W56HZV-20-R-0235_0002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. Contract ID Code Page Of

2. Amendment/Modification No.

3. Effective Date

4. Requisition/Purchase Req No.

5. Project No. (If applicable)

6. Issued By Code 7. Administered By (If other than Item 6) Code

8. Name And Address Of Contractor (No., Street, City, County, State and Zip Code)

9A. Amendment Of Solicitation No.

9B. Dated (See Item 11)

10A. Modification Of Contract/Order No.

10B. Dated (See Item 13) Code Facility Code

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing items 8 and 15, and returning ____________ copies of the amendments: (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. Accounting And Appropriation Data (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATIONS OF CONTRACTS/ORDERS

It Modifies The Contract/Order No. As Described In Item 14.

A. This Change Order is Issued Pursuant To: The Changes Set Forth In Item 14 Are Made In

The Contract/Order No. In Item 10A.

B. The Above Numbered Contract/Order Is Modified To Reflect The Administrative Changes (such as changes in paying office, appropriation data, etc.) Set

Forth In Item 14, Pursuant To The Authority of FAR 43.103(b).

C. This Supplemental Agreement Is Entered Into Pursuant To Authority Of:

D. Other (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return _______________ copies to the Issuing Office.

14. Description Of Amendment/Modification (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Except as provided herein, all terms and conditions of the document referenced in item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. Name And Title Of Signer (Type or print)

16A. Name And Title Of Contracting Officer (Type or print)

15B. Contractor/Offeror 15C. Date Signed 16B. United States Of America 16C. Date Signed

By (Signature of person authorized to sign) (Signature of Contracting Officer)

NSN 7540-01-152-8070

PREVIOUS EDITIONS UNUSABLE

30-105-02 STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

SEE SCHEDULE

X

Firm Fixed Price

0002 2020SEP22

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

KATHY KESSLER

EMAIL: KATHY.A.KESSLER.CIV@MAIL.MIL

W56HZV-20-R-0235

2020AUG24

X

X

/SIGNED/

2 signed

SEE SECOND PAGE FOR DESCRIPTION

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CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION A - SUPPLEMENTAL INFORMATION

Buyer Name: KATHY KESSLER

Buyer Office Symbol/Telephone Number: CCTA-APS-A/(586)282-7228

Type of Contract 1: Firm Fixed Price

Kind of Contract: Other

Weapon System: Detection and Alarm Devices

*** End of Narrative A0000 ***

The purpose of Amendment 0001 of solicitation W56HZV20R0235 is to do the following:

1. In section C, update the Shelf Life Set-Aside Testing.

2. Add CLIN and CDRL A006, Shelf-life testing in section B (Supplies or Services and prices/cost) and J (List of Attachments).

3. Add Set Aside Monthly Test Schedule, Attachment 0002, located in Section J.

4. Except as stated here-in, all other terms and conditions of the solicitation remain the same.

*** END OF NARRATIVE A0002 ***

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W56HZV-20-R-0235

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS

1001 CDRLS - CONTRACT DATA REQUIREMENTS LIST _______________________________________

A006 CDRL A006 - SHELF LIFE SET ASIDE TEST REPORTS 1 LO $ ** NSP ** _____________________________________________ __________________

SERVICE REQUESTED: SHELF LIFE SET ASIDE TEST REP

CLIN CONTRACT TYPE:

Firm Fixed Price

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 AS REQUIRED

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION C - DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

C.1. TECHNICAL DATA PACKAGE INFORMATION

The following Xd item applies to this solicitation:

[ ] 1. There is no Technical Data Package (TDP) included with this solicitation.

[ x ] 2. The TDP for this solicitation resides within Beta System for Award Management (SAM) (https://beta.sam.gov/ ), associated with this solicitation number. This is a restricted file, vendor must request access through https://beta.sam.gov/W56HZV20R0235 . Once request is submitted, notify contract specialist to review your request.

