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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 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

16. REMARKS (Continued)

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.

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1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Contract Depot Maintenance (CDM) Monthly Production Report

3_SUBTITLE: CDM Production Monthly Status Report

4_AUTHORITY_Data_Acquisit: DI-PSSS-81995/T

5_CONTRACT_REFERENCE: SOW, Paragraph: 6.2.2

6_REQUIRING_OFFICE: 417 SCMS/GUMC

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: MTHLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 417 SCMS draft1:

reg1: 1 repro1:

addressee2: 6040 Gum Lane draft2:

reg2:

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addressee3: Bldg 1216 draft3:

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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:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

Troy.burgess@us.af.mil Julie.hess@us.af.mil

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (Date of Determination February 2019). Other requests for this document shall be referred to (DoD Controlling Office 417 SCMS/GUMC)

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:

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 1/23/2024

1_APPROVED_BY:

J_DATE: 1/23/2024

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM: C-5 NLG Right Angle Gearboxes

E_CONTRACTPR_NO: FD20202400209

FCONTRACTOR: Sargent Aerospace & Defense

16_REMARKS_Continued:

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 IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

4. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 10 (ten) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

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BURGESS.TROY.ALLEN.1158381687

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BURGESS.TROY.ALLEN.1158381687

PREVIOUS EDITION MAY BE USED.

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.

9. DIST STATEMENT

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

1231517401C

Highlight

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.

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1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Government Property Inventory Report

3_SUBTITLE: Annual Government Property Physical Inventory Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-80441D/T

5_CONTRACT_REFERENCE: SOW, Paragraph: 6.2.3

6_REQUIRING_OFFICE: 417 SCMS/GUMC

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:

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addressee2: 417 SCMS draft2:

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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:

a. All reports shall be submitted in the English Language.

2. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

Julie.hess@us.af.mil Sandy.triplett@us.af.mil

3. Block 9:

a. “DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (Date of Determination February 2019). Other requests for this document shall be referred to (DoD Controlling Office 417 SCMS/GUMC)

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 IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 1/23/2024

1_APPROVED_BY:

J_DATE: 1/23/2024

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER: MGMT

DSYSTEMITEM: C-5 NLG Right Angle Gearboxes

E_CONTRACTPR_NO: FD20202400209

FCONTRACTOR: Sargent Aerospace & Defense

16_REMARKS_Continued:

4. Blocks 10, 11, 12, 13:

a. This report shall be provided annually. Reporting Period is one year from Basic Contract award date and annually thereafter.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

5. Content (Tailored). The following data fields are not required:

B. Agency or Service Asset Identification Number (GFP Only) C. Contractor Asset Identification Number F. Manufacturer Model Number J. Unit of Measure K. Unit Acquisition Cost L. Unique Item Identifier (if registered in the Item Unique Identification (IUID) Registry; GFP only)

NOTE: An Inventory report shall be provided.

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G. PREPARED BY

C. CATEGORY:

A. CONTRACT LINE ITEM NO. B. EXHIBIT

9. STATEMENT

H. DATE J. DATEI. APPROVED BY

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 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.

DIST

22202-4302.

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

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 GOVERNMENT PERSONNEL

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.

FOR THE CONTRACTOR

DD FORM 1423-1 (BACK), FEB 2001

Untitled

Untitled

Untitled

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

3_SUBTITLE: IUID Marking Activity & Verification Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-81804A/T

5_CONTRACT_REFERENCE: SOW Paragraph 6.2.4

6_REQUIRING_OFFICE: 417 SCMS/GUMB

7_DID_250_REQ: DD

8_APP_CODE: A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

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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:

a. All data deliveries shall be submitted in the English language.

b. Contractor's format is acceptable using Microsoft Office 2013 compatible products (Word, Powerpoint) or Adobe Portable Document Format (PDF).

2. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil using DODAAC FA8203. MARK FOR: Address in block 14a

b. DCMA inspector/acceptor may request a hard copy at the contractor's facility during the time of inspection and acceptance.

3. Blocks 8, 10, 11, 12, 13: First submission of information due NLT ninety (90) days after contract award and monthly thereafter. DCMA will review and provide comments in coordination with the Program Office NLT seven

(7) calendar days following receipt. Final report is due NLT seven (7) business days after receipt and incorporation of DCMA comments.

4. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (February 2019). Other requests for this document shall be referred to (417 SCMS/GUMC Hill AFB, UT 84056-5826).

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: C-5 NLG Right Angle Gearboxes

E_CONTRACTPR_NO: FD20202400209

FCONTRACTOR: Sargent Aerospace & Defense

16_REMARKS_Continued: 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:

b. 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.

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H_DATE: 1/23/2024

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BURGESS.TROY.ALLEN.1158381687

J_DATE: 1/23/2024

Page:

reg38x:

reg38t: 1 title:

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 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 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 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

Untitled

Untitled

Untitled

1_DATA_ITEM_NO: A005

2_TITLE_OF_DATA_ITEM: Quality Deficiency Reporting

3_SUBTITLE: Quality Deficiency Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-80736/T

5_CONTRACT_REFERENCE: SOW Paragraph 6.2.5

6_REQUIRING_OFFICE: 417 SCMS/GUMB

7_DID_250_REQ: NA

8_APP_CODE: A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

draft1:

reg1:

repro1:

draft2:

addressee2: 417 SCMS reg2: 1 repro2:

addressee3: 6040 Gum Lane draft3:

reg3:

repro3:

addressee4: Bldg 1216 draft4:

reg4:

repro4:

addressee5: Hill AFB, UT draft5:

reg5:

repro5:

addressee6: 84056-5689 draft6:

reg6:

repro6:

addressee7: Attn: Troy draft7:

reg7:

repro7:

addressee8: Burgess draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

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draft10:

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addressee14:

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addressee16:

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repro29:

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addressee21:

draft21:

reg21:

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draft22:

reg22:

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addressee24:

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draft26:

reg26:

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addressee27:

draft27:

reg27:

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addressee28:

draft28:

reg28:

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addressee31:

addressee32:

addressee33:

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draft31:

reg31:

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reg33:

reg34:

reg35:

reg36:

reg37:

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repro37:

draft38:

repro38:

total_draft: 0 total_repro: 0

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 3: Report specific to repaired Government Furnished Property (GFP) and submitted no later than 10 calendar days after each deficiency is addressed

2. Block 10: Quality Deficiency Report report prepared upon receipt of GFP.

DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (February 2019). Other requests for this document shall be referred to (417 SMCS, Hill AFB, Ut. 84056-5826).

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: C-5 NLG Right Angle Gearboxes

E_CONTRACTPR_NO: FD20202400209

FCONTRACTOR: Sargent Aerospace & Defense

16_REMARKS_Continued: 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:

b. 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.

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BURGESS.TROY.ALLEN.1158381687

H_DATE: 1/23/2024

2024-01-23T15:06:32-0700

BURGESS.TROY.ALLEN.1158381687

J_DATE: 1/23/2024

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reg38x:

reg38t: 1 title:

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 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 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 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

Untitled

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1_DATA_ITEM_NO: A006

2_TITLE_OF_DATA_ITEM: Program Status Report

3_SUBTITLE: Program Status Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-81991

5_CONTRACT_REFERENCE: SOW Paragraph 6.2.6

6_REQUIRING_OFFICE: 417 SCMS/GUMB

7_DID_250_REQ: DD

8_APP_CODE: A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

draft1:

reg1:

repro1:

draft2:

addressee2: 417 SCMS reg2: 1 repro2:

addressee3: 6040 Gum Lane draft3:

reg3:

repro3:

addressee4: Bldg 1216 draft4:

reg4:

repro4:

addressee5: Hill AFB, UT draft5:

reg5:

repro5:

addressee6: 84056-5689 draft6:

reg6:

repro6:

addressee7: Attn: Troy draft7:

reg7:

repro7:

addressee8: Burgess draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

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addressee32:

addressee33:

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addressee37:

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reg31:

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draft33:

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reg33:

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reg35:

reg36:

reg37:

repro32:

repro33:

repro34:

repro35:

repro36:

repro37:

draft38:

repro38:

total_draft: 0 total_repro: 0

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 1:

a. All data deliveries shall be submitted in the English language.

b. Contractor's format is acceptable using Microsoft Office 2013 compatible products (Word, Powerpoint) or Adobe Portable Document Format (PDF).

2. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil using DODAAC FA8203. MARK FOR: Email address Troy.Burgess@us.af.mil Juile.hess@us.af.mil

b. DCMA inspector/acceptor may request a hard copy at the contractor's facility during the time of inspection and acceptance.

3. Blocks 8, 10, 11, 12, 13: First submission of information due NLT ninety (90) days after contract award and monthly thereafter. DCMA will review and provide comments in coordination with the Program Office NLT seven

(7) calendar days following receipt. Final report is due NLT seven (7) business days after receipt and incorporation of DCMA comments.

4. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (February 2019). Other requests for this document shall be referred to (417 SCMS/GUMC Hill AFB, UT 84056-5826).

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: C-5 NLG Right Angle Gearboxes

E_CONTRACTPR_NO: FD20202400209

FCONTRACTOR: Sargent Aerospace & Defense

16_REMARKS_Continued: 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:

b. 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.

