Exhibit_A_-_Contract_Data_Requirements_List_(CDRLs)_FINAL.PDF

PDF 5 MB Posted

Attached to
Conventional Ammunition Demilitarization Federal contract opportunity
Solicitation number
W52P1J19R0017
Issued by
Department of the Army Materiel Command Joint Munitions Command

About this file

This Exhibit A document outlines 21 Contract Data Requirements List (CDRL) items required under Solicitation Number W52P1J19R0017 for a Conventional Ammunition Demilitarization contract with the Department of the Army Materiel Command Joint Munitions Command. Key deliverables include a Safety Studies Plan, Ammunition Demilitarization and Disposition Plans for different munition families, environmental permits, a Quality System Plan, accident and incident reports, test reports, and various certificates. Submission due dates and review periods are specified for each item. The contractor must also submit an Operations Security Plan, environmental compliance reports, and transportation discrepancy reports. Additional requirements encompass conference agendas, meeting minutes and slides, an Integrated Program Management Report, and monthly demilitarization status reports.

Exhibit A - Contract Data Requirements List (CDRLS)

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1. DATA ITEM NO.

17. PRICE

GROUP

A001

18. ESTIMATED

TOTAL PRICE

XX

8. APP CODE

0 0 0

0 1 0

Page: 01 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Plan shall be submitted 30 days after award of the contract to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil. Allow 30 days for U.S.

Government review. Contractor shall resubmit with U.S. Government revisions within 14 days.

DCMA ACO

N/A

ASREQ 30DAC

a. ADDRESSEE

A N/A When Revised

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-SAFT-81066 SOW paragraphs 3.1 & 5.3.1

6. REQUIRING OFFICE

CCRC-AR

TDP____________ TM____________ OTHER__SAFT__________

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Safety Studies Plan

3. SUBTITLE

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 01

Safety Site Plan (SSP)

1111 A

Exhibit A - Contract Data Line Requirements List (CDRLs)

GROUP

A002

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 0 0

0 1 0

Page: 02 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

ADDPs shall be submitted in chronological order based on which items the contractor intends to start demil first. The ADDP for the first family to be demiled shall be submitted electronically within 45 days after award to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil. Once comments are received from the U.S. Government regarding review of the first ADDP, the contractor shall submit its ADDP for the next family it plans to demil for U.S. Government review within 45 days. This process will continue until all ADDPs have been submitted for review.

DCMA ACO

N/A

ANNLY 45DAC

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-SAFT-81640 SOW Paragraphs 3.1 & 6.1

6. REQUIRING OFFICE

CCRC-AR

TDP____________ TM____________ OTHER__SAFT__________

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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 01

1111 A

Ammunition Demilitarization & Disposition Plan (ADDP)Ammunition Demilitarization and Disposition Plan

GROUP

A003

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 0 0

Page: 03 of 23DD Form 1423-1, FEB 2001 08 DEC 2017

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Contractor shall obtain and maintain International, Federal, State, and Local environmental permits required for full operation associated with this contract. The contractor shall have approved environmental permits in place prior to the shipment of GFM. These permits shall be available for U.S. Government review upon request.

J. DATE

11/07/2018

16. REMARKS CCRC-AR

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

6. REQUIRING OFFICE

4. AUTHORITY (Data Acquisition Document

No.)

DI-MISC-81274

5. CONTRACT REFERENCE

SOW Paragraph 3.1 CCRC-AR

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Environmental Permits

3. SUBTITLE

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

TDP____________ TM____________ OTHER___MISC_________

Form Approved

OMB No. 0704-0188

0 01

GROUP

A004

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 0 0

Page: 04 of 23DD Form 1423-1, FEB 2001 08 DEC 2017

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

The contractor shall have a QMS that encompasses all technical and procedural aspects of ammunition demilitarization. All demil under this contract, whether performed within the contractors plant or at any other source, shall be controlled at all points necessary to assure conformance to contractual requirements. The contractor shall implement and maintain the QMS submitted with its proposal prior to starting any demil processes. The U.S. Government may (at any time) perform an audit of the QMS to verify the contractor is operating IAW its approved QMS.

J. DATE

11/07/2018

16. REMARKS CCRC-AR

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

6. REQUIRING OFFICE

4. AUTHORITY (Data Acquisition Document

No.)

DI-QCIC-81379

5. CONTRACT REFERENCE

SOW Paragraph 4.1 CCRC-AR

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Quality System Plan

3. SUBTITLE

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

TDP____________ TM____________ OTHER___QCIC_________

Form Approved

OMB No. 0704-0188

0 01

Quality Management System

GROUP

A005

18. ESTIMATED

TOTAL PRICE

XX

8. APP CODE

0 0 0

0 1 0

Page: 05 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Submit Electronically within 90 days after award to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil. Allow for 30 days for U.S. Government review.

The contractor shall resubmit with U.S. Government revisions within 14 days.

DCMA ACO

N/A

ASREQ 90DAC

a. ADDRESSEE

A N/A When Revised

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

5. CONTRACT REFERENCE

4. AUTHORITY (Data Acquisition Document

No.)

DI-QCIC-81794 SOW, Paragraph 4.2

6. REQUIRING OFFICE

CCRC-AR

C. CATEGORY

TDP____________ TM____________ OTHER___QCIC_________

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Quality Assurance Program Plan (QAPP)

3. SUBTITLE

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

Form Approved

OMB No. 0704-0188

0 01

GROUP

A006

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

0 1 0

0 1 0

Page: 06 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

DCMA Safety

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Report via telephone NLT 3 hours after the accident/incident to Bridget Kramer, 309-782-0896. Telephone notification shall be followed with an email notification to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil, DCMA ACO, and the Cognizant DCMA Safety Specialist.

DCMA ACO

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-SAFT-81563 SOW Paragraph 5.4

6. REQUIRING OFFICE

CCRC-AR

Accident/Incident Report

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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

TDP____________ TM____________ OTHER___SAFT_________

Form Approved

OMB No. 0704-0188

0 03

GROUP

A007

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

0 1 0

0 1 0

Page: 07 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

DCMA Safety

J. DATE

11/07/2018

16. REMARKS

Report via telephone and email within 8 business hours, Monday through Friday, and no later than 0900 Central Standard Time on the first work day of the week for weekend event to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil. DCMA ACO, and the Cognizant DCMA Safety Specialist.

DCMA ACO

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-SAFT-81563 SOW Paragraph 5.5

6. REQUIRING OFFICE

CCRC-AR

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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

TDP____________ TM____________ OTHER__SAFT__________

Form Approved

OMB No. 0704-0188

0 03

1111 A

Energetic EventsAccident/Incident Report

GROUP

A008

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 0 0

0 1 0

Page: 08 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Submit electronically to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil.within 10 days of completed testing.

DCMA ACO

N/A

ASREQ 10DATC

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-NDTI-80809B SOW paragraph 6.2.3

6. REQUIRING OFFICE

CCCRC-AR

Test/Inspection Report

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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

TDP____________ TM____________ OTHER___NDTI_________

Form Approved

OMB No. 0704-0188

0 01

Effective Stabilizer Lot Report

GROUP

A009

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 0 0

0 1 0

0 1 0

Page: 09 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-ARC

DSS

J. DATE

11/07/2018

16. REMARKS

Submit immediately after initial notification to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil, and the appropriate DSS office.

DCMA ACO

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

SOW paragraph 7.4.2

6. REQUIRING OFFICE

CCRC-AR

TDP____________ TM____________ OTHER___SAFT_________

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

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 02

1111 A

Exhibit A - Contract Data Line Requirements List (CDRLs)

Facility Security Violations

DI-SAFT-81563

GROUP

A010

18. ESTIMATED

TOTAL PRICE

XX

8. APP CODE

0 0 0

0 1 0

0 1 0

Page: 10 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

AMSJM-OPP

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Contractor shall submit OPSEC plan 30 calendar days after the Contracting Officer provides the list of known Critical Information (CI)/Threat Information. Allow 10 calendar days required for U.S.

