Exhibit_A_-_CDRLS_FINAL_Rev1.pdf

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7. Price Group

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

8. APP CODE 11. AS OF DATE

Reg Repro

16. REMARKS

15. Total

H. DATE

DD Form 1423-1, Jun 90 Previous editions are obsolete 1007/183

8. Estimated Total Price

J. DATE

S/N 0102-LF-010-5500

G. PREPARED BY I. APPROVED BY

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

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

2. TITLE OF DATA ITEM 3. SUBTITLE

Public reporting burden for this collection of information is estimtaed to average 100 hours per response, including the time for reviewing instructiions, 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 collectioin of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarerters 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, D.C. 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 Listed in Block E.

Contract Data Requirements List (1 Data Item)

Form Approved OMB No. 0704-0188

13. DATE OF SUBSEQUENT SUBMISSION

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

1. DATA ITEM NO.

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

TDP TM OTHER

Sheet1

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: SIGNAL, SMOKE AND ILLUMINATION, MARINE, MK 124 MOD 1

E CONTRACTORPR NO NO: R17A17UL4A

F CONTRACTOR:

1 DATA ITEM NO: A011 Revision A

2 TITEL OF DATA ITEM: Critical Safety Item, Characteristic and Defect Report

3 SUBTITLE: CICCL, Notification, Investigation, Segregated Material Use and Restart Request

4 AUTHORITY Data Acquisitoin Document No: DI-SAFT-80970A

5 CONTRACT REFERENCE: Contract Section E Clause

6 REQUIRING OFFICE:

NSWC Crane (JXRT)

7 DD 250 REQ: NO

8 APP CODE: A

9 DISTRow1: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: ASREQ

14 DISTRIBUTION:

b COPIES:

11 AS OF DATE: N/A

G PREPARED BY:

13 DATE OF SUBSEQUENT SUBMISSION: ASREQ

H DATE: 3/20/2018

a ADDRESSEE16 REMARKS: PCO

Draft16 REMARKS: 0

Reg16 REMARKS: 1

Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: NSWC Crane (JXRT)

Draft16 REMARKS_2: 0

Reg16 REMARKS_2: 1

Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3: QAR

Draft16 REMARKS_3: 0

Reg16 REMARKS_3: 1

Repro16 REMARKS_3: 0 a ADDRESSEE16 REMARKS_4: AMSJM-QAP

Draft16 REMARKS_4: 0

Reg16 REMARKS_4: 1

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Reg15 Total: 4

Repro15 Total: 0

I APPROVED BY:

J DATE:

7 Price Group:

8 Estimated Total Price:

Text2: 11

Text4: 17

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Text7: Critical Item Characteristics List (CICCL) (DID paragraph 3.3):

Blks 12 and 13: If applicable, Contractor shall submit 60 days prior to First Article (FA) or production if FA is not applicable. Government will respond within 45 days of receipt of original and any required revisions. Unless otherwise stated, Contractor shall submit revisions within 10 days of receipt of Government response.

Notification of a Critical Defect (DID paragraph 4.1):

Blks 12 and 13: Unless otherwise approved by the PCO, notification of the occurrence of any critical defects shall be made to Government (see distribution list) within 24 hours of the event, by the most expeditious means available.

Root Cause Investigation and Corrective Action (DID paragraph 4.2):

Blks 12 and 13: Contractor shall submit to Government, see list, for approval. Government will respond with 45 days of receipt of original and any required revisions. Unless otherwise stated, Contractor shall submit revisions within 10 days of receipt of Government response.

Segregated Suspect Material Use (DID paragraph 4.3):

Blks 12 and 13: Contractor shall submit to the Government, see list, for approval. Government will respond within 45 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 (DID paragraph 4.3):

Blks 12 and 13: Contractor shall submit to Government, see list, for approval. Government will respond within 10 days of receipt.

