FA811717R0017CDRL.pdf

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Attached to
B-52 Engine Oil Temperature Indicator Federal contract opportunity
Solicitation number
FA811717R0017
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Tinker Air Force Base

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CDRL

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FA811717R0017_2065057_TRNSPDATA_REPORT.pdf PDF
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FA811717R0017_2006370_ATTACH.pdf PDF
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2006373_Counterfit_Prevention_plan.pdf PDF
CorrectPWS.docx DOCX document
2065056_PKGRQMT_REPORT.pdf PDF
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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

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility AF (CAV AF) End Item Reporting

3. SUBTITLE

CAV AF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS/SOW

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

See Block 16

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 848 SCMG/SRM in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 848 SCMG/SRM, (405) 736-7171.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

OC-ALC 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 1 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

TDR

4. AUTHORITY

DI-PSSS-81534A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

BLOCKS 10, 11, 12, and 13: To be negotiated upon government's request.

COORDINATORS:

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Report of Shipping (Item) and Packaging Discrepancy

3. SUBTITLE

SDR

4. AUTHORITY

DI-MGMT-80503

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

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

Zilar, Dale NNAME: 23 SEP 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Contractor will use WEBSDR to submit an electronic SF-364 (Standard Form) IAW TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, non-receipt, damage, and/or improperly packaged shipment. If the contractor submits a SF-364, Block 12 of the SF 364 must contain the following information for the missing items:

1.) NSN

2.) Part Number 3.) Nomenclature 4.) Quantity missing 5.) Price for part replacement to include all administrative and labor costs.

Additionally, all tags that accompanied the component, (i.e. shipping labels, repairable tags, and condition tags will be

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

Page 2 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017 scanned and attached to the SDR/ROD request.

DCMA/QAR and/or Plant Clearance Officer must validate the discrepancy upon unpacking of the component. SDR/ROD must be submitted to the PCO/PMS within 48 hours of inventory receipt/induction.

BLOCK 11: Within 5 working days of discovery of discrepancy.

BLOCK 14: E-mail copies to addressees per attached Distribution Matrix. Report of Discrepancy shall be submitted to the material originator.

Note: It is permissible to submit paper SF 364s until access to WEBSDR is attained.

FOB DESTINATION

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUEA

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 31 AUG 2016DATE:

The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 90 calendar days after contract award. (FA8117)

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DID Requirements are NOT tailored.

Delivery CANNOT be deferred.

COORDINATORS:

422 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 3 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Commercial Asset Visibility AF (CAV AF) End Item Reporting

3. SUBTITLE

CAV AF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS/SOW

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

See Block 16

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 848 SCMG/SRM in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 848 SCMG/SRM, (405) 736-7171.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

OC-ALC 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 4 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

TDR

4. AUTHORITY

DI-PSSS-81534A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

BLOCKS 10, 11, 12, and 13: To be negotiated upon government's request.

COORDINATORS:

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

Report of Shipping (Item) and Packaging Discrepancy

3. SUBTITLE

SDR

4. AUTHORITY

DI-MGMT-80503

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

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

Zilar, Dale NNAME: 23 SEP 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Contractor will use WEBSDR to submit an electronic SF-364 (Standard Form) IAW TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, non-receipt, damage, and/or improperly packaged shipment. If the contractor submits a SF-364, Block 12 of the SF 364 must contain the following information for the missing items:

1.) NSN

2.) Part Number 3.) Nomenclature 4.) Quantity missing 5.) Price for part replacement to include all administrative and labor costs.

Additionally, all tags that accompanied the component, (i.e. shipping labels, repairable tags, and condition tags will be

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

Page 5 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017 scanned and attached to the SDR/ROD request.

DCMA/QAR and/or Plant Clearance Officer must validate the discrepancy upon unpacking of the component. SDR/ROD must be submitted to the PCO/PMS within 48 hours of inventory receipt/induction.

BLOCK 11: Within 5 working days of discovery of discrepancy.

BLOCK 14: E-mail copies to addressees per attached Distribution Matrix. Report of Discrepancy shall be submitted to the material originator.

Note: It is permissible to submit paper SF 364s until access to WEBSDR is attained.

FOB DESTINATION

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

B004

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUEA

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 31 AUG 2016DATE:

The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 90 calendar days after contract award. (FA8117)

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DID Requirements are NOT tailored.

Delivery CANNOT be deferred.

COORDINATORS:

422 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 6 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

C001

2. TITLE OF DATA ITEM

Commercial Asset Visibility AF (CAV AF) End Item Reporting

3. SUBTITLE

CAV AF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS/SOW

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

See Block 16

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 848 SCMG/SRM in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 848 SCMG/SRM, (405) 736-7171.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

OC-ALC 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 7 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

C002

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

TDR

4. AUTHORITY

DI-PSSS-81534A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

BLOCKS 10, 11, 12, and 13: To be negotiated upon government's request.

COORDINATORS:

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

C003

2. TITLE OF DATA ITEM

Report of Shipping (Item) and Packaging Discrepancy

3. SUBTITLE

SDR

4. AUTHORITY

DI-MGMT-80503

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

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

Zilar, Dale NNAME: 23 SEP 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Contractor will use WEBSDR to submit an electronic SF-364 (Standard Form) IAW TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, non-receipt, damage, and/or improperly packaged shipment. If the contractor submits a SF-364, Block 12 of the SF 364 must contain the following information for the missing items:

1.) NSN

2.) Part Number 3.) Nomenclature 4.) Quantity missing 5.) Price for part replacement to include all administrative and labor costs.

Additionally, all tags that accompanied the component, (i.e. shipping labels, repairable tags, and condition tags will be

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

Page 8 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017 scanned and attached to the SDR/ROD request.

DCMA/QAR and/or Plant Clearance Officer must validate the discrepancy upon unpacking of the component. SDR/ROD must be submitted to the PCO/PMS within 48 hours of inventory receipt/induction.

BLOCK 11: Within 5 working days of discovery of discrepancy.

BLOCK 14: E-mail copies to addressees per attached Distribution Matrix. Report of Discrepancy shall be submitted to the material originator.

Note: It is permissible to submit paper SF 364s until access to WEBSDR is attained.

FOB DESTINATION

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

C004

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUEA

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 31 AUG 2016DATE:

The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 90 calendar days after contract award. (FA8117)

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DID Requirements are NOT tailored.

Delivery CANNOT be deferred.

COORDINATORS:

422 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 9 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

D001

2. TITLE OF DATA ITEM

Commercial Asset Visibility AF (CAV AF) End Item Reporting

3. SUBTITLE

CAV AF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS/SOW

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

See Block 16

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 848 SCMG/SRM in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 848 SCMG/SRM, (405) 736-7171.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

OC-ALC 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 10 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

D002

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

TDR

4. AUTHORITY

DI-PSSS-81534A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

BLOCKS 10, 11, 12, and 13: To be negotiated upon government's request.

COORDINATORS:

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

D003

2. TITLE OF DATA ITEM

Report of Shipping (Item) and Packaging Discrepancy

3. SUBTITLE

SDR

4. AUTHORITY

DI-MGMT-80503

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

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

Zilar, Dale NNAME: 23 SEP 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Contractor will use WEBSDR to submit an electronic SF-364 (Standard Form) IAW TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, non-receipt, damage, and/or improperly packaged shipment. If the contractor submits a SF-364, Block 12 of the SF 364 must contain the following information for the missing items:

1.) NSN

2.) Part Number 3.) Nomenclature 4.) Quantity missing 5.) Price for part replacement to include all administrative and labor costs.

Additionally, all tags that accompanied the component, (i.e. shipping labels, repairable tags, and condition tags will be

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

Page 11 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017 scanned and attached to the SDR/ROD request.

DCMA/QAR and/or Plant Clearance Officer must validate the discrepancy upon unpacking of the component. SDR/ROD must be submitted to the PCO/PMS within 48 hours of inventory receipt/induction.

BLOCK 11: Within 5 working days of discovery of discrepancy.

BLOCK 14: E-mail copies to addressees per attached Distribution Matrix. Report of Discrepancy shall be submitted to the material originator.

Note: It is permissible to submit paper SF 364s until access to WEBSDR is attained.

FOB DESTINATION

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

D004

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUEA

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 31 AUG 2016DATE:

The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 90 calendar days after contract award. (FA8117)

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DID Requirements are NOT tailored.

Delivery CANNOT be deferred.

COORDINATORS:

422 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 12 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

E001

2. TITLE OF DATA ITEM

Commercial Asset Visibility AF (CAV AF) End Item Reporting

3. SUBTITLE

CAV AF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS/SOW

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

See Block 16

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 848 SCMG/SRM in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 848 SCMG/SRM, (405) 736-7171.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

OC-ALC 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 13 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

E002

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

TDR

4. AUTHORITY

DI-PSSS-81534A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 06 OCT 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

BLOCKS 10, 11, 12, and 13: To be negotiated upon government's request.

COORDINATORS:

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

E003

2. TITLE OF DATA ITEM

Report of Shipping (Item) and Packaging Discrepancy

3. SUBTITLE

SDR

4. AUTHORITY

DI-MGMT-80503

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUMB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

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

Zilar, Dale NNAME: 23 SEP 2016DATE:

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Contractor will use WEBSDR to submit an electronic SF-364 (Standard Form) IAW TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, non-receipt, damage, and/or improperly packaged shipment. If the contractor submits a SF-364, Block 12 of the SF 364 must contain the following information for the missing items:

1.) NSN

2.) Part Number 3.) Nomenclature 4.) Quantity missing 5.) Price for part replacement to include all administrative and labor costs.

Additionally, all tags that accompanied the component, (i.e. shipping labels, repairable tags, and condition tags will be

422 SCMS/GUMB 0 1 0

0 1 015. TOTAL

Page 14 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017 scanned and attached to the SDR/ROD request.

DCMA/QAR and/or Plant Clearance Officer must validate the discrepancy upon unpacking of the component. SDR/ROD must be submitted to the PCO/PMS within 48 hours of inventory receipt/induction.

BLOCK 11: Within 5 working days of discovery of discrepancy.

BLOCK 14: E-mail copies to addressees per attached Distribution Matrix. Report of Discrepancy shall be submitted to the material originator.

Note: It is permissible to submit paper SF 364s until access to WEBSDR is attained.

FOB DESTINATION

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator, Temperature

E. CONTRACT / PR NO.

FD20301700382

F. CONTRACTOR

1. DATA ITEM NO.

E004

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUEA

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Zilar, Dale NNAME: 31 AUG 2016DATE:

The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 90 calendar days after contract award. (FA8117)

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DID Requirements are NOT tailored.

Delivery CANNOT be deferred.

COORDINATORS:

422 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

12 OCT 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BEECHUM.DONNY.R.1128313490

422 SCMS / GUMB 405-582-5229 / 852-5229

J. DATE

12 OCT 2016

Page 15 of 15DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 19 Jan 2017

File details come from the government source that posted it. Updated .