Exhibit_A.pdf
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Exhibit A - PA-71/A CDRLs
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1. DATA ITEM NO. 17. PRICE
GROUP
A001
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 0 0
0 0 0
Page: 1 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
ENGINEERING CHANGE PROPOSAL (ECP)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-80639D SECTION C RDAR-EIS-PD
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS SEE ADDRESS CODE
ASREQ ASREQ
a. ADDRESSEE
N/A N/A Reg Repro
ASREQ
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
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. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1692 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
DISTRIBUTION
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM CAS nicole.salazar1 Typewritten Text nicole.salazar1 Typewritten Text nicole.salazar1 Typewritten Text nicole.salazar1 Typewritten Text nicole.salazar1 Typewritten Text nicole.salazar1 Typewritten Text nicole.salazar1 Typewritten Text nicole.salazar1 Typewritten Text nicole.salazar1 Typewritten Text 27-Apr-16 nicole.salazar1 Typewritten Text
A002
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 0 0
0 0 0
Page: 2 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
REQUEST FOR VARIANCE (RFV)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-80640D SECTION C RDAR-EIS-PD
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS SEE ADDRESS CODE
ASREQ ASREQ
a. ADDRESSEE
N/A N/A Reg Repro
ASREQ
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
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. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
DISTRIBUTION
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM-CAS nicole.salazar1
27-Apr-16
A003
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 0 0
0 0 0
Page: 3 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
NOTICE OF REVISION (NOR)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-80642D SECTION C RDAR-EIS-PD
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS SEE ADDRESS CODE
ASREQ ASREQ
a. ADDRESSEE
N/A N/A Reg Repro
ASREQ
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
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. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
DISTRIBUTION
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM-CAS nicole.salazar1
A004
18. ESTIMATED
TOTAL PRICE
DD
8. APP CODE
0 1 0
0 1 0
0 1 0
0 1 0
Page: 4 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Measurement System Evaluation (MSE) - Measurement and Inspection Equipment System Design Documentation for Acceptance of Product
Measurement System Evaluation (MSE)/AIE
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-QCIC-81960 Contract Section E MSE Clause AMSJM-QAP
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS AMSJM-QAP
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A Reg Repro
ASREQ
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
APPROVAL OF MSE IS REQUIRED PRIOR TO FIRST ARTICLE ACCEPTANCE TEST (FAAT). THE CONTRACTOR SHALL SUBMIT A COMPLETED AIE PACKAGE NO LATER THAN 120 CALENDAR DAYS AFTER CONTRACT
AWARD, AND NO LATER THAN 60 CALENDAR DAYS PRIOR TO FAAT (IF FAAT IS REQUIRED),
PRODUCTION, AND/OR ALL ACCEPTANCE OF PRODUCT UNDER THE CONTRACT. THE GOVERNMENT WILL FURNISH DISPOSITION WITHIN 45 CALENDAR DAYS OF FINAL AIE PACKAGE RECEIPT. THE CONTRACT SHALL HAVE 30 CALENDAR DAYS TO GENERATE FURTHER REVISIONS (IF NECESSARY), AND THE GOVERNMENT SHALL HAVE 30 CALENDAR DAYS TO REVIEW AND RESPOND. THE APPROVED AIE SHALL BE AVAILABLE FOR FAAT (IF FAAT IS REQUIRED), PRODUCTION, AND/OR ALL ACCEPTANCE OF PRODUCT UNDER THE CONTRACT. IF CONTRACTOR REVISES A PREVIOUSLY GOVERNMENT-ACCEPTED AIE FOR THIS CONTRACT, THE REVISED AIE MUST BE SUBMITTED TO THE GOVERNMENT FOR REVIEW AND APPROVAL.
