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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A

MGMT

SOF/PR (C130J, HH-60, H1) SEE BLK 16 SEE BLK 16

A00Z SEE BLK 16 Final Security Assessment Plan

DI-MGMT-82135 IAW SOW Appendix C AFLCMC/WIU

LT

A C

SEE BLK 16

IAW DO Task 1 1 Order Description

1 1 0

BLK 2: Naval Aviation Cybersecurity Risk Management Framework (RMF) Assessment and Authorization Products, and CYBERSAFE Objective Quality Evidence, Assessment & Authorization (A&A) Products

BLK 7: Submit final DD Form 250 for Delivery Order DoDAAC, via iRAPT (formally WAWF), to attention: IAW Delivery Order Task Order Description to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.

BLKs 8, 10-13: Final Security Assessment Plan (SAP) shall be submitted 30 business days prior to Test Readiness Review (TRR). The Government will have ten (10) business days to approve or disapprove draft. The contractor shall have ten

(10) business days to resubmit the final plan if changes were deemed necessary by the Government.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use), 1 Oct 19. Other request for this document shall be referred to (AFLCMC/WIUB).

BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.

BLK E/F:

FA8509-20-D-0001, DM Aero LLC, Byron, GA 31008, CAGE: 6UBJ4 FA8509-20-D-0002, Kihomac, Inc, Reston, VA 20191, CAGE: 3L2L3 FA8509-20-D-0003, iAccess Technologies, Inc., Santa Ana, CA 92705, CAGE: 3GVZ7

FA8509-20-D-0004, Erickson, Inc, Portland, OR 97239, CAGE: 7MH41 FA8509-20-D-0005, Radiance Technologies, Inc., Huntsville, AL 35805, CAGE: 1H1J5

FA8509-20-D-0006, Science and Engineering Services, LLC, Huntsville, AL 35824, CAGE: 4Q232

FA8509-20-D-0007, Scientific Research Corporation, Atlanta, GA 30339, CAGE: 0D5A6

FA8509-20-D-0008, SelectTech Services Corporation, Centerville, OH 45458, CAGE: 7W030

FA8509-20-D-0009, Strata-G Solutions, Inc, Huntsville, AL 35805, CAGE: 529L6 FA8509-20-D-0010, Strategic Enterprise Solutions Corporation, Warner Robins, GA 31088, CAGE: 4PUA5

1 Oct 19 9 Oct 2019

1 3

DALRYMPLE.DALE.E.106715128

2019.09.11 16:08:34 -04'00'

WITTER.GARY.L.1062

900020

Digitally signed by

WITTER.GARY.L.1062900020

Date: 2019.10.22 11:10:29 -04'00'

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

A MGMT

SOF/PR (C130J, HH-60, H1) SEE BLK 16 SEE BLK 16

FA8509-20-D-0011, Support System Associates, Inc., Melbourne, FL 32901, CAGE: 60877

FA8509-20-D-0012, T3 Aerospace, LLC, Anchorage, AK 99501, CAGE: 893E2

2 3

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

Blank Page

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 and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A03A

2_TITLE_OF_DATA_ITEM: Technical Manual

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: TM-86-01

5_CONTRACT_REFERENCE: IAW SOW Appendix C

6_REQUIRING_OFFICE: AFLCMC/WIU

7_DID_250_REQ: LT

8_APP_CODE: SEE BLK 16

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLK 7: Submit final DD Form 250 for Delivery Order DoDAAC, via iRAPT (formally WAWF), to attention: IAW Delivery Order Task Order Description to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.

Block 8: Approval in accordance with TM-86-01, Technical Manual Contract Requirements (TMCR), see section 2.

Block 9: Distribution statement to TOs will be required and provided by AFLCMC/WIUEG prior to delivery of data.

Blocks 10 through 13: See section 2 to the attached TM-86-01.

BLK 14: See section 2 to the attached TM-86-01. Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.

