Exhibit_A_CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

0MB 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 Department of Defense, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision oflaw, no person shall be subject to any penalty for failing to comply with a collection of information ifit does not display a currently valid 0MB 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.

D. SYSTEM I ITEM

Fl00-PW-220/229 I Seal, Air, Aircraft Gas

B. EXHIBIT

E. CONTRACT I PR NO.

FD20302201012

2. TITLE OF DATA ITEM

C. CATEGORY

TDP TM

F. CONTRACTOR

3. SUBTITLE

OTHER X

1. DATA ITEM NO.

A00l Government Property (GP) Inventory Report Annual Government Property Physical Inventory Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-804410

5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMAB

7. DD 250 REQ

LT

8. APP CODE

NIA

16. REMARKS

NAME: Zilar, Dale N

NSN : 2840-01-320-6432NZ

Part Number : 4076459

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ANNLY

11. AS OF DATE

See Block 16

DATE: 11 MAR 2022

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

THIS CDRL WILL SERVE BASE YEAR AND ALL ORDERING PERIODS.

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ ACO without further revision to this CDRL.

1. Block 4:

a. All reports shall be submitted in the English Language.

2. Blocks 10, 11, 12, 13:

a. This report will be provided annually. Reporting Period is one year.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. (1 March 2022) Other requests for this document shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App.

2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IA W provisions ofDoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IA W DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IA W DoDI 5230.24 Enclosure 3, Paragraph 17.

4. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

Tommy.Sneed@us.af.mil

COORDINATORS:

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 27 May 2022

14. DISTRIBUTION

a. ADDRESSEE

See Block 16

15. TOTAL

Version 1

b. COPIES

Final Draft

Reg Repro

0 1 0

0 1 0

Page 1 of6

X002 A

Form Approved

0MB No. 0704-0188

G. PREPARED BY

Zilar, Dale N

H.DATE

11 MAR 2022

I. APPROVED BY

//ELEC1RON1CALL Y SIGNED//

424 SCMS I GUBAB

405-736-7976

Sneed, Tommy J

421 SCMS / GUMA520 405-734-5446 / 884-5446

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

IDP TM

D. SYSTEM I ITEM E. CONTRACT I PR NO.

FD20302201012

F. CONTRACTOR

Fl00-PW-220/229 I Seal, Air, Aircraft Gas

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Report of Shipping (Item ) and Packaging Discrepancy

3. SUBTITLE

SF-364 (ROD )

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80503

5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMAB

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

REQUIRED SUBMISSION

LT D ASREQ As Required

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

SUBMISSION

NIA See Block 16 As Required

16.REMARKS

NAME: Zilar, Dale N DATE: 11 MAR 2022

NSN : 2840-0l-320-6432NZ Part Number : 4076459

THIS CDRL WILL SERVE BASE YEAR AND ALL ORDERING PERIODS.

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Contractor will use WEBSDR to submit an electronic SF-364 (Standard Form ) IA W TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, nonreceipt, damage, and/or improperly packaged shipment. If the contractor submits a SF-364, Block 12 of the SF-364 must contain the following information for the missing items:

l.) NSN 2.) Part Number 3.) Nomenclature 4.) Quantity missing 5.) Price for part replacement to include all administrative and labor costs.

Additionally, all tags that accompanied the component, (i.e. shipping labels, repairable tags, and condition tags will be scanned and attached to the ROD request.

DCMA/QAR and/or Plant Clearance Officer must validate the discrepancy upon unpacking of the component. SDR/ROD must be submitted to the PCO/PMS within 48 hours of inventory receipt/induction.

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, critical technology. (1 March 2022 ) Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq ) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

DESTRUCTION NOTICE : For classified documents, follow the procedures IA W DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM ), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IA W DoDI 5230.24 Enclosure 3, Paragraph 17.

BLOCK 11: Within 5 working days of discovery of discrepancy.