INSTRUCTIONS FOR TECHNICAL DATA PACKAGE REQUEST:________________________________________________

To access the data through BETA SAM:

a. Log on to the BETA SAM web site.

b. Enter Marketing Partner Identification Number (MPIN).

c. Search for the solicitation number.

d. If solicitation is Export Controlled, select Verify MPIN.

(1) TDPs that have an Export Control Warning Notice are subject to the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et.seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C, App. 2401 et. seq..

(2) Further dissemination must be in accordance with provisions of DoD Directive 5230.25. This also applies to distribution of the TDP to all SUBCONTRACTORS at every level.

(3) To obtain these TDPs, vendors and contractors must have a current DD 2345, Militarily Critical Technical Data Agreement on file with Defense Logistics Information Service (DLIS). Currently certified contractors should enter the MPIN which will be verified before proceeding to the next step. To obtain certification, go to http://www.dlis.dla.mil/jcp/ , Click on documents and follow instructions provided. Processing time is estimated at six (6) to ten (10) weeks after receipt. SAM will allow access to export controlled TDPs once certification is confirmed.

(4) Upon completion of the purposes for which Government Technical Data has been provided, the Contractor is required to destroy all documents, including all reproductions, duplications, or copies thereof as may have been further distributed by the

Contractor. Destruction of this technical data shall be accomplished by: shredding, pulping, burning, or melting any physical copies of the TDP and/or deletion or removal of downloaded TDP files from computer drives and electronic devices, and any copies of those files.

e. If technical data is otherwise restricted, select Request Explicit Access. This will generate an email to the SAM system administrator at Army Contract Command - Warren (DTA) with all the information needed to grant a contractor access. SAM will subsequently automatically generate an email stating when the requesting contractor has permission to view or download TDP items. Allow two (2) to three (3) working days to complete this SAM-TDP access/approval process through SAM.

f. If multiple individuals in the contractors organization need access to the Technical Data Package (TDP) for a solicitation and an explicit access request is required, each individual MUST submit an explicit access request to be granted approval to view the TDP.

Those same individuals MUST be registered in SAM. Any individuals no longer with the company should be deleted. Questions related to registration in SAM should be directed to https://www.sam.gov/ . The SAM helpdesk phone number is (866) 606-8220. Vendors are responsible for placing correct information in BETA SAM.

g. It is strongly suggested that contractors submit the explicit access request and provide the buyer with the completed Use and Non-

Disclosure Agreement at the same time if the solicitation requires both to gain access to view the TDP.

C.2. DRAWING LIMITATIONS

(a) The drawings supplied with this contract are not shop or process drawings. The drawings are engineering design drawings, are adequate to permit manufacture, and:

(1) depict the completed (item(s), and

(2) serve as the basis for inspection of the completed item(s).

(b) These drawings DO NOT cover intermediate drawings/specifications or steps in the manufacturing process. As a result, even if all the dimensions and tolerances specified in the engineering design drawing for each individual part are met, a cumulative unacceptable fit for the contract item could result.

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

(c) The Contractor is responsible for producing the shop or process drawings needed to cover intermediate steps in the manufacturing process.

(d) The Contractor agrees that he has obtained all specifications and drawings necessary to manufacture the items being solicited in accordance with the TDP including all incorporated specifications and drawings. The contractor is responsible for having all drawings and specifications. Delivery delays are not excusable where the contractor asserts that it did not have a specification or drawing and has failed to request, in writing, the specification from either the Contracting Officer or Contract Specialist prior to the solicitation closing date.

(e) Failure to produce an end item with a cumulative fit that conforms to Government drawings, specifications or other supplemental manufacturing documentation, will result in the Contractor being responsible for correcting this condition at no additional cost to the

Government and no delivery schedule extension.

C.3. ACQUISITION OF MANUFACTURER'S PART NUMBER

This acquisition is restricted to the item description set forth in the Schedule which specifies a manufacturer's part number. Since complete Government data for the item are not available, it is understood and agreed that references to specifications and drawings herein shall be deemed to include all changes or revisions thereto which the contractor has made effective as of the date of delivery of any of the items provided for in this contract; provided, that no such change or revision which affects the interchangeability of the item (ability to be interchanged with previous parts or to connect with all mating parts when assembled) shall be effected without the approval of the Contracting Officer. The contractor agrees that he will furnish to the Administrative Contracting Officer or Government

Inspector, for the purpose of making inspection under any resulting contract, copies of the applicable specifications and drawings indicating all changes or revisions.

