CDRLS.pdf

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

0004 A MISC

Engineering Services Support Learjet Inc.

A001 24-hour In Flight Emergency Support Card

DI-MISC-80422/T PWS 2.1.1 AFLCMC/WVV

N/A

N/A Block 16

Block 16

N/A

Block16

Block16

AFLCMC/WVV 1

C-21 Program Engr 1

0 2 0

Block 4 - Para 10.1 Change to read: Contractor format is acceptable, unless otherwise notified by Program Engineer within 30 days. Content: Data specified in applicable PWS Paragraph shall be acceptable, unless otherwise notified by Program Engineer within 30 days.

Block 9 - "Statement B, US Government, AFLCMC/WVV"

Block 10, 12, 13 - Updated CDRL shall be submitted when information changes.

Block 14 - The CDRL shall be provided electronically to the Program Engineer. All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 09:48:41 -05'00'

11 Mar 2019

Adobe Professional 8.0

Anthony Dawson, C-21 Lead Engineer 19 Mar 2019

(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

0004 A MISC

Engineering Services Support Learjet Inc.

A002 Quarterly Service Information List

DI-MISC-80508B PWS 2.1.2 AFLCMC/WVV

N/A

N/A Block 16

Quarterly

N/A

Block 16

Block 16

AFLCMC/WVV 1

C-21 Program Engr/ES 1

C-21 PCO 1

C-21 PM 1

0 4 0

Block 4 - DID Paragraph 2, Format, is amended as follows: Contractor format is acceptable, unless otherwise notified by Program Office within 30 days.

Block 4 - DID Paragraph 3c is amended to read:

Section I - Includes the following:

(1) Introduction

(2) Summary of service information publications

(3) Date and revision of each publication (if it supersedes any previous publications, list them)

(4) Applicability to the C-21 fleet

(5) Contractor's recommendation as to the utility/necessity of incorporation on the C-21 fleet

Block 9 - "Statement B US Government AFLCMC/WVV".

Block 12 - The first report shall be due the 10th day of the month following the first quarter after contract award.

Block 13 - Report shall be prepared as of the end of each quarter (end of March, June, September, December) and submitted no later than the 10th of the first month of the subsequent quarter.

Block 14 - The CDRL shall be provided electronically to the Program Engineer and Equipment Specialist. The PCO and ESS PM shall also receiver an electronic copy. All electronics media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 09:52:44 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Services Support Learjet Inc.

A003 System Safety Hazard Analysis

DI-SAFT-80101C PWS 2.2.6 AFLCMC/WVV

N/A

N/A Block 16

Block 16

N/A

Block 16

Block 16

AFLCMC/WVV 1

C-21 PCO 1

C-21 PM 1

0 3 0

Block 4 - DID Paragraph 2, Format, is amended as follows: Contractor format is acceptable, unless otherwise notified by Program Office within 30 days.

Block 9 - "Statement B US Government AFLCMC/WVV".

Blocks 10, 12, and 13 - As requested by Program Engineer

Block 14 - The CDRL shall be provided electronically to the Program Engineer and Equipment Specialist. The PCO and ESS PM shall also receiver an electronic copy. All electronics media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 09:54:11 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Services Support Learjet Inc.

A004 Data Accession List (DAL)

DI-MISC-81453B/T PWS 2.1.4.1, 2.1.8, 2.2.1.4 AFLCMC/WVV

N/A

N/A See Block 16

Block 16

N/A

Block 16

Block 16

AFLCMC/WVV 1

C-21 Program Engr/ES 1

0 2 0

Block 4 - Para 2 Change to read: Format. Contractor format is acceptable, unless otherwise notified by Program Engineer within 30 days. Content: Data specified in applicable PWS Paragraph shall be acceptable, unless otherwise notified by Program Engineer within 30 days. The DAL shall consist of relevant documents provided in accordance with the PWS paragraphs in Block 5. When practical, access to the documents included on the DAL shall be provided via web access. When practical, the documents shall be provided in Microsoft Office or Adobe PDF compatible formats. Otherwise, access and format shall be agreed between the Government and the Contractor.

