Exhibit A Contract Data Requirement List.pdf

PDF 2 MB Posted Sep 16, 2021

Attached to: Multiple NSNs for AN/URC-145A (V)1 Joint Tactical Terminal - Integrated Broadcast Service (JTT-IBS) System
Solicitation number: SPRBL1-21-R-0007
Issued by: Defense Logistics Agency Land and Maritime

About this file

Written by GovTribe AI · Dec 31, 2023

This is a request for proposal for hardware and services for the AN/URC-145A (V)1 Joint Tactical Terminal-Integrated Broadcast Service system. The solicitation seeks a firm-fixed-price, cost-plus-fixed-fee contract for spare parts including communications security modules, receivers, transmitters, chassis, trays, amplifiers and circuit card assemblies over a five year base period and two year option. Estimated annual quantities are provided for each national stock number. The Defense Logistics Agency Land and Maritime is the issuing agency. Only DRS Advanced ISR, LLC. holding CAGE code 0CDN3 is approved to provide the parts, and offerors must prove they can supply approved components. The closing date is not specified.

View the file

Other files

File	Type	Posted
Attachment 0007 REVISED ESTIMATED DEMAND.pdf	PDF	Jun 22, 2022
SPRBL1-21-R-0007 0004.pdf	PDF	Jun 22, 2022
SPRBL1-21-R-0007-0003.pdf	PDF	Nov 17, 2021
SPRBL1-21-R-0007-0002.pdf	PDF	Oct 27, 2021
SPRBL1-21-R-0007-0001.pdf	PDF	Oct 12, 2021
Attachment 0003 Quality Assurance Surveillance Plan.pdf	PDF	Sep 16, 2021
SPRBL1-21-R-0007.pdf	PDF	Sep 16, 2021
Attachment 0004 Special Packaging Instruction AG00000573F.pdf	PDF	Sep 16, 2021
Attachment 0001 Technical Requirements.pdf	PDF	Sep 16, 2021
SPRBL1-21-R-0007 UPDATED DD254 with Continuation Page_Septemer_2021 SIGNED.pdf	PDF	Sep 16, 2021
Attachment 0005 Special Packaging Instruction AG00000601.pdf	PDF	Sep 16, 2021
Attachment 0002 Performance Work Statement.pdf	PDF	Sep 16, 2021
Attachment 0006 DD254 Contract Security Classification Specification.pdf	PDF	Sep 16, 2021

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CDRL List

CDRL

Data Line No.

DID Identification Title PWS TRD

A001 DI-ILSS-80620 GOVERNMENT FURNISHED

EQUIPMENT REPAIR STATUS REPORT

YES NO

A002 DI-MGMT-80934C OPERATIONS SECURITY (OPSEC)

PLAN

YES NO

A003 DI-PSSS-81656B BILL OF MATERIALS (BOM) FOR

LOGISTICS AND SUPPLY CHANGE

RISK MANAGEMENT

YES YES

A004 DI-MISC-80711A SCIENTIFIC AND TECHNICAL

REPORTS

YES NO

A005 DI-SESS-80639E ENGINEERING CHANGE PROPOSAL

(ECP)

YES YES

A006 DI-SESS-80643E SPECIFICATION CHANGE NOTICE

(SCN)

YES YES

DI-FNCL-80912 PERFORMANCE AND COST REPORT YES NO

A008 DI-MGMT-81941 OBSOLESCENCE ALERT NOTICE YES YES

A009 DI-MISC-80508B FOREIGN INFLUENCE REPORT YES NO

A010 DI-MGMT-82128 GOVERNMENT PROPERTY

INVENTORY REPORT

YES NO

A011 DI-MGMT-82128 GOVERNMENT PROPERTY

INVENTORY REPORT

YES NO

A012 DI-SESS-80640E SCIENTIFIC AND TECHNICAL

REPORTS

YES YES

A013 DI-MGMT-82256 SUPPLY CHAIN RISK MANAGEMENT

(SCRM) PLAN

YES NO

A014 DI-MISC-81258 VALUE ENGINEERING CHANGE

PROPOSAL (VECP)

YES YES

A007A

August 26, 2021

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 (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 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 X

JTT IBS TBD TBD

A001 Government Furnished Equipment Repair Status Report

DI-ILSS-80620 PWS Para 3.6 AMSEL-LCW-SD

Monthly SEE BLK 16

SEE BLK 16

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

0 4 0

In addition to the reporting requirements of DI-ILSS-80620, the Contractor shall also include in the report those items determined to have no evidence of failure.

