15R0029_CDRL1_REPORT.pdf

PDF 146 KB Posted Apr 14, 2015

Attached to: Repair Receiver/Transmitter Federal contract opportunity
Solicitation number: FA811915R0029
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Tinker Air Force Base

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CDRL-Contract Data Requirements List

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File	Type	Posted
1494665_DID.pdf	PDF	Apr 14, 2015
15R0029_QAIRQMT_REPORT.pdf	PDF	Apr 14, 2015
1494663_DID.pdf	PDF	Apr 14, 2015
1494668_DID.pdf	PDF	Apr 14, 2015
1494666_DID.pdf	PDF	Apr 14, 2015
15R0029_TRNSPDATA_REPORT.pdf	PDF	Apr 14, 2015
1494664_DID.pdf	PDF	Apr 14, 2015
1494667_DID.pdf	PDF	Apr 14, 2015
1494670_DID.pdf	PDF	Apr 14, 2015
15R0029_CAVAFSOW.docx	DOCX document	Apr 14, 2015
FA811915R0029.pdf	PDF	Apr 14, 2015
15R0029_PKGRQMT_REPORT.pdf	PDF	Apr 14, 2015
15R0029_PWS.docx	DOCX document	Apr 14, 2015
WD_1500714.pdf	PDF	Apr 14, 2015
1494662_DIDpdf.pdf	PDF	Apr 14, 2015

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DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of11 40

FD20301500714B-2 / Receiver-Transmitter

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 AF (CAV AF) End Item Reporting CAV AF

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

DI-MGMT-81634B PWS/SOW 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A N/A

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

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

OC-ALC

15. Total: 0 2 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

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 420 SCMS/GUNA 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 848 SCMS/SRM, (405) 734-7171.

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

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 Complex (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 / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

405-736-2276 / 336-2276

16 DEC 2014

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of21 40

A002

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 26 JUN 2014

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 / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of31 40

A003

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Maintenance Data Collection Record (MDCR) N/A

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

DI-MISC-81371/T N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

See Block 16

EOM

MTHLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro

EOM

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

Electronic (REMIS) 0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 17 JUN 2014

BLOCK 11: As of End of Each Month.

BLOCK 12: First report to be submitted one (1) month after beginning of repair.

APPLICABLE REPORTS: OFF-EQUIPMENT MAINTENANCE

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of41 40

A004

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Parts Approval Requests N/A

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

DI-MISC-80071E N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

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:

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145 Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 18 JUL 2014

Blocks 10, 11, 12 & 13: Requests will be submitted on an as needed basis IAW the Performance Work Statement (PWS).

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of51 40

A005

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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 Manintenance Production Report AFMC Form 413

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

DI-ALSS-80728A N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

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:

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

ACO

See Block 16

15. Total: 0 2 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

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 424 SCMS/GUME NO LATER THEN

THE TENTH (10TH) CALENDAR DAY OF THE MONTH FOLLOWING THE REPORTING

PERIOD.

BLOCK 14A: E MAIL COPIES TO ADDRESSEES PER ATTACHED DISTRIBUTION

MATRIX.

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of61 40

A006

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

End Item (EI) Production and Component Item (CI) Consumption Repair History Data

N/A

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

DI-ALSS-81220A/T N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

As Required

N/A

1 XTIME

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUME

3001 Staff Drive Tinker A.F.B., OK 73145-3041 Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

BLOCKS 11, 12 & 13: 10 CALENDAR DAYS AFTER COMPLETION OF EACH ITEM ON THE

DELIVERY ORDER UNTIL ORDER IS COMPLETE.

BLOCK 14: EMAIL COPIES OF REPORT TO: Matthew.Starzenski@us.af.mil

LETTER OF TRANSMITTAL SHALL BE MAILED TO THE DESIGNATED QUALITY

ASSURANCE PERSONNEL (QAP) OR APPOINTED QUALITY ASSURANCE EVALUATOR

(QAE).

THIS DID IS TAILORED AS FOLLOWS:

PARA 10.2, 10.3, 10.3.2, 10.4, 10.4.1, 10.4.2: DOES NOT APPLY

10.3.1: REVISED AND REPLACED AS FOLLOWS: EACH ITEM REMANUFACTURED WILL

REQUIRE A PRODUCTION RECORD WITH A CONSUMPTION RECORD WHICH LISTS

ALL MATERIAL INCLUDING NOMENCLATURE, PART NUMBER, QUANTITY AND THE

USAGE RATE. CONTRACTOR FORMAT IS ACCEPTABLE.

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of71 40

A007

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Counterfeit Prevention Plan N/A

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

DI-MISC-81832 N/A 424 SCMS/GUEA

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A D

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

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145-3041

0 0 1

15. Total: 0 0 1

16. Remarks:

NAME: Zilar, Dale N DATE: 01 AUG 2014

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 (FA8711).

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of81 40

A008

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Source Data For Forecasting Diminishing Manufacturing Sources And Material Shortages (DMSMS)

N/A

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

DI-SESS-81656A N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

A C

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

SEE BLOCK 16

QRTLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro

SEE BLOCK 16

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

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

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 11-3: The first report shall be submitted within 5 calendar days of the contractor's iscovery 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 DMS component, the contractor shall notify the contracting officer in writing.

BLOCK 14A: ALL DIGITAL SUBMISSIONS SHALL BE MADE VIA ELECTRONIC MAIL

TO:

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

Email: Matthew.Starzenski@us.af.mil

CONTRACTOR FORMAT IS ACCEPTABLE.

DID REQUIREMENTS ARE NOT TAILORED.

