Exhibit A - Contract Data Requirements List - Production Items.pdf

PDF 2 MB Posted Nov 19, 2021

Attached to: Holston Army Ammunition Plant - Virtual Library Federal contract opportunity
Solicitation number: W52P1J-19-R-0142
Issued by: Department of the Army Materiel Command Joint Munitions Command

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Other files attached to Holston Army Ammunition Plant - Virtual Library, newest first.
File	Type	Posted
HSAAP QA - 29SEP22.pdf	PDF	Sep 29, 2022
Attachment 0004 - PWS 4 - Safety 20 May 22.pdf	PDF	May 20, 2022
Attachment 0005 - PWS 5 - Security - Antiterrorism 20 May 22.pdf	PDF	May 20, 2022
Attachment 0010 - PWS 10 - Occupational Health Program 20 May 22.pdf	PDF	May 20, 2022
Attachment 0011 - PWS 11 Transition and Start-up 20 May 22.pdf	PDF	May 20, 2022
Attachment 0014 - PWS 14 - Suport of Onsite Government Staff and Natural and Cultural Resources 20 May 22.pdf	PDF	May 20, 2022
Attachment 0016 - PWS 16 - Armament Retooling and Manufacturing Support 20 May 22.pdf	PDF	May 20, 2022
Attachment 0001 - PWS 1 - Facility Plans Strategies and Analyses 20 May 22.pdf	PDF	May 20, 2022
Attachment 0007 - PWS 7 - Fire and Emergency Services 20 May 22.pdf	PDF	May 20, 2022
Attachment 0015 - PWS 15 - Material Management 20 May 22.pdf	PDF	May 20, 2022
Attachment 0031 - IP Certification.pdf	PDF	May 20, 2022
W52P1J-19-R-0142 - HSAAP Competition - 2nd Draft RFP.pdf	PDF	May 20, 2022
Attachment 0013 - PWS 13 Facility Ops and Production Reporting - Production Sprt 20 May 22.pdf	PDF	May 20, 2022
Attachment 0025 - Price Matrix - Production (Indemnified) 20 May 22.xlsx	XLSX spreadsheet	May 20, 2022
Attachment 0030 - EPA Adjustment Factors.xlsx	XLSX spreadsheet	May 20, 2022
Attachment 0002 - PWS 2 - Government Property Management 20 May 22.pdf	PDF	May 20, 2022
Attachment 0006 - PWS 6 - Utilities and Energy 20 May 22.pdf	PDF	May 20, 2022
Attachment 0022 - Price Matrix - Production 20 May 22.xlsx	XLSX spreadsheet	May 20, 2022
HSAAP Draft RFP Q and A - 16APR22.pdf	PDF	Apr 16, 2022
W52P1J-19-R-0142 - HSAAP DRAFT RFP - 19NOV21.pdf	PDF	Nov 19, 2021
Attachment 0001 - PWS 1 - Facility Plans Strategies and Analyses.pdf	PDF	Nov 19, 2021
Attachment 0011 - PWS 11 - Contract Start-Up.pdf	PDF	Nov 19, 2021
Attachment 0012 - PWS 12 - Contract Transition.pdf	PDF	Nov 19, 2021
Attachment 0015 - PWS 15 - Material Management.pdf	PDF	Nov 19, 2021
Attachment 0016 - PWS 16 - Armament Retooling and Manufacturing Support.pdf	PDF	Nov 19, 2021
Attachment 0017 - Sample OPSEC Plan.pdf	PDF	Nov 19, 2021
Attachment 0022 - Price Matrix - Production.xlsx	XLSX spreadsheet	Nov 19, 2021
Attachment 0023 - Price Matrix - PWS.xlsx	XLSX spreadsheet	Nov 19, 2021
Attachment 0029 - Contract Data Requirements List Guidance.pdf	PDF	Nov 19, 2021
Exhibit B - Contract Data Requirement List - PWS.pdf	PDF	Nov 19, 2021
Attachment 0006 - PWS 6 - Utilities and Energy.pdf	PDF	Nov 19, 2021
Attachment 0025 - Price Matrix - Production (Indemnified).xlsx	XLSX spreadsheet	Nov 19, 2021
Attachment 0028 - Example Order HSAAP.pdf	PDF	Nov 19, 2021
Attachment 0002 - PWS 2 - Government Property Management.pdf	PDF	Nov 19, 2021
Attachment 0007 - PWS 7 - Fire and Emergency Services.pdf	PDF	Nov 19, 2021
Attachment 0013 - PWS 13 - Facility Operations and Production Reporting and Production Support.pdf	PDF	Nov 19, 2021
Attachment 0026 - Small Business Participation Plan.pdf	PDF	Nov 19, 2021
Attachment 0027 - Past Performance Questionnaire.pdf	PDF	Nov 19, 2021
Attachment 0010 - PWS 10 - Occupational Health Program.pdf	PDF	Nov 19, 2021
Attachment 0004 - PWS 4 - Safety.pdf	PDF	Nov 19, 2021
Attachment 0005 - PWS 5 - Security - Antiterrorism.pdf	PDF	Nov 19, 2021
Attachment 0014 - PWS 14 - Suport of Onsite Government Staff and Natural and Cultural Resources.pdf	PDF	Nov 19, 2021
Attachment 0020 - Hazardous Material Classification Specification.pdf	PDF	Nov 19, 2021
Attachment 0024 - Price Matrix Summary Evaluation Matrix.xlsx	XLSX spreadsheet	Nov 19, 2021
Virtual Library Use and Non Disclosure Agreement.pdf	PDF	Aug 25, 2021

