CDRLs.pdf

ASREQ

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 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

CNC Equipment Repair Services

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

A001, A002 Contract Change Proposals (CCPS) Repairs

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

DI-ADMN-81401B PWS 1.2.4, 1.3 802 MXSS/MXDTC

7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

ASREQ b. COPIES

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

A N/A

SUBMISSION

ASREQ

Draft

Reg Repro

16. REMARKS

BLK 8: Draft reviewed by 802 MXSS/MXDTC / Attn: Jeremy Johnson

On-site Repairs (PWS 1.2.4): The Contractor shall identify and price all required parts within two (2) business days of identification.

Off-site Repairs (PWS 1.3): The Contractor shall provide a written repair estimate to the

SME by fax or e-mail no later than twp (2) business days from receipt of the item by the evaluation facility.

All repairs must be approved by Contracting Officer before the repairs are performed.

802 MXSS/MXDTC 1 1

Attn: Jeremy Johnson

420 Richard Ray Blvd.

Suite 100

Robins AFB, GA 31098

AFSC/PZIOA 1 1

215 Page Road

Suite 131

Robins AFB, GA 31098

15. TOTAL

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

Technical Report-Study Services Maintenance Log

2 2 0

A003

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

DI-MISC-80508B 1.4 802 MXSS/MXDTC

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

A

10. FREQUENCY

ASREQ

11. AS OF DATE

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE Draft

b. COPIES

Final

Reg Repro

16. REMARKS

BLK 11. Submit upon completion of assessment, repair and dry run.

BLK 12. Submit upon completion of assessment, repair and dry run.

BLK 13. Submit as needed for emergency repairs.

802 MXSS/MXDTC 1

Attn: Jeremy Johnson

420 Richard Ray Blvd.

Suite 100

Robins AFB, GA 31098

402 MXSG/OB CSMO 1

Attn: Ruben Branch

420 Richard Ray Blvd.

Suite 100

Robins AFB, GA 31098

15. TOTAL 0 2 0

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

Digitally signed by

THORNBURY.RUSSELL.L.1104970903

Date: 2015.12.18 13:12:08 -05'00'

DD FORM 1423-2, AUG 96

Digitally signed by

THORNBURY.RUSSELL.L.1104970903

Date: 2015.12.18 13:12:28 -05'00'

PREVIOUS EDITION MAY BE USED.

20151218

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20151218

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F3QCCL5356A001

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PWS

See Blk 16

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 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

CNC Equipment Repair Services

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

A004 Contractor's Standard Operating Procedures Safety Plan

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

DI-MGMT-81580 PWS 4.8.1 WR-ALC/SE (Safety Office)

7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

See Blk 16 b. COPIES

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

N/A N/A

SUBMISSION

See Blk 16 Draft

Reg Repro

16. REMARKS

BLK 12: Submit draft for review/approval within 10 working days after contract award.

BLK 13: Submit final copies 10 working days after Government (WR-ALC/SE) acceptance of draft. Revisions as required.

WR-ALC/SE 1

420 Richard Ray Blvd.

Suite 100

Robins AFB, GA 31098

AFSC/PZIOA 1

215 Page Road

Suite 131

Robins AFB, GA 31098

15. TOTAL

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

Accident/Incident Report N/A

0 2 0

A005

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

DI-SAFT-81563 NOT 1 PWS 4.8.2 WR-ALC/SE (Safety Office)

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

A

10. FREQUENCY

ASREQ

11. AS OF DATE

See Blk 16

12. DATE OF FIRST SUBMISSION

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE Draft

b. COPIES

Final

Reg Repro

16. REMARKS

Block 11: Telephone notification of any accident/incident should be made immediately and not more than 4 hours after occurrence. Submit written report within 3 calendar days of mishap.

Block 13: Submit information that is not available at the time of the accident/incident within 20 calendar days after occurrence.

WR-ALC/SE 1

420 Richard Ray Blvd.

Suite 100

Robins AFB, GA 31098

AFSC /PZIOA 1

215 Page Road

Suite 131

Robins AFB, GA 31098

15. TOTAL 0 2 0

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

Digitally signed by

THORNBURY.RUSSELL.L.1104970903

Date: 2015.12.18 13:24:47 -05'00'

DD FORM 1423-2, AUG 96

Digitally signed by

THORNBURY.RUSSELL.L.1104970903

Date: 2015.12.18 13:25:05 -05'00'

PREVIOUS EDITION MAY BE USED.

20151218

Page 2 of 3 Pages Adobe Professional 8.0

20151218

Reset

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F3QCCL5356A001

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref.

DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13;

Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-2 (BACK), AUG 96