APPROVAL MUST BE GRANTED BEFORE AIE IS USED FOR ACCEPTANCE OF PRODUCT. THE GOVERNMENT WILL RESPOND WITHIN 30 CALENDAR DAYS. THE CONTRACTOR SHALL NOTIFY THE RESPONSIBLE GOVERNMENT TECHNICAL AGENCY A MINIMUM OF 30 CALENDAR DAYS PRIOR TO ACCEPTANCE (PROVE OUT) TESTING. SUBMIT ELECTRONICALLY TO JACOB.R.THOMS.CIV@MAIL.MIL. *AN MSE REVIEW GUIDE IS AVAILABLE TO ASSIST CONTRACTORS ON THE ARDEC PUBLIC WEBSITE IN THE APPLICATION OF THE MSE CLAUSE. THE MSE REVIEW GUIDE'S CONTENT, IN ITS ENTIRETY, IS PROVIDED SOLELY FOR REFERENCE AND GUIDANCE PURPOSES ONLY- IT IS NOT, NOR IS IT INTENDED TO BE, CONTRACTUALLY BINDING. ACCORDINGLY, THE INFORMATION CONTAINED WITHIN THE MSE REVIEW GUIDE IS EXPRESSLY NOT, NOR SHALL IT BE CONSTRUED TO BE, INCORPORATED EITHER DIRECTLY OR BY REFERENCE INTO THE TERMS OF THE MSE CLAUSE ITSELF NOR INTO THE TERMS AND CONDITIONS OF ANY UNDERLYING
CONTRACT WHICH CONTAINS THE MSE CLAUSE.*
QAR
RDAR-EIQ-MD
PCO
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM-CAS nicole.salazar1
A005
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 5 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
MANAGEMENT PLAN STAT. PROCESS CNTRL PLAN
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80004A* SECTION E AMSJM-QAP
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS AMSJM-QAP
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A Reg Repro
ASREQ
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
* ONLY PARA 3.2.M APPLIES – CHANGE “OTHER” TO “STATISTICAL PROCESS CONTROL.” GENERAL SECTION OF THE STATISTICAL PROCESS CONTROL (SPC) SHALL BE SUBMIT AT LEAST 60 DAYS PRIOR TO INITIATION OF PRODUCTION OR 60 DAYS PRIOR TO CONDUCTING FIRST ARTICLE ACCEPTANCE TEST (FAAT) (IF FAAT REQUIRED). APPROVAL OF SPC GENERAL SECTION IS REQUIRED PRIOR TO FAAT. IF
GENERAL SECTION WAS PREVIOUSLY ACCEPTED, SUBMIT UPDATED/REVISED MILESTONES IN
TIMEFRAMES STATED ABOVE. APPROVAL OF SPC DETAILED PLAN IS PRIOR TO COMMENCING
PRODUCTION. THE GOVERNMENT REQUIRES 30 DAYS TO REVIEW THE PLAN AFTER RECEIPT.
DISPOSITION OF THE GENERAL SECTION, DETAILED SECTION, AND CONTRACTOR’S MILESTONES FOR IMPLEMENTATION SHALL BE PROVIDED BY AMSJM-QAP THRU THE PCO. SUBMIT IN RICH TEXT FORMAT, MICROSOFT WORD, OR BE EMAIL TO JACOB.R.THOMS.CIV@MAIL.MIL. THE ACCEPTABLE SOFTWARE PACKAGE WILL BE MISCROSOFT OFFICE. IF THIS IS NOT AVAILABLE, A WORD PROCESSING TYPE OF
DOCUMENT SAVED IN TEXT FORMAT IS ACCEPTABLE.
QAR
PCO
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM-CAS nicole.salazar1
A006
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 6 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
MANAGEMENT PLAN QA SYSTEM/PROGRAM PLAN
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80004A SECTION E AMSJM-QAP
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS AMSJM-QAP
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A Reg Repro
ASREQ
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
*ONLY 3.2.E APPLIES, WHERE “QUALITY ASSURANCE’’ EQUATES TO “QUALITY SYSTEM PLAN.” SUBMIT PLAN PRIOR TO SUBMISSION OF FIRST ARTICLE ACCEPTANCE TEST (FAAT) (IF FAAT REQUIRED) OR PRIOR
TO INITITATION OF PRODUCTION. ALLOW 30 DAYS FOR GOVERNEMENT REVIEW. SUBMIT DATA
ELECTRONICALLY TO JACOB.R.THOMS.CIV@MAIL.MIL.
