4078165_CDRL1_REPORT.pdf
PDF 125 KB Posted
- Attached to
- Repair of Receiver Transmitter Federal contract opportunity
- Solicitation number
- FA852425Q0003
About this file
This document is a Contract Data Requirements List (CDRL) for a contract (FD20602500070) involving repair services for a TH-1H Transmitter Receiver (NSN 5826-01-553-6528). The CDRL outlines eight specific data reporting requirements for the contractor, including Commercial Asset Visibility (CAV) Reporting, Government Property Inventory Reports, Contract Depot Maintenance Production Reports, Item Unique Identification (IUID) Marking Plan and Activity Reports, Counterfeit Prevention Plan, Accident/Incident Reporting, and Government Industry Exchange Program (GIDEP) Alert Reports.
Key submission requirements include daily electronic CAV reporting, quarterly IUID marking reports, a Counterfeit Prevention Plan due within 30 workdays after contract award, and accident reporting within 24 hours of any incident. The contract is with the Air Force Materiel Command Air Force Sustainment Center and involves repair services for a TACAN Receiver-Transmitter used in TH-1H helicopter training at Fort Novosel, AL. The reports will be submitted electronically to various government points of contact, including program managers, engineers, and contracting officers, with specific review and approval timelines for each data item.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| CAVAF_Reporting_Requirement_Jan2021.pdf | ||
| CAV_DD2875.pdf | ||
| 4080908_PKGRQMT_REPORT.pdf | ||
| FA852425Q0003.pdf | ||
| 4080801_ATTACH.pdf | ||
| SOW_CAVAF_CFM_V18__8Dec2014.pdf | ||
| 4019734_PWS.pdf |
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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 C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H Transmitter Receiver NSN 5826-01-553-6528
E. CONTRACT / PR NO.
FD20602500070
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Commercial Asset Visibility (CAV) Reporting
3. SUBTITLE
CAV AF
4. AUTHORITY
DI-MGMT-81838
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS 4.7
6. REQUIRING OFFICE
411 SCMS/GULA
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
Delery, Leah CNAME: 15 JAN 2025DATE:
CLIN Exhibit Data Item No. Performance Period A A001 Basic Year Pd
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.
COORDINATORS:
411 SCMS/GULAB Program Manager (PM) PM email provided on contract award
0 1 0
Email 411 SCMS/PMS workflow @ 411SCMS.PMS@us.af.mil If PMS email not provided
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Delery, Leah C
411 SCMS / GULBB
478-497-5392
H. DATE
16 JAN 2025
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
15-JAN-25
Page 1 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 22 Jan 2025
PREVIOUS EDITION MAY BE USED.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H Transmitter Receiver NSN 5826-01-553-6528
E. CONTRACT / PR NO.
FD20602500070
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 4.3.10.1
6. REQUIRING OFFICE
411 SCMS/GULA
7. DD 250 REQ
LT
8. APP CODE
N/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
Delery, Leah CNAME: 15 JAN 2025DATE:
CLIN Exhibit Data Item No. Performance Period A A002 Basic Year Pd
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 (PM/ and Supply Planner (SP) EMAIL ADDRESS) for acceptance.
Block 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.
COORDINATORS:
411 SCMS/GULB Program Manager (PM) PM email 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
G. PREPARED BY
Delery, Leah C
411 SCMS / GULBB
478-497-5392
H. DATE
16 JAN 2025
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
15-JAN-25
Page 2 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 22 Jan 2025
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H Transmitter Receiver NSN 5826-01-553-6528
E. CONTRACT / PR NO.
FD20602500070
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Contract Depot Maintenance Production Reports
3. SUBTITLE
Production Report
4. AUTHORITY
DI-PSSS-81995A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS 4.3.10.2
6. REQUIRING OFFICE
411 SCMS/GULAA
7. DD 250 REQ
LT
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
See Block 16
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
Delery, Leah CNAME: 15 JAN 2025DATE:
CLIN Exhibit Data Item No. Performance Period A A003 Basic Year Pd
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 (PMS 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.
COORDINATORS:
411 SCMC/GULAB Program Manager (PM) PM email provided on Contract Award
0 1 0
Email 411 SCMS/PMS workflow @ 411SCMS.PMS@us.af.mil If PMS email not provided
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Delery, Leah C
411 SCMS / GULBB
478-497-5392
H. DATE
16 JAN 2025
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
15-JAN-25
Page 3 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 22 Jan 2025
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H Transmitter Receiver NSN 5826-01-553-6528
E. CONTRACT / PR NO.
FD20602500070
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 4.4.2
6. REQUIRING OFFICE
411 SCMS/GULAB
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
Delery, Leah CNAME: 15 JAN 2025DATE:
CLIN Exhibit Data Item No. Performance Period A A004 Basic Year Pd
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: 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:micah.tapp.2@us.af.mil
COORDINATORS:
E-mail: 411 SCMS/GULAB Program Manager (PM)/COR Provided on Contract Award
1 1 0
E-mail: AFLCMC/WIUE Engineer Travis Way at travis.way.1@us.af.mil
1 1 0
E-mail: AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award
0 1 0
E-mail: DCMA/ACO 0 1 0
2 4 015. TOTAL
G. PREPARED BY
Delery, Leah C
411 SCMS / GULBB
478-497-5392
H. DATE
16 JAN 2025
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
15-JAN-25
Page 4 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 22 Jan 2025
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H Transmitter Receiver NSN 5826-01-553-6528
E. CONTRACT / PR NO.
FD20602500070
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
IUID Marking Activity and Verification Report
3. SUBTITLE
Item Unique Identification
4. AUTHORITY
DI-MGMT-81804A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS 4.4.4
6. REQUIRING OFFICE
411 SCMS/GULAB
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
Delery, Leah CNAME: 15 JAN 2025DATE:
CLIN Exhibit Data Item No. Performance Period A A005 Base Year Pd
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
COORDINATORS:
E-mail: 411 SCMS/GULAB Program Manager (PM) Provided on Contract Award
1 1 0
Email: AFLCMC/WIUEE Engineer
1 1 0
Email: AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award
0 1 0
Email: DCMA/ACO 0 1 0
2 4 015. TOTAL
G. PREPARED BY
Delery, Leah C
411 SCMS / GULBB
478-497-5392
H. DATE
16 JAN 2025
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
15-JAN-25
Page 5 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 22 Jan 2025
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H Transmitter Receiver NSN 5826-01-553-6528
E. CONTRACT / PR NO.
FD20602500070
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 4.6
6. REQUIRING OFFICE
411 SCMS/GULAB
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
Delery, Leah CNAME: 15 JAN 2025DATE:
CLIN Exhibit Data Item No. Performance Period
A A006 Base Year Pd
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 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, Program Manager: Micah Tapp (E-mail: micah.tapp.2@us.af.mil)
Engineer: Travis Way (E-mail: travis.way@us.af.mil)
COORDINATORS:
Email: 411 SCMS/GULAB Program Manager (PM) email provided on Contract Award.
1 1 0
Email: AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award
0 1 0
Email: DCMA/ACO 0 1 0 Email: WIUED Engineer, Travis Way, travis.way.1@us.af.mil
1 1 0
2 4 015. TOTAL
Page 6 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 22 Jan 2025
G. PREPARED BY
Delery, Leah C
411 SCMS / GULBB
478-497-5392
H. DATE
16 JAN 2025
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
15-JAN-25
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H Transmitter Receiver NSN 5826-01-553-6528
E. CONTRACT / PR NO.
FD20602500070
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Accident/Incident Report
3. SUBTITLE
Accident/Incident Report/Mishap Notification
4. AUTHORITY
DI-SAFT-81563
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS 5.5.2
6. REQUIRING OFFICE
ABW/SE
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
11. AS OF DATE
ASREQ
12. DATE OF FIRST
SUBMISSION
ASREQ
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Delery, Leah CNAME: 15 JAN 2025DATE:
CLIN Exhibit Data Item No. Performance Period A A007 Base Year Pd
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 Program Manager: Cynthia Hurst, Micah.Tapp@us.af.mil ENG: Travis Way, travis.way.1@us.af.mil
COORDINATORS:
ABW/SE MISHAP
REPORTING
78abw.se.mishap@us.af.mil
0 1 0
CONTRACT OFFICER
REPRESENTITIVE (COR) @
micah.tapp.2@us.af.mil
1 1 0
Procurement Contract Office @ andrew.harth@us.af.mil
0 1 0
1 3 015. TOTAL
G. PREPARED BY
Delery, Leah C
411 SCMS / GULBB
478-497-5392
H. DATE
16 JAN 2025
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
15-JAN-25
Page 7 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 22 Jan 2025
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
TH-1H Transmitter Receiver NSN 5826-01-553-6528
E. CONTRACT / PR NO.
FD20602500070
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Government Industry Exchange Program (GIDEP) Alert- Safe Alert Report
3. SUBTITLE
GIDEP Report
4. AUTHORITY
DI-QCIC-80125B
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS 4.8
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
See Block 16
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
Delery, Leah CNAME: 15 JAN 2025DATE:
CLIN Exhibit Data Item No. Performance Period A A006 Base Year Pd
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. The Alert/Safe Alert Report can be tailored to contractor format, but shall contain all data specified on DD Form 1938 electronic template in accordance with instructions cited on back side of the form and or the guidance of S0300-BT-PRO-010, Chapter 7. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.
COORDINATORS:
Email 411 SCMS/GULAA Program Manager (PM) Provided on Contract Award
0 1 0
GIDEP
PO Box 8000 Corona, CA 92878-8000
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Delery, Leah C
411 SCMS / GULBB
478-497-5392
H. DATE
16 JAN 2025
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Palumbo, Lindsay J
411 SCMS / GULBA 478-327-2774 / 497-2774
J. DATE
15-JAN-25
Page 8 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 22 Jan 2025
File details come from the government source that posted it. Updated .