Item 12: First report due 30 days after task order issuance.

Item 13: Subsequent reports shall be submitted every 30 days.

Block 14: Provide deliverables in searchable Adobe Acrobat, Microsoft Office (Word, Excel, PowerPoint), rich text, and text digital file formats.

Submit the deliverables via electronic mail, FTP, SharePoint, or other means, with concurrence of the requiring office.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:05:46 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:29:18 -05'00'

24 FEB 21

Adobe Professional 8.0

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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 X

JTT IBS TBD TBD

A002 Operations Security (OPSEC) Plan

DI-MGMT-80934C PWS Para 3.8.2 AMSEL-LCW-SD

ONE/R NLT 90 DAC

BLOCK 16

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

OPSEC OFFICE 1

0 5 0

Item 13: Updates/revisions to the OPSEC SOP/Plan shall be submitted NLT 45 days after the Contractor or Government identifies the need to update/revise the OPSEC SOP/Plan.

Block 14: Provide deliverables in searchable Adobe Acrobat, Microsoft Office (Word, Excel, PowerPoint), rich text, and text digital file formats. Submit the deliverables via electronic mail, FTP, SharePoint, or other means, with concurrence of the requiring office.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:15:00 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:30:06 -05'00'

24 FEB 21

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

JTT IBS TBD TBD

A003 Bill of Materials (BOM) for Logistics and Supply Change Risk Management

DI-PSSS-81656B PWS Para 3.11.2.1 AMSEL-LCW-SD

QTRLY BLOCK 16

BLOCK 16

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

CERDEC PRD 1

0 5 0

16. REMARKS

Item 10: Year 4 requires 1 submission only.

Item 12: Delivery of DMSMS Source Data shall be within 30 days after award of task order. Allow Government 30 days to review and determine acceptance.

Item 13: Subsequent reports to be submitted quarterly until conclusion of task order. Allow Government 30 days to review and determine acceptance.

See DI-SESS-81656 for DMSMS Data format and content requirements. Contractor to submit Letter upon acceptance of DMSMS Data.

Alternate formats may be allowed subject to Government review and approval.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:28:50 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:33:09 -05'00'

24 FEB 21

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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 X

JTT IBS TBD TBD

A004 SCIENTIFIC AND TECHNICAL REPORTS

DI-MISC-80711A PWS Para 3.11.3 AMSEL-LCW-SD

A E

MONTHLY 60 DAC

30 DARP

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

CERDEC PRD 1

0 5 0

Block 13: Reports should be submitted monthly NLT then 15th of the month.

Alternate formats may be allowed subject to Government review and approval.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:27:11 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:32:27 -05'00'

24 FEB 21

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

JTT IBS TBD TBD

A005 ENGINEERING CHANGE PROPOSAL (ECP)

DI-SESS-80639E PWS Para 3.15.1 AMSEL-LCW-SD

A E

ASREQ BLOCK 16

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

CERDEC PRD 1

0 5 0

Block 12: As required. Allow 30 days for Government to review and determine acceptance on Class I. Allow 10 days for Government to review and determine acceptance on Class II.

Block 13: As required. Allow 30 days for Government to review and determine acceptance on Class I. Allow 10 days for Government to review and determine acceptance on Class II.

