Exhibit_Contract_Data_Requirements_List.pdf
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CLIN 0001 - 4003 A, B, C, D, E
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved
0MB No. 0704-0188
A. CONTRACT LINE ITEM NO.
D. SYSTEM I ITEM
B-lB I Actuator, Elector-Me
1. DATA ITEM NO.
A002
4. AUTHORITY (Data Acquisition Document No.)
DI-PSSS-81995
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
B. EXHIBIT C. CATEGORY
IDP TM
E. CONTRACT I PR NO.
FD20301803130
F. CONTRACTOR
2. TITLE OF DATA ITEM 3. SUBTITLE
OTHER X
Contract Depot Maintenance (CDM) Production Report CDM Production Monthly Status Report
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
PWS 423 SCMS/GUME
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D
10. FREQUENCY
MTHLY See Block 16 b. COPIES
8. APP CODE
NIA
16. REMARKS
NAME: Zilar, Dale N
11. AS OF DATE
See Block 16
DATE: 10 AUG 2019
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
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 CA V 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 IA W provisions ofDoD 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:
Christopher.Dunn.24@us.af.mil
PREVIOUS EDITION MAY BE USED.
DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 19 Feb 2020
a. ADDRESSEE
Final Draft
Reg Repro
See Block 16 0 5 0
15. TOTAL 0 5 0
Version 2 Page 2 of5
Form Approved
0MB No. 0704-0188
5. Block 14. DISTRIBUTION b. COPIES, Final, Reg is total Basic Year(s) plus Option Year(s) as required.
COORDINATORS:
Dunn, Christopher M
G. PREPARED BY
Zilar, Dale N
424 SCMS I GUBAB
405-736-7976
A. CONTRACT LINE ITEM NO.
D. SYSTEM I ITEM
B-lB I Actuator, Elector-Me
423 SCMS / GUME 405-528-6878 I 852-6878 12 AUG 2019
H.DATE
12 AUG 2019
B.EXHIBIT
E. CONTRACT I PR NO.
FD20301803130
I. APPROVED BY
//DIGITALLY SIGNED//
ZILAR.DALE.N.1221047407
424 SCMS I GUBAB 405-736-7976 I 336-7976
C.CATEGORY
TDP TM
F. CONTRACTOR
3. SUBTITLE
J.DATE
10 AUG 2019
OTHER X
1.DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Government Property Inventory Report Annual Government Property Physical
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80441C
5. CONTRACT REFERENCE
PWS
6. REQUIRING OFFICE
423 SCMS/GUME
7.DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST
REQUIRED SUBMISSION
LT D ANNLY See Block 16
8.APP CODE 11.AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
NIA See Block 16 See Block 16
16.REMARKS
NAME: Zilar, Dale N DATE: 10 AUG 2019
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 IA W provisions ofDoD 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:
Christopher.Dunn.24@us.af.mil
5. Block 14. DISTRIBUTION b. COPIES, Final, Reg is total Basic Year(s) plus Option Year(s) as required.
PREVIOUS EDITION MAY BE USED.
DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 19 Feb 2020
14. DISTRIBUTION
a. ADDRESSEE
See Block 16
15. TOTAL
Version 2
b. COPIES
Final Draft
Reg Repro
0 5 0
0 5 0
Page 3 of5
Form Approved
0MB No. 0704-0188
COORDINATORS:
Dunn, Christopher M
G. PREPARED BY
Zilar, Dale N
424 SCMS I GUBAB
405-736-7976
423 SCMS / GUME 405-528-6878 I 852-6878 12 AUG 2019
H.DATE
12 AUG 2019
I. APPROVED BY
//DIGITALLY SIGNED//
ZILAR.DALE.N.1221047407
424 SCMS I GUBAB 405-736-7976 I 336-7976
A. CONTRACT LINE ITEM NO. B.EXHIBIT C.CATEGORY
TDP TM
D. SYSTEM I ITEM E. CONTRACT I PR NO.
FD20301803130
F. CONTRACTOR
B-lB I Actuator, Elector-Me l.DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Report of Shipping (Item ) and Packaging Discrepancy
3. SUBTITLE
SF364 SDR/ROD
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80503
5. CONTRACT REFERENCE
PWS
6. REQUIRING OFFICE
423 SCMS/GUME
7.DD 250 REQ
LT
8.APP CODE
NIA
16.REMARKS
NAME: Zilar, Dale N
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
11.AS OF DATE
See Block 16
DATE: 10 AUG 2019
12. DATE OF FIRST
SUBMISSION
As Required
13. DATE OF SUBSEQUENT
SUBMISSION
As Required
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 ) IA W TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, nonreceipt, 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 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 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.
