Attachment_26_CDRL_GFM_by_National_Stock_Number_A0005_FMS.pdf
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- Solicitation number
- FA8121-22-R-0014
About this file
This document is a Contract Data Requirements List (CDRL) outlining reporting requirements for Government Furnished Material (GFM) provided by the National Stock Number (NSN) related to the overhaul of the F100-PW-220/229 Convergent Segment Assembly. The contractor must submit monthly reports within five business days of the close of each reporting period listing all GFM received from the Government by NSN. The reports shall follow format DI-PSSS-80727A and be distributed to the 848 SCMG/EN at Tinker Air Force Base with Distribution Statement D restricting dissemination. This CDRL applies to the contract for overhaul of the F100-PW-220/229 Convergent Segment Assembly, a competitive Firm Fixed Price Multiple Award ID/IQ awarded by the Air Force Sustainment Center for the Air Force and foreign military sales customers with a 60 month period of performance and five one-year ordering periods.
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Text version
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 F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
Government Furnished Material (GFM) by National Stock Number (NSN)
3. SUBTITLE
N/A
4. AUTHORITY
DI-PSSS-80727A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS
6. REQUIRING OFFICE
7. DD 250 REQ
NO
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
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, critical technology (19 March 2020). Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.
Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.
Destruction Notice for Unclassified Documents: destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
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 5220.0 I M, Information Security Program , Vol 3, Protection of Classified Information.
Blocks 10-13 The first report should be submitted within five (5) business days after the close of the first reporting period (previous month's last calendar date). Subsequent reports shall be submitted within five (5) business days of the close of the reporting period (previous month's last calendar date). Format shall be IAW DI-PSSS-80727A.
COORDINATORS:
0 4 0
0 6 015. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page 14 of 19DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 24 Jul 2020
PREVIOUS EDITION MAY BE USED.
AFLCMC/LPSIB
E. CONTRACT / PR NO.
FD2030-22-305Ffd
F100-PW-220 Convergent Nozzle Segment Assembly
AFLCMC/LPSIB
11 March 22
A0005
AFSC/PCO
DCMA/ACO
FD2030-22-31022
1459161135C Cross-Out
| 2022-03-11T14:50:15-0600 | |
| WILSON.ATUEAYU.DEJUAN.1459161135 |
| 2022-06-10T12:18:57-0500 | |
| SELCER.MICAH.LEE.1255756458 |
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