Attachment_0012_Technical_Data_and_Assertions_Rev001.xlsx

Cover

DISTRIBUTION STATEMENT A: Approved for Public Release; distribution unlimited.

Responses

SECURITY NOTICE: Contractor responses to the data requirements are likely to be at the Controlled Unclassified Information (CUI) level, and may be at the SECRET level. For security related guidance and procedures on how to mark, handle, and transmit classified information, contractors should refer to the NISPOM Rule, supporting DD 254, and the OMFV Security Classification Guide (CUI) signed by PEO GCS on 18 February 2021.

All CUI responses should be marked with the following CUI Designation Indicator and Distribution Statement:

Controlled by: the name of the Offeror company (not required if identified in the letterhead) Controlled by: identification of the office creating the document CUI Category(ies): CTI, SSEL Distribution Statement: D POC: name and phone number or email of POC

DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; Export Control; date of determination is 18 February 2021. Other requests for this document shall be referred to the attention of the PM MCS Security Manager at: Program Executive Office Ground Combat Systems (PEO GCS), ATTN: SFAE-GCS-C, 6501 E. 11 Mile Road, Detroit Arsenal, MI 48397-5000.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

This proposal includes data that shall not be disclosed outside the Government and shall not be duplicated, used, or disclosed -- in whole or in part -- for any purpose other than to evaluate this proposal. If, however, a contract is awarded to this offeror as a result of -- or in connection with -- the submission of this data, the Government shall have the right to duplicate, use, or disclose the data to the extent provided in the resulting contract. This restriction does not limit the Government's right to use information contained in this data if it is obtained from another source without restriction.

Source Selection Information -- See FAR 2.101 and 3.104.

SECRET responses should also contain:

This content is classified at the SECRET level and may contain elements of controlled unclassified information (CUI), unclassified, or information classified at a lower level than the overall classification displayed. This content shall not be used as a source of derivative classification; refer instead to OMFV Security Classification Guide, 18 Feburary 2021. It must be reviewed for both Classified National Security Information (CNSI) and CUI in accordance with DoDI5230.09 prior to public release, or PM Maneuver Combat Systems (MCS) Security Manager at: Program Executive Office Ground Combat Systems (PEO GCS), ATTN: SFAE-GCS-C, 6501 East Eleven Mile Road, Detroit Arsenal, MI 48397-5000.

Classified by: List name, position title of the Derivative classifier and office of origin Derived from: OMFV SCG, 20210218 Declassify on: YYYYMMDD (Refer to declassification column to determine the date)

Controlled by: the name of the Offeror company (not required if identified in the letterhead) Controlled by: identification of the office creating the document CUI Category(ies): CTI, EXPT Distribution Statement: D POC: name and phone number or email of POC

Change Log All data on this worksheet is subject to the contractor's disclosure statement(s) found on the "Contractor Coversheet"

b. Updated Instructions tab, Item 9 from "Is this Technical Data or Computer Software which pertains to an interface?" to "Is this Technical Data or Computer Software which pertains to a modular system interface?"

c. Updated Assertion of Restrictions tab, cell J6 from "Is this Technical Data or Computer Software which pertains to an interface?" to "Is this Technical Data or Computer Software which pertains to a modular system interface?"

(add additional rows as necessary)

Instructions

Contractors are instructed to add additional lines as necessary to provide all rights and applicable components.

2. Item Description: The contractor shall enter a description of the technical data or computer software which conveys the usage, function, and location of the item.

3. Technical Data or Computer Software: The contractor shall identify if the item is technical data or computer software. If computer software, the offeror shall identify if it is object code, executable software, firmware, or source code, etc. If more than one then enter each on separate item ID's and on separate rows.

4. Drawing Number: The contractor shall enter the drawing number for the technical data. For example: “12345678”.

5. BOM Level: The contractor shall identify the level of the Indentured BOM corresponding to the technical data and computer software.

6. CDRL Number: The contractor shall identify the CDRL numbers that the technical data or computer software is being delivered under. For example: "CDRL_A024" .

7. The contractor shall answer is this Technical Data or Computer Software which pertains to a Commercial item per the definition of commercial in FAR 2.101? (Y/N)

8. The contractor shall answer is this Technical Data or Computer Software which pertains to a Commercially available off-the-shelf (COTS) item per the definition of commercial in FAR 2.101? (Y/N)

9. Is this Technical Data or Computer Software which pertains to a modular system interface?

10. Basis for Assertion: The contractor shall state the basis for their assertion.

11. Asserted Rights Category: The contractor shall identify the category of the rights asserted.

12. Associated Background Patents: The contractor shall identify all associated Background Patents. Background Patent is defined as any U.S. patent, or U.S. patent application, or PCT patent application, which covers an invention or discovery which is not a subject invention (as defined in FAR 52.227-11) and which is owned or controlled by the Offeror at any time through the completion of this contract or to which the offeror has an interest through inventorship. The specific patent and application numbers and full titles are required to be provided.

13. Identification of the Source for Commercial Item: The contractor shall enter the source(s) of item.

14. Name of Person Asserting Restrictions: The contractor shall enter “none” when all technical data or computer software will be submitted without restrictions.

*For technical data (other than computer software documentation) pertaining to items, components, or processes developed at private expense, identify both the deliverable technical data and each such item, component, or process. For computer software or computer software documentation identify the software or documentation.

**Generally, development at private expense, either exclusively or partially, is the only basis for asserting restrictions. For technical data, other than computer software documentation, development refers to development of the item, component, or process to which the data pertain. The Government's rights in computer software documentation generally may not be restricted. For computer software, development refers to the software. Indicate whether development was accomplished exclusively or partially at private expense. If development was not accomplished at private expense, or for computer software documentation, enter the specific basis for asserting restrictions.

***Enter asserted rights category (e.g., government purpose license rights from a prior contract, rights in SBIR data generated under another contract, limited, restricted, or government purpose rights under this or a prior contract, or specially negotiated licenses).

****Corporation, individual, or other person, as appropriate.

*****Enter “none” when all data or software will be submitted without restrictions.

Assertions of Restrictions

Date:

Printed Name:

Title:

Signature:

Technical data and computer software including firmware to be furnished Technical data and computer software including firmware with the level of data rights to which the Government is entitled per DFARS 252.227-7013, 252.227-7014, 252.227-7015, or 227.7202-3(b)

The offeror asserts for itself, or the persons identified below, that the Government's rights to use, release, or disclose the following technical data or computer software including firmware should be restricted: