CDRLs_ExhibitA_DEICER_FORM1423.pdf
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- Attached to
- DEICER Trucks Federal contract opportunity
- Solicitation number
- FA8534-21-R-0002
About this file
This is a solicitation for deicing trucks. The solicitation seeks proposals for Class A truck mounted deicing units that can reach 42 feet and hold 1,600 gallons, as well as Class B extended reach deicing units that can reach 75 feet and hold 2,600 gallons. Both units will apply heated deicing fluid, deicing fluid via forced air or high efficiency nozzles, and unheated anti-icing fluid to aircraft. The Air Force estimates procuring 34 Class A units and 23 Class B units from fiscal year 2022 through 2027. The follow-on contract will have a two year base with four option years and be awarded as firm fixed price. Recent funding shows requirements of 14, 5, 5, 5, 5 Class A units and 7, 4, 4, 4, 4 Class B units per year from fiscal years 2022 through 2027. All responsible sources may submit proposals by the response date.
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CONTRACT DATA REQUIREMENTS LIST Form Approved
(1 Data Item) OMB No. 0704-0188
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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 E. CONTRACT/PR NO. F. CONTRACTOR
CLASS A: TRUCK MOUNTED DEICER
CLASS B: EXTENDED REACH DEICER
PR# 19-34168
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
A001 Contractor’s Progress, Status, and Management Report Monthly Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-81928
SOW para 3.1.3 AFLCMC/WNZ
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD Monthly 15 DAYS ARO b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
A BLK 13 Monthly
Reg Repr o
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 4: Contractor format acceptable. First document shall be submitted 15 calendar days after receipt of order for approval. Subsequent documents shall be submitted every 30 calendar days thereafter. Approval required for first submittal only.
BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to
AFLCMC/WNZ.
BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft
Office applications. Documents shall be submitted via encrypted e-mail to:
Support Equipment & Vehicles Division
ATTN: AFLCMC/WNZ Program Manager
Notification of submission shall be provided to the PCO via encrypted e-mail.
15. Total 2
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page of Pages
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A002 Conference Agenda
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-ADMN-81249B
SOW para 3.2.4 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT ASREQ BLK 16 b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
N/A BLK 16
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 4: Contractor format acceptable.
BLK 10, 12, & 13: Agenda shall be provided within 5 calendar days prior to the meeting.
Office applications. Documents shall be submitted via encrypted e-mail to:
AFLCMC/ WNK 0 1 0
15. Total 3
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A003 Conference Minutes
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-ADMN-81250B
SOW para 3.2.5 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT ASREQ BLK 16 b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
N/A BLK 16
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 10, 12, & 13: Minutes shall be provided no later than 2 calendar days after the meeting. Minutes shall include presentation material.
Office applications. Documents can be submitted via encrypted e-mail and/or CD-
ROM/DVD to:
235 Byron Street, Suite 19A
Robins AFB GA 31098-1813
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A004 System Safety Program Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-SAFT-81626
SOW para 3.3.1.1 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R 90 DAC b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
A N/A N/A
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 8: The Government will have 30 days after receipt of plan for approval or disapproval.
The contractor shall have 10 days after receipt of the Government comments to resubmit the plan.
Office applications. Documents can be submitted via encrypted e-mail, hard copies and/or
CD-ROM/ DVD to:
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A005 System Safety Hazard Analysis Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-SAFT-80101C
SOW para 3.3.1.1 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD TWICE BLK 16 b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
A N/A BLK 16
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 8: The Government will have 30 days after receipt of report for approval or disapproval. The contractor shall have 10 days after receipt of the Government comments to resubmit the report.
BLK 12: First submission due with First Article Test Procedures; 90 DAC.
BLK 13: Final submission due with Test/Inspection Report; 210 DAC.
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A006 First Article Qualification Test Plan and Procedures First Article Test Procedure
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-NDTI-81307A
SOW para 3.5.1.1 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONCE 90 DAC b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
16. REMARKS AFLCMC/WNZ 0 2 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.
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A007 Test/Inspection Report First Article Test Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-NDTI-80809B
SOW para 3.5.1.3 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ONCE 210 DAC b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 8: The Government will have 30 days after receipt of the test report to approve or disapprove. The contractor shall have 14 days after receipt of the Government comments to resubmit the report.
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A008 Product Base Line Index Configuration Management and Control
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-CMAN-82019
SOW para 3.6.1.1.2 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ASREQ BLK 16 b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
A N/A BLK 16
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 8: The Government will have 30 days after receipt of the data for approval or disapproval. The contractor shall have 10 days after receipt of the Government comments to resubmit the data.
BLK 10, 12, & 13: Product base line index shall be submitted within 30 days of the acceptance of the Test/Inspection Report. Any subsequent changes shall be submitted within
15 days after change approval.
