Exhibit A - 20240402 - D3I2 Domain 1 CDRLs.pdf
PDF 1 MB Posted
- Solicitation number
- W9113M24R0070
About this file
This document is a Contract Data Requirements List (CDRL) associated with a federal contract opportunity. The CDRL lists 29 data items required to be delivered throughout the performance of the contract, including items such as configuration documentation, test reports, software development plans, and financial reports. Key details include:
The CDRL is related to the United States Army Space and Missile Defense Command (USASMDC) Design, Development, Demonstration, and Integration II (D3I2) Domain 1 (D1) draft request for proposals (DRFP). The DRFP has been posted to Sam.gov, and the formal RFP solicitation will be released through the Procurement Integrated Enterprise Environment Solicitation Module (PIEE SM). Potential offerors are responsible for gaining access to the PIEE SM. Questions and comments on the DRFP are due by April 15, 2024. The government is not providing a repository of predecessor requirements at this time. The CDRL provides detailed submittal requirements, formats, and distribution instructions for each data item.
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CONTRACTDATAREQUIREMENTSLIST
(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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A001
DI-SESS-81766 TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
USE ADS-51-HDBK/T AS GUIDANCE
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER OR FIRST 30-DAYS
PRIOR TO CONVENING OF SAFETY FLIGHT REVIEW BOARD.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:43:08 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 13:50:05 -05'00'
N/A
SEE BLOCK 16 SEE BLOCK 16
AIRWORTHINESS QUALIFICATION SPECIFICATION
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - ADMN
A002
DI-ADMN-80239 TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE AR 380-380
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:44:37 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 13:52:35 -05'00'
N/A
INFO SYSTEMS ACCREDITATION DOCUMENTATION
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - ADMN
A003
DI-ADMN-81250C TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADRESSESS WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:42:26 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:06:44 -05'00'
N/A
CONFERENCE MINUTES
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SCRE
A004
DI-ADMN-81306 TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:45:52 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:07:17 -05'00'
N/A
PROGRAM PROTECTION IMPLEMENTATION PLAN (PPIP)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - ADMN
A005
DI-ADMN-81373/DI-ADMN-81373 NOTICE 2 SEE BLOCK 16
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER. CONTRACTOR SHALL INCLUDE STATEMENT AT 10.2
CONTENT UNDER PREPARATION INSTRUCTIONS IN DID.
2. BLK 5: AS SPECIFIED IN TASK ORDER.
3. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
4. BLK 10: AS REQUIRED BY TASK ORDER.
5. BLK 12: AS SPECIFIED IN TASK ORDER.
6. BLK 13: AS SPECIFIED IN TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:42:52 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:07:43 -05'00'
N/A
PRESENTATION MATERIAL
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - ADMN
A006
DI-ADMN-81505 TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: NO RESUBMISSION EXCEPT AS REQUESTED BY COR
TO CORRECT ERRORS/OMISSIONS; THEN WITHIN 5 BUSINESS
DAYS.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:44:54 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:08:19 -05'00'
N/A
REPORT, RECORD OF MEETING/MINUTES
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A007
DI-ALSS-81546 TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:45:10 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:09:11 -05'00'
N/A
SEE BLOCK 16 SEE BLOCK 16
PRODUCTION INSPECTION EQUIPMENT TEST SYSTEMS
ENGINEERING DESIGN DATA
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A008
DI-SESS-80639E TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE: EIA-649
USE IN CONJUNCTION WITH DI-SESS-80642E
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION. SEE
SPECIFIC TASK ORDER FOR AMOUNT OF DAYS TO APPROVE. IF
NONE LISTED, ASSUME 10 DAYS.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS REQUIRED IN TASK ORDER.
5. BLK 13: NO RESUBMISSION EXCEPT AS REQUESTED BY COR
TO CORRECT ERRORS/OMISSIONS.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:45:23 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:09:38 -05'00'
N/A
ENGINEERING CHANGE PROPOSAL (ECP)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
RICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A009
DI-SESS-80640E TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE: EIA-649
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION. SEE
SPECIFIC TASK ORDER FOR AMOUNT OF DAYS TO APPROVE. IF
NONE LISTED, ASSUME 10 DAYS.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS REQUIRED IN TASK ORDER.
5. BLK 13: AS REQUIRED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:45:37 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:10:13 -05'00'
N/A
REQUEST FOR VARIANCE (RFV)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A010
DI-SESS-80642E TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE: EIA-649
USE IN CONJUNCTION WITH DI-SESS-80639E AND DI-SESS-80643E
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. ADRESSES WILL BE PROVIDED IN SECTION G OF THE TASK
ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2007 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:43:23 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:10:40 -05'00'
N/A
NOTICE OF REVISION (NOR)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A011
DI-SESS-80643E TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE: EIA-649
USE IN CONJUNCTION WITH DI-SESS-80639E AND DI-SESS-80642E
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:48:27 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:11:06 -05'00'
N/A
SPECIFICATION CHANGE NOTICE (SCN)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A012
DI-SESS-80858D TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE: EIA-649 AND ISO 10007
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: FIRST SUBMITTAL 30-DAYS AFTER TASK ORDER
AWARD
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:50:57 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:11:33 -05'00'
N/A
SUPPLIER'S CONFIGURATION MANAGEMENT PLAN
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A013
DI-SESS-81022E TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE: EIA-649 AND ISO 10007
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: 30-DAYS PRIOR TO CONVENING OF FLIGHT SAFETY OF
FLIGHT REVIEW BOARD OR 30-DAYS PRIOR TO FLIGHT EVENT OR
AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS REQUIRED BY TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:50:28 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:16:25 -05'00'
N/A
CONFIGURATION AUDIT SUMMARY REPORT AND CERTIFICA
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A014
DI-SESS-81248B TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE: EIA-649
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: GOVERNMENT APPROVAL IS REQUIRED TO PROCEED.