Block 14: A cover letter shall accompany the report with date of submission. Both cover letter and the ECP shall be submitted and exchanged electronically in Microsoft Office applications (MS Word, Excel, Power Point, Access, and Project). Alternate formats may be allowed subject to Government review and approval.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:38:42 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:33:38 -05'00'

24 FEB 21

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

JTT IBS TBD TBD

A006 SPECIFICATION CHANGE NOTICE (SCN)

DI-SESS-80643E PWS Para 3.15.2 AMSEL-LCW-SD

A E

ASREQ ASREQ

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

CERDEC PRD 1

0 5 0

Alternate formats may be allowed subject to Government review and approval.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:29:43 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:34:17 -05'00'

24 FEB 21

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

JTT IBS TBD TBD

A007 PERFORMANCE AND COST REPORT

DI-FNCL-80912 PWS Para 3.10.1 AMSEL-LCW-SD

A E

MONTHLY DFDEL

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

CERDEC PRD 1

0 5 0

16. REMARKS

Block 4: Report format will include Month-to-Date and Inception-to-Date cost by element by CLIN and Manhours by function for each CLIN. Travel cost shall be set forth, with total number of personnel involved in the travel. No employee level detail is required.

*Block 10: Submissions for Year 4 shall be 4.

Block 7: CDRL Note under PWS Para 3.6 and 3.12 applies.

Block 8: Government requires 30 calendar days after receipt to review and comment/accept.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:01:08 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:27:53 -05'00'

24 FEB 21

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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 X

JTT IBS TBD TBD

A008 OBSOLESCENCE ALERT NOTICE

DI-MGMT-81941 PWS Para 3.11.2.4 AMSEL-LCW-SD

ASREQ BLOCK 16

BLOCK 16

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

CERDEC PRD 1

0 5 0

Item 12: As required. Assumption is up to 1 submission for Year 4 and up to 6 submissions for Year 5. Allow 30 days for Government to review and determine acceptance.

Item 13: Subsequent reports to be submitted as requested until conclusion of task order.

Submit Letter to Government within 15 days upon discovery of obsolescence from vendor.

Allow Government 30 days to review and determine acceptance.

Block 14: Format. The Obsolescence Alert Notice shall be in contractor’s format. The Obsolescence Alert Notice shall contain: Contractor's Name, Contractor's Address, Contractor's Phone Number, Date of Notification, Contract Number, Obsolescence Alert Notice Number, Affected Dual Band Radar System, Affected Equipment Title/Nomenclature, Part Number, National Stock Number, if applicable, Affected Assembly Title/Nomenclature, Contractor's Statement of Impact, Contractor’s Recommendation to Mitigate Obsolescence Issue/Problem, to include, as applicable:

(1) Alternative Sources

(2) Hardware Redesign

(3) Out of Production Non-Recurring Engineering Contractor’s Cost Estimate to Mitigate Obsolescence Issue/Problem

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:24:37 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:30:49 -05'00'

24 FEB 21

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

JTT IBS TBD TBD

A009 FOREIGN INFLUENCE REPORT

DI-MISC-80508B PWS Para 3.6 AMSEL-LCW-SD

ASREQ BLOCK 16

BLOCK 16

KO 1

COR 1

0 2 0

DID tailoring: Format shall be contractor format and electronically delivered.

Blocks 12 and 13: Submit once and modified if there are any changes over the contract period of performance.

Provide responses to the following, with supporting documentation:

1. Do any foreign person(s), directly or indirectly, own or have subscribed 5% or more of your organization’s stock or total capital commitment?

2. Does your organization directly or indirectly through subsidiaries and affiliates, own 10% or more of any foreign interest?

3. Do any non-US citizens serve in a decision-making capacity for your organization (e.g., board of directors, general partners, trustees or senior management officials) or control the direction of organizational activities?

4. Does anyone that serves in a decision-making capacity for your organization hold any position with or serve as consultants for any foreign entity?

