Exhibit A - W15QKN-21-R-0106.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

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

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

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

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

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

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

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

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

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

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

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

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

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

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

Item 12. Specify when first submittal is required.

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

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

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

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

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

FOR THE CONTRACTOR

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

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

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

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

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

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

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

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

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

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

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

DD FORM 1423-1 (BACK), FEB 2001

data_item: A012 title: Acceptance Description Sheets (ADS) sub:

auth: DI-MGMT-81978 ref: SOW Paragraph 3.6 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block 10: Submit with every Lot.

Blocks 12 & 13: Submission shall commence with the first deliverable lot and continue with each subsequent lot.

Must be IAW MIL STDs 1171A and 1168C.

Block 14: Propellant data sheet or Energetic description sheet shall be uploaded/input into the Worldwide Ammunition Repository Program (WARP) Description Sheets and Loading Authorizations module located on the Munitions History Program web site at https://mhpwarp.redstone.army.mil

Notification of upload shall be provided to the Government within five (5) calendar days. Contractor shall provide a Letter of Transmittal using electronic mail as notification that the Propellant Data Sheet or Energetic Description Sheet has been entered into the system.

The government will entertain requests for use of energetic or propellant materials manufactured more than five (5) years ago; however, such requests shall be submitted to the Contracting Officer, on a Request for Variation (RFV) in accordance with provisions of the contract.

group:

total_price:

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exhibit:

xtdp: Off xtm: Off othercat:

system: M88 Practice Mine Canister ctr_no:

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2022-02-09T09:51:00-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 9 Feb 2022 app_by:

2022-02-09T16:20:50-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 9 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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

auth: DI-MISC-80043B ref: SOW Paragraph 3.7 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

reg2: 1 repro2:

addressee3: ACC-NJ-MC draft3:

reg3: 1 repro3:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block 4: Tailored: Ammunition Data Cards (ADC's) must be prepared electronic submission must be accomplished by accessing the Worldwide Ammunition Data Card Repository Program (WARP) which is located on the Munitions History Program web site at https://mhp.redstone.army.mil/. ADC's must include procurement acquisition numbers for each applicable RFV, RFD, NOR and ECP with a brief description for each listed on the card. Every avenue shall be pursued to ensure an accurate ADC is produced with all appropriate documentation included.

The Contractor shall also upload all approved FAT/LAT testing reports (FAT/LAT data) in to the LATR module also located in the Munitions History Program web site at https://mhp.redstone.army.mil/ ADC's must include procurement acquisition numbers for each applicable RFV, RFD, NOR and ECP with a brief description for each listed on the card. Every avenue shall be pursued to ensure an accurate ADC is produced with all appropriate documentation included.

Block10: Submission must commence with the first deliverable lot and continue with each subsequent lot.

Block 12: Submit Draft ADC IAW MIL-STD-1168 to FCDD-ACE-QPB thirty (30) days prior to FAT or first production lot if FAT is not applicable, for approval.

BLK 14: Hard copies of each ADC shall be generated from WARP and accompany each lot and shall be signed and dated by the representative of the Government agency responsible for acceptance (GARA) Usually the DCMA QAR. Local DMCA shall send two (2) hard copies with shipments.

group:

total_price:

prep_name:

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exhibit:

xtdp: Off xtm: Off othercat:

system: M88 Practice Mine Canister ctr_no:

contr:

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2022-02-09T09:51:00-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 9 Feb 2022 app_by:

2022-02-09T16:21:30-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 9 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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

auth: DI-QCIC-81722 ref: SOW Paragraph 3.8.1 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

reg2: 1 repro2:

addressee3: ACC-NJ-MC draft3:

reg3: 1 repro3:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block12: Contractor shall submit a Quality Program Plan to meet government standard stated in ISO 9001 Quality management systems sixty (60) calendar days prior to production. The Contractor shall notify Contracting Officer of any changes within seven (7) calendar days of changes to the Manufacturing Plan.

Block 14: Submit electronically. Distribution list will be provided at post award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: M88 Practice Mine Canister ctr_no:

contr:

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2022-02-09T09:51:00-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 9 Feb 2022 app_by:

2022-02-09T16:22:20-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 9 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A015 title: Technical Report - Study/Services sub: Material Certification auth: DI-MISC-80508B ref: SOW Paragraph 3.8.2 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block 12: The Contractor shall provide a material certification with every shipment including FAT and LAT.

