Exhibit_A_APOBS_&_APOBS_INERT_TRAINER_CDRLS.pdf

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Attached to
MK7 Anti-Personnel Obstacle Breaching System (APOBS) and APOBS Inert Trainer
Solicitation number
W52P1J-18-R-0034
Issued by

About this file

This is a synopsis for a competitive solicitation seeking proposals for the MK7 Anti-Personnel Obstacle Breaching System (APOBS) and the APOBS Inert Trainer. The Army Contracting Command - Rock Island intends to issue Request for Proposal W52P1J-18-R-0034 on or after December 11, 2018, seeking up to two fixed-price indefinite-delivery/indefinite-quantity contracts for fiscal years 2019 through 2023. The contracts are for the National Stock Numbered items 1375-01-508-4975 and 1375-01-646-9368. A minimum quantity of 3,000 APOBS MK7 MOD units will be guaranteed and split evenly across the contracts. Offerors must complete first article testing within 450 days of award and begin production deliveries within 540 days on a 12-month schedule with defined monthly maximums. The technical data packages are available electronically subject to export control restrictions and joint certification program registration requirements.

Exhibit A APOBS & APOBS INERT TRAINER CDRLS

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DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 1 of 21 Pages Designed using Perform Pro, WHS/DIOR, Aug 96

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER MISC

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO.

4I8A08E4M2

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Ammunition Data Card

3. SUBTITLE

ADC Data Input

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80043 (Current Revision)

5. CONTRACT REFERENCE

Section: C, MIL-STD-1168

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

XX

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

BLK 12: Sample ADC 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: An 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.

WARP 0 1 0

Lot Shipment 0 1 0

Mail to Dest 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

DOOLEY.MARILY Digitally signed by

DOOLEY.MARILYN.JANE.12746

N.JANE.1274688854 88854

Date: 2018.05.18 07:23:15 -05'00'

H. DATE

18 May 2018

I. APPROVED BY J. DATE

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 2 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER MISC

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO.

4I8A08E4M2

F. CONTRACTOR

1. DATA ITEM NO.

A002

Quality Program Plan (QPP)

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81722 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

LT

ONE/R

12. DATE OF FIRST SUBMISSION

150DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

BLK 12: Quality Program Plan (QPP) shall be submitted no later than 150 calendar days after contract award. The Government shall provide response within 25 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. Approval is required prior to first article test (FAT), if FAT is required, or prior to initiation of production. Disposition will be provided by the Procuring Contracting Officer (PCO).

BLK 13: Submit updates/revisions for review and approval prior to implementation.

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.

PCO 0 1 0

PQM 0 1 0

PO 0 1 0

DOOLEY.MARILYN. Digitally signed by

DOOLEY.MARILYN.JANE.127468

JANE.1274688854 8854

Date: 2018.05.18 07:23:30 -05'00'

H. DATE

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 3 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER MGMT

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A003

Management Plan

PROCESS CONTROL PLAN (PCP)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80004 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

LT

ONE/R

12. DATE OF FIRST SUBMISSION

90DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

BLK 12: The Contractor shall submit initial PCP no later than 90 calendar days after contract award. The Government will respond within 25 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to generate them and the Government shall have 15 calendar days to review and respond to them. The PCP shall be approved prior to the First Article or start of production if a First Article is not required. Disposition of the PCCI submission will be provided through the Procuring Contracting Officer.

BLK 13: If Contractor revises a previously Government accepted PCP, the revised PCP must be submitted to the Government for acceptance before it is released for use. The Government will respond within 15 working days.

BLK 14: Submit electronically 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 PCCI Review Guide is available to assist Contractors on the ARDEC Public Website (http://www.ardec.army.mil/organizations/QESA/) in the application of the PCCI Clause. The PCCI 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 PCCI Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the PCCI clause itself nor into the terms and conditions of any underlying contract which contains the PCCI clause.

PCO 0 1 0

PQM 0 1 0

NQA 0 1 0

15. TOTAL 0 4 0

DOOLEY.MARILYN.J Digitally signed by

DOOLEY.MARILYN.JANE.1274688854

ANE.1274688854 Date: 2018.05.18 07:23:43 -05'00'

H. DATE

http://www.ardec.army.mil/organizations/QESA/)

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 4 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER QCIC

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Measurement System Evaluation (MSE) – Measurement and Inspection Equipment System Design Documentation for

3. SUBTITLE

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

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81960 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

DD

ONE/R

12. DATE OF FIRST SUBMISSION

180DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 12: The Contractor shall submit a completed AIE package no later than

(180) 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 (25) calendar days of final AIE package receipt.

