Contract_Data_Requirement_List_CDRL.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

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H Helicopter

E. CONTRACT / PR NO.

FD20602500030

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility (CAV) Reporting

3. SUBTITLE

CAV AF

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.6

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

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

DATE: 19 DEC 2024

COORDINATORS:

411 SCMS/GULAB Program Manager (PM) PM email provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Hubbard, Brian O

411 SCMS / GULBB

478-222-7230

H. DATE 20

DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

20-DEC-24

Page 1 of 7DD FORM 1423-1, FEB 2001 Version 1

PREVIOUS EDITION MAY BE USED.

Generated by PRPS using Jasper Reports on 13 Feb 2025

16. REMARKS NAME:

Hubbard, Brian O

CLIN Exhibit Data Item No. Performance Period

A A001 Base Year Pd B B001 Ordering/Period 1 C C001 Ordering/Period 2 D D001 Ordering/Period 3 E E001 Ordering/Period 4

Astronautics

411 SCMS/GULAB Program Manager (PM) PM email provided on Contract Award

0 1 0

Email: 411 SCMS/PMS Workflow:

411SCMS.PMS@us.af.mil if PMS email is not provided

0 1 0

BLK 1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM Reporting Requirements. This information will be accessed by the program office SP and by 420 SCMS/GUNAB-Robins in order to ascertain production status.

BLK 2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher. The Contractor shall obtain a valid DOD PKI certificate to log into CAV AF. Each user shall be required to have an: Identity Certificate only; an encryption certificate is not required.

BLK 3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602 if required and a request must be initiated by the CAV Reporter BLK 4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.) E-DD FORM 250 shall be submitted to DCMA for acceptance.

BLK 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

BLK 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

BLK 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

BLK 13: Same as remarks regarding Block 10 above.

1612499396C Underline

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H Helicopter

E. CONTRACT / PR NO.

FD20602500030

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A002

2. TITLE OF DATA ITEM

Government Property (GP) Inventory Report

3. SUBTITLE

Government Property Inventory Report

4. AUTHORITY

DI-MGMT-80441D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 3.4

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

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

BLK 4: The data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E- DD FORM 250 shall be submitted to FA8524 Program Manager (danielle.crosby@us.af.mil) and Supply Planner (brian.hubbard.10@us.af.mil) for acceptance.

Block 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-13.

BLK 9: "A" Approved for Public Release; distribution is unlimited.

Block 10-13: The annual physical inventory report shall be provided within seven (7) calendar days of the end of each option/ordering period for the contract. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the option/ordering reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

BLK 14: EMAIL electronic Annual Physical Inventory Report to the Supply Planner (SP) and Program Manager (PM).

Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in Microsoft Office Excel format for all reports.

COORDINATORS:

Email:

411 SCMS/GULAB Program Manager (PM) PM email provided on Contract Award

0 1 0

Email:

PMS email provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Hubbard, Brian O

411 SCMS / GULBB

478-222-7230

H. DATE

20 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

20-DEC-24

Page 2 of 7DD FORM 1423-1, FEB 2001 Version 1

PREVIOUS EDITION MAY BE USED.

Generated by PRPS using Jasper Reports on 13 Feb 2025

16. REMARKS

NAME: Hubbard, Brian O

CLIN Exhibit Data Item No.

DATE: 19 DEC 2024

Performance Period A A002 Base Year Pd B B002 Ordering/Period 1 C C002 Ordering/Period 2 D D002 Ordering/Period 3 E E002 Ordering/Period 4

Astronautics

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H Helicopter

E. CONTRACT / PR NO.

FD20602500030

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A003

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Monthly Production Report

3. SUBTITLE

Production Report

4. AUTHORITY

DI-PSSS-81995A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.3.7

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

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

DATE: 19 DEC 2024

BLK 4: The Data Item Description (DID) contains the format, content and preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. This report shall be provided in the format of Table 1. See DID for Table 1 and content requirement explanations at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (danielle.crosby@us.af.mil) for acceptance.

BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16.

BLK 9: "A" Approved for Public Release; distribution is unlimited.

BLKS 10- 13: Report shall be submitted NLT the 10th calendar day after the end of the month being reported.

