ATTACHMENT_03_CDRLs.pdf

PDF 377 KB Posted Mar 30, 2017

Attached to: T-38A/B and A-10 Automatic Dependent Surveillance-Broadcast (ADS-B) Federal contract opportunity
Solicitation number: FA822017R0001
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

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ATTACHMENT_06_AFMC_Form_158.pdf	PDF	Mar 30, 2017
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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages DD

0001-0017 A

MGMT

T-38A/B ADS-B FA8220-16-R-0004

A001 Integrated Program Management Report (IPMR) IMS

DI-MGMT-81861A BLK 16 AFLCMC/WLDMA

BLK 16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

Contractor shall submit Format 6, referenced in the Data Item Description 1.1.6 and 3.7.

BLK 5: PWS Paragraph: 3.2.6

Block 9: Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors for administrative or operational use, determined 12 September 2014. Other requests for a copy of this document shall be referred to AFLCMC/WLDMA T-38 Program Office.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE – For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 -19 or DoD 5200.01, DoD Information Security Program. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Integrated Program Management Report shall be delivered to the Government within 60 days of contract award. The IMS will be updated and submitted 10 days before PDR, 10 days before CDR and at any point where a major milestone date changes by more than 2 weeks from the last reported IMS. At a minimum the IMS shall be delivered to the Government every 6-months.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.1

395210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 09:34:54 -06'00'

ALAWNEH.DEBOR

AH.I.1161171324

Digitally signed by

ALAWNEH.DEBORAH.I.1161171324

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=ALAWNEH.DEBORAH.I.1161171324 Date: 2016.10.19 09:22:10 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001-0017 A

MGMT

T-38A/B ADS-B FA8220-16-R-0004

A002 Contractor's Risk Management Plan

DI-MGMT-81808 BLK 16 AFLCMC/WLDMA

BLK 16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg. 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 3.6.1, 3.6.2

DESTRUCTION NOTICE – For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11-19 or DoD 5200.01, DoD Information Security Program. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: First submission of the Risk Management Plan shall be provided within 60 calendar days from contract award and subsequent submittals shall be provided when changes are made to the plan.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.1

395210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 10:50:16 -06'00'

ALAWNEH.DEBORA

H.I.1161171324

Digitally signed by

ALAWNEH.DEBORAH.I.1161171324

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.10.19 09:38:58 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001-0017 A

MGMT

T-38A/B ADS-B FA8220-16-R-0004

A003 Contractor's Progress, Status and Management Report

DI-MGMT-80227 BLK 16 AFLCMC/WLDMA

BLK 16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 3.2.5, 3.2.7

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors for administrative or operational use, determined 12 September 2014. Other requests for a copy of this document shall be referred to AFLCMC/WLDMA T-38 Program Office.

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Contractor's Progress, Status and Management Report shall be delivered As Required.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.

1395210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 10:50:49 -06'00'

ALAWNEH.DEBOR

AH.I.1161171324

Digitally signed by ALAWNEH.DEBORAH.I.1161171324 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=ALAWNEH.DEBORAH.I.1161171324 Date: 2016.10.19 09:39:35 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001,0002,0006 A

SESS

T-38A/B ADS-B FA8220-16-R-0004

A004 Baseline Description Document

DI-SESS-81121A BLK 16 AFLCMC/WLDMA

BLK 16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 3.2.9

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Baseline Description Document shall be delivered upon request.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.

1395210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 11:03:28 -06'00'

ALAWNEH.DEBORA

H.I.1161171324

Digitally signed by

ALAWNEH.DEBORAH.I.1161171324

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.10.19 09:40:12 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0002, 0007, 0006, 0008 A

MISC

T-38A/B ADS-B FA8220-16-R-0004

A005 Technical Report-Study/Services Technical Evaluation

DI-MISC-80508B BLK 16 AFLCMC/WLDMA

BLK 16

BLK16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 6.1.6, 6.1.7, 6.1.10, 6.1.11, 6.2.4, 7.2.1, 8.1.1, 9.1.1, 9.3.1

Warning: This document contains technical data whose export is restricted by the Export Control Act (Title 22, V.S.C., Sec 2751 et seq.) or Executive Order 12470.

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

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Technical Evaluation shall be delivered as required.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.1

395210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 11:05:19 -06'00'

ALAWNEH.DEBORAH.

I.1161171324

Digitally signed by ALAWNEH.DEBORAH.I.1161171324 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.10.19 09:52:55 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001-0017 A

ADMN

T-38A/B ADS-B FA8220-16-R-0004

A006 Report, Record of Meeting/Minutes Meeting Minutes and Action Items

DI-ADMN-81505 BLK 16 AFLCMC/WLDMA

BLK 16

BLK16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 3.2.3, 3.2.4, 4.1.2

Warning: This document contains technical data whose export is restricted by the Export Control Act (Title 22, V.S.C., Sec 2751 et seq.) or Executive Order 12470.

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

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Meeting Minutes and Action Items shall be provided within 5 business days following the meeting being reported.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.13

95210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 11:05:55 -06'00'

ALAWNEH.DEBORAH.

I.1161171324

Digitally signed by ALAWNEH.DEBORAH.I.1161171324 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.10.19 09:53:27 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0002 A

SESS

T-38A/B ADS-B

A007 Engineering Release Record (ERR)

DI-SESS-80463D BLK 16 AFLCMC/WLDMA

BLK 16

BLK16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 6.3.1, 6.3.8, 6.4.1

Warning: This document contains technical data whose export is restricted by the Export Control Act (Title 22, V.S.C., Sec 2751 et seq.) or Executive Order 12470.

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

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Engineering Release Record shall be provided as required.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.1

395210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 11:54:47 -06'00'

ALAWNEH.DEBORA

H.I.1161171324

Digitally signed by

ALAWNEH.DEBORAH.I.1161171324

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.10.19 09:54:02 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0002, 0006 A

ADMN

T-38A/B ADS-B FA8220-16-R-0004

A008 Revisions to Existing Government Documents

DI-ADMN-80925 AFLCMC/WLDMA

BLK 16

BLK16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Mr. Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 6.1.3, 6.1.9.A, 6.1.9.C, 6.2.5, 6.4.2, 6.4.3

Warning: This document contains technical data whose export is restricted by the Export Control Act (Title 22, V.S.C., Sec 2751 et seq.) or Executive Order 12470.

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

The above Distribution Statement and Warning Notice shall be displayed or affixed to the data in a conspicuous position.

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Document Changes shall be submitted as required.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.13

95210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 11:55:18 -06'00'

ALAWNEH.DEBORA

H.I.1161171324

Digitally signed by

ALAWNEH.DEBORAH.I.1161171324

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.10.19 10:16:45 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0002, 0006 A

SESS

T-38A/B ADS-B FA8220-16-R-0004

A009 Specification Change Notice (SCN)

DI-SESS-80643D BLK 16 AFLCMC/WLDMA

BLK 16

BLK16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Mr. Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 4.2.2, 6.4.2

Warning: This document contains technical data whose export is restricted by the Export Control Act (Title 22, V.S.C., Sec 2751 et seq.) or Executive Order 12470.

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

The above Distribution Statement and Warning Notice shall be displayed or affixed to the data in a conspicuous position.

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Specification Change Notices shall be submitted as required.

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.1

395210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 12:50:19 -06'00'

ALAWNEH.DEBOR

AH.I.1161171324

Digitally signed by ALAWNEH.DEBORAH.I.1161171324 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2016.10.19 12:49:01 -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 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

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

0001, 0002, 0006 A

T-38A/B ADS-B FA8220-16-R-0004

A010 Product Drawings/Models & Associated Lists APX-119 Transponder with Embedded GPS Development

DI-SESS-81000E 6.4.2 AFLCMC/WLDMA

WAWF

A D

BLK 16

WAWF 1 1

DoDAAC FA8213

AFLCMC/WLDMA

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 8405 Attn: Edward Wagh

AFLCMC/WLDEA 1 1

6057 Box Elder Ln Bldg 1285 Hill AFB, UT 8405

AFLCMC/LZPEM 1 1

6020 Gum Ln Bldg 1218 Hill AFB, UT 8405 Attn: EDMS

2 3 0

Drawings shall be IAW ASME Y14.100-2013 (including Appendices B,C,D,E)

ASME Y14.24, ASME Y14.3, ASME Y14.34, ASME Y14.35, ASME Y14.41,

and ASME Y14.5.

Blk E. Contract Number: All Drawings, Models, Specifications and Associated Lists shall have the contract number identified on sheet one of each drawing.

Blk 4. Tailoring of DI-SESS-81000E per information in this document and attached MIL-DTL-31000C. Technical data package option Selection Worksheet forms a part of this contract data requirements list.

Blk. 7 Electronic receiving report required via INTERNET Side Area Workflow (WAWF) (WAWF at: HTTPS://WAWF.EB.MIL). DoDAAC FA8213.

The electronic receiving report shall be used only for this data item: Do not combine other data item submittals with this requirement.

All Proprietary Data shall be identified with Distribution Statement B:

Distribution authorized to U.S. Government Agencies only Proprietary Information 18 October 2016. Other requests for this document shall be referred to AFLCMC/WLDEA, Hill AFB, UT 84056-5811.

Proprietary Stamp shall be on the first sheet of each drawing.

All non-proprietary shall be Distribution Statement D:

Blk 9. Distribution Statement D: Distribution authorized to Department of Defense and U.S DoD contractors only for Administrative or Operational Use 18 October 2016. Other requests shall be referred to AFLCMC/WLDEA, Hill AFