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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 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

data_item: A001 title: First Article Qualification Test Plan sub: First Article Test Procedure auth: DI-NDTI-81307A ref: USAF AFMC 260 Block 9C req_ofc: 415 SCMS/GUEA dd250: DD appcode: A dist: D freq: ONE/R asof: NA firstsub: See 16 subsub: NA addressee1: FY2073 draft1:

reg1: 1 repro1:

addressee2: 415 SCMS/EN draft2:

reg2:

repro2: 1 addressee3: William Powell draft3:

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draft4:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block 9: Data submittal shall be marked with the following on the cover page:

DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 7 May 2020. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.

WARNING: Export Controlled Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

Block 12: The Contractor shall deliver the First Article Test Plan a minimum of 30 days prior to first article test. The contractor shall make any re-submittal NLT 15 days after receipt of government comments.

Block 14a: Electronic submission is acceptable. Addresses are:

415 SCMS/EN - 415SCMS.EN@us.af.mil William Powell - william.powell.38@us.af.mil

DODAAC: FY2073

Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820

CUI

CONTROLLED UNCLASSIFIED INFORMATION (CUI) Requirements:

Mark the top and bottom of the first page with CUI.

Include the CUI block below the Destruction Notice.

CUI Block:

"Controlled By: 415 Supply Chain Management Squadron CUI Categories: CTI, CUI EXPT Distribution/Dissemination Control: Distribution Statement D POC: STINFO Manager: 415SCMS.en@us.af.mil" group: NSP total_price: 0.00 prep_name: Engineer 415 SCMS/GUEA line_item: 0004 exhibit:

xtdp: Off xtm: Off othercat: NDTI system: AN/TPS-75 / 3:1 Combiner Assemblies ctr_no: FD2020-22-00845 contr: TBD remarksb:

Page2:

Reset:

2022-06-02T11:02:36-0600

POWELL.WILLIAM.ELIAS.1582372817

prep_date: 6/2/2022 app_by: Jackson Andrasko 415 SCMS/GUEA

2022-06-02T11:24:11-0600

ANDRASKO.JACKSON.1258051030

app_date: 6/2/2022

Page:

of_pages:

app: Adobe Professional 8.0

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 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 data_item: A002 title: Test/Inspection Report sub: First Article Test Report auth: DI-NDTI-80809B ref: USAF AFMC 260 Block 9E req_ofc: 415 SCMS/GUEA dd250: DD appcode: A dist: D freq: ONE/R asof: NA firstsub: See 16 subsub: NA addressee1: FY2073 draft1:

reg1: 1 repro1:

addressee2: 415 SCMS/EN draft2:

reg2:

repro2: 1 addressee3: William Powell draft3:

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draft4:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block 9: Data submittal shall be marked with the following on the cover page:

DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 7 May 2020. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.

WARNING: Export Controlled Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

Block 12: The Contractor shall deliver the First Article Test Report NLT 15 days after first article test. The contractor shall make any re-submittal NLT 15 days after receipt of government comments..

Block 14a: Electronic submission is acceptable. Addresses are:

415 SCMS/EN - 415SCMS.EN@us.af.mil William Powell - william.powell.38@us.af.mil

DODAAC: FY2073

Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820

CUI

CONTROLLED UNCLASSIFIED INFORMATION (CUI) Requirements:

Mark the top and bottom of the first page with CUI.

Include the CUI block below the Destruction Notice.

CUI Block:

"Controlled By: 415 Supply Chain Management Squadron CUI Categories: CTI, CUI EXPT Distribution/Dissemination Control: Distribution Statement D POC: STINFO Manager: 415SCMS.en@us.af.mil" group: NSP total_price: 0.00 prep_name: Engineer 415 SCMS/GUEA line_item: 0004 exhibit:

xtdp: Off xtm: Off othercat: NDTI system: AN/TPS-75 / 3:1 Combiner Assemblies ctr_no: FD2020-22-00845 contr: TBD remarksb:

Page2:

Reset:

2022-06-02T11:01:54-0600

POWELL.WILLIAM.ELIAS.1582372817

prep_date: 6/2/2022 app_by: Jackson Andrasko 415 SCMS/GUEA

2022-06-02T11:25:43-0600

ANDRASKO.JACKSON.1258051030

app_date: 6/2/2022

Page:

of_pages:

app: Adobe Professional 8.0

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 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 data_item: A005 title: Counterfeit Prevention Plan sub: CPP auth: DI- MISC-81832 ref:

req_ofc: 415 SCMS/GUEA dd250: DD appcode: A dist: D freq: 1TIME asof: N/A firstsub: 30DAC subsub: N/A addressee1: FY2073 draft1:

reg1: 1 repro1:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the CO/ACO without further revision to this CDRL.