BLOCK 14: E-mail copies to addressees per attached Distribution Matrix. Reoort ofDiscreoancv shall be submitted to

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 27 May 2022

14. DISTRIBUTION

a. ADDRESSEE

421 SCMS/GUMAB

3001 Staff Drive, Annex 4, Suite lAFl 115 Tinker Air Force Base, Oklahoma 73145 Attention : Tommy J. Sneed

15. TOTAL

Version 1

J.DATE

11-MAR-22

OTHER X

b. COPIES

Final Draft

Reg Repro

0 1 0

0 1 0

Page 2 of6

Form Approved

0MB No. 0704-0188 the material originator.

Note: It is permissible to submit paper SF 364s until access to WEBSDR is attained.

FOB DESTINATION

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

H.DATE

11 MAR 2022

I. APPROVED BY

//ELECTRONICALLY SIGNED//

424 SCMS I GUBAB

405-736-7976

A. CONTRACT LINE ITEM NO.

D. SYSTEM I ITEM

FlO0-PW-220/229 I Seal, Air, Aircraft Gas

1. DATA ITEM NO.

A003

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81838

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

NIA

B.EXHIBIT

E. CONTRACT I PR NO.

FD20302201012

2. TITLE OF DATA ITEM

Sneed, Tommy J

421 SCMS / GUMA520

Commercial Asset Visibility (CA V) Reporting

5. CONTRACT REFERENCE

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST

SUBMISSION

Seee Block 16

405-734-5446 I 884-5446

C.CATEGORY

TDP TM

F. CONTRACTOR

3. SUBTITLE

CFM End Item Reporting

6. REQUIRING OFFICE

421 SCMS/GUMAB

14. DISTRIBUTION

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

SUBMISSION

a. ADDRESSEE

A

16.REMARKS

NAME: Zilar, Dale N

NSN : 2840-0l-320-6432NZ Part Number : 4076459

See Block 16

DATE: 11 MAR 2022

See Block 16

THIS CDRL WILL SERVE BASE YEAR AND ALL ORDERING PERIODS.

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ ACO without further revision to this CDRL.

1. Block 5: Contract Reference: PWS and CA V AF Reporting Requirements Document.

2. Block 4: All reporting shall be submitted in the English Language.

3. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CA V AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IA W the CA V AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

4. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CA V AF using the CA V AF website or CICA XML.

b. The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WA WF) website address: https://wawf.eb.mil, using DODAAC F A825 l. MARK FOR: Address in block 14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address: Tommy.Sneed@us.af.mil

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 27 May 2022

See Block 16

15. TOTAL

Version 1

J.DATE

ll-MAR-22

OTHER X

b. COPIES

Final Draft

Reg Repro

0 5 0

0 5 0

Page 3 of6

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB No. 0704-0188

COORDINATORS:

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

Zilar, Dale N 11 MAR2022 //ELECTRONICALLY SIGNED// 11-MAR-22

424 SCMS I GUBAB Sneed, Tommy J

405-736-7976 421 SCMS / GUMA520 405-734-5446 I 884-5446

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

TDP TM OTHER X

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

Fl00-PW-220/229 I Seal, Air, Aircraft Gas FD20302201012

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

A004 Deficiency Report (DR) DR

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

DI-PSSS-81535A PWS 421 SCMS/GUMAB

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT NIA ASREQ As Required b. COPIES

8.APP CODE 11.AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE

SUBMISSION Final Draft

NIA See Block 16 See Block 16 Reg Repro

16.REMARKS 421 SCMS/GUMAB 0 1 0

NAME: Zilar, Dale N DATE: 11 MAR 2022 3001 Staff Drive, Annex 4, Suite lAFl 115

NSN : 2840-0l-320-6432NZ Tinker Air Force Base, Part Number : 4076459 Oklahoma 73145 Attention : Tommy J. Sneed

15. TOTAL 0 1 0 THIS CDRL WILL SERVE BASE YEAR AND ALL ORDERING PERIODS.

Block 11, 12, 13: As defined by T.O. 00-35D-54, submit a report whenever a material or quality deficiency occurs using SF 368 or equivalent.