Block 14: Submit electronically. Distribution list will be provided at post award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: M88 Practice Mine Canister ctr_no:

contr:

remarksb: Page intentionally left blank

Page2: 2

Reset:

2022-02-09T09:51:00-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 9 Feb 2022 app_by:

2022-02-09T16:25:49-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 9 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A016 title: Management Plan sub: Process Capability, Control & Improvement (PCCI) auth: DI-MGMT-80004A ref: SOW Paragraph 3.8.3 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: Block 16 asof: As Required firstsub: Block 16 subsub: Block 16 addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

reg2: 1 repro2:

addressee3: ACC-NJ-MC draft3:

reg3: 1 repro3:

addressee4: DCMA-QAR draft4:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block 12: The contractor shall establish and submit a Process Control Plan (PCP) and submit to government for review and acceptance thirty (30) calendar days prior FAT.

In the event of finding a noncompliance, a corrective action will be submitted to the Government.

Block 14: Submit electronically. Distribution list will be provided at post award.

group:

total_price:

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system: M88 Practice Mine Canister ctr_no:

contr:

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Reset:

2022-02-10T10:41:15-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 10 Feb 22 app_by:

2022-02-10T11:20:40-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 10 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A017 title: Contractor's Progress and Status Report sub: Program Schedule auth: DI-MGMT-81928 ref: SOW Paragraph 3.9.1 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: Monthly asof: As Required firstsub: Block 16 subsub: As Required addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

reg2: 1 repro2:

addressee3: ACC-NJ-MC draft3:

reg3: 1 repro3:

addressee4: DCMA-QAR draft4:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block12: The Contractor shall provide the baseline schedule NLT Thirty (30) Calendar days after contact award for review at the post award kick-off meeting and provide an updated version thereafter on a monthly basis to the Government.

The contractor shall maintain an accurate schedule of events and recommend program schedules, including review and evaluation techniques, which provide for the earliest delivery schedule while at the same time satisfying requirements.

Block 14: Submit electronically. Distribution list will be provided at post award.

group:

total_price:

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system: M88 Practice Mine Canister ctr_no:

contr:

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Reset:

2022-02-10T10:41:58-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 10 Feb 22 app_by:

2022-02-10T11:21:17-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 10 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A018 title: Conference Agenda sub: Program Schedule auth: DI-ADMN-81249C ref: SOW Paragraph 3.9.3 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

reg2: 1 repro2:

addressee3: ACC-NJ-MC draft3:

reg3: 1 repro3:

addressee4: DCMA-QAR draft4:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block 12: The Contractor shall submit an agenda for all meetings three (3) calendar days prior to government review. Contractor shall participate in bi-weekly teleconferences with the government.

Block 14: Submit electronically. Distribution list will be provided at post award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: M88 Practice Mine Canister ctr_no:

contr:

remarksb: Page intentionally left blank

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Reset:

2022-02-10T10:42:29-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 10 Feb 22 app_by:

2022-02-10T11:21:43-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 10 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A019 title: Report, Record of Meeting/Minutes sub: Meetings auth: DI-ADMN-81505 ref: SOW Paragraph 3.9.2 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

reg2: 1 repro2:

addressee3: ACC-NJ-MC draft3:

reg3: 1 repro3:

addressee4: DCMA-QAR draft4:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block 12: The Contractor shall submit meeting minutes no later than seven (7) calendar days following the meeting. The Contractor shall submit tracking sheet no later than seven (7) calendar days following the bi-weekly meeting.

Block 14: Submit electronically. Distribution list will be provided at post award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: M88 Practice Mine Canister ctr_no:

contr:

remarksb: Page intentionally left blank

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Reset:

2022-02-10T10:43:33-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 10 Feb 22 app_by:

2022-02-10T11:22:08-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 10 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A020 title: Contractor's Progress, Status and Management Report sub: Monthly Report auth: DI-MGMT-81928 ref: SOW Paragraph 3.9.4 req_ofc: FCDD-ACM-FM dd250: LT appcode:

dist: C freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1: FCDD-ACE-QPB draft1:

reg1: 1 repro1:

addressee2: FCDD-ACE-QMB draft2:

reg2: 1 repro2:

addressee3: ACC-NJ-MC draft3:

reg3: 1 repro3:

addressee4: DCMA-QAR draft4:

reg4: 1 repro4:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of determination). Other requests for this document shall be referred to (Project Manager Close Combat Systems (PM CCS) Picatinny Arsenal, NJ 07806).

Block 12: The Contractor shall submit monthly reports inclusive of progress, status management of the program.

Block 14: Submit electronically. Distribution list will be provided at post award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: M88 Practice Mine Canister ctr_no:

contr:

remarksb: Page intentionally left blank

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Reset:

2022-02-10T10:44:11-0500

BENTLEY.LESLIE.DORTHEA.1057840389

prep_date: 10 Feb 22 app_by:

2022-02-10T11:22:50-0500

MENDOZA.THOMAS.IAN.1555215629

app_date: 10 Feb 22

Page: 1 of_pages: 2 app: Adobe Professional 8.0

Form Ap