C.4. CONFIGURATION MANAGEMENT DOCUMENTATION

a. The Configuration Change Management section of SAE EIA-649-1 Configuration Management Requirement for Defense Contracts, Paragraph

3.3, shall be used for configuration control of material with the following exclusions: paragraph 3.3(3); the second sentence of paragraph 3.3.1.8.1(1), and the General Note in paragraph 3.3.2.4(1) which reads as Generally, Minor RFVs address product changes that are temporary and do not impact the baseline.

b. Furnished item(s) shall conform to the approved configuration requirements/revision, unless a Request for Variance (RFV) is processed and approved as provided by Paragraph e. below. The term "Request for Variance" includes Requests for Deviations and Waivers.

c. Value Engineering Change Proposals (VECPs) for cost saving improvements to the Technical Data Package (TDP) should not be processed per SAE EIA-649-1 and should be referred to FAR Part 48 Value Engineering.

d. All Engineering Change Proposals (ECPs) submitted will be deemed routine. If an ECP is considered as an emergency or urgent; that justification for the rationale shall be included in the ECP submittal with all applicable supporting documentation.

e. For ECPs, RFVs, Notices of Revision (NORs) or Specification Change Notices (SCNs), the Contractor must submit the applicable documentation listed in sub-paragraphs e(i) through e(iv) to the Administrative Contracting Officer (ACO), with an information copy to the Procuring Contracting Officer (PCO). Failure to submit a complete legible package may result in return of the ECP/RFV/SCN/NOR without processing.

(i) Documentation or use of DD Form 1692 (current revision) and delivery of data per DI-SESS-80639 is detailed in paragraph

3.3.1 of EIA-649-1.

(ii) Documentation or use of DD Form 1694 (current revision) and delivery of data per DI-SESS-80640 is detailed in paragraph

3.3.2 of EIA-649-1.

(iii) Documentation or use of DD Form 169 (current revision) and delivery of data per DI-SESS-80642 is detailed in paragraph

3.3.4 of EIA-649-1.

(iv) Documentation and delivery of data per DI-SESS-80643 is detailed in Paragraph 3.3.3 of EIA-649-1 for SCNs.

ECPs, RFVs, and NORs are CDRLS that can be found in Exhibit A, of Section J, List of Attachments.

C.5 Engineering Exceptions:

Drawing 5-15-31506

Request for Variance (RFV) 300-D002 applies to drawing 5-15-31506 and must be included with the technical data package for the DFU

Capped Conical Tube With Phosphate Buffer Solution (PBS) Assembly (NSN 6640-01-530-5868).

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

QAP5-15-31506, Part V, Section 504 (NOR 300-0042-001)

Change 3rd sentence from "Following incubation period, examine the PBS for colony growth." to "Following incubation period, examine the plated PBS for colony growth."

Lot numbering shall be required following the protocol in MIL-STD-1168, Ammunition Lot Numbering and Ammunition Data Cards, as applicable.

Manufacturers shall contact usarmy.ria.ccdc-cbc.mbx.qa@mail.mil to obtain a unique manufacturer's identification symbol.

Shelf Life Markings

Non-extendable shelf life markings (e.g., A, B, C, etc.) are required for this procurement and shall be applied in accordance with MIL-

STD-129. The shelf life code is H . The shelf life markings shall include, as applicable: the Manufactured or Assembled or Cured Date:

(mo/yr), and the Expiration date (mo/yr). The Expiration date shall be 12 months in the future from the manufactured, cured, or assembled date. In accordance with DoDM 4140.27, Vol 1 and MIL-STD-129, an item shall have not less than 85 percent of shelf life remaining at time of receipt by the Government. Any part not having at least 85 percent shelf life remaining shall be considered non-conforming.

