EM SLEP Exhibit A Contract Data Requirements List_FINAL.docx

CONTRACT DATA REQUIREMENTS LIST

(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.

A001

B. EXHIBIT

A

C. CATEGORY:

TDP __ TM _ _ OTHER __X __

D. SYSTEM/ITEM

Vehicles per Section C

E. CONTRACT/PR NO.

W56HZV-22-R-0103

F. CONTRACTOR

Caterpillar 17. PRICE GROUP

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Scientific and Technical Reports

3. SUBTITLE

CIR and AWE Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711

5. CONTRACT REFERENCE

C.1, C.1.1, C.1.3.2, C.1.4, C.1.4.1, C.1.4.8

6. REQUIRING OFFICE

SFAE-CSS-FP-B18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

LT

9. DIST

STATEMENT

A

10. FREQUENCY

As Required

12. DATE OF 1ST SUBMISSION

See BLK 16

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

First Delivery Order

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS

BLK 4: Contractor format is acceptable. Contractor’s performing local dealer shall prepare for submission a CIR and AWE summary report for each vehicle inspected, whether it is above or below the apporved AWE threshold. CIR and AWE reports shall be forwarded to recipients below.

BLK 12 & 13: The CIR and AWE reports shall be furnished to the Government within 20 days after transporting the vehicles to the contractor’s facility. The Government will review the CIR and AWE report and provide comments back to the contractor within 15 days of receipt. The Government will review and provide approval for the final CIR and AWE report within 15 days after receipt.

Repro = Electronic Delivery

EMAIL Addresses:

COR = ryan.m.sedlow.civ@army.mil (or current COR)

APM = ryan.m.sedlow.civ@army.mil (or current APM)

Systems Engineer = sibilia.a.frederick.civ@army.mil (or current SE)

Contract Spc = elaine.o.nelson.civ@army.mil (or current Contract Spc)

Procurement Spc = sofey.e.boedecker.civ@army.mil (or current Procurement Spc)

COR

APM

Systems Engineer

Contract Spc

Procurement Spc

15. TOTAL ---------à

G. PREPARED BY

Procurement Specialist

H. DATE

6/13/2023

I. APPROVED BY

Assistant Product Manager (APM)

J. DATE

6/15/2023

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

A002

B. EXHIBIT

A

C. CATEGORY:

TDP __ TM _ _ OTHER __X __

D. SYSTEM/ITEM

Vehicles per Section C

E. CONTRACT/PR NO.

W56HZV-22-R-0103

F. CONTRACTOR

Caterpillar17. PRICE GROUP

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Contractor Progress, Status, and Management Report

3. SUBTITLE

Status Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

C.1.1.2, C.1.4.3

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST

STATEMENT

A

10. FREQUENCY

Monthly

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

First Delivery Order

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS

BLK 4: The contractor shall deliver the report in their own format, but the report shall contain the information required in Sections C.1.1.1 and C.1.4.3 of the contract Scope of Work.

BLK 12 & 13: The contractor shall deliver the report within 10 calendar days after the end of each month in which they are performing this effort under any contract delivery order.

Repro = Electronic Delivery

EMAIL Addresses:

COR = ryan.m.sedlow.civ@army.mil (or current COR)

APM = ryan.m.sedlow.civ@army.mil (or current APM)

Contract Spc = elaine.o.nelson.civ@army.mil (or current Contract Spc)

Procurement Spc = sofey.e.boedecker.civ@army.mil (or current Procurement Spc)

COR

APM

Contract Spc

Procurement Spc

15. TOTAL ---------à

G. PREPARED BY

Procurement Specialist

H. DATE

6/13/2023

I. APPROVED BY

Assistant Product Manager (APM)

J. DATE

6/15/2023

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

A003

B. EXHIBIT

A

C. CATEGORY:

TDP __ TM _ _ OTHER __X __

D. SYSTEM/ITEM

Vehicles per Section C

E. CONTRACT/PR NO.

W56HZV-22-R-0103

F. CONTRACTOR

Caterpillar17. PRICE GROUP

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Scientific and Technical Reports

3. SUBTITLE

CARC Qualification Test Results

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711

5. CONTRACT REFERENCE

E.1.4.1.2, E.1.4.1.3, E.1.4.1.4, E.1.4.1.5.5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST

STATEMENT

A

10. FREQUENCY

As Required

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

Prior to CARC Application

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS

BLK 4: The contractor shall deliver the report in their own format, but the report shall contain the information required in Section E.1.4.1.2 of the contract.

