Atch3_CDRLS.pdf

For the best experience, open this PDF portfolio in

Acrobat X or Adobe Reader X, or later.

Get Adobe Reader Now!

http://www.adobe.com/go/reader

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 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

data_item: A001 title: Contractors Progress, Status and Management Report sub: Monthly/Weekly Status Reports auth: DI-MGMT-80227 ref: SEE BLK 16 req_ofc: SEE BLK 16 dd250: LT appcode: A dist: D freq: MTHLY BLK 16 asof:

firstsub: SEE BLK 16 subsub: BLK 16 addressee1: See Block 16 draft1:

reg1:

repro1:

addressee2: (on page 2) draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 4: Tailor DI-MGMT-80227 as indicated below:

A) The Monthly Status Report shall summarize the actions that occurred during the time period. (PWS paragraph 5.1.2)

Block 5: PWS, Paragraphs: 3.1(r), 5.1.2, 5.1.3, 7.0

Block 6: A-10 System Program Office 6057 Box Elder Lane, Bldg 1284 Hill AFB UT 84056-5811

Block 8: The government shall have 14 working days after receipt of a Monthly Status Report to review and approve or disapprove the submission.

Block 9: The following information shall be included on the deliverable:

DISTRIBUTION STATEMENT: Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use: 23 Mar 2016. Other requests for this document shall be referred to A-10 Engineering Authority, Hill AFB, UT 84056.

WARNING: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq), as amended. Violation of these export laws is subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Block 10-13: The contractor shall submit the first Monthly Status Report at the end of the first full month after contract award. The Monthly Status report shall be submitted by the contractor within 10 working days of the end of each month and include the four weekly agendas and meeting minutes.

group:

total_price:

prep_name: Edward Grohs line_item: 0005 exhibit: A xtdp: Off xtm: Off othercat: MGMT system: Teamcenter Professional Services ctr_no: FD2020 16-50722 contr: TBD remarksb: Block 14:

A) Deliver one (1) Draft and one (1) Final Copy to each addressee indicated below.

Shane Gardner AFLCMC/WWAPC Shane.Gardner.1@us.af.mil Rich Billings AFLCMC/WWAEC Richard.Billings.1@us.af.mil Jeff Howell AFLCMC/WWAEJ Jeffrey.Howell@us.af.mil Edward Grohs AFLCMC/WWAEJ edward.grohs.1@us.af.mil

Deliver one FINAL Copy to:

AFLCMC/WWAK (Contracting Office)

B) The submittal shall be delivered in a digital format compatible with Microsoft Office Professional 2013

Page2:

Reset:

2016-03-23T15:13:15-0600

GROHS.EDWARD.C.1035844321

prep_date: 23 MAR 16 app_by: 2d Lt Shane Gardner

2016-03-23T16:05:24-0600

GARDNER.SHANE.CURTIS.1470774696

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 data_item: A002 title: Conference Agenda sub: Agenda auth: DI-ADMN-81249A ref: SEE BLK 16 req_ofc: SEE BLK 16 dd250: LT appcode: A dist: D freq: MTHLY BLK 16 asof:

firstsub: SEE BLK 16 subsub: BLK 16 addressee1: See Block 16 draft1:

reg1:

repro1:

addressee2: (on page 2) draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 5: PWS, Paragraphs: 3.1(q), 5.1.5

Block 6: A-10 Program Office, 6067 Box Elder Lane, Bldg 1284, Hill AFB UT 84056-5811

Block 8: The government shall have 3 working days after receipt of the Agenda to review and approve or disapprove the submission.

Block 9: The following information shall be included on the deliverable:

DISTRIBUTIN STATEMENT: Distribution authorized to Department of Defense and U.S.

DoD contractors only, Administrative or Operational Use: 23 Mar 2016. Other requests for this document shall be referred to A-10 Engineering Authority, Hill AFB, UT 84056.

WARNING: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq), as amended. Violation of these export laws is subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Block 10, 11, 12, 13: The contractor shall produce weekly agendas and deliver monthly in conjunction with the Monthly Status Report.

group:

total_price:

prep_name: Edward Grohs line_item: 0005 exhibit: A xtdp: Off xtm: Off othercat: ADMN system: Teamcenter Professional Services ctr_no: FD2020 16-50722 contr: TBD remarksb: Block 14:

A) Deliver one (1) Draft and one (1) Final Copy to each addressee indicated below.

Shane Gardner AFLCMC/WWAPC Shane.Gardner.1@us.af.mil Rich Billings AFLCMC/WWAEC Richard.Billings.1@us.af.mil Jeff Howell AFLCMC/WWAEJ Jeffrey.Howell@us.af.mil Edward Grohs AFLCMC/WWAEJ edward.grohs.1@us.af.mil

Deliver one FINAL Copy to:

AFLCMC/WWAK (Contracting Office)

B) The submittal shall be delivered in a digital format compatible with Microsoft Office Professional 2013

Page2:

Reset:

2016-03-23T15:10:06-0600

GROHS.EDWARD.C.1035844321

prep_date: 23 MAR 16 app_by: 2d Lt Shane Gardner

2016-03-23T16:05:03-0600

GARDNER.SHANE.CURTIS.1470774696

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 data_item: A003 title: Report, Record of Meeting/Minutes sub: Meeting minutes auth: DI-ADMN-81505 ref: SEE BLK 16 req_ofc: SEE BLK 16 dd250: LT appcode: A dist: D freq: ASREQ, BLK 16 asof: BLK 16 firstsub: SEE BLK 16 subsub: ASREQBLK16 addressee1: See Block 16 draft1:

reg1:

repro1:

addressee2: (on page 2) draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 5: PWS, Paragraphs: 3.1(q), 5.1.5

Block 6: A-10 Program Office, 6067 Box Elder Lane, Bldg 1284, Hill AFB UT 84056-5811

Block 8: The government shall have 10 working days after receipt of the Meeting Minutes to review and approve or disapprove the submission.

Block 9: The following information shall be included on the deliverable:

DISTRIBUTIN STATEMENT: Distribution authorized to Department of Defense and U.S.

DoD contractors only, Administrative or Operational Use: 23 Mar 2016. Other requests for this document shall be referred to A-10 Engineering Authority, Hill AFB, UT 84056.

WARNING: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq), as amended. Violation of these export laws is subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Block 10, 11,12, 13: The contractor shall produce weekly minutes and deliver monthly in conjunction with the Monthly Status Report.

group:

total_price:

prep_name: Edward Grohs line_item: 0005 exhibit: A xtdp: Off xtm: Off othercat: ADMN system: Teamcenter Professional Services ctr_no: FD2020 16-50722 contr: TBD remarksb: Block 14:

A) Deliver one (1) Draft and one (1) Final Copy to each addressee indicated below.

Shane Gardner AFLCMC/WWAPC Shane.Gardner.1@us.af.mil Rich Billings AFLCMC/WWAEC Richard.Billings.1@us.af.mil Jeff Howell AFLCMC/WWAEJ Jeffrey.Howell@us.af.mil Edward Grohs AFLCMC/WWAEJ edward.grohs.1@us.af.mil

Deliver one FINAL Copy to:

AFLCMC/WWAK (Contracting Office)

B) The submittal shall be delivered in a digital format compatible with Microsoft Office Professional 2013

Page2:

Reset:

2016-03-23T15:10:50-0600

GROHS.EDWARD.C.1035844321

prep_date: 23 MAR 16 app_by: 2d Lt Shane Gardner app_date:

Page:

of_pages:

app: Adobe Professional 8.0