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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 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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

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.

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

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.

DD FORM 1423-1 (BACK), FEB 2001

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Test Procedure

3_SUBTITLE: Acceptance Test Procedure (ATP)

4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GULB

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: AS REQ

11_AS_OF_DATE: See Blk 16

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16 addressee1: 408 SCMS/GULB draft1: 0 reg1: 1 repro1: 0 addressee2:

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16_REMARKS: Blk 4: Contractor format is acceptable. Acceptance Test Procedure shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. Acceptance Test Procedure shall be formatted for printing on standard 8.5" x 11" paper. Acceptance Test Procedures shall have developed in accordance with 330404 drawings specifications. Submissions shall be electronically submitted

BLK 7: Submit invoice in WAWF (FB2065) after submittal of final report to account for all previously submitted.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of June 26th, 2021. Other requests shall be referred to AFLCMC/WIG or higher DoD authority.

BLKS 11 & 12: First submission shall be no later than 90 days after contract award. Approval/Disapproval of subsequent submissions will be furnished within 30 days of receipt.

BLK 13: Revisions shall be furnished to personnel mentioned above within 30 days after receipt of comments.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of contact names and email addresses prior to submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jared Pitts

H_DATE: 8 April 2021

1_APPROVED_BY:

J_DATE: 3 Nov 21

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: ALR-56M

E_CONTRACTPR_NO: FD2060-22-00134

FCONTRACTOR: Ultra Herley

16_REMARKS_Continued:

Page2: 4 of_pages:

Reset:

2021-11-03T12:14:17-0400

GORDON.JAMES.H.JR.1233601710

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Test/Inspection Report

3_SUBTITLE: Acceptance Test Report (ATR)

4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GULB

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: AS REQ

11_AS_OF_DATE: See Blk 16

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16 addressee1: 408 SCMS/GULB draft1: 0 reg1: 2 repro1: 0 addressee2:

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16_REMARKS: Blk 4: Contractor format is acceptable. Acceptance Test Report shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. Acceptance Test Report shall be formatted for printing on standard 8.5" x 11" paper. Acceptance Test Report shall document testing of units in accordance with Government approved ATP/Specifications. Report shall only indicate pass/fail associated with specification paragraph due to sensitive nature of the specifications. First submission shall be delivered electronically via e-mail

BLK 7: Submit invoice in WAWF (FB2065) after submittal of final report to account for all previously submitted.

BLK 8: Approval/Disapproval of first submission will be furnished within 45 days. Approval/Disapproval of subsequent submissions will be furnished within 30 days of receipt.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of June 26th, 2021. Other requests shall be referred to AFLCMC/WIG or higher DoD authority.

BLKS 11, 12, & 13: Submissions shall be no later than 30 days after acceptance testing (Group A) has completed.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of contact names and email addresses prior to submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jared Pitts

H_DATE: 8 April 2021

1_APPROVED_BY:

J_DATE: 3 Nov 21

Page:

reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: ALR-56M

E_CONTRACTPR_NO: FD2060-22-00134

FCONTRACTOR: Ultra Herley

16_REMARKS_Continued:

Page2: 4 of_pages:

Reset:

2021-11-03T12:20:42-0400

GORDON.JAMES.H.JR.1233601710

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Item Unique Identification (IUID) Marking Plan

3_SUBTITLE: Item Unique Identification (IUID) Marking Plan

4_AUTHORITY_Data_Acquisit: DI-MGMT-81803

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GULB

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: See Block 16

11_AS_OF_DATE: See Blk 16

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16 addressee1: 408 SCMS/GULB draft1: 0 reg1: 2 repro1: 0 addressee2:

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16_REMARKS: BLK 4: Contractor format is acceptable. IUID Marking Plan shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project.

IUID Marking Plan shall be formatted for printing on standard 8.5" x 11" paper.

Submission shall be delivered electronically via email to the following people:

Marking Plan shall be delivered electronically via E-mail

BLK 7: Submit invoice in WAWF (FB2065) after submittal of final report to account for all previously submitted.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of June 26th, 2021. Other requests shall be referred to AFLCMC/WIG or higher DoD authority.

BLKS 8 & 10-13 Submit NLT 30 days after contract award. Government comments/approval will be provided 15 days after receipt. The contractor shall submit within 15 days after receipt of Government comments.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of contact names and email addresses prior to submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jared Pitts

H_DATE: 8 April 2021

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: ALR-56M

E_CONTRACTPR_NO: FD2060-22-00134

FCONTRACTOR: Ultra Herley

16_REMARKS_Continued:

Page2: 4 of_pages:

Reset:

2021-11-03T12:19:11-0400

GORDON.JAMES.H.JR.1233601710

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Item Unique Identification (IUID) Marking Activity and Verification Report

3_SUBTITLE: Item Unique Identification (IUID) Marking Activity and Verification Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-81804A

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GULB

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: See Blk 16

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: 408 SCMS/GULB draft1: 0 reg1: 2 repro1: 0 addressee2:

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16_REMARKS: BLK 4: Contractor format is acceptable. 100% of the units shall be inspected, evaluated and added to the Activity and Verification Report.

Initial report during each production cycle with be delivered electronically via E-mail

All subsequent reports will be stored for 3 years within the contractor's facility or until deemed no longer required by AFLCMC/WIG

BLKS 8 & 10-13 Delivery shall be 30 days after Government acceptance of each asset. Government comments/approval will be provided 15 days after receipt. The contractor shall submit within 15 days after receipt of Government comments.

BLK 7: Submit invoice in WAWF (FB2065) after submittal of final report to account for all previously submitted.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of June 26th, 2021. Other requests shall be referred to AFLCMC/WIG or higher DoD authority.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of contact names and email addresses prior to submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jared Pitts

H_DATE: 8 April 2021

1_APPROVED_BY:

J_DATE: 3 Nov 21

Page:

reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: ALR-56M

E_CONTRACTPR_NO: FD2060-22-00134

FCONTRACTOR: Ultra Herley

16_REMARKS_Continued:

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A005

2_TITLE_OF_DATA_ITEM: Counterfeit Prevention Plan

3_SUBTITLE: Counterfeit Prevention Plan Verification Report

4_AUTHORITY_Data_Acquisit: DI-MISC-81832

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GULB

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ONE/R

11_AS_OF_DATE: ASREQ

12_DATE_OF_FIRST_SUBMISSI: 30DAC

13_DATE_OF_SUBSEQUENT_SUB: ASREQ

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16_REMARKS: BLK 4: Contractor format is acceptable. Counterfeit Prevention Plan shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. Counterfeit Prevention Plan shall be formatted for printing on standard 8.5" x 11" paper. Submission shall be delivered electronically via email

BLK 7: Submit invoice in WAWF (FB2065) after submittal of final report to account for all previously submitted.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of June 26th, 2021. Other requests shall be referred to AFLCMC/WIG or higher DoD authority.

BLK 14: Submissions shall be made electronically to the Contracting Officer, Program Manager, and Program Engineer. Contractor shall request point of contact names and email addresses prior to submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jared Pitts

H_DATE: 8 April 2021

1_APPROVED_BY:

J_DATE: 3 Nov 21

Page:

reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: ALR-56M

E_CONTRACTPR_NO: FD2060-22-00134

FCONTRACTOR: Ultra Herley

16_REMARKS_Continued:

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