CDRL1_REPORT.pdf
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- FA8121-15-R-0010
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| FA812115R0010_______0002_PWS.docx | DOCX document | |
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| FA812115R0010_______0001.RTF | RTF text file | |
| RDLs.pdf | ||
| FA812115R0010.pdf | ||
| CAVAF.pdf | ||
| PKGRQMT_REPORT.pdf | ||
| GFP.pdf | ||
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| QASP.pdf | ||
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| TRNSPDATA_REPORT.pdf |
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DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of11 30
FD20301400661F100 / Nozzles, Fuel Injection
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:
Depot Manintenance Production Report N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-ALSS-80728A N/A 421 SCMS/GUMAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
N/A
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:
421 SCMS/GUMAB 0 1 0
15. Total: 0 1 0
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
This report will be prepared using AF Form 413 (or a file containing similar information) as of the last working day of each month and forwarded by Fax or e-mail not later than the third (3rd) workday of the following month. The initial report will be prepared for the month during which the contract assets are received. Negative reports are required.
Fax No: 405-734-8720
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
405-734-8803 / 884-8803
12 AUG 2014
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of21 30
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:
Quality System Plan N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-QCIC-81379 N/A 421 SCMS/GUMAB
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:
421 SCMS/GUMAB
536 ACSS/GFEAB
15. Total: 0 1 1
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
Block 10: Until Approved.
Blocks 11, 12, and 13.
The quality plan will be submitted to GFEAB 15 days after contract award. The quality plan will be evaluated within 30 days thereafter. Final plan with any and all revisions must be approved before contractor begins production.
Block 14a: Complete address for distribution
536 ACSS/GFEAB
3001 Staff Drive Tinker AFB OK 73145
421 SCMS/GUMAB
3001 Staff Drive, Annex 4 Tinker AFB OK 73145
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of31 30
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:
Commercial Asset Visibility Air Force (CAV AF) / End Item Report
CAV AF
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-MGMT-81634B N/A 421 SCMS/GUMAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
NO
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: 04 AUG 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 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 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
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of41 30
A004
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:
Technical Order Improvement Report and Reply N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-TMSS-80229D PWS 536 ACSS/GFEAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
NO
8. APP Code:
N/A D
11. As of Date: 13. Date of Subsequent Submission:
See Block 5
See Block 5
ASREQ
a. Addressee:
b. Copies:
Final
Draft Reg Repro As Required
G. Prepared By: H. Date I. Approved By: J. Date:
421 SCMS/GUMAB
536 ACSS/GFEAB
15. Total: 0 1 1
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
The contractor shall prepare a PIR when:
1. An error or improvement changes the meaning of the instructions or information contained in technical directives and will prevent the adequate performance intended.
2. Reporting omissions of pertinent technical data, correction of overhaul procedures in TOs or desired changes to TO data.
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of51 30
A005
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:
Report of Receipts Inventory, Adjustments and Shipments of Government Property
N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-MGMT-80442 N/A 448 PSG/PKBB
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
MONTHLY
MTHLY
a. Addressee:
b. Copies:
Final
Draft Reg Repro N/A
G. Prepared By: H. Date I. Approved By: J. Date:
421 SCMS/GUMAB
448 PSG/PKBB
Cognizant DCMC
15. Total: 0 3 0
16. Remarks:
NAME: Zilar, Dale N DATE: 12 MAR 2013
Reports, 1 regular copy to each recipient to be sent 30 days after receipt to:
421 SCMS/GUMAB
3001 Staff Drive Annex 4 Tinker AFB OK 73145
448 PSG/PKBB
3001 Staff Drive Tinker AFB OK 73145
Cognizant DCMC (See face of contract)
Electronic submission acceptable
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of61 30
A006
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:
Deficiency Report (DR) N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-ALSS-81535 N/A 536 ACSS/GFEAB
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:
421 SCMS/GUMAB
536 ACSS/GFEAB
DCMA/ACO
QA Office
15. Total: 0 1 3
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
Blocks 10, 11, 12, and 13: As defined by T.O. 00-35D-54, submit a report whenever a material or a quality deficiency occurs utilizing SF Form 368.
A formal report of findings shall be delivered to the Government 10 days after receipt of the DR exhibit for all Mishap Investigations and Category 1 deficiency reports.
A formal report of findings shall be delivered to the Government 90 days after receipt of the DR exhibit for all Category 2 deficiency reports.