Government review and approval. If revisions are required, resubmit 10 calendar days after receipt of U.S. Government comments. Submit electronically to usarmy.ria.jmc.mbx.opsec-Fd@mail.mil, Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil. Annual self-assessment and checklist are due on the anniversary of the contract award date.

DCMA ACO

D

One/R ASREQ

a. ADDRESSEE

A ASREQ

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

DI-MGMT-80934C

5. CONTRACT REFERENCE:

SOW Paragraph 7.5 and H-1

6. REQUIRING OFFICE

AMSJM-OPP

Operations Security (OPSEC) Plan

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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

TDP____________ TM____________ OTHER___MGMT_________

Form Approved

OMB No. 0704-0188

0 02

OPSEC Program

GROUP

A011

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 0 0

0 1 0

Page: 11 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Submit within 24 hours to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil

DCMA ACO

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

SOW Paragraph 8.3

6. REQUIRING OFFICE

CCRC-AR

TDP____________ TM____________ OTHER___MGMT_________

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Environmental Compliance Report

3. SUBTITLE

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 01

1111 A

Exhibit A - Contract Data Line Requirements List (CDRLs)

DI-MGMT-82052

Environmental Notifications

GROUP

A012

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 0 0

0 1 0

0 1 0

Page: 12 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

DCMA ACO

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

The contractor shall electronically submit a ROD within 24 hours of discovering the discrepancy to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil, and DCMA ACO for disposition.

DCMA QAR

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

5. CONTRACT REFERENCE

SOW paragraph 10.2

6. REQUIRING OFFICE

CCRC-AR

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Transportation Discrepancy Report

3. SUBTITLE

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

TDP____________ TM____________ OTHER___MGMT_________

Form Approved

OMB No. 0704-0188

0 02

1111 A

4. AUTHORITY (Data

Acquisition Document No.)

DI-MGMT-80554

Report of Discrepancy (ROD)

GROUP

A013

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 0 0

0 0 0

0 1 0

Page: 13 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Submit electronically with WAWF invoice. CCRC-AR

WAWF

J. DATE

11/07/2018

16. REMARKS DCMA ACO

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-MISC-80678 SOW Paragraph 10.3.1

6. REQUIRING OFFICE

CCCRC-AR

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Certificate/Data Report

3. SUBTITLE

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

TDP____________ TM____________ OTHER___MISC_________

Form Approved

OMB No. 0704-0188

0 01

1111 A

Certificate of Demilitarization (COD)

GROUP

A014

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 0 0

0 1 0

Page: 14 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Contractor shall submit electonically within 45 days to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil

DCMA ACO

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

5. CONTRACT REFERENCE

4. AUTHORITY (Data Acquisition Document

No.)

DI-SAFT-81125 SOW Paragraph 10.5.5

6. REQUIRING OFFICE

CCRC-AR

Hazard Assessment Test Report

C. CATEGORY

TDP____________ TM____________ OTHER___SAFT________

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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

Form Approved

OMB No. 0704-0188

0 01

Interim Hazard Classification (IHC)

GROUP

A015

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 0 0

0 0 0

0 1 0

Page: 15 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Submit electronically with WAWF invoice. CCRC-AR

WAWF

J. DATE

11/07/2018

16. REMARKS DCMA ACO

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

DI-MISC-80678

5. CONTRACT REFERENCE

SOW Paragraph 10.5.6 and 10.5.7

6. REQUIRING OFFICE

CCRC-AR

Certification / Data Report

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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

TDP____________ TM____________ OTHER___MISC_________

Form Approved

OMB No. 0704-0188

0 01

End Use Certification (EUC)

GROUP

A016

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 0 0

0 0 0

0 1 0

Page: 16 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Submit electronically with WAWF invoice. CCRC-AR

WAWF

J. DATE

11/07/2018

16. REMARKS DCMA ACO

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-MISC-80678 SOW Paragraph 10.5.11

6. REQUIRING OFFICE

CCRC-AR

Certification / Data Report

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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

TDP____________ TM____________ OTHER___MISC_________

Form Approved

OMB No. 0704-0188

0 01

Destruction Certificate

GROUP

A017

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 0 0

0 0 0

0 1 0

Page: 17 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Submit electronically with WAWF invoice. CCRC-AR

WAWF

J. DATE

11/07/2018

16. REMARKS DCMA ACO

N/A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

5. CONTRACT REFERENCE

4. AUTHORITY (Data Acquisition Document

No.)

