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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Quality Program Plan

3_SUBTITLE: Quality Control Plan

4_AUTHORITY_Data_Acquisit: DI-QCIC-81722

5_CONTRACT_REFERENCE: PWS Para 2.10

6_REQUIRING_OFFICE: AFLCMC/WWAPB

7_DID_250_REQ: DD

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Block 16

11_AS_OF_DATE: Block 16

12_DATE_OF_FIRST_SUBMISSI: Block 16

13_DATE_OF_SUBSEQUENT_SUB: Block 16 addressee1: AFLCMC/WWAPB draft1:

reg1:

repro1:

addressee2: 6061 Box Elder Ln draft2:

reg2:

repro2:

addressee3: Hill AFB, UT draft3:

reg3:

repro3:

addressee4: 84056-5826 draft4:

reg4:

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total_draft: 0 total_repro: 0

16_REMARKS: Blocks 4, 14: Contractor format is acceptable in Microsoft Word

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and DoD Contractors for administrative or operational use determined 9 January 2015. Other requests for a copy of this document shall be referred to A-10 SPO Hill AFB, UT 84056.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. 2751 et seq.) or the Export Administration Act of 1979, as amended (Title 50, U.S.C., APP. 2401, et seq.).

Violation of these export laws are subject to severe criminal penalties.

Dissemination of this document is controlled under DOD Directive 5230.25.

HANDLING AND DESTRUCTION NOTICE: Comply with distribution statement and destroy by any method that will prevent disclosure of the contents or reconstruction of the document.

Blocks 10, 11, 12 & 13: The contractor shall provide a Repairs Quality Control Plan for Block 6 requiring office no later than (NLT) 30 days after contract award.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 9 January 2015

1_APPROVED_BY:

J_DATE: 9 Jan 2015

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO: 23

B_EXHIBIT: B

TDP:

TM:

OTHER: QCIC

DSYSTEMITEM: A-10 HMCS

E_CONTRACTPR_NO: FD2020-15-50364

FCONTRACTOR: Thales Visionix, Inc.

16_REMARKS_Continued:

Page2:

of_pages: 1

Reset:

2015-01-09T13:38:52-0700

DAYTON.MARLENE.1231478694

2015-01-09T14:05:46-0700

GETTS.MATTHEW.THOMAS.1044299638

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 and Communications 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Contractor's Progress, Status and Management Report

3_SUBTITLE: Program Status Reports

4_AUTHORITY_Data_Acquisit: DI-MGMT-80227

5_CONTRACT_REFERENCE: PWS Para 2.11

6_REQUIRING_OFFICE: AFLCMC/WWAPB

7_DID_250_REQ: DD

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Monthly

11_AS_OF_DATE: Block 16

12_DATE_OF_FIRST_SUBMISSI: Block 16

13_DATE_OF_SUBSEQUENT_SUB: Block 16 addressee1: AFLCMC/WWAPB draft1:

reg1:

repro1:

addressee2: 6061 Box Elder Ln draft2:

reg2:

repro2:

addressee3: Hill AFB, UT draft3:

reg3:

repro3:

addressee4: 84056-5826 draft4:

reg4:

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addressee5: Attn: Capt M. Getts draft5:

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total_draft: 0 total_repro: 0

16_REMARKS: Blocks 4, 14: Contractor format is acceptable in Microsoft Word

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and DoD Contractors for administrative or operational use determined 9 January 2015. Other requests for a copy of this document shall be referred to A-10 SPO Hill AFB, UT 84056.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. 2751 et seq.) or the Export Administration Act of 1979, as amended (Title 50, U.S.C., APP. 2401, et seq.).

Violation of these export laws are subject to severe criminal penalties.

Dissemination of this document is controlled under DOD Directive 5230.25.

HANDLING AND DESTRUCTION NOTICE: Comply with distribution statement and destroy by any method that will prevent disclosure of the contents or reconstruction of the document.

Blocks 11, 12 & 13: The contractor shall provide monthly Program Status Reports for Block 6 requiring office. The first submission shall be available 15 calendar days after the first full month following contract award with subsequent monthly submittals no later than the 10th calendar day of each month during the basic period of performance.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 9 Jan 2015

1_APPROVED_BY:

J_DATE: 9 Jan 2015

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO: 23

B_EXHIBIT: B

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: A-10 HMCS

E_CONTRACTPR_NO: FD2020-15-50364

FCONTRACTOR: Thales Visionix, Inc.

