Exhibit C - M30 CDRLs.pdf
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
D. SYSTEM/ITEM
Blasting Cap, Dummy Inert
E. CONTRACT/ PR NO.
412A021ZM2
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
REQUEST FOR VARIANCE (RFV)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80640D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ. 9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT * ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF
SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final Reg Repro
N/A N/A ASREQ
16. REMARKS: ACO 0 1 0
PCO 0 1 0
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING,
THEN THE WHOLE SUBMITTAL WILL BE LABELED "D".
THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED
AT www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.devcom-ac.mbx.ecp-document@army.mil; COPY FURNISH
THIS SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
15. TOTAL 0 2 0
G. PREPARED BY
Steven Carpenter for SDMO, FCDD-ACE-SP
H. DATE
6/7/2022
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 1 of 5 Pages http://www.dtic.mil/whs/directives/infomgt/forms/
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
D. SYSTEM/ITEM
Blasting Cap, Dummy Inert
E. CONTRACT / PR NO.
412A021ZM2
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
ENGINEERING CHANGE PROPOSAL (ECP)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80639D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ. 9. DIST 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
STATEMENT
LT REQUIRED ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF
SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
Reg Repro
N/A N/A ASREQ
16. REMARKS: ACO 0 1 0
PCO 0 1 0
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D".THE PREFERRED METHOD
FOR SUBMITTAL IS DD FORM 1692 LOCATED AT https:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.devcom-ac.mbx.ecp-document@army.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
15. TOTAL 0 2 0
G. PREPARED BY
Steven Carpenter for SDMO, FCDD-ACE-SP
H. DATE
6/7/2022
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 2 of 5 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
D. SYSTEM/ITEM
Blasting Cap, Dummy Inert
E. CONTRACT / PR NO.
412A021ZM2
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
NOTICE OF REVISION (NOR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80642D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ. 9. DIST 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
STATEMENT
REQUIRED
LT * ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF Final SUBSEQUENT a. ADDRESSEE Draft Reg Repro
SUBMISSION
N/A N/A ASREQ
16. REMARKS: ACO 0 1 0
PCO 0 1 0
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D". THE PREFERRED
METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT https:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.devcom-ac.mbx.ecp-document@army.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
15. TOTAL 0 2 0
G. PREPARED BY
Steven Carpenter for SDMO, FCDD-ACE-SP
H. DATE
6/7/2022
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 3 of 5 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
D. SYSTEM/ITEM
Blasting Cap, Dummy Inert
E. CONTRACT / PR NO.
412A021ZM2
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Operations Security (OPSEC) Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-MGMT-80934C
5. CONTRACT REFERENCE
OPSEC SOW
6. REQUIRING OFFICE
AMSJM-FP/G2
7. DD 250 REQ. 9. DIST 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
STATEMENT
REQUIRED
XX D ONE/R ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF Final SUBSEQUENT a. ADDRESSEE Draft Reg Repro
A ASREQ SUBMISSION
ASREQ
JMC OPSEC 0 1 0
PCO 0 1 0
16. REMARKS:
DELETE REFERENCE 'APPLYING OPSEC TO U.S. GOVERNMENT
CONTRACTS'. REPLACE WITH REFERENCE 'SAMPLE ACQUISITIONS
OPSEC PLAN'. 10 CALENDAR DAYS REQUIRED FOR GOVERNMENT
REVIEW AND APPROVAL. 30 CALENDAR DAYS AFTER THE
CONTRACTING OFFICER PROVIDES THE LIST OF KNOWN CRITICAL
INFORMATION (CI)/THREAT INFORMATION. RESUBMIT 10
CALENDAR DAYS AFTER GOVERNMENT REVIEW. SUBMIT
ELECTRONICALLY TO usarmy.ria.jmc.mbx.OPSEC-FD@army.mil.