BLK E/F:

FA8509-20-D-0001, DM Aero LLC, Byron, GA 31008, CAGE: 6UBJ4 FA8509-20-D-0002, Kihomac, Inc, Reston, VA 20191, CAGE: 3L2L3 FA8509-20-D-0003, iAccess Technologies, Inc., Santa Ana, CA 92705, CAGE: 3GVZ7

FA8509-20-D-0004, Erickson, Inc, Portland, OR 97239, CAGE: 7MH41 FA8509-20-D-0005, Radiance Technologies, Inc., Huntsville, AL 35805, CAGE: 1H1J5

FA8509-20-D-0006, Science and Engineering Services, LLC, Huntsville, AL 35824, CAGE: 4Q232

FA8509-20-D-0007, Scientific Research Corporation, Atlanta, GA 30339, CAGE: 0D5A6

FA8509-20-D-0008, SelectTech Services Corporation, Centerville, OH 45458, CAGE: 7W030

FA8509-20-D-0009, Strata-G Solutions, Inc, Huntsville, AL 35805, CAGE: 529L6 FA8509-20-D-0010, Strategic Enterprise Solutions Corporation, Warner Robins, GA 31088, CAGE: 4PUA5

FA8509-20-D-0011, Support System Associates, Inc., Melbourne, FL 32901, CAGE: 60877

FA8509-20-D-0012, T3 Aerospace, LLC, Anchorage, AK 99501, CAGE: 893E2

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 10 Oct 19

1_APPROVED_BY:

J_DATE: 15 Oct 2019

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM: X

OTHER:

DSYSTEMITEM: SOF/PR (C130J, HH-60, H1)

E_CONTRACTPR_NO: SEE BLK 16

FCONTRACTOR: SEE BLK 16

16_REMARKS_Continued:

Page2: 2 of_pages: 3

Reset:

2019-10-10T14:53:01-0400

DALRYMPLE.DALE.E.1067151280

2019-10-16T09:01:16-0400

WITTER.GARY.L.1062900020

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 and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A03C

2_TITLE_OF_DATA_ITEM: Failure Modes, Effects, and Criticality, Analysis (FMECA) Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-SESS-81495B

5_CONTRACT_REFERENCE: IAW SOW Appendix C

6_REQUIRING_OFFICE: AFLCMC/WIU

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: C

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLK 7: Submit final DD Form 250 for Delivery Order DoDAAC, via iRAPT (formally WAWF), to attention: IAW Delivery Order Task Order Description to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.

BLKs 8, 10-13: Failure Modes, Effects, and Criticality Analysis (FMECA) Report shall be submitted ten (10) business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within fifteen (15) working days. Final copies shall be delivered within ten (10) days after receipt of corrections from the Government.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use)1 Oct 19. Other request for this document shall be referred to (AFLCMC/WIUB).

BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.

BLK E/F:

FA8509-20-D-0001, DM Aero LLC, Byron, GA 31008, CAGE: 6UBJ4 FA8509-20-D-0002, Kihomac, Inc, Reston, VA 20191, CAGE: 3L2L3 FA8509-20-D-0003, iAccess Technologies, Inc., Santa Ana, CA 92705, CAGE: 3GVZ7

FA8509-20-D-0004, Erickson, Inc, Portland, OR 97239, CAGE: 7MH41 FA8509-20-D-0005, Radiance Technologies, Inc., Huntsville, AL 35805, CAGE: 1H1J5

FA8509-20-D-0006, Science and Engineering Services, LLC, Huntsville, AL 35824, CAGE: 4Q232

FA8509-20-D-0007, Scientific Research Corporation, Atlanta, GA 30339, CAGE: 0D5A6

FA8509-20-D-0008, SelectTech Services Corporation, Centerville, OH 45458, CAGE: 7W030

FA8509-20-D-0009, Strata-G Solutions, Inc, Huntsville, AL 35805, CAGE: 529L6 FA8509-20-D-0010, Strategic Enterprise Solutions Corporation, Warner Robins, GA 31088, CAGE: 4PUA5

FA8509-20-D-0011, Support System Associates, Inc., Melbourne, FL 32901, CAGE: 60877

FA8509-20-D-0012, T3 Aerospace, LLC, Anchorage, AK 99501, CAGE: 893E2

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 10 Oct 19

1_APPROVED_BY:

J_DATE: 15 Oct 2019

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: SESS

DSYSTEMITEM: SOF/PR (C130J, HH-60, H1)

E_CONTRACTPR_NO: SEE BLK 16

FCONTRACTOR: SEE BLK 16

16_REMARKS_Continued:

Page2: 2 of_pages: 3

Reset:

2019-10-10T14:53:01-0400

DALRYMPLE.DALE.E.1067151280

2019-10-16T09:01:53-0400

WITTER.GARY.L.1062900020

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 and Communications 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

WITTER.GARY.L.106

2900020

Date: 2019.10.16 13:46:09 -04'00' conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

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 and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A03D

2_TITLE_OF_DATA_ITEM: System/Subsystem Design Description (SSDD)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-IPSC-81432A

5_CONTRACT_REFERENCE: IAW SOW Appendix C

6_REQUIRING_OFFICE: AFLCMC/WIU

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: C

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLK 7: Submit final DD Form 250 for Delivery Order DoDAAC, via iRAPT (formally WAWF), to attention: IAW Delivery Order Task Order Description to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.