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G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

MISC

Quality Program Plan (QPP) N/A

DI-QCIC-81722 (Current Revision) Section: E AMJM-QA

ONE/R 150DAC

A N/A ASREQ

PCO 0 1 0

PQM 0 1

BLK 12: Quality Program Plan (QPP) shall be submitted no later than 150 calendar days after contract award. The Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. 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 SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

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

AQE 0 1 0

PO 0 1 0

0 4 0

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

Designed using Perform Pro, WHS/DIOR, Aug 96

MGMT

DI-MGMT-81987 (Current Revision)

Statistical Process Control (SPC) N/A

Section: E AMJM-QA

ONE/R 150DAC

A N/A ASREQ

PCO 0 1 0

PQM 0 1 0

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

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

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

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

AQE 0 1 0

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

Designed using Perform Pro, WHS/DIOR, Aug 96

QCIC

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

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

DI-QCIC-81960 (Current Revision) Section: E AMJM-QA

ONE/R 120DAC

A N/A ASREQ

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

(120) calendar days after contract award. The AIE shall be approved prior to First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract. The PCO will provide disposition within (45) calendar days of final AIE package receipt.

BLK 13: If further revisions are necessary, the Contractor shall have (30) calendar days to generate them and the Government shall have (30) calendar days to review and respond to them. The approved AIE shall be available for First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract.

If Contractor revises a previously Government accepted AIE for this contract, the revised AIE must be submitted to the Government for review and approval.

Approval must be granted before AIE is used for acceptance of product. The Government will respond within (30) calendar days.

The Contractor shall notify the responsible Government technical agency a minimum of (30) calendar days prior to acceptance (prove out) testing for AAIE.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

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

An MSE Review Guide is available to assist Contractors on the ARDEC Public Website (http://www.ardec.army.mil/organizations/QESA/) in the application of the MSE Clause. The MSE Review Guide's content, in its entirety, is provided solely for REFERENCE and GUIDANCE PURPOSES ONLY- it is not, nor is it intended to be, contractually binding. Accordingly, the information contained within the MSE Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the MSE clause itself nor into the terms and conditions of any underlying contract which contains the MSE clause.

