209F953_CDRL_A003_FA_Qualification_-9802.pdf

PDF 141 KB Posted

Attached to
Request for Proposal - 20mm F-16 Ammunition Handling Set - NSN:1005-01-190-9802
Solicitation number
SPRWA1-26-R-0017
Issued by

About this file

This is a DD Form 1423-1, Contract Data Requirements List (CDRL), which specifies data deliverables required under a federal contract. The document identifies a single data item requirement for contract FD2060-23-00075 between the Government and an F-16 Transporter Housing Assembly contractor, with the Air Force Space Command Services and Guam User Management Office (AFSC 409 SCMS/GUME) as the requiring office.

The required data item is a First Article Qualification Test Plan and Procedures (Data Item A003, subtitled PN 209F953), which must be submitted one time by the date specified in Block 16. The deliverable requires distribution to five addressees: the Procuring Contracting Officer (PCO), Project Manager (PM), Engineer, WAWF, and the First Article Manager, with one draft copy and one final copy required for each recipient. Electronic delivery via email in PDF format to designated distribution addresses is mandated, with submission directed to David Lewis (First Article Manager) and specific contact information provided for the PCO, PM, and Engineer. Government approval is required within 45 calendar days, and the contractor has 45 days after receipt of order to complete the deliverable. The form was prepared and approved on June 29, 2022, and signed by Rickey C. Moore and Scott B. Groves.

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Text version

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 the Department of Defense, Executive Services and Communications 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

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT: A
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: F-16 Transfer Unit Housing Assembly, 20mm
E_CONTRACTPR_NO: FD2060-23-00075
FCONTRACTOR:
1_DATA_ITEM_NO: A003
2_TITLE_OF_DATA_ITEM: First Article Qualification Test Plan and Procedures
3_SUBTITLE: (P/N 209F953)
4_AUTHORITY_Data_Acquisit: DI-NDTI-81307A
5_CONTRACT_REFERENCE: Per Contract
6_REQUIRING_OFFICE: AFSC 409 SCMS/GUME
7_DID_250_REQ: LT
8_APP_CODE: A
DIST_STATEMENT: C
10_FREQUENCY: 1 TIME
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See Blk 16
13_DATE_OF_SUBSEQUENT_SUB: See Blk 16
addressee1: PCO
draft1: 1
reg1: 0
repro1: 1
addressee2: See BLK 16
draft2:
reg2:
repro2:
addressee3:
draft3:
reg3:
repro3:
addressee4: PM
draft4: 1
reg4: 0
repro4: 1
addressee5: See BLK 16
draft5:
reg5:
repro5:
addressee6:
draft6:
reg6:
repro6:
addressee7: Engineer
draft7: 1
reg7: 0
repro7: 1
addressee8: See BLK 16
draft8:
reg8:
repro8:
addressee9:
draft9:
reg9:
repro9:
addressee10: WAWF
draft10: 1
reg10: 0
repro10: 1
addressee11: See BLK 16
draft11:
reg11:
repro11:
addressee12:
draft12:
reg12:
repro12:
addressee13: First Article Manager
draft13: 1
reg13: 0
repro13: 1
addressee14: See BLK 16
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total_draft: 5
total_repro: 5
16_REMARKS: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 8: The Government has 45 calendar days to approve.

Block 12: 45 days ARO contract.

BLK 14: Electronic delivery of Draft copies via e-mail to the following Distribution Addresses shall be delivered in PDF format.

First Article Manager: David Lewis email: david.lewis.49@us.af.mil

PCO: Todd J. Stimus, Jr.

email: todd.stimus@us.af.mil

PM: Janet M. Harvey email: janet.harvey.3@us.af.mil

Engineer: Rickey C. Moore email: rickey.moore@us.af.mil

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page: 1
of_pages: 1
Reset:
reg38t: 0
2022-06-29T05:34:09-0400
MOORE.RICKEY.C.1249718579
2022-06-29T10:38:19-0400
GROVES.SCOTT.B.1279744817
Text15: 6/29/2022
Text16: 29 Jun 22
Text10: Date
Text12: DMO Signature
2022-06-29T09:41:54-0400
FISKE.ROBERT.R.1260632872
Text11: Control Number
Text6: 22.06.29.023
Text1: 29 June 2022

File details come from the government source that posted it. Updated .