CDRLs_Servo.pdf

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of11 4

FD20301300751B-1/ACTUATORS

A001

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

COMMERCIAL ASSET VISIBILITY AIR FORCE (CAV AF)

END ITEM REPORTING

CAV AF

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-81634B PWS/SOW 422 SCMS/GUMB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

XX

8. APP Code:

N/A N/A

11. As of Date: 13. Date of Subsequent Submission:

SEE BLOCK 16

SEE BLOCK 16

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro

SEE BLOCK 16

G. Prepared By: H. Date I. Approved By: J. Date:

OC-ALC 0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 22 AUG 2013

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 448 SCMW/FMA 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 is provided by 448 SCMW/FMA, (405) 734-1318 OR (405) 734-1329.

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

Block 7: Enter the applicable code as listed in DoD 5010.12-M, Chapter 3.

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 Center (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.

Zilar, Dale N

424 SCMS / GUBA

405-736-7976

10 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

423 SCMS / GUMB

DONAHOO.MELISSA.KAY.1258024318

405-734-7476 / 334-7476

09 SEP 2013

0006 A

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of21 4

A002

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

TEARDOWN DEFICIENCY REPORT N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-ALSS-81534 N/A 423 SCMS/GUMB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

NO

8. APP Code:

N/A A

11. As of Date: 13. Date of Subsequent Submission:

SEE BLOCK 16

SEE BLOCK 16

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro

SEE BLOCK 16

G. Prepared By: H. Date I. Approved By: J. Date:

423 SCMS/GUMB 0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 JUL 2013

Block 7: All Inspection and acceptance shall be at destination utilizing WAWF. A combination of an invoice and receiving report shall be submitted through WAWF in order to receive payment for data reports.

Blocks 10, 11, 12, and 13: To be negotiated on call by demand.

Zilar, Dale N

424 SCMS / GUBA

405-736-7976

10 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

423 SCMS / GUMB

DONAHOO.MELISSA.KAY.1258024318

405-734-7476 / 334-7476

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of31 4

A003

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

DEPOT MAINTENANCE PRODUCTION REPORT N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-ALSS-80728A N/A 423 SCMS/GUMB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

SD

8. APP Code:

N/A A

11. As of Date: 13. Date of Subsequent Submission:

SEE BLOCK 16

SEE BLOCK 16

MTHLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro

SEE BLOCK 16

G. Prepared By: H. Date I. Approved By: J. Date:

(See Block 16)

423 SCMS/GUMB

ACO

15. Total: 0 2 0

16. Remarks:

NAME: Zilar, Dale N DATE: 04 SEP 2013

BLOCK 11: LAST DAY OF THE MONTH.

BLOCKS 12 AND 13: First report shall be submitted for the month initial delivery order or assets are received after contract award. All reports shall be mailed so as to arrive at 423 SCMS/GUMB no later than the tenth (10th) calendar day of the month following the reporting period.

Block 14a: Email copies to addressees per attached Distribution Matrix.

Ref Block 16: Complete address for distribution:

423 SCMS/GUMB

3001 Staff Drive, Post 1AD2 100A

Tinker Air Force Base, OK 73145

Commercial phone number 405-734-7476

DSN: 884-7476

E-Mail: melissa.donahoo@tinker.af.mil

Zilar, Dale N

424 SCMS / GUBA

405-736-7976

10 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

423 SCMS / GUMB

DONAHOO.MELISSA.KAY.1258024318

405-734-7476 / 334-7476 of 4 DD Form 1423-1, JUN 90 (EF) Version 1 Page 4

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB NO.0704-D188

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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-1/MULTIPLE ACTUATORS

E. Contract/Pr No.:

FD20301300753

F. Contractor:

1. Data Item No.:

A004

2. Title of Data Item:

Small Business Subcontractor Report

3. Subtitle:

B-1 Actuators Small Business Subcontractor Report

4. Authority(Data Acquisition Document No.):

DI-MGMT-81642/T

5. Contract Reference:

PWS/SOW

6. Requiring Office:

423 SCMS/GUMB

7. DD250 Req:

NO

9. Dist.Statement Required:

N/A

10. Frequency:

See Block 16

12. Date of First Submission:

SEE BLOCK 16

14. Distribution:

a. Addressee:

b. Copies:

8. APP Code:

N/A Draft

Final

11. As of Date:

SEE BLOCK 16

13. Date of Subsequent Submission:

SEE BLOCK 16

Reg Repro

16. Remarks:

A. BLOCK 4 - DID is tailored as follows: This does not apply to Small Businesses. The contractor shall provide each Small Business Sub-contractor contribution to the Small Business goals listed in the Small Business Subcontracting Plan. Each subcontractor contribution shall be expressed in both percentage and dollar amount. Second-Tier awards may be considered in meeting or exceeding requirement.

B. Block 9: Distribution authorized to U.S. Government Agencies only. Other requests for this document shall be referred to the cognizant Contracting Officer.

C. Blocks 10-13: The report shall only be submitted upon request by the PCO.

The report is due within 14 days after receipt of the PCO's request.

D. Block 14: Unless otherwise approved by the PCO, delivery will be as an attachment via e-mail sent to afsc.sb.workflow. Schedule shall be in electronic (digital) format, as a Microsoft Office document. The subject of the e-mail will

Small Business Subcontractor Report for (insert contract number), and shall include the in-house release date, and shall be maintained throughout the contract.

COORDINATORS:

AFSC/SB 0 1 0

15. Total: 0 1 0

G. Prepared By:

michelle.syth Digitally signed by michelle.syth@us.af.mil

@us.af.mil DN: cn=michelle.syth@us.af.mil Date: 2014.08.20 10:46:06 -05'00'

H. Date

20 AUG 14

I. Approved By:

DONAHOO.MELISS Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, A.KAY.1258024318 ou=USAF, cn=DONAHOO.MELISSA.KAY.1258024318 Date: 2014.08.20 14:07:27 -05'00'

J. Date:

20 Aug 14

A0006 mailto:michelle.syth@us.af.mil mailto:cn%3Dmichelle.syth@us.af.mil