Block 9 - "Statement B, US Government, AFLCMC/WVV"

Block 10, 12, 13 - Updated CDRL shall be delivered in accordance with the appropriate PWS references (see Block 5). When this CDRL applies to the initial submission of the Risk Management Plan IAW PWS 2.1.8, it shall be due within 60 days of contract award.

Block 14 - The CDRL shall be provided electronically to the Program Engineer and Equipment Specialist. Documents included in the DAL shall be provided electronically (See Block 4). All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 09:54:57 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Services Support Learjet Inc.

A005 Monthly Activity Report

DI-MISC-81384/T 2.1.3, 2.2.2.3 AFLCMC/WVV

N/A

N/A See Block 16

Monthly Block 16

Block 16

AFLCMC/WVV 1

C-21 Program Engr/ES 1

C-21 PCO 1

C-21 ESS PM 1

0 4 0

Block 4 - Para 10.2 Change to read: Format. Contractor format is acceptable, unless otherwise notified by Program Engineer within 30 days. Content: Each report shall include, as a minimum, the following:

(A) List of Service Information delivered during the month.

(B) Aircraft Airworthiness Management Summary.

(C) Summary of S/V activities (as applicable).

(D) Engineering Inquiries

(E) Detailed schedules and status of engineering assignments (EA) in process.

(F) A list of EAs accomplished.

(G) Residual status of EAs initiated under contract (ENTER CONTRACT NUMBER).

Block 9 - "Statement B, US Government, AFLCMC/WVV"

Block 12 - The first report shall be due the 5th day of the next month following the contract award.

Block 13 - Report shall be prepared as of the end of each month and submitted to arrive at addressees by the 5th of the subsequent month.

Block 14- The CDRL shall be provided electronically to the Program Engineer, Equipment Specialist, PCO and ESS PM. All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 09:56:53 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Services Support Learjet Inc.

A006 Weekly Engineering Inquiry Status Report

DI-MISC-81384/T PWS 2.1.3 AFLCMC/WVV

N/A

N/A See Block 16

Weekly

N/A

Block 16

Block 16

AFLCMC/WVV 1

C-21 Program Engr/ES 1

C-21 PCO 1

C-21 ESS PM 1

0 4 0

Block 4 - Para 10.2 Change to read: Format. Contractor format is acceptable, unless otherwise notified by Program Engineer within 30 days. Content: Each report shall include, as a minimum, the following:

(A) Detailed Report with Inquiry number.

(B) Subject of inquiry and priority.

(C) Aircraft number if applicable.

(D) Inquiry date and due date.

(E) Billing information, percent complete, ECD and ACD.

Block 9 - "Statement B, US Government, AFLCMC/WVV"

Block 12 - The first report shall be due the Tuesday of the next week following the contract award. But, if Monday or Tuesday of said week are federal holidays, the report shall be due on Wednesday.

Block 13 - Report shall be prepared as of the end of each week and submitted to arrive at addressees by the Tuesday of the subsequent week. But, if Monday or Tuesday of said week are federal holidays, the report shall be due on Wednesday.

Block 14- The CDRL shall be provided electronically to the Program Engineer, Equipment Specialist, PCO and ESS PM. All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 09:57:31 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Services Support Learjet Inc.

A007 System Engineering Management Plan (SEMP)

DI-SESS-81785A/T PWS 2.1.7 AFLCMC/WVV

N/A

N/A See Block 16

Block 16

N/A

Block 16

Block 16

AFLCMC/WVV 1

C-21 Program Engr 1

C-21 PCO 1

C-21 ESS PM 1

0 4 0

Block 4 - Para 2 Change to read: Format. Contractor format is acceptable, unless otherwise notified by Program Engineer within 30 days.

Block 4 - Para 3 Change to read: The SEMP shall address:

(a) Description of key technical and technical management process.