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A009 Engineering Change Proposal
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-SESS-80639E SOW para 3.6.2 AFLCMC/WNZ
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ASREQ ASEQ b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A010 Notice of Revision (NOR)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-SESS-80642E
SOW para 3.6.2 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ASREQ ASREQ b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A011 Request for Variance
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-SESS-80640E
SOW para 3.6.3 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ASREQ ASREQ b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A012 Service Bulletins Technical Review Data Package
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MISC-81618
SOW para 3.7 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ASREQ ASREQ b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
A N/A ASREQ
16. REMARKS AFLCMC/WNZ 0 2 0
BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US
Government agencies and their contractors for administrative or operational use, 09
April 2019. Other requests for this document shall be referred to AFLCMC/WNZ.
BLK 10: The contractor shall prepare service bulletins as required to notify the government of new maintenance problems and/or procedures to be implemented on the contractor's equipment prior to issuance of permanent changes to the technical manuals. The service bulletins shall also identify any potential safety hazards previously identified. Contractor format is acceptable. Upon concurrence by AFLCMC/WNZ, contractor shall be responsible for issuance of service bulletins to the field.
CD-ROM/ DVD to the Equipment Specialist and Engineer:
ATTN: AFLCMC/WNZ Equipment Specialist
ATTN: AFLCMC/WNZ Engineer
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A013 Computer Software Product End Items
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-AVCS-80700
SOW para 3.4.3 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R BLK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
N/A N/A
16. REMARKS AFLCMC/WNZ 0 0 4
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of
Defense and U.S. DoD contractors only. Other requests for this document shall be referred to AFLCMC/WNZ.
BLK 12:
A. Four (4) copies of the CD/DVD-ROM containing source, object, and executable code for the software shall be delivered NLT 10 calendar days after successful completion of first article testing.
B. Four (4) copies of the CD/DVD-ROM containing only the executable code for the software shall be delivered NLT 10 calendar days after successful completion of first article testing.
BLK 14: Delivery shall be made to:
15. Total 4
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A014 Computer Program Identification Number Catalog Information
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MISC-81454D
SOW para 3.4.3 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R BLK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
BLK 16 BLK 16
16. REMARKS AFLCMC/WNZ 1 1 0
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of
Defense and U.S. DoD contractors only. Other requests for this document shall be referred to AFLCMC/WNZ.
BLK 11, 12, & 13: All software configuration items shall be identified at least 30 working days prior to first article testing. The contractor shall submit CPIN Catalog Information at least 20 working days prior to first article testing. The Government shall have 10 working days to review and comment. The contractor shall have final CPIN Catalog Information at first article testing for processing by the Government.
15. Total 1 1
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.
A015 Software Assurance (SwA) Evaluation Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-IPSC-82249
SOW para 3.6.4 AFLCMC/WNZ
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R BLK 16 b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
BLK 16 BLK 16
16. REMARKS AFLCMC/WNZ 1 1 1
BLK 11, 12, 13: The draft SwA Evaluation Report shall be delivered at least 30 working days prior to first article testing. The Government shall have 15 working days to review and comment. The contractor shall have final SwA Evaluation Report at first article testing for final review and approval by the Government.
15. Total 1 1 1
| A CONTRACT LINE ITEM NO: |
| B EXHIBIT: A |
| C CATEGORY TDP TM OTHER: |
| E CONTRACTPR NO PR 1934168: |
| F CONTRACTOR: |
| 3 SUBTITLE Monthly Status Report: |
| 17 PRICE GROUP: |
| 5 CONTRACT REFERENCE SOW para 313: |
| 6 REQUIRING OFFICE AFLCMCWNZ: |
| 7 DD 250 REQ DD: |
| 8 APP CODE A: |
| 9 DIST STATEMENT REQUIRED C: |
| 14 DISTRIBUTION: |
| b COPIES: |
| 11 AS OF DATE BLK 13: |
| DRAFT: |
| FINAL: |
| Reg: |
| Repr o: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email: |
| 216 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_2: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_2: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_3: |
| 216 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_2: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_4: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_3: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_5: |
| 216 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_3: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_6: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_4: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_7: |
| 216 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_4: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_8: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_5: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_9: |
| 216 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_5: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_10: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_6: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_11: |
| 216 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_6: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_12: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_7: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_13: |
| 216 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_7: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_14: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_8: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_15: |
| 216 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_8: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_16: |
| AFLCMCWNZ16 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_9: |
| 016 REMARKS BLK 4 Contractor format acceptable First document shall be submitted 15 calendar days after receipt of order for approval Subsequent documents shall be submitted every 30 calendar days thereafter Approval required for first submittal only BLK 9 DISTRIBUTION STATEMENT C Distribution authorized to US Government agencies and their contractors Other requests for this document shall be referred to AFLCMCWNZ BLK 14 Documents shall be provided via electronic media utilizing standard Microsoft Office applications Documents shall be submitted via encrypted email to Support Equipment Vehicles Division ATTN AFLCMCWNZ Program Manager Notification of submission shall be provided to the PCO via encrypted email_17: |
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