 2.3 of DID. Other paragraphs shall be used for developing the IMS but do not require submission.

Block 13: Unless otherwise specified, if the IMS changes after initial submission, Contractor shall resubmit revised plan to the Government within 10 calendar days.

Block 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.23 07:55:49 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:15:00 -04'00'

DI-MGMT-81650 (Tailored)

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

DD

GAM for the 81MM, M819, Smoke, Mortar Cartridge

A014 Report, Record of Meeting/Minutes Post Award & Program Management Review

SOW para C.7.1 and C7.3 SFAE-ACE-CAS

LT D As Required

As Required

See Block 16

See Block 16

ACC-NJ-CA 1

SFAE-ACE-CAS 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

FCDD-ACE-QP 1

DCMA QAR 1

22 May 2019

The contractor shall host a post award meeting at the contractor’s facility to include contracts, management, and technical personnel no later than (NTL) 30 days after contract award.

In contractor format, contractor shall provide the Government with minutes of the post award meeting within 15 days after post award meeting.

During production, the contractor shall host quarterly PMRs. Contractor and Government shall mutually derive an agenda within 5 working days prior to each review.

Block 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.05.23 07:56:11 -04'00'

CHAMBERS.DARRIN.S.1

367772740

Digitally signed by

CHAMBERS.DARRIN.S.1367772740

Date: 2019.05.23 10:14:25 -04'00'

DI-ADMN-81505

(1 Data Item)

Form Approved OMB No. 0704-

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 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE .13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

DD

GAM for the 81MM, M819, Smoke, Mortar Cartridge

A015 Hazardous Waste (HW) Report Hazardous Waste Report

SOW para C.8.2 SFAE-ACE-CAS

LT D As Required

As Required

See Block 16

See Block 16

ACC-NJ-CA 1

SFAE-ACE-CAS 1

FCDD-ACE-QM 1

FCDD-ACM-MM 1

FCDD-ACE-LP 1

FCDD-ACE-QP 1

DCMA QAR 1

4 Sep 2019 4 Sep 2019

The contractor shall host a post award meeting at the contractor’s facility to include contracts, management, and technical personnel no later than (NTL) 30 days after contract award.

In contractor format, contractor shall provide the Government with minutes of the post award meeting within 15 days after post award meeting.

During production, the contractor shall host quarterly PMRs. Contractor and Government shall mutually derive an agenda within 5 working days prior to each review.

Block 14: Submit electronically. E-mail addresses for the listed offices will be provided at Post Award meeting.

MICHAELS.ROSE.M.1094

965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 20:39:26 -04'00'

MICHAELS.ROSE.M.109

4965477

Digitally signed by

MICHAELS.ROSE.M.1094965477

Date: 2019.09.04 20:39:46 -04'00'

DI-MGMT-80899

A001
A002
A003
A004
A005
A006
A007
A008
A009
A010
A011
A012
A013
A014
A015

File details come from the government source that posted it. Updated .