4214390_CDRL.pdf

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Attached to
REPAIR -- PILOT WARNING ALARM SET
Solicitation number
FA852425Q0009
Issued by

About this file

This document is a Contract Data Requirements List (CDRL) for Contract No. FD20602500334, covering a TH-1H system for the Air Force. The CDRL outlines eight data item requirements (A001-A008) for the basic contract year, including:

  1. Commercial Asset Visibility-Air Force (CAV-AF) Reporting: Requires daily electronic submission of end item transactional data. 2. Government Property Inventory Report: An annual physical inventory report due within seven calendar days of each reporting period. 3. Contract Depot Maintenance Production Reports: Monthly production reports due by the 10th calendar day. 4. IUID Marking Plan and related activity reports for item unique identification. 5. Counterfeit Prevention Plan: Draft due within 30 workdays after contract award, with quarterly updates. 6. Accident/Incident Reports: To be submitted within 24 hours of any mishap. 7. GIDEP Alert-Safe Alert Report: Monthly report on non-conforming items or safety problems. The contract involves multiple Air Force organizations including 411 SCMS/GULBA, with distribution primarily to program managers, contract officers, and safety personnel.

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Amendment 0001.pdf PDF
Air Force T.O. 12P2-2TM55-1-3.pdf PDF
PROVISIONS_CLAUSES.docx DOCX document
GFPFA852425Q0009_1.pdf PDF
4190491_PWS.pdf PDF
4217990_TRNSPDATA_REPORT.pdf PDF
4217992_PKGRQMT_REPORT.pdf PDF

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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

E. CONTRACT / PR NO.

FD20602500334

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/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

DATE: 10 JUL 2025

16. REMARKS

NAME: Delery, Leah C

CLIN Exhibit Data Item No. Performance Period 000X 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.

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:

411 SCMS/GULAB Program Manager (PM) PM email provided on contract award.

0 1 0

Email 411 SCMC/PMS Workflow @ 411SCMS.PMS@us.af.mil if PMS email is not provided.

0 1 0

0 2 015. TOTAL

Page 1 of 8DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 Jul 2025

PREVIOUS EDITION MAY BE USED.

000X

G. PREPARED BY

Delery, Leah C

411 SCMS / GULBB

478-497-5392

H. DATE

11 JUL 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

11-JUL-25

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602500334

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 Para 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 NAME:

Delery, Leah C DATE: 10 JUL 2025

CLIN Exhibit 000X A

Data Item No.

A002

Performance Period 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.

EDD FORM 250 shall be submitted to FA8524 Program Manager (PM/ and Supply Planner (SP) EMAIL ADDRESS in block 14) 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:

Email: 411 SCMC/PMS Workflow @ 411SCMS.PMS@us.af.mil if PMS email is not provided

0 1 0

Email: 411 SCMS/GULBA Program Manager (PM) PM email provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Delery, Leah C

411 SCMS / GULBB

478-497-5392

H. DATE

11 JUL 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

11-JUL-25

Page 2 of 8DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 Jul 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602500334

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 Para 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

Delery, Leah CNAME: 10 JUL 2025DATE:

NAME: Delery, Leah C DATE: 10 JUL 2025

CLIN Exhibit Data Item No. Performance Period 000X 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.

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 Production Management Specialist (PMS) 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:

COORDINATORS:

411 SCMS/GULBA Program Manager (PM) PM email provided on Contract Award

0 1 0

Email: 411 SCMS/PMS Workflow:

411SCMS.PMS@us.af.mil

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Delery, Leah C

411 SCMS / GULBB

478-497-5392

H. DATE

11 JUL 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

11-JUL-25

Page 3 of 8DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 Jul 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602500334

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

IUID Marking Plan

3. SUBTITLE

Item Unique Identification

4. AUTHORITY

DI-MGMT-81803A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 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

Delery, Leah CNAME: 10 JUL 2025DATE:

NAME: Delery, Leah C DATE: 10 JUL 2025

CLIN Exhibit Data Item No.

000X A A004

Performance Period 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:

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 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 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

11 JUL 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

11-JUL-25

Page 4 of 8DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 Jul 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602500334

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 Para 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

Delery, Leah CNAME: 10 JUL 2025DATE:

NAME: Delery, Leah C DATE: 10 JUL 2025

CLIN Exhibit Data Item No. Performance Period 000X A A005 Basic 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) micah.tapp.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 10-12.

