Exhibit_B_-_MK12_Pallet_CDRLS.pdf

PDF 1 MB Posted May 2, 2018

Attached to: MK3 MOD 0 & MK12 MOD 1 PALLET
Solicitation number: W52P1J-17-R-0131
Issued by: Department of the Army Materiel Command Joint Munitions Command

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Exhibit B

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Other files

File	Type	Posted
Attach_0004_-_DD1692_Engineering_Change_Proposal_(ECP).pdf	PDF	May 2, 2018
Attach_0002_-_SAMPLE_OPSEC_ACQUISITIONS_PLAN.pdf	PDF	May 2, 2018
Attach_0008_-_SQAP_MK_12_Pallet__23_Apr_2018.pdf	PDF	May 2, 2018
Attach_0009_-__Delivery_Schedule_Change_Notification_Distribution_List_of_Addresses.docx	DOCX document	May 2, 2018
Attach_0007_-_SQAP_MK_3_Pallet_23_Apr_2018.pdf	PDF	May 2, 2018
Attach_0003_-_CDRL_Distribution_Sheet.docx	DOCX document	May 2, 2018
Attach_0005_-_DD1694_Request_for_Variance_(RFV).pdf	PDF	May 2, 2018
Attach_0006_-_DD1695_Notice_of_Revision_(NOR).pdf	PDF	May 2, 2018
W52P1J17R0131.pdf	PDF	May 2, 2018
Attach_0001_-_MK3_MK12_Pallets_Price_Matrix.xlsx	XLSX spreadsheet	May 2, 2018
Exhibit_A_-_MK3_Pallet_CDRLS.pdf	PDF	May 2, 2018

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CONTRACT DATA REQUIREMENTS LIST

MK MOD Pallet, Material Handling

ADL 10001- REV

ATTACHMENT (4.0)

FY 201

SEQUENCE DATA ITEM NUMBER

(1) ( ) A001

(2) ( ) A002

A003

A004

A005

A006

A007

A008

(3) ( )

(4) (X)

(5) (X)

(6) (X)

(7) (X)

(8) (X)

(9) (X)

(10) (X)

A009

A010

TITLE OF DATA ITEM

ENGINEERING CHANGE PROPOSAL (ECP)

Quality Program Plan

Measurement System Evaluation (MSE)

Operations Security (OPSEC) Plan

DD FORM 1423-1, FEB 2001

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

MK 12 MOD 1 PALLET TBD TBD

A001 FIRST ARTICLE QUALIFICATION TEST PLAN AND

PROCEDURES

TEST PROCEDURE

DI-NDTI-81307A TBD NSWC IHEODTD G2

A* B*

ONE/R

N/A

ASREQ*

NSWC IHEODTD G21 0 1 0

NSWC IHEODTD G11 0 1 0

NSWC IHEODTD G21 QA 0 1 0

PCO 0 1 0

QAR 0 1 0

0 0

16. REMARKS

Blk 8: The Government will provide approval/comments on submitted test procedure within 30 calendar days of receipt. These documents must be approved at least 15 calendar days prior to beginning First Article Testing (FAT).

Blk 9: DISTRIBUTION STATEMENT B. DISTRIBUTION AUTHORIZED TO

U.S. GOVERNMENT AGENCIES ONLY; TEST AND EVALUATION,

EXPORT CONTROLLED; APR 2017. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAVSEASYSCOM, 2T AMMO

COMMODITY MANAGEMENT OFFICE, GP, NSWC INDIAN HEAD

EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISION (NSWC

IHEODTD), PICATINNY DETACHMENT, PICATINNY ARSENAL, NEW

JERSEY, 07806-5000.

Blk 12, 13: Procedures shall be submitted 2 . Subsequent submission is required if, for any reason, the documentation is revised. The Contractor shall submit revisions within 15 calendar days of receipt of comments if necessary. The Government shall provide approval/ comments on subsequent submissions within 15 calendar days of receipt.

Blk 14: Electronic submission requested. The following Government personnel shall be notified:

See attached Distribution List for addressee details.

27 APR 2017 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2017.04.27 09:55:21 -04'00'

27 APR 2017

2 12

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=ZAPPULLA.VINCENT.III.1513786561 Date: 2017.04.27 06:32:27 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

MK 12 MOD 1 PALLET TBD TBD

A002 TEST PROCEDURE PRODUCTION ACCEPTANCE INSPECTION AND

TEST PROCEDURES

DI-NDTI-80603A TBD NSWC IHEODTD G2

A* B*

ONE/R

N/A

ASREQ*

NSWC IHEODTD G21 0 1 0

NSWC IHEODTD G11 0 1 0

NSWC IHEODTD G21 QA 0 1 0

PCO 0 1 0

QAR 0 1 0

0 0

16. REMARKS

Blk 8: The Government shall provide approval/comments on submitted test procedure within 30 calendar days of receipt. These documents must be approved at least 15 days prior to beginning First Article Testing (FAT).

