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 .