Atch_4_Exhibit_CDRL1_REPORT.pdf

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

E. CONTRACT / PR NO.

FD20602400024

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 Paragraph 4.6

6. REQUIRING OFFICE

411 SCMS/GUBAA

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

Woolfolk, Nicholas WNAME: 21 DEC 2023DATE:

Exhibit Data Item No. Performance Period A A001 Basic Year Pd B B001 Option Period 1 C C001 Option Period 2 D D001 Option Period 3 E E001 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.

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 EMAIL PROVIDED ON

CONTRACT AWARD

0 1 0

Email 411 SCMS/PMS Workflow @ 411SCMS.PMS@us.af.mil or Supply Planner Robert Vargas @ robert.vargas@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 2Generated by PRPS using Jasper Reports on 08 Jan 2024

PREVIOUS EDITION MAY BE USED.

G. PREPARED BY

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

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-80441C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 4.7

6. REQUIRING OFFICE

411 SCMS/GUBA

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

Vargas, Robert HNAME: 20 NOV 2023DATE:

Exhibit Data Item No. Performance Period A A002 Basic Year Pd B B002 Ordering Period 1 C C002 Ordering Period 2 D D002 Ordering Period 3 E E002 Ordering 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 (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.

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

Block 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:

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

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 2 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Depot Maintenance Production Reports

3. SUBTITLE

Production Report

4. AUTHORITY

DI-PSSS-81995

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 4.3.8

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

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

Vargas, Robert HNAME: 30 NOV 2023DATE:

CLIN Exhibit Data Item No. Performance Period

A A003 Base Year Pd B B003 Ordering/Period 1 C C003 Ordering/Period 2 D D003 Ordering/Period 3 E E003 Ordering/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 (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:

411 SCMC/PMS Workflow:

411SCMS.PMS@us.af.mil

PMS provided on Contract Award

0 1 0

411 SCMS/GULAB Program Manager (PM)

Provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 3 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY

DI-MGMT-81803

(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

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

See Block 16

11. AS OF DATE

See BLK 16

12. DATE OF FIRST

SUBMISSION

See BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Vargas, Robert HNAME: 16 NOV 2023DATE:

CLIN Exhibit Data Item No. Performance Period

A A004 Base Year Pd B B004 Ordering/Period 1 C C004 Ordering/Period 2 D D004 Ordering/Period 3 E E004 Ordering/Period 4

BLK 4: The Data Item Description (DID) contains 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: 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 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, Ste 221, Robins AFB, GA 31098.

BLKS 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, AFLCMC/WIUEC, within 10 working days after contract award. 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 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, AFLCMC/WIUEC, 235 Byron Street, Suite 19A, Robins AFB, GA 31098.

Procedures identified for blocks 8 & 10-12 will apply.

BLK 14: EMAIL electronic IUID Marking Plan to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB and Engineer AFLCMC/WIUEC. 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/GULAB Program Manager (PM)/COR

0 1 0

AFLCMC/WIUEC Engineer coby.giddens.1@us.af.mil

0 1 0

AFSC/PZAAA Contracting Officer (PCO)

0 1 0

DCMA/ACO 0 1 0

0 4 015. TOTAL

G. PREPARED BY

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 4 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

IUID Marking Activity and Verification Report

3. SUBTITLE

IUID Marking Activity and Verification Report

4. AUTHORITY

DI-MGMT-81804

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 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 BLK 16

12. DATE OF FIRST

SUBMISSION

See BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Vargas, Robert HNAME: 16 NOV 2023DATE:

CLIN Exhibit Data Item No.

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

BLK 4: The Data Item Description (DID) contains 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: 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, AFSC/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/WIUEC, 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: EMAIL electronic IUID Marking Activity and Verification Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB, and Engineer AFLCMC/WIUEC. 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/GULAB Program Manager (PM) Provided on Contract Award

1 1 0

AFLCMC/WIUEC Engineer coby.giddens.1@us.af.mil

1 1 0

AFSC/PZAAA Contracting Officer (PCO)

0 1 0

DCMA/ACO 0 1 0

2 4 015. TOTAL

G. PREPARED BY

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 5 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

F. CONTRACTOR

1. DATA ITEM NO.

A006

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 PARA 4.8

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ANNLY

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Vargas, Robert HNAME: 16 NOV 2023DATE:

CLN Exhibit Data Item No. Performance Period A A006 Base Year Pd B B006 Ordering/Period 1 C C006 Ordering/Period 2 D D006 Ordering/Period 3 E E006 Ordering/Period 4

BLK 4: The date 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 ofS0300-BT-PRO-010, Chapter7. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current vision.

BLK7: 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 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 impact the program during the duration of the contract.

BLK: 14 EMAIL electronic GIDEP Report to Program Manager 411 SCMS/GULAB. 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/GULAA Program Manager (PM) 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

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 6 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

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 PARA 5.5.2

6. REQUIRING OFFICE

78 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

Contract Award

12. DATE OF FIRST

SUBMISSION

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Vargas, Robert HNAME: 30 NOV 2023DATE:

CLIN Exhibit Data Item No. Performance Period A A007 Base Year Pd B B007 Ordering/Period 1 C C007 Ordering/Period 2 D D007 Ordering/Period 3 E E007 Ordering/Period 4

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.

