CDRL CONTRACT DATA REQUIREMENT LIST.pdf

PDF 289 KB Posted

Attached to
Temperature Regulating Valve Repair (Applicable to the TH-1HHelicopter Program) Federal contract opportunity
Solicitation number
FA8524_26_R_0004
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

About this file

This Contract Data Requirements List (CDRL) is for Duke Aerospace, covering Contract No. FD20602600032 for a TH-1H system. The CDRL outlines seven specific data reporting requirements across multiple performance periods, including:

  1. Commercial Asset Visibility (CAV) Reporting: Requires daily electronic submission of end item transactional data. 2. Government Property Inventory Report: An annual physical inventory report to be submitted within 7 calendar days of each ordering period. 3. Contract Depot Maintenance Monthly Production Report: Requires monthly reporting by the 10th calendar day after the reporting period. 4. Item Unique Identification (IUID) Marking Plan and Activity Reports: Quarterly submissions detailing marking and verification processes. 5. Counterfeit Prevention Plan: An initial draft due within 30 workdays after contract award, with quarterly updates. 6. Accident/Incident Report: To be submitted within 24 hours of any accident, as needed. The contract is administered by 411 SCMS/GULBB, with various points of contact including Danielle Crosby (Program Manager) and Kevin Dyson (Engineer).

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Other files for this federal contract opportunity

Other files attached to Temperature Regulating Valve Repair (Applicable to the TH-1HHelicopter Program), newest first.
File Type Posted
FA8524-26-R-0004 DUKE Solicitation.pdf PDF
CAV AF REPORTING.pdf PDF
WAGE DETERMINE.docx DOCX document
PERFORMANCE WORK STATEMENT.pdf PDF
PACKAGING.pdf PDF
GFP GOVERNMENT FURNISHED PROPERTY.pdf PDF

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Text version

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602600032

F. CONTRACTOR

DUKE

AEROSPACE

1. DATA ITEM NO.

A/B/C/D/E 001

2. TITLE OF DATA ITEM

Commercial Asset Visibility (CAV) Reporting

3. SUBTITLE

Commercial Asset Visibility (CAV) Reporting

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA. 4.6

6. REQUIRING OFFICE

GULBB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLOCK 16

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jones, Mario LNAME: 20 AUG 2025DATE:

CLIN Exhibit Data Item No. Performance Period A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2 D D001 Ordering/Period 3 E E001 Ordering/Period 4

BLK 1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM Reporting Requirements. This information will be accessed by the program office SP and by 420 SCMS/GUNAB-Robins in order to ascertain production status.

BLK 2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DOD PKI certificate to log into CAV AF. Each user shall be required to have an:

Identity Certificate only; an encryption certificate is not required.

BLK 3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602 if required and a request must be initiated by the CAV Reporter BLK 4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.) E-DD FORM 250 shall be submitted to DCMA for acceptance.

BLK 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

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

BLK 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

BLK 13: Same as remarks regarding Block 10 above.

COORDINATORS:

COORDINATORS:

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

0 1 0

Email: 411 SCMS/PMS Workflow:

411SCMS.PMS@us.af.mil if PMS email is not provided

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Jones, Mario L

411 SCMS / GULBB

478-235-8506

H. DATE

25 AUG 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

25-AUG-25

Page 1 of 7DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 25 Aug 2025

PREVIOUS EDITION MAY BE USED.

000X,100X,200X,300X,400X

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602600032

F. CONTRACTOR

DUKE

AEROSPACE

1. DATA ITEM NO.

A/B/C/D/E 002

2. TITLE OF DATA ITEM

Government Property (GP) Inventory Report

3. SUBTITLE

Government Property (GP) Inventory Report

4. AUTHORITY

DI-MGMT-80441D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA. 3.4

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ANNLY

11. AS OF DATE

SEE BLOCK 16

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jones, Mario LNAME: 25 AUG 2025DATE:

CLIN Exhibit Data Item No. Performance Period A A002 Base Year Pd B B002 Ordering/Period 1 C C002 Ordering/Period 2 D D002 Ordering/Period 3 E E002 Ordering/Period 4

BLK 4: The data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data.

EDD

FORM 250 shall be submitted to FA8524 Program Manager (danielle.crosby@us.af.mil) and Supply Planner (mario.jones.2@us.af.mil) for acceptance.

Block 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-13.

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

Block 10-13: The annual physical inventory report shall be provided within seven (7) calendar days of the end of each option/ordering period for the contract. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the option/ordering reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

BLK 14: EMAIL electronic Annual Physical Inventory Report to the Supply Planner (SP) and Program Manager (PM).

Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in Microsoft Office Excel format for all reports.

COORDINATORS:

COORDINATORS:

Email:

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

0 1 0

Email:

PMS email provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Jones, Mario L

411 SCMS / GULBB

478-235-8506

H. DATE

25 AUG 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

25-AUG-25

Page 2 of 7DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 25 Aug 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602600032

F. CONTRACTOR

DUKE

AEROSPACE

1. DATA ITEM NO.

A/B/C/D/E 003

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Monthly Production Report

3. SUBTITLE

Contract Depot Maintenance (CDM) Monthly Production Report

4. AUTHORITY

DI-PSSS-81995A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA.4.3.7

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLOCK 16

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jones, Mario LNAME: 25 AUG 2025DATE:

CLIN Exhibit Data Item No. Performance Period A A003 Base Year Pd B B003 Ordering/Period 1 C C003 Ordering/Period 2 D D003 Ordering/Period 3 E E003 Ordering/Period 4

BLK 4: The Data Item Description (DID) contains the format, content and preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. This report shall be provided in the format of Table 1. See DID for Table 1 and content requirement explanations at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (mario.jones.2@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 Production Management Specialist (PMS) and Program Manager (PM). Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

COORDINATORS:

411 SCMC/PMS Workflow:

411SCMS.PMS@us.af.mil PMS provided on Contract Award

0 1 0

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

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Jones, Mario L

411 SCMS / GULBB

478-235-8506

H. DATE

25 AUG 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

25-AUG-25

Page 3 of 7DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 25 Aug 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602600032

F. CONTRACTOR

DUKE

AEROSPACE

1. DATA ITEM NO.

A/B/C/D/E 004

2. TITLE OF DATA ITEM

Item Unique Identification(IUID) Marking Plan

3. SUBTITLE

Item Unique Identification(IUID) Marking Plan

4. AUTHORITY

DI-MGMT-81803A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA. 4.4.1

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

QRTLY

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

Jones, Mario LNAME: 20 AUG 2025DATE:

CLIN Exhibit Data Item No. Performance Period A A004 Base Year Pd B B004 Ordering/Period 1 C C004 Ordering/Period 2 D D004 Ordering/Period 3 E E004 Ordering/Period 4

BLK 4: The Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal shall be submitted to FA8524 (PM EMAIL ADDRESS) for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Ste 221, Robins AFB, GA 31098.

BLKS 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, AFLCMC/WIUEC, within 10 working days after contract award. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, AFLCMC/WIUEC, 235 Byron Street, Suite 19A, Robins AFB, GA 31098.

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

BLK 14: EMAIL electronic IUID Marking Plan to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB and Engineer AFLCMC/WIUEC. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

COORDINATORS:

Email:

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

1 1 0

Email:

AFLCMC/WIUEC Engineer Kevin Dyson at kevin.dyson.3@us.af.mil

1 1 0

Email:

AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award

0 1 0

Email:

DCMA/ACO

0 1 0

2 4 015. TOTAL

G. PREPARED BY

Jones, Mario L

411 SCMS / GULBB

478-235-8506

H. DATE

25 AUG 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

25-AUG-25

Page 4 of 7DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 25 Aug 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602600032

F. CONTRACTOR

DUKE

AEROSPACE

1. DATA ITEM NO.

A/B/C/D/E 005

2. TITLE OF DATA ITEM

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

3. SUBTITLE

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

4. AUTHORITY

DI-MGMT-81804A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA. 4.4.2

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

QRTLY

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

Jones, Mario LNAME: 20 AUG 2025DATE:

CLIN Exhibit Data Item No. Performance Period

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

BLK 4: IUID Marking Activity and Verification Report can be combined with the monthly status report.

