12_-_Amendment_0001 _Atch_2 _CDRLs _A003 _A008 _A009 _A011 _A025_A029.pdf

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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 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

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

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

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 1423-1 (BACK), FEB 2001

data_item: A003 title: Test/Inspection Report sub: Testing and Certification Report auth:

ref: 4.20 (various other locations in 4.0) req_ofc: 30 SW/PMD dd250: No appcode: N/A dist: F freq: AS REQ asof: N/A firstsub: 365 DAC subsub: See BLK 16 addressee1: 30 SW/PMD draft1: 0 reg1: 1 repro1: 0 addressee2: Facility Manager draft2: 0 reg2: 1 repro2: 0 addressee3: 30 LCSS draft3: 0 reg3: 1 repro3: 0 addressee4:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: Contractor shall inspect P&E in accordance with acceptable industry standards.

Blk 10: As required per type of P&E. At a minimum all P&E should be inspected annually per PWS 4.1.4.

Blk 12 & 13: Submit report within seven workdays after completion of testing/inspection.

Blk 14a: Submit report to the Facility Manager responsible for the tested, inspected and certified property or equipment. Submit report for 30 LCSS facilities to 30 LCSS.

CDRL shall:

a. Date of test/inspection

b. Test/inspection results

c. Required date of next inspection

d. Equipment readiness level

Submit data in an electronic Microsoft file or other file, readable by adressees.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat: NDTI system:

ctr_no:

contr:

remarksb:

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prep_date:

app_by:

app_date:

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app: Adobe Professional 8.0

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 OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A008 title: P&E Responsibility List sub:

auth:

ref: PWS 6.8.6 req_ofc: 30 SW/PMD dd250: No appcode: N/A dist: F freq: BI-ANNLY asof: 30 Jun firstsub: 365 DAC subsub: 10 DARP addressee1: 30 SW/PMD draft1: 0 reg1: 1 repro1: 0 addressee2: 30 LCSS draft2: 0 reg2: 1 repro2: 0 addressee3: 30 SW/SE draft3: 0 reg3: 1 repro3: 0 addressee4: 30 CE/CEOES draft4: 0 reg4: 1 repro4: 0 addressee5:

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total_draft: 0 total_reg: 4 total_repro: 0 remarks: The contractor shall perform on-site audits to ensure P&E matches the baseline documented in Appendices A-G. A detailed list of P&E shall be established for all buildings in Appendix A for the first submittal. Any discrepancies discovered after the initial submission (removal, modifications or new equipment) shall be documented and turned in to the Program Manager.

group:

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prep_name:

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xtdp: Off xtm: Off othercat: MISC system:

ctr_no:

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remarksb:

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prep_date:

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app: Adobe Professional 8.0

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 OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A009 title: Program Management Plan sub: Program Management Review Report auth:

ref: PWS 2.2.2 req_ofc: 30 SW/PMD dd250: No appcode: N/A dist: F freq: ONE/R asof: 0 firstsub: 60 DAC subsub: ASREQ addressee1: 30 SW/PMD draft1: 0 reg1: 1 repro1: 0 addressee2: 30 SW/SEA draft2: 0 reg2: 1 repro2: 0 addressee3: 30 CONS/LGCZ draft3: 0 reg3: 1 repro3: 0 addressee4:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: Contractor format acceptable.

Program Management Plan (PMP) shall be risk-based and outline the contractor's plan to provide responsive, flexible, integrated and customer-focused services in support of the Air Force mission.

group:

total_price:

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remarksb:

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app: Adobe Professional 8.0

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 OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A011 title: Quality Management Plan sub:

auth:

ref: PWS 2.6.1 req_ofc: 30 SW/PMD dd250: No appcode: A dist: F freq: ONE/R asof: 30 Sep firstsub: 60 DAC subsub: ASREQ addressee1: 30 SW/PMD draft1: 0 reg1: 1 repro1: 0 addressee2: 30 CONS/LGCZ draft2: 0 reg2: 1 repro2: 0 addressee3:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: This CDRL will document how the contractor intends to implement their Quality Management System. CDRL shall provide enough detail to ensure contractor complies with 9001-2015 standards.

The Quality Management Plan shall be reviewed for accuracy on an annual basis and updated as required.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat: MGMT system:

ctr_no:

contr:

remarksb:

Page2:

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prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A025 title: Reliability Centered Maintenance Plan sub:

auth:

ref: PWS 4.3.1 req_ofc: 30 SW/PMD dd250: No appcode: N/A dist: F freq: ONE/R asof: N/A firstsub: 365 DAC subsub: ASREQ addressee1: 30 SW/PMD draft1: 0 reg1: 1 repro1: 0 addressee2: 30 CONS/LGCZ draft2: 0 reg2: 1 repro2: 0 addressee3: MDA/GMD draft3: 0 reg3: 1 repro3: 0 addressee4:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: The Reliability Centered Maintenance Plan shall establish the contractors processes of how they are going to implement a sound equipment specific management/monitoring plan and weigh the cost and mission impact benefits of runt o failure, preventative maintenance (PM), predictive maintenance (PdM), and reliability centered monitoring.

The RCM Plan shall detail the following:

Functional structure of the program and how each RCM process (run to failure, PM, PdM and reliability centered monitoring is deemed adequate for P & E

How the RCM plan will insure critical range facility functions, decrease operating costs and minimize interference with customer service

How inspection data will be reported to provide an earned value management style product for end users and the government

Equipment cataloging methodology to minimize equipment types

Description of Condition Code scheme

Methodology for determining inspection frequencies and calculating predicted life cycle

Blk 8 : The government has 15 days to review the preliminary draft Reliability Centered Maintenance Plan. The Contractor has 30 days, after receipt of Government comments, to address comments prior to final review and approval for submittal of the Reliability Centered Maintenance Plan.

Submit data in an electronic Microsoft file or other file, readable by addressee group:

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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 OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A029 title: System Safety Program Plan sub:

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ref: PWS 2.4.3 req_ofc: 30 SW/PMD dd250: No appcode: N/A dist: F freq: ONE/R asof:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: This CDRL should document the contractors System Safety Program Plan as required in section 2.5.2 of AFPSCMAN 91-710 V1.

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