Block 4: Plan shall include all items from section 3 of SAE AS5553.

Block 12: Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award. Government comments provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.

Block 14: Document submission shall be made electronically using MS Office 2016 or newer format or Portable Document Format (PDF).

Address e-mail submissions to:

415 SCMS/EN - 415SCMS.EN@us.af.mil William Powell - william.powell.38@us.af.mil

DODAAC: FY2073

Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820

Block 9:

DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 21 Nov 2008. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.

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

group: NSP total_price: 0.00 prep_name: Engineer 415 SCMS/GUEA line_item: 0005 exhibit: C xtdp: Off xtm: Off othercat: MISC system: AN/TPS-75 / 3:1 Combiner Assemblies-ctr_no: FD2020-22-00845 contr: TBD remarksb:

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Reset:

2022-06-02T10:33:30-0600

POWELL.WILLIAM.ELIAS.1582372817

prep_date: 6/2/2022 app_by: Jackson Andrasko 415 SCMS/GUEA

2022-05-11T09:13:04-0600

ANDRASKO.JACKSON.1258051030

app_date: 5/11/2022

Page:

of_pages:

app: Adobe Professional 8.0

FIRST ARTICLE REQUIREMENTS 1. DATE

03 MAY 2022(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

2. PR / MIPR NUMBER 3. CAGE / REFERENCE NUMBER

97942 / 1D22498G14

4. NSN

5840012257279ZR

5. FIRST ARTICLE QUANTITY

THE FIRST ARTICLE IS 1 UNIT(S) OF LOT / ITEM 1

AND WILL BE: X PART OF PRODUCTION QUANTITY IN ADDITION TO PRODUCTION QUANTITY

6. ARTICLES

X WILL WILL NOT SERVE AS A MANUFACTURING STANDARD

7. LONG LEAD TIME ITEMS

REQUIRED X NOT REQUIRED

(See FAR 52.209-3 OR -4, alternate II)

8. SPECIAL REQUIREMENT/PRODUCTION FACILITIES (See FAR 52.209-3 OR -4 Alternate I)

"The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered."

9. TEST / INSPECTION REQUIREMENTS

A. X CONTRACTOR TESTING

GOVERNMENT TESTING

Performance or other characteristics which the First Articles must meet are

Performance or other characteristics can be found in JEDMICS Drawings 1D22498 and 646A934 (Test Spec). Additional performance and characteristics can be found in USAF Technical Orders 31P3-2TPS75-2-2 and 31P3-2TPS75-12.

B. The detailed technical requirements for First Article approval tests are contained in

Technical requirements for First Article testing can be found in JEDMICS Drawings 1D22498 and 646A934 (Test Spec). In addition to bench testing, this item requires an in-system test with a TPS-75, or equivalent, to validate the part. In-system testing can be found in USAF Technical Orders 31P3-2TPS75-2-2 and 31P3-2TPS75-12.

(Cite Spec and Para number)

C. X TEST PLAN REQUIRED

Number of days for government approval / disapproval 20 days.

D. Contractor's notification to ACO and

415 SCMS/GUEA Engineer: William Powell

(Requesting Activity) of test time and location due 30 days prior to start of testing.

E. X TEST REPORT REQUIRED

(1) Forwarded to

415 SCMS/GUEA Engineer

William Powell email: william.powell.38@us.af.mil

(2) Government written notice of approval / disapproval due 20 days after receipt of contractor's report.

F. FIRST ARTICLE DELIVERY

(1) Due within 100 calendar days from date contract.

(2) Notify 20 calendar days prior to shipment.

(3) Delivered to government at

Contractor Testing

(Set Forth Consignee and Address)

(4) Government written notice of approval / disapproval within 15 days after receipt of first article package.