Changes to office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

COORDINATORS:

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

Zilar, Dale N 11 MAR2022 //ELECTRONICALLY SIGNED// 11-MAR-22

424 SCMS I GUBAB Sneed, Tommy J

405-736-7976 421 SCMS / GUMA520 405-734-5446 I 884-5446

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 27 May 2022 Version 1 Page 4 of6

Form Approved

0MB No. 0704-0188

A. CONTRACT LINE ITEM NO.

D. SYSTEM I ITEM

Fl00-PW-220/229 I Seal, Air, Aircraft Gas

1. DATA ITEM NO.

A005

4. AUTIIORITY (Data Acquisition Document No.)

DI-PSSS-81995A

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

B. EXHIBIT

E. CONTRACT I PR NO.

FD20302201012

2. TITLE OF DATA ITEM

C. CATEGORY

IDP TM

F. CONTRACTOR

3. SUBTITLE

OTHER X

Contract Depot Maintenance (CDM) Monthly Production CDM Production Monthly Status Report Report

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

PWS

12. DATE OF FIRST

SUBMISSION

421 SCMS/GUMAB

14. DISTRIBUTION

LT D

10. FREQUENCY

MTIILY See Block 16 b. COPIES

8. APP CODE

NIA

16. REMARKS

NAME: Zilar, Dale N

NSN : 2840-01-320-6432NZ

Part Number : 4076459

11. AS OF DATE

See Block 16

DATE: 11 MAR 2022

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

THIS CDRL WILL SERVE BASE YEAR AND ALL ORDERING PERIODS.

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ ACO without further revision to this CDRL.

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CA V AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995A) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995A) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 5 (five) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS).

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report".

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. Other requests for this document shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma. (1 March 2022)

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App.

2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IA W provisions ofDoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IA W DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IA W

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 27 May 2022

a. ADDRESSEE

Final Draft

Reg Repro

See Block 16 0 1 0

15. TOTAL 0 1 0

Version 1 Page 5 of6

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB No. 0704-0188

DoDI 5230.24 Enclosure 3, Paragraph 17.

4. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

Tommy.Sneed@us.af.mil

COORDINATORS:

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

Zilar, Dale N 11 MAR2022 //ELECTRONICALLY SIGNED// 11-MAR-22

424 SCMS / GUBAB Sneed, Tommy J

405-736-7976 421 SCMS / GUMA520 405-734-5446 I 884-5446

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

TDP TM OTHER X

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

Fl00-PW-220/229 I Seal, Air, Aircraft Gas FD20302201012

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

A006 Technical Order Improvement Report and Reply AFTO Form 22

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

DI-TMSS-80229D PWS 421 SCMS/GUMAB

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

NO D ASREQ As Required b. COPIES

8.APP CODE 11.AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE

SUBMISSION Final Draft

NIA As Required As Required Reg Repro

16.REMARKS 421 SCMS/GUMAB 0 1 0

NAME: Zilar, Dale N DATE: 11 MAR 2022 3001 Staff Drive, Annex 4, Suite lAFl 115

NSN : 2840-0l-276-9822NZ Tinker Air Force Base, Part Number : 4071088 Oklahoma 73145 Attention : Tommy J. Sneed

15. TOTAL 0 1 0 THIS CDRL WILL SERVE BASE YEAR AND ALL ORDERING PERIODS.

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

This report shall be submitted IA W TO 00-5-1 using AFTO 22 for Air Force TOs. The contractor shall report when an error or improvement changes the meaning of the instructions or information contained in the technical directives where it may prevent mission performance. Also, this report shall be used by the contractor to indicate omissions of pertinent overhaul procedures in TOs or desired changes to TO date.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, critical technology. (1 March 2022) Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

DESTRUCTION NOTICE : For classified documents, follow the procedures IA W DoD 5220.22-M, National Industrial Security Program Operating Manual (NlSPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IA W DoDI 5230.24 Enclosure 3, Paragraph 17.

COORDINATORS:

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

Zilar, Dale N 11 MAR 2022 //ELECTRONICALLY SIGNED// 11-MAR-22

424 SCMS / GUBAB Sneed, Tommy J

405-736-7976 421 SCMS / GUMA520 405-734-5446 I 884-5446

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 27 May 2022 Version 1 Page 6 of6