QAR
PCO
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM-CAS nicole.salazar1
A007
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
Page: 7 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
AMMUNITION DATA CARD Data Input (ADC)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80043B NOT 1 SECTION C, MIL-STD-1168C AMSJM-QAP
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS WARP
N/A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A Reg Repro
ASREQ
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
ADC SHALL BE PREPARED IAW MIL-STD-1168C, SEC C SOW AND THIS CDRL BY ACCESSING THE
WORLDWIDE AMMUNITION DATA REPOSITORY PROGRAM (WARP) WHICH IS LOCATED ON THE
MUNITIONS HISTORY PROGRAM (MHP) WEBSITE AT HTTPS://MHP.REDSTONE.ARMY.MIL. SUBMIT A SAMPLE ADC INTO THE MHP/WARP SYSTEM FOR APPROVAL PRIOR TO CONDUCTING FIRST ARTICLE ACCEPTANCE TEST (FAAT). HARD COPY ADC PROVIDED WITH LOT SHIPMENT SHALL BE GENERATED
FROM WARP AND SIGNED/DATED BY THE GOVERNMENT AGENCY REPSONSIBLE FOR ACCEPTANCE
(GARA). WHEN BALLISTIC TESTS ARE REQUIRED, ONE HARD COPY GENERATED FROM WARP, SIGNED AND DATA BY THE GARA, SHALL BE SENT TO THE PROVING GROUND WITH SAMPLE SHIPMENT, PLUS AN ADDITIONAL SIGNED, HARD COPY PROVIDED TO THE PROVING GROUND BY MAIL. SUBMIT VIA THE
INTERNET OR MAIL A CD ROM.
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar nicole.salazar1 Typewritten Text nicole.salazar1
A008
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 8 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
First Article Qualification Test Plan and Procedures First Article Qualification Test Plan/First Article Acceptance Test (FAAT) Plan & Procedures
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-81307A Section E AMSJM-QAP
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS AMSJM-QAP
D
ASREQ ASREQ
a. ADDRESSEE
A N/A Reg Repro
ASREQ
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
SUBMIT FAAT PLAN WITHIN 60 DAYS PRIOR TO FAAT. DISPOSITION OF PLAN SHALL BE PROVIDED WITHIN 30 DAYS OF RECEIPT BY THE PCO. RESUBMIT (IF REQUIRED) WITHIN 10 DAYS OF RECEIPT OF GOVERNMENT DISPOSITION. PCO APPROVAL OF TEST PLAN SHALL BE OBTAINED PRIOR TO FAAT. PLAN SHALL INCLUDE ALL VERIFICATIONS BY EXAMINATIONS, ANALYSES, DEMONSTRATIONS OR TEST NEEDED
TO MEET ALL REQUIREMENTS OF PRIME ITEM SPECIFICATION AND DLS. CONTRACTOR FORMAT
ACCEPTABLE, SAMPLE AVAILABLE UPON REQUEST. SUBMIT ELECTRONICALLY IN DISTRIBUTION
STATEMENT D (DISTRIBUTION AUTHORIZED TO THE DOD ONLY), SOLELY IN MICROSOFT OFFICE
FORMAT, TO JACOB.R.THOMS.CIV@MAIL.MIL.