5. Does your organization have any contracts, agreements, understandings, or arrangements with a foreign entity?

6. Does your organization have any indebtedness, liabilities or obligations to foreign entities?

Alternatively, provide Standard Form 328 Certificate Pertaining to Foreign Interests OMB No. 0704-0579 if your organization has completed one.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.02.24 13:25:32 -05'00'

24 FEB 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.03.02 14:31:54 -05'00'

24 FEB 21

Adobe Professional 8.0

CONTRACT DAT A 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 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 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/ITEM

JTT IBS

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

B. EXHIBIT

C. CATEGORY:

TDP TM

E. CONTRACT/PR NO.

TBD

AOlO

GOVERNMENT PROPERTY INVENTORY REPORT

4. AUTHORITY (Data Acquisition Document No.)

OTHER X

F.CONTRACTOR

TBD

3. SUBTITLE

6. REQUIRING OFFICE

5. CONTRACT REFERENCE

PWS Para 3.11.5 AMSEL-LCW-SD

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

REQUIRED

8. APP CODE

ANNLY

11. AS OF DATE

SEEBLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEEBLK 16

a. ADDRESSEE Draft

SEE BLOCK 16

b. COPIES

Final

Reg Repro

1----------+----+---+---I

16. REMARKS

a) Contractors must provide to the COR a physical inventory plan demonstrating how the contractor will achieve a 100% physical inventory count of all material in the contractor's custody over the shorter of the length of period of performance or 1 calendar year from the start of the period of performance.

Data required and identified in the requirements section of the DID Section 2, Content, will be replaced with the following specific to this Contract/Delivery Order:

National Stock Number (NSN)

Manufacturer Part Number

Item Name/Nomenclature

Serial Number (if available)

Quantity

Unit of Measure

Condition Code

Storage Location

Sub Location (if applicable)

Date of Last Physical Inventory

Quantity Counted at Date of Last Physical Inventory

Quantity Adjusted (if applicable)

Contractor shall provide a report electronically in .xis or .xlsx format on an annual basis.

Inventory records are subject to verification by the government. Contractor must maintain record of physical inventory counts performed to be provided in the event of an inspection.

Notification of inspection will be coordinated through the Government Property

Administrator or COR.

Block 13: Date of subsequent submission shall be 12 months from date of prior submission.

Block 14: Distribution shall be made to the Contracting Officer's Representative of record for this contract at time of submission. Provide deliverables in searchable Adobe Acrobat, Microsoft Office (Word, Excel, PowerPoint), rich text, and text digital file formats.

Submit the deliverables via electronic mail, FTP, SharePoint, or other means, with concurrence of the requiring office.

G. PREPARED BY I. APPROVED BY

15.TOTAL

FARMER.OAVIO.ANOREW.11288 o191ta11y,1goed by 24312 ��::��.��

H.DATE

21 July 2020 DUNN.TERRY.EUGEN Digitally signed by

DUNN.TERRY.EUGENE.1186931110

DD FORM 1423-1, FEB 2001

E.1186931110 Date: 2020.07.21 10:10:00-04'00'

PREVIOUS EDITION MAY BE USED. Page

J. DATE

21 July 2020 of

Pages

Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DI-MGMT-82128

CONTRACT DAT A 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 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 0 M B 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/ITEM

JTT IBS

1. D A T A ITEM NO.

B. EXHIBIT

C. CATEGORY:

T D P TM

IE. CONTRACT/PR NO.

TBD

OTHER X

F.CONTRACTOR

TBD

3. SUBTITLE

AOll

2. T ITLE OF D A T A ITEM

GOVERNMENT PROPERTY INVENTORY REPORT Reporting of Government Inventory Held under Product Suooort Contractual Arrangements

4. AUTHORITY (Data Acquisition Document No.)

1 5 .