BLKs 8, 10-13: System/Subsystem Design Description (SSDD): A 40% draft shall be submitted within forty-five (45) business days after completion of the Preliminary Design Review. The Government will provide comments within fifteen (15) business days. The final draft shall be submitted within forty-five (45) business days after completion of the Critical Design Review. The Government will provide comments within fifteen (15) business days. The Contractor shall incorporate comments and resubmit within five (5) working days. The Final SSDD will be submitted within forty-five (45) days of validation completion. The Government Program Manager will approve/ disapprove the final version within fifteen (15) working days. The Contractor shall incorporate comments and resubmit within five (5) working days if applicable.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use), 26 Jan 2021. Other request for this document shall be referred to (AFLCMC/WIUB).

BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.

BLK E/F:

FA8509-20-D-0001, DM Aero LLC, Byron, GA 31008, CAGE: 6UBJ4 FA8509-20-D-0002, Kihomac, Inc, Reston, VA 20191, CAGE: 3L2L3 FA8509-20-D-0003, iAccess Technologies, Inc., Santa Ana, CA 92705, CAGE: 3GVZ7

FA8509-20-D-0004, Erickson, Inc, Portland, OR 97239, CAGE: 7MH41 FA8509-20-D-0005, Radiance Technologies, Inc., Huntsville, AL 35805, CAGE: 1H1J5

FA8509-20-D-0006, Science and Engineering Services, LLC, Huntsville, AL 35824, CAGE: 4Q232

FA8509-20-D-0007, Scientific Research Corporation, Atlanta, GA 30339, CAGE: 0D5A6

FA8509-20-D-0008, SelectTech Services Corporation, Centerville, OH 45458, CAGE: 7W030

FA8509-20-D-0009, Strata-G Solutions, Inc, Huntsville, AL 35805, CAGE: 529L6

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 26 Jan 2021

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: IPSC

DSYSTEMITEM: SOF/PR (C130J, HH-60, H1)

E_CONTRACTPR_NO: SEE BLK 16

FCONTRACTOR: SEE BLK 16

16_REMARKS_Continued: BLK E/F (Cont):

FA8509-20-D-0010, Strategic Enterprise Solutions Corporation, Warner Robins, GA 31088, CAGE: 4PUA5

FA8509-20-D-0011, Support System Associates, Inc., Melbourne, FL 32901, CAGE: 60877

FA8509-20-D-0012, T3 Aerospace, LLC, Anchorage, AK 99501, CAGE: 893E2

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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 and Communications 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

WITTER.GARY.L.106

2900020

Date: 2019.10.16 13:46:58 -04'00' conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

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 and Communications 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

WITTER.GARY.L.10

62900020

Date: 2019.10.16 13:48:58 -04'00' conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

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 and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A03E

2_TITLE_OF_DATA_ITEM: Still Photo Coverage

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-MISC-80169

5_CONTRACT_REFERENCE: IAW SOW Appendix C

6_REQUIRING_OFFICE: AFLCMC/WIU

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: C

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLK 7: Submit final DD Form 250 for Delivery Order DoDAAC, via iRAPT (formally WAWF), to attention: IAW Delivery Order Task Order Description to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.

BLKs 8, 10-13: Still Photo Coverage shall be submitted ten (10) business days after completion of any review, study, analysis, etc. that affects physical change to an aircraft. Final copies shall be delivered within ten (10) days after receipt of corrections from the Government. The Government Program Manager will approve/disapprove within fifteen (15) working days. The Contractor shall incorporate comments and resubmit within five (5) working days.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use), 26 Jan 2021. Other request for this document shall be referred to (AFLCMC/WIUB).

BLK 14: Submit a digital copy in .JPEG and .PDF format. Photo titles shall include the tail number of the aircraft and the MACM Task Order number.