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:

78 ABW/SE Mishap Reporting @ 78abw.se.mishap@us.af.mil

0 1 0

Contract Officer Representative (COR) @ (email)

1 1 0

Procurement Contract Officer (PCO) @ (email)

0 1 0

1 3 015. TOTAL

G. PREPARED BY

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 7 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Quality Assurance Program Plan

3. SUBTITLE

Quality Program Plan

4. AUTHORITY

DI-QCIC-81794

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 5.8

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1 XTIME

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

Vargas, Robert HNAME: 30 NOV 2023DATE:

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

1. The QMS shall be in contractors format.

2. The QMS shall contain the following the parts:

2.1 CTTR QMS Quality Manual. This part shall include a QMS Quality Manual that is based on the existing QMS Manual and is in accordance with ISO 9001:2015. It shall also contain the following:

a. A description of the QMS

b. Proposed changes

c. Revisions

d. Updates and

e. Any changes than enhance the existing QMS Manual

f. History of revisions

2.2 Plan of Action and Milestones (POA&M) Timetable. This part shall contain the following:

a. Details for the completion of all documents that are needed to implement the updated QMS and proposed changes.

b. A timetable for the development and implementation of all plans, procedures, work Instructions, Job Qualification Standards (JQSs), Tier IV, and records to be added or modified.

c. It shall also specify the following:

1. The document names, document number, site, and estimated dates of completion.

2. The timeline by quarters and the documents scheduled for development, verification, validation, and completion during each quarter.

3. Completion of all documents by the end of the first year of the contract.

4. Actual completion date

COORDINATORS:

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

1 1 0

AFLCMC/WIUE Engineer coby.giddens.1@us.af.mil

1 1 0

2 2 015. TOTAL

G. PREPARED BY

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 8 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

First Article Test/Inspection Procedures and Report

(FAT/IPR

3. SUBTITLE

FA Report

4. AUTHORITY

DI-NDTI-82326

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 4.10

6. REQUIRING OFFICE

411th SCMS/ GULB

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Vargas, Robert HNAME: 30 NOV 2023DATE:

1.Data item No. A/B/C/D/E-001 for each DATA ITEM it should reflect 002/003/004

Block 16 REMARKS-- verify with your LM if you have Performance Period of Option Period or Ordering Period

Exhibit Data Item No. Performance Period

A A009 Basic Year Pd B B009 Ordering/Option Period 1 C C009 Ordering/Option Period 2 D D009 Ordering/Option Period 3 E E009 Ordering/Option Period 4

BLK 10: The contractor shall submit the approved Test Report one time.

BLK 11: Once functional testing has been completed on the newly built First Articles (FA).

BLK 12: Contractor will deliver a First Article (FA) Test Report in accordance with the approved FA Test Plan (A004) prepared by the Contractor within 30 calendar days after functional testing is completed. WIUED Engineering will have 20 calendar days to review the FA Test Report and provide a disposition for either acceptance or rejection.

BLK 14: EMAIL one (1) electronic copy of the First Article Test Report to the following list: Program Manager (PM), Engineer and Equipment Specialist (ES). Points of contact will be provided to the Contractor at contract award and below. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

Email: Program Manager 411

SCMS,

danielle.crosby@us.af.mil

0 1 0

Email: WIUED Engineer, coby.giddens.1@us.af.mil

0 1 0

Email: WIUED Engineer, traci.polk@us.af.mil

0 1 0 aflcmc.wiue.rotarywing@us.af .mil

0 1 0

0 4 015. TOTAL

G. PREPARED BY

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 9 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602400024

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

First Article Test/Inspection Procedures and Plan

3. SUBTITLE

FA Plan

4. AUTHORITY

DI-NDTI-82327

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.11

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

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

Vargas, Robert HNAME: 30 NOV 2023DATE:

1.Data item No. A/B/C/D/E-001 for each DATA ITEM it should reflect 002/003/004

Block 16 REMARKS-- verify with your LM if you have Performance Period of Option Period or Ordering Period

Exhibit Data Item No. Performance Period

A A010 Basic Year Pd B B010 Ordering/Option Period 1 C C010 Ordering/Option Period 2 D D010 Ordering/Option Period 3 E E010 Ordering/Option Period 4

BLKS 10-13: Contractor shall submit the Test Plan to support the first article testing requirement performed by the Contractor within 30 calendar days after contract award.

Written Government acceptance/comments/rejection will be within 20 working days after receipt of Plan from the Contractor. If rejected, the Contractor will have 20 workings days to revise and return to the Government. Contractor final submission shall be submitted within 20 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 14. EMAIL one (1) electronic Test Plan to the following list: Program Manager (PM) and Engineer. Points of contact will be provided to the Contractor at contract award and below. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

Email: Program Manager 411

SCMS,

danielle.crosby@us.af.mil

0 1 0

Email: WIUED Engineer, coby.giddens.1@us.af.mil

0 1 0

Email: WIUED Engineer, traci.polk@us.af.mil

0 1 0

0 3 015. TOTAL

G. PREPARED BY

Woolfolk, Nicholas W

411 SCMS / GULBB

478-926-9883

H. DATE

21 DEC 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Wilson, Michelle L

411 SCMS / GULAA 478-222-5167 / 472-5167

J. DATE

21-DEC-23

Page 10 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Jan 2024