CDRLs-Final-4-Dec-2019.pdf

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Attached to
Structural Support & Engineering Services (SSES) Federal contract opportunity
Solicitation number
FA850920R0003
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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GFP-Inventory.pdf PDF
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Wage Determination.pdf PDF

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CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item)

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:

A TDP _____ TM ______ OTHER ______ ADMN_________

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

SOF-FW Integrity Programs and Engineering Services Support

FD2060-20-30024 Mercer Engineering Research Center (MERC)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Meeting Agenda

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81249B PWS Para 4.2, 4.4.1, 5.1.2 AFLCMC/WIUAG

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS See Blk 16 for email addresses 1 1

BLK 7: Contractor shall submit a final DD Form 250 to DODAAC FA8509; via iRAPT (formally WAWF), Michael.hatcher.4@us.af.mil The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational) (Sept 2019). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 8, 11-13: The Contractor shall submit a draft agenda to the Government no later than (NLT) 10 business days prior to any formal meeting. The Government will have 5 business days to review and provide comments. The Contractor shall submit final agenda NLT 5 business days prior to the formal meeting regardless of whether or not the Government has submitted comments.

BLK 14:

E-mail Addresses:

Michael.hatcher.4@us.af.mil

15. TOTAL ▬▬▬▬► 1 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Michael R. Hatcher 23 Sept 2019 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00 mailto:Michael.hatcher.4@us.af.mil

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:

A TDP _____ TM ______ OTHER ______ADMN______

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

A002 Presentation Material

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81373 PWS Para 4.2; 4.4.1.1, 5.1.2 AFLCMC/WIUAG

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS See Blk 16 for email addresses 1 1

BLK 7: Contractor shall submit a final DD Form 250 to DODAAC FA8509; via iRAPT (formally WAWF), Michael.hatcher.4@us.af.mil The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational) (23 Sept 2019). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 8, 11-13: The Contractor shall submit draft presentation material to the Government no later than 10 business days prior to any formal meeting. The Government will have 5 business days to review and provide comments. The Contractor shall submit final presentation material, NLT 5 business prior to the formal meeting regardless of whether or not the government has provided comments.

NOTE: The Government Program Manager will notify Contractor and determine when/if a meeting should be considered formal

BLK 14:

Michael R. Hatcher 23 Sept 2019 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00

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:

A TDP _____ TM ______ OTHER ______ADMN______

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

A003 Conference Minutes

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81250B PWS Para 4.2; 4.4.1.2, 5.1.2 AFLCMC/WIUAG

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS See Blk 16 for email addresses 1 1

BLK 7: Contractor shall submit a final DD Form 250 to DODAAC FA8509; via iRAPT (formally WAWF), Michael.hatcher.4@us.af.mil The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational) (23 Sept 2019). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 8, 11-13: The Contractor shall document any formal meeting with meeting minutes. The Contractor shall submit draft minutes to the Government no later than 5 business days after meeting is completed. The Government will have 5 business days to review and provide comments. The Contractor will provide final minutes NLT 10 business days after draft is submitted regardless of whether or not government has responded to draft.

NOTE: The Government Program Manager will notify Contractor and determine when/if a meeting should be considered formal

BLK 14:

Michael R. Hatcher 23 Sept 2019 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00

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:

A TDP _____ TM ______ OTHER ______MGMT______

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

A004 Integrated Program Management Report (IPMR) Integrated Master Schedule (IMS)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-81861A/T PWS Para 4.2; 4.4.2 AFLCMC/WIUAG

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED MTHLY SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS See Blk 16 for email addresses 1 1

BLK 4: DID is tailored as follows; only format 6 is required

BLK 7: Submit final DD Form 250 for DoDAAC FA8509, via Invoicing, Receipt, Acceptance, and Property Transfer iRAPT to Michael.hatcher.4@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational)(23 Sept 2019). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 8, 11-13: The Contractor shall submit an IPMR, to include the Integrated Master Schedule (IMS), at the beginning of the period of performance and update monthly.

In all cases, the Contractor shall coordinate updates with the Government Program Manager. The Government will have 10 business days to review and provide comments. The Contractor shall submit final IPMR, NLT 5 business days after receipt of comments from the Government.

BLK 14:

Michael R. Hatcher 23 Sept 2019 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00

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:

A TDP _____ TM ______ OTHER ______NDTI______

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

FD2060-20-30024

A005 Test/Inspection Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-NDTI-80809B SEE BLK 16 AFLCMC/WIUEE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKs See Blk 16 for email addresses 1 1

BLK 5: 4.2, 4.4.8, 4.4.9, 4.4.10, 4.5.1, 4.5.3, 4.5.3.1, 4.5.3.2, 4.5.3.3, 4.5.3.4, 4.5.3.6, 4.5.4.1, 4.5.9.1, 4.5.9.2, 4.5.9.3

BLK 7: Submit final DD Form 250 for DoDAAC FA8509, via iRAPT (formally WAWF) to Michael.hatcher.4@us.af.mil. The Government will approve/disapprove within 10 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (23 Sept 2019). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 8, 11-13: The Contractor shall submit a draft report to the Government NLT 5 business days after completion of the site survey. The Government will have 5 business days to review and provide comments/markups. The Contractor shall submit a final report to the Government NLT 10 business days after draft submission regardless of whether government has submitted comments.

