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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: (Contractor Data Manager) H. DATE I. APPROVED BY: (Engineer) J. DATE

Page of Pages

DD FORM 1423-1, AUG 96

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 delivering such data item to the Government.

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.

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.

16. REMARKS (Continued)

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.

Page2: 2 of_pages:

Reset:

xtm: Off

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Counterfeit Prevention Plan

3_SUBTITLE: CPP

4_AUTHORITY_Data_Acquisit: DI-MISC-81832

5_CONTRACT_REFERENCE: CLIN for Data

6_REQUIRING_OFFICE: 416 SCMS/GUEAA

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ONE/R

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 416 SCMS/ draft1: 1 reg1: 1 repro1:

addressee2: GUEAA draft2:

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addressee3: 6070 Gum LN draft3:

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total_draft: 1 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: Contractor Format Acceptable.

2. Blocks 7, 8, 14: The contractor shall submit a Letter of Transmittal and send the Contractors Counterfeit Protection Plan (CPP) via e-mail to: kacey.abbott@us.af.mil

3. Blocks 8, 10, 11, 12, 13: The contractor shall deliver the Counterfeit prevention Plan (CPP) NLT thirty (30) calendar days after contract award. The Government comments will be provided to the contractor within fourteen (14) calendar days after receipt. The contractor shall resubmit the CPP NLT seven (7) calendar days after receipt of Government comments.

4. Block 9: Distribution Statement, Export Control Warning shall be IAW DoD Instruction 5230.24

The following Distribution Statement shall be placed on the first sheet of each document and/or associated lists.

DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical technology). (Oct 2023). Other requests for this document must be referred to 416 SCMS/GUEAA, Hill AFB, UT 84056-5826.

EXPORT CONTROL WARNING: All printed and electronic, including digital, technical documents that determined to contain export-controlled technical data shall be marked with the following statement:

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 31 Oct 2023

1_APPROVED_BY:

J_DATE: 31 Oct 2023

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

xTDP: Off

OTHER: MISC

DSYSTEMITEM: Circuit Card Assembly

E_CONTRACTPR_NO: FD2020-24-00083

FCONTRACTOR:

of_pages: 2

Reset:

xTM: Off

16_REMARKS_Continued:

Page2: 2

2023-10-31T15:15:02-0600

PINNEGAR.STEPHANIE.A.1102660737

2023-11-01T10:51:20-0600

ABBOTT.KACEY.JAMES.1539868426

Statement of Work September 2023

PRESERVATION, PACKAGING & MARKING REQUIREMENTS

The offeror shall adhere to the AFMC Form 158, Packing Requirements, specified Department of Defense (DoD) Military Standards, American Society for Testing Materials (ASTM) International, American National Standard Institute (ANSI), Data Item Description(s), DoD specifications, FAR/DAR Clauses, documentation, and marking for the development of military packaging as prescribed in the contract.

MIL-STD 2073-1, Standard Practice for Military Packaging The offeror shall use MIL-STD 2073-1, to develop military packaging using the decision chart in accordance with the requirements of the section, Section 5 and all Appendices therein. Military packaging requirements shall be documented in accordance with Appendix E and as specified on the Contract Data Requirements List (CDRL). These requirements are generally defined by a twelve-digit position-sensitive code system, as illustrated on figure A-1. Appropriate codes are drawn from those listed in Appendix J. When an item has been determined to be in the special group category, a Special Packaging Instruction shall be required, prepared in accordance with Appendix E and as specified on the CDRL. Furthermore, packaging of hazardous materials shall be developed IAW the requirements specified in A.4. Packaging of classified material shall meet DoD 5220.22M, National Industrial Security Program Operating Manual. Apply when prescribed on the AFMC Form 158, Packaging requirements and DIDs.

ASTM D3951, Standard Practice For Commercial Packaging The offeror shall apply preservation, packaging, packing, and markings, for specific commodities when prescribed on the AFMC Form 158, Packaging Requirements.

MIL-STD 129, Military Marking For Shipment and Storage The offeror shall use MIL-STD 129, and adhere to the minimum uniform military marking, labels, requirements for materiel shipment and storage. Additional marking may be required by the contract or the cognizant activity. Shipment planning for supplies, equipment, and ammunition will be as specified in this standard. A marking is the numbers, letters, bar codes, labels, tags, symbols, or colors applied to provide identification and to expedite handling during shipment and storage. The offeror shall also ensure and affix a completed DD Form 1574, Serviceable Tag-Materiel or DD Form 1574-1 (not required for Hazardous Material), Serviceable Label- Materiel to each unit pack or intermediate container and prime outer container(s).

The tag or label will indicate the condition(s) of the materiel and to identify the individual article or contents, bundle, container to which they are securely attached. Apply when prescribed on the AFMC Form 158, Packaging Requirements.

INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES (ISPM

15) REQUIREMENTS

The offeror shall use the wood packaging material regulation for international trade which describes Phytosanitary (including treatments) that have been approved for wood packaging material and provides for the approval of new or revised treatments. Use the latest revision of (ISPM No. 15), to fabricate wood pallets, skids, load boards, pallet collars, wooden boxes, reels, dunnage, crates, frames, cleats, etc., for worldwide distribution.

ELECTROSTATIC MATERIAL

The offeror shall adhere to pack, mark, label materiel procedures IAW MIL-STD-2073-1, MIL-HDBK-773, ANSI/ESD S20.20, ESD TR20.20 and MIL-STD-129 provisions, (current revisions) when identifying all solid-state devices and modules containing diodes, translators, integrated circuits and/or other microelectronic components sensitive to electrostatic forces.

Statement of Work (cont.)

MIL-STD-147, Palletized Unit Loads The offeror shall apply provisions and methods of MIL-STD-147 (current revision) to contracts requiring the preparation and shipment of bonded palletized unit loads for DoD facilities. Explosive Unit Loads shall be

IAW MIL-STD-1660.

MIL-STD-648, Department of Defense Design Criteria Standard, Specialized Shipping Containers The offeror shall apply provisions of MIL-STD-648. This standard establishes general design guidelines and associated tests for specialized shipping containers used by the Department of Defense. Definitive requirements for specific containers will be defined by the individual specification, acquisition, or task order.

This standard is intended to be used as the basic reference document in all specifications and standards prescribing performance requirements to be applied to a specialized shipping container. Compliance with this intent is expected through normal application of the specification or standard preparation, revision processes.

HAZARDOUS MATERIALS

The offeror shall ensure Hazardous shipments are prepared, label, certified and comply with International Civil Aviation Organization (ICAO), U.S. Code of Federal Regulations (CFR) Title 49, International Air Transport Association (IATA) Dangerous Goods Regulation, International Maritime Dangerous Goods Code (IMDG, Annex 1), and AFMAN24-604, Preparing Hazardous Materials for Military Air Shipments. Packaging shall meet “DOT specification or a United Nation (UN) specification” manufactured in accordance with 49 CFR, Part 178 and the final packages assembled IAW 49 CFR, Parts 100-185 as applicable. A Competent Authority Approval (CAA) shall be acquired from the responsible Associate Administrator or other designated Department official to perform a function requiring prior consent under the Hazardous Material Regulation (HMR). If a symbol is used to represent the manufacturer or the approval agency certifying compliance with 49 CFR 178, subparts L and M, the symbol must be registered with the U.S. Department of Transportation. A copy of the Contractor’s Test Report and signed certification that the package configuration meets both CFR and UN requirements shall be made available to the procuring contract office, as required, prior to acceptance or shipment of any portion of the product IAW Contract Data Requirements List (CDRL) (Reference AFMC Form 158).

FED-STD-313, Material Safety Data, Transportation Data, and Disposal Data for Hazardous Materials Furnished to Government Activities The offeror shall prepare and submit Safety Data Sheets (SDS) IAW FED-STD-313. The SDS shall have applicable identification number(s), e.g., as National Stock Number or Special Item Number. A copy of the SDS shall be provided to the cognizant packaging management office with all prescribed packaging data deliverables.