C O N T R A C T REFERENCE

PWS Para 3.11.5

7. DO 2 5 0 REQ

8. APP C O D E

9. DIST STATEMENT 10. FREQUENCY

REQUIRED QRTLY

D 11. A S OF D A T E

12. D A T E OF FIRST SUBMISSION

SEEBLK 16

13. D A T E OF SUBSEQUENT

SUBMISSION

6. REQUIRING OFFICE

AMSEL-LCW-SD

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final Draft SEEBLK 16 Reg Repro

16. REMARKS

Data required and identified in the requirements section of the DID 1-2.16 will be replaced with the following data specific to this Contract/Delivery Order:

National Item Identification Number (NIIN) Contract Number GFM is authorized under Delivery Order (DO) Number Open GFM Requisition Number Due-In Quantity Quantity Received Consumable GFM Yes/No Serviceable "A" Condition Transfer In Transfer In From Contract/DO number Serviceable "A" Condition Transfer Out Transfer Out to Contract/DO Number Sum Quantity Issued to Repair Line Sum Quantity Tum-In Missing Due-In Plant Clearance Shipped Quantity Total On-Hand (OH) Balance Serviceable "A" Condition OH Unserviceable "F" Condition OH and Condemned "H" Condition OH

Contractor shall provide a report electronically in .xis or .xlsx format.

Block 12: 30 days from executed modification adding this deliverable requirement

Block 13: Subsequent submissions shall be provided on the 15th of the month, unless the 15th is a weekend or holiday, in which case the report shall be delivered the next available business day.

Block 14: Distribution shall be made to the Contracting Officer's Representative of record at time of delivery. Provide deliverables in searchable Adobe Acrobat, Microsoft Office (Word, Excel, PowerPoint), rich text, and text digital file formats. Submit the deliverables via electronic mail, FTP, SharePoint, or other means, with concurrence of the requiring office.

SEE BLOCK 16

1 5 . T O T A L 0

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

DD FORM 1423-1, FEB 2001

21 July 2020 DUNN.TERRY.EUGENE Digitally signed by DUNN.TERRY.EUGENE.1186931110 21 July 2020

.1186931110 Date: 2020.07.2110:09:21 -04'00'

PREVIOUS EDITION MAY BE USED. Page of

Pages Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

T O T A L PRICEDI-MGMT-82128

TBD

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A MGMT

JTT IBS TBD TBD

A013 SUPPLY CHAIN RISK MANAGEMENT (SCRM) PLAN

DI-MGMT-82256 PWS Para 3.17 AMSEL-LCW-SD

A E

AS REQUIRED NLT 30 DAC

BLOCK 16

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

0 4 0

16. REMARKS

Block 13: Submit once and modified if there are any changes over the contract period of performance.

Please see Data Item Description (DID) DI-MGMT-82256 for further clarification.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.06.11 08:56:53 -04'00'

11 JUN 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.06.11 09:05:18 -04'00'

11 JUN 21

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

JTT IBS TBD TBD

1. DATA ITEM NO.

A014 VALUE ENGINEERING CHANGE PROPOSAL (VECP)

DI-MISC-81258 PWS Para 3.15.4 AMSEL-LCW-SD

A E

ASREQ BLOCK 16

CECOM ILSC COR 1

CECOM ILSC ILSM 1

ACO 1

PCO 1

CERDEC PRD 1

0 5 0

Block 12: As required. Allow 30 days for Government to review and determine acceptance on Class I. Allow 10 days for Government to review and determine acceptance on Class II.

Block 13: As required. Allow 30 days for Government to review and determine acceptance on Class I. Allow 10 days for Government to review and determine acceptance on Class II.

David Farmer, ILS Manager

FARMER.DAVID.ANDREW.1128

824312

Digitally signed by

FARMER.DAVID.ANDREW.1128824312

Date: 2021.07.21 10:33:27 -04'00'

21 JUL 21

Terry E. Dunn, Chief, Logistics Branch

DUNN.TERRY.EUGENE.118

6931110

Digitally signed by

DUNN.TERRY.EUGENE.1186931110

Date: 2021.07.21 10:41:32 -04'00'

21 JUL 21

JTT-IBS CDRLS 8-13-21.pdf

File details come from the government source that posted it. Updated Sep 16, 2021.