A:

Contract Line Item No:

2018-03-20T13:08:51-0400

BENNETT.CLAYTON.P.1395591670

Public reporting burden for this collection of information is estimtaed to average 100 hours per response, including the time for reviewing instructiions, 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 collectioin of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarerters 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing

Sheet1

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: SIGNAL, SMOKE AND ILLUMINATION, MARINE, MK 124 MOD 1

E CONTRACTORPR NO NO: R17A17UL4A

F CONTRACTOR:

1 DATA ITEM NO: A012

2 TITEL OF DATA ITEM: Operations Security (OPSEC) Plan

3 SUBTITLE:

4 AUTHORITY Data Acquisitoin Document No: DI-MGMT-80934C

5 CONTRACT REFERENCE: OPSEC SOW

6 REQUIRING OFFICE:

AMSJM-FP/G2

7 DD 250 REQ: XX

8 APP CODE: A

9 DISTRow1: D

10 FREQUENCY: ONE/R

12 DATE OF FIRST SUBMISSION: ASREQ*

14 DISTRIBUTION:

b COPIES:

11 AS OF DATE: ASREQ

G PREPARED BY:

13 DATE OF SUBSEQUENT SUBMISSION: ASREQ**

H DATE:

a ADDRESSEE16 REMARKS: JMC OPSEC

Draft16 REMARKS: 0

Reg16 REMARKS: 1

Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: PCO

Draft16 REMARKS_2: 0

Reg16 REMARKS_2: 1

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Draft15 Total: 0

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I APPROVED BY:

J DATE: 3/29/2018

7 Price Group:

8 Estimated Total Price:

Text2: 12

Text4: 17

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Text7: 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.

A:

Contract Line Item No:

2018-03-20T13:08:51-0400

BENNETT.CLAYTON.P.1395591670

2018-03-29T08:07:55-0500

MOSHER.KRISTY.A.1258491048

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

CDRL Distribution block - IPT members list

PQM – Product Quality Manager

PCO – Procuring Contracting Officer

QAR – Quality Assurance Representative

DA – Design Agent (NAVSEA)

PL – Project Lead (NAVAIR)

NQA – Navy Quality

ME – Material Engineer (NAVAIR)

PE – Program Engineer (Air Force)

PO – Project Officer (PM Office)

AEA – Acquisition Engineering Agent (NAVSEA)

GE – Gage Engineer

PM – Production Manager (JMC)

CS – Contract Specialist

AQE – ARDEC Quality Engineer

LE – Lead Engineer

MCEA – Marine Corp Engineering Activity

APO – ARDEC Project Officer

CDM – Configuration/Data Management (NAVAIR)

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

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

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.

of osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

QPP.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

SPC.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

PCCI.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

MSE.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

CCCP.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

CPOA.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

CICL (ALT 1 of 3).pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

CICL (ALT 2 of 3).pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

QA_CDRL_Template2.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

CICL (ALT 3 of 3).pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

CICL.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

FAT Plan.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

FATR.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

Inspection and Test Plan.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

Vendor Audit Schedule.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

TDP.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

SIE Design Documentation.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

SIE Descriptive.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

Production Acceptance Insp and Test Procedures.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

Loading Authorizations and Description Sheets.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

Light Phosphate.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

LATR.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

Heavy Phosphate.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf

FACAR.pdf osd.mil https://www.acq.osd.mil/dpap/dars/dfars/html/previous/dd1423-1.pdf number:

TDP:

A0(CDRL#):

Exhibit:

TM:

E CONTRACTPR NO: R17A17UL4A

F CONTRACTOR:

6 REQUIRING OFFICE: AMSJM-QAO/P

17:

18:

9 DIST STATEMENT REQUIRED: B

App Code: A

11 AS OF DATE: N/A

H DATE:

DraftRow1: 0

RegRow1: 1

ReproRow1: 0

DraftRow2: 0

RegRow2: 1

ReproRow2: 0 a ADDRESSEERow3:

DraftRow3: 0

RegRow3: 1

ReproRow3: 0 a ADDRESSEERow4:

DraftRow4: 0

RegRow4: 0

ReproRow4: 0

DraftRow5:

RegRow5:

ReproRow5:

DraftRow6:

RegRow6:

ReproRow6:

DraftRow7:

RegRow7:

ReproRow7:

DraftRow8:

RegRow8:

ReproRow8:

DraftRow9:

RegRow9:

ReproRow9:

DraftRow10:

RegRow10:

ReproRow10:

Draft15 TOTAL: 0

Reg15 TOTAL: 2

Repro15 TOTAL: 0

J DATE:

System: SIGNAL, SMOKE AND ILLUMINATION, MARINE, MK 124 MOD 1

MSE OTHER: QCIC

Authority: SIGNAL, SMOKE AND ILLUMINATION, MARINE, MK 124 MOD 1

MSE CDRL #: A013

MSE TITLE OF DATA ITEM: Measurement System Evaluation (MSE) – Measurement and Inspection Equipment System Design Documentation for Acce

MSE SUBTITLE: Measurement System Evaluation/Acceptance Inspection Equipment (MSE/AIE)

MSE Authority: DI-QCIC-81960 (Current Revision)

MSE CONTRACT REFERENCE: Section: E

MSE DD 250: DD

MSE FREQUENCY: ONE/R

MSE DATE OF FIRST SUBMISSION: 120DAC

MSE DATE OF SUBSEQUENT SUBMISSION: ASREQ

MSE Addressee 1: [PCO]

MSE Addressee 2: [AQE]

MSE Addressee 6: []

MSE Addressee 3: [PQM]

MSE Addressee 4: [PO]

MSE Addressee 5: []

MSE Addressee 7: []

MSE Addressee 8: []

MSE Addressee 9: []

MSE Addressee 10: []

CPOA OTHER: MGMT

CPOA CDRL #: A014

CPOA TITLE OF DATA ITEM: Critical Plan Of Action (CPOA)

CPOA 3 SUBTITLE: N/A

CPOA Authority: DI-MGMT-81996 (Current Revision)

CPOA 5 CONTRACT REFERENCE: ANNLY

CPOA DD 250: LT

CPOA 10 FREQUENCY: ASREQ

CPOA 12 DATE OF FIRST SUBMISSION: ASREQ

CPOA 13 DATE OF SUBSEQUENT SUBMISSION: ASREQ

CPOA Addressee 1: [PCO]

CPOA 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 from the date that the CPOA is approved.

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.

CPOA Addressee 2: [PQM]

CPOA Addressee 6: []

CPOA Addressee 3: [PO]

CPOA Addressee 4: []

CPOA Addressee 5: []

CPOA Addressee 7: []

CPOA Addressee 8: []

CPOA Addressee 9: []

CPOA Addressee 10: []

MSE Remarks: BLK 12: The Contractor shall submit a completed AIE package no later than (120) calendar days after contract award. The AIE shall be approved prior to First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract. The PCO will provide disposition within (45) calendar days of final AIE package receipt.

BLK 13: If further revisions are necessary, the Contractor shall have (30) calendar days to generate them and the Government shall have (30) calendar days to review and respond to them. The approved AIE shall be available for First Article Testing (if First Article Testing 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 for AAIE.

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.

An MSE Review Guide is available to assist Contractors on the ARDEC Public Website (http://www.ardec.army.mil/organizations/QESA/) 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.

MSE RegRow1: 1

MSE RegRow2: 1

MSE RegRow3: 1

MSE RegRow4: 1

MSE RegRow5:

MSE RegRow6:

MSE RegRow7:

MSE RegRow8:

MSE RegRow9:

MSE RegRow10:

MSE Reg15 TOTAL: 4

LA OTHER: NDTI

LA CDRL #: A015

LA Authority: DI-MGMT-81978 (Current Revision)

LA TITLE OF DATA ITEM: Acceptance Description Sheets

LA SUBTITLE: Loading Authorizations and Description Sheets

LA CONTRACT REFERENCE: Section: E

LA 6 REQUIRING OFFICE: AMSJM-QAO/P

LA DD 250: NO

LA DIST STATEMENT REQUIRED: B

12 DATE OF FIRST SUBMISSION: ASREQ

LA App Code: A

LA AS OF DATE: N/A

LA DATE OF SUBSEQUENT SUBMISSION: ASREQ

LA Addressee 1: [PCO]

LA RegRow1: 1

LA RegRow2: 1

LA Remarks: BLK 12: Loading authorizations, Propellant description sheets and/or description sheets for chemicals and explosives shall be submitted for each lot or batch processed and shall be loaded into WARP at the time of acceptance.

