CDRLA001StatementofWork.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 the 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 C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

WCMD Telemetry Kit

E. CONTRACT/PR NO.

FD2020-20-50139

F. CONTRACTOR

L3 HARRIS TECHNOLOGIES

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Statement of Work

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81606

5. CONTRACT REFERENCE

SOO para 3.0 & 6.0

6. REQUIRING OFFICE

AFLCMC/EBHCA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor format required unless otherwise specified by the DD Form 1423 or Contracting Officer Representative.

BLK 7: The receiving report shall be submitted electronically via the internet through Wide Area Work Flow (WAWF) at: https://wawf.eb.mil., under DoDAAC FA8213.

BLK 8: Government comments/approval/disapproval shall be submitted to the contractor by AFLCMC/EBHGB within 20 working days after receipt of draft copies.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHCA.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE--Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 14: Submit reports electronically via e-mail in Microsoft Project software or PDF format to the addressee listed in block 14. See contract for e-mail address of the government contracting officer

(AFLCMC/EBHKA).

FOB DESTINATION

EBH 20-113-001

Terry McCurdy, AFLCMC/EBHTC, 586-0535

WAWF 1 1 0

DoDAAC, FA8213

AFLCMC/EBHCA 1 1 0

6034 Dogwood Av

Bldg 1257

Hill AFB UT

84056-5816

Attn:C.Goodrich

AFLCMC/EBHKA 1 1 0

15. TOTAL 3 3 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2020/04/22

I. APPROVED BY

hargrove.eric.v.1167016843

J. DATE

2020/04/22

18. ESTIMATED

TOTAL PRICE

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

17. PRICE GROUP