QAR
PCO
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar nicole.salazar1
A009
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 9 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT (FACAR)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-81315B Section E AMSJM-QAP
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS AMSJM-QAP
D
ASREQ ASREQ**
a. ADDRESSEE
A* N/A Reg Repro
ASREQ**
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
CONTRACTOR FORMAT ACCEPTABLE. SUBMIT FACAR WITHIN 7 DAYS OF EACH FAILURE. GOVERNMENT WILL SUBMIT COMMENTS/APPROVAL/DISAPPROVAL WITHIN 30 DAYS OF RECEIPT. SUBMIT FINAL
FACAR WITHIN 15 CALENDAR DAYS OF RECEIPT OF GOVERNMENT COMMENTS. SUBMIT FACAR IN
DISTRIBUTION STATEMENT D [DISTRIBUTION AUTHORIZED TO THE DOD AND U.S. DOD CONTRACTORS ONLY (CRITICAL TECHNOLOGY) (DATE OF CONTRACT AWARD)]. OTHER REQUESTS SHALL BE REFERRED
TO GOVERNMENT. WARNING - THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS
RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751, ET SEQ) OR THE EXPORT ADMINISTRACTION ACT OF 1979, AS AMMENDED, TITLE 50, U.S.C., APP 2401 ET SEQ. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. SUBMIT ELECTRONICALLY TO
JACOB.R.THOMS.CIV@MAIL.MIL.
QAR
PCO
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM-CAS nicole.salazar1
A010
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 1 0
0 1 0
Page: 10 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
TEST/INSPECTION REPORT FIRST ARTICLE ACCEPTANCE TEST (FAAT) REPORT
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80809B SECTION E AMSJM-QAP
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS AMSJM-QAP
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A Reg Repro N/A
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
SUBMIT REPORTS THROUGH QAR TO ALL ADDRESSEES. SUBMIT ELECTRONICALLY TO
JACOB.R.THOMS.CIV@MAIL.MIL. PQM WILL SUPPLY COPY OF THE FAAT REPORT TO CUSTOMERS.
QAR
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM-CAS nicole.salazar1
A011
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 1 0
Page: 11 of 12
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Critical Safety Item, Characteristic and Critical Defect Report Process Maps
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA-71/A FIBER CONTAINER (F/105MM assy) HH5G1PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SAFT-80970A NOT 1 N/A AMSJM-QAP
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
16. REMARKS AMSJM-QAP
NO
ASREQ 30DAC
a. ADDRESSEE
A AWARD Reg Repro
60DAC
J. DATE
K. Mosher, RDAR-EIS-PD 27-Apr-16
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
DRAFT PROCESS MAPS DUE NLT 30 CALENDAR DAYS AFTER CONTRACT AWARD OR DELIVERY ORDER.
FINAL PROCESS MAP DUE 60 CALENDAR DAYS AFTER CONTRACT AWARD OR DELIVERY ORDER.
GOVERNMENT APPROVAL OF PROCESS MAP IS REQUIRED PRIOR TO INITIATION FAAT OR PRODUCTION UNDER THE NEW PROCESS. CONTRACTOR SHALL PREPARE AND SUBMIT CRITICAL CHARACTERISTICS
PROCESS MAPS IN CONTRACTOR FORMAT, DESCRIBING HOW THEY ADDRESS ALL CRITICAL
CHARACTERISTICS IDENTIFIED IN THE TECHNICAL DATA PACKAGE AND ANY CONTRACTOR IDENTIFIED CRITICAL CHARACTERISTICS. EXAMPLE OF GENERIC PROCESS MAPS CAN BE FOUND IN SECTION J OF THE CONTRACT. PROCESS MAPS SHALL IDENTIFY HOW THE CONTRACTOR IS INSPECTING THE CRITICAL CHARACTERISTICS. UPDATES TO THE FINAL PROCESS MAP (WITH CHANGES HIGHLIGHTED) SHALL BE PRESENTED TO THE GOVERNMENT FOR APPROVAL ANY TIME THERE IS A CHANGE IN THE PROCESS.
SUBMIT ELECTRONICALLY TO JACOB.R.THOMS.CIV@MAIL.MIL.
QAR
Form Approved OMB No. 0704-0188 nicole.salazar1 Typewritten Text Nicole Salazar, PM-CAS nicole.salazar1
FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR
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.
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 (BACK)
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.
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.
INSTRUCTIONS FOR COMPLETING DD FORM 1423
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.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
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.
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.
nicole.salazar1
| 80639 |
| 80640 |
| 80642 |
| 81960 |
| 80004 |
| 80004B |
| 80043 |
| 81307 |
| 81315 |
| 80809B |
| 80970b |
| Instructions |
File details come from the government source that posted it. Updated .