Exhibit_A_CDRL_001-003_Data_Item.pdf

FA4452-18-R-0027

Exhibit A-AC

EXHIBIT A-AC

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Version 1.0

C-21A Pilot Simulator Training

Headquarters Air Mobility Command (AMC)

Air, Space and Information Operations Directorate (A3)

Procuring Office: 763d Specialized Contracting Squadron (763 SCONS)

510 POW/MIA Drive, Bldg P40, Suite E1004 Scott AFB, IL 62225-5022

Requiring Office: AMC/A3

Scott AFB, IL 62225-5022

13 June 2018

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

15. TOTAL

G. PREPARED BY

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

E. CONTRACT/PR NO. F. CONTRACTOR

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

A. CONTRACT LINE ITEM NO.

See Blk 16 (CLIN X011)

B. EXHIBIT

See Blk 16 (A-AC) X

D. SYSTEM/ITEM

C-21A Pilot SIM Training TBD TBD

XX01 Course Conduct Information Package AMC Form 4031

PWS 1.3.9.9., 4.9. HQ AMC/A3TA

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-81522C

N/A

N/A

N/A See Blk 16 See Blk 16

See Blk 16 See Blk 16 Unit of Assignment 1/

Trainee

16. REMARKS

Blk B: Base Period: Exhibit A- CLIN 0011

Blk 4: Only DID sections relative to the evaluation of trainees performance apply.

Blk 10, 11, 12, and 13: AMC Form 4031 shall be completed in accordance with instructions outlined in PWS 1.3.9.9 and shall be submitted on WAWF by the end of the month, following completion of the training course.

XX02 Course Conduct Information Package AF Form 1522, ARMS

DI-PSSS-81522C PWS 4.8.1., 4.8.1.1., 4.9. HQ AMC/A3TA

N/A

N/A N/A

AS REQ

See Blk 16

See Blk 16

See Blk 16 COR via WAWF 1/Class16. REMARKS

Blk B: Base Period: Exhibit A- CLIN 0011

Blk 4: Only DID sections relative to the evaluation of trainees performance apply.

Blk 10, 11, 12, and 13: A completed AF 1522 shall be completed in accordance with the instructions outlined in PWS 4.8. One Form per class shall be completed and submitted on WAWF by the end of the month, following completion of the training course.

Jessica Logsdon, Contract Specialist, 763 SCONS

22 Feb 18

Option Year 1: Exhibit AA - CLIN 1011 Option Year 2: Exhibit AB - CLIN 2011 Option Year 3: Exhibit AC - CLIN 3011

Option Year 1: Exhibit AA - CLIN 1011 Option Year 2: Exhibit AB - CLIN 2011 Option Year 3: Exhibit AC - CLIN 3011

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

15. TOTAL

G. PREPARED BY

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

E. CONTRACT/PR NO. F. CONTRACTOR

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

1. DATA ITEM NO.

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

A. CONTRACT LINE ITEM NO.

See Blk 16 (CLIN X011)

B. EXHIBIT

See Blk 16 (A-AD) X

D. SYSTEM/ITEM

C-21A Pilot SIM Training TBD TBD

XX03 Syllabus

3. SUBTITLE

Course Syllabi/Course Descriptions

PWS 4.12.8. HQ AMC/A3TA

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81459A

N/A

N/A

N/A AS REQ See Blk 16

See Blk 16 See Blk 16

COR16. REMARKS

Blk B: Base Period: Exhibit A- CLIN 0011

Blk 4: Only DID sections relative to the course description apply.

Blk 10, 11, 12, and 13: A course syllabi shall be completed in accordance with the instructions outlined in PWS 4.12.8. Additionally, the Contractor shall provide a syllabus to each student at the beginning of class.

2. TITLE OF DATA ITEM

4. AUTHORITY (Data Acquisition Document No.)

10. FREQUENCY

SUBMISSION

16. REMARKS

Jessica Logsdon, Contract Specialist, 763 SCONS

22 Feb 18

Option Year 1: Exhibit AA - CLIN 1011 Option Year 2: Exhibit AB - CLIN 2011 Option Year 3: Exhibit AC - CLIN 3011

Student

DD FORM 1423-2 (BACK), AUG 96

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.

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.