Revised Exhibit A - CDRL Index - XM1128 Artillery Metal Parts Assembly.docx

Contract Data Requirement Lists (CDRLs) Index for the 155mm XM1128 Artillery Metal Parts Assembly

W15QKN-22-R-0008

CDRL

Number

DID

Number

15 February 2022

30 September 2021

30 September 2021

24 August 2021

28 March 2022

3 March 2022

3 March 2022

A002 Notice of Revision (NOR) DI-SESS-80642E Rev1.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED Page____of____

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

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

TDP _______ TM _______ OTHER ____________________________

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

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

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

7. DD 250 REQ 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 13.13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

1 DATA ITEM NO: A002

2 TITLE OF DATA ITEM: Notice of Revision (NOR)

3 SUBTITLE:

5 CONTRACT REFERENCE: SOW Para. C.3.2

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: ASREQ

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: R/ASR

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H DATE: 15 February 2022

J DATE: 15 February 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Form available from Government upon request.

The Government will respond within 45 calendar days of receipt.

If further revisions are necessary, the Contractor shall have 7 calendar days to provide revisions. The Government will respond to revisions within 45 calendar days of receipt.

Block 14: Distribution: See Section "J" of Contract Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2022-02-15T07:41:49-0500

KURTZ.JACK.G.1367700056

2022-02-15T07:41:25-0500

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-80642E image3.emf

A003 Request for Variance (RFV) DI-SESS-80640E Rev1.pdf

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.

1 DATA ITEM NO: A003

2 TITLE OF DATA ITEM: Request for Variance (RFV)

3 SUBTITLE:

5 CONTRACT REFERENCE: SOW Para. C.3.2

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: ASREQ

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: R/ASR

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H DATE: 15 February 2022

J DATE: 15 February 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Form available from Government upon request.

The Government will respond within 45 calendar days of receipt.

If further revisions are necessary, the Contractor shall have 7 calendar days to provide revisions. The Government will respond to revisions within 45 calendar days of receipt.

Block 14: Distribution: See Section "J" of Contract Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2022-02-15T07:52:26-0500

KURTZ.JACK.G.1367700056

2022-02-15T07:52:06-0500

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-80640E image4.emf

CDRL A004 - Acceptence TestReport (ATR) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A004 Acceptence Test Report (ATR) ISO or Equivalent Certification

SOW Para. C.3.3.1 FCDD-ACE-QMA

LT D See Block 16

N/A

See Block 16

24 August 2021 24 August 2021

Block 4: Do not address paragraphs e-g.

Block 12: Contractor shall submit 15 calendar days after contract award.

Block 13: Upon recertification (reoccurrence).

Block 14: Distribution: See Section "J" of contract.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

KURTZ.JACK.G.1367700

Digitally signed by

KURTZ.JACK.G.1367700056

Date: 2021.08.24 11:50:01 -04'00'

Date: 2021.08.24 11:53:43 -04'00'

DI-QCIC-81891 Tailored image5.emf

A005 Quality Program Plan DI-QCIC-81722 Rev1.pdf

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.

1 DATA ITEM NO: A005

2 TITLE OF DATA ITEM: Quality Program Plan (QPP)

3 SUBTITLE: QPP & QMS Audit Schedule

5 CONTRACT REFERENCE: SOW Para. C.3.3.1, C.3.3.13.2.2

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1:

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H DATE: 15 February 2022

J DATE: 15 February 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: For C.3.3.1: Contractor shall maintain a Quality Program Plan (QPP) that is equivalent to ISO 9001:2015.

Block 12 & Block 13:

- The Contractor shall submit the QPP upon request. The Contractor shall submit the QPP or portions of the QPP to the requesting Government Representative within 2 business days.

- For changes to the QPP The Contractor shall submit the QPP to the Government for review. The Government will respond within 45 calendar days of receipt of original submission or subsequent revisions.

For C.3.3.13.2.2 QMS Audit Schedule: Contractor shall maintain a QMS audit schedule (including vendor/suppliers) and provide a minimum of 30 calendar days notification to the personnel listed in Block 14 so that the Government may witness the audit.

