DRAFT_EXHIBIT_B_M158_CDRL.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

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

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

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

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

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

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

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

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

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

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

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

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

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

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

Item 12. Specify when first submittal is required.

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

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

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

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

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

FOR THE CONTRACTOR

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

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

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

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

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

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

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

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

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

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

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

DD FORM 1423-1 (BACK), FEB 2001

data_item:

title: Statistical Process Control (SPC) sub:

auth: DI-MGMT-81987 ref: Section: E req_ofc: AMSJM-QAO/P dd250: LT appcode: A dist: B freq: ONE/R asof: N/A firstsub: 150DAC subsub: ASREQ addressee1: PCO draft1:

reg1: 1 repro1:

addressee2: PQM draft2:

reg2: 1 repro2:

addressee3: AQE draft3:

reg3: 1 repro3:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: BLK 12: The general plan shall be submitted no later than 150 calendar days after contract award. The final detailed plan shall be submitted 200 calendar days after contract award. Approval is required prior to first article test (FAT), or initiation of production if FAT is not required. The Government requires 30 days for review. Disposition of the general and detailed sections will be provided through the procuring contracting officer (PCO).

BLK 13: If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions and the Government shall review and provide disposition within 15 calendar days of receipt.

BLK 14: Submit via email or AMRDEC Safe https://safe.amrdec.army.mil/safe/Welcome.aspx.

Specific email addresses for the distribution list will be provided after contract award.

group:

total_price:

prep_name:

prep_sign:

prep_date:

app_by:

app_sign:

app_date:

Page:

app: Adobe Professional 7.0 line_item:

exhibit:

xtdp: Off xtm: Off othercat: MGMT system:

ctr_no:

contr:

remarksb:

Page2:

of_pages:

Reset:

1. DATA ITEM NO. 17. PRICE

GROUP

A001

NO

0 1 0

Page: 1 of 17DD Form 1423-1, FEB 2001 Previous editions may be used.

*30 DAYS AFTER PRODUCTION COMMENCES. **3 WORKING DAYS FOLLOWING REPORTING MONTH.

DELETE PARAGRAPHS 2.1-2.3, 2.8, 2.9, 2.11, 2.16. ***CONTRACTOR FORMAT ACCEPTABLE. SHALL BE SUBMITTED IN ELECTRONIC FORMAT IN EITHER RICH TEXT FORMAT (RTF) OR ASCII AND INCLUDE DESCRIPTION/NSN; TOTAL OF GFM ON CONTRACT VS. TOTAL DELIVERED AS OF THE CURRENT MONTH;

RECEIPTS, CUMULATIVE VS. CURRENT MONTH; CONSUMED, CUMULATIVE VS. CURRENT MONTH;

REJECTED/DAMAGED MATERIEL, LOT NUMBERS AND SERIAL NUMBERS OF GFM; AND LAP CLINS,

CONTRACT QUALITY VS. DELIVERED QUANTITY. SUBMIT ELECTRONICALLY TO

usarmy.ria.jmc.mbx.amsjm-cdp@mail.mil.

N/A N/A Reg Repro

ASREQ**

16. REMARKS AMSJM-CDP***

N/A

MTHLY DFDEL*

13. DATE OF SUBSEQUENT SUBMISSION

9. DIST

STATEMENT

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80438B SEC. C, SOW AMSJM-CDP***

2. TITLE OF DATA ITEM 3. SUBTITLE

GOVERNMENT FURNISHED MATERIEL (GFM) CONSUMPTION REPORT CONSUMPTION REPORT

TDP____________ TM____________ OTHER____________

E. CONTRACT / PR NO. F. CONTRACTOR

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

K. Mosher for SDMO, RDAR-IES-PD 4/27/2017

D. SYSTEM/ITEM

M158 Signal Illumination Red Star Cluster WG6A06XB41

1. DATA ITEM NO. 17. PRICE

GROUP

A002

XX

Page: 2 of 17DD Form 1423-1, FEB 2001 Previous editions may be used.

K. Mosher for SDMO, RDAR-EIS-PD 4/27/2017

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@mail.mil.

