FA8203-26-R-0005_0001 CDRLs_1_15_2026.pdf

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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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

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

A/B/C MGMT

B2 FD20202600297

1. DATA ITEM NO.

A/B/C 001 Commercial Asset Visibility Air Force (CAV) Reporting

CFM End Item Reporting

DI-MGMT-81838 SOW Para 5.2.1 417 SCMS/GUMB

LT

N/A N/A

SEE BLK 16

0 1 0

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: All reporting shall be submitted in the English Language.

2. Block 5: Contract Reference: SOW and CAV AF Reporting Requirements Document.

3. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

julie.hess@us.af.mil darin.price.2@us.af.mil

4. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

NSP

0.00

10-16-25 10-20-25

1 1

BEGAY.GERALD.BE

RNARD.1407383415

Digitally signed by

BEGAY.GERALD.BERNARD.14073

83415 Date: 2025.10.16 14:59:32 -06'00'

WATTERSON.JAME

S.JEFF.1247032823

WATTERSON.JAMES.JEFF.12470

32823 Date: 2025.10.20 12:28:04 -06'00'

DD FORM 1423-1, FEB 2001

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

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

16. REMARKS (Continued)

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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xtm: Off

1_DATA_ITEM_NO: A/B/C 002

2_TITLE_OF_DATA_ITEM: Contract Depot Maintenance (CDM) Monthly Production Report

3_SUBTITLE: CDM Production Monthly Status Report

4_AUTHORITY_Data_Acquisit: DI-PSSS-81995

5_CONTRACT_REFERENCE: SOW Para 5.2.2

6_REQUIRING_OFFICE: 417 SCMS/GUMB

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: MTHLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

julie.hess@us.af.mil darin.price.2@us.af.mil

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (February 2019). Other requests for this document shall be referred to (417 SCMS/GUMB Hill AFB, UT 84056-5826)

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 10/23/2025

1_APPROVED_BY:

J_DATE: 10/23/2025

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A/B/C

xTDP: Off xTM: Off

OTHER: PSSS

DSYSTEMITEM: B2

E_CONTRACTPR_NO: FD20202600297

FCONTRACTOR:

16_REMARKS_Continued:

EXPORT CONTROL 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. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

4. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 10 (ten) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

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BEGAY.GERALD.BERNARD.1407383415

2025-10-23T11:25:42-0600

WATTERSON.JAMES.JEFF.1247032823

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

2. TITLE OF DATA ITEM 3. SUBTITLE

Page of PagesDD

A/B/C MGMT

B2 FD20202600297

1. DATA ITEM NO.

A/B/C 003 Government Property Inventory Report Annual Government Property Physical Inventory Report

DI-MGMT-80441T SOW Para 5.2.3 417 SCMS/GUMB

LT

N/A D

ANNLY

0 1 0

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reports shall be submitted in the English Language.

2. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

3. julie.hess@us.af.mil darin.price.2@us.af.mil

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (February 2019). Other requests for this document shall be referred to (417 SCMS/GUMB Hill AFB, UT 84056-5826).

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL 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. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

NSP

0.00

10-16-25 10-20-25

1 2

BEGAY.GERALD.BER

NARD.1407383415

BEGAY.GERALD.BERNARD.1407383415

Date: 2025.10.16 14:58:39 -06'00'

WATTERSON.JAME

S.JEFF.1247032823

WATTERSON.JAMES.JEFF.1247032

Date: 2025.10.20 12:27:03 -06'00'

0003 A MGMT

B2 FD20202600065

4. Blocks 10, 11, 12, 13:

a. This report shall be provided annually. Reporting Period is one year from Basic Contract award date and annually thereafter.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

5. Content (Tailored). The following data fields are not required:

B. Agency or Service Asset Identification Number (GFP Only) C. Contractor Asset Identification Number F. Manufacturer Model Number J. Unit of Measure K. Unit Acquisition Cost L. Unique Item Identifier (if registered in the Item Unique Identification (IUID) Registry; GFP only)

NOTE: An Inventory report shall be provided.

2 2

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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.

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: A/B/C 004 title: Item Unique Identification (IUID) Marking Activity, Validation and Verification Report sub: IUID Marking Activity & Verification Report auth: DI-MGMT-81804 ref: SOW Para 5.2.4 req_ofc: 417 SCMS/GUMB dd250: DD appcode: A dist: D freq: BLK 16 asof: BLK 16 firstsub: BLK 16 subsub: BLK 16 addressee1: 417 SCMS draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: NOTE: Changes to office symbols and/or e-mail addresses when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All data deliveries shall be submitted in the English language.

b. Contractor's format is acceptable using Microsoft Office 2013 compatible products (Word, Powerpoint) or Adobe Portable Document Format (PDF).

c. The report shall to be IAW DFARS Clause 252.211-7003 Item Unique Identification and Valuation.

2. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil using DODAAC FA8203. MARK FOR: Address in Block 14a.

3. Blocks 8, 10, 11, 12, 13: The report shall be submitted with invoice.

4. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (February 2019). Other requests for this document shall be referred to (417 SCMS/GUMB Hill AFB, UT 84056-5826).

group: NSP total_price: 0.00 prep_name:

line_item:

exhibit: A/B/C xtdp: Off xtm: Off othercat: MGMT system: B-2 Brake Metering Valve ctr_no: FD20202600297 contr:

remarksb: EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

b. EXPORT CONTROL 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. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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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: A/B/C 005 title: Teardown Deficiency Report sub: TDR auth: DI-PSSS-81534 ref: SOW Para 5.2.5 req_ofc: 417 SCMS/GUMB dd250: LT appcode: A dist: D freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Blocks 7, 8, 14: On an as-needed basis, the Contractor shall submit a tear down deficiency report via email to the following.

1.Engineer Robert Young Robert.Young.13@us.af.mil

2. Program Manager (LMS):

Jeff Watterson james.watterson@us.af.mil

Blocks 10, 11, 12, 13: Submit reports no later than 10 calendar days after each deficiency is addressed.

Block 9: Distribution Statement D DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; CRITICAL TECHNOLOGY. REFER OTHER REQUESTS FOR THIS DOCUMENT TO 417 SCMS/GUMB, HILL AFB, UT.

EXPORT CONTROL WARNING: All technical documents/data (printed,digital/electronic) that are determined to contain export-controlled technical data shall be marked with the following statement:

EXPORT CONTROL 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. violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD directives 5230.25

DESTRUCTION NOTICE: for classified documents, follow the procedures, in DoD 5220.22-M, national Industrial security Program Operating Manual (NISPOM), section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

group: NSP total_price: 0.00 prep_name:

line_item:

exhibit: A/B/C xtdp: Off xtm: Off othercat: PSSS system: B-2 Brake Metering Valve ctr_no: FD20202600297 contr:

remarksb:

Page2:

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2025-10-16T15:02:53-0600

BEGAY.GERALD.BERNARD.1407383415

prep_date: 10-16-25 app_by:

2025-10-20T12:31:12-0600

WATTERSON.JAMES.JEFF.1247032823

app_date: 10-20-25

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: A/B/C 006 title: Quality Deficiency Report sub: QDR auth: DI-QCIC-80736 ref: SOW Para 5.2.6 req_ofc: 417 SCMS/GUMB dd250: LT appcode: N/A dist: D freq: BLK 16 asof: BLK 16 firstsub: BLK 16 subsub: BLK 16 addressee1: 417 SCMS draft1:

reg1: 1 repro1:

addressee2: 6040 Gum Lane draft2:

reg2:

repro2:

addressee3: Bldg 1216 draft3:

reg3:

repro3:

addressee4: Hill AFB, UT draft4:

reg4:

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reg5:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 3: Report specific to repaired Government Furnished Property (GFP) and submitted no later than ten (10) calendar days after each deficiency is addressed.

2. Blocks 10, 11, 12, 13: Quality Deficiency Report shall be prepared upon receipt of GFP.

DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (February 2019). Other requests for this document shall be referred to (417 SCMS/GUMB Hill AFB, UT 84056-5826).

group: NSP total_price: 0.00 prep_name:

line_item:

exhibit: A/B/C xtdp: Off xtm: Off othercat: QCIC system: B-2 Brake Metering Valve ctr_no: FD20202600297 contr:

remarksb:

Page2:

Reset:

2025-10-16T15:02:07-0600

BEGAY.GERALD.BERNARD.1407383415

prep_date: 10-16-25 app_by:

2025-10-20T12:30:31-0600

WATTERSON.JAMES.JEFF.1247032823

app_date: 10-20-25

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: A/B/C 007 title: AFTO Form 95, Significant Historical Data sub: AFTO Form 95, Significant Historical Data auth: DI-MGMT-81564 ref: SOW Para 5.2.7 req_ofc: 417 SCMS/GUMB dd250: DD appcode: N/A dist: BLK 16 freq: BLK 16 asof: BLK 16 firstsub: BLK 16 subsub: BLK 16 addressee1: 417 SCMS draft1:

reg1: 1 repro1:

addressee2: 6040 GUM Lane draft2:

reg2:

repro2:

addressee3: BLDG 1216 draft3:

reg3:

repro3:

addressee4: Hill AFB, UT draft4:

reg4:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: NOTE: Changes to office symbol and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block 4: Contractor must provide AFTO 95 with repaired end item.

2. Block 9: DISTRIBUTION STATEMENT B: Distribution authorized to U.S.

Government Agencies only, Administrative or Operational Use (5 Oct 2016).

Other requests for this document, shall be referred to 417 SCMS/GUMB.