BLOCK 11: Within 5 working days of discovery of discrepancy.
PREVIOUS EDITION MAY BE USED.
DD FORM 1423-1, FEB 2001 Generated by PRPS using Jasper Reports on 19 Feb 2020
14. DISTRIBUTION
a. ADDRESSEE
423 SCMS/GUME
Building 3001, Annex 4 Tinker Air Force Base, Oklahoma 73145-3033 Attention : Christopher M.
Dunn
15. TOTAL
Version 2
J.DATE
10 AUG 2019
OTHER X
b. COPIES
Final Draft
Reg Repro
0 5 0
0 5 0
Page 4 of5
CONTRACT DATA REQUIREMENTS LIST Form Approved
(1 Data Item) 0MB No. 0704-0188
BLOCK 14 : E- mail copies to addressees per attached Distribution Matrix. Report of Discrepancy shall be submitted to the material originator.
Block 14 . DISTRIBUTION b. COPIES, Final, Reg is total Basic Year(s) plus Option Year(s) as required.
Note: It is permissible to submit paper SF 364 s until access to WEBSDR is attained.
FOB DESTINATION
COORDINATORS:
Dunn, Christopher M 423 SCMS / GUME 405-528-6878 / 852-6878 12 AUG2019
G. PREPARED BY H.DATE I. APPROVED BY I.DATE
Zilar, Dale N 12 AUG2019 //DIGITALLY SIGNED// 10 AUG2019
424 SCMS I GUBAB ZILAR.DALE.N.1221047407
405-736-7976 424 SCMS I GUBAB 405-736-7976 I 336-7976
A. CONTRACT LINE ITEM NO. B.EXHIBIT C.CATEGORY
TDP TM OTHER X
D. SYSTEM I ITEM E. CONTRACT I PR NO. F. CONTRACTOR
B-lB I Actuator, Elector- Me FD20301803130
1 .DATA ITEM NO. 2 . TITLE OF DATA ITEM 3 . SUBTITLE
A005 Production Surge Plan Capability Analysis Plan (CAP)
4 . AUTHORITY (Data Acquisition Document No.) 5 . CONTRACT REFERENCE 6 . REQUIRING OFFICE
DI- MGMT-80969 PWS 423 SCMS/GUME
7 .DD250 REQ 9 . DIST STATEMENT 10 . FREQUENCY 12 . DATE OF FIRST 14 . DISTRIBUTION
REQUIRED SUBMISSION
LT A See Block 16 See Block 16 b. COPIES
8 .APP CODE 11 .AS OF DATE 13 . DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION Final Draft
A See Block 16 See Block 16 Reg Repro
16 .REMARKS 423 SCMS/GUME 0 5 0
NAME: Zilar, Dale N DATE: 10 AUG 2019 Building 3001 , Annex 4 Tinker Air Force Base, In the event that the DoD experiences an unplanned spike or sudden increase in demand, due to major theater warfare or Oklahoma 73145-3033 a national emergency (also known as surge, reference DF ARs 217 .208-70 and DF ARs 252 .217 .7001 ), and invokes Attention : Christopher M.
surge: The Contractor is willing to work to meet and sustain this demand for Dunn quantity levels above and beyond normal peacetime requirements. 15 . TOTAL 0 5 0
Block 9 : Approved for Unlimited Public and Foreign Distribution. Other requests shall be referred to 848 SCMG/EN.
Block 10 , 11 , 12 , 13 : The Capability Analysis Plan (CAP) shall be prepared IA W 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.
Block 14 . DISTRIBUTION b. COPIES, Final, Reg is total Basic Year(s) plus Option Year(s) as required.
COORDINATORS:
Dunn, Christopher M 423 SCMS / GUME 405-528-6878 / 852-6878 12 AUG2019
G. PREPARED BY H.DATE I. APPROVED BY I.DATE
Zilar, Dale N 12 AUG2019 //DIGITALLY SIGNED// 10 AUG2019
424 SCMS I GUBAB ZILAR.DALE.N.1221047407
405-736-7976 424 SCMS I GUBAB 405-736-7976 I 336-7976
PREVIOUS EDITION MAY BE USED.
DD FORM 1423-1 , FEB 2001 Generated by PRPS using Jasper Reports on 19 Feb 2020 Version2 Page 5 of5
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