(b) Metrics defined in the AFLCMC/WVV Systems Engineering Plan (SEP).

(c) Matrix that correlates the AFLCMC/WVV SEP with the contractor's SEMP.

(d) Affordability and cost effectiveness.

(e) Requirements analysis and management.

(f) Functional analysis and allocation.

(g) Integrated planning and scheduling.

(h) Risk management.

(i) Technical Performance Measures (TPM).

(j) Interface control.

(k) Baseline Management.

(l) Configuration Management.

(m) Technology insertion.

(n) System validation and verification.

Block 9 - "Statement B, US Government, AFLCMC/WVV"

Block 12 - The first submission shall be due the 5th of the next month following the contract award.

Block 10 and 13- Revised CDRLs shall be submitted as updates occur.

Block 14 - The CDRL shall be provided electronically to the PCO, ESS PM and Program Engineer. All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 09:58:16 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Service Support Learjet Inc.

A008 Commercial off the Shelf (COTS) Manuals (Tech Orders)

DI-TMSS-80527C PWS 2.3.1.1, 2.3.4, 2.3.8 AFLCMC/WVV

N/A

N/A N/A

As Required

N/A

As Required

As Required

AFLCMC/WVV 1

C-21 Engr/ES 1

0 2 0

Block 14 - The CDRL shall be provided electronically to the Program Engineer and Equipment Specialist. All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 10:00:09 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Service Support Learjet Inc.

A009 Commercial off the Shelf (COTS) Manuals

DI-TMSS-80527C PWS 2.3.2.1 AFLCMC/WVV

N/A

N/A N/A

As Required

N/A

As Required

As Required

AFLCMC/WVV 1

C-21 Engr/ES 1

0 2 0

Block 14 -

(a) Commercial manual revisions service quantities in support of C-21 aircraft defined in

PWS 2.3.2.1

(b) The CDRL shall be provided electronically to the Program Engineer and Equipment Specialist. All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 10:01:26 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Service Support Learjet Inc.

A010 Commercial Off The Shelf (COTS) Manuals (Other Manuals)

DI-TMSS-80527C PWS 2.3.2.2 AFLCMC/WVV

N/A

N/A N/A

As Required

N/A

As Required

As Required

AFLCMC/WVV 1

C-21 Engineer/ES 1

0 2 0

Block 14 -

(a) Commercial manual revisions service quantities in support of C-21 aircraft defined in

PWS 2.3.2.2.

(b) The CDRL shall be provided electronically to the Program Engineer and Equipment Specialist. All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 10:00:43 -05'00'

11 Mar 2019

(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

0004 A MISC

Engineering Services Support Learjet Inc.

A011 Quarterly Activity Report

DI-MISC-80368A PWS 2.3.9 AFLCMC/WVV

N/A

N/A Block 16

Quarterly

N/A

Block 16

Block 16

AFLCMC/WVV 1

C-21 Program Engr/ES 1

C-21 PCO 1

C-21 PM 1

0 4 0

Block 4 - DID is amended as follows: Format. Contractor format is acceptable, unless otherwise notified by Program Office within 30 days. Content: Each report shall include, as minimum, the following: Report will provide status of applicable incorporations: Squawk sheet T.O. change requests, TCTOs, SBs.

Block 9 - "Statement B US Government AFLCMC/WVV".

Block 12 - The first report shall be due the 10th day of the next quarter following the contract award.

Block 13 - Report shall be prepared as of the end of each month and submitted to arrive at addressed by the 10th of the first month of the subsequent quarter.

Block 14 - The CDRL shall be provided electronically to the Program Engineer and Equipment Specialist. The PCO and ESS PM shall also receiver an electronic copy. All electronic media shall be screened for viruses and shall be delivered virus free.

Nicholas LaBarge, C-21 Engineer

LABARGE.NICHOLAS.N

A.1395365408

Digitally signed by LABARGE.NICHOLAS.N A.1395365408 Date: 2019.03.11 10:02:04 -05'00'

11 Mar 2019