Export Control Warning. All technical documents that are determined to contain export-controlled technical data shall be marked "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2851, et seq.), or the Export Administrative Act of 1979, as amended, title 50, U.S.S., App. 2401, et seq.). Violations of these exports laws are subject to serve criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

The above Distribution Statement and Warning Notice shall be displayed or affixed to the data in a conspicuous position. When it is technically infeasible to use the entire Warning Statement, an abbreviated marking may be used and copy of the full statement added to the "Notice to Accompany Release of Export-Controlled Data" required by DoD Directive 5230.25 (reference (c)).

3. Blocks 10, 11, 12, 13: Provide AFTO 95 inside box/crate with completed repaired end item.

group: NSP total_price: 0.00 prep_name:

line_item:

exhibit: A/B/C xtdp: Off xtm: Off othercat: MGMT system: B-2 Brake Metering Valve ctr_no: FD20202600297 contr:

remarksb:

Page2:

Reset:

2025-10-21T10:02:20-0600

BEGAY.GERALD.BERNARD.1407383415

prep_date: 21-Oct 2025 app_by:

2025-10-21T10:07:18-0600

WATTERSON.JAMES.JEFF.1247032823

app_date: 21-Oct-2025

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: A/B/C 008 title: Acceptance Test Report sub: ATR auth: DI-QCIC-81891 ref: SOW Para 5.2.8 req_ofc: 417 SCMS/GUMB dd250: LT appcode: A dist: D freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1:

draft1:

reg1:

repro1:

addressee2: Engineer draft2:

reg2: 1 repro2:

addressee3: LMS draft3:

reg3: 1 repro3:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Blocks 7, 8, 14: Upon completion of repair, the Contractor shall submit an acceptance test report via email to the following.

1.Engineer Rob Young Robert.Young.13@us.af.mil

2. Program Manager (LMS):

Jeff Watterson james.watterson@us.af.mil

Blocks 10, 11, 12, 13: Submit reports when the repair is completed.

Block 9: Distribution Statement D DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; CRITICAL TECHNOLOGY. REFER OTHER REQUESTS FOR THIS DOCUMENT TO 417 SCMS/GUMB, HILL AFB, UT.

EXPORT CONTROL WARNING: All technical documents/data (printed,digital/electronic) that are determined to contain export-controlled technical data shall be marked with the following statement:

EXPORT CONTROL 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. violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD directives 5230.25

DESTRUCTION NOTICE: for classified documents, follow the procedures, in DoD 5220.22-M, national Industrial security Program Operating Manual (NISPOM), section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

group: NSP total_price: 0.00 prep_name:

line_item:

exhibit: A/B/C xtdp: Off xtm: Off othercat: QCIC system: B-2 Brake Metering Valve ctr_no: FD20202600297 contr:

remarksb:

Page2:

Reset:

2025-10-23T08:44:21-0600

BEGAY.GERALD.BERNARD.1407383415

prep_date: 10/23/2025 app_by:

2025-10-23T09:25:11-0600

WATTERSON.JAMES.JEFF.1247032823

app_date: 10-23-2025

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: A/B/C 009 title: Request for Deviation sub: RFD auth: DI-CMAN-81590 ref: SOW, para 5.2.9 req_ofc: 417 SCMS/GUMB dd250: DD appcode: A dist: D freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: 417 SCMS draft1:

reg1: 1 repro1:

addressee2: 6040 Gum Lane draft2:

reg2:

repro2:

addressee3: Hill AFB, UT draft3:

reg3:

repro3:

addressee4: 84056-5689 draft4:

reg4:

repro4:

addressee5: Attn: Jeff Watterson draft5:

reg5:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: All reporting shall be submitted in the English Language.

2. Blocks 7, 8, 10, 11, 12, 13, 14:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (February 2019). Other requests for this document shall be referred to 417 SCMS/GUMB.

EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data,shall be marked with the following statement:

b. EXPORT CONTROL 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. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Block B & 1: The contractor shall generate data in support of the following performance period(s). Note: The contractor SHALL NOT generate data in support of an option until a receipt of a contract modification that exercises the option and obligates additional funding.

group: NSP total_price: 0.00 prep_name: Jeff Watterson line_item:

exhibit: A/B/C xtdp: Off xtm: Off othercat: CMAN system: B-2 Brake Metering Valve ctr_no: FD20202600297 contr:

remarksb:

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WATTERSON.JAMES.JEFF.1247032823

prep_date: 11-Dec-2025 app_by: Jeff Watterson

2025-12-16T08:08:46-0700

WATTERSON.JAMES.JEFF.1247032823

app_date: 11-Dec-2025

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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: A/B/C 010 title: Engineering Change Proposal sub: ECP auth: DI-SESS-80639 ref: SOW para 5.2.10 req_ofc: 417 SCMS/GUMB dd250: DD appcode: A dist: D freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: 417 SCMS draft1:

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