Block 12: The Contractor shall submit the QMS Audit Schedule 30 calendar days after contract award.

Block 10: The Contractor shall submit the QMS Audit Schedule yearly or upon revision.

Block 14: Distribution: See Section "J" of Contract.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2022-02-15T08:28:43-0500

KURTZ.JACK.G.1367700056

2022-02-15T08:28:20-0500

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-QCIC-81722 image6.emf

CDRL A006 - Acceptance Test Report - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

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

A006 Acceptance Test Report (ATR) Quality and Inspection Records

SOW Para. C.3.3.1 FCDD-ACE-QMA

LT D ASREQ

ASREQ

30 Sept 2021 30 Sept 2021

The Contractor shall submit to requesting Government Representative within 2 business days.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.09.30 10:36:08 -04'00'

Date: 2021.09.30 10:36:30 -04'00'

DI-QCIC-81891

image7.emf

CDRL A007 - Contractor’s Standard Operating Procedures - Coating Procedures and Panels - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A007 Contractors Standard Operating Procedures Coating Procedures and Panels

SOW Para C.3.3.1.1.1 FCDD-ACE-QMA

Submission shall be in accordance with TT-C-490.

Block 12: The Contractor shall submit a minimum of 60 calendar days prior to First Article. If no First Article the Contractor shall submit a minimum of 60 calendar days prior to production start-up, or production restart.

The Government will respond within 30 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calander days.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 11:58:37 -04'00'

Date: 2021.08.24 11:59:23 -04'00'

DI-MGMT-81580

image8.emf

A008 Contractors Standard Operating Procedures DI-MGMT-81580 Rev1.pdf

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.

1 DATA ITEM NO: A008

2 TITLE OF DATA ITEM: Contractors Standard Operating Procedures

3 SUBTITLE: Lifting Plug Rework & Rotating Band Weld

5 CONTRACT REFERENCE: SOW Para C.3.1.2, C.3.3.1.1.2

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: ASREQ

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H DATE: 28 March 2022

J DATE: 28 March 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Block 12: The Contractor shall submit a minimum of 90 calendar days prior to First Article.

The Government will respond within 30 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calander days.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

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2022-03-28T13:45:00-0400

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MGMT-81580 image9.emf

A009 First Article Test Plan DI-NDTI-80566A Rev2.pdf

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.

1 DATA ITEM NO: A009

2 TITLE OF DATA ITEM: Test Plan

3 SUBTITLE: First Article Test (FAT) Plan

5 CONTRACT REFERENCE: SOW Para. C.3.3.2

6 REQUIRING OFFICE: RDAR-EIQ-PE

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: ASREQ

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H DATE: 28 March 2022

J DATE: 28 March 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks:

Contractor's format is acceptable.

Block 12: The Contractor shall submit a test plan at least 30 calendar days prior to First Article. The Government will respond within 15 calendar days of receipt. If further revisions are necessary, the Contractor shall have 5 business days to provide revisions and the Government will provide response within 10 calendar days.

Contractor shall also provide a minimum of 15 calendar days (60 calendar days if foreign travel is required) notification to the Government prior to each First Article.

Block 14: Distribution: See Section "J" of contract.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2022-03-28T13:50:21-0400

KURTZ.JACK.G.1367700056

2022-03-28T13:49:52-0400

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-NDTI-80566A image10.emf

CDRL A010 - Inspection and Test Report – First Article Test Report (FATR) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A010 Inspection and Test Report First Article Test Report (FATR)

SOW Para. C.3.3.2

The FATR shall be submitted with QAR findings on DD Form 1222. The FATR shall include variables data for all gage inspections in addition to the AIE approved gage inspection results, unless otherwise approved by the Procurement Contracting Officer (PCO). The FATR shall contain copies of all the test results. PCO approval of the FATR shall be obtained prior to start of production.

Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2, 10.2.6.5, 10.2.6.6, 10.2.7.2, and 10.2.7.3.

Block 12: The Contractor shall submit the FATR 300 calendar days after award.