Blk 9: DISTRIBUTION STATEMENT B. DISTRIBUTION AUTHORIZED TO

U.S. GOVERNMENT AGENCIES ONLY; TEST AND EVALUATION,

EXPORT CONTROLLED; APR 2017. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAVSEASYSCOM, 2T AMMO

COMMODITY MANAGEMENT OFFICE, GP, NSWC INDIAN HEAD

EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISION (NSWC

IHEODTD), PICATINNY DETACHMENT, PICATINNY ARSENAL, NEW

JERSEY, 07806-5000.

Blk 12, 13: Procedures shall be submitted . Subsequent submission is required if, for any reason, the documentation is revised. The Contractor shall submit revisions within 15 calendar days of receipt of comments if necessary. The Government shall provide approval/ comments on subsequent submissions within 15 calendar days of receipt.

Blk 14: Electronic submission requested. The following Government personnel shall be notified:

See attached Distribution List for addressee details.

27 APR 2017 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2017.04.27 09:56:22 -04'00'

27 APR 2017

3 12

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, Date: 2017.04.27 06:51:27 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

MK 12 MOD 1 PALLET TBD TBD

A003 TEST/INSPECTION REPORT First Article Inspection & Test Report

DI-NDTI-80809B TBD NSWC IHEODTD G2

A* B*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G21 0 1 0

NSWC IHEODTD G11 0 1 0

NSWC IHEODTD G21 QA 0 1 0

PCO 0 1 0

QAR 0 1 0

0 0

16. REMARKS

Blk 8: The Government will provide Approval/comments on submitted test report within 30 calendar days of receipt.

Blk 9: DISTRIBUTION STATEMENT B. DISTRIBUTION AUTHORIZED TO

U.S. GOVERNMENT AGENCIES ONLY; TEST AND EVALUATION,

EXPORT CONTROLLED; APR 2017. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAVSEASYSCOM, 2T AMMO

COMMODITY MANAGEMENT OFFICE, GP, NSWC INDIAN HEAD

EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISION (NSWC

IHEODTD), PICATINNY DETACHMENT, PICATINNY ARSENAL, NEW

JERSEY, 07806-5000.

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 Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: Test report shall be submitted 3 . Subsequent submission is required if, for any reason, the documentation is revised. If required, the Contractor shall resubmit within 14 calendar days after receiving comment.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

See attached Distribution List for addressee details.

27 APR 2017 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2017.04.27 09:57:13 -04'00'

27 APR 2017

4 12

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, Date: 2017.04.27 06:54:43 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

MK 12 MOD 1 PALLET TBD TBD

A004 TEST/INSPECTION REPORT Lot Inspection & Test Report

DI-NDTI-80809B TBD NSWC IHEODTD G2

A* B*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G21 0 1 0

NSWC IHEODTD G11 0 1 0

NSWC IHEODTD G21 QA 0 1 0

PCO 0 1 0

QAR 0 1 0

0 0

16. REMARKS

Blk 4: LAT Reports shall contain all inspection records of classified characteristics samples and any other test required by the contractor for each lot per the contract.

Blk 8: The QAR will provide disposition of lot/production acceptance and test reports once Government LAT testing is complete.

Blk 9: DISTRIBUTION STATEMENT B. DISTRIBUTION AUTHORIZED TO

U.S. GOVERNMENT AGENCIES ONLY; TEST AND EVALUATION,

EXPORT CONTROLLED; APR 2017. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAVSEASYSCOM, 2T AMMO

COMMODITY MANAGEMENT OFFICE, GP, NSWC INDIAN HEAD

EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISION (NSWC

IHEODTD), PICATINNY DETACHMENT, PICATINNY ARSENAL, NEW

JERSEY, 07806-5000.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: Test report shall be submitted no later than calendar days after completion of testing. Subsequent submission is required if, for any reason, the documentation is revised. If required, the Contractor shall resubmit within 14 calendar days after receiving comment.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

See attached Distribution List for addressee details.

27 APR 2017 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2017.04.27 09:58:41 -04'00'

27 APR 2017

5 12

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, Date: 2017.04.27 06:55:56 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TBD A

SESS

MK 12 MOD 1 PALLET TBD TBD

A005 NOTICE OF REVISION (NOR)

DI-SESS-80642D* TBD NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G21 1 1 0

NSWC IHEODTD G11 0 1 0

NSWC IHEODTD G21 QA 0 1 0

NSWC IHEODTD G22 CM 1 1 0

PCO 1 0

6 0

Blk 4: DD Form 1695 available upon request by contacting NSWC IHEODTD G22 CM (see Distribution List).

Blk 8: Government review and approval duration shall be in accordance with classification as determined by Government configuration management documentation.

Blk 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO

THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;

CRITICAL TECHNOLOGY, EXPORT CONTROLLED; APR 2017. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO

NAVSEASYSCOM, 2T AMMO COMMODITY MANAGEMENT OFFICE, GP,

NSWC INDIAN HEAD EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY

DIVISION (NSWC IHEODTD), PICATINNY DETACHMENT, PICATINNY

ARSENAL, NEW JERSEY, 07806-5000.

Blk 10, 12, 13: The contractor shall submit a NOR in conjunction with any submitted ECP. If a revision is requested by the Government for any reason, the contractor shall resubmit a NOR within 15 calendar days.

NORs shall be numbered as follows:

A. Last 4 digits of the contract B. N C. Sequential serial number starting with 0001. (i.e., 1234N0001, First NOR under the contract)

Blk 14: Electronic submission requested. The following Government personnel shall be notified:

See attached Distribution List for addressee details.

27 APR 2017 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2017.04.27 10:01:17 -04'00'

27 APR 2017

6 12

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=ZAPPULLA.VINCENT.III.1513786561 Date: 2017.04.27 06:56:57 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TBD A

SESS

MK 12 MOD 1 PALLET TBD TBD

A006 REQUEST FOR VARIANCE (RFV)

DI-SESS-80640D* TBD NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G21 1 1 0

NSWC IHEODTD G11 0 1 0

NSWC IHEODTD G21 QA 0 1 0

NSWC IHEODTD G22 CM 1 1 0

PCO 1 0

6 0

Blk 4: DD Form 1694 available upon request by contacting NSWC IHEODTD G22 CM (see Distribution List).

Blk 8: Government review and approval duration shall be in accordance with classification as determined by Government configuration management documentation.

Blk 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO

THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;

CRITICAL TECHNOLOGY, EXPORT CONTROLLED; APR 2017. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO

NAVSEASYSCOM, 2T AMMO COMMODITY MANAGEMENT OFFICE, GP,

NSWC INDIAN HEAD EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY

DIVISION (NSWC IHEODTD), PICATINNY DETACHMENT, PICATINNY

ARSENAL, NEW JERSEY, 07806-5000.

Blk 10, 12, 13: If a revision is requested by the Government for any reason, the contractor shall resubmit a RFV within 14 calendar days.

RFVs shall be numbered as follows:

A. Last 4 digits of the contract B. V C. Sequential serial number starting with 0001. (i.e., 1234V0001, First RFV under the contract)

Blk 14: Electronic submission requested. The following Government personnel shall be notified:

See attached Distribution List for addressee details.

27 APR 2017 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2017.04.27 10:03:08 -04'00'

27 APR 2017

7 12

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=ZAPPULLA.VINCENT.III.1513786561 Date: 2017.04.27 06:57:44 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TBD A

SESS

MK 12 MOD 1 PALLET TBD TBD

A007 ENGINEERING CHANGE PROPOSAL (ECP)

DI-SESS-80639* TBD NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G21 1 1 0

NSWC IHEODTD G11 0 1 0

NSWC IHEODTD G21 QA 0 1 0

NSWC IHEODTD G22 CM 1 1 0

PCO 1 0

6 0

Blk 4: DD Form 1692 available upon request by contacting NSWC IHEODTD G22 CM (see Distribution List).

Blk 8: Government review and approval duration shall be in accordance with classification as determined by Government configuration management documentation.

Blk 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO

THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;

CRITICAL TECHNOLOGY, EXPORT CONTROLLED; APR 2017. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO

NAVSEASYSCOM, 2T AMMO COMMODITY MANAGEMENT OFFICE, GP,

NSWC INDIAN HEAD EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY

DIVISION (NSWC IHEODTD), PICATINNY DETACHMENT, PICATINNY

ARSENAL, NEW JERSEY, 07806-5000.

Blk 10, 12, 13: If a revision is requested by the Government for any reason, the contractor shall resubmit an ECP within 15 calendar days.

ECPs shall be numbered as follows:

A. Last 4 digits of the contract B. E C. Sequential serial number starting with 0001. (i.e., 1234E0001, First ECP under the contract)

Blk 14: Electronic submission requested. The following Government personnel shall be notified:

See attached Distribution List for addressee details.

27 APR 2017 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2017.04.27 10:05:02 -04'00'

27 APR 2017

8 12

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=ZAPPULLA.VINCENT.III.1513786561 Date: 2017.04.27 06:58:55 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

TBD A

QCIC

MK 12 MOD 1 PALLET TBD TBD

1. DATA ITEM NO.

A008 QUALITY PROGRAM PLAN (QPP)

DI-QCIC-81722 TBD NSWC IHEODTD G2

A* B*

ONE/R

N/A

ASREQ*

NSWC IHEODTD G21 0 1 0

NSWC IHEODTD G11 0 1 0

NSWC IHEODTD G21 QA 0 1 0

PCO 0 1 0

QAR 0 1 0

0 0

Blk 8: The Government will provide Approval/Disapproval and comments on plan within 30 calendar days of submission receipt. Plan must be approved prior to beginning of First Article Testing (FAT).

Blk 9: DISTRIBUTION STATEMENT B. DISTRIBUTION AUTHORIZED TO

U.S. GOVERNMENT AGENCIES ONLY; TEST AND EVALUATION,

EXPORT CONTROLLED; APR 2017. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAVSEASYSCOM, 2T AMMO

COMMODITY MANAGEMENT OFFICE, GP, NSWC INDIAN HEAD

EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISION (NSWC

IHEODTD), PICATINNY DETACHMENT, PICATINNY ARSENAL, NEW

JERSEY, 07806-5000.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 12, 13: Plan shall be submitted . Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the contractor shall submit revisions within 14 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

See attached Distribution List for addressee details.

27 APR 2017 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2017.04.27 10:09:30 -04'00'

27 APR 2017

9 12

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, Date: 2017.04.27 07:13:25 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TBD A

QCIC

MK 12 MOD 1 PALLET TBD TBD

A009

MEASUREMENT SYSTEM EVALUATION (MSE) – MEASUREMENT AND INSPECTION

EQUIPMENT SYSTEM DESIGN DOCUMENTATION FOR ACCEPTANCE OF PRODUCT

DI-QCIC-81960 Contract Section E MSE Clause NSWC IHEODTD G2

A* B*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G21 0 1 0

NSWC IHEODTD G11 0 1 0

NSWC CORONA PE21 0 1 0

NSWC IHEODTD G21 QA 0 1 0

PCO 0 1 0

0 5 0

Blk 8: The Government shall provide review of submitted MSE within 45 calendar days of receipt. The Contractor shall submit revisions within 15 calendar days of receipt if necessary. Prior to approval the Government shall conduct on-site physical verification of all MSE. These documents shall be approved at least 15 days prior to First Article Test.

Blk 9: DISTRIBUTION STATEMENT B. DISTRIBUTION AUTHORIZED TO

U.S. GOVERNMENT AGENCIES ONLY; TEST AND EVALUATION,

EXPORT CONTROLLED; APR 2017. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAVSEASYSCOM, 2T AMMO

COMMODITY MANAGEMENT OFFICE, GP, NSWC INDIAN HEAD

EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISION (NSWC

IHEODTD), PICATINNY DETACHMENT, PICATINNY ARSENAL, NEW

JERSEY, 07806-5000.

Blk 10, 12, 13: All MSE shall be submitted at least 60 calendar days prior to FAT.

Subsequent submission shall only be required if, for any reason, the documentation is revised. The Government shall provide approval/comments on subsequent submissions within 15 calendar days of receipt.

Blk 14: Electronic submission requested. The following Government personnel shall be notified:

See attached Distribution List for addressee details.

6/15/17 6/15/2017 10 12

GERARDI.COLLEEN

.MARIE.1459476764

Digitally signed by

GERARDI.COLLEEN.MARIE.1459476764

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=GERARDI.COLLEEN.MARIE.1459476764 Date: 2017.06.15 10:27:08 -04'00'

ZAPPULLA.VINCE

NT.III.1513786561

Digitally signed by ZAPPULLA.VINCENT.III.1513786561 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, Date: 2017.06.15 09:29:58 -04'00'

1. DATA ITEM NO.

17. PRICE

GROUP

A010

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 11 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD

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

ONE/R ASREQ*

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80934C NOT 1 PADDS Clause HS7001 AMSJM-OPP

D. SYSTEM/ITEM

MK 12 MOD 1 PALLET

E. CONTRACT / PR NO.

2. TITLE OF DATA ITEM 3. SUBTITLE

Operations Security (OPSEC) Plan OPSEC Program

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

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

Form Approved

OMB No. 0704-0188

0 2 0

6/29/2017

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.

File details come from the government source that posted it.