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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 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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

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.

FOR THE CONTRACTOR

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.

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.

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.

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.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

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.

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 1423-1 (BACK), FEB 2001

data_item: A001 title: Item Unique Identification (IUID) Marking Activity, Validation and Verification Report sub:

auth: DI-MGMT-81804A NOT 1 ref: PWS Para: 4.3.1.2.2 req_ofc: 410 SCMS/GULA dd250: DD appcode: N/A dist: D freq: Blk. 16 asof: Blk. 16 firstsub: Blk. 16 subsub: Blk. 16 addressee1: See Blk. 16 draft1:

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Blk. 7 The engineer will be responsible for acceptance at the destination.

Blks. 10-13: The Contractor shall deliver an IUID Marking Activity and Verification Report. The report shall contain a brief narrative of accomplishments, NSNs marked, and registry status. The Contractor shall deliver a IUID Marking Activity and Verification Report 90 days after the first NSN has been marked and semi-annually thereafter. The Government will review and determine acceptance or rejection and notify contractor within 10 business days of receipt. If rejected, the Contractor shall have 10 business days to correct any errors and return a corrected IUID Marking Activity and Verification Report to the Government for review.

Blk. 14 Mailing Address:

410th SCMS/GUEA 235 Byron St, Ste 19A Robins Air Force Base, GA 31098

Document submission shall be made electronically via MS Office Word format (doc) or Portable Document Format (PDF). Final submittal both via Email addresses and in Wide Area Work Flow (WAWF). When submitted in WAWF, the contractor shall provide email notification to kelsey.rowell@us.af.mil, or ian.hodge-rymer@us.af.mil.

Program Managers.

kelsey.rowell@us.af.mil

Ashley Smith ashley.smith.101@us.af.mil

Program Engineer.

ian.hodge-rymer@us.af.mil

Equipment Specialist.

joseph.loyd@us.af.mil group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat: MGMT system: F-15 TISS ctr_no: FD2060-24-00009 contr: Astronics Test Systems Inc.

remarksb:

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Reset:

2023-12-12T13:09:15-0500

SMITH.ASHLEY.KELLY.1620126736

prep_date: 12-12-23 app_by:

2023-12-11T11:54:12-0500

VICIOSO.JOHAN.M.1294137579

app_date: 12/11/23

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Counterfeit Prevention Plan sub:

auth: DI-MISC-81832 ref: PWS Para: 4.3.5 req_ofc: 410 SCMS/GULA dd250: DD appcode: N/A dist: D freq: Blk. 16 asof: Blk. 16 firstsub: Blk. 16 subsub: Blk. 16 addressee1: See Blk. 16 draft1:

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total_draft: 3 total_reg: 4 total_repro: 0 remarks: Blk.2 Contractor format is acceptable. Submit a copy of the Government approved CPP from previous contract with the Government is sufficient.

Blk. 7 The engineer will be responsible for acceptance at the destination.

Blks. 10-12: Contractor shall deliver a Counterfeit Prevention Plan (CPP) within 30 days after contract award. The Government comments will be provided to the contractor within 14 days after receipt, with contractor re-submittal due 10 days after receipt of comments. Updates to the CPP shall be provided to the Government within twenty (20) calendar days after the initial counterfeit part(s) identification/notification.

Blk. 13 Updates to the CPP shall be provided within twenty (20) calendar days after each additional counterfeit part(s) identification/notification.

Blk. 14 Mailing Address:

410th SCMS/GUEA 235 Byron St, Ste 19A

Document submission shall be made electronically via MS Office Word format (doc) or Portable Document Format (PDF). Final submittal both via Email addresses and in Wide Area Work Flow (WAWF). When information is submitted in WAWF the contractor shall provide email notification to email addresses below.

Program Manager.

kelsey.rowell@us.af.mil

Ashley Smith ashley.smith.101@us.af.mil

Program Engineer.

ian.hodge-rymer@us.af.mil

Equipment Specialist.

joseph.loyd@us.af.mil group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat: MISC system: F-15 TISS ctr_no: FD2060-24-00009 contr: Astronics Test Systems Inc.

remarksb:

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2023-12-12T13:11:25-0500

SMITH.ASHLEY.KELLY.1620126736

prep_date: 12-12-23 app_by:

2023-12-11T11:56:26-0500

VICIOSO.JOHAN.M.1294137579

app_date: 12-11-23

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003-E003 title: Status Report sub: Monthly Status Report auth: DI-MGMT-80368A/T ref: PWS Para: 4.4.1 req_ofc: 410 SCMS/GULA dd250: LT appcode: N/A dist: D freq: Monthly asof: BLK 16 firstsub: BLK 16 subsub: BLK 16 addressee1: See BLK 16 draft1:

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Blks. 10-12: The contractor shall submit first Monthly Status Report 45 days after contract award. Monthly Status Reports (MSR) shall summarize activities that were concluded during the previous month, which tasks were started, which tasks continue to be in progress, and which tasks are planned for the following month within the period of performance of the PWS; paying special attention on plan of corrective actions dealing with concerns/issues that impact technical and schedule. Each MSR shall be a detailed schedule summary that indicates all activities relative to the work required by the PWS.

Blk. 13 Subsequent MSRs are due on the 5th of the month for the previous month' s work activities and data. If the due date falls on a weekend or holiday, the due date is the next working day.

Blk. 14 MSR shall be made electronically via MS Office (Power Point, Excel, or Word) 2010 format or PDF. MSR will be provided via electronic submission. The contractor shall submit MSR via email addresses in Blk. 14.

Blk. 14 POC information for Distribution:

Program Managers.

kelsey.rowell@us.af.mil

Ashley Smith ashley.smith.101@us.af.mil

Program Engineer.

ian.hodge-rymer@us.af.mil

Equipment Specialist.

joseph.loyd@us.af.mil group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat: MGMT system: F-15 TISS ctr_no: FD2060-24-00009 contr: Astronics Test Systems Inc.

remarksb:

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Reset:

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SMITH.ASHLEY.KELLY.1620126736

prep_date: 12-12-23 app_by:

2023-12-11T11:57:42-0500

VICIOSO.JOHAN.M.1294137579

app_date: 12-11-23

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A004 title: Mishap Notification/Investigation sub:

auth: DI-SAFT-81563 NOT 2 ref: PWS Para: 5.5.2 req_ofc: 410 SCMS/GULA dd250: LT appcode: N/A dist: D freq: AS REQUIRED asof: Blk. 16 firstsub: AS REQUIRED subsub: Blk. 16 addressee1: See Blk. 16 draft1:

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The Contractor shall notify the Robins AFB Safety Office telephonically at (478)-222-0043 during duty hours and (478)-926-3567 after hours, within four (4) hour after initial notification of all mishaps or incidents for damage to DoD property (material plus labor) entrusted by this contract and employee injuries as a result of the contract operation. A follow-up (written or e-mail) of this mishap/incident notification shall be sent within three calendar days to the Government Representative, the Procurement Contracting Officer (PCO) or the Administrative Contracting Officer (ACO) (with a copy to program manager), who will forward it to the Safety Office. The information that is not available at the time of the initial notification shall be provided within 20 calendar days after the mishap. Mishap notification shall contain, as a minimum, the following information:

a. Contract, Contract Number, Name and Title of Person(s) Reporting

b. Date, Time and exact location of accident/incident

c. Brief Narrative of accident/incident (Events leading to accident/incident)

d. Cause of accident/incident, if known

e. Estimated cost of accident/incident (material and labor to repair/replace)

f. Impound Authority Name and Phone Number (as applicable)

g. Nomenclature of equipment and personnel involved in accident/incident

h. Corrective actions (taken or proposed)

i. Other pertinent information group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat: SAFT system: F-15 TISS ctr_no: FD2060-24-00009 contr: Astronics Test Systems Inc.

remarksb: Blk. 14 Mailing Address:

410th SCMS/GUEA 235 Byron St, Ste 19A Robins Air Force Base, GA 31098

Document submission shall be made electronically via MS Office Word format (doc) or Portable Document Format (PDF). Final submittal both via Email addresses and in Wide Area Work Flow (WAWF). When submitted in WAWF, the contractor shall provide email notification to kelsey.rowell@us.af.mil, or ian.hodge-rymer@us.af.mil.

Program Managers.

kelsey.rowell@us.af.mil

Ashley Smith ashley.smith.101@us.af.mil

Program Engineer.

ian.hodge-rymer@us.af.mil

Equipment Specialist.

joseph.loyd@us.af.mil

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SMITH.ASHLEY.KELLY.1620126736

prep_date: 12-12-23 app_by:

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VICIOSO.JOHAN.M.1294137579

app_date: 12-11-23

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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:

B_EXHIBIT:

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OTHER:

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FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A005-E005

2_TITLE_OF_DATA_ITEM: Commercial Asset Visibility Air Force (CAV) Reporting

3_SUBTITLE: CFM End Item Reporting

4_AUTHORITY_Data_Acquisit: DI-MGMT-81838 NOT 1

5_CONTRACT_REFERENCE: PWS Para: 4.3.3

6_REQUIRING_OFFICE:

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: BLK 16

11_AS_OF_DATE: BLK 16

12_DATE_OF_FIRST_SUBMISSI: BLK 16

13_DATE_OF_SUBSEQUENT_SUB: BLK 16

addressee1: SEE BLK 16 draft1:

reg1: 1 repro1:

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16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

Blk 4: All reporting shall be submitted in the English Language.

Blk 5: Contract Reference: PWS and CAV AF Reporting Requirements Document.

Blks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

Program Managers Kelsey Rowell kelsey.rowell@us.af.mil

Ashley Smith ashley.smith.101@us.af.mil

Supply Planner summer.lamb@us.af.mil

Blks 10-13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

H_DATE: 12-12-23

J_DATE: 12-11-23

Page: 1 reg38t: 4

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off

OTHER: MGMT

DSYSTEMITEM: F-15 TISS

E_CONTRACTPR_NO: FD2060-24-00009

FCONTRACTOR: Astronics Test Systems Inc.

of_pages: 1

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SMITH.ASHLEY.KELLY.1620126736

2023-12-11T12:01:57-0500

VICIOSO.JOHAN.M.1294137579

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.

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

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16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A006-E007

2_TITLE_OF_DATA_ITEM: Contract Depot Maintenance (CDM) Monthly Production Report

3_SUBTITLE: CDM Production Monthly Status Report

4_AUTHORITY_Data_Acquisit: DI-PSSS-81995A/T

5_CONTRACT_REFERENCE: PWS Para: 4.3.3

6_REQUIRING_OFFICE:

7_DID_250_REQ: DD

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: MTHLY

11_AS_OF_DATE: BLK 16

12_DATE_OF_FIRST_SUBMISSI: BLK 16

13_DATE_OF_SUBSEQUENT_SUB: BLK 16

addressee1: SEE BLK 16 draft1:

reg1: 1 repro1:

addressee2:

draft2:

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16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

Blk 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

Blk 7 & 14: Submit the CDM Production Monthly Status Reports to the following email address:

Program Managers Kelsey Rowell kelsey.rowell@us.af.mil

Ashley Smith ashley.smith.101@us.af.mil

Supply Planner summer.lamb@us.af.mil Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office)

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 12-12-23

1_APPROVED_BY:

J_DATE: 12-11-23

Page: 1 reg38t: 4

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER: PSSS

DSYSTEMITEM: F-15 TISS

E_CONTRACTPR_NO: FD2060-24-00009

FCONTRACTOR: Astronics Test Systems Inc.

16_REMARKS_Continued:

EXPORT CONTROL 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 IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

Blks 10-13:

a. The reports shall be provided monthly within 10 (ten) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Logistic Management Specialist (LMS) and the Supply Planner (SP),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

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2023-12-11T12:05:17-0500

VICIOSO.JOHAN.M.1294137579

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.

1231517401C

Highlight

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xTDP: Off xTM: Off

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16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A007-E007

2_TITLE_OF_DATA_ITEM: Government Property Inventory Report

3_SUBTITLE: Annual Government Property Physical Inventory Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-80441D

5_CONTRACT_REFERENCE: PWS Para: 4.3.3.1

6_REQUIRING_OFFICE:

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: ANNLY

11_AS_OF_DATE: BLK 16

12_DATE_OF_FIRST_SUBMISSI: BLK 16

13_DATE_OF_SUBSEQUENT_SUB: BLK 16

addressee1: SEE BLK 16 draft1:

reg1:

repro1:

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draft2:

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16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

Blk 4:

a. All reports shall be submitted in the English Language.

Blk 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

Logistic Management Specialists:

Kelsey Rowell kelsey.rowell@us.af.mil

Ashley Smith ashley.smith.101@us.af.mil

Supply Planner summer.lamb@us.af.mil

Blk 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office).

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL 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 IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 12-12-23

1_APPROVED_BY:

J_DATE: 12-11-23

Page: 1 reg38t: 3

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER: MGMT

DSYSTEMITEM: F-15 TISS

E_CONTRACTPR_NO: FD2060-24-00009

FCONTRACTOR: Astronics Test Systems Inc.

16_REMARKS_Continued: Blks 10-13:

a. This report shall be provided annually. Reporting Period is one year from Basic Contract award date and annually thereafter.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

Content (Tailored). The following data fields are not required:

B. Agency or Service Asset Identification Number (GFP Only) C. Contractor Asset Identification Number F. Manufacturer Model Number J. Unit of Measure K. Unit Acquisition Cost L. Unique Item Identifier (if registered in the Item Unique Identification (IUID) Registry; GFP only)

NOTE: An Inventory report shall be provided.

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