G. Estimated cost of government testing / inspection evaluation.

$3,000.0000

Page 1 of 2AFMC IMT 260, 20020830, V-3 Version 1Generated by PRPS using Jasper Reports on 18 May 2022

03 MAY 2022(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

10. DISPOSITION OF FIRST ARTICLES

X Approved First Articles will be forwarded to

Government Supply

(insert quantity) First Articles will be expended in testing. Residual components of disapproved First Articles will be returned to the contractor will be retained by pending disposition instructions from the contractor.

First Articles will be installed on aircraft/equipment to determine proper fit/function. Approved article will remain on the aircraft/equipment and will not be forwarded to USAF Supply, but will be considered part of the contract quantity.

X Disapproved First Articles

X will be returned to the contractor

On purchase requests designated as direct shipments the following disposition will apply. (NOTE: Always applicable on Foreign Military Sales (FMS)).

a. Approved First Articles will be returned to the contractor for shipment with production item.

b. Disposition of disapproved First Articles will remain the same as marked above.

Other Disposition:

11. CONDITION(S) FOR WAIVER OF FIRST ARTICLE APPROVAL

a. X Offerors who have previously furnished production quantities of the same or similar article to the prime contractor for delivery to the Government, DoD, X Air Force.

b. X Offerors currently in production of the same or similar article for a Government, DoD, X Air Force contract and who have received First Article approval under the existing contract.

c. X Offerors who have previously furnished production quantities of the same or similar articles to the Government, DoD, X Air Force, provided articles thus furnished, have exhibited satisfactory performance in service in the opinion of the Air Force.

d. Provided not more than months have elapsed since completion of the contract.

e. First Article testing will not be waived.

f. See Remarks in block 12 below.

NOTE TO BUYER: UNDER CONDITIONS A AND C ABOVE, THE COGNIZANT ENGINEERING ACTIVITY WILL DECIDE WHETHER OR NOT THE ITEM HAS EXHIBITED SATISFACTORY PERFORMANCE IN SERVICE AND PREPARE AND RETAIN SUPPORTING DOCUMENTATION TO FULLY JUSTIFY THIS DECISION. THE BUYER MUST SOLICIT DUAL PRICES (That is, both with and without requirement for first article approval) AND MUST FURNISH THE COGNIZANT ENGINEERING ACTIVITY WITH THE FOLLOWING INFORMATION ON THE PREVIOUSLY SUPPLIED ARTICLE:

A. PROCURING OFFICE B. CONTRACT NUMBER C. DATE OF CONTRACT D. SPECIFICATION NUMBER AND REVISION

12. REMARKS

Powell, William ENAME: 18 MAY 2022DATE:

The contractor is responsible for bench testing at their own facility. In addition, the contractor is responsible for in-system testing with a TPS-75 or equivalent. This may be accomplished at the contractor's facility or another facility with access to a TPS-75 or equivalent.

Note: Electronic copies of the Test Plan and Test Report are acceptable and preferred. Send electronic copies to 415 SCMS/GUEA Engineer - William Powell <william.powell.38@us.af.mil>.

13. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR APPROVING TEST

(Name, Organization, Phone)

Powell, William E

415 SCMS / GU E A

801-668-1674

668-1674

14. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR CONDUCTING

TEST (Name, Organization, Phone)

Page 2 of 2AFMC IMT 260, 20020830, V-3 Version 1Generated by PRPS using Jasper Reports on 18 May 2022

12 MAY 2022(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

97942 / 1D22498G02

5840012257282ZR

"The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must

Performance or other characteristics can be found in JEDMICS Drawings 1D22498 and 646A934 (Test Spec). Additional performance and characteristics can be found

Technical requirements for First Article testing can be found in JEDMICS Drawings 1D22498 and 646A934 (Test Spec). In addition to bench testing, this item requires an in-system test with a TPS-75, or equivalent, to validate the part. In-system testing can be found in USAF Technical Orders 31P3-2TPS75-2-2 and 31P3-2TPS75-12.

415 SCMS Engineer: William Powell

(2) Government written notice of approval / disapproval due 20 days after receipt of contractor's report.

(4) Government written notice of approval / disapproval within 15 days after receipt of first article package.