The Government will respond within 45 calendar days of receipt. Disposition of the FATR will be provided through the PCO. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calendar days.

Date: 2021.08.24 12:03:55 -04'00'

Date: 2021.08.24 12:04:23 -04'00'

DI-NDTI-80809B Tailored image11.emf

A011 LATR DI-NDTI-80809B Rev1.pdf

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.

1 DATA ITEM NO: A011

2 TITLE OF DATA ITEM: Inspection and Test Report

3 SUBTITLE: Lot Acceptance Test Report (LATR)

5 CONTRACT REFERENCE: SOW Para. C.3.3.3, C.3.3.15.1.5, C.3.3.15.2, C.4.2.1, C.4.2.2

6 REQUIRING OFFICE:

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1:

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H DATE: 28 March 2022

J DATE: 28 March 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Lot Acceptance Test Report (LATR) shall be provided electronically in PDF file format and 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.

The LATR for Projectile Metal Parts Assembly and Base Closure shall consist of the following documentation:

Material Certifications, Chemical Analysis, Mechanical Properties, Paint and Primer Certifications, Salt Spray Test Results, Independent Laboratory Verification Test Results

The LATR for Wood Pallets shall consist of the following documentation:

Material Certifications, Mold Inhibitor Certification, Wood Preserve Certification

Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2, 10.2.6.5, 10.2.6.6, 10.2.7.2, and 10.2.7.3.

Block 12 & Block 13:

For Projectile Metal Parts Assembly and Base Closure, the Contractor shall submit LATRs to QAR for approval within 3 business days after ballistic sample shipment. The QAR will respond within 5 business days of receipt. If further revisions are necessary, the Contractor shall have 3 business days to provide revisions and the Government will provide response within 3 business days. The Contractor shall upload the LATRs into WARP within 3 business days of Quality Assurance Representative (QAR) concurrence. The Contractor shall provide transmittal using electronic mail as notification to Block 14 addresses that the LATR has been uploaded into the system.

For Wood Pallet, the Contractor shall upload the LATRs into WARP at least 3 business days prior to use in Projectile Metal Parts Assembly Lot. Upon upload, the Contractor shall provide transmittal using electronic mail as notification to QAR that the LATR has been uploaded into the system.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2022-03-28T13:55:01-0400

KURTZ.JACK.G.1367700056

2022-03-28T13:54:31-0400

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-NDTI-80809B Tailored image12.emf

CDRL A012 - Certification-Data Report - Material Certification - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A012 Certification/Data Report Material Certification

SOW Para. C.3.3.4 FCDD-ACE-QMA

Certificate of analysis required.

Block 4: Do not address paragraphs 10.2.3 and 10.4.

Block 12: The Contractor shall submit material certifications with the First Article Test Report (FATR).

Block 13: Material certifications shall be available for review during production.

The Contractor shall submit material certifications as a part of the Lot Acceptance Test Report (LATR).

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 13:19:07 -04'00'

Date: 2021.08.24 13:19:33 -04'00'

DI-MISC-80678 Tailored image13.emf

A013 Measurement System Evaluation (MSE) DI-QCIC-81960 Rev2.pdf

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.

1 DATA ITEM NO: A013

2 TITLE OF DATA ITEM: Measurement System Evaluation (MSE)

3 SUBTITLE:

5 CONTRACT REFERENCE: Section J Quality Addendum Item 5, SOW Para. C.3.3.5, C.3.3.5.1.1, C.3.3.5.1.2.1, C.3.3.5.3, C.3.3.6.1

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1:

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H DATE: 3 March 2022

J DATE: 3 March 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Block 12:

AIE Package: The Contractor shall submit a complete, comprehensive AIE package no later than 120 calendar days after contract award. The Government will furnish disposition within 45 calendar days of final comprehensive AIE package receipt.

Note: Incomplete submission is considered delinquent.

AAIE Test Analysis Report: The Contractor shall submit the test analysis report 45 calendar days prior to First Article (if First Article is required) or AAIE equipment use on contract. The Government will respond within 15 calendar days of receipt.