DI-MGMT-82129 SOW Paragraph 10.5.12

6. REQUIRING OFFICE

CCRC-AR

C. CATEGORY

TDP____________ TM____________ OTHER____MGMT________

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Hazardous Waste Report

3. SUBTITLE

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

Form Approved

OMB No. 0704-0188

0 01

1111 A

Disposal Certificate

GROUP

A018

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 0 0

0 1 0

Page: 18 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

r 11/07/2018

16. REMARKS

Submit 30 days prior to meeting for U.S. Government review and approval to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil. Contractor shall resubmit within 7 days after receipt of U.S. Government comments.

DCMA ACO

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-ADMN-81249B SOW Paragraph 13.1

6. REQUIRING OFFICE

CCRC-AR

Conference Agenda

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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.

B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ADMN_________

Form Approved

OMB No. 0704-0188

0 01

A. CONTRACT LINE ITEM NO.

1111 A

Meeting Agenda

GROUP

A019

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 1 0

Page: 19 of 23DD Form 1423-1, FEB 2001 08 DEC 2017

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Submit 14 days prior to meeting for U.S. Government review to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil. Contractor shall resubmit within 7 days after receipt of U.S. Government comments.

J. DATE

11/07/2018

16. REMARKS CCRC-AR

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

DI-ADMN-81249B

5. CONTRACT REFERENCE

SOW Paragraph 13.1

6. REQUIRING OFFICE

CCRC-AR

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Contractor Meeting PowerPoint Slides

3. SUBTITLE

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

TDP____________ TM____________ OTHER___ADMN_________

Form Approved

OMB No. 0704-0188

0 01

A

GROUP

A020

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 0 0

0 1 0

Page: 20 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Submit electronically NLT 10 days after meeting to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil.

DCMA ACO

N/A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

5. CONTRACT REFERENCE

4. AUTHORITY (Data Acquisition Document

No.)

DI-MGMT-81505 SOW Paragraph 13.1

6. REQUIRING OFFICE

CCRC-AR

Conference Minutes

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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

TDP____________ TM____________ OTHER__MGMT_________

Form Approved

OMB No. 0704-0188

0 01

1111 A

Meeting Minutes

GROUP

A021

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 0 0

0 1 0

Page: 21 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Submit electronically within 60 days after award to Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil. After initial submission, an updated IMS shall be submitted 14 days prior to any scheduled PMR.

DCMA ACO

N/A

ASREQ 60 DAC

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-MGMT-81861 SOW Paragraph 13.1

6. REQUIRING OFFICE

CCRC-AR

Integrated Program Management Report (IPMR)

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM 3. SUBTITLE

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.

B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___MGMT_________

Form Approved

OMB No. 0704-0188

0 01

Integrated Master Schedule

A. CONTRACT LINE ITEM NO.

GROUP

A022

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

0 1 0

Page: 22 of 23DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRC-AR

J. DATE

11/07/2018

16. REMARKS

Contractor format is acceptable. Monthly Demil Status Reports shall be emailed to:

Bridget.L.Kramer.civ@mail.mil and Laura.K.Spencer2.civ@mail.mil, and DCMA ACO.

Monthly Demil Status Reports are to be submitted electronically each month by the fifth day of the following month.

DCMA ACO

A

MTHLY ASREQ

a. ADDRESSEE

N/A N/A

MTHLY

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

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

DI-MGMT-80368A SOW Paragraph 13.2

6. REQUIRING OFFICE

CCRC-AR

F. CONTRACTORD. SYSTEM/ITEM

Conventional Ammunition Demil

E. CONTRACT / PR NO.

W52P1J-19-R-0017

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

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

TDP____________ TM____________ OTHER___MGMT_________

Form Approved

OMB No. 0704-0188

0 04

Monthly Demil Status Report

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…

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