CO**

A ASREQ Reg Repro

ASREQ**

16. REMARKS AMSJM-FP/G2

D

ONE/R ASREQ*

13. DATE OF SUBSEQUENT SUBMISSION

9. DIST

STATEMENT

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80934C OPSEC SOW AMSJM-FP/G2

D. SYSTEM/ITEM

M158 Signal Illumination Red Star Cluster

E. CONTRACT / PR NO.

WG6A06XB41

2. TITLE OF DATA ITEM 3. SUBTITLE

Operations Security (OPSEC) Plan OPSEC Program

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

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

0 2 0

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

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

Technical Manual; Other - other category of data, such as

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 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

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 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

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

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.

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

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

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.

80603L

81059

80934a

80639

80640

80642

81960

80004B

80004P

80043

80809F

80246

80970C

81307

81315

80809B

HH6F06BP1A_spc_janik.pdf

80603L

81059

80934a

80639

80640

80642

81960

80004B

80004P

80043

80809F

80246

80970C

81307

81315

80809B wg6a06xd4i_gfm.pdf

80438A

INSTRUCTIONS_for_adding.pdf

80603L

80934a

80639

80640

80642

81722

80043

81307

81315

80809B

81987spc

Instructions spc_81987.pdf

81987_spc

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

title: Ammunition Data Card (ADC) sub: Data Input (ADC) auth: DI-MISC-80043 ref: Section: C, MIL-STD-1168 req_ofc: AMSJM-QAO/P dd250: XX appcode: A dist: B freq: ASREQ asof: N/A firstsub: ASREQ subsub: ASREQ addressee1: WARP draft1:

reg1: 1 repro1:

addressee2: Lot Shipment draft2:

reg2: 1 repro2:

addressee3: Mail to Dest draft3:

reg3: 1 repro3:

addressee4: AQE draft4:

reg4: 1 repro4:

addressee5: THUR QAR draft5:

reg5: 1 repro5:

addressee6:

draft6:

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total_draft: 0 total_reg: 5 total_repro: 0 remarks: BLK 12: Sample Ammunition Data Cards (ADCs) shall be submitted into the Munitions History Program (MHP) system and approved prior to First Article Testing (FAT) or initiation of production if FAT is not required. ADCs shall be prepared IAW MIL-STD-1168 by accessing the data repository system WARP on the Munitions History Program website at https://mhp.redstone.army.mil/.

BLK 10/13: ADC shall be submitted with each lot.

Hard copy ADC provided with lot shipments shall be generated from the WARP and signed/dated by the Government Agency Responsible for Acceptance (GARA).

When ballistic test are required, one hard copy ADC generated from the WARP and signed/dated by the GARA shall be sent to the Proving Ground with sample shipment, plus an additional signed/dated, hard copy provided to the Proving Ground by mail.

If the critical characteristic requirement is in the contract, the critical characteristic information fields in WARP for the ADC shall be completed for each lot.

Blk 10,12,13: Data Cards provided to NSWC Crane and those sent with shipments shall be hardcopy printouts generated with the WARP Program and shall be signed and dated by the Government inspector. NSWC Crane submissions shall also include a hardcopy printout of same data cards (see MIL-STD-1168C, Para 4.12.5).

When ballistic tests are required, two hardcopies shall be sent to the Proving Ground with shipment and two to the Proving Ground by mail.

Data Cards provided shall be submitted upon completion of each lot.

group:

total_price:

prep_name:

prep_sign:

prep_date:

app_by:

app_sign:

app_date:

Page:

app: Adobe Professional 7.0 line_item:

exhibit:

xtdp: Off xtm: Off othercat: MISC system:

ctr_no:

contr:

remarksb:

Page2:

of_pages:

Reset:

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

title: Critical Characteristics Control Plan (CCCP) sub:

auth: DI-MGMT-81986 ref: Section: E req_ofc: NSWC Crane (JXRT) dd250: LT appcode: A dist: B freq: ANNLY asof: N/A firstsub: 120DAC subsub: ASREQ addressee1: PCO draft1:

reg1: 1 repro1:

addressee2: PQM draft2:

reg2: 1 repro2:

addressee3: AQE draft3:

reg3: 1 repro3:

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draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

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addressee36:

draft36:

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addressee37:

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addressee38:

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reg38x:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: BLK 12: Critical Characteristics Control Plan (CCCP) shall be submitted no later than 120 calendar days after contract award. Government shall provide response within 45 calendar days of initial submission. Disposition of the CCCP will be provided by the procuring contracting officer (PCO). If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions and the Government shall provide a response within 15 calendar days. The CCCP shall be approved prior to first article test (FAT), if FAT is required, or the initiation of production.