Shelf Life Set-Aside Testing:

The Contractor shall produce 4 additional boxes of DFU conical tubes (NSN 6640-01-530-5868) per lot for set-aside testing. These 4 boxes shall be randomly selected from the completed lot. Each of the 4 boxes and each sample tube shall be marked individually to be able to identify each. The weights for each sample tube shall be measured to the nearest 0.01 g and recorded. These boxes shall be retained for shelf life testing, with quarterly checks for 12 months at 25 degrees C +/- 2 degrees.

Every three months (based on delivery order date), one box per lot shall be removed from shelf life storage and subjected to the following tests:

1. All 10 tubes per box shall be visually inspected for volume and clarity and the tube weight shall be measured to the nearest

0.01 g.

2. The pH and conductivity of the Phosphate Buffer Solution (PBS) for 7 tubes per box shall be determined using commercial inspection equipment to the nearest 0.001 pH and 0.01 mS/cm

3. Test 3 tubes per box for proper sterilization as follows: using plate count, pour plate, or spread plate methods (see note below). Incubate the samples for 72 hours. Following the incubation period, examine the plated PBS for colony growth.

Note: Microbiological analysis using laboratory procedures in the Food and Drug Administration Bacteriological Analytical Manual (BAM) or the American Public Health Association Compendium of Methods for the Microbiological Examination of Food is recommended.

Following each quarterly test, the Government shall receive reports of the set-aside test results within 3 days of test completion as per CDRL A007.

*** END OF NARRATIVE C0001 ***

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SECTION J - LIST OF ATTACHMENTS

List of Number List of Number

Addenda Title Date of Pages Transmitted By Addenda Title Date of Pages Transmitted By________________ ____________________________________________________________ _______________ ____________ _______________________________ ____________________________________________________________ _______________ ____________ _______________

Exhibit A CONTRACT DATA REQUIREMENTS LIST (CDRL) 23-JUN-2020 002 DATA

Attachment 0002 SET ASIDE MONTHLY TEST SCHEDULE 17-SEP-2020 001 EMAIL

7 7

MOD/AMD

ATT/EXH ID

PAGE

Exhibit A

CONTRACT DATA REQUIREMENTS LIST

DD FORM 1423 (MECHANIZED)

CATEGORY: MISC SYSTEM/ITEM: CAPPED CONICAL TUBE W/ PHOSPHATE BUFFER

TO CONTRACT/PR: EH0C0022EH

NSN: 6640-01-530-5868

1. SEQUENCE NUMBER 14. DRFT/REG/REPRO

2. TITLE OF DATA ITEM DISTRIBUTION COPIES

3. SUBTITLE

4. DATA ITEM NUMBER

5. CONTRACT REFERENCE

6. TECHNICAL OFFICE 7. DD 250 8. APP CODE 9. DIST STATEMENT REQUIRED

10. FREQUENCY 11. AS OF DATE

12. DATE OF 1ST SUBMISSION 13. DATE OF SUBSEQUENT SUBMISSION

15. TOTAL 16. REMARKS

1. A001 14.

SEE ADDRESS CODE / /

2. ENGINEERING CHANGE PROPOSAL (ECP) DISTRIBUTION

ATTACHED**

3.

4. DI-SESS-80639

5. SECTION C

6. FCDD-CBE-M 7. LT 8. N/A 9. *

10. ASREQ 11. N/A 15. TOTAL 0 / 0 / 0

12. ASREQ 13. ASREQ

16. REMARKS

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (e.g., MICROSOFT OFFICE OR

PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED

AND IMPLEMENTED BY THE DOD CONFIGURATION MANAGER. **SUBMIT ELECTRONICALLY TO

"mailto:USARMY.RIA.CCDC-CBC.MBX.CMACTION@MAIL.MIL " . ELECTRONIC FILES SHALL BE ______________________________________________________

LESS THAN 7MB. THE PREFERRED METHOD IS THE DD FORM 1692 WHICH IS LOCATED AT

http://www.dtic.mil/whs/directives/infomgt/forms/ . CONTRACTOR FORMAT

ALTERNATIVE TO THE DD FORM IS ACCEPTABLE PROVIDED THE NECESSARY DATA

ELEMENTS ARE PROVIDED.