PCO 0 1 0

PQM 0 1 0

AQE 0 1 0

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

Designed using Perform Pro, WHS/DIOR, Aug 96

NDTI

First Article Qualification Test Plan and Procedure N/A

DI-NDTI-81307 (Current Revision) Section: E AMJM-QA

ASREQ 120DAC

A N/A ASREQ

PCO 0 1 0

PQM 0 1 0

BLK 12: First Article Test Plans shall be submitted no later than 120 calendar days after contract award. Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days.

Disposition will be provided by the procuring contracting officer (PCO).

Approval of the plan shall be obtained prior to FAT.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

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

AQE 0 1 0

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

Designed using Perform Pro, WHS/DIOR, Aug 96

NDTI

Test/Inspection Reports First Article Test Report (FATR)

DI-NDTI-80809 (Current Revision) Section: E AMJM-QA

ASREQ ASREQ

A N/A ASREQ

PCO 0 1 0

PQM 0 1 0

BLK 12: The First Article Test report shall be submitted with QAR findings on DD Form 1222. The FATR shall be submitted as required by the contract and no later than 30 calendar days after completion of the FAT. The Government requires 30 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 via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

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

AQE 0 1 0

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

Designed using Perform Pro, WHS/DIOR, Aug 96

MISC

Ammunition Data Card (ADC) Data Input

DI-MISC-80043 (Current Revision) Section: C, MIL-STD-1168 AMJM-QA

ASREQ ASREQ

A N/A ASREQ

WARP 0 1 0

Lot Shipment 0 2 0

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://mhpwarp.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.

Mail to Dest 0 2 0

0 5 0

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

Designed using Perform Pro, WHS/DIOR, Aug 96

MGMT

DI-MGMT-81978 (Current Revision)

Acceptance Description Sheets Loading Authorizations and Description Sheets

Section: E AMJM-QA

ASREQ ASREQ

A N/A ASREQ

WARP 0 1 0

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://mhpwarp.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.

0 1 0

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

Designed using Perform Pro, WHS/DIOR, Aug 96

MISC

Management Plan 2-D Bar Code Label Verification

DI-MGMT-80004 (Current Revision) Section: C & D AMJM-QA

N/A

ONE/R ASREQ

A N/A N/A

Mail to Dest 0 2 0

2-D Bar Codes shall be prepared IAW MIL-STD-129 and MIL-PRF-61002.

BLKS 12 & 14: Prior to formal submission of product to the Government for acceptance, a first time sample of the supplier's 2-D Bar Coding Label, comprising of two (2) each of the exterior pack label and two (2) each of the pallet label, shall be submitted and approved. A material certification (CoC) shall also be submitted that identifies the label being used conforms to the specifications of MIL-PRF-61002.

2-D Bar Code samples and label CoC shall be sent to:

HQ, US ARMY JMC, 2695 Rodman Avenue, Rock Island, IL 61299 ATTN: AMJM-QAP/O, "Enter PQM name"

Within fifteen calendar days, the supplier will be notified electronically of the approval, conditional approval, or disapproval of the submitted 2-D Bar Code Label.

(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

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

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

REQUEST FOR VARIANCE (RFV)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Documentation No.)

DI-SESS-80640D

5. CONTRACT REFERENCE

SECTION C SOW

6. REQUIRING OFFICE

FCDD-ACE-SP

7. DD 250 REQ.

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF

SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

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. DISTRIBUTION

STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.

DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE

DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING,

THEN THE WHOLE SUBMITTAL WILL BE LABELED "D".

THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED

AT www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS

SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.

ACO 0 1 0

PCO 0 1 0

15. TOTAL 0 2 0

H. DATE

30 Mar 2021

I. APPROVED BY J. DATE

DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 1 of 6 Pages

K. Mosher for SDMO, FCDD-ACE-SP

(1 Data Item)

Form Approved OMB No. 0704-

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

TDP TM OTHER

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

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

ENGINEERING CHANGE PROPOSAL (ECP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Documentation No.)