BLK 13: Submit updates/revisions for review and approval prior to implementation. Government shall provide a response within 15 calendar days of receipt and contractor shall response to any comments within 15 calendar days.

BLK 14: Submit via email or AMDEC SAFE to the addressee list. https://safe.amrdec.army.mil/safe/Welcome.aspx Specific email addresses for the distribution list will be provided after contract award.

A CCCP Review Guide is available to assist Contractors on the ARDEC Public Website (http://www.ardec.army.mil/organizations/QESA/) in the application of the CCCP requirement. The CCCP 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 CCCP Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the CCCP requirement itself nor into the terms and conditions of any underlying contract which contains the CCCP requirement.

group:

total_price:

prep_name:

prep_sign:

prep_date:

app_by:

app_sign:

app_date:

Page:

app: Adobe Professional 7.0 line_item:

exhibit:

xtdp: Off xtm: Off othercat: MGMT system:

ctr_no:

contr:

remarksb:

Page2:

of_pages:

Reset:

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

title: Critical Plan Of Action (CPOA) sub:

auth: DI-MGMT-81996 ref: Section: E req_ofc: AMSJM-QAO/P dd250: LT appcode: A dist: B freq: ANNLY asof: N/A firstsub: ASREQ subsub: ASREQ addressee1: PCO draft1:

reg1: 1 repro1:

addressee2: PQM draft2:

reg2: 1 repro2:

addressee3: AQE draft3:

reg3: 1 repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

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draft6:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: BLK 10: Contractor may voluntarily submit a CPOA for all critical characteristics as specified in the critical characteristic requirement. If contractor chooses to utilize the CPOA, it shall be updated and resubmitted on an annual basis.

BLK 12: Contractor shall submit the CPOA for approval prior to use. The Government requires 45 calendar days for review. Disposition of the CPOA will be provided through the procuring contracting officer (PCO). CPOA shall be approved prior to implementation. If further revisions are necessary, the contractor shall provide revision within 15 calendar days and the Government will provide disposition within 15 calendar days of receipt.

BLK 14: Submit via email or AMRDEC SAFE https://safe.amrdec.army.mil/safe/Welcome.aspx.

Specific email addresses for the distribution list will be provided after contract award.

A CPOA Review Guide is available to assist Contractors on the ARDEC Public Website (http://www.ardec.army.mil/organizations/QESA/) in the application of the CPOA requirement. The CPOA 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 CPOA Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the CPOA requirement itself nor into the terms and conditions of any underlying contract which contains the CPOA requirement.

group:

total_price:

prep_name:

prep_sign:

prep_date:

app_by:

app_sign:

app_date:

Page:

app: Adobe Professional 7.0 line_item:

exhibit:

xtdp: Off xtm: Off othercat: MGMT system:

ctr_no:

contr:

remarksb:

Page2:

of_pages:

Reset:

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

title: CRITICAL DEFECT INVESTIGATION REPORT sub:

auth: DI-MGMT-81989 ref:

req_ofc: AMSJM-QAO/P dd250: LT appcode: A dist: B freq: ASREQ asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: PCO draft1:

reg1: 1 repro1:

addressee2: PQM draft2:

reg2: 1 repro2:

addressee3: QAR draft3:

reg3: 1 repro3:

addressee4:

draft4:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: BLK 10: Whenever a Critical Defect occurs.

BLKS 8, 12 & 13:

Root Cause Investigation and Segregated Suspect Material Use:

Contractor shall submit to Government for approval and will receive response within 3 business days of receipt of original and any required revisions. Unless otherwise stated, Contractor shall submit revisions within 10 days of receipt of Government Response.

Request to Restart Operations:

Contractor shall submit to Government for approval and will receive response within 3 business days of receipt.

BLK 14: Submit via email.