1. A002 14.

SEE ADDRESS CODE / /

2. REQUEST FOR VARIANCE (RFV) DISTRIBUTION

ATTACHED**

3.

4. DI-SESS-80640

5. SECTION C

6. FCDD-CBE-M 7. LT 8. N/A 9. *

10. ASREQ 11. N/A 15. TOTAL 0 / 0 / 0

12. ASREQ 13. ASREQ

16. REMARKS

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (e.g., MICROSOFT OFFICE OR

ATT/EXH ID

PAGE

Exhibit A

PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED

AND IMPLEMENTED BY THE DOD CONFIGURATION MANAGER. **SUBMIT ELECTRONICALLY TO

"mailto:USARMY.RIA.CCDC-CBC.MBX.CMACTION@MAIL.MIL " . ELECTRONIC FILES SHALL BE ______________________________________________________

LESS THAN 7MB. THE PREFERRED METHOD IS THE DD FORM 1694 WHICH IS LOCATED AT

http://www.dtic.mil/whs/directives/infomgt/forms/ . CONTRACTOR FORMAT

ALTERNATIVE TO THE DD FORM IS ACCEPTABLE PROVIDED THE NECESSARY DATA

ELEMENTS ARE PROVIDED.

1. A003 14.

SEE ADDRESS CODE / /

2. NOTICE OF REVISION (NOR) DISTRIBUTION

ATTACHED**

3.

4. DI-SESS-80642

5. SECTION C

6. FCDD-CBE-M 7. LT 8. N/A 9. *

10. ASREQ 11. N/A 15. TOTAL 0 / 0 / 0

12. ASREQ 13. ASREQ

16. REMARKS

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (e.g., MICROSOFT OFFICE OR

PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED

AND IMPLEMENTED BY THE DOD CONFIGURATION MANAGER. **SUBMIT ELECTRONICALLY TO

"mailto:USARMY.RIA.CCDC-CBC.MBX.CMACTION@MAIL.MIL " . ELECTRONIC FILES SHALL BE ______________________________________________________

LESS THAN 7MB. THE PREFERRED METHOD IS THE DD FORM 1695 WHICH IS LOCATED AT

http://www.dtic.mil/whs/directives/infomgt/forms/ . CONTRACTOR FORMAT

ALTERNATIVE TO THE DD FORM IS ACCEPTABLE PROVIDED THE NECESSARY DATA

ELEMENTS ARE PROVIDED.

1. A004 14.

ACO 0 / 1 / 0

2. TEST/INSPECTION REPORTS THRU QAR 0 / 1 / 0

PCO 0 / 1 / 0

3. PRODUCTION LOT ACCEPTANCE TEST REPORT

(CONTRACTOR)

4. DI-NDTI-80809

5. SECTION E

6. FCDD-CBE-SQ 7. LT 8. ** 9. C

10. ASREQ* 11. N/A 15. TOTAL 0 / 3 / 0

12. ASREQ* 13. ASREQ

16. REMARKS

*THIS REPORT SHALL BE SUBMITTED AT THE COMPLETION OF A NEW PRODUCTION LOT.

REPORT SHALL BE SUBMITTED TO THE QUALITY ASSURANCE REPRESENTATIVE (QAR)