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2024-01-23T15:07:45-0700

BURGESS.TROY.ALLEN.1158381687

H_DATE: 1/23/2024

2024-01-23T15:08:06-0700

BURGESS.TROY.ALLEN.1158381687

J_DATE: 1/23/2024

Page:

reg38x:

reg38t: 1 title:

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 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 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 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

Untitled

Untitled

Untitled

1_DATA_ITEM_NO: A007

2_TITLE_OF_DATA_ITEM: Request for Deviation

3_SUBTITLE: RFD

4_AUTHORITY_Data_Acquisit: DI-CMAN-81590

5_CONTRACT_REFERENCE: SOW Paragraph 6.2.7

6_REQUIRING_OFFICE: 417 SCMS/GUMB

7_DID_250_REQ: DD

8_APP_CODE: A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

draft1:

reg1:

repro1:

draft2:

addressee2: 417 SCMS reg2: 1 repro2:

addressee3: 6040 Gum Lane draft3:

reg3:

repro3:

addressee4: Bldg 1216 draft4:

reg4:

repro4:

addressee5: Hill AFB, UT draft5:

reg5:

repro5:

addressee6: 84056-5689 draft6:

reg6:

repro6:

addressee7: Attn: Troy draft7:

reg7:

repro7:

addressee8: Burgess draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

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addressee12:

addressee13:

addressee14:

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addressee16:

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addressee29:

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draft20:

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draft18:

draft17:

draft16:

draft15:

draft14:

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draft12:

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repro32:

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repro35:

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repro37:

draft38:

repro38:

total_draft: 0 total_repro: 0

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 submitted in the English Language

2. Blocks 7,8,10,11,12,13,14 On an as-needed basis and prior to implementing any deviation, the Contractor shall submit a DD250 and a Request for Deviation via email to the following.

Troy.Burgess@us.af.mil katherine.miller.17@us.af.mil

3. Block 0: The distribution Statement, export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTATION STATEMENT "D": distribution authorized tot he department of defense and U.S. DoD contractors only (Administrative or Operational Use). (Fedruary 2019). Other request for this document shall be referred to 417 SCMS/GUMB.

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:

b. 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 directives 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.

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: C-5 NLG Right Angle Gearboxes

E_CONTRACTPR_NO: FD20202400209

FCONTRACTOR: Sargent Aerospace & Defense

16_REMARKS_Continued: 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:

b. 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.

of_pages:

Reset:

Page2:

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17_c:

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2024-01-23T15:10:42-0700

BURGESS.TROY.ALLEN.1158381687

H_DATE: 1/23/2024

2024-01-23T15:11:16-0700

BURGESS.TROY.ALLEN.1158381687

J_DATE: 1/23/2024

Page:

reg38x:

reg38t: 1 title:

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 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 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 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

Untitled

Untitled

Untitled

1_DATA_ITEM_NO: A008

2_TITLE_OF_DATA_ITEM: Engineering Change Proposal

3_SUBTITLE: Engineering Change Proposal

4_AUTHORITY_Data_Acquisit: DI-SESS-8639D

5_CONTRACT_REFERENCE: SOW Paragraph 6.2.8

6_REQUIRING_OFFICE: 417 SCMS/GUMB

7_DID_250_REQ: DD

8_APP_CODE: A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

draft1:

reg1:

repro1:

draft2:

addressee2: 417 SCMS reg2: 1 repro2:

addressee3: 6040 Gum Lane draft3:

reg3:

repro3:

addressee4: Bldg 1216 draft4:

reg4:

repro4:

addressee5: Hill AFB, UT draft5:

reg5:

repro5:

addressee6: 84056-5689 draft6:

reg6:

repro6:

addressee7: Attn: Troy draft7:

reg7:

repro7:

addressee8: Burgess draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

addressee12:

addressee13:

addressee14:

addressee15:

addressee16:

addressee17:

addressee18:

addressee19:

addressee20:

addressee29:

addressee30:

draft20:

draft19:

draft18:

draft17:

draft16:

draft15:

draft14:

draft13:

draft12:

draft11:

draft29:

draft30:

reg11:

reg12:

reg13:

reg14:

reg15:

reg16:

reg17:

reg18:

reg19:

reg20:

reg29:

reg30:

repro11:

repro12:

repro13:

repro14:

repro15:

repro16:

repro17:

repro18:

repro19:

repro20:

repro29:

repro30:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

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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 submitted in the English Language.

2. Blocks 7, 8, 10, 11, 12, 13, 14:

a. The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil, using DODAAC FA8203. MARK FOR: Address in block 14A.

b. A Letter of Transmittal shall be submitted on an as needed basis to obtain approval of a configuration change that deviates from baseline performance requirements. Submit the Letter to the following email address:

katherine.miller.17@us.af.mil

3. Block 9: The Distribution Statement , Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (February 2019). Other requests for this document shall be referred to 417 SCMS/GUMC.

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:

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: C-5 NLG Right Angle Gearboxes

E_CONTRACTPR_NO: FD20202400209

FCONTRACTOR: Sargent Aerospace & Defense

16_REMARKS_Continued:

b. 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.

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17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

2024-01-23T15:12:41-0700

BURGESS.TROY.ALLEN.1158381687

H_DATE: 1/23/2024

2024-01-23T15:13:07-0700

BURGESS.TROY.ALLEN.1158381687

J_DATE: 1/23/2024

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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.