BLK 14: EMAIL electronic Contract Depot Maintenance Production Report to the Production Management Specialist (PMS) and Program Manager (PM). Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

411 SCMC/PMS Workflow:

411SCMS.PMS@us.af.mil PMS provided on Contract Award

0 1 0

411 SCMS/GULAB Program Manager (PM) Provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Hubbard, Brian O

411 SCMS / GULBB

478-222-7230

H. DATE

20 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

20 DEC 2024

Page 3 of 7DD FORM 1423-1, FEB 2001 Version 1

PREVIOUS EDITION MAY BE USED.

Generated by PRPS using Jasper Reports on 13 Feb 2025

16. REMARKS

NAME: Hubbard, Brian O

CLIN Exhibit Data Item No. Performance Period A A003 Base Year Pd B B003 Ordering/Period 1 C C003 Ordering/Period 2 D D003 Ordering/Period 3 E E003 Ordering/Period 4

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H Helicopter

E. CONTRACT / PR NO.

FD20602500030

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A004

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY

DI-MGMT-81803A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 4.4.1

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

QRTLY

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

DATE: 19 DEC 2024

BLK 4: The Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal shall be submitted to FA8524 (danielle.crosby@us.af.mil) for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Ste 221, Robins AFB, GA 31098.

BLKS 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, AFLCMC/WIUEC, within 10 working days after contract award. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, AFLCMC/WIUEC, 235 Byron Street, Suite 19A, Robins AFB, GA 31098.

Procedures identified for blocks 8 & 10-12 will apply.

BLK 14: EMAIL electronic IUID Marking Plan to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB and Engineer AFLCMC/WIUEC. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

Email:

411 SCMS/GULAB Program Manager (PM)/COR Provided on Contract Award

1 1 0

Email:

AFLCMC/WIUEC Engineer Stormie Chenoweth at stormie.chenoweth.1@us.af.mi l

1 1 0

Email:

AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award

0 1 0

Email:

DCMA/ACO

0 1 0

2 4 015. TOTAL

G. PREPARED BY

Hubbard, Brian O

411 SCMS / GULBB

478-222-7230

H. DATE

20 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

20 DEC 2024

Page 4 of 7DD FORM 1423-1, FEB 2001 Version 1

PREVIOUS EDITION MAY BE USED.

Generated by PRPS using Jasper Reports on 13 Feb 2025

16. REMARKS

NAME: Hubbard, Brian O

CLIN Exhibit Data Item No. Performance Period A A004 Base Year Pd B B004 Ordering/Period 1 C C004 Ordering/Period 2 D D004 Ordering/Period 3 E E004 Ordering/Period 4

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H Helicopter

E. CONTRACT / PR NO.

FD20602500030

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A005

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity,Verification, and Validation

Report

3. SUBTITLE

IUID Marking Activity and Verification Report

4. AUTHORITY

DI-MGMT-81804A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.4.2

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

QRTLY

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

BLK 4: IUID Marking Activity and Verification Report can be combined with the monthly status report.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced) WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (danielle.crosby@us.af.mil) for acceptance.

BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Contractor shall submit an IUID Marking Activity and Verification Report, to the Engineer, AFLCMC/WIUEC, every three months (quarterly). Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 14: EMAIL electronic IUID Marking Activity and Verification Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 411 SCMS/GULAB, and Engineer AFLCMC/WIUEC. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

411 SCMS/GULAB Program Manager (PM) Provided on Contract Award

1 1 0

AFLCMC/WIUEC Engineer Stormie Chenoweth at stormie.chenoweth.1@us.af.mi l

1 1 0

AFSC/PZAAA Contracting Officer (PCO) Provided on Contract Award

0 1 0

DCMA/ACO 0 1 0

2 4 015. TOTAL

G. PREPARED BY

Hubbard, Brian O

411 SCMS / GULBB

478-222-7230

H. DATE

20 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

20 DEC 2024

Page 5 of 7DD FORM 1423-1, FEB 2001 Version 1

PREVIOUS EDITION MAY BE USED.

Generated by PRPS using Jasper Reports on 13 Feb 2025

16. REMARKS

NAME: Hubbard, Brian O

CLIN Exhibit Data Item No.