Page 1 of 2AFMC IMT 260, 20020830, V-3 Version 1Generated by PRPS using Jasper Reports on 18 May 2022

12 MAY 2022(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

(insert quantity) First Articles will be expended in testing. Residual components of disapproved First Articles

First Articles will be installed on aircraft/equipment to determine proper fit/function. Approved article will remain on the aircraft/equipment and will not be forwarded

On purchase requests designated as direct shipments the following disposition will apply. (NOTE: Always applicable on Foreign Military Sales (FMS)).

a. X Offerors who have previously furnished production quantities of the same or similar article to the prime contractor for delivery to the Government, DoD,

b. X Offerors currently in production of the same or similar article for a Government, DoD, X Air Force contract and who have received First Article

c. X Offerors who have previously furnished production quantities of the same or similar articles to the Government, DoD, X Air Force, provided articles

NOTE TO BUYER: UNDER CONDITIONS A AND C ABOVE, THE COGNIZANT ENGINEERING ACTIVITY WILL DECIDE WHETHER OR NOT THE ITEM HAS EXHIBITED SATISFACTORY PERFORMANCE IN SERVICE AND PREPARE AND RETAIN SUPPORTING DOCUMENTATION TO FULLY JUSTIFY THIS DECISION. THE BUYER MUST SOLICIT DUAL PRICES (That is, both with and without requirement for first article approval) AND MUST FURNISH THE

The contractor is responsible for bench testing at their own facility. In addition, the contractor is responsible for in-system testing with a TPS-75 or equivalent. This may be

Note: Electronic copies of the Test Plan and Test Report are acceptable and preferred. Send electronic copies to 415 SCMS/GUEA Engineer - William Powell

Page 2 of 2AFMC IMT 260, 20020830, V-3 Version 1Generated by PRPS using Jasper Reports on 18 May 2022

12 MAY 2022(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

97942 / 1D22498G09

5840012288028ZR

"The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must

Performance or other characteristics can be found in JEDMICS Drawings 1D22498 and 646A934 (Test Spec). Additional performance and characteristics can be found

Technical requirements for First Article testing can be found in JEDMICS Drawings 1D22498 and 646A934 (Test Spec). In addition to bench testing, this item requires an in-system test with a TPS-75, or equivalent, to validate the part. In-system testing can be found in USAF Technical Orders 31P3-2TPS75-2-2 and 31P3-2TPS75-12.

415 SCMS/GUEA Engineer: William Powell

(2) Government written notice of approval / disapproval due 20 days after receipt of contractor's report.

(4) Government written notice of approval / disapproval within 15 days after receipt of first article package.

Page 1 of 2AFMC IMT 260, 20020830, V-3 Version 1Generated by PRPS using Jasper Reports on 18 May 2022

12 MAY 2022(AFMCI 64-110, AFMCI 23-102 and FAR Part 9, Sub Part 9.3)(Additional Instructions on Page 3)

(insert quantity) First Articles will be expended in testing. Residual components of disapproved First Articles

First Articles will be installed on aircraft/equipment to determine proper fit/function. Approved article will remain on the aircraft/equipment and will not be forwarded

On purchase requests designated as direct shipments the following disposition will apply. (NOTE: Always applicable on Foreign Military Sales (FMS)).

a. X Offerors who have previously furnished production quantities of the same or similar article to the prime contractor for delivery to the Government, DoD,

b. X Offerors currently in production of the same or similar article for a Government, DoD, X Air Force contract and who have received First Article

c. X Offerors who have previously furnished production quantities of the same or similar articles to the Government, DoD, X Air Force, provided articles

NOTE TO BUYER: UNDER CONDITIONS A AND C ABOVE, THE COGNIZANT ENGINEERING ACTIVITY WILL DECIDE WHETHER OR NOT THE ITEM HAS EXHIBITED SATISFACTORY PERFORMANCE IN SERVICE AND PREPARE AND RETAIN SUPPORTING DOCUMENTATION TO FULLY JUSTIFY THIS DECISION. THE BUYER MUST SOLICIT DUAL PRICES (That is, both with and without requirement for first article approval) AND MUST FURNISH THE

The contractor is responsible for bench testing at their own facility. In addition, the contractor is responsible for in-system testing with a TPS-75 or equivalent. This may be

Note: Electronic copies of the Test Plan and Test Report are acceptable and preferred. Send electronic copies to 415 SCMS/GUEA Engineer - William Powell

Page 2 of 2AFMC IMT 260, 20020830, V-3 Version 1Generated by PRPS using Jasper Reports on 18 May 2022