CDRL.pdf
PDF 114 KB Posted
- Attached to
- Minuteman III ICBM, Amplifier, Electronic
- Solicitation number
- FA820626Q0075
About this file
This document is a Contract Data Requirements List (DD Form 1423) for a federal contract with the contract line item number 5996014623655AH, issued by the 414 SCMS/GUEA (likely a military contracting office). The specific data item is a Counterfeit Prevention Plan (CPP), with a data acquisition document number DI-MISC-81832. The contractor is required to deliver the initial CPP draft within 60 calendar days after contract award, with the government having 15 calendar days to review and provide comments. The final CPP must be submitted within 15 calendar days following receipt of government comments.
The document specifies strict distribution and handling requirements, marked with Distribution Statement D, authorizing distribution only to Department of Defense and U.S. DoD contractors for administrative or operational use. The submission must be in PDF format and emailed to two specific points of contact: Alfredo Armendáriz (Mechanical Engineer) and Eric Ellington (Logistics Management Specialist), both from the 414 SCMS. The document includes a warning about technical data export restrictions and requires destruction of the document by methods preventing content disclosure or reconstruction.
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| FA820626Q0075.pdf | ||
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Text version
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024 Page 1 of 2
CUI
CUI Controlled by: [Name of Office] CUI Category: (List category or categories of CUI) Distribution/Dissemination Control:
POC: [Phone or email address]
Show Attachment Bar
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM
5996014623655AH
E. CONTRACT/PR NO.
FD20202600075
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan (CPP)
3. SUBTITLE
5996014623655AH
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81832
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
414 SCMS/GUEA
7. DD 250 REQ
LT
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
11. AS OF DATE
N/A
12. DATE OF FIRST SUBMISSION
Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
Changes to addressees, when necessary, shall be made by letter through the CO/ACO without further revision to this CDRL.
Contractor may submit a request for a waiver of the CPP deliverable through the CO/ACO. Waiver must include proof of purchase of servo driver from OEM.
BLOCK 9: Data submittal shall be marked with the following on the cover page:
Report shall be marked with the following statement on the cover page:
DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use & Export Controlled:
09-Feb-2023. Other requests for this document shall be referred to AFNWC/NMSM.
WARNING: This document contains technical data whose export is restricted by Federal Law. Dissemination of this document is controlled under DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
BLOCKS 10-13:
The contractor shall deliver the CPP NLT 60 calendar days after contract award. The government shall have 15 calendar days to review and provide comments. The contractor shall deliver the final copy NLT 15 calendar days following the receipt of government comments.
BLOCK 14: Document submission shall be delivered in PDF format via email. Email submission shall be made to:
Alfredo Armendáriz - Mechanical Engineer, 414 SCMS - alfredo.armendariz.1@us.af.mil Eric Ellington - Logistics Management Specialist, 414 SCMS - eric.ellington.2@us.af.mil add continuation
Block 16 1 1
15.TOTAL 1 1
17. PRICE GROUP
NSP
18. ESTIMATED
TOTAL PRICE
0.00
G. PREPARED BY
Alfredo Armendáriz
H. SIGNED ON 20251024 I. APPROVED BY
Skylar Hatch
J. SIGNATURE + -
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024 Page 2 of 2
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 (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
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 rights to use the data shall be governed by the pertinent provisions of the contract.
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES Draft Final Reg Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
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 (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
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 rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785 DD Form 1423, "Contract Data Requirements List"
| CurrentPage: |
| PageCount: |
| Select Classification from drop-down list.: 2 |
| CUI Indicator Information: |
| Click on this button to attach a file(s).: |
| A. CONTRACT LINE ITEM NUMBER: |
| exhibit: |
| C. CATEGORY: Select for "TDP.": 0 |
| C. CATEGORY: Select for "TM.": 0 |
| C. CATEGORY: Select for "OTHER.": 1 |
| C. CATEGORY: Enter specification for "Other.": |
| System: 5996014623655AH |
| ContractNum: FD20202600075 |
| Contractor: |
| 1. DATA ITEM NUMBER: A002 |
| titleDataItem: Counterfeit Prevention Plan (CPP) |
| subtitle: 5996014623655AH |
| 4. AUTHORITY (Data Acquisition Document Number): DI-MISC-81832 |
| contractRef: |
| reqOffice: 414 SCMS/GUEA |
| 7. DD 250 REQUIREMENT: LT |
| 8. APPROVAL CODE : A |
| 9. DISTRIBUTION STATEMENT REQUIRED: D |
| freq: ONE/R |
| asOfDate: N/A |
| dateFirstSub: Block 16 |
| dateSubseqSub: Block 16 |
| 16. REMARKS: Changes to addressees, when necessary, shall be made by letter through the CO/ACO without further revision to this CDRL. |
Contractor may submit a request for a waiver of the CPP deliverable through the CO/ACO. Waiver must include proof of purchase of servo driver from OEM.
BLOCK 9: Data submittal shall be marked with the following on the cover page:
Report shall be marked with the following statement on the cover page:
DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use & Export Controlled:
09-Feb-2023. Other requests for this document shall be referred to AFNWC/NMSM.
WARNING: This document contains technical data whose export is restricted by Federal Law. Dissemination of this document is controlled under DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
BLOCKS 10-13:
The contractor shall deliver the CPP NLT 60 calendar days after contract award. The government shall have 15 calendar days to review and provide comments. The contractor shall deliver the final copy NLT 15 calendar days following the receipt of government comments.
BLOCK 14: Document submission shall be delivered in PDF format via email. Email submission shall be made to:
Alfredo Armendáriz - Mechanical Engineer, 414 SCMS - alfredo.armendariz.1@us.af.mil Eric Ellington - Logistics Management Specialist, 414 SCMS - eric.ellington.2@us.af.mil
| Click to add continuation field for Remarks: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Block 16 |
| 15.TOTAL - Total draft copies is automatically calculated.: 1 |
| 15.TOTAL - Total draft copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: |
| priceGrp: NSP |
| estTotalPrice: 0.00 |
| remarks: |
| preparedBy: Alfredo Armendáriz |
| J. SIGNATURE: H. SIGNED ON 20251024 |
| J. SIGNATURE: J. SIGNATURE |
| J. SIGNATURE: |
| approvedBy: Skylar Hatch |
| Click to add additional data items.: |
| Click to delete additional data items.: |
File details come from the government source that posted it. Updated .