FAR clause 52.223-3, Hazardous Material Identification and Material Safety Data

SPECIAL PACKAGING INSTRUCTIONS RETRIEVAL & EXCHANGE SYSTEM (SPIRES)

Contractors may request the use of SPIRES website to view item packaging requirements or search for Special Packaging Instruction drawings via the following website: https://spires.wpafb.af.mil/ contractors without access can find more information at https://www.cac.mil

REUSABLE CONTAINERS

The contractor shall safeguard all received reusable shipping containers that meet the requirements of the AFMC Form 158 and are suitable for return shipment of serviceable assets. The contractor shall dispose of and replace unserviceable containers with new containers that meet requirements of the AFMC Form 158. Contact the Product Support Manager and Administering Contracting Office (ACO) for disposition instructions and replacement when Long Life Reusable Container(s) are received in an unserviceable condition.

REPORTING DISCREPANCIES

The contractor shall use Web Supply Discrepancy Report (WebSDR) to submit/reply to a Supply Discrepancy Report (SDR), when improperly packed assets are received/shipped in other than the contracted packaging requirements (coded data or Special Packaging Instructions (SPI) drawings) from Department of Defense (DoD) components or contractor activities. The contractor shall request a WebSDR account via the following website:

https://www.transactionservices.dla.mil/daashome/homepage.asp (See Defense Logistics Management (DLM) 4000.25-M, Volume 2, Supply Standard and Procedures, Chapter 17, Supply Discrepancy Reporting) http://www.dla.mil/HQ/InformationOperations/DLMS/ Exceptions when no damage has occurred are as follows:

-Items packaged before the current SPI date.

-An alternate pack may be used, provided the prime Air Force Sustainment Complex, Packaging Office at the Air Logistics Complex (ALC) approves and issues a waiver, deviation number, which would be annotated on the exterior container on the lower right hand portion of the identification side of the container.

-In accordance with Technical Order (TO) 00-85B-3, How to Package Air Force Spares, the contractor may substitute the next larger size fast pack, of the type I or type II to ship transportation priorities 1 and 2 shipments as long as there is no decrease in any of the container dimensions without the requirement of a waiver deviation.

ASSIST Documents for Specifications Listed in the GSA Index of Federal Specifications, Standards and Commercial Item Descriptions The contractor shall use the ASSIST website to access specification, standards, data item descriptions documents listed in this contract solicitation:

FAR 52-211-2 Availability of Specifications, Standards, and Data Item Descriptions listed in the Acquisition Streamlining and Standardization Information System https://quicksearch.dla.mil/

AFSC

406 SCMS/GULAA

Attn: Keith Restorff

DSN: COMM 801-777-9192

E-mail: keith.restorff@us.af.mil

APPLICABLE GOVERNMENT PACKAGING DOCUMENTS

NOTE: UTILIZE THE MOST RECENT REVISION

AFI 24-602V2_AFGM2018-01, Preparation and Movement of Air Force Cargo AFMAN

24-604, Preparing Hazardous Materials for Military Air Shipments DLMS 4000.25, Defense Logistics Management Systems, Volume, Change 10, Supply Standards and Procedures, Chapter 17, Supply Discrepancy Reporting

DOT Title 29, Occupational Safety and Health Administration, Labor DOT Title 49, Code of Federal Regulations (49 CFR), Transportation International Civil Aviation

Organization (ICAO) Technical Instructions

International Air Transport Association (IATA) Dangerous Goods

Regulation International Maritime Dangerous Goods (IMDG) Code

ANSI/ESD S20.20, Protection of Electrical and Electronic Parts

ESD TR20.20, Handbook for the Development of an Electrostatic Discharge Control Program for the Protection of Electronic Parts, Assemblies and Equipment

ISPM 15, International Standard Phytosanitary Measure Note: Marking Requirements may be found in the American Lumber Standards Committee, Incorporated Wood Packaging Material Enforcement Regulations dated November 07, 2014 and

ISPM 15.

MIL-STD-2073-1, Change 4, Standard Practice, for Military Packaging

MIL-STD-129, Change 1, Department of Defense Standard Practice Military Marking for Shipment and Storage

MIL-STD-648, Department of Defense Design Criteria Standard, Specialized Shipping Containers

MIL-STD-147, Palletized Unit Loads

MIL-HDBK-773, Electrostatic Discharge Protective Packaging

TO 00-85B-3, How to Package Air Force Spares

FED-STD-313, Federal Standard: Material Safety Data, Transportation Data and Disposal Data for Hazardous Materials Furnished to Government Activities