BLK 14: Electronic submissions are made by accessing the Worldwide Ammunition Data Card Repository Program (WARP) housing the Description Sheets and Loading Authorizations modules which are located on the Munitions History Program (MHP) website at https://mhp.redstone.army.mil.

This requirement is in addition to the distribution requirements called out in the specification and contract.

Advisory note: The first energetic description sheet submitted in the WARP system will undergo a Government review.

The following items require description sheets:

2114098 - Flare Composition 8324659 - Smoke Composition, 6118520 - Ignition Composition 2150572 - Starter Mixture

LA Addressee 2: [PQM]

LA Addressee 6: []

LA RegRow3: 1

LA RegRow4: 0

LA RegRow5:

LA RegRow6:

LA Addressee 3: [PO]

LA Addressee 4: []

LA Addressee 5: []

LA Addressee 7: []

LA Addressee 8: []

LA Addressee 9: []

LA Addressee 10: []

LA RegRow7:

LA RegRow8:

LA RegRow9:

LA RegRow10:

LA Reg15 TOTAL: 3

10 FREQUENCY: ASREQ

2018-03-20T13:23:17-0500

BLAND.AIMEE.C.1384907179

2018-03-20T13:23:46-0500

BLAND.AIMEE.C.1384907179

2018-03-20T13:24:01-0500

BLAND.AIMEE.C.1384907179

SIGNAL SMOKE AND ILLUMINATION MARINE MK 124 MOD 1

ADL 53711-8324647B001

FY 18

The following enclosures marked apply:

CDRL NUMBER TITLE OF DATA ITEM

A001 REV B AMMUNITION DATA CARD -

AMMUNITION AND EXPLOSIVE

TECHNICAL DATA

A002 REV B MANAGEMENT PLAN - SPC

A003 REV A QUALITY PROGRAM PLAN

A004 REV A TEST PROCEDURE - FIRST

ARTICLE INSPECTION PROCEDURES

A005 REV A ACCEPTANCE DESCRIPTION SHEETS -

FIRST ARTICLE INSPECTION

AND TESTS

A006 REV A TEST PROCEDURE - PRODUCTION

ACCEPTANCE INSPECTION AND

TEST PROCEDURES

A007 REV A ACCEPTANCE DESCRIPTION SHEETS -

PRODUCTION ACCEPTANCE

INSPECTION AND TEST REPORTS

A008 REV A ENGINEERING CHANGE PROPOSAL (ECP)

A009 REV A REQUEST FOR VARIANCE (RFV)

A010 REV A MANAGEMENT PLAN - CRITICAL

CHARACTERISTICS CONTROL (CCC)

PLAN

A011 REV A CRITICAL SAFETY ITEM,

CHARACTERISTIC AND DEFECT

REPORT - CICCL, NOTIFICATION,

INVESTIGATION, SEGREGATED

MATERIAL USE AND RESTART REQUEST

Enclosure (1)

CONTRACT DATA REQUIREMENTS LIST

Public reporting burden for this collection of information is estimtaed to average 100 hours per response, including the time for reviewing instructiions, 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 collectioin of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarerters 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing

Sheet1

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: SIGNAL, SMOKE AND ILLUMINATION, MARINE, MK 124 MOD 1

E CONTRACTORPR NO NO: R17A17UL4A

F CONTRACTOR:

1 DATA ITEM NO: A001 Revision B

2 TITEL OF DATA ITEM: Ammunition Data Card

3 SUBTITLE: Ammunition and Explosive Technical Data

4 AUTHORITY Data Acquisitoin Document No: DI-MISC-80043B

5 CONTRACT REFERENCE:

6 REQUIRING OFFICE:

NSWC Crane (JXRT)

7 DD 250 REQ: LT

8 APP CODE: N/A

9 DISTRow1: D

10 FREQUENCY: AS REQ

12 DATE OF FIRST SUBMISSION: AS REQ

14 DISTRIBUTION:

b COPIES:

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: AS REQ

H DATE: 3/20/2018

a ADDRESSEE16 REMARKS: QAR

Draft16 REMARKS: 0

Reg16 REMARKS: 1

Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: NSWC Crane (JXRT)

Draft16 REMARKS_2: 0

Reg16 REMARKS_2: 1

Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3: Lot/Partial

Draft16 REMARKS_3: 0

Reg16 REMARKS_3: 2

Repro16 REMARKS_3: 0 a ADDRESSEE16 REMARKS_4: Shipment

Draft16 REMARKS_4:

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Reg15 Total: 4

Repro15 Total: 0

J DATE:

7 Price Group:

8 Estimated Total Price:

Text2: 1

Text4: 17

Text5: Pages

Text:

0: Page

1: of

Text7: Blk 4: Data Cards shall be prepared in accordance with MIL-STD-1168C as changed by ADL exceptions and the Contract Data List 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/. An access Request Form must be completed before WARP can be accessed and data cards input. The MHP Help Desk may be reached at (256) 313-2143 and questions specific to WARP should be addressed to Joint Munitions Command (AMSJM-QAP) at: (309) 782-2697, 7447, 7107, or 7360.

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 to NSWC Crane, Munitions Acquisition Branch (JXRT) shall be submitted upon completion of each lot.

A:

Contract Line Item No:

2018-03-20T12:54:57-0400

BENNETT.CLAYTON.P.1395591670

Public reporting burden for this collection of information is estimtaed to average 100 hours per response, including the time for reviewing instructiions, 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 collectioin of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarerters 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing

Sheet1

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: SIGNAL, SMOKE AND ILLUMINATION, MARINE, MK 124 MOD 1

E CONTRACTORPR NO NO: R17A17UL4A

F CONTRACTOR:

1 DATA ITEM NO: A002 Revision B

2 TITEL OF DATA ITEM: Statistical Process Control (SPC) Plan

3 SUBTITLE:

4 AUTHORITY Data Acquisitoin Document No: DI-MGMT-81987

5 CONTRACT REFERENCE: Section E

6 REQUIRING OFFICE:

NSWC Crane (JXRT)

7 DD 250 REQ: XX

8 APP CODE: A

9 DISTRow1: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: ASREQ

14 DISTRIBUTION:

b COPIES:

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: When Revised

H DATE: 3/20/2018

a ADDRESSEE16 REMARKS: Thru QAR

Draft16 REMARKS: 0

Reg16 REMARKS: 1

Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: NSWC Crane (JXRT)

Draft16 REMARKS_2: 0

Reg16 REMARKS_2: 1

Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3: AMSJM-QAP

Draft16 REMARKS_3: 0

Reg16 REMARKS_3: 1

Repro16 REMARKS_3: 0 a ADDRESSEE16 REMARKS_4: PCO

Draft16 REMARKS_4: 0

Reg16 REMARKS_4: 1

Repro16 REMARKS_4: 0 a ADDRESSEE16 REMARKS_5: PO

Draft16 REMARKS_5: 0

Reg16 REMARKS_5: 1

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J DATE:

7 Price Group:

8 Estimated Total Price:

Text2: 2

Text4: 17

Text5: Pages

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Text7: Blk 8: The Government requires 45 days to review the plan after receipt. Comments will be provided to AMSJM-CDC by NSWC Crane, Munitions Acquisition Branch (JXRT). Disposition of the General and Detailed sections as well as milestones will be provided by AMSJM-CDC through the PCO. If disapproved, the contractor has 14 days to revise and resubmit.

Blk 12: General and Detailed sections to be submitted at least 60 days prior to initiation of production or 60 days prior to First Article (FA) test (if FA is required). If general section was previously accepted, submit updated/revised milestones in timeframes as stated above.

