Exhibit_A-E_CDRLs_23MAR2026.pdf
PDF 229 KB Posted
- Attached to
- REPAIR OF THE RECEIVER TRANSMITTERS, APPLICABLE TO THE LIGHTWEIGHT AIRBORNE RECOVERY SYSTEM (LARS).
- Solicitation number
- FA8524-26-R-0020
About this file
This is a Contract Data Requirements List (CDRL) for HC-130J maintenance and support services under contract FD20602700012 with Cubic Secure Communications, LLC. The CDRL specifies ten data items required across a base year plus four option periods, prepared by the 411 SCMS/GULAB office at Robins Air Force Base.
The required data deliverables include: Commercial Asset Visibility (CAV) Reporting submitted daily within 24 hours of transactions; Contract Depot Maintenance Production Reports submitted monthly within ten business days; a Counterfeit Prevention Plan submitted within 30 workdays of award with quarterly updates; an Item Unique Identification (IUID) Marking Plan within 30 calendar days of award; quarterly IUID Marking Activity, Validation and Verification Reports; a Quality Program Plan submitted after award before work begins; monthly Maintenance Data Collection Records (MDCR) due by the 10th of each month; an annual Government Property Inventory Report within seven calendar days of period end; quarterly Status Reports due by the 10th working day of each month; and Accident/Incident Reports submitted within 24 hours of occurrence as required. Most submissions are electronic via designated email addresses to the Program Manager (Torey McClain), Engineer (Phillip Brown), and Procurement Contracting Officer (William Martin). Distribution statements vary from public release (Distribution A) to government and contractor use only (Distribution B and C), with export control warnings required on technical documents containing controlled data.
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CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)
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 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 X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 001
2. TITLE OF DATA ITEM
Commercial Asset Visibility (CAV) Reporting
3. SUBTITLE
CAV
4. AUTHORITY
DI-MGMT-81838
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 4.15
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
N/A
10. FREQUENCY
See Block 16
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 12 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A A001 Base Year Period 1008 B B001 Option Period 1 2008 C C001 Option Period 2 3008 D D001 Option Period 3 4008 E E001 Option Period 4
1. Block 4: All reporting shall be submitted in the English Language.
2. Block 5: Contract Reference: PWS and CAV AF Reporting Requirements Document.
3. Blocks 7, 8, 14:
a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.
b. 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:
(EMAIL ADDRESS)
4. 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 CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.
c. Data shall be current within 24 hours of the last End Item maintenance occurrence.
COORDINATORS:
15. TOTAL
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
Page 1 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
0008,1008,2008,3008,4008 A/B/C/D/E
CUBIC SECURE COMMUNICATIONS, LLC
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 002
2. TITLE OF DATA ITEM
Contract Depot Maintenance Production Report
3. SUBTITLE
Production Report
4. AUTHORITY
DI-PSSS-81995A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 4.18
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
See Block 16
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
See Block 16
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 12 MAR 2026DATE:
REMARKS:
Clin Exhibit Data Item No Performance Period 0008 A A002 Base Year Period 1008 B B002 Option Period 1 2008 C C002 Option Period 2 3008 D D002 Option Period 4 4008 E E002 Option Period 4
1. Block 4:
a. All reporting shall be submitted in the English Language.
b. The Contractor's CAV 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-81995) for EACH repair location, including subcontractor facilities, for the contract's maintenance occurrence actions during the reporting period.
d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.
2. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:
gerveline.eliassaint@us.af.mil
3. Block 9:
a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office)
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 IAW provisions of DoD Directive 5230.25.
c. DESTRUCTION NOTICE: For classified documents, follow the procedures IAW 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 IAW DoDI 5230.24 Enclosure 3 Paragraph 17.
4. Blocks 10, 11, 12, 13:
EMAIL:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
EMAIL:
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
Page 2 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X
A/B/C/D/E
a. The reports shall be provided monthly within 10 (ten) 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"
COORDINATORS:
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 003
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan
3. SUBTITLE
CPP
4. AUTHORITY
DI-MISC-81832
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 4.14
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
See Block 16
11. AS OF DATE
See Bloack 16
12. DATE OF FIRST
SUBMISSION
See Bloack 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Bloack 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 12 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A A003 Base Year Period 1008 B B003 Option Period 1 2008 C C003 Option Period 2 3008 D D003 Option Period 3 4008 E E003 Option Period 4
BLK 4: The Data Item Description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements delineated in the statement of work. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.
BLK 7: The Government will accept the receiving report through WAWF. The contractor shall submit the receiving report upon final submission to DODAAC FA8524, Attention: torey.mcclain@us.af.mil (Program Manager) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove within 30 calendar days after receipt.
BLK 9: "B" Distribution authorized to U.S. Government agencies only (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.
BLKS 10-13: Draft Counterfeit Prevention Plan shall be submitted electronically within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.
BLK 14: EMAIL electronic Counterfeit Prevention Plan to the following email address:
Procuring Contract Officer (PCO) AFSC/PZAAA, William Martin (E-mail: william.martin.12@us.af.mil Program Manager: Torey McClain (E-mail: torey.mcclain@us.af.mil) Engineer: Phillip Brown (E-mail: phillip.brown.20@us.af.mil)
COORDINATORS:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
Page 3 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X A/B/C/D/E
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 004
2. TITLE OF DATA ITEM
Item Unique Identification (IUID) Marking Plan
3. SUBTITLE
Item Unique Identification
4. AUTHORITY
DI-MGMT-81803A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 4.10.5
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
See Block 16
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
QRTLY
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 12 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A A004 Base Year Period 1008 B B004 Option Period 1 2008 C C004 Option Period 2 3008 D D004 Option Period 3 4008 E E004 Option Period 4
BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational Use, 28 April 16) Other requests shall be referred to the contract management team, AFSCC/PZAAA 460 Richard Ray BLvd, Suite 221, Robins AFB, GA 31098
BLKS 10-13: The contractor shall submit a complete IUID Marking Plan within 30 calendar days after contract award.
The Government will review and determine acceptance or rejection and notify contractor within 10 calendar days of receipt. If rejected, the contractor shall have 10 calendar days to correct any error and return a corrected IUID Marking Plan to the Government for review.
BLK 7, 14: Forward one electronic copy in PDF format to the following email address:
Program Manager: Torey McClain (E-mail: torey.mcclain@us.af.mil) Engineer: Phillip Brown (E-mail: phillip.brow.20@us.af.mil)
COORDINATORS:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
Page 4 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 005
2. TITLE OF DATA ITEM
IUID Marking Activity, Validation and Verification Report
3. SUBTITLE
Item Unique Identification
4. AUTHORITY
DI-MGMT-81804A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 4.10.6
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
See Block 16
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
QRTLY
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 12 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A A005 Base Year Period 1008 B B005 Option Period 1 2008 C C005 Option Period 2 3008 D D005 Option Period 3 4008 E E005 Option Period 4
BLK 4: IUID Marking Activity and Verification Report can be combined with the monthly status report.
BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced) WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 torey.mcclain@us.af.mil for acceptance.
BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.
BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational Use,28 April 16) Other requests shall be referred to the contract management team, AFSCC/PZAAA 460 Richard Ray BLVD, Suite 221, Robins AFB, GA 31098
BLKS 10-13: Contractor shall submit an IUID Marking Activity and Verification Report to the Engineer AFLCMC/WIUEE, every three months (quarterly). Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution
BLK 14: Forward one electronic copy in PDF format to the following email address:
Procuring Contract Officer (PCO) William Martin, E-mail: william.martin.12 @us.af.mil Program Manager (PM) Torey McClain, E-mail: torey.mcclain@us.af.mil) Engineer Phillip Brown, E-mail: phillip.brown.20@us.af.mil)
COORDINATORS:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
Page 5 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 006
2. TITLE OF DATA ITEM
Quality Program Plan (QPP)
3. SUBTITLE
QPP
4. AUTHORITY
DI-QCIC-81722
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 5.9
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
DD
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
11. AS OF DATE
AS REQUIRED
12. DATE OF FIRST
SUBMISSION
AS REQUIRED
13. DATE OF SUBSEQUENT
SUBMISSION
AS REQUIRED
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 13 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A A006 Base Year Period 1008 B B006 Option Period 1 2008 C C006 Option Period 2 3008 D D006 Option Period 3 4008 E E006 Option Period 4
BLKS 4,10-13: The Quality Program Plan (QPP) is submitted after award in accordance with the DD1423 and is approved by the Contracting Officer Representative (COR) before any work begins. The Plan shall be comprehensive, detailed, and logical if the contractor's quality program plan is to be effective and shall include a site safety checklist when applicable. The Plan shall demonstrate that the contractor has fully considered the specific contract requirements and specified level of quality. If changes to the plan are necessary, the changes must be made and acceptable by the Government Contracting Officer, prior to implementation. The government will have 30 calendar days to review and provide comments, subsequently the contractor will have 60 calendar days to correct and resubmit.
BLKS 7, 14: Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports. Reports shall be electronically submitted via email to the personnel listed below.
Procurement Contracting Officer: William Martin (E-mail: william.martin.12@us.af.mil) Program Manager: Torey McClain (E-mail: torey mcclain@us.af.mil) Engineer: Phillip Brown (E-mail: phillip.brown.20@us.af.mil)
COORDINATORS:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
Page 6 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 007
2. TITLE OF DATA ITEM
MAINTENANCE DATA COLLECTION RECORD
(MDCR)
3. SUBTITLE
MDCR
4. AUTHORITY
DI-MISC-82003
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 5.10
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
MTHLY
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 17 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A A007 Base Year Period 1008 B B007 Option Period 1 2008 C C007 Option Period 2 3008 D D007 Option Period 3 4008 E D007 Option Period 4
Block 4: Tailored to provide for submission of reports electronically, in contractor format, in lieu of AFTO FORM 349.
Block 7: WAWF E-DD FORM 250 shall be required for priced data. E-DD FORM 250 shall be submitted to FA8524 torey.mcclain@us.af.mil for acceptance.
Block 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.
Block 10-13: Report shall be submitted to arrive NLT 10th calendar day after the end of the month being reported.
Report shall include information for each item being repaired during the month. Negative reports are not required
Block 14: EMAIL Report to Program Manager (PM) torey.mcclain@us.af.mil CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award.
COORDINATORS:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
Page 7 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 008
2. TITLE OF DATA ITEM
Government Property Inventory Report
3. SUBTITLE
Government Property Inventory Report
4. AUTHORITY
DI-MGMT-80441D
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 5.11
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ANNLY
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 13 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A A008 Base Year Period 1008 B B008 Option Period 1 200 C C008 Option Period 2 3008 D D008 Option Period 3 4008 E E008 Option Period 4
BLK 4: The data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.
BLK 7: Enter the applicable code as listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data.
EDD FORM 250 shall be submitted to FA8524 Program Manager (PM/ and Supply Planner (SP) gerveline.eliassaint@us.af.mil) for acceptance.
BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-13.
BLK 9: "A" Approved for Public Release; distribution is unlimited.
BLKS 10-13: The annual physical inventory report shall be provided within seven (7) calendar days of the end of each option/ordering period for the contract. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the option/ordering reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.
BLK 14: EMAIL electronic Annual Physical Inventory Report to the Supply Planner (SP) and Program Manager (PM).
Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in Microsoft Office Excel format for all reports.
COORDINATORS:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
Page 8 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 009
2. TITLE OF DATA ITEM
Status Report
3. SUBTITLE
N/A
4. AUTHORITY
DI-MGMT- 80368A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 5.5.2.1
6. REQUIRING OFFICE
411 SCMS/GULAB
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
QRTLY
11. AS OF DATE
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 13 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A A009 Base Year Period 1008 B B009 Option Period 1 2008 C C009 Option Period 2 3008 D D009 Option Period 3 4008 E E009 Option Period 4
BLK 9: DISTRIBUTATION STATEMENT "B": Distribution authorized to U.S. Government agencies only for Administrative or Operational Use, 8 AUG 2019. Other requests for this document shall be referred to 407
SCMS/GULB.
BLK 11: As of the last day of the previous month
BLK 12: 30 days after contract award
BLK 13: Monthly after first submission, prior to the 10th working day of the month submitted
BLK 14: Forward one electronic copy in PDF format to the following recipients:
Program Manager: Torey McClain (E-mail: torey.mcclain@us.af.mil) Supply Planner (SP): Gerveline Eliassaint (E-mail: gerveline.eliassaint@us.af.mil)
COORDINATORS:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
Page 9 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
HC-130J
E. CONTRACT / PR NO.
FD20602700012
F. CONTRACTOR
1. DATA ITEM NO.
A/B/C/D/E 00A
2. TITLE OF DATA ITEM
Accident/Incident Report
3. SUBTITLE
Accident/Incident Report/Mishap Notification
4. AUTHORITY
DI-SAFT- 81563
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 5.5.2.2
6. REQUIRING OFFICE
ABW/SE
7. DD 250 REQ
N/A
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
11. AS OF DATE
ASREQ
12. DATE OF FIRST
SUBMISSION
ASREQ
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Eliassaint, GervelineNAME: 13 MAR 2026DATE:
Clin Exhibit Data Item No Performance Period 0008 A
A00A Base Year Period
1008 B B00A Option Period 1 2008 C C00A Option Period 2 3008 D D00A Option Period 3 4008 E E00A Option Period 4
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.
BLK 10: IAW AFI 91-204, if damage occurs
BLK 11: Once assets have been received after contract award
BLK 12: 24 hours after accident/incident
BLK 13: As needed, IAW AFI 91-207
Program Manager: Torey McClain (E-mail: torey mcclain@us.af.mil) Engineer: Phillip Brown (E-mail: phillip.brown.20@us.af.mil)
COORDINATORS:
411 SCMS/GULAB
PROGRAM MANAGER
(PM)
PM EMAIL PROVIDED ON
CONTRACT AWARD
0 1 0
411 SCMS/PMS
WORKFLOW:
411SCMS.PMS@US.AF.MIL
EMAIL SCMS/PMS
WORKFLOW @
411SCMS.PMS@US.AF.MIL
IS PMS EMAIL IS NOT
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Eliassaint, Gerveline
411 SCMS / GULAB
478-222-3639
H. DATE
23 MAR 2026
I. APPROVED BY
//ELECTRONICALLY SIGNED//
Dominy, Kenneth C
411 SCMS / GULA 478-327-9492 / 497-9492
J. DATE
23-MAR-26
Page 10 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 23 Mar 2026
PREVIOUS EDITION MAY BE USED.
000X,100X,200X,300X,400X
File details come from the government source that posted it. Updated .