Specific email addresses for the distribution list will be provided after contract award.

group:

total_price:

prep_name:

prep_sign:

prep_date:

app_by:

app_sign:

app_date:

Page:

app: Adobe Professional 7.0 line_item:

exhibit:

xtdp: Off xtm: Off othercat: MGMT system:

ctr_no:

contr:

remarksb:

Page2:

of_pages:

Reset:

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

title: Engineering Change Proposal (ECP) sub:

auth: DISESS80639 ref: Section: C req_ofc: NSWC Crane (JXRT) dd250: LT appcode: A dist: See BLK 16 freq: ASREQ asof: N/A firstsub: ASREQ subsub: ASREQ addressee1: PCO draft1:

reg1: 1 repro1:

addressee2: AQE draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

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draft4:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 10/12/13: The contractor shall prepare and submit an ECP on DD form 1692. DD Form 1692 is located at http://www.dtic.mil/whs/directives/forms/index.htm.

BLK 14: DD Form 1692 shall be submitted electronically to USARMY.RIA.ARDEC.MBX.ARDEC-ECP-INPUT@MAIL.MIL and the addressee list.

Specific email addresses for the distribution list will be provided after contract award.

Submit text files in Government compatible Microsoft Word and view files in Government compatible Adobe Acrobat. For drawings submit PDF view files in Government compatible Adobe Acrobat.

BLK 9: Distribution statement will be assigned and implemented by the DOD configuration control authority.

group:

total_price:

prep_name:

prep_sign:

prep_date:

app_by:

app_sign:

app_date:

Page:

app: Adobe Professional 7.0 line_item:

exhibit:

xtdp: Off xtm: Off othercat: SESS system:

ctr_no:

contr:

remarksb:

Page2:

of_pages:

Reset:

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

title: Failure Summary & Analysis Report sub:

auth: DI-SESS-80255A ref: Section: E req_ofc: AMSJM-QAO/P dd250: LT appcode: A dist: B freq: ASREQ asof: N/A firstsub: ASREQ subsub: ASREQ addressee1: PCO draft1:

reg1: 1 repro1:

addressee2: PQM draft2:

reg2: 1 repro2:

addressee3: AQE draft3:

reg3: 1 repro3:

addressee4:

draft4:

reg4:

repro4:

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draft5:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: BLK 10/12/13: Contractor shall notify the the addressee list in block 14 via email within 24 hours after the occurrence of a failure during acceptance testing, including but not limited to, any failures during FAT/LAT and any destructive/nondestructive test failures. Formal submittal shall be no later than 10 calendar days after reported failure. Final report shall be submitted no later than 30 calendar days after determining/conducting root cause/failure analysis.

The Government will provide a response within 15 calendar days of initial submission. If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions. Disposition will be provided by the procuring contracting officer (PCO).

BLK 14: Submit via email or AMRDEC SAFE. https://safe.amrdec.army.mil/safe/Welcome.aspx Specific email addresses for the distribution list will be provided after contract award.

group:

total_price:

prep_name:

prep_sign:

prep_date:

app_by:

app_sign:

app_date:

Page:

app: Adobe Professional 7.0 line_item:

exhibit:

xtdp: Off xtm: Off othercat: SESS system:

ctr_no:

contr:

remarksb:

Page2:

of_pages:

Reset:

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

title: Test Procedure sub: First Article Test Plan and Procedures auth: DI-NDTI-81307A ref: Section: E req_ofc: AMSJM-QAO/P dd250: LT appcode: A dist: B freq: ASREQ asof: N/A firstsub: 120DAC subsub: ASREQ addressee1: PCO draft1:

reg1: 1 repro1:

addressee2: PQM draft2:

reg2: 1 repro2:

addressee3: AQE draft3:

reg3: 1 repro3:

addressee4:

draft4:

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reg38x:

repro38:

total_draft: 0 total_reg: 3 total_repro: 0 remarks: BLK 12: First Article Test Plans shall be submitted no later than 120 calendar days after contract award. Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. Disposition will be provided by the procuring contracting officer (PCO). Approval of the plan shall be obtained prior to FAT.

BLK 14: Submit via email or AMRDEC SAFE. https://safe.amrdec.army.mil/safe/Welcome.aspx Specific email addresses for the distribution list will be provided after contract award.

group:

total_price:

prep_name:

prep_sign:

prep_date:

app_by:

app_sign:

app_date:

Page:

app: Adobe Professional 7.0 line_item:

exhibit:

xtdp: Off xtm: Off othercat: NDTI system:

ctr_no:

contr:

remarksb:

Page2:

of_pages:

Reset:

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 m