DELIVERY CANNOT BE DEFERRED.

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of91 40

B001

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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 AF (CAV AF) End Item Reporting CAV AF

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

DI-MGMT-81634B PWS/SOW 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A N/A

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

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

OC-ALC

15. Total: 0 2 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

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 848 SCMS/SRM, (405) 734-7171.

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

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 Complex (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 / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of101 40

B002

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 26 JUN 2014

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

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of111 40

B003

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Maintenance Data Collection Record (MDCR) N/A

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

DI-MISC-81371/T N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

See Block 16

EOM

MTHLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro

EOM

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

Electronic (REMIS) 0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 17 JUN 2014

BLOCK 11: As of End of Each Month.

BLOCK 12: First report to be submitted one (1) month after beginning of repair.

APPLICABLE REPORTS: OFF-EQUIPMENT MAINTENANCE

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of121 40

B004

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Parts Approval Requests N/A

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

DI-MISC-80071E N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

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:

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145 Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 18 JUL 2014

Blocks 10, 11, 12 & 13: Requests will be submitted on an as needed basis IAW the Performance Work Statement (PWS).

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of131 40

B005

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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 Manintenance Production Report AFMC Form 413

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

DI-ALSS-80728A N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

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:

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

ACO

See Block 16

15. Total: 0 2 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

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 424 SCMS/GUME NO LATER THEN

THE TENTH (10TH) CALENDAR DAY OF THE MONTH FOLLOWING THE REPORTING

PERIOD.

BLOCK 14A: E MAIL COPIES TO ADDRESSEES PER ATTACHED DISTRIBUTION

MATRIX.

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of141 40

B006

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

End Item (EI) Production and Component Item (CI) Consumption Repair History Data

N/A

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

DI-ALSS-81220A/T N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

As Required

N/A

1 XTIME

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUME

3001 Staff Drive Tinker A.F.B., OK 73145-3041 Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

BLOCKS 11, 12 & 13: 10 CALENDAR DAYS AFTER COMPLETION OF EACH ITEM ON THE

DELIVERY ORDER UNTIL ORDER IS COMPLETE.

BLOCK 14: EMAIL COPIES OF REPORT TO: Matthew.Starzenski@us.af.mil

LETTER OF TRANSMITTAL SHALL BE MAILED TO THE DESIGNATED QUALITY

ASSURANCE PERSONNEL (QAP) OR APPOINTED QUALITY ASSURANCE EVALUATOR

(QAE).

THIS DID IS TAILORED AS FOLLOWS:

PARA 10.2, 10.3, 10.3.2, 10.4, 10.4.1, 10.4.2: DOES NOT APPLY

10.3.1: REVISED AND REPLACED AS FOLLOWS: EACH ITEM REMANUFACTURED WILL

REQUIRE A PRODUCTION RECORD WITH A CONSUMPTION RECORD WHICH LISTS

ALL MATERIAL INCLUDING NOMENCLATURE, PART NUMBER, QUANTITY AND THE

USAGE RATE. CONTRACTOR FORMAT IS ACCEPTABLE.

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of151 40

B007

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Counterfeit Prevention Plan N/A

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

DI-MISC-81832 N/A 424 SCMS/GUEA

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A D

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

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145-3041

0 0 1

15. Total: 0 0 1

16. Remarks:

NAME: Zilar, Dale N DATE: 01 AUG 2014

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 (FA8711).

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of161 40

B008

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Source Data For Forecasting Diminishing Manufacturing Sources And Material Shortages (DMSMS)

N/A

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

DI-SESS-81656A N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

A C

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

SEE BLOCK 16

QRTLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro

SEE BLOCK 16

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

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

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.

BLOCK 14A: ALL DIGITAL SUBMISSIONS SHALL BE MADE VIA ELECTRONIC MAIL

TO:

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

Email: Matthew.Starzenski@us.af.mil

CONTRACTOR FORMAT IS ACCEPTABLE.

DID REQUIREMENTS ARE NOT TAILORED.

DELIVERY CANNOT BE DEFERRED.

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of171 40

C001

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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 AF (CAV AF) End Item Reporting CAV AF

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

DI-MGMT-81634B PWS/SOW 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A N/A

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

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Matthew D. Starzenski

OC-ALC

15. Total: 0 2 0

16. Remarks:

NAME: Zilar, Dale N DATE: 11 DEC 2014

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 848 SCMS/SRM, (405) 734-7171.

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

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 Complex (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 / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of181 40

C002

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

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

424 SCMS/GUME

3001 Staff Drive Tinker AFB, OK Attn: Matthew D. Starzenski

0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 26 JUN 2014

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

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of191 40

C003

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Maintenance Data Collection Record (MDCR) N/A

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

DI-MISC-81371/T N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

8. APP Code:

N/A A

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

See Block 16

EOM

MTHLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro

EOM

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

Electronic (REMIS) 0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Zilar, Dale N DATE: 17 JUN 2014

BLOCK 11: As of End of Each Month.

BLOCK 12: First report to be submitted one (1) month after beginning of repair.

APPLICABLE REPORTS: OFF-EQUIPMENT MAINTENANCE

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

16 DEC 2014 //DIGITALLY SIGNED//

COORDINATORS:

424 SCMS / GUMB

STARZENSKI.MATTHEW.D.1386640471

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of201 40

C004

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

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:

Parts Approval Requests N/A

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

DI-MISC-80071E N/A 424 SCMS/GUME

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

10. Frequency: 12. Date of First Submission:

14.…

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File details come from the government source that posted it. Updated Nov 14, 2017.