A:

Contract Line Item No:

2018-03-20T12:53:19-0400

BENNETT.CLAYTON.P.1395591670

Public reporting burden for this collection of information is estimtaed to average 100 hours per response, including the time for reviewing instructiions, 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 collectioin of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarerters 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing

Sheet1

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: SIGNAL, SMOKE AND ILLUMINATION, MARINE, MK 124 MOD 1

E CONTRACTORPR NO NO: R17A17UL4A

F CONTRACTOR:

1 DATA ITEM NO: A003 Revision A

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

3 SUBTITLE:

4 AUTHORITY Data Acquisitoin Document No: DI-QCIC-81722

5 CONTRACT REFERENCE: Section E

6 REQUIRING OFFICE:

NSWC Crane (JXRT)

7 DD 250 REQ: XX

8 APP CODE: A

9 DISTRow1: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: ASREQ

14 DISTRIBUTION:

b COPIES:

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: When Revised

H DATE: 3/20/2018

a ADDRESSEE16 REMARKS: Thru QAR

Draft16 REMARKS: 0

Reg16 REMARKS: 1

Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: NSWC Crane (JXRT)

Draft16 REMARKS_2: 0

Reg16 REMARKS_2: 1

Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3: AMSJM-QAP

Draft16 REMARKS_3: 0

Reg16 REMARKS_3: 1

Repro16 REMARKS_3: 0 a ADDRESSEE16 REMARKS_4: PCO

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Reg16 REMARKS_4: 1

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J DATE:

7 Price Group:

8 Estimated Total Price:

Text2: 3

Text4: 17

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Text7: Blk 8: Government will review within 30 days of receipt. If disapproved, the contractor has 14 days to revise and resubmit.

Blk 12: Plan shall be submitted thru QAR to all addresses prior to initiation of production.

A:

Contract Line Item No:

2018-03-20T12:56:03-0400

BENNETT.CLAYTON.P.1395591670

Public reporting burden for this collection of information is estimtaed to average 100 hours per response, including the time for reviewing instructiions, 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 collectioin of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarerters 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing

Sheet1

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: SIGNAL, SMOKE AND ILLUMINATION, MARINE, MK 124 MOD 1

E CONTRACTORPR NO NO: R17A17UL4A

F CONTRACTOR:

1 DATA ITEM NO: A004 Revision A

2 TITEL OF DATA ITEM: Test Procedure

3 SUBTITLE: First Article Inspection Procedures

4 AUTHORITY Data Acquisitoin Document No: DI-NDTI-80603A

5 CONTRACT REFERENCE: Section E

6 REQUIRING OFFICE:

NSWC Crane (JXRT)

7 DD 250 REQ: LT

8 APP CODE: A

9 DISTRow1: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: ASREQ

14 DISTRIBUTION:

b COPIES:

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: When Revised

H DATE: 3/20/2018

a ADDRESSEE16 REMARKS: Thru QAR

Draft16 REMARKS: 0

Reg16 REMARKS: 1

Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: NSWC Crane (JXRT)

Draft16 REMARKS_2: 0

Reg16 REMARKS_2: 1

Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3: AMSJM-CDC

Draft16 REMARKS_3: 0

Reg16 REMARKS_3: 1

Repro16 REMARKS_3: 0 a ADDRESSEE16 REMARKS_4: PCO

Draft16 REMARKS_4: 0

Reg16 REMARKS_4: 1

Repro16 REMARKS_4: 0 a ADDRESSEE16 REMARKS_5: PO

Draft16 REMARKS_5: 0

Reg16 REMARKS_5: 1

Repro16 REMARKS_5: 0 a ADDRESSEE16 REMARKS_6: See Remarks*

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J DATE:

7 Price Group:

8 Estimated Total Price:

Text2: 4

Text4: 17

Text5: Pages

Text:

0: Page

1: of

Text7: Blk 8: Government will review within 30 days of receipt. If disapproved, the contractor has 14 days to revise and resubmit.

Blk 12,13: Procedures shall be submitted thru QAR to all addresses prior to submission of First Article (FA).

*If all the specified requirements of this data item have been completely incorporated in the Management Plan or Inspection System Plan, separate submittal to comply with DD 1423 is not required.

A:

Contract Line Item No:

2018-03-20T12:57:41-0400

BENNETT.CLAYTON.P.1395591670

Public reporting burden for this collection of information is estimtaed to average 100 hours per response, including the time for reviewing instructiions, 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 collectioin of information,…