3999268_CDRL1_REPORT.pdf
PDF 131 KB Posted
- Attached to
- Repair / Overhaul of the Direct Current Generator Federal contract opportunity
- Solicitation number
- FA852425R0001
About this file
This is a Contract Data Requirements List (DD Form 1423-1) for a TH-1H Helicopter contract (FD20602500039) that details eight required data deliverables. The document specifies requirements for Commercial Asset Visibility-Air Force (CAV-AF) reporting, Government Property Inventory Report, Contract Depot Maintenance Production Report, Item Unique Identification (IUID) Marking Plan, Counterfeit Prevention Plan, Accident/Incident Report, and Government Industry Data Exchange Program reporting.
Key requirements include daily CAV-AF reporting with 24-hour currency, annual physical inventory reports due within 7 days of each option period end, monthly production reports due by the 10th calendar day after the month reported, quarterly IUID marking plans with 30-day initial submission after award, and immediate accident/incident reporting within 24 hours of occurrence. The document specifies distribution requirements, approval authorities, and submission formats for each deliverable, with most reports requiring submission to the Program Manager and Supply Planner via email in Microsoft Office-compatible or PDF formats. The contract includes a basic year period plus four option/ordering periods, with all deliverables managed by the 411 SCMS/GULBA office at Robins Air Force Base.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| CAVAF_Reporting_Requirement_Jan2021.pdf | ||
| 3999932_PKGRQMT_REPORT.pdf | ||
| 4000143_PWS.pdf | ||
| CAVAF_DD_FORM_2875.pdf | ||
| 3999930_TRNSPDATA_REPORT.pdf | ||
| FA8524-25-R-0001.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)
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, 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
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H HELICOPTER
E. CONTRACT / PR NO.
FD20602500039
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
COMMERCIAL ASSET VISIBILITY-AIR FORCE
(CAV-AF) REPORTING
3. SUBTITLE
CAV AF
4. AUTHORITY
DI-MGMT-81838
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.7
6. REQUIRING OFFICE
411 SCMS/GULBA
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
See Block 16
11. AS OF DATE
SEE BLOCK 16
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Parton, Jessica NNAME: 29 AUG 2024DATE:
Exhibit Data Item No. Performance Period
A A001 Basic Year Pd
B B001 Ordering/Option Period 1
C C001 Ordering/Option Period 2
D D001 Ordering/Option Period 3
E E001 Ordering/Option Period 4
BLK 1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM Reporting Requirements. This information will be accessed by the program office SP and by 420 SCMS/GUNAB-Robins in order to ascertain production status.
BLK 2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.
The Contractor shall obtain a valid DOD PKI certificate to log into CAV AF. Each user shall be required to have an:
Identity Certificate only; an encryption certificate is not required.
BLK 3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602 if required and a request must be initiated by the CAV Reporter
BLK 4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.
BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.) E-DD FORM 250 shall be submitted to DCMA for acceptance.
Email: 411 SCMS/GULBA Program Manager (PM) PM email address provided on contract award
0 1 0
Email: 411 SCMS/PMS Workflow @ 411SCMS.PMS@us.af.mil if PMS email is not provided
0 1 0
0 2 015. TOTAL
Page 1 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
PREVIOUS EDITION MAY BE USED.
BLK 10:
a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractor Users Guide.
b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.
BLK 11: Data shall be current within 24 hours of last End Item maintenance occurrence.
BLK 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.
BLK 13: Same as remarks regarding Block 10 above.
COORDINATORS:
G. PREPARED BY
Parton, Jessica N
411 SCMS / GULBB
478-926-7035
H. DATE
29 AUG 2024
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
29-AUG-24
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H HELICOPTER
E. CONTRACT / PR NO.
FD20602500039
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
GOVERNMENT PROPERTY INVENTORY REPORT
3. SUBTITLE
GOVERNMENT PROPERTY INVENTORY REPORT
4. AUTHORITY
DI-MGMT-80441D
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.3.10.1
6. REQUIRING OFFICE
411 SCMS/GULBA
7. DD 250 REQ
LT
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ANNLY
11. AS OF DATE
SEE BLOCK 16
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Parton, Jessica NNAME: 29 AUG 2024DATE:
Exhibit Data Item No. Performance Period
A A002 Basic Year Pd
B B002 Ordering/Option Period 1
C C002 Ordering/Option Period 2
D D002 Ordering/Option Period 3
E E002 Ordering/Option Period 4
BLK 4: The data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.
Email: 411 SCMS/GULBA Program Manager (PM) PM email address provided on contract award
0 1 0
Email: 411 SCMS/PMS Workflow @ 411SCMS.PMS@us.af.mil if PMS email is not provided
0 1 0
0 2 015. TOTAL
Page 2 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data.
EDD FORM 250 shall be submitted to FA8524 Program Manager (micah.tapp.2@US.AF.MIL) and Supply Planner (robert.vargas.2@us.af.mil) for acceptance.
BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-13.
BLK 9: "A" Approved for Public Release; distribution is unlimited.
BLKS 10-13: The annual physical inventory report shall be provided within seven (7) calendar days of the end of each option/ordering period for the contract. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the option/ordering reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.
BLK 14: EMAIL electronic Annual Physical Inventory Report to the Supply Planner (SP) and Program Manager (PM).
Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in Microsoft Office Excel format for all reports.
COORDINATORS:
G. PREPARED BY
Parton, Jessica N
411 SCMS / GULBB
478-926-7035
H. DATE
29 AUG 2024
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
29-AUG-24
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H HELICOPTER
E. CONTRACT / PR NO.
FD20602500039
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
CONTRACT DEPOT MAINTENANCE PRODUCTION
REPORT
3. SUBTITLE
PRODUCTION REPORT
4. AUTHORITY
DI-PSSS-81995A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.3.10.2
6. REQUIRING OFFICE
411 SCMS/GULBA
7. DD 250 REQ
LT
8. APP CODE
See Block 16
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
See Block 16
11. AS OF DATE
SEE BLOCK 16
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Parton, Jessica NNAME: 29 AUG 2024DATE:
Exhibit Data Item No. Performance Period
A A003 Basic Year Pd
B B003 Ordering/Option Period 1
C C003 Ordering/Option Period 2
D D003 Ordering/Option Period 3
Email: 411 SCMS/GULBA Program Manager (PM) PM email address provided on contract award
0 1 0
Email: 411 SCMS/PMS Workflow @ 411SCMS.PMS@us.af.mil if PMS email is not provided
0 1 0
0 2 015. TOTAL
Page 3 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
E E003 Ordering/Option Period 4
BLK 4: The Data Item Description (DID) contains the format, content and preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. This report shall be provided in the format of Table 1. See DID for Table 1 and content requirement explanations at http://quicksearch.dla.mil/ for content requirements and most current version.
BLK 7: WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 Supply Planner (robert.vargas.2@us.af.mil) for acceptance.
BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16.
BLK 9: "A" Approved for Public Release; distribution is unlimited.
BLKS 10- 13: Report shall be submitted NLT the 10th calendar day after the end of the month being reported.
BLK 14: EMAIL electronic Contract Depot Maintenance Production Report to the Supply Planner and Program Manager (PM). Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.
COORDINATORS:
G. PREPARED BY
Parton, Jessica N
411 SCMS / GULBB
478-926-7035
H. DATE
29 AUG 2024
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
29-AUG-24
Page 4 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H HELICOPTER
E. CONTRACT / PR NO.
FD20602500039
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
ITEM UNIQUE IDENTIFICATION (IUID) MARKING
PLAN
3. SUBTITLE
ITEM UNIQUE IDENTIFICATION
4. AUTHORITY
DI-MGMT-81803A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.4.2
6. REQUIRING OFFICE
411 SCMS/GULBA
7. DD 250 REQ
LT
8. APP CODE
See Block 16
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
QRTLY
11. AS OF DATE
SEE BLOCK 16
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Parton, Jessica NNAME: 29 AUG 2024DATE:
Exhibit Data Item No. Performance Period
A A004 Basic Year Pd
B B004 Ordering/Option Period 1
C C004 Ordering/Option Period 2
D D004 Ordering/Option Period 3
E E004 Ordering/Option Period 4
BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors. Other requests shall be referred to the contract management team, AFSCC/PZAAA 460 Richard Ray BLvd, Suite 221, Robins AFB, GA 31098
BLKS 10-13: The contractor shall submit a complete IUID Marking Plan within 30 calendar days after contract award.
The Government will review and determine acceptance or rejection and notify contractor within 10 calendar days of receipt. If rejected, the contractor shall have 10 calendar days to correct any error and return a corrected IUID Marking Plan to the Government for review.
BLK 7, 14: Forward one electronic copy in PDF format to the following email address:
Program Manager: Micah Tapp (E-mail: micah.tapp.2@us.af.mil)
Engineer: Charles Foley (E-mail: charles.foley.5.ctr@us.af.mil)
COORDINATORS:
Email: 411 SCMS/GULBA Program Manager (PM)/COR PM email address provided on contract award
1 1 0
Email: AFLCMC/WIUEE Engineer Charles Foley at charles.foley.5.ctr@us.af.mil
1 1 0
Email: AFSC/PZAAA Contracting Office (PCO) Email address provided on contract award
0 1 0
Email: DCMA/ACO 0 1 0
2 4 015. TOTAL
G. PREPARED BY
Parton, Jessica N
411 SCMS / GULBB
478-926-7035
H. DATE
29 AUG 2024
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
29-AUG-24
Page 5 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H HELICOPTER
E. CONTRACT / PR NO.
FD20602500039
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
IUID MARKING ACTIVITY, VALIDATION, AND
VERIFICATION REPORT
3. SUBTITLE
ITEM UNIQUE IDENTIFICATION
4. AUTHORITY
DI-MGMT-81804A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.4.4
6. REQUIRING OFFICE
411 SCMS/GULBA
7. DD 250 REQ
LT
8. APP CODE
See Block 16
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
QRTLY
11. AS OF DATE
SEE BLOCK 16
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Parton, Jessica NNAME: 29 AUG 2024DATE:
Exhibit Data Item No. Performance Period
A A005 Basic Year Pd
B B005 Ordering/Option Period 1
C C005 Ordering/Option Period 2
D D005 Ordering/Option Period 3
E E005 Ordering/Option Period 4
BLK 4: IUID Marking Activity and Verification Report can be combined with the monthly status report.
BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced) WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (PM EMAIL ADDRESS) for acceptance.
BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.
BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational Use,28 April 16) Other requests shall be referred to the contract management team, AFSCC/PZAAA 460 Richard Ray BLVD, Suite 221, Robins AFB, GA 31098
BLKS 10-13: Contractor shall submit an IUID Marking Activity and Verification Report to the Engineer AFLCMC/WIUEE, every three months (quarterly). Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution
BLK 14: Forward one electronic copy in PDF format to the following email addresses:
Procuring Contract Officer (PCO) William Martin (E-mail william.martin.12@us.af.mil)
Program Manager (PM) Micah Tapp (E-mail micah.tapp.2@us.af.mil)
Email: 411 SCMS/GULBA Program Manager (PM)/COR PM email address provided on contract award
1 1 0
Email: AFLCMC/WIUEE Engineer Charles Foley at charles.foley.5.ctr@us.af.mil
1 1 0
Email: AFSC/PZAAA Contracting Office (PCO) Email address provided on contract award
0 1 0
Email: DCMA/ACO 0 1 0
2 4 015. TOTAL
Page 6 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
Engineer Charles Foley (E-mail charles.foley.5.ctr@us.af.mil@us.af.mil)
COORDINATORS:
G. PREPARED BY
Parton, Jessica N
411 SCMS / GULBB
478-926-7035
H. DATE
29 AUG 2024
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
29-AUG-24
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H HELICOPTER
E. CONTRACT / PR NO.
FD20602500039
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
COUNTERFEIT PREVENTION PLAN
3. SUBTITLE
CPP
4. AUTHORITY
DI-MISC-81832
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.6
6. REQUIRING OFFICE
411 SCMS/GULBA
7. DD 250 REQ
LT
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
See Block 16
11. AS OF DATE
SEE BLOCK 16
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Parton, Jessica NNAME: 29 AUG 2024DATE:
Exhibit Data Item No. Performance Period
A A006 Basic Year Pd
B B006 Ordering/Option Period 1
C C006 Ordering/Option Period 2
D D006 Ordering/Option Period 3
E E006 Ordering/Option Period 4
BLK 4: The Data Item Description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements delineated in the statement of work. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.
BLK 7: The Government will accept the receiving report through WAWF. The contractor shall submit the receiving report upon final submission to DODAAC FA8524, Attention: micah.tapp.2@us.af.mil (Program Manager) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove within 30 calendar days after receipt.
BLK 9: "B" Distribution authorized to U.S. Government agencies only (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.
BLKS 10-13: Draft Counterfeit Prevention Plan shall be submitted electronically within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15
Email: 411 SCMS/GULBA Program Manager (PM) PM email address provided on contract award
1 1 0
Email: AFLCMC/WIUEE Engineer Charles Foley at charles.foley.5.ctr@us.af.mil
1 1 0
Email: AFSC/PZAAA Contracting Office (PCO) Email address provided on contract award
0 1 0
Email: DCMA/ACO 0 1 0
2 4 015. TOTAL
Page 7 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024 workdays to resubmit report if changes were deemed necessary by the Government.
BLK 14: EMAIL electronic Counterfeit Prevention Plan to the following email address:
Procuring Contract Officer (PCO) AFSC/PZAAA (Email: william.martin.12@us.af.mil)
Program Manager: Micah Tapp (E-mail: micah.tapp.2@us.af.mil)
Engineer: Charles Foley (E-mail: charles.foley.5.ctr@us.af.mil )
COORDINATORS:
G. PREPARED BY
Parton, Jessica N
411 SCMS / GULBB
478-926-7035
H. DATE
29 AUG 2024
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
29-AUG-24
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H HELICOPTER
E. CONTRACT / PR NO.
FD20602500039
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
ACCIDENT/INCIDENT REPORT
3. SUBTITLE
ACCIDENT/INCIDENT REPORT
4. AUTHORITY
DI-SAFT-81563
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 5.5.2
6. REQUIRING OFFICE
411 SCMS/GULBA
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
See Block 16
11. AS OF DATE
SEE BLOCK 16
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Parton, Jessica NNAME: 29 AUG 2024DATE:
Exhibit Data Item No. Performance Period
A A007 Basic Year Pd
B B007 Ordering/Option Period 1
C C007 Ordering/Option Period 2
D D007 Ordering/Option Period 3
E E007 Ordering/Option Period 4
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 10: IAW AFI 91-204, if damage occurs
BLK 11: Once assets have been received after contract award
BLK 12: 24 hours after accident/incident
BLK 13: As needed, IAW AFI 91-207
SEE BLOCK 16 0 1 0
0 1 015. TOTAL
Page 8 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
Program Manager: Micah Tapp micah.tapp.2@us.af.mil
ENG: Charles Foley charles.foley.5.ctr@us.af.mil
COORDINATORS:
G. PREPARED BY
Parton, Jessica N
411 SCMS / GULBB
478-926-7035
H. DATE
29 AUG 2024
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
29-AUG-24
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H HELICOPTER
E. CONTRACT / PR NO.
FD20602500039
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
GOVERNMENT INDUSTRY DATA EXCHANGE
PROGRAM
3. SUBTITLE
GIDEP ALERT/SAFE
4. AUTHORITY
DI-QCIC-80125B
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.8
6. REQUIRING OFFICE
411 SCMS/GULBA
7. DD 250 REQ
DD
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
See Block 16
11. AS OF DATE
SEE BLOCK 16
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Parton, Jessica NNAME: 29 AUG 2024DATE:
Exhibit Data Item No. Performance Period
A A008 Basic Year Pd
B B008 Ordering/Option Period 1
C C008 Ordering/Option Period 2
D D008 Ordering/Option Period 3
E E008 Ordering/Option Period 4
BLK 4: The data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.
See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.
BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E- DD FORM 250 shall be submitted to FA8524 Program Manager micah.tapp.2@us.af.mil and Supply Planner robert.vargas.2@us.af.mil for acceptance.
BLK 9: "A" Approved for Public Release; distribution is unlimited.
BLKS 10-13: One submittal for each occurrence
SEE BLOCK 16 0 1 0
0 1 015. TOTAL
Page 9 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
BLK 14: EMAIL electronic GIDEP Report to Program Manager micah.tapp.2@us.af.mil and Engineer charles.foley.5.ctr@us.af.mil.
Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.
COORDINATORS:
G. PREPARED BY
Parton, Jessica N
411 SCMS / GULBB
478-926-7035
H. DATE
29 AUG 2024
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
29-AUG-24
Page 10 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 05 Sep 2024
File details come from the government source that posted it. Updated .