Atch_6_Exhibit_1_CDRLs.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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 the 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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

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.

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

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. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work 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, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 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.

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

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

DD FORM 1423-1 (BACK), FEB 2001

data_item: A001 title: Depot Maintenance Production Report sub: Production Report auth: DI-PSSS-81995 ref: PWS Paragraph 4.3.10 req_ofc: 411 SCMS/GULBB dd250: LT appcode: See Block 16 dist: A freq: MTHLY asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 411 SCMS/GULAB draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: CLIN Exhibit Data Item No Performance Period A A001 Base Year Period B B001 Ordering Period 1 C C001 Ordering Period 2 D D001 Ordering Period 3 E E001 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 rodney.mathis@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.

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 Supply Planner (SP) 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.

group:

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line_item:

exhibit: A/B/C/D/E xtdp: Off xtm: Off othercat: X system: HH-60G UH-1N Helicopter ctr_no: FD2060-23-00071 contr: Goodrich Corporation remarksb:

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Item Unique Identification (IUID) Marking Plan sub: IUID Marking Plan auth: DI-MGMT-81803A ref: PWS Paragraph 4.4.1.2 req_ofc: 411 SCMS/GULBB dd250: LT appcode: A dist: C freq: See Blk 16 asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 411 SCMS/GULAB draft1:

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total_draft: 2 total_reg: 4 total_repro: 0 remarks: CLIN Exhibit Data Item No Performance Period A A002 Base Year Period 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, 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 rodney.mathis@us.af.mil 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.

group:

total_price:

prep_name:

line_item:

exhibit: A/B/C/D/E xtdp: Off xtm: Off othercat: X system: HH-60G UH-1N Helicopter ctr_no: FD2060-23-00071 contr: Goodrich Corporation remarksb:

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003 title: Item Unique Identification (IUID) Marking Activity, Validation and Verification Report sub: IUID Marking Activity and Verification Report auth: DI-MGMT-81804A ref: PWS Paragraph 4.4.1.3 req_ofc: 411 SCMS/GULBB dd250: LT appcode: See Blk 16 dist: C freq: QRTLY asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 411 SCMS/GULAB draft1:

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total_draft: 2 total_reg: 4 total_repro: 0 remarks: CLIN Exhibit Data Item No Performance Period A A003 Base Year Period 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: 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 rodney.mathis@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, AFSC/PZAAA, 460 Richard Ray Blvd, Ste 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 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.

group:

total_price:

prep_name:

line_item:

exhibit: A/B/C/D/E xtdp: Off xtm: Off othercat: X system: HH-60G UH-1N Helicopter ctr_no: FD2060-23-00071 contr: Goodrich Corporation remarksb:

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A004 title: Commercial Asset Visibility Air Force (CAVAF) Report sub: CAV AF auth: DI-MGMT-81838 ref: PWS Paragraph 4.6 req_ofc: 411 SCMS/GULBB dd250: LT appcode: N/A dist: A freq: See Blk 16 asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: CLIN Exhibit Data Item No Performance Period A A004 Base Year Period B B004 Ordering Period 1 C C004 Ordering Period 2 D D004 Ordering Period 3 E E004 Ordering Period 4

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.

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.

3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 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.)

Block 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.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 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.

Block 13: Same as remarks regarding Block 10 above.

group:

total_price:

prep_name:

line_item:

exhibit: A/B/C/D/E xtdp: Off xtm: Off othercat: X system: HH-60G UH-1N Helicopter ctr_no: FD2060-23-00071 contr: Goodrich Corporation remarksb:

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app_date:

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: Counterfeit Prevention Plan sub: CPP auth: DI-MISC-81832 ref: PWS Paragraph 4.7 req_ofc: 411 SCMS/GULBB dd250: LT appcode: A dist: C freq: See Blk 16 asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 411 SCMS/GULAB draft1:

reg1:

repro1:

addressee2: Program Manager (PM draft2:

reg2:

repro2:

addressee3: email given at award) draft3: 1 reg3: 1 repro3: 0 addressee4: AFLCMC/WIUEC Eng:

draft4:

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addressee5: kevin.dyson.3 draft5:

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addressee6: @us.af.mil draft6: 1 reg6: 1 repro6: 0 addressee7: AFSC/PZAAA draft7:

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addressee8: Contracting Officer draft8:

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addressee9: (email given at award) draft9: 0 reg9: 1 repro9: 0 addressee10: DCMA/ACO draft10: 0 reg10: 1 repro10: 0 addressee11:

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total_draft: 2 total_reg: 4 total_repro: 0 remarks: CLIN Exhibit Data Item No Performance Period 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

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 rodney.mathis@us.af.mil the 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) 411 SCMS/GULAA and Engineer 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.

group:

total_price:

prep_name:

line_item:

exhibit: A/B/C/D/E xtdp: Off xtm: Off othercat: X system: HH-60G UH-1N Helicopter ctr_no: FD2060-23-00071 contr: Goodrich Corporation remarksb:

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Government Property Inventory Report sub: Government Property Inventory Report auth: DI-MGMT-80441D ref: PWS Paragraph 4.12 req_ofc: 411 SCMS/GULBB dd250: LT appcode: A dist: A freq: ANNLY asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 411 SCMS/GULAB draft1:

reg1:

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addressee2: Program Manager (PM draft2:

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addressee3: email given at award) draft3: 0 reg3: 1 repro3: 0 addressee4: 411SCMS.PMS@ draft4:

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repro4:

addressee5: us.af.mil if SP email draft5:

reg5:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: CLIN Exhibit Data Item No Performance Period A A006 Base Year Period B B006 Ordering Period 1 C C006 Ordering Period 2 D D006 Ordering Period 3 E E006 Ordering Period 4

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 rodney.mathis@us.af.mil the Program Manager (PM) 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.

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 group:

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app_date:

Page:

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A007 title: Accident/Incident Report sub: Mishap Notification auth: DI-SAFT-81563 ref: PWS Paragraph 5.5.1 req_ofc: 411 SCMS/GULBB dd250: NO appcode: N/A dist: B freq: ASREQ asof: Ct Award firstsub: ASREQ subsub: ASREQ addressee1: 78 ABW/SE Mishap draft1:

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addressee2: Reporting @ 78abw.

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addressee3: se.mishap@us.af.mil draft3: 0 reg3: 1 repro3: 0 addressee4: Contract Officer Rep draft4:

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addressee5: (COR) @ rodney.

draft5:

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addressee6: mathis@us.af.mil draft6: 0 reg6: 1 repro6: 0 addressee7: Procurement Con-draft7:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: CLIN Exhibit Data Item No Performance Period A A007 Base Year Period B B007 Ordering Period 1 C C007 Ordering Period 2 D D007 Ordering Period 3 E E007 Ordering Period 4

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.

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 group:

total_price:

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Page:

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app: Adobe Professional 8.0

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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A008 title: Quality Assurance Program Plan sub: Quality Control Plan auth: DI-QCIC-81794 ref: PWS Paragraph 5.9 req_ofc: 411 SCMS/GULBB dd250: LT appcode: A dist: D freq: 1 XTIME asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 411 SCMS/GULAB draft1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: CLIN Exhibit Data Item No Performance Period A A008 Base Year Period B B008 Ordering Period 1 C C008 Ordering Period 2 D D008 Ordering Period 3 E E008 Ordering Period 4

Block 4: Contractor format acceptable.

Block 7: Submit final with DD Form 250 to account for all previously submitted via WAWF for acceptance under DODAAC: FA8524.

BLK 9: Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative and Operational use. Other requests for this document shall be referred to the Program Manager.

Block 10, 11, 12, 13: One submission is required for contract. The government will have 30 calendar days to review and provide comments, subsequently the contractor will have 60 calendar days to correct and resubmit.

Block 14: Submissions shall be IAW CDRL instructions and PWS.

group:

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app_date:

Page:

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app: Adobe Professional 8.0

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 the 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

A. CONTRACT LINE ITEM NO.