Visual Acceptance Standards: The Contractor may submit using approved FAT samples. The Contractor shall clearly identify the applicable inspection characteristic for each visual acceptance standard submitted. The Government will respond within 30 calendar days of receipt.

Visual Acceptance Standards for Cavity Surface Defects: The Contractor may submit samples for evaluation after the first month of production. The Government will respond within 60 calendar days of receipt.

Block 13: For AIE Package & AAIE Test Analysis Report: The Contractor shall have 15 calendar days to provide revisions and the Government will provide response within 15 calender days.

Remarks:

The approved AIE shall be available for First Article (if First Article is required), production, and/or all acceptance of product under the contract. Government approval must be granted before AIE is used for acceptance of product.

If the Contractor revises a previously Government approved AIE for this contract, revised AIE Package shall be submitted to the Government for review and approval. Review and revision timelines stated above under "AIE Package" are applicable. Approval must be granted before AIE is used for acceptance of product.

The Contractor shall notify the responsible Government technical agency a minimum of 30 calendar days (60 calendar days if foreign travel is required) prior to conducting acceptance (prove out) testing.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2022-03-03T14:08:52-0500

KURTZ.JACK.G.1367700056

2022-03-03T14:08:26-0500

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-QCIC-81960 image14.emf

A014 Personnel Certification DI-MISC-80678 Rev1.pdf

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.

1 DATA ITEM NO: A014

2 TITLE OF DATA ITEM: Certification/Data Report

3 SUBTITLE: Personnel Certification

5 CONTRACT REFERENCE: SOW Para. C.3.3.7

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1:

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H DATE: 15 February 2022

J DATE: 15 February 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Certifications are required for all personnel involved with Non-Destructive Testing (NDT) in accordance with NAS 410.

Block 4: Do not address paragraphs 10.2.3 and 10.4.

Block 12: The Contractor shall submit personnel certification and supporting documentation no later than 120 calendar days after contract award. The Government will respond within 45 calendar days of receipt. The Contractor shall have 15 calendar days to provide revisions and the Government will provide response within 20 calender days.

Personnel certifications and supporting documentation shall be available for review upon request.

Personnel certifications shall be approved by the Government prior to use in production on this contract.

Block 13: Upon recertification (reoccurrence).

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2022-02-15T08:41:55-0500

KURTZ.JACK.G.1367700056

2022-02-15T08:41:33-0500

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MISC-80678 Tailored image15.emf

CDRL A015 - Inspection and Test Report – Tool Control Inspection Correlation Study - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A015 Test Inspection Report Tool Control Inspection Correlation Study

SOW Para C.3.3.8 FCDD-ACE-QMA

The Contractor shall submit tool control inspections and correlation study as an attachment with each submission of a substitution request. Government will respond within 45 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calendar days.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 13:24:00 -04'00'

Date: 2021.08.24 13:24:28 -04'00'

DI-MISC-80508B

image16.emf

A016 Tool Surveillance Documentation DI-NDTI-80809B Rev1.pdf

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.

1 DATA ITEM NO: A016

2 TITLE OF DATA ITEM: Test Inspection Report

3 SUBTITLE: Tool Surveillance Documentation

5 CONTRACT REFERENCE: SOW Para. C.3.3.8

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: ASREQ

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: ASREQ

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H DATE: 15 February 2022

J DATE: 15 February 2022

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Block 10-13: The Contractor shall provide documentation to the Government within 2 business days of request.

Block 14: Distribution: See section "J" of contract.

Electronic submission is requested with email as the preferred format. The file used should be compatible with Microsoft Office

2022-02-15T08:44:14-0500

KURTZ.JACK.G.1367700056

2022-02-15T08:43:53-0500

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-NDTI-80809B image17.emf

CDRL A017 - Inspection and Test Report – Inspection and Test Record - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A017 Inspection and Test Report Inspection and Test Record

SOW Para. C.3.3.11

Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2, 10.2.6.5, 10.2.6.6, 10.2.7.2, and 10.2.7.3.

Block 12: The Contractor shall submit to the requesting…