SEE SPECIFIC TASK ORDER FOR AMOUNT OF DAYS TO APPROVE.
IF NONE LISTED, ASSUME 10 DAYS.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: FIRST SUBMITTAL 15 DAYS PRIOR TO CDR
(INFORMATIONAL ONLY) OR AS SPECIFIED IN TASK ORDER.
5. BLK 13: SECOND SUBMITTAL 30 DAYS AFTER CDR (FINAL) OR
AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:49:22 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:17:11 -05'00'
N/A
INTERFACE CONTROL DOCUMENT (ICD)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - SESS
A015
DI-SESS-81830 / DI-SESS-81830 NOTICE 1 TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: 30 DAYS PRIOR TO SAFETY OF FLIGHT REVIEW BOARD
OR 30-DAYS PRIOR TO FLIGHT EVENT OR AS SPECIFIED IN TASK
ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:49:57 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:18:00 -05'00'
N/A
AS BUILT CONFIGURATION LIST - COMMON (ABCL-C)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - DRPR
A016
DI-DRPR-81680A / DI-DRPR-81680A NOT 1 TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:49:05 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:28:32 -05'00'
N/A
SEE BLOCK 16 SEE BLOCK 16
ENGINEERING DOCUMENTATION PRODUCT DRAWINGS
(RE-PROCUREMENT)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - EMCS
A017
DI-EMCS-80200C / DI-EMCS-80200C NOTICE TASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE MIL-STD-461
RELATED TO DI-EMCS-80199C, DI-EMCS-80199C NOTICE 2,
DI-EMCS-80201C, and DI-EMCS-80201C NOTICE 2
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: 30 DAYS AFTER TEST EVENT OR AS SPECIFIED IN
TASK ORDER.
5. BLK 13: AS REQUIRED BY TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:49:40 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:29:22 -05'00'
N/A
SEE BLOCK 16 SEE BLOCK 16
ELECTROMAGNETIC INTERFERENCE TEST REPORT
(EMITR)
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:
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
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
X - EMCS
A018
DI-EMCS-81540B / DI-EMCS-81540B NOTTASK ORDER PWS REFERENCE
N/A
SEE BLOCK 16
C
SEE BLOCK 16
C
PCO*
COR
13 Sep 2023 13 Sep 2023
W9113M-2#-D-00XX-####D3I2 Domain 1
YOUR OFFICE SYMBOL HERE
REFERENCE MIL-STD-464
RELATED TO DI-EMCS-81541B, DI-EMCS-81541B NOTICE 2,
DI-EMCS-81542B, and DI-EMCS-81542B NOTICE 2.
1. FORMAT: DID OR CONTRACTOR FORMAT AS SPECIFIED IN
TASK ORDER.
2. BLK 8: THE GOVERNMENT SHALL HAVE 30 DAYS FOR REVIEW
AND/OR ACCEPTANCE/REJECTION OF EACH SUBMISSION.
3. BLK 10: AS REQUIRED BY TASK ORDER.
4. BLK 12: AS SPECIFIED IN TASK ORDER.
5. BLK 13: AS SPECIFIED IN TASK ORDER.
6. BLK 14: ADDRESSES WILL BE PROVIDED IN SECTION G OF THE
TASK ORDER.
DISTRIBUTION: UNLESS OTHERWISE STATED, DATA SHALL BE
PROVIDED IN MS OFFICE 2013 COMPATIBLE OR OCR PDF FORMAT
VIA EMAIL, CD, OR DVD. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO USE THE CURRENT ADDRESS IF CD OR DVD,
OR EMAIL ADDRESSES FOR ELECTRONIC SUBMISSION OF ALL
REPORTS.
*LETTER OF TRANSMITTAL ONLY
HINZ.PATRICIA.A
NN.1395174068
Digitally signed by
HINZ.PATRICIA.ANN.1395174068
Date: 2023.09.13 12:48:47 -05'00'
BAKER.JASON.SC
OTT.1230622694
Digitally signed by
BAKER.JASON.SCOTT.12306226
Date: 2023.09.13 15:30:23 -05'00'
N/A
SEE BLOCK 16 SEE BLOCK 16
ELECTROMAGNETIC ENVIRONMENTAL EFFECTS (E3)
INTEGRATON AND ANALYSIS REPORT (E3IAR)
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).
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