Attachment_25_CDRL_GFM_Inventory_Report_A0004_FMS.pdf
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- Solicitation number
- FA8121-22-R-0014
About this file
This document contains a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines reporting requirements for a contract to provide inventory and requisition reports relating to Government Furnished Material (GFM) for the overhaul of the F100-PW-220/229 Convergent Segment Assembly. Key details include: the reports are to be submitted monthly via email in English to the listed addresses; distribution is restricted to the DoD and contractors; and the first report is due five business days after the close of the first month.
The federal contract opportunity is solicitation number FA8121-22-R-0014 for the overhaul of the F100-PW-220/229 Convergent Segment Assembly with a period of performance of five years. It will be a firm fixed-price, multiple award IDIQ contract awarded to support work for the USAF and foreign military sales. The requirement is for overhaul services to be performed at Tinker AFB, OK. Electronic submission of proposals is required to be downloaded from SAM.gov. The buyer and PCO points of contact are identified.
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Text version
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
Page of Pages
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
xTDP: Off xTM: Off
OTHER:
DSYSTEMITEM:
E_CONTRACTPR_NO:
FCONTRACTOR:
16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.
Page2: 2 of_pages:
Reset:
| xtm: Off |
| 1_DATA_ITEM_NO: A0004 |
| 2_TITLE_OF_DATA_ITEM: Contract Government Furnished material (GFM) Requisition and Inventory Report |
| 3_SUBTITLE: Requisition and Inventory Report |
| 4_AUTHORITY_Data_Acquisit: DI-MGMT-82128/T |
| 5_CONTRACT_REFERENCE: PWS Paragraph: |
| 6_REQUIRING_OFFICE: |
| 7_DID_250_REQ: LT |
| 8_APP_CODE: N/A |
| DIST_STATEMENT: D |
| 10_FREQUENCY: ANNLY |
| 11_AS_OF_DATE: SEE BLK 16 |
| 12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16 |
| addressee1: AFLCMC/LPSIB |
| draft1: |
| reg1: 4 |
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| reg2: 1 |
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| 16_REMARKS: 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. |
1. Block 4: All reporting shall be in the English Language.
2. Blocks 10, 11, 12, 13:
a. Data shall be current as of the last date of the reporting period (end of the month)
b. The first report shall be submitted no later than five (5) business days after the close of the first reporting period (previous month's last calendar date).
c. Subsequent reports shall be submitted no later than five (5) business days of the close of the reporting period (previous month's last calendar date).
3. Block 9:
a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office).
b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:
EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.
c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
4. Block 7, 14: Submit the Requisition and Inventory Reports to the following email address:
atueayu.wilson.2@us.af.mil beverly.hawkins@us.af.mil lateasha.lawrence.2@us.af.mil guy.bierwirth@us.af.mil
| 17_PRICE_GROUP: NSP | |
| ESTIMATED_TOTAL_PRICE: 0.00 | |
| G_PREPARED_BY: | |
| H_DATE: 11 March 22 | |
| 1_APPROVED_BY: | |
| J_DATE: | |
| Page: 1 | |
| reg38t: 6 | |
| A_CONTRACT_LINE_ITEM_NO: | |
| B_EXHIBIT: | |
| xTDP: Off | |
| OTHER: MGMT | |
| DSYSTEMITEM: F100-PW-220 Convergent Nozzle Segment Assembly | |
| E_CONTRACTPR_NO: FD2030-22-31022 | |
| FCONTRACTOR: | |
| of_pages: 2 | |
| Reset: | |
| 2022-03-11T14:45:47-0600 | |
| WILSON.ATUEAYU.DEJUAN.1459161135 |
| 2022-06-10T12:24:10-0500 | |
| SELCER.MICAH.LEE.1255756458 |
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