CDRLS.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

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, 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 X

D. SYSTEM / ITEM

FIDL

E. CONTRACT / PR NO.

FD20602300025

F. CONTRACTOR

Calculex

1. DATA ITEM NO.

A001 / B001 / C001 / D001 / E001

2. TITLE OF DATA ITEM

CAVAF/Contract Furnished Material End Item Report

3. SUBTITLE

CAVAF

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.3.3

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

11. AS OF DATE

see Block 16

12. DATE OF FIRST

SUBMISSION

see Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

see Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jackson, Courtney JNAME: 04 APR 2023DATE:

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 Paragraph 4.7 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:

Program Manager: Ileana Cruz-Mujica (ileana.cruz-mujica@us.af.mil) Supply Planner: Courtney Jackson (courtney.jackson.12@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.

Llantada, Julie LNAME: 09 NOV 2022DATE:

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 Paragraph 4.3.3 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:

Program Managers:

Capt Shaun Mize (shaun.mize.1@us.af.mil) Ileana Cruz-Mujica (ileana.cruz-mujica@us.af.mil)

Supply Planner: Julie Llantada (julie.llantada@us.af.mil)

See Block 16 0 3 0

0 3 015. TOTAL

Page 1 of 6DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 07 Apr 2023

PREVIOUS EDITION MAY BE USED.

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.

COORDINATORS:

G. PREPARED BY

Jackson, Courtney J

407 SCMS / GULB

478-327-5054

H. DATE

07 APR 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Mize, Shaun D

407 SCMS / GULBA 478-926-9686 / 468-9686

J. DATE

04-APR-23

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

TDP TM OTHER X

D. SYSTEM / ITEM

FIDL

E. CONTRACT / PR NO.

FD20602300025

F. CONTRACTOR

Calculex

1. DATA ITEM NO.

A002 /B002 / C002 / D002 / E002

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Annual Government Property Physical Inventory Report

4. AUTHORITY

DI-MGMT-80441D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Reference 4.3.3.1

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ANNLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jackson, Courtney JNAME: 04 APR 2023DATE:

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 reports shall be submitted in the English Language.

2. Blocks 10, 11, 12, 13:

a. This report will be provided annually. Reporting Period is one year.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

3. Block 9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 1 MAR 2022. Other requests for this document shall be referred to 407 SCMS/GULB.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

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. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

Program Manager: Ileana Cuz-Mijica (ileana.cruz-mujica@us.af.mil) Supply Planner: Courtney Jackson (courtney.jackson.12@us.af.mil) Requirements:

1. Reference documents. None.

2. Format. The report shall be in an electronic .xls or .xlsx compatible format.

3. Content. The report shall contain the following column headers (i.e., data fields):

A. Contract Number B. Agency or Service Asset Identification Number (GFP Only)

See Block 16 0 1 0

0 1 015. TOTAL

Page 2 of 6DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 07 Apr 2023

C. Contractor Asset Identification Number D. Item Description E. Manufacturer Part Number F. Manufacturer Model Number G. Manufacturer Serial Number H. National Stock Number (NSN) (if applicable) I. Quantity J. Unit of Measure

Rogers, Tiffany SNAME: 07 SEP 2022DATE:

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 reports shall be submitted in the English Language.

2. Blocks 10, 11, 12, 13:

a. This report will be provided annually. Reporting Period is one year.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

3. Block 9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 1 MAR 2022. Other requests for this document shall be referred to 407 SCMS/GULB.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

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. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

Program Manager: Cereice Burke (ceriece.burke@us.af.mil) Supply Planner: Courtney Jackson (courtney.jackson.12@us.af.mil)

Requirements:

1. Reference documents. None.

2. Format. The report shall be in an electronic .xls or .xlsx compatible format.

3. Content. The report shall contain the following column headers (i.e., data fields):

A. Contract Number B. Agency or Service Asset Identification Number (GFP Only) C. Contractor Asset Identification Number D. Item Description E. Manufacturer Part Number F. Manufacturer Model Number G. Manufacturer Serial Number H. National Stock Number (NSN) (if applicable) I. Quantity J. Unit of Measure K. Unit Acquisition Cost L. Unique Item Identifier (if registered in the Item Unique Identification (IUID) Registry; GFP only) M. Asset Location N. Asset Sub-Location (if applicable) O. Type of Government Property (i.e., Government Furnished Property (GFP) or Contractor Acquired Property (CAP) P. Classification of Government Property (i.e., Communication Security (COMSEC), Equipment (EQP), Material (MAT), Special Test Equipment (STE), or Special Tooling (ST)) Q. Date of Last Physical Inventory R. Federal Condition Code

COORDINATORS:

G. PREPARED BY

Jackson, Courtney J

407 SCMS / GULB

478-327-5054

H. DATE

07 APR 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Mize, Shaun D

407 SCMS / GULBA 478-926-9686 / 468-9686

J. DATE

04-APR-23

Page 3 of 6DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 07 Apr 2023

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

TDP TM OTHER X

D. SYSTEM / ITEM

FIDL

E. CONTRACT / PR NO.

FD20602300025

F. CONTRACTOR

Calculex

1. DATA ITEM NO.

A003 / B003 / C003 / D003 / E003

2. TITLE OF DATA ITEM

Contractor Depot Maintenance Production Report

3. SUBTITLE

CDM Production Report

4. AUTHORITY

DI-PSSS-81995

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.3.3.2

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jackson, Courtney JNAME: 04 APR 2023DATE:

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-81995) 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-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 5 (five) business 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 407 SCMS/GULB, Program Manager (PM) or the Production Management Specialist (PMS),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 5 JUN 2019. Other requests for this document shall be referred to 407 SCMS/GULB

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

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. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

Program Manager: Ileana Cruz-Mujica (E-mail: ileana.cruz-mujica@us.af.mil) Supply Planner: Courtney Jackson (courtney.jackson.12@us.af.mil)

Llantada, Julie LNAME: 09 NOV 2022DATE:

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-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

See Block 16 0 3 0

0 3 015. TOTAL

Page 4 of 6DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 07 Apr 2023

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) 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 address:

Program Manager: Capt Shaun Mize (shaun.mize.1@us.af.mil) / Ileana Cruz-Mujica (Ileana.cruz-mujica@us.af.mil) Supply Planner: Julie Llantada (julie.llantada@us.af.mil)

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 3 Nov 2022. Other requests for this document shall be referred to 407

SCMS/GULB

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

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 IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

4. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 10 (ten) business 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 Supply Planner (SP),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

COORDINATORS:

G. PREPARED BY

Jackson, Courtney J

407 SCMS / GULB

478-327-5054

H. DATE

07 APR 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Mize, Shaun D

407 SCMS / GULBA 478-926-9686 / 468-9686

J. DATE

04-APR-23

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

TDP TM OTHER X

D. SYSTEM / ITEM

FIDL

E. CONTRACT / PR NO.

FD20602300025

F. CONTRACTOR

Calculex

1. DATA ITEM NO.

A004 / B004 / C004 / D004 / E004

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80639D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.7.1

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

XX

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

ASREQ

12. DATE OF FIRST

SUBMISSION

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jackson, Courtney JNAME: 04 APR 2023DATE:

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.

Block 7: The Government will accept the receiving report through WAWF. The contractor shall submit the receiving report upon final submission to DODAAC FB2065, Attention: ileana.cuz-mujica@us.af.mil (Program Manager) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove within 30 calendar days after receipt.

Block 9: DISTRIBUTATION STATEMENT "B": Distribution authorized to U.S. Government agencies only for Administrative or Operational Use, 8 AUG 2019. Other requests for this document shall be referred to 407

SCMS/GUEA.

407 SCMS/GUEA

235 Byron St. Ste. A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

Page 5 of 6DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 07 Apr 2023

Block 10, 11, 12, 13: As required, upon each occurrence.

Block 14: Document submission shall be provided electronically in Portable Document Format (PDF) to the points of contact (POCs) listed below:

Ileana Cruz-Mujica 407 SCMS/ GULBA, Logistics Manager ileana.cuz-mujica@us.af.mil

Carl Jones 407 SCMS/GUEA, Electronics Engineer carl.jones.4@us.af.mil

407 SCMS/GUEA

235 Byron St. Ste. 19A Robins AFB, GA 31098

Ellis, Jonathan ANAME: 13 NOV 2018DATE:

BLOCK 7-8: The ECP and product configuration documentation shall be submitted to the government for approval and configuration control.

COORDINATORS:

G. PREPARED BY

Jackson, Courtney J

407 SCMS / GULB

478-327-5054

H. DATE

07 APR 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Mize, Shaun D

407 SCMS / GULBA 478-926-9686 / 468-9686

J. DATE

04-APR-23

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

TDP TM OTHER X

D. SYSTEM / ITEM

FIDL

E. CONTRACT / PR NO.

FD20602300025

F. CONTRACTOR

Calculex

1. DATA ITEM NO.

A005 / B005 / C005 / D005 / E005

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

Mishap Notification and Reporting

4. AUTHORITY

DI-SAFT-81563

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 5.6

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

N/A

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

11. AS OF DATE

Contract Award

12. DATE OF FIRST

SUBMISSION

As Required

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jackson, Courtney JNAME: 04 APR 2023DATE:

The Contractor shall report mishaps involving damage or injury to USAF interests by contacting the Contracting Officer Representative by telephone within four hours and the Contractor shall cooperate with USAF safety investigations.

Adams, Andrew CNAME: 04 OCT 2019DATE:

The Contractor shall report mishaps involving damage or injury to USAF interests by contacting the Contracting Officer Representative by telephone within four hours and the Contractor shall cooperate with USAF safety investigations.

COORDINATORS:

407 SCMS/GULB

235 Byron St. Suite 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Jackson, Courtney J

407 SCMS / GULB

478-327-5054

H. DATE

07 APR 2023

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Mize, Shaun D

407 SCMS / GULBA 478-926-9686 / 468-9686

J. DATE

04-APR-23

Page 6 of 6DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 07 Apr 2023