DI-SESS-80639D

5. CONTRACT REFERENCE

SECTION C SOW

6. REQUIRING OFFICE

FCDD-ACE-SP

7. DD 250 REQ.

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF

SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

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. DISTRIBUTION

STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.

DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE

DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN

THE WHOLE SUBMITTAL WILL BE LABELED "D".THE PREFERRED METHOD

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

SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE..

ACO 0 1 0

PCO 0 1 0

15. TOTAL 0 2 0

H. DATE

30 Mar 2021

I. APPROVED BY J. DATE

DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 2 of 6 Pages

DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 3 of 6 Pages

(1 Data Item)

Form Approved OMB No. 0704-

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

TDP TM OTHER

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

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

NOTICE OF REVISION (NOR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Documentation No.)

DI-SESS-80642D

5. CONTRACT REFERENCE

SECTION C SOW

6. REQUIRING OFFICE

FCDD-ACE-SP

7. DD 250 REQ.

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF

SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

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. DISTRIBUTION

STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.

DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE

DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN

THE WHOLE SUBMITTAL WILL BE LABELED "D". THE PREFERRED

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

SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.

ACO 0 1 0

PCO 0 1 0

15. TOTAL 0 2 0

H. DATE

30 Mar 2021

I. APPROVED BY J. DATE

1. DATA ITEM NO.

17. PRICE

GROUP

A005

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 5 of 6DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY

K. Mosher for SDMO, FCDD-ACE-SP

H. DATE

30 Mar 2021

I. APPROVED BY J. DATE

FCDD-ACE-LTP

N/A N/A Reg Repro

ASREQ

16. REMARKS

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 DAVID.M.WALLS1.CIV@MAIL.MIL SAVED IN RICH TEXT

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

CCDC ARM CTR PACKAGING

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

5. CONTRACT REFERENCE

4. AUTHORITY (Data Acquisition Document

No.)

DI-PACK-81059B SECTION D

6. REQUIRING OFFICE

FCDD-ACE-LTP (RI)

2. TITLE OF DATA ITEM

Performance Oriented Packaging (POP) Test Report

3. SUBTITLE

TDP____________ TM____________ OTHER____________

D. SYSTEM/ITEM F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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

Contract/PR No. listed in Block E.

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

Form Approved

OMB No. 0704-0188

QA CDRL Distribution block - IPT members list Distribution with specific contact information will be provided at Post Award

PQM – Product Quality Manager

PCO – Procuring Contracting Officer

CS – Contract Specialist

QAR – Quality Assurance Representative

PO or PM – Project Officer or Project Manager

AQE – Army Quality Engineer

APO - Army Lead Engineer (Project Officer)

DA – Design Agent (NAVSEA)

PL – Project Lead (NAVAIR)

NQA – Navy Quality Assurance

ME – Material Engineer (NAVAIR)

PE – Program Engineer (Air Force)

AEA – Acquisition Engineering Agent (NAVSEA) GE – Gage Engineer

Production Manager, JMC - Production Manager, Joint Munitions Command

MCEA – Marine Corp Engineering Activity

CDM – Configuration/Data Management (NAVAIR)

WARP - Worldwide Ammunition-Data Repository Program

SAFE - Safe Access File Exchange

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory.

Item B. Self-explanatory.

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

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

"Provisioning,""Configuration Management," etc.

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

Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award). Item G. Signature of preparer of

CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

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

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

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

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

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

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

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

Government.

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

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

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

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

Item 12. Specify when first submittal is required.

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

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

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

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items

12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.

The estimated data prices shall not include any amount for rights in data. The

Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423 (BACK)

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

Government.

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

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

1423.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

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

1423.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

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

Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD

Form 1423 at no cost.

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

Government.

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

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QA CDRLS U20A50FXHI Comp C4

U20A50FXHI_ppi_CDRL

QA CDRLS U20A50FXHI Comp C4

U20A50FXHI_ppi_CDRL

File details come from the government source that posted it. Updated Nov 19, 2021.