CDRL.pdf

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Attached to
Repair of F-16 Engine Start Controller Federal contract opportunity
Solicitation number
FA811720R0008
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

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Item_Description.pdf PDF
Transport_Data.pdf PDF
PWS.pdf PDF
Package_Requirement.pdf PDF
Synopsis.doc DOC document

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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

F-16 / Controller, Start System

E. CONTRACT / PR NO.

FD20301902387

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility (CAV) Reporting

3. SUBTITLE

CFM End Item Reporting

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

422 SCMS/GUME

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

Seee Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Tate, Anthony DNAME: 18 SEP 2019DATE:

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 5: Contract Reference: PWS and CAV AF Reporting Requirements Document.

2. Block 4: All reporting shall be submitted in the English Language.

3. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

4. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil, using DODAAC FA8251. MARK FOR: Address in block 14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address: jeremy.marshall.5@us.af.mil

5. Block 14 b. COPIES, Final, Regular, Basic year(s) plus options year(s) as required.

COORDINATORS:

Marshall, Jeremy P 422 SCMS / GUME 405-734-5839 / 884-5839 19 SEP 2019

See Block 16 0 7 0

0 7 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

20 SEP 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

424 SCMS / GUBAB 405-736-7976 / 336-7976

J. DATE

18 SEP 2019

Page 1 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Sep 2019

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

F-16 / Controller, Start System

E. CONTRACT / PR NO.

FD20301902387

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

CDM Production Monthly Status Report

4. AUTHORITY

DI-PSSS-81995

(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

MTHLY

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

Tate, Anthony DNAME: 18 SEP 2019DATE:

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. 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.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 5 (five) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS).

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report".

3. Block 9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. Other requests for this document shall be referred to 848 SCMG/EN.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App.

2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. 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 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

jeremy.marshall.5@us.af.mil

See Block 16 0 7 0

0 7 015. TOTAL

Page 2 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Sep 2019

5. Block 14 b. COPIES, Final, Regular, Basic year(s) plus options year(s) as required.

COORDINATORS:

Marshall, Jeremy P 422 SCMS / GUME 405-734-5839 / 884-5839 19 SEP 2019

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

20 SEP 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

424 SCMS / GUBAB 405-736-7976 / 336-7976

J. DATE

18 SEP 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

F-16 / Controller, Start System

E. CONTRACT / PR NO.

FD20301902387

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Annual Government Property Physical

4. AUTHORITY

DI-MGMT-80441C

(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

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

Tate, Anthony DNAME: 18 SEP 2019DATE:

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reports shall be submitted in the English Language.

2. Blocks 10, 11, 12, 13:

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

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. 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.

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. Other requests for this document shall be referred to 848 SCMG/EN.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. 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 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

jeremy.marshall.5@us.af.mil

5. Block 14 b. COPIES, Final, Regular, Basic year(s) plus options year(s) as required.

See Block 16 0 7 0

0 7 015. TOTAL

Page 3 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Sep 2019

COORDINATORS:

Marshall, Jeremy P 422 SCMS / GUME 405-734-5839 / 884-5839 19 SEP 2019

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

20 SEP 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

424 SCMS / GUBAB 405-736-7976 / 336-7976

J. DATE

18 SEP 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

F-16 / Controller, Start System

E. CONTRACT / PR NO.

FD20301902387

F. CONTRACTOR

1. DATA ITEM NO.

A004

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

Tate, Anthony DNAME: 18 SEP 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 848 SCMG/EN.

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.

Block 14 b. COPIES, Final, Regular, Basic year(s) plus options year(s) as required.

COORDINATORS:

Marshall, Jeremy P 422 SCMS / GUME 405-734-5839 / 884-5839 19 SEP 2019

422 SCMS/GUME

3001 Staff Drive, Annex 4, Suite 1AF1 92B Tinker AFB, OK 73145-3033 Attention : Jeremy P. Marshall

0 7 0

0 7 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

20 SEP 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

424 SCMS / GUBAB 405-736-7976 / 336-7976

J. DATE

18 SEP 2019

Page 4 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Sep 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

F-16 / Controller, Start System

E. CONTRACT / PR NO.

FD20301902387

F. CONTRACTOR

1. DATA ITEM NO.

A005

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

Tate, Anthony DNAME: 18 SEP 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 848 SCMG/EN.