16_REMARKS_Continued:

Page2:

of_pages: 1

Reset:

2015-01-09T13:40:22-0700

DAYTON.MARLENE.1231478694

2015-01-09T14:07:20-0700

GETTS.MATTHEW.THOMAS.1044299638

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 and Communications 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Test Procedure

3_SUBTITLE: Initial Bench Test Procedure

4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A

5_CONTRACT_REFERENCE: PWS Para 2.2

6_REQUIRING_OFFICE: AFLCMC/WWAPB

7_DID_250_REQ: DD

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Block 16

11_AS_OF_DATE: Block 16

12_DATE_OF_FIRST_SUBMISSI: Block 16

13_DATE_OF_SUBSEQUENT_SUB: Block 16 addressee1: AFLCMC/WWAPB draft1:

reg1:

repro1:

addressee2: 6061 Box Elder Ln draft2:

reg2:

repro2:

addressee3: Hill AFB, UT draft3:

reg3:

repro3:

addressee4: 84056-5826 draft4:

reg4:

repro4:

addressee5: Attn: Capt M Getts draft5:

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total_draft: 0 total_repro: 0

16_REMARKS: Blocks 4, 14: Contractor format is acceptable in Microsoft Word

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and DoD Contractors for administrative or operational use determined 9 January 2015. Other requests for a copy of this document shall be referred to A-10 SPO Hill Air Force Base, UT 84056

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. 2751 et seq.) or the Export Administration Act of 1979, as amended (Title 50, U.S.C., APP. 2401, et seq.).

Violation of these export laws are subject to severe criminal penalties.

Dissemination of this document is controlled under DOD Directive 5230.25.

HANDLING AND DESTRUCTION NOTICE: Comply with distribution statement and destroy by any method that will prevent disclosure of the contents or reconstruction of the document.

Blocks 10, 11, 12 & 13: The contractor shall provide an Initial Bench Test Procedure for Block 6 requiring office no later than (NLT) 30 days after contract award. Updates shall be coordinated through the requiring office and are due within 10 days.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Dayton, Marlene, Civ, USAF

H_DATE: 9 Jan 2015

1_APPROVED_BY:

J_DATE: 9 Jan 2015

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO: 23

B_EXHIBIT: B

TDP:

TM:

OTHER: NDTI

DSYSTEMITEM: A-10 HMCS

E_CONTRACTPR_NO: FD2020-15-50364

FCONTRACTOR: Thales Visionix, Inc.

16_REMARKS_Continued:

Page2:

of_pages: 1

Reset:

2015-01-09T13:34:46-0700

DAYTON.MARLENE.1231478694

2015-01-09T14:03:20-0700

GETTS.MATTHEW.THOMAS.1044299638

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 and Communications 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Test Program Set (TPS) and Operational Test Program Set (OTPS) Acceptance Test Procedures (ATPS)

3_SUBTITLE: Acceptance Test Procedure

4_AUTHORITY_Data_Acquisit: DI-ATTS-80282B

5_CONTRACT_REFERENCE: PWS Para 2.3

6_REQUIRING_OFFICE: AFLCMC/WWAPB

7_DID_250_REQ: DD

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Block 16

11_AS_OF_DATE: Block 16

12_DATE_OF_FIRST_SUBMISSI: Block 16

13_DATE_OF_SUBSEQUENT_SUB: Block 16 addressee1: AFLCMC/WWAPB draft1:

reg1:

repro1:

addressee2: 6061 Box Elder Ln draft2:

reg2:

repro2:

addressee3: Hill AFB, UT draft3:

reg3:

repro3:

addressee4: 84056-5826 draft4:

reg4:

repro4:

addressee5: Attn: Capt M. Getts draft5:

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16_REMARKS: Blocks 4, 14: Contractor format is acceptable in Microsoft Word

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and DoD Contractors for administrative or operational use determined 9 January 2015. Other requests for a copy of this document shall be referred to A-10 SPO Hill AFB UT, 84056

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. 2751 et seq.) or the Export Administration Act of 1979, as amended (Title 50, U.S.C., APP. 2401, et seq.).

Violation of these export laws are subject to severe criminal penalties.

Dissemination of this document is controlled under DOD Directive 5230.25.

HANDLING AND DESTRUCTION NOTICE: Comply with distribution statement and destroy by any method that will prevent disclosure of the contents or reconstruction of the document.

Blocks 10, 11, 12 & 13: The contractor shall provide a draft repair Acceptance Test Procedure for A-10 HMCS repairs for Block 6 requiring office no later than (NLT) 30 days after contract award. Updates shall be coordinated through the Government PM Office and are due within 10 working days after coordination. Prior to the return of an asset to the government, every piece of equipment must pass an acceptance test conducted by the contractor.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 7 Jan 2015

1_APPROVED_BY:

J_DATE: 9 Jan 2015

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO: 23

B_EXHIBIT: B

TDP:

TM:

OTHER: ATTS

DSYSTEMITEM: A-10 HMCS

E_CONTRACTPR_NO: FD2020-15-50364

FCONTRACTOR: Thales Visionix, Inc.

16_REMARKS_Continued:

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of_pages: 1

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