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

COORDINATORS:

Email: 411 SCMS/GULBA Program Manager (PM) PM email 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 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

11 JUL 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

11-JUL-25

Page 5 of 8DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 Jul 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602500334

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.6

6. REQUIRING OFFICE

411 SCMS/GULBB

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: 11 JUL 2025DATE:

NAME: Delery, Leah C DATE: 10 JUL 2025

CLIN Exhibit Data Item No Performance Period 000X A A006 Basic Year Period

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: 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 Program Manager (PM) for acceptance.

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, 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 Procuring Contract Officer (PCO) AFSC/PZAAA, DCMA/ACO, Program Manager (PM) Micah.Tapp.2@us.af.mil 411 SCMS/GULAA and Engineer Charles Foley charles.foley.5.ctr@us.af.mil AFLCMC/WIUEC. CDRL Distribution 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:

DCMA/ACO 0 1 0

Engineer Charles Foley charles.foley.5.ctr@us.af.mil

1 1 0

PCO 0 1 0

PM Micah Tapp micah.tapp.2@us.af.mil

1 1 0

2 4 015. TOTAL

G. PREPARED BY

Delery, Leah C

411 SCMS / GULBB

478-497-5392

H. DATE

11 JUL 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

11-JUL-25

Page 6 of 8DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 Jul 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602500334

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

Mishap Notification

4. AUTHORITY

DI-SAFT-81563

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 5.5.2

6. REQUIRING OFFICE

411 SCMS/GULBB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

11. AS OF DATE

Award Date

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: 11 JUL 2025DATE:

NAME: Delery, Leah C DATE: 10 JUL 2025

CLIN Exhibit Data Item No Performance Period 000X A A007 Basic Year Period

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.

Block 9: DISTRIBUTATION STATEMENT "B": Distribution authorized to U.S. Government agencies only for Administrative or Operational Use. Other requests for this document shall be referred to 78 ABW/SE.

Block 10, 11, 12, 13: As required, upon each occurrence. Accident/Mishap reports shall be submitted within 24 hours of the mishap.

Block 14: Document submission shall be provided electronically in Portable Document Format (PDF) to the listed addressees.

78 ABW/SE Mishap Reporting @ 78abw.se.mishap@us.af.mil Contract Officer Representative (Shawna Barrett) @ (shawna.barrett.1@us.af.mil) Procurement Contract Officer (Hill, Kawunda) @ (kawunda.hill@us.af.mil)

The Contractor shall report mishaps involving damage or injury to USAF interests by contacting the Contracting Officer Representative by telephone within two hours and the Contractor shall cooperate with USAF safety investigations.

The Contractor shall cooperate and assist Government personnel in the investigation of the mishap and submit an Accident/Incident Report within 24 hours.

COORDINATORS:

78abw.se.mishap@us.af.mil 0 1 0 Contract Officer shawna.barrett.1@us.af.mil

1 1 0

PCO 0 1 0

1 3 015. TOTAL

G. PREPARED BY

Delery, Leah C

411 SCMS / GULBB

478-497-5392

H. DATE

11 JUL 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

11-JUL-25

Page 7 of 8DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 Jul 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602500334

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

GIDEP Alert-Safe Alert Report

3. SUBTITLE

GIDEP Report

4. AUTHORITY

DI-QCIC-80125B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.8

6. REQUIRING OFFICE

411 SCMS/GULB

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: 11 JUL 2025DATE:

NAME: Delery, Leah C DATE: 10 JUL 2025

CLIN Exhibit Data Item No Performance Period 000X A A008 Basic Year Period

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.

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 for acceptance.

BLK 9: "A" Approved for Public Release; distribution is unlimited.

BLKS 10-13: Report shall be submitted to arrive NLT 10th calendar day after the end of the month to notify the Government of non-conforming items, supplies, and services or safety problems which have adversely impacted or have the potential to adversely impact the program during the duration of the contract.

BLK 14: EMAIL electronic GIDEP Report to Program Manager MICAH TAPP 411 SCMS/GULBB, MICAH.TAPP@US.AF.MIL and Engineer FOLEY, CHARLES CHARLES.FOLEY.5.CTR@US.AF.MIL, 478-926-5388.

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:

411 SCMS/GULAB Program Manager (PM) PM email provided on Contract Award

0 1 0

GIDEP

P.O. 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

11 JUL 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

11-JUL-25

Page 8 of 8DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 Jul 2025

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