BLK E/F:

FA8509-20-D-0001, DM Aero LLC, Byron, GA 31008, CAGE: 6UBJ4 FA8509-20-D-0002, Kihomac, Inc, Reston, VA 20191, CAGE: 3L2L3 FA8509-20-D-0003, iAccess Technologies, Inc., Santa Ana, CA 92705, CAGE: 3GVZ7

FA8509-20-D-0004, Erickson, Inc, Portland, OR 97239, CAGE: 7MH41 FA8509-20-D-0005, Radiance Technologies, Inc., Huntsville, AL 35805, CAGE: 1H1J5

FA8509-20-D-0006, Science and Engineering Services, LLC, Huntsville, AL 35824, CAGE: 4Q232

FA8509-20-D-0007, Scientific Research Corporation, Atlanta, GA 30339, CAGE: 0D5A6

FA8509-20-D-0008, SelectTech Services Corporation, Centerville, OH 45458, CAGE: 7W030

FA8509-20-D-0009, Strata-G Solutions, Inc, Huntsville, AL 35805, CAGE: 529L6 FA8509-20-D-0010, Strategic Enterprise Solutions Corporation, Warner Robins, GA 31088, CAGE: 4PUA5

FA8509-20-D-0011, Support System Associates, Inc., Melbourne, FL 32901, CAGE: 60877

FA8509-20-D-0012, T3 Aerospace, LLC, Anchorage, AK 99501, CAGE: 893E2

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 26 Jan 2021

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: MISC

DSYSTEMITEM: SOF/PR (C130J, HH-60, H1)

E_CONTRACTPR_NO: SEE BLK 16

FCONTRACTOR: SEE BLK 16

16_REMARKS_Continued:

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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 and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A03F

2_TITLE_OF_DATA_ITEM: Engineering Documentation Product Drawings, Modified (Maintenance)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-DRPR-81681A

5_CONTRACT_REFERENCE: IAW SOW Appendix C

6_REQUIRING_OFFICE: AFLCMC/WIU

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: C

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLK 7: Submit final DD Form 250 for Delivery Order DoDAAC, via iRAPT (formally WAWF), to attention: IAW Delivery Order Task Order Description to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.

BLKs 8, 10-13: Engineering Documentation Product Drawings, Modified (Maintenance): a 40% package shall be submitted ten (10) business days before preliminary design review. An 80% package shall be submitted twenty (20) days before critical design review. A 90% package shall be submitted twenty (20) days prior to trial installation and an updated package shall be submitted twenty (20) days prior to kit proof. For each submission, the Government will red-line and submit comments within fifteen (15) business days and the Contractor shall incorporate comments in subsequent submissions. Final copies shall be delivered within sixty (60) days after validation and Government approval. The Government Program Manager will approve/disapprove within fifteen (15) working days. The Contractor shall incorporate comments and resubmit within five (5) working days.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use), 26 Jan 2021. Other request for this document shall be referred to (AFLCMC/WIUB).

BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.

BLK E/F:

FA8509-20-D-0001, DM Aero LLC, Byron, GA 31008, CAGE: 6UBJ4 FA8509-20-D-0002, Kihomac, Inc, Reston, VA 20191, CAGE: 3L2L3 FA8509-20-D-0003, iAccess Technologies, Inc., Santa Ana, CA 92705, CAGE: 3GVZ7

FA8509-20-D-0004, Erickson, Inc, Portland, OR 97239, CAGE: 7MH41 FA8509-20-D-0005, Radiance Technologies, Inc., Huntsville, AL 35805, CAGE: 1H1J5

FA8509-20-D-0006, Science and Engineering Services, LLC, Huntsville, AL 35824, CAGE: 4Q232

FA8509-20-D-0007, Scientific Research Corporation, Atlanta, GA 30339, CAGE: 0D5A6

FA8509-20-D-0008, SelectTech Services Corporation, Centerville, OH 45458, CAGE: 7W030

FA8509-20-D-0009, Strata-G Solutions, Inc, Huntsville, AL 35805, CAGE: 529L6

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 26 Jan 2021

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: DRPR

DSYSTEMITEM: SOF/PR (C130J, HH-60, H1)

E_CONTRACTPR_NO: SEE BLK 16

FCONTRACTOR: SEE BLK 16

16_REMARKS_Continued: BLK E/F (Cont):

FA8509-20-D-0010, Strategic Enterprise Solutions Corporation, Warner Robins, GA 31088, CAGE: 4PUA5

FA8509-20-D-0011, Support System Associates, Inc., Melbourne, FL 32901, CAGE: 60877

FA8509-20-D-0012, T3 Aerospace, LLC, Anchorage, AK 99501, CAGE: 893E2

Page2:

of_pages:

Reset:

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 and Communications 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

WITTER.GARY.L.1062

900020

Date: 2019.10.16 13:57:24 -04'00'

Estimated Price - Costs t