CDRL1_REPORT.pdf

PDF 99 KB Posted Jul 12, 2019

Attached to: Engineering Services for C-17 Engine Fire Bottles Federal contract opportunity
Solicitation number: FA8118-19-Q-0015
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Tinker Air Force Base

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Contract Data Requirements List

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WageDetermination.pdf	PDF	Jul 12, 2019
FA811819Q0015.pdf	PDF	Jul 12, 2019
DID81536A.pdf	PDF	Jul 12, 2019
PWS.pdf	PDF	Jul 12, 2019

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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

C-17 / Extinguisher, Fire, Aircraft

E. CONTRACT / PR NO.

FD20301902340

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test Information Sheet (TIS)

3. SUBTITLE

N/A

4. AUTHORITY

DI-QCIC-81536A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

423 SCMS/GUEA

7. DD 250 REQ

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: 25 JUN 2019DATE:

NSN : 1680015864187JY

P/N : M472555-2

Blk 5. Performance Work Statement "Additional Testing Requirement" dated 18 Apr 19, paragraph 4.13.

Blk 9. "DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies only (Administrative or Operational Use) (2 April 19). Other requests for this document shall be referred to (423 SCMS/GUEA)."

Blks 10, 12, 12, 13: One time submittal after completion of testing.

Blk 14: Submit is PDF format to PCO and 423 SCMS/GUEA, john.frudd@us.af.mil

Blk 14a. Submit one hard copy:

423 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145

Contractor Format Acceptable Delivery CANNOT Be Deferred

COORDINATORS:

Balano-Taylor, Marcus 423 SCMS / GUMD 405-582-9911 / 852-9911 25 JUN 2019

423 SCMS/GUEA (See Block 16)

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

25 JUN 2019

I. APPROVED BY

//DIGITALLY SIGNED//

ZILAR.DALE.N.1221047407

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

J. DATE

25 JUN 2019

Page 1 of 1DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 27 Jun 2019

PREVIOUS EDITION MAY BE USED.

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