CDRLs_C001-C008.pdf

PDF 157 KB Posted

Attached to
Aircraft Engine Test Stand Repair Federal contract opportunity
Solicitation number
FA8533-22-R-0001
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

About this file

This document package includes Contract Data Requirements Lists (CDRLs) and a notice of intent to sole source a contract for Aircraft Engine Test Stand repair services. Key details include:

The CDRLs outline eight required data items for the contract, including Commercial Asset Visibility reporting, monthly production reports, engineering change proposals, test procedures, and inspection reports. The Department of the Air Force Materiel Command Lifecycle Management Center intends to establish a ten-year, sole-source contract with Atec, Inc. for sustainment of T-20 and T-21 series Aircraft Engine Test Stands. Services will include on-site repairs, manufacturing, travel, tear down and evaluation, technical support, and manual updates. Interested parties may identify their capability to meet the requirement but this is not a request for competitive quotes. The Government does not own the necessary technical data.

View the file

Other files for this federal contract opportunity

Other files attached to Aircraft Engine Test Stand Repair, newest first.
File Type Posted
FA8533-22-R-0001 0001.pdf PDF
FA8533-22-R-0001.pdf PDF
CDRLs_B001-B004.pdf PDF
QASP.pdf PDF
CDRLs D001-D008.pdf PDF
Exhibit_A_Major_Repair_Components_Pricing.xlsx XLSX spreadsheet
Wage_Determination_Stafford_TX.pdf PDF
GFP_Attachment_4 March 2022.xlsx XLSX spreadsheet
AFMC_158.pdf PDF

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Text version

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 the Department of Defense, Executive Services and Communications 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

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

X004 A

Engine Test Stand FD2060-22-30012

C001 Commercial Asset Visibility Air Force (CAV) Reporting

CFM End Item Reporting

DI-MGMT-81838 PWS para 4.5.4.2 404 SCMS/GUMAAC

LT

N/A N/A

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 1 0

SEE BLK 16 1

0 2 0

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. Block 5: Contract Reference: PWS and CAV AF Reporting Requirements Document.

3. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

Production Management Specialist: ginger.fears@us.af.mil

4. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

01/28/2022FEARS.GINGER.M.1229987840 Digitally signed by FEARS.GINGER.M.1229987840 Date: 2022.01.28 08:16:43 -05'00'

GRIEPENBURG.DEID

RE.H.1289435464

Digitally signed by

GRIEPENBURG.DEIDRE.H.1289435464

Date: 2022.04.01 08:24:12 -04'00'

(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

X004 A

Engine Test Stand FD2060-22-30012

C002 Contract Depot Maintenance (CDM) Monthly Production Report

CDM Production Monthly Status Report

DI-PSSS-81995A PWS 4.5.4.3. 404 SCMS/GUMAAC

LT

N/A D

MTHLY

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 1 0

SEE BLK 16

0 1 0

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-81995A) 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-81995A) 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 addresses:

Contracting Officer: robert.rollins.2@us.af.mil and kelsey.wade.1@us.af.mil Program Manager: william.buckhalter.2@us.af.mil and ashley.karcher@us.af.mil Engineer: jasmine.robinson.9@us.af.mil, michael.randel@us.af.mil and david.young.59@us.af.mil Equipment Specialist: joel.molloseau.2@us.af.mil Production Management Specialist: ginger.fears@us.af.mil Item Manager: edward.braddy@us.af.mil

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (administrative use)(28 January 2022). Other requests for this document shall be referred to

AFLCMC/WNZ.

NSP

0.00

01/28/2022

1 2

FEARS.GINGER.M.1229987840

Digitally signed by

FEARS.GINGER.M.1229987840

Date: 2022.01.28 08:13:06 -05'00'

GRIEPENBURG.DEIDR

E.H.1289435464

Digitally signed by

Date: 2022.04.01 08:27:44 -04'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

Page of Pages

X004 A

Engine Test Stand FD2060-22-30012

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.

4. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 10 (ten) calendar 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"

2 2

(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 the Department of Defense, Executive Services and Communications 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

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

X004 A

Engine Test Stand FD2060-22-30012

C003 Contract Summary Report

DI-ADMN-80447A PWS para 4.5.4.1 AFLCMC/WNZ

DD

N/A C

ASREQ

N/A

ASREQ

ASREQ

0 0 0

Contracting Officer 1 Program Manager 1 Engineer 1

0 3 0

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors (administrative use)(28 January 2022).

Other requests for this document shall be referred to AFLCMC/WNZ.

BLK 10/12/13: Acceptance of final report is required prior to acceptance of work for each task order.

BLK 14: Documents shall be provided via e-mail utilizing standard Microsoft Office applications. Procurement Officer(s) e-mail along with Integrated Product Team e-mail distro list will be provided as required.

Mick Randel 09/23/2021

GRIEPENBURG.DEIDR

E.H.1289435464

Digitally signed by

Date: 2022.04.01 08:29:05 -04'00'

(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 the Department of Defense, Executive Services and Communications 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

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

X004 A

Engine Test Stand FD2060-22-30012

C004 Engineering Change Proposal

DI-SESS-80639E PWS para 4.7.2 AFLCMC/WNZ

DD

N/A C

ASREQ

N/A

ASREQ

ASREQ

0 0 0

Contracting Officer 1 Program Manager 1 Engineer 1

0 3 0

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors (administrative use)(28 January 2022).

Other requests for this document shall be referred to AFLCMC/WNZ.

BLK 10: The contractor shall submit an ECP prior to changing the form, fit, or function of any component or system.

BLK 12: The contractor shall submit the ECP 30 days prior to scheduled installation unless otherwise approved by AFLCMC/WNZ. See PWS para 4.7.3.

BLK 13: After the contractor submits the ECP the government will have 21 days to provide approval/disapproval and the contractor will have 10 days to make changes and make a subsequent submission.

BLK 14: Documents shall be provided via e-mail utilizing standard Microsoft Office applications. Procurement Officer(s) e-mail along with Integrated Product Team e-mail distro list will be provided as required.

Mick Randel 09/23/2021

GRIEPENBURG.DEID

RE.H.1289435464

Digitally signed by

Date: 2022.04.01 08:30:28 -04'00'

(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 the Department of Defense, Executive Services and Communications 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

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

X004 A

Engine Test Stand FD2060-22-30012

C005 Notice Of Revision (NOR)

DI-SESS-80642E PWS para 4.7.3 AFLCMC/WNZ

DD

N/A C

ASREQ

N/A

ASREQ

ASREQ

0 0 0

Contracting Officer 1 Program Manager 1 Engineer 1

0 3 0

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors (administrative use)(28 January 2022).

Other requests for this document shall be referred to AFLCMC/WNZ.

BLK 10/12: The contractor shall submit the NOR 30 days prior to scheduled installation unless otherwise approved by AFLCMC/WNZ. See PWS para 4.7.3.

BLK 13: After the contractor submits the NOR the government will have 21 days to provide approval/disapproval and the contractor will have 10 days to make changes and make a subsequent submission.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Procurement Officer(s) e-mail along with Integrated Product Team e-mail distro list will be provided as required.

Mick Randel 09/23/2021

GRIEPENBURG.DEIDR

E.H.1289435464

Digitally signed by

Date: 2022.04.01 08:31:45 -04'00'

(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 the Department of Defense, Executive Services and Communications 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

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

X004 A

Engine Test Stand FD2060-22-30012

C006 Test Procedure

DI-NDTI-80603A PWS para 4.7.4 AFLCMC/WNZ

DD

A C

1 TIME

N/A

60DPTT

N/A 0 0 0

Contracting Officer 1 1 Program Manager 1 1 Engineer 1 1

3 3 0

BLK 8: The Government will have 30 days after receipt of the test procedures for approval or disapproval. The contractor shall have 14 days after receipt of the Government comments to resubmit the procedures.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors (administrative use)(28 January 2022).

Other requests for this document shall be referred to AFLCMC/WNZ.

BLK 12: The contractor shall submit the test procedures 60 days before the start of the test.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Documents shall be provided to the program team and the contracting officer.

Mick Randel 09/23/2021

GRIEPENBURG.DEIDR

E.H.1289435464

Digitally signed by

Date: 2022.04.01 08:33:06 -04'00'

(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 the Department of Defense, Executive Services and Communications 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

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

X004 A

Engine Test Stand FD2060-22-30012

C007 Test/Inspection Report

DI-NDTI-80809B NOT 2 PWS para 4.7.4 AFLCMC/WNZ

SD

A C

ASREQ

N/A

ASREQ

N/A 0 0 0

Contracting Officer 1 Program Manager 1 Engineer 1

0 3 0

BLK 8: The Government will have 45 days after receipt of the test report to approve or disapprove. The contractor shall have 21 days after receipt of the Government comments to resubmit the report.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors (administrative use)(28 January 2022).

Other requests for this document shall be referred to AFLCMC/WNZ.

BLK 10: One test inspection report required per delivery order

BLK 12: The test report shall be submitted 21 days after the completion of the test.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. The test report shall be sent to the program office and the contracting officer.

Mick Randel 09/23/2021

GRIEPENBURG.DEIDR

E.H.1289435464

Digitally signed by

Date: 2022.04.01 08:34:23 -04'00'

(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 the Department of Defense, Executive Services and Communications 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

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

X004 A

Engine Test Stand FD2060-22-30012

C008 Product Engineering Design Data and Associated Lists

DI-SESS-81000F PWS para 4.7.5 AFLCMC/WNZ

DD

N/A C

ASREQ

N/A

ASREQ

ASREQ

0 0 0

Contracting Officer 1 Program Manager 1 Engineer 1

0 3 0

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors (administrative use)(28 January 2022).

Other requests for this document shall be referred to AFLCMC/WNZ.

BLK 10/12: The Contractor shall develop product drawings and associated lists for any missing, illegible, or obsolete items identified during the course of each repair process. See PWS para 4.7.5.

BLK 13: The Contractor shall submit this list with an ECP for Government approval and coordination prior to altering, revising, or otherwise changing any feature of the items involved within the scope of this contract.

BLK 14: Documents shall be provided via e-mail utilizing standard Microsoft Office applications. Procurement Officer(s) e-mail along with Integrated Product Team e-mail distro list will be provided as required.

Mick Randel 09/23/2021

GRIEPENBURG.DEID

RE.H.1289435464

Digitally signed by

Date: 2022.04.01 08:36:04 -04'00'

C001 DI-MGMT-81838 CAVAF CFM End Item Report (2)
C002 DI-PSSS-81995A CDM Monthly Production Report
C003 DI-ADMN-80447A Contract Summary Report
C004 DI-SESS-80639E Engineering Change Proposal
C005 DI-SESS-80642E Notice Of Revision (NOR)
C006 DI-NDTI-80603A Test Procedure
C007 DI-NDTI-80809D Test-Inspection Report
C008 DI-SESS-81000F Product Engineering Design Data and Associated Lists

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