15. TOTAL 0 2 0
G. PREPARED BY
Steven Carpenter for SDMO, FCDD-ACE-SP
H. DATE
6/7/2022
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 4 of 5 Pages mailto:usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil
DD FORM 1423-1, FEB 2001
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Production/Shipping Progress Report
3. SUBTITLE
PRODUCTION/SHIPPING STATUS REPORT
DI-MGMT-81255 TBD AMSJM-XXX
NO
N/A N/A
MONTHLY
N/A
ASREQ*
MONTHLY**
See Distribution
0 0 0
16. REMARKS
*30 Days prior to production commencement to include CLINs that are contractually scheduled to be produced with a rolling 60 day period. **First working day of each month. Requirements identified in block 10-10.2.7 will be replaced with USG identified requirements on the provided spreadsheet/pdf directions. USG will provide format and directions for completion. See sample format attached to CDRL PDF via left ribbon (attachment/paperclip) titled "PRODUCTION AND SHIPMENT PROGRESS REPORT".
Production Progress data will include CLIN level information, such as: DODIC, Model, Delivery Order, MILSTRIP, Ship To Address, QTY, Contractor Schedule and Actual Schedule for a rolling 60 day period. Shipping progress data will include DODIC, Model, Delivery Order, Shipment Number, Lot Number, MILSTRIP, Ship To Address, Shipment QTY, Shipment Request Submit and Sign Date. Submit electronically to the POC's identified in block 14a.
Distribution list will be provided after each delivery order award.
Adobe Professional 7.0
M097 Blasting Cap, Dummy Inert
Michelle Whitmire
A006
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| 412A021ZM2_CDRL_PPI.pdf |
| ProductionCDRL_M097.pdf |
| QA_CDRL_4I2A021ZM2.pdf |
Production Forecast (GOCO-COCO)
PRODUCTION-WAWF RECEIVING REPORT STATUS
Contract Number TBD AS OF:
Planned Production Status
DODIC Model / Nomenclature Delivery Order CLIN MILSTRIP SHIP TO (DODAAC) MILSTRIP QTY 6/1/22 7/1/22 8/1/22 9/1/22 10/1/22 11/1/22 12/1/22 1/1/23 2/1/23 3/1/23 4/1/23 5/1/23 6/1/23 Total
Production- Instructions
PRODUCTION-WAWF RECEIVING REPORT STATUS
Contract Number AS OF:
A B C D E F G H I J K L M N O P Q R S T U
Planned Production Status
DODIC Model CLIN Award Date MILSTRIP SUPPL ADDR MILSTRIP QTY 1/30/18 2/28/18 3/30/18 4/30/18 5/30/18 6/30/18 7/31/18 8/31/18 9/30/18 10/31/18 11/30/18 12/31/18 1/31/19 Total
B118 M788 XXX123 12-12-2018 W52P1J1003A755 W44XMF 100,000 - 0 50,000 25,000 25,000 100,000
B118 M788 XXX123 12-12-2018 W52P1J1003A901 W22PVK 25,000 12,500 12,500 25,000
B118 M788 XXX123 12-12-2018 W52P1J1003A656 W44XMF 50,000 12,500 37,500 50,000
B118 M788 XXX123 12-12-2018 W52P1J1003A902 W22PVK 100,000 25,000 25,000 25,000 25,000 100,000
Explanation of expected/experienced delays and risks: INPUT ANY EXPLANATION OF DELAYS OR RISKS ASSOCIATED WITH THE PLANNED PRODUCTION SCHEDULE HERE - 0 50,000 25,000 25,000 12,500 25,000 37,500 25,000 25,000 25,000 25,000 - 0 - 0 275,000
Cum Baselin ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF!
Cum Contract ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF! ERROR:#REF!
Cum Plan - 0 50,000 75,000 100,000 112,500 137,500 175,000 200,000 225,000 250,000 275,000 275,000 275,000
Definitions
Column A Enter DODIC - (Department Of Defense Identification Code) of item that is planned for production
Column B Enter Model of DODIC that is planned for production
Column C Enter the CLIN (Contract Line Item Number) for the cartridge being produced
Column D Enter the award date of CLIN that is planned for production
Column E Enter the MILSTRIP (Military Standard Requisitioning And Issue Procedures) for the cartidge being produced
Column F Enter the SUPPL ADDR of where the shipment of cartridges is being shipped to
Column G Enter the total CLIN quantity associated with this line
Column H-T Input the qauntity of cartridges scheduled to be produced for each month
Column U Enter cumulative total for all three schedule lines for each DODIC
File details come from the government source that posted it. Updated .