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).

Block 14 b. COPIES, Final, Regular, Basic year(s) plus options year(s) as required.

DID Requirements NOT Tailored

Delivery CANNOT Be Deferred

COORDINATORS:

Marshall, Jeremy P 422 SCMS / GUME 405-734-5839 / 884-5839 19 SEP 2019

422 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145

0 7 0

0 7 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

20 SEP 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

424 SCMS / GUBAB 405-736-7976 / 336-7976

J. DATE

18 SEP 2019

Page 5 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Sep 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

F-16 / Controller, Start System

E. CONTRACT / PR NO.

FD20301902387

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Production Surge Plan

3. SUBTITLE

Capability Analysis Plan (CAP)

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

Tate, Anthony DNAME: 18 SEP 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 Capability Analysis Plan (CAP) shall be prepared IAW DI-MGMT-80969 and shall be submitted 30 days after the contract award.

This Plan shall include a delivery schedule showing the maximum sustainable rate of delivery for items 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:

Marshall, Jeremy P 422 SCMS / GUME 405-734-5839 / 884-5839 19 SEP 2019

422 SCMS/GUME

3001 Staff Drive, Annex 4, Suite 1AF1 92B Tinker AFB, OK 73115-3033 Attention : Jeremy P. Marshall

0 7 0

0 7 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

20 SEP 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

424 SCMS / GUBAB 405-736-7976 / 336-7976

J. DATE

18 SEP 2019

Page 6 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Sep 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

F-16 / Controller, Start System

E. CONTRACT / PR NO.

FD20301902387

F. CONTRACTOR

1. DATA ITEM NO.

A007

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

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Tate, Anthony DNAME: 18 SEP 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 848 SCMG/EN.

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.

Contractor's format is acceptable.

Block 14 b. COPIES, Final, Regular, Basic year(s) plus options year(s) as required.

COORDINATORS:

Marshall, Jeremy P 422 SCMS / GUME 405-734-5839 / 884-5839 19 SEP 2019

422 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73115-3033

0 7 0

0 7 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

20 SEP 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

424 SCMS / GUBAB 405-736-7976 / 336-7976

J. DATE

18 SEP 2019

Page 7 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Sep 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

F-16 / Controller, Start System

E. CONTRACT / PR NO.

FD20301902387

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Bill Of Materials (BOM) for Logistics and Supply Chain Risk Management

3. SUBTITLE

N/A

4. AUTHORITY

DI-PSSS-81656B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

422 SCMS/GUME

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Tate, Anthony DNAME: 18 SEP 2019DATE:

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, Critical Technology. Other requests shall be referred to 848 SCMG/EN.

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 11-13: The first report shall be submitted within 15 calendar days of the contractor's discovery that one or more of the components or materials intended to be incorporated directly into an end item specified to be delivered under the delivery order or contract is a DMSMS component, the contractor shall notify the contracting officer in writing.

Contractor format is acceptable.

DID Requirements are not tailored.

Delivery cannot be deferred.

Block 14 b. COPIES, Final, Regular, Basic year(s) plus options year(s) as required.

COORDINATORS:

Marshall, Jeremy P 422 SCMS / GUME 405-734-5839 / 884-5839 19 SEP 2019

422 SCMS/GUME

3001 Staff Drive, Annex 4, Suite 1AG1 92B Tinker AFB, OK 73145-3041 Attention : Jeremy P. Marshall

0 7 0

0 7 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

20 SEP 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

424 SCMS / GUBAB 405-736-7976 / 336-7976

J. DATE

18 SEP 2019

Page 8 of 8DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Sep 2019

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