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 (danielle.crosby@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, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Contractor shall submit an IUID Marking Activity and Verification Report, to the Engineer, AFLCMC/WIUEC, every three months (quarterly). Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 14: EMAIL electronic IUID Marking Activity and Verification Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB, and Engineer AFLCMC/WIUEC. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

COORDINATORS:

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

1 1 0

AFLCMC/WIUEC Engineer Kevin Dyson at kevin.dyson.3@us.af.mil

1 1 0

AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award

0 1 0

DCMA/ACO 0 1 0

2 4 015. TOTAL

G. PREPARED BY

Jones, Mario L

411 SCMS / GULBB

478-235-8506

H. DATE

25 AUG 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

25-AUG-25

Page 5 of 7DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 25 Aug 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602600032

F. CONTRACTOR

DUKE

AEROSPACE

1. DATA ITEM NO.

A/B/C/D/E 006

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

Counterfeit Prevention Plan

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA. 4.6.1

6. REQUIRING OFFICE

411 SCMS/GULBB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

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

Jones, Mario LNAME: 20 AUG 2025DATE:

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

BLK 4: The 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 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) Danielle.Crosby@us.af.mil 411 SCMS/GULBB and Engineer Kevin Dyson Kevin.Dyson.3@us.af.mil 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.

COORDINATORS:

COORDINATORS:

DCMA/ACO 0 1 0

Engineer Kevin Dyson Kevin.Dyson.3@us.af.mil

1 1 0

PCO 0 1 0

PM Danielle Crosby Danielle.Crosby@us.af.mil

1 1 0

2 4 015. TOTAL

G. PREPARED BY

Jones, Mario L

411 SCMS / GULBB

478-235-8506

H. DATE

25 AUG 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

25-AUG-25

Page 6 of 7DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 25 Aug 2025

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H

E. CONTRACT / PR NO.

FD20602600032

F. CONTRACTOR

DUKE

AEROSPACE

1. DATA ITEM NO.

A/B/C/D/E 007

2. TITLE OF DATA ITEM

Accident/ Incident Report

3. SUBTITLE

Accident/ Incident Report

4. AUTHORITY

DI-SAFT-81563

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA. 5.5.2

6. REQUIRING OFFICE

411 SCMS/GULBB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

See Block 16

11. AS OF DATE

CONTRACT AWARD

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jones, Mario LNAME: 20 AUG 2025DATE:

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

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.

BLK 10: IAW AFI 91-204, if damage occurs BLK 11: Once assets have been received after contract award BLK 12: 24 hours after accident/incident BLK 13: As needed, IAW AFI 91-207 Program Manager: Danielle Crosby danielle.crosby@us.af.mil ENG: Kevin Dyson Kevin.Dyson.3@us.af.mil

COORDINATORS:

COORDINATORS:

Engineer: Kevin Dyson Kevin.Dyson.3@us.af.mil

0 1 0

Procurement Contract Officer (PCO) @ (email)

1 3 0

Program Manager: Danielle Crosby danielle.crosby@us.af.mil

0 1 0

1 5 015. TOTAL

G. PREPARED BY

Jones, Mario L

411 SCMS / GULBB

478-235-8506

H. DATE

25 AUG 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-327-2774 / 497-2774

J. DATE

25-AUG-25

Page 7 of 7DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 25 Aug 2025

2025-08-27T10:42:49-0400
JONES.MARIO.L.1280166096

File details come from the government source that posted it. Updated .