A005_RFV.pdf

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C-5 Nose Landing Gear Door Actuator Assemblies
Solicitation number
FA853826R0012
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PREVIOUS EDITION MAY BE USED.

DD FORM 1423, FEB 2024

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 delivering such data item to the Government.

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 rights to use the data shall be governed by the pertinent provisions of the contract.

9.0.0.2.20120627.2.874785 DD Form 1423, "Contract Data Requirements List" delete continuation

CurrentPage:
PageCount:
Select Classification from drop-down list.: 1
CUI Indicator Information:
Click on this button to attach a file(s).:
A. CONTRACT LINE ITEM NUMBER: 0009, 1009, 2009, 3009, 4009
exhibit: A/B/C/D/E
C. CATEGORY: Select for "TDP.": 0
C. CATEGORY: Select for "TM.": 0
C. CATEGORY: Select for "OTHER.": 1
C. CATEGORY: Enter specification for "Other.": SESS
System: C5
ContractNum: FD20602600041
Contractor:
1. DATA ITEM NUMBER: A/B/C/D/E005
titleDataItem: Request for Variance (RFV)
subtitle: Deviation from Source Data
4. AUTHORITY (Data Acquisition Document Number): DI-SESS-80640E
contractRef: PWS PARA 4.4.5
reqOffice: 409th SCMS/GUMA
7. DD 250 REQUIREMENT: SEE BLK 16
8. APPROVAL CODE : SEE BLK 16
9. DISTRIBUTION STATEMENT REQUIRED: D
freq: SEE BLK 16
asOfDate: SEE BLK 16
dateFirstSub: SEE BLK 16
dateSubseqSub: SEE BLK 16
16. REMARKS: Exhibit Date Item No Period of Performance

A A005 Base Year Period B B005 Ordering Period 1 C C005 Ordering Period 2 D D005 Ordering Period 3 E E005 Ordering Period 4

DI-SESS-80640E, as reflected at https://quicksearch.dla.mil/qsSearch.aspx, shall be followed as appropriate.

Block 7 and Block 8: Inspection and Acceptance will occur at Destination. WAWF submission for this Data item is not required. A Letter of Transmission (LT) in the form of email correspondence, as detailed in Block 14, shall be utilized for Inspection and Acceptance proceedings. If DCMA is assigned to the contract, the Contractor shall coordinate the submission of the RFV with the assigned DCMA Office for review and recommendation. Upon completion of DCMA coordination, the Contractor shall send the Draft and Final Reports to the addressees as detailed in Block 14, who will coordinate with C5 Engineering (AFLCMC/WLSE) on review actions.

When necessary, final approval of the RFV shall come from the AFLCMC/WLSE C5 Configuration Control Board (CCB), at which time that final decision will be provided back to the Contractor. Due to the potential coordination cycle required for an RFV, the Government has up to 45 calendar days to provide a response or final decision back to the Contractor.

Block 10 & Block 12 & Block 13: This requirement for RFV shall be followed on an as needed basis through the life of the contract. If during overhaul an unforeseen deviation from source data scenario is encountered, this RFV requirement shall be followed.

Block 11: This requirement goes into effect upon contract order award and shall apply to all years of the contract.

Block 14.a. The DD Form 1694 and any accompanying RFV documentation shall be delivered by email, or in cases where files are larger than 5MB in size by the DoDSAFE file exchange website (https://safe.apps.mil/) to the Addressee list that follows. In the event that a Drop Off Request code is needed, notify the below addressees for assistance.

Block 14.b. Initial submission shall be considered a Draft pending approval by the Requiring Office. Upon approval, subsequent submissions shall be considered as Final Regular submissions.

Remarks continue on Page 2.

Click to add continuation field for Remarks:
14. DISTRIBUTION - a. ADDRESSEE, new line: PCO
14. DISTRIBUTION - a. ADDRESSEE, new line: PM
14. DISTRIBUTION - a. ADDRESSEE, new line: SP
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 3
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 3
15.TOTAL - Total final reproducible copies is automatically calculated.:
priceGrp: NSP
estTotalPrice: 0.00
remarks:

Block 14.b. Initial submission shall be considered a Draft pending approval by the Requiring Office. Upon approval, subsequent submissions shall be considered as Final Regular submissions.

Note 1:

The DD Form 1694, a DD Form 1694 Continuation Sheet, and DD Form 1694 Instructions can be found at https://www.dtic.mil/whs/directives/forms/index.htm and https://www.esd.whs.mil/DD/.

Addressees shall include:

AFSC/PZAAB PCO:

Stacylee Johnson Stacylee.johnson.1@us.af.mil

409 SCMS/GUMA Program Manager:

Jessica Grinstead Jessica.Grinstead@us.af.mil

409 SCMS/GUMA Supply Planner Melanie Clarington Melanie.Clarington@us.af.mil

(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).

preparedBy: Jessica (McKenzie) Grinstead
J. SIGNATURE: H. SIGNED ON 20250918
J. SIGNATURE: J. SIGNED ON 20260109
J. SIGNATURE:
approvedBy: Wesley Lister
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