DATE: 19 DEC 2024

Performance Period A A005 Base Year Pd B B005 Ordering/Period 1 C C005 Ordering/Period 2 D D005 Ordering/Period 3 E E005 Ordering/Period 4

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H Helicopter

E. CONTRACT / PR NO.

FD20602500030

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A006

2. TITLE OF DATA ITEM

Government Industry Data Exchange Program (GIDEP) Alert-Safe Alert Report

3. SUBTITLE

GIDEP Report

4. AUTHORITY

DI-QCIC-80125B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.7

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

See Block 16

10. FREQUENCY

See Block 16

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

BLK 4: The data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. The Alert/Safe Alert Report can be tailored to contractor format, but shall contain all data specified on DD Form 1938 electronic template in accordance with instructions cited on back side of the form and or the guidance of S0300-BT-PRO-010, Chapter 7. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced) WAWF E-DD FORM 250 shall be required for separately priced data.

EDD FORM 250 shall be submitted to FA8524 Program Manager for acceptance.

BLK 9: "A" Approved for Public Release; distribution is unlimited.

BLKS 10-13: Report shall be submitted to arrive NLT 10th calendar day after the end of the month to notify the Government of non-conforming items, supplies, and services or safety problems which have adversely impacted or have the potential to adversely impact the program during the duration of the contract.

BLK 14: EMAIL electronic GIDEP Report to Program Manager Danielle Crosby danielle.crosby@us.af.mil and Engineer Stormie Chenoweth stormie.chenoweth.1@us.af.mil.

Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

COORDINATORS:

Email:

411 SCMS/GULAB Program Manager (PM) PM email provided on Contract Award

0 1 0

GIDEP

P.O. Box 8000 Corona, CA 92878-8000

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Hubbard, Brian O

411 SCMS / GULBB

478-222-7230

H. DATE

20 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

20-DEC-24

Page 6 of 7DD FORM 1423-1, FEB 2001 Version 1

PREVIOUS EDITION MAY BE USED.

Generated by PRPS using Jasper Reports on 13 Feb 2025

16. REMARKS

NAME: Hubbard, Brian O

CLIN Exhibit Data Item No.

DATE: 19 DEC 2024

Performance Period A A006 Base Year Pd B B006 Ordering/Period 1 C C006 Ordering/Period 2 D D006 Ordering/Period 3 E E006 Ordering/Period 4

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A/B/C/D/E

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH-1H Helicopter

E. CONTRACT / PR NO.

FD20602500030

F. CONTRACTOR

1. DATA ITEM NO.

A/B/C/D/E A007

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

Accident/Incident Report/Mishap Notification

4. AUTHORITY

DI- SAFT-81563

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 5.5.2

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

See Block 16

11. AS OF DATE

Contract Award

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

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.

BLK 10: IAW AFI 91-204, if damage occurs

BLK 11: Once assets have been received after contract award

BLK 12: 24 hours after accident/incident

BLK 13: As needed, IAW AFI 91-207

Program Manager: Danielle Crosby danielle.crosby@us.af.mil

ENG: Stormie Chenoweth stormie.chenoweth.1@us.af.mil

COORDINATORS:

0 1 0

G. PREPARED BY

Hubbard, Brian O

411 SCMS / GULBB

478-222-7230

H. DATE

20 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULAB 478-926-2227 / 468-2227

J. DATE

20 DEC 2024

Page 7 of 7DD FORM 1423-1, FEB 2001 Version 1

PREVIOUS EDITION MAY BE USED.

Generated by PRPS using Jasper Reports on 13 Feb 2025

16. REMARKS

NAME: Hubbard, Brian O

CLIN Exhibit Data Item No.

DATE: 19 DEC 2024

Performance Period A A007 Base Year Pd B B007 Ordering/Period 1 C C007 Ordering/Period 2 D D007 Ordering/Period 3 E E007 Ordering/Period 4

1 3 015. TOTAL

Engineer: Stormie Chenoweth stormie.chenoweth.1@us.af.mil

0 1 0

1 0Program Manager: Danielle Crosby danielle.crosby@us.af.mil

0 1 0

0 1 0Procurement Contract Officer (PCO) Email provided on award

0 1 0