Ref: Block 14a: Complete address for distribution:
536 ACSS/GFEAB
3001 Staff Drive Tinker AFB OK 73145
QA Office 3001 Staff Drive Tinker AFB OK 73145
DCMA/ACO (See face of contract)
421 SCMS/GUMAB
3001 Staff Drive, Annex 4 Tinker AFB OK 73145
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of71 30
B001
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 Manintenance Production Report N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-ALSS-80728A N/A 421 SCMS/GUMAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
N/A
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:
421 SCMS/GUMAB 0 1 0
15. Total: 0 1 0
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
This report will be prepared using AF Form 413 (or a file containing similar information) as of the last working day of each month and forwarded by Fax or e-mail not later than the third (3rd) workday of the following month. The initial report will be prepared for the month during which the contract assets are received. Negative reports are required.
Fax No: 405-734-8720
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of81 30
B002
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:
Quality System Plan N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-QCIC-81379 N/A 421 SCMS/GUMAB
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:
421 SCMS/GUMAB
536 ACSS/GFEAB
15. Total: 0 1 1
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
Block 10: Until Approved.
Blocks 11, 12, and 13.
The quality plan will be submitted to GFEAB 15 days after contract award. The quality plan will be evaluated within 30 days thereafter. Final plan with any and all revisions must be approved before contractor begins production.
Block 14a: Complete address for distribution
536 ACSS/GFEAB
3001 Staff Drive Tinker AFB OK 73145
421 SCMS/GUMAB
3001 Staff Drive, Annex 4 Tinker AFB OK 73145
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of91 30
B003
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 Report
CAV AF
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-MGMT-81634B N/A 421 SCMS/GUMAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
NO
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: 04 AUG 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 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 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
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of101 30
B004
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:
Technical Order Improvement Report and Reply N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-TMSS-80229D PWS 536 ACSS/GFEAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
NO
8. APP Code:
N/A D
11. As of Date: 13. Date of Subsequent Submission:
See Block 5
See Block 5
ASREQ
a. Addressee:
b. Copies:
Final
Draft Reg Repro As Required
G. Prepared By: H. Date I. Approved By: J. Date:
421 SCMS/GUMAB
536 ACSS/GFEAB
15. Total: 0 1 1
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
The contractor shall prepare a PIR when:
1. An error or improvement changes the meaning of the instructions or information contained in technical directives and will prevent the adequate performance intended.
2. Reporting omissions of pertinent technical data, correction of overhaul procedures in TOs or desired changes to TO data.
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of111 30
B005
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:
Report of Receipts Inventory, Adjustments and Shipments of Government Property
N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-MGMT-80442 N/A 448 PSG/PKBB
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
MONTHLY
MTHLY
a. Addressee:
b. Copies:
Final
Draft Reg Repro N/A
G. Prepared By: H. Date I. Approved By: J. Date:
421 SCMS/GUMAB
448 PSG/PKBB
Cognizant DCMC
15. Total: 0 3 0
16. Remarks:
NAME: Zilar, Dale N DATE: 12 MAR 2013
Reports, 1 regular copy to each recipient to be sent 30 days after receipt to:
421 SCMS/GUMAB
3001 Staff Drive Annex 4 Tinker AFB OK 73145
448 PSG/PKBB
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of121 30
B006
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:
Deficiency Report (DR) N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-ALSS-81535 N/A 536 ACSS/GFEAB
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:
421 SCMS/GUMAB
536 ACSS/GFEAB
DCMA/ACO
QA Office
15. Total: 0 1 3
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
Blocks 10, 11, 12, and 13: As defined by T.O. 00-35D-54, submit a report whenever a material or a quality deficiency occurs utilizing SF Form 368.
A formal report of findings shall be delivered to the Government 10 days after receipt of the DR exhibit for all Mishap Investigations and Category 1 deficiency reports.
A formal report of findings shall be delivered to the Government 90 days after receipt of the DR exhibit for all Category 2 deficiency reports.
Ref: Block 14a: Complete address for distribution:
536 ACSS/GFEAB
3001 Staff Drive Tinker AFB OK 73145
QA Office 3001 Staff Drive Tinker AFB OK 73145
DCMA/ACO (See face of contract)
421 SCMS/GUMAB
3001 Staff Drive, Annex 4 Tinker AFB OK 73145
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of131 30
C001
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 Manintenance Production Report N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-ALSS-80728A N/A 421 SCMS/GUMAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
N/A
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:
421 SCMS/GUMAB 0 1 0
15. Total: 0 1 0
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
This report will be prepared using AF Form 413 (or a file containing similar information) as of the last working day of each month and forwarded by Fax or e-mail not later than the third (3rd) workday of the following month. The initial report will be prepared for the month during which the contract assets are received. Negative reports are required.
Fax No: 405-734-8720
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of141 30
C002
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:
Quality System Plan N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-QCIC-81379 N/A 421 SCMS/GUMAB
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:
421 SCMS/GUMAB
536 ACSS/GFEAB
15. Total: 0 1 1
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
Block 10: Until Approved.
Blocks 11, 12, and 13.
