CDRL_B001S.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 the 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

B

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

TRANSIENT ALERT

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Monthly Status Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

N/A

5. CONTRACT REFERENCE

PWS Paragraph 2.15

6. REQUIRING OFFICE

75 OSS/OSC

7. DD 250 REQ

DD 250

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

See Blk 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

Draft Final

Reg Repro

16. REMARKS

1. Blocks 10-13: Monthly Status Reports shall be e-mailed to Government COR by the 5th day of each month. Contractor format acceptable.

2. Contractor will provide the QAP/COR with monthly reports within five days from the first of month. Reports will consist of but not limited to:

a. Number and description of transient aircraft arrivals

b. Number of PDM aircraft input

c. In-flight-emergencies

d. Parts ordered

e. Gallons of deicing fluid used

f. Aircraft towing operations

g. Number of RON aircraft

h. Number of FOD/DO incidents.

Note: Electronic copies will be accepted by e-mail.

3. DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only to protect technical or operational data or information from automatic dissemination under the International Exchange Program or by other means. This protection covers publications required solely for official use or strictly for administrative or operational purposes. This statement may be applied to manuals, pamphlets, technical orders, technical reports, and other publications containing valuable technical or operational data. Date of determination: 28 April 2014. Other requests shall be referred to 75 OSS/OSC 801-777-3811

75 OSS/OSC 1

5972 "C" Ave. Bldg. 2 Hill AFB, Utah 84056-3221

OL:H/PZIOA 1

6038 Aspen AVE.

Bldg 1289 NE Hill AFB, Utah 84056

15. TOTAL 0 2 0

G. PREPARED BY

CARY S. CONNORS

Digitally signed by CONNORS.CARY.S.1166306759

CONNORS.CARY.S.1166306759 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=CONNORS.CARY.S.1166306759 Date: 2014.05.07 11:55:17 -06'00'

H. DATE

05/07/2014

I. APPROVED BY

JOSEPH W. ROJAS LT COL USAF

ROJAS.JOSEPH.W.10235277 Digitally signed by ROJAS.JOSEPH.W.1023527746 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, 46 cn=ROJAS.JOSEPH.W.1023527746 Date: 2014.05.14 07:09:11 -06'00'

J. DATE

14 May 14

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT

B

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

TRANSIENT ALERT

E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Reset Page 2 of 2 Pages