EXHIBIT A - CDRL A016 First Article Test Report - DD 1423.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

0002 TDP TM OTHER

X

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

MAAS FD2060-2 -3

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

GROUP

Test/Inspection Report First Article Test Report

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

TOTAL PRICE

DI-NDTI-80809B NOT 2 SOW para 3.5.2.1 AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD 1TIME BLK 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNZE 1 2 0

BLK 8: The Government will have 45 calendar days after receipt of the test report to approve or disapprove. The contractor shall have 21 calendar days after receipt of the Government comments to resubmit the report.

BLK 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S.

Government Agencies and their contractors (administrative use) ( ember 202 ). Other requests for this document shall be referred to AFLCMC/WNZE .

BLK 12: 15 Days after completion of First Article Test

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division ATTN: AFLCMC/WNZE Christopher Peisher 236 Milledgeville Street, Suite F30 Robins AFB GA 31098-1813 email: Christopher.peisher@us.af.mil

Notification of submission shall be provided to the PCO via e-mail at: actual e-mail address will be provided at time of contract award.

15. Total 1 2

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

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 1 of 1 Pages

PEISHER.CHRISTOPH

ER.S.1384906806

Digitally signed by

PEISHER.CHRISTOPHER.S.1384906806

Date: 2024.01.19 12:29:39 -05'00'

GRIEPENBURG.DE

IDRE.H.1289435464

Digitally signed by

GRIEPENBURG.DEIDRE.H.12894354

Date: 2024.01.19 14:58:18 -05'00'

01/19/2024 01/19/2024

A

A016