Delivery format will be in accordance with PWS paragraphs listed in Blk 5 of this document

BLK 14:

Michael R. Hatcher 23 Sept 2019 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00

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:

A TDP _____ TM ______ OTHER _____MGMT_______

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

FD2060-20-30024 Mercer Engineering Research Center

A006 Status Report Monthly Status Report (MSR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80368A 4.2, 4.4.4 AFLCMC/WIUAG

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED MTHLY SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS See Blk 16 for email addresses 1 1

BLK 5: PWS Para. 4.2, 4.4.4

BLK 7: Submit final DD Form 250 for DoDAAC FA8509, via iRAPT (formally WAWF) to Michael.hatcher.4@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (23 Sep 19). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 8, 11-13: The contractor shall host a meeting at least five (5) business days prior to the 15th of the month; this meeting will be considered the draft version of the MSR at which the Government will provide feedback as to the final content of the

MSR.

The Contractor shall deliver the final MSR by the 15th calendar day of the month following the completion of the previous month.

BLK 14:

Michael R. Hatcher 23 Sep 19 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00

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:

A TDP _____ TM ______ OTHER ______MISC______

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

A007 Technical Report – Study/Services

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B 4.2, 4.3.2, 4.4.5 AFLCMC/WIUEE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS See Blk 16 for email addresses 1 1

BLK 7: Submit final DD Form 250 for DoDAAC FA8509, via iRAPT (formally WAWF), to attention: Michael.hatcher.4@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (23 Sep 2019). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 8, 11-13: The Contractor shall submit the draft report No later than five (5) business days after completion of review, study, analysis, etc. The Government Program Manager will acknowledge receipt within five (5) business days. If corrections/changes are required, the Government will submit within 15 business days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 10 business days.

Contractor shall format report in accordance with the PWS paragraphs referenced in Blk 5 of this document

BLK 14:

Michael R. Hatcher 23 Sept 2019 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00

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:

A TDP _____ TM ______ OTHER ______MISC______

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

A008 Technical Report/Study Services MECSIP and AVIP Master Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS Para 4.2, 4.5.5 AFLCMC/WIUEE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS See Blk 16 for email addresses 1 1

BLK 7: Contractor shall submit a final DD Form 250 to DODAAC FA8509; via iRAPT (formally WAWF), Michael.hatcher.4@us.af.mil The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (23 Sep 19). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 8, 11-13: The Contractor shall deliver a draft report and recommendations to the government no later than 45 business days prior to the end of the Period of Performance. The Government will have 20 Business days after receipt to make and submit corrections/changes/comments. The Contractor shall deliver the final report to the government no later than the last day of the PoP.

Contractor shall follow format listed in PWS paragraph listed in block 5 of this document

BLK 14:

Michael R. Hatcher 23 Sep 19 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00

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:

A TDP _____ TM ______ OTHER ______IPSC__

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

A009 Computer Software Product

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-IPSC-81488 PWS para 4.2, 4.3.4, 4.4.3 AFLCMC/WIUEE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ONE/R SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

N/A N/A SEE BLK 16 Reg Repro

16. REMARKS

See Blk 16 for email addresses 1

BLK 7: Contractor shall submit a final DD Form 250 to DODAAC FA8509; via iRAPT (formally WAWF), Michael.hatcher.4@us.af.mil The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (23 Sep 19). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 12-13: Computer Software Product (CSP) shall be submitted No later than 10 days after the end of the Period of Performance

Deliverable format will be in accordance with PWS paragraph referenced in Block 5 of this document

BLK 14:

15. TOTAL ▬▬▬▬► 1

Michael R. Hatcher 23 Sep 19 4 Dec 2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00

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:

A TDP _____ TM ______ OTHER ______IPSC__

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

A00A Data Accession List

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-IPSC-81437A PWS Para 4.2, 4.4.3 AFLCMC/WIUAG

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD REQUIRED ONE/R SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft Final

N/A N/A SEE BLK 16 Reg Repro

16. REMARKS AFLCMC/WIUAG 1

BLK 7: Contractor shall submit a final DD Form 250 to DODAAC FA8509; via iRAPT (formally WAWF), Michael.hatcher.4@us.af.mil The Government will approve/disapprove within 30 business days of receipt.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (23 Sep 19). Other request for this document shall be referred to AFLCMC/WIUAG.

BLKs 12-13: The Contractor shall submit the DAL no later than 10 business days after completion of the period of performance. The Government Program Manager will acknowledge receipt upon delivery.

Deliverable format shall be in accordance with PWS paragraphs referenced in block 5 of this document

BLK 14:

Email Addresses:

235 Byron St

Suite 19A

Robins AFB, GA

30198-1670

SEE BLK for 1 email addresses

15. TOTAL ▬▬▬▬► 2

Michael R. Hatcher 23 Sep 19 4 Dec 2019 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00 mailto:Michael.hatcher.4@us.af.mil mailto:Michael.hatcher.4@us.af.mil

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