BLK 12 & 13: The contractor shall deliver the report no less than 60 calendar days prior to planned CARC application if process has yet to be qualified under prior Government review. The Government shall review the submission and provide approval or rejection notice to the contractor within 60 calendar days of submission by the contractor to the Government. All initial and follow up submissions to the Government shall review the submission within 60 days from date of submission.

Repro = Electronic Delivery

EMAIL Addresses:

COR = ryan.m.sedlow.civ@army.mil (or current COR)

APM = ryan.m.sedlow.civ@army.mil (or current APM)

Current DCMA QAS

Current TACOM QAR

COR

APM

DCMA QAS

TACOM QAR

15. TOTAL ---------à

G. PREPARED BY

Procurement Specialist

H. DATE

6/13/2023

I. APPROVED BY

Assistant Product Manager (APM)

J. DATE

6/15/2023

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

A004

B. EXHIBIT

A

C. CATEGORY:

TDP _X_ TM _ _ OTHER __ __

D. SYSTEM/ITEM

Vehicles per Section C

E. CONTRACT/PR NO.

W56HZV-22-R-0103

F. CONTRACTOR

Caterpillar, Inc.17. PRICE GROUP

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITL

Item Unique Identification (IUID) Candidate List - IUID Marking Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81803

5. CONTRACT REFERENCE

C.1.7.3

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only; Administrative or Operational Use. Other requests shall be referred to Project Manager Force Projection (PM FP) Security Manager at: Program Executive Office Combat Support & Combat Service Support (PEO CS&CSS), ATTN: SFAE-CSS-FP, 6501 East 11 Mile Road, Warren, MI 48397-5000.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

Block 10: Contractor shall deliver a complete Material list of all items under this contract.

IUID Marking complete Material List shall be in IAW USG required excel spreadsheet format with the following data fields populated.

Number:

Nomenclature:

Original Part Number:

Cost:

Permanent Serial Number will be assigned and applied to the asset, Yes – No.

Block 11: The US Government representative will review the contractor provided complete Material list against the following criteria: DoDI 8320.04, Defense Federal Acquisition Regulation Supplement (DFARS) clause 211.274-2, HQDA ASA ALT PARC Policy Alert #18-39, Army Directive 2016-21, and Army Regulation 700-145, Chapter 2-2. USG will provide the Contractor with an initial list of material to be IUID Marked.

Initial IUID Marking Candidate List shall be in IAW USG required excel spreadsheet format with the following data fields populated.

Number:

Nomenclature:

Original Part Number:

Cost:

Permanent Serial Number will be assigned and applied to the asset, Yes – No.

Block 12: The contractor shall review the initial IUID Marking Candidate List provided by US Government within 120 days prior to Production Readiness Review (PRR). The Contractor will provide confirmation that the material identified on the USG provided Final IUID Marking Candidate List can be IUID Marked IAW USG minimally required IUID Marking Tech Data Requirements and existing IUID Marking technology. USG will approve/disapprove within 60 days of receipt. If disapproved, USG will note the reasons for disapproval and the Contractor shall resubmit within 30 days after USG provides the reasons for disapproval.

Repro = Electronic Delivery EMAIL Addresses:

APM = ryan.m.sedlow.civ@army.mil (or current APM)

15. TOTAL ---------

G. PREPARED BY

Integrated Product Support Manager (IPSM)

H. DATE

8/30/2019

I. APPROVED BY

Assistant Product Manager (APM)

J. DATE

6/20/2023