CDRL_REPORT_EXHIBIT.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

F100-PW-220/229 / Multiple NSNs and P/Ns

E. CONTRACT / PR NO.

FD20301500216

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

CDM

4. AUTHORITY

DI-PSSS-81995

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMAB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

11. AS OF DATE

SEE BLOCK 16

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 08 AUG 2016DATE:

Manual Report:

Ref Block 11, 12, and 13

The report will be prepared using the TABLE I in DID DI-PSSS-81995 as of the last working day of the month and forwarded by email to Pamela.Duggan@us.af.mil, or original mail service NLT the fifth working day of the month during which the contracts assets are received. Reports will continue to be forwarded unless terminated by the 421 SCMS/GUMAB Production Management Specialist (PMS). The last report will be annotated "Final Report".

Complete address for distribution:

421 SCMS/GUMAB

3001 Staff Drive, Suite 1AD1 112A Tinker AFB, OK 73145-3033

Commercial phone number: (405) 734-8786

Email preferred: Pamela.Duggan@us.af.mil

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DID Requirements are NOT tailored.

Delivery CANNOT be deferred.

COORDINATORS:

421 SCMS/GUMAB

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Pamela J. Duggan

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

08 AUG 2016

I. APPROVED BY

//DIGITALLY SIGNED//

DUGGAN.PAMELA.J.1156803274

421 SCMS / GUMAB 405-734-8784 / 884-8784

J. DATE

08 AUG 2016

Page 1 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Aug 2016

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

F100-PW-220/229 / Multiple NSNs and P/Ns

E. CONTRACT / PR NO.

FD20301500216

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Deficiency Report (DR)

3. SUBTITLE

PQDR

4. AUTHORITY

DI-PSSS-81535A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMAB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 08 AUG 2016DATE:

Block 11, 12, 13: As defined by T.O. 00-35D-54, submit a report whenever a material or quality deficiency occurs using SF 368 or equivalent.

Changes to office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

COORDINATORS:

421 SCMS/GUMAB

3001 Staff Drive Tinker AFB, OK 73145 Attn: Pamela J. Duggan

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

08 AUG 2016

I. APPROVED BY

//DIGITALLY SIGNED//

DUGGAN.PAMELA.J.1156803274

421 SCMS / GUMAB 405-734-8784 / 884-8784

J. DATE

08 AUG 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

F100-PW-220/229 / Multiple NSNs and P/Ns

E. CONTRACT / PR NO.

FD20301500216

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Commercial Asset Visibility AF (CAV AF) End Item Reporting

3. SUBTITLE

CAV AF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS/SOW

6. REQUIRING OFFICE

421 SCMS/GUMAB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

See Block 16

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 17 FEB 2016DATE:

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 848 SCMG/SRM 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 will be provided by 848 SCMG/SRM, (405) 734-7171.

OC-ALC 0 1 0

0 1 015. TOTAL

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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.

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

08 AUG 2016

I. APPROVED BY

//DIGITALLY SIGNED//

DUGGAN.PAMELA.J.1156803274

421 SCMS / GUMAB 405-734-8784 / 884-8784

J. DATE

08 AUG 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

F100-PW-220/229 / Multiple NSNs and P/Ns

E. CONTRACT / PR NO.

FD20301500216

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Comprehensive Engine Management System (CEMS) Reporting

3. SUBTITLE

CEMS

4. AUTHORITY

DI-MGMT-81324C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LPZC CEMS PMO

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 08 AUG 2016DATE:

Block D:

NSN: 3110-00-416-9422, p/n 4018466, 4065597, 4061549, 4082584, 4060870, 4018467 NSN: 3110-00-345-6121, p/n 4037050, 4000352, 4000452, 4056350, 4057331 NSN: 3110-00-345-6018, p/n 4035594, 4035421, 4048700, 4058452, 4065349, 4056777 NSN: 3110-01-137-2472, p/n 4059349, 4059297, 4059298, 4059299, 4061007

Blocks: 10, 11, 12, & 13:

Contractor shall provide CEMS reporting for all Engines and/or Parts that have been identified as CEMS serially tracked items.

1. (U.S.) Contractor reporting responsibilities are described in T.O. 00-25-254-1 and update requirements are described in T.O. 00-25-254-2.

(a) CEMS reporting should be accomplished by contractor no later than Close of Business of the next business day following the date/time of the occurrence.

(b) Contractor shall obtain AF Portal and CEMS access. The contractor shall complete the forms required to obtain CEMS access per the New Contractor CEMS Access Process. All forms and instructions are located on the CEMS web page: https://my.af.mil/gimmsprod/cpmo/.

(c) Once access is granted, the contractor shall update all serially tracked assets whether repaired or new production into

CEMS.

(d) THE PRIME CONTRACTOR IS RESPONSIBLE FOR PROCESSING SECURITY INVESTIGATION

AFLCMC/LPZC

CEMS Program Management Office

0 1 0

0 1 015. TOTAL

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PACKAGES FOR SUBCONTRACTOR PERSONNEL.

2. (Foreign Military Sales) Contractor shall e-mail or fax an AF Form 1534 (CEMS CDB Report), or a spreadsheet with the pertinent data to CEMS.PMO.Helpdesk@us.af.mil for fax to 405-734- 3807. All forms and documents are located on the CEMS web page: https://my.af.mil/gimmsprod/cpmo/.

CII: PF1003B, PF1004N, PF1004P, PF1004Q

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

08 AUG 2016

I. APPROVED BY

//DIGITALLY SIGNED//

DUGGAN.PAMELA.J.1156803274

421 SCMS / GUMAB 405-734-8784 / 884-8784

J. DATE

08 AUG 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

F100-PW-220/229 / Multiple NSNs and P/Ns

E. CONTRACT / PR NO.

FD20301500216

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Technical Order Improvement Report and Reply

3. SUBTITLE

AFTO Form 22

4. AUTHORITY

DI-TMSS-80229D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMAB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

As Required

12. DATE OF FIRST

SUBMISSION

As Required

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 08 AUG 2016DATE:

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.

COORDINATORS:

421 SCMS/GUMAB

3001 Staff Drive Tinker AFB, OK 73145-3041 Attn: Pamela J. Duggan

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

08 AUG 2016

I. APPROVED BY

//DIGITALLY SIGNED//

DUGGAN.PAMELA.J.1156803274

421 SCMS / GUMAB 405-734-8784 / 884-8784

J. DATE

08 AUG 2016

Page 4 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 08 Aug 2016