2785487_CDRL1_REPORT.pdf

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-52H / Amplifier, Electronic

E. CONTRACT / PR NO.

FD20301702455

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (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/GUME

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

DAILY

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: 28 SEP 2018DATE:

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 and/or Contract Repair PWS. This information will be accessed by the program office PMS and by 422 SCMS/GUBAB Contract Monitors in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF Contractor User Guide, Version 9.0.4 or higher. The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall have an Identity Certificate only; an encryption certificate is not required. Reporting must be accomplished for each Contractor facility/location AND any subcontractor locations.

3. Transactional Training will be provided by 422 SCMS/GUBAB Contract Monitors, (405) 736-7171.

4. This DD Form 1423-1 applies to end item repair CAV AF reporting only contracts, commonly referred to as Contractor Furnished Material (CFM) type contracts.

5. It is imperative the CAV AF Proof of Shipment reporting actions are accomplished by the contractor.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or one business day of a maintenance action 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 User's Guide.

Block 11: Data shall be current within one business day of last End Item maintenance occurrence and reflect an accurate representation/status of all assets at a contractor for repair.

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

Block 13: Within one business day of each maintenance action/occurrence.

The contractor's CAV AF reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

COORDINATORS:

OC-ALC 0 1 0

0 1 015. TOTAL

Page 1 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Apr 2019

PREVIOUS EDITION MAY BE USED.

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

16 APR 2019

I. APPROVED BY

//DIGITALLY SIGNED//

NASH.ROBIN.F.1229064645

422 SCMS / GUMC 405-734-5407 / 884-5407

J. DATE

16 APR 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52H / Amplifier, Electronic

E. CONTRACT / PR NO.

FD20301702455

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-80441C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS/SOW

6. REQUIRING OFFICE

422 SCMS/GUME

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

ANNLY

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: 22 MAY 2018DATE:

DI-MGMT-80441C, Government Property Inventory Report, prescribes the format, content, and preparation instructions for the data product required to meet this requirement.

Contractor shall provide in Microsoft Excel (.xls or .xlsx compatible) format. The contractor shall conduct an annual 100% physical inventory over the course of a year's time of each NIIN as not to impede maintenance operations. Upon completion of each NIINs 100% physical inventory, the contractor shall provide the AF government an inventory listing of the result of all AF Government Furnished Property (GFP) in the contractor's possession, by contract, and by National Stock Number (NSN). The Contractor shall submit a Table for each designated repair facility / DoDAAC location for which the contractor has received inventory during the reporting period, including Subcontractor facilities. The report should include all AF Government Furnished Property in possession of the Contractor.

The contractor's CAV AF reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair facility location, including sub-contractor locations.

Report shall contain the following columns/data fields:

A: Contract Number B: CAGE Code C: Item Name/Description D: Manufacturer Name E: Manufacturer Part Number (if applicable) F: Material Control Number (if applicable) G: Serial Number (if applicable) H: National Stock Number (NSN) I: Quantity J: Unit of Measure K: Unit Acquisition Cost L: Location M: Sub Location N: Unique Item Identifier O: Type of Government Property - i.e., Government Furnished Property (GFP) or Contractor Acquired Property (CAP) P: Classification of Government Property- (i.e,, Equipment (EQP), Material (MAT), Special Test Equipment (STE), or Special Tooling (ST) Q: Posting Reference R: Date of Transaction S: Date Placed in Service T: Date of Last Physical Inventory U: Condition Code

Block 10. This report will be provided annually. Reporting Period is one year.

Block 11. The data is representative of the Contractor's Internal Property Control System and shall be current as of the

422 SCMS/GUME 0 1 0

0 1 015. TOTAL

Page 2 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Apr 2019 last day of the annual reporting period (If period of performance begins on 13 September 17, first annual reporting period ends 12 September 18). If requested outside of an annual cadence, the data shall be current as of the date requested.

Blocks 12 and 13. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

16 APR 2019

I. APPROVED BY

//DIGITALLY SIGNED//

NASH.ROBIN.F.1229064645

422 SCMS / GUMC 405-734-5407 / 884-5407

J. DATE

16 APR 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52H / Amplifier, Electronic

E. CONTRACT / PR NO.

FD20301702455

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

TDR

4. AUTHORITY

DI-PSSS-81534A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUME

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: 27 FEB 2019DATE:

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

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, Critical Technology. Other requests shall be referred to 422 SCMS/GUEA.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

Destruction Notice for Unclassified Documents: destroyed by any method that will prevent disclosure of contents or reconstruction of the document.

Destruction Notice for Classified Documents: Follow the procedures in DOD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DOD 5220.0 I M, Information Security Program , Vol 3, Protection of Classified Information.

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

COORDINATORS:

422 SCMS/GUME 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

16 APR 2019

I. APPROVED BY

//DIGITALLY SIGNED//

NASH.ROBIN.F.1229064645

422 SCMS / GUMC 405-734-5407 / 884-5407

J. DATE

16 APR 2019

Page 3 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Apr 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52H / Amplifier, Electronic

E. CONTRACT / PR NO.

FD20301702455

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

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: 15 APR 2019DATE:

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, Critical Technology. Other requests shall be referred to 422 SCMS/GUEA.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

Destruction Notice for Unclassified Documents: destroyed by any method that will prevent disclosure of contents or reconstruction of the document.

Destruction Notice for Classified Documents: Follow the procedures in DOD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DOD 5220.0 I M, Information Security Program , Vol 3, Protection of Classified Information.

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 / GUBAB

405-736-7976

H. DATE

16 APR 2019

I. APPROVED BY

//DIGITALLY SIGNED//

NASH.ROBIN.F.1229064645

422 SCMS / GUMC 405-734-5407 / 884-5407

J. DATE

16 APR 2019

Page 4 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Apr 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52H / Amplifier, Electronic

E. CONTRACT / PR NO.

FD20301702455

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Production Surge Plan

3. SUBTITLE

Surge Plan

4. AUTHORITY

DI-MGMT-80969

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

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: 15 APR 2019DATE:

In the event that the DoD experiences an unplanned spike or sudden increase in demand, due to major theater warfare or a national emergency (also known as surge, reference DFARs 217.208-70 and DFARs 252.217.7001), and invokes surge: The Contractor is willing to work to meet and sustain this demand for quantity levels above and beyond normal peacetime requirements.

Block 9: Approved for Unlimited Public and Foreign Distribution. Other requests shall be referred to 422 SCMS/GUEA.

Block 10, 11, 12, 13: The Production Surge Plan shall be prepared IAW DI-MGMT-80969 and shall be submitted 60 days after the contract award. This Plan shall include a delivery schedule showing the maximum sustainable rate of delivery for transceivers in this contract. This delivery schedule shall provide acceleration by month up to the maximum sustainable rate of delivery achievable within the Contractor's existing facilities, equipment, and subcontracting structure. This Plan will address the surge capacity possible at no increase to the contract prices as well as the surge capacity possible at an additional cost. Based on this Plan, a mutually agreed to increase the quantity of supplies or services called for under this contract by no more than x % percent; and the accelerate the rate of delivery may be established for this contract, at a price or cost established after contract award or to be established by negotiation.

COORDINATORS:

422 SCMS/GUME 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

16 APR 2019

I. APPROVED BY

//DIGITALLY SIGNED//

NASH.ROBIN.F.1229064645

422 SCMS / GUMC 405-734-5407 / 884-5407

J. DATE

16 APR 2019

Page 5 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Apr 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52H / Amplifier, Electronic

E. CONTRACT / PR NO.

FD20301702455

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80639D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUEA

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 Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 15 APR 2019DATE:

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, Critical Technology. Other requests shall be referred to 422 SCMS/GUEA.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

Destruction Notice for Unclassified Documents: destroyed by any method that will prevent disclosure of contents or reconstruction of the document.

Destruction Notice for Classified Documents: Follow the procedures in DOD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DOD 5220.0 I M, Information Security Program , Vol 3, Protection of Classified Information.

Blks 10, 11, 12, and 13: IAW the PWS

- Contractor's format is acceptable.

COORDINATORS:

422 SCMS/GUEA 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

16 APR 2019

I. APPROVED BY

//DIGITALLY SIGNED//

NASH.ROBIN.F.1229064645

422 SCMS / GUMC 405-734-5407 / 884-5407

J. DATE

16 APR 2019

Page 6 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Apr 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52H / Amplifier, Electronic

E. CONTRACT / PR NO.

FD20301702455

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

See Block 16

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 15 APR 2019DATE:

Blk 4: Contractor format or AS 9102 format or equivalent is acceptable. The complete contract number, CDRL number, Document Name, Date of Submission and Document Number shall appear on the first page of deliverable.

Blk 8: Government written notice of approval/disapproval is due 30 days after receipt of contractor's report.

Blk 9: Per DoDI 5230.24. Refer other requests for this document to 422 SCMS/GUEA, Tinker AFB, OK 73145.

Blk 11, 12, and 13: Submit NLT 30 Days after contract award.

Documents comments/approval will be provided within 30 day after receipt. The contractor shall resubmit within 15 days after receipt of Government comments.

CONTRACTOR FORMAT ACCEPTABLE

DID REQUIREMENTS NOT TAILORED

DELIVERY CANNOT BE DEFERRED

COORDINATORS:

422 SCMS/GUME 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

16 APR 2019

I. APPROVED BY

//DIGITALLY SIGNED//

NASH.ROBIN.F.1229064645

422 SCMS / GUMC 405-734-5407 / 884-5407

J. DATE

16 APR 2019

Page 7 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Apr 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52H / Amplifier, Electronic

E. CONTRACT / PR NO.

FD20301702455

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Diminishing Manufacturing Sources and Material Shortages (DMSMS) Implementation Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-81949

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUME

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 15 APR 2019DATE:

Block 4: Contractor format is acceptable.

Block 7: Submit invoice in WAWF after submittal of report.

Block 9: Distribution statement D: Authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, 08 Feb 2016. Information of this type may be classified or unclassified; when classified it is export controlled and subject to provisions of DoD Directive 5230.24 (reference (c)). Other requests for this document shall be referred to the requiring office's Systems Engineer.

Blocks 10-13: The implementation plan shall be submitted NLT 2 months after contract award. Government comments/corrections, if needed, will be sent within 30 calendar days of receipt of plan. Revised plan will be submitted within 30 calendar days of receipt of Government comments/corrections. Updates to this plan shall be made and submitted as needed when new obsolescence issues are discovered.

Block 14: Source data shall be delivered electronically via E-mail to the following address:

Jeremy.Marshall.5@us.af.mil

COORDINATORS:

422 SCMS/GUME 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

16 APR 2019

I. APPROVED BY

//DIGITALLY SIGNED//

NASH.ROBIN.F.1229064645

422 SCMS / GUMC 405-734-5407 / 884-5407

J. DATE

16 APR 2019

Page 8 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Apr 2019