The quality plan will be submitted to GFEAB 15 days after contract award. The quality plan will be evaluated within 30 days thereafter. Final plan with any and all revisions must be approved before contractor begins production.
Block 14a: Complete address for distribution
536 ACSS/GFEAB
3001 Staff Drive Tinker AFB OK 73145
421 SCMS/GUMAB
3001 Staff Drive, Annex 4 Tinker AFB OK 73145
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of151 30
C003
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 Report
CAV AF
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-MGMT-81634B N/A 421 SCMS/GUMAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
NO
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: 04 AUG 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 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 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
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of161 30
C004
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:
Technical Order Improvement Report and Reply N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-TMSS-80229D PWS 536 ACSS/GFEAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
NO
8. APP Code:
N/A D
11. As of Date: 13. Date of Subsequent Submission:
See Block 5
See Block 5
ASREQ
a. Addressee:
b. Copies:
Final
Draft Reg Repro As Required
G. Prepared By: H. Date I. Approved By: J. Date:
421 SCMS/GUMAB
536 ACSS/GFEAB
15. Total: 0 1 1
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
The contractor shall prepare a PIR when:
1. An error or improvement changes the meaning of the instructions or information contained in technical directives and will prevent the adequate performance intended.
2. Reporting omissions of pertinent technical data, correction of overhaul procedures in TOs or desired changes to TO data.
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of171 30
C005
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:
Report of Receipts Inventory, Adjustments and Shipments of Government Property
N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-MGMT-80442 N/A 448 PSG/PKBB
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
MONTHLY
MTHLY
a. Addressee:
b. Copies:
Final
Draft Reg Repro N/A
G. Prepared By: H. Date I. Approved By: J. Date:
421 SCMS/GUMAB
448 PSG/PKBB
Cognizant DCMC
15. Total: 0 3 0
16. Remarks:
NAME: Zilar, Dale N DATE: 12 MAR 2013
Reports, 1 regular copy to each recipient to be sent 30 days after receipt to:
421 SCMS/GUMAB
3001 Staff Drive Annex 4 Tinker AFB OK 73145
448 PSG/PKBB
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of181 30
C006
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:
Deficiency Report (DR) N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-ALSS-81535 N/A 536 ACSS/GFEAB
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:
421 SCMS/GUMAB
536 ACSS/GFEAB
DCMA/ACO
QA Office
15. Total: 0 1 3
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
Blocks 10, 11, 12, and 13: As defined by T.O. 00-35D-54, submit a report whenever a material or a quality deficiency occurs utilizing SF Form 368.
A formal report of findings shall be delivered to the Government 10 days after receipt of the DR exhibit for all Mishap Investigations and Category 1 deficiency reports.
A formal report of findings shall be delivered to the Government 90 days after receipt of the DR exhibit for all Category 2 deficiency reports.
Ref: Block 14a: Complete address for distribution:
536 ACSS/GFEAB
3001 Staff Drive Tinker AFB OK 73145
QA Office 3001 Staff Drive Tinker AFB OK 73145
DCMA/ACO (See face of contract)
421 SCMS/GUMAB
3001 Staff Drive, Annex 4 Tinker AFB OK 73145
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of191 30
D001
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 Manintenance Production Report N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-ALSS-80728A N/A 421 SCMS/GUMAB
7. DD250 Req: 9. Dist.Statement Required:
10. Frequency: 12. Date of First Submission:
14. Distribution:
N/A
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:
421 SCMS/GUMAB 0 1 0
15. Total: 0 1 0
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
This report will be prepared using AF Form 413 (or a file containing similar information) as of the last working day of each month and forwarded by Fax or e-mail not later than the third (3rd) workday of the following month. The initial report will be prepared for the month during which the contract assets are received. Negative reports are required.
Fax No: 405-734-8720
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
12 AUG 2014 //DIGITALLY SIGNED//
COORDINATORS:
421 SCMS / GUMAB
GUTHRIE.VICKI.LYNN.1275308052
DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of201 30
D002
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:
Quality System Plan N/A
4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:
DI-QCIC-81379 N/A 421 SCMS/GUMAB
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:
421 SCMS/GUMAB
536 ACSS/GFEAB
15. Total: 0 1 1
16. Remarks:
NAME: Zilar, Dale N DATE: 12 AUG 2014
Block 10: Until Approved.
Blocks 11, 12, and 13.
The quality plan will be submitted to GFEAB 15 days after contract award. The quality plan will be evaluated within 30 days thereafter. Final plan with any and all revisions must be approved before contractor begins production.
Block 14a: Complete address for distribution
536 ACSS/GFEAB
3001 Staff Drive Tinker AFB OK 73145
421 SCMS/GUMAB
3001 Staff Drive,…
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