Exhibit_A_-_Materials_Test_Report_-_CDRL_A001.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

0003AA

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER Materials Test Report

D. SYSTEM/ITEM

Aviation Body Armor

E. CONTRACT/PR NO.

W911QY-17-R-0024

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Materials Test Report

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A

5. CONTRACT REFERENCE

Paragraph C.8.1.2

6. REQUIRING OFFICE

RDNS-SOF-PI

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

See Box 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE

See Box 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Box 16 Draft

Final

Reg Repro

16. REMARKS

1. The Contractor shall provide Materials Test Report upon execution of Optional CLIN 0002 (FAT), or when Quality Conformance Inspections are required.

2. All data shall be provided in accordance with Paragraph C.8.1.2 of the Statement of Work and Data Acquisition Document No. DI-MISC-80711A which has been tailored as follows:

Contractor format is acceptable. Paragraph 10.2 from the referenced Data Acquisition Document does not apply.

3. The Materials Test Report shall be made available electronically in the form of Adobe .PDF and emailed to the following:

TBD

4. Submission of the report shall be within 30 days of execution of Optional CLIN 0003 or Quality Conformance Inspections.

TBD

15. TOTAL

G. PREPARED BY

Scott Gaumont

H. DATE

06/21/2017

I. APPROVED BY

Al Chisholm

J. DATE

06/21/2017

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE