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Attach 9 CDRLs Exhibit A

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SAF-AQ_signed_CCSS_JA_7Mar14_Redacted.pdf PDF
FA821814R5000_______0003.pdf PDF
Attach_01_PWS.pdf PDF
Attach_08_S-List.pdf PDF
Attach_07_R-List.pdf PDF
Attach_05_GFP.pdf PDF
Attach_12_AFPAC.pdf PDF
Attach_04_Logistic_Support_at_Germany.pdf PDF
Attach_02_Customer_List.pdf PDF
Attach_10_B_CDRLS.pdf PDF
Attach_03_DD254.pdf PDF
Attach_06_Consideration.pdf PDF
FA821814R5000_______0002.pdf PDF
Attach_11_Advance_Agreement.pdf PDF
Attach_13_Instructions.pdf PDF
Attach_17_Instructions.pdf PDF
FA821814R5000_______0001.pdf PDF
Attach_10_GFP_25Feb14.pdf PDF
Attach_12_R-List.pdf PDF
Attach_13_S-List.pdf PDF
Attach_09_Taxes_Duties.pdf PDF
Attach_16_AFPAC.pdf PDF
Attach_08_USFK_Emergency_Clause.pdf PDF
Attach_06_Japan.pdf PDF
Attach_11_Consideration.pdf PDF
Attach_07_USFK_IC_Clause.pdf PDF
Attach_14_A_CDRLs.pdf PDF
Attach_15_B_CDRLs.pdf PDF
Attach_04_Mgmt_Obs_Parts.pdf PDF
Attach_02_Customer_List.pdf PDF
FA821814R5000.pdf PDF
Attach_03_DD254.pdf PDF
Attach_05_Germany.pdf PDF
Attach_01_PWS.pdf PDF
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Text version

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 (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 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

A

Command & Control Switching Systems Raytheon Company

A001 Conference Agenda

DI-ADMN-81249A PWS 1.1.4, 1.1.5, 1.12.1.1.1 AFLCMC/HBZBH

LT

AD C

One/Recurring

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 1 1 0

DISA/NS223 1 1 0

DCMA 1 1 0

AFLCMC/PZZKB 1 1 0

4 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Blocks 12&13: Agenda shall be submitted no later than 14 calendar days after receipt of conference notification.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:12:04 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:31:32 -06'00'

14 Apr 14

Adobe Professional 8.0

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A002 Conference Minutes

DI-ADMN-81250A PWS 1.1.4, 1.1.5, 1.12.1.1.2 AFLCMC/HBZBH

LT

AD C

One/Recurring

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 1 1 0

DISA/NS223 1 1 0

DCMA 1 1 0

AFLCMC/PZZKB 1 1 0

4 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 8: Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Blocks 12&13: Draft minutes shall be submitted within 14 calendar days after completion of the meeting/conference. The Government will provide comments or approval within 14 calendar days after receipt. The CDRL submission shall be considered "approved" if no Government comments are received. If Government comments are provided, the contractor shall submit changes within 3 working days of receipt.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:12:31 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:35:08 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A003 Contractor's Progress, Status, and Management Report Open Task Order Report

DI-ADMN-80227 PWS 1.1.7, 1.6.5.2, 1.12.1.1.3 AFLCMC/HBZBH

LT

D C

Monthly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: The report shall contain a detailed summary of each individual task order; updated as required through completion of each order; Emergency Service Requests (SR), Turn-Around-Time (TAT) for Shipments, Listing of Items Awaiting Funding for Repairs, and Repairs Awaiting Shipment from Site. All task order information shall remain available for review for one month after completion of each order. Each task order shall have a description, performance schedule, problems, status, and applicable letter references.

Repair orders shall contain total number of repairs, number of available repairs, number of used repairs (all broken out by each level of repair), part numbers, call-in date for each repair, depot replacement issued, and the date the repair is completed. Spares orders shall identify part numbers, quantity, contract delivery date, delivery locations, and any noted delinquencies. Pull, Test, & Ship orders shall identify SR number, date of request, Emergency/Routine, and date of shipment. Emergency Service Requests report shall include SR number, SR description, date received, date shipped, number of cycle days, 1149 number/Evidence of Compliance, whether the item was tested, and any associated comments. TAT report shall include Service Notification (SN) number, customer, part number, part description, Delivery Order (DO), replacement part number, replacement serial number, date authorized, date shipped, and TAT work days. List of items awaiting funding shall include SN number, part number, serial number, part description, customer, and repair level. Repairs awaiting shipment from site shall include SN number, DO number, part number, serial number, part description, customer, and date SN authorized.

This report shall also contain a complete listing of all Version Description Documents (VDD) by functional group, listing VDD number and title as a minimum.

Block 8: Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Blocks 12&13: This report shall be submitted no later than 10 business days following the end of each contract month.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.18 12:24:37 -06'00'

18 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.18 12:28:16 -06'00'

18 Apr 14

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A004 Software Version Description Version Description Document (VDD)

DI-ADMN-81442A PWS 1.2.3.1, 1.12.1.1.4 AFLCMC/HBZBH

LT

N/A C

As Required

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: The VDD shall be prepared using a common software suite and delivered via electronic media to the Government. The VDD(s) and CD-ROM containing the software code shall be mailed to the test bed by traceable means. For emergency software submittals, the contractor shall submit VDD(s) and software code by a more expeditious means upon approval by the Government. Summary list of VDDs shall be updated and submitted with each VDD submission.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval.

Block 14a: See distribution list for distribution addresses.

Signed cover letters shall be scanned and transmitted as Acrobat PDF files and distribution made via e-mail in lieu of disk.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:13:31 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:46:00 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A005 Telecommunications System Installation Plan Compatibility Matrix

DI-GDRQ-80150 PWS 1.2.3.3, 1.12.1.1.5 AFLCMC/HBZBH

LT

D C

Quarterly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: Data submission shall include a listing of minimal hardware and software requirements, identified by revision, based on the approval of a new software release for the network.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:13:54 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:46:26 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A006 Telecommunications System Installation Plan Site Survey Checklist

DI-GDRQ-80150 PWS 1.4.4 AFLCMC/HBZBH

LT

A C

One/Recurring

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: Data submission shall include the site survey checklist utilized by the contractor to gather information, during site surveys, used to complete a Site Installation Plan.

Contractor shall make updates as applicable based on lessons learned in the field.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval.

Blocks 12 & 13: The Site survey checklist shall be submitted within 14 calendar days after contract award and any updates. The Government will provide comments or approval within 14 calendar days of receipt. The contractor shall submit a final plan within 14 calendar days of receipt of Government comments or approval.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:14:18 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:46:53 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A007 Status Report Beyond Economical Repair (BER)

DI-MGMT-80368A PWS 1.6.4.5.2., 1.12.1.1.7. AFLCMC/HBZBH

LT

D C

Monthly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: At a minimum, this report shall contain the task order number, customer, Return Authorization Number (RAN), part and serial numbers, item description, identify if a depot replacement was provided, and the rationale for determining the item is beyond economical repair.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Blocks 12 & 13: The initial and subsequent reports shall be submitted NLT 10 business days following the end of each contract month.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:14:40 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:47:22 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A008 System/Subsystem Specification

DI-IPSC-81431A N-1 PWS 1.2.4, 1.12.1.1.8 AFLCMC/HBZBH

LT

D C

As Required

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Blocks 12 & 13: Contractor shall submit report as required per specific delivery order.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:15:09 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:47:49 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A009 Failure Analysis and Tracking Report

DI-QCIC-80131 PWS 1.6.4.4, 1.12.1.1.9 AFLCMC/HBZBH

LT

D C

Quarterly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: At a minimum, this report shall contain the following information concerning LRU failures at each site during the reporting period.

A. Part number B. LRU description C. Site location D. Actual number of failures for each part number during reporting period E. Cumulative total F. Total population of the LRU in the CCSS database

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Blocks 12 & 13: The initial and subsequent reports shall be submitted NLT 30 calendar days following each calendar quarter.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:15:30 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:48:15 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A010 Customer Service Report

DI-MNTY-80133 PWS 1.6.9, 1.12.1.1.10 AFLCMC/HBZBH

LT

D C

Monthly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: At a minimum, this report shall contain the following information:

A. System location B. Report identification number C. Date, time, and customer name for problem reported D. Nature of the problem and impact on system operation E. Priority status F. Contractor actions toward resolving problem G. Potential impact to other system locations H. Closure date, time, and customer name

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Blocks 12 & 13: The initial and subsequent reports shall be submitted NLT 10 business days following the end of each contract month.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:15:49 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:48:45 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A011 Technical Manuals Current Technical Manual Listing

DI-TMSS-81675 PWS 1.12.1.1.11 AFLCMC/HBZBH

LT

D C

Quarterly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: At a minimum, this deliverable shall contain the following by functional group, for technical manuals (system and peripherals) and product guides:

A. Title of technical manual or guide B. Latest revision number and release date C. Document status (changes pending, current, etc.)

E. Any new or updated technical manuals/product guides

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval.

Blocks 12 & 13: The initial report shall be submitted NLT 30 calendar days after contract award. Subsequent reports shall be submitted 10 business days after each calendar quarter.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:16:10 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:49:13 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A012 Service Bulletins Field Service Bulletins (FSB)

DI-MNTY-80132 PWS 1.6.8., 1.12.1.1.12 AFLCMC/HBZBH

LT

N/A C

As Required

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: At a minimum, bulletins shall contain the following information:

A. New maintenance procedures/actions that have not been incorporated into the technical manuals for both contractor and vendor equipment.

B. Changes to equipment configurations that affect form, fit, or function.

C. Revision of contractor and/or vendor equipment, the purpose of the change, and availability of the equipment. Include any impacts to form or fit of hardware and software.

D. Any potential safety hazards not previously identified.

E. Summary list of FSBs shall be updated and submitted with each FSB submission.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval.

Blocks 12 & 13: Individual bulletins shall be submitted NLT two business days after remediation.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:16:41 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:49:44 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A013 Contractor Data Management Plan Configuration and Data Management Plans

DI-MISC-80168 PWS 1.2.2, 1.3.2, 1.12.1.1.13 AFLCMC/HBZBH

LT

A C

One/Recurring

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 1 1 0

DISA/NS223 1 1 0

DCMA 1 1 0

AFLCMC/PZZKB 1 1 0

4 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval.

Blocks 12 & 13: Draft Management Plans shall be submitted within 14 calendar days after contract award. The Government will provide comments or approval within 14 calendar days of receipt. The contractor shall submit a final plan within 14 calendar days of receipt of Government comments or approval.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:17:12 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:50:11 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A014 Software Version Description Firmware Listing Update

DI-IPSC-81442A PWS 1.2.3.1.1, 1.12.1.1.14 AFLCMC/HBZBH

LT

N/A C

Monthly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 4: At a minimum, this report shall identify by name and part number, within functional groups, the various hardware revisions in the contractor- and subcontractors-developed CCSS product line.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval.

Blocks 12 & 13: The initial and subsequent reports shall be submitted NLT 10 business days following the end of each contract month.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:17:31 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:50:38 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A015 See Blk 16 CCSS Depot/DRSN GFE Holding Inventory

DI-QCIC-80735 See Blk 16 AFLCMC/HBZBH

LT

D C

Weekly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Block 2: GOVERNMENT FURNISHED EQUIPMENT/GOVERNMENT FURNISHED

MATERIAL (GFE/GFM) STATUS REPORT

Block 4: At a minimum, the report for each GFP holding area shall track individual items by part number, serial number, quantity issued, quantity received, available stock, status, mark-for, and when an item has been shipped or received. The report shall include the recommended minimum stock level requirements for the CCSS Depot.

Block 5: PWS 1.6.4.2, 3.1.2.4, 3.1.2.8, 1.12.1.1.15

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval. The letter “D” (Distribution) in Block 8 of the CDRL, identified data items that require distribution. The letter “AD” (Approval and Distribution) in Block 8 of the CDRL identifies data items that require approval and distribution.

Blocks 12 & 13: The initial and subsequent reports shall be submitted NLT one business day following the end of each week.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:17:50 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:51:06 -06'00'

(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 (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 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

A

Command & Control Switching Systems Raytheon Company

A016 Small Business Subcontractor Report

DI-MGMT-81642 PWS 1.1.9, 1.12.1.1.16 AFLCMC/HBZBH

LT

N/A C

Quarterly

N/A

See Blk 16

See Blk 16

AFLCMC/HBZBH 0 1 0

DISA/NS223 0 1 0

DCMA 0 1 0

AFLCMC/PZZKB 0 1 0

0 4 0

Use DID as a guide only. Contractor format is acceptable.

Blocks 4: At a minimum, this report shall contain the information requirements identified in para 2.1 and 2.2 of DI-MGMT-81642.

Block 8: The letter “A” (Approval) in Block 8 of the CDRL, identifies data items that require approval.

Blocks 12 & 13: The initial report shall be submitted NLT 10 business days after contract award. Subsequent reports shall be submitted NLT 10 business days after each calendar quarter.

Block 14a: See distribution list for distribution addresses.

Digitally signed by HORR.MICHAEL.J.1008768125 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HORR.MICHAEL.J.1008768125 Date: 2014.04.10 14:18:08 -06'00'

10 Apr 14 HALL.JACK.J.JR.112898516

Digitally signed by HALL.JACK.J.JR.1128985162 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HALL.JACK.J.JR.1128985162 Date: 2014.04.14 12:51:32 -06'00'

File details come from the government source that posted it. Updated .