BLK 13: If further revisions are necessary, the Contractor shall have (25) calendar days to generate them and the Government shall have (25) 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 (25) 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.

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.

PCO 0 1 0

PQM 0 1 0

DOOLEY.MARILYNDOOLEY.MARILYN.JANE.127468885 Digitally signed by

.JANE.1274688854 4

Date: 2018.05.18 07:23:57 -05'00'

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 5 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER MGMT

D. SYSTEM/ITEM

APOBS

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A005

Critical Characteristics Control Plan (CCCP)

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81986 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

LT

ANNLY

12. DATE OF FIRST SUBMISSION

120DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

BLK 12: Critical Characteristics Control Plan (CCCP) shall be submitted no later than 120 calendar days after contract award. Government shall provide response within 25 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.

A CCCP Review Guide is available to assist Contractors on the ARDEC Public 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.

PCO 0 1 0

PQM 0 1 0

DOOLEY.MARILYN. Digitally signed by

DOOLEY.MARILYN.JANE.1274688854

JANE.1274688854 Date: 2018.05.18 07:24:10 -05'00'

H. DATE

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 6 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER MGMT

D. SYSTEM/ITEM

APOBS

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A006

Critical Plan Of Action (CPOA)

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81996 (Current Revision)

5. CONTRACT REFERENCE

ANNLY

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

LT

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

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 25 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.

A CPOA Review Guide is available to assist Contractors on the ARDEC Public 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.

PCO 0 1 0

PQM 0 1 0

DOOLEY.MARILYN Digitally signed by

DOOLEY.MARILYN.JANE.12746888

.JANE.1274688854 54

Date: 2018.05.18 07:24:23 -05'00'

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 7 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER MGMT

D. SYSTEM/ITEM

APOBS

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A007

Critical Defect Investigation Report

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81989 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

LT

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SEE BLK 16

BLK 10: Within 24 hours whenever a critical defect occurs. At a minimum email notification to addresses listed in block 14.

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.

award.

PCO 0 1 0

DOOLEY.MARILYN Digitally signed by

Date: 2018.05.18 07:24:44 -05'00'

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 8 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER NDTI

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A008

First Article Qualification Test Plan and Procedures

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-81307 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

LT

ASREQ

12. DATE OF FIRST SUBMISSION

120DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

BLK 12: First Article Test Plans shall be submitted no later than 120 calendar days after contract award. Government shall provide response within 25 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.

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

PCO 0 1 0

DOOLEY.MARILYN Digitally signed by

Date: 2018.05.18 07:24:58 -05'00'

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 9 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER NDTI

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A009

Test/Inspection Report

First Article Test Report (FATR)

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

XX

ASREQ

12. DATE OF FIRST SUBMISSION

450DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

BLK 12: The First Article Test report shall be submitted with QAR findings on DD Form 1222. The FATR shall be submitted 450 calendar days after contract award and no later than 30 calendar days after completion of the FAT. The Government requires 25 calendar days for review. Disposition of the FAT report will be provided through the Procuring Contracting Officer.

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. PCO approval of the FATR shall be obtained prior to start of production.

BLK 14: Submit electronically via email or AMRDEC SAFE

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

PCO 0 1 0

DOOLEY.MARILYN.

Digitally signed by DOOLEY.MARILYN.JANE.1274688854

JANE 1274688854 Date: 2018.05.18 07:25:14 -05'00'

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 10 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER NDTI

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A010

Test/Inspection Report

Lot Acceptance Test Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

NO

ASREQ

12. DATE OF FIRST SUBMISSION

30DATC

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

BLK 10/12: Lot Acceptance Test Reports (LATRs) shall be submitted for each lot and contain items and quantities per:

APOBS MK7, MOD 2:

PRF WS-35168, Section 4.3 and 6.3.

In the event(s) the APOBS fails to go high order or if any energetic material remains after detonation, see para 4.3.30.2 j, the Anomalous Detonation Report(s) (ADR) shall be prepared in accordance with section 6.4 and submitted along with the LATR to PCO, PQM, NQA and PO.

And

APOBS, Inert::

WS 33029, see conformance inspections LATRS shall be submitted 30 calendar days after completion of LAT.

BLK 14: LATRs shall be submitted by accessing the worldwide ammunition data card repository program which is located on the munitions history program website at https://mhp.redstone.army.mil/.

WARP 0 1 0

QAR 0 1 0

15. TOTAL 0 2 0

DOOLEY.MARILYN Digitally signed by DOOLEY.MARILYN.JANE.127468885

.JANE.1274688854 4

Date: 2018.05.18 07:25:27 -05'00'

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 11 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER SESS

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A011

Failure Summary and Analysis Report

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80255 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

LT

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

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.

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

PCO 0 1 0

PO `0 1 0

DOOLEY.MARILYN.J Digitally signed by

DOOLEY.MARILYN.JANE.1274688854

ANE.1274688854 Date: 2018.05.18 07:25:42 -05'00'

H. DATE

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 12 of 21 Pages

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER MGMT

D. SYSTEM/ITEM

APOBS

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A012

Acceptance Description Sheets (ADS)

Loading Authorizations and Description Sheets

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81978 (Current Revision)

5. CONTRACT REFERENCE

Section: E

6. REQUIRING OFFICE

AMSJM-QAO/P

7. DD 250 REQ

NO

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

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:

Detonating Cord, Front Detonating Cord, Rear Rear Fuze Front Fuze Rocket Motor Mechanical Initiator Non-Electric Initiator

WARP 0 1 0

QAR 0 1 0

DOOLEY.MARILYN. Digitally signed by

DOOLEY.MARILYN.JANE.1274688854

JANE.1274688854 Date: 2018.05.18 07:25:57 -05'00'

H. DATE

DD FORM 1423-1 FEB2001 PREVIOUS EDITIONS MAY BE USED. Page 13 of 21 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

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

TDP TM OTHER

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT / PR NO.

4I8A08E4M2

F. CONTRACTOR

1. DATA ITEM NO.

A013

REQUEST FOR VARIANCE (RFV)

4. AUTHORITY (Data Acquisition Documentation No.)

DI-SESS-80640D

5. CONTRACT REFERENCE

SECTION C SOW

6. REQUIRING OFFICE

RDAR-EIS-PD

7. DD 250 REQ.

LT

9. DIST

STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF

SUBSEQUENT

16. REMARKS:

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).

*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY

THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED

METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED AT http:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH

THIS SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.

ACO 0 1 0

PCO 0 1 0

K. Mosher for SDMO, RDAR-EIS-PD

6/4/2018 http://www.dtic.mil/whs/directives/infomgt/forms/

DD FORM 1423-1 FEB2001 PREVIOUS EDITIONS MAY BE USED. Page 14 of 21 Pages

Form Approved OMB No. 0704-

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

A014

ENGINEERING CHANGE PROPOSAL (ECP)

4. AUTHORITY (Data Acquisition Documentation No.)

DI-SESS-80639D

5. CONTRACT REFERENCE

SECTION C SOW

6. REQUIRING OFFICE

STATEMENT

SUBSEQUENT

*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY

THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED

METHOD FOR SUBMITTAL IS DD FORM 1692 LOCATED AT http:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS

SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.

DD FORM 1423-1 FEB2001 PREVIOUS EDITIONS MAY BE USED. Page 15 of 21 Pages

Form Approved OMB No. 0704-

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

A015

NOTICE OF REVISION (NOR)

4. AUTHORITY (Data Acquisition Documentation No.)

DI-SESS-80642D

5. CONTRACT REFERENCE

SECTION C SOW

6. REQUIRING OFFICE

STATEMENT

REQUIRED

SUBSEQUENT

*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY

THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED

METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT http:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS

SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.

Form Approved OMB No. 0704-

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

A016

Operations Security (OPSEC) Plan

4. AUTHORITY (Data Acquisition Documentation No.)

DI-MGMT-80934C

5. CONTRACT REFERENCE

OPSEC SOW

6. REQUIRING OFFICE

AMSJM-FP/G2

XX

STATEMENT

REQUIRED

D

ONE/R

A

SUBSEQUENT

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.

JMC OPSEC 0 1 0

DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAYBE USED. Page 16 of 21 Pages mailto:usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil

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

APOBS & APOBS INERT TRAINER

E. CONTRACT / PR NO.

4I8A08E4M2

F. CONTRACTOR

1. DATA ITEM NO.

A017

2. TITLE OF DATA ITEM

PERFORMANCE ORIENTED PACKAGING TEST REPORT

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-PACK-81059A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

SECTION D RDAR-EIL-TP (RI)

7. DD 250 REQ

STATEMENT

LT ASREQ ASREQ

a. ADDRESSEE

8. APP CODE N/A 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

Reg

Repro

30 DAYS PRIOR TO FIRST ARTICLE TEST. REPORT TITLE SHALL INCLUDE ITEM NAME AND MODEL

NUMBER OF THE AMMUNITION THAT GOES INTO THE PACKAGE. IF ITEM IS A COMPONENT OF

AMMUNITION, THE AMMUNITION SYSTEM THAT THE ITEM IS USED ON SHALL ALSO BE INCLUDED.

REPORT SHALL BE SUBMITTED ELECTRONICALLY VIA E-MAIL TO

YUEN.H.LAM.CIV@MAIL.MIL AND AMANDA.C.PENNOCK.CIV@MAIL.MIL SAVED IN RICH TEXT

FORMAT (RTF), ASCII OR PDF FORMAT. SUBMIT EVERY TWO (2) YEARS.

ARDEC PACKAGING 0 1 0

RDAR-EIL-P 0 1 0

K. Mosher for SDMO, RDAR-EIS-PD

H. DATE

6/4/2018

I. APPROVED BY J. DATE

DD Form 1423-1, FEB 2001 Previous editions may beused. Page: 17 of 21 mailto:YUEN.H.LAM.CIV@MAIL.MIL mailto:AMANDA.C.PENNOCK.CIV@MAIL.MIL

Page 18 of 21 Pages

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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER MISC

D. SYSTEM/ITEM

APOBS & APOBS INERT TRAINER

E. CONTRACT/PR NO. F. CONTRACTOR

A018

Production Status Report

Production Progress Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81255

5. CONTRACT REFERENCE

Section C, SOW

6. REQUIRING OFFICE

AMSJM-SO

7. DD 250 REQ

NO

MONTHLY

12. DATE OF FIRST SUBMISSION

ASREQ*

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

MONTHLY**

(a) Production Progress Report shall be prepared in accordance with instructions thereon.

The Production Progress Report will include both Production (DD250) projections and Shipment projections. These forms shall be submitted in the format acceptable by the USG as required for each separate contract line item number (CLIN). Production Progress Report data will include CLIN level information, such as: DODIC, Model, Delivery Order, MILSTRIP, Ship To Address, QTY, Lot Number, Contractor Schedule and Actual Schedule for a rolling 12 month period. Shipping progress data will include DODIC, Model, Delivery Order, Shipment Number, Lot Number, MILSTRIP, Ship To Address, Shipment QTY, Shipment Request Submit and Sign Date. Submit electronically to the POC's identified below.

(b) The form(s) shall be submitted on a monthly basis within 2 work days after each reporting period, the first submission shall be supplied 30 days prior to production commencement to include CLINs that are contractually scheduled to be produced with a rolling 12 month period and continuing until contract completion/termination. The forms shall be distributed as follows:

If delays are projected, the remarks section shall provide information pertinent to the delay.

Block 14- Distribution will be provided after contract award.

JMC COMMODITY L 0 1 0

JMC PROD MANAGE 0 1 0

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

17. PRICE GROUP

Page 19 of 21 Pages

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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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.

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

TDP TM OTHER

D. SYSTEM/ITEM

APOBS

E. CONTRACT/PR NO. F. CONTRACTOR

A019

GOVERNMENT FURNISHED MATERIAL (GFM)

CONSUMPTION REPORT

CONSUMPTION REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80438B

5. CONTRACT REFERENCE

Section C, SOW

6. REQUIRING OFFICE

AMSJM-SOG

7. DD 250 REQ

NO

MONTHLY

12. DATE OF FIRST SUBMISSION

ASREQ*

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

MONTHLY**

*Within 14 days of contractor receipt of first shipment of Government Furnished Material (GFM). **Within first 8 working days of the month. Data required and identified in the requirements section of the DID 1-2.16 will be replaced with USG identified requirements that will be provided to the contractor. Data will include the following information specific to Contract/Delivery Order: Contract Number, Delivery Order Number, NSN of GFM, QTY required, QTY received, QTY used, QTY unusable and remarks as to why. Submit electronically to the POC's identified in block 14a.

PCO 0 1 0

JMC COMMODITY L 0 1 0

JMC PROD MANAGE 0 1 0

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

17. PRICE GROUP

INSTRUCTIONS FOR COMPLETING DD FORM 1423

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory.

Item B. Self-explanatory. 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.

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. 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 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. 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.

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).

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,…

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