4382423_CDRL1_REPORT.pdf
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- Solicitation number
- FA812126R0017
About this file
This document is a Contract Data Requirements List (DD Form 1423-1) specifying two data items required under contract FD20302601670 for the F100 P/n 351009 servo module kit system.
The first data item (A001) requires a First Article Qualification Test Plan and Procedures, with authority DI-NDTI-81307A. The contractor must provide a comprehensive plan ensuring all drawing requirements are met on each first article, including a list of all drawing dimensions and tolerances with corresponding verification equipment; plans to verify non-destructive inspections, visual inspection requirements, and material properties (mechanical, metallurgical, and chemical); confirmation that significant manufacturing processes are performed by OEM (P&W) or CEA (AFLCMC/LPSAA) approved/certified sources; and verification that forging or casting sources are approved/certified by the OEM or CEA. The test plan must be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat format and received 30 calendar days from the contract date. Government coordination through AFLCMC/LZPED is required. The second data item (A002) is a Test/Inspection Report (DI-NDTI-80809B/T) that must satisfy all requirements in the approved test plan, verify all drawing requirements including dimensions and inspections, confirm approved/certified manufacturing sources, and include part process sheets. This report must be submitted to OC-ALC/ENRS 120 calendar days from government approval of the test plan. Both deliverables require Distribution Statement A clearance and government coordination. The requiring office is AFLCMC/LPSAA with coordination through AFLCMC/LZPED at Tinker AFB, Oklahoma.
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Other files
| File | Type | Posted |
|---|---|---|
| 4395488_ATTACH.pdf | ||
| 4395484_ATTACH.pdf | ||
| CLSExport_FA812126R0017.pdf | ||
| FA812126R0017.pdf | ||
| 4401850_PKGRQMT_REPORT.pdf | ||
| 4395487_ATTACH.pdf | ||
| 4401916_TRNSPDATA_REPORT.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
F100 P/n 351009
E. CONTRACT / PR NO.
FD20302601670
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
First Article Qualification Test Plan and Procedures
3. SUBTITLE
NSN:2915012240747NZ Noun: Module Kit, Servo VA
4. AUTHORITY
DI-NDTI-81307A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE n/a
6. REQUIRING OFFICE
AFLCMC/LPSAA
7. DD 250 REQ
SD
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
1 XTIME
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
n/a
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Litchfield, Kenzi JNAME: 17 APR 2026DATE:
Block 9: DIST STATEMENT REQUIRED: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is 848 SCMG/421 GUEA.
Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.
Block 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.
Contractor must provide a plan to ensure that all drawing requirements are met on each first article. The plan should include the equipment and facilities utilized to verify all drawing requirements. As a minimum, the following information is required.
a. A list of all drawing dimension, tolerances and the equipment utilized to verify each dimension. An actual drawing should be submitted to correlate with the dimension list.
b. A plan to verify that all non-destructive inspections are met.
c. A plan to verify that all visual inspection requirements are met.
d. A plan to verify material properties to include mechanical properties, metallurgical properties and chemical compositions.
e. A plan to verify that all significant manufacturing processes are performed by sources that are currently approved/ certified by the OEM (P&W) or the CEA (AFLCMC/LPSAA).
f. A plan to verify that all forging or casting sources are currently approved/certified by the OEM (P&W) or the CEA (AFLCMC/LPSAA) if applicable. Guidelines for first article test plans are contained within LPF-QAR-003, attached.
A government representative must coordinate on the first article test plan. The first article test plan shall be received 30 calendar days from the date of contract.
Contractor will include any QAR findings relative to the test report with the final test report submitted to
AFLCMC/LZPED.
COORDINATORS:
AFLCMC/LZPED
3001 Staff Dr, Ste 1AF1 105A Tinker AFB, OK 73145-3041 Attn: FA Monitor
0 2 0
0 2 015. TOTAL
G. PREPARED BY
Litchfield, Kenzi J
421 SCMS / GUMAC
405-582-1884
H. DATE
17 APR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Hazel, Carson M
AFLCMC / LPSBE 405-734-2681 / 734-2681
J. DATE
17-APR-26
Page 1 of 2DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 29 Apr 2026
PREVIOUS EDITION MAY BE USED.
CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
F100 P/n 351009
E. CONTRACT / PR NO.
FD20302601670
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
NSN:2915012240747NZ Noun: Module Kit, Servo VA
4. AUTHORITY
DI-NDTI-80809B/T
(Data Acquisition Document No.) 5. CONTRACT REFERENCE n/a
6. REQUIRING OFFICE
AFLCMC/LPSAA
7. DD 250 REQ
SD
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
1 XTIME
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
n/a
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Litchfield, Kenzi JNAME: 17 APR 2026DATE:
Block 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is 848
SCMG/421 GUEA.
Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.
Block 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.
Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).
The first article test report shall satisfy all requirements in the first article test plan. All drawing requirements must be satisfied including dimensions, visual inspections, non-destructive inspections (NDIs), manufacturing processes and material requirements. The test report shall indicate that any sources used to perform significant manufacturing processes are approved/certified by the OEM (P&W) or the CEA (AFLCMC/LPSAA).
A copy of the part process sheets shall be provided also. A government representative must coordinate on the test report.
Guidelines for the test reports are contained within LPF-QAR-003 Rev E, attached.
The first article test reports shall be received at OC-ALC/ENRS 120 calendar days from the date of government approval of test plan.
Contractor will include any QAR findings relative to the test report with the final test report submitted to
AFLCMC/LZPED.
COORDINATORS:
AFLCMC/LZPED
3001 Staff Dr, Ste 1AF1 105A Tinker AFB, OK 73145-3041 Attn: FA Monitor
0 2 0
0 2 015. TOTAL
G. PREPARED BY
Litchfield, Kenzi J
421 SCMS / GUMAC
405-582-1884
H. DATE
17 APR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Hazel, Carson M
AFLCMC / LPSBE 405-734-2681 / 734-2681
J. DATE
17-APR-26
Page 2 of 2DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 29 Apr 2026
PREVIOUS EDITION MAY BE USED.
File details come from the government source that posted it. Updated .