WHENEVER A NEW LOT OF MATERIAL HAS COMPLETED TESTING. PRIOR TO BEGINNING

PRODUCTION, THE CONTRACTOR SHALL SUBMIT A QUALITY PLAN TO THE QAR FOR

REVIEW AND APPROVAL, ON HOW THEY WILL COMPLY WITH THE REQUIREMENTS OF THE

PRODUCTION LOT TEST. ONCE THE QAR APPROVES THE QUALITY PLAN FOR THE

PRODUCTION LOT TESTING, THE APPROVED METHOD WILL BE USED THROUGHOUT THE

LIFE OF THE CONTRACT TO VALIDATE COMPLIANCE WITH THE CONTRACT CLAUSE. QAR

WILL PROVIDE WRITTEN APPROVAL OF THE QA PLAN TO THE CONTRACTOR. **THE

CONTRACTOR SHALL SUBMIT THE PRODUCTION LOT TEST REPORT TO THE QAR ON A

DD1222 OR COMPARABLE DOCUMENT FOR ACCEPTANCE WITHIN TEN DAYS OF COMPLETION

ATT/EXH ID

PAGE

Exhibit A

OF THE TESTING. THE QAR HAS 30 WORK DAYS AFTER RECEIPT TO REVIEW AND

PROVIDE APPROVAL/DISAPPROVAL IN WRITING TO THE CONTRACTOR. APPROVAL OF

THE PRODUCTION LOT TEST REPORT SHALL BE APPROVAL OF THE LOT. WHEN THE

REPORT FILES ARE TOO LARGE TO SEND OVER EMAIL, THE CONTRACTOR MAY SEND THE

REPORT THROUGH THE SAFE ACCESS FILE EXCHANGE (SAFE) APPLICATION (FILE SIZE

UP TO 2GB). SEE https://safe.apps.mil/ FOR MORE

INFORMATION. TESTING SHALL BE PERFORMED IN ACCORDANCE WITH THE CONTRACT

CLAUSE FOR THIS REQUIREMENT.

1. A005 14.

QAR 0 / 1 / 0

2. CERTIFICATE OF COMPLIANCE PCO 0 / 1 / 0

(Blocks 3 thru 19 of Form 010) FCDD-CBE-SQ 0 / 1 / 0

3.

4. DI-MISC-81356A*

5. SECTION I**

6. FCDD-CBE-SQ (RI) 7. LT 8. N/A 9. N/A

10. ASREQ 11. N/A 15. TOTAL 0 / 3 / 0

12. ASREQ 13. ASREQ

16. REMARKS

*MODIFY DI-MISC-81356, 2.I TO READ: "A STATEMENT ON CONTRACTOR LETTERHEAD,

CERTIFYING THAT ALL ITEMS FURNISHED ON THE CONTRACT ARE IN FULL COMPLIANCE

WITH THE TDP (INCLUDING REVISION OF THE DRAWING AND SPECIFICATION), ALL

SPECIFICATIONS AND CONTRACT REQUIREMENTS.". SUBMIT CERTIFICATE OF

COMPLIANCE(S) WITH THE FIRST ARTICLE TEST REPORT. 2.G TO READ NSN (IF

APPLICABLE) AND PART NUMBER. **FIRST ARTICLE APPROVAL CONTRACTOR TESTING.

SUBMIT ELECTRONICALLY TO THE PCO.

1. A006 14.

QAR 0 / 1 / 0

2. SHELF LIFE SET ASIDE TEST REPORTS PCO 0 / 1 / 0

(Blocks 3 thru 19 of Form 010) FCDD-CBE-MD 0 / 1 / 0

3.

4. DI-NDTI-80809B*

5. SECTION C

6. FCDD-CBE-MD 7. AS NEEDED 8. N/A 9. C

10. QUARTERLY 11. 30 November 2021 15. TOTAL 0 / 3 / 0

12. 3DATC 13. ASREQbLOCK 16

16. REMARKS

Submit electronically 3 days after test completion. 4 boxes per lot shall be retained for shelf life testing, with quarterly checks at Months 3, 6, 9, and 12.

Delete sections:

10.2.6.5.a.

10.2.6.5.d.

10.2.6.5.e.

10.2.6.5.f.

10.2.6.6.a.

10.2.6.6.b.

10.2.6.6.c.

ATT/EXH ID

PAGE

Exhibit A

10.2.6.6.d.

10.2.6.6.e.

10.2.6.6.f.

10.2.6.6.g.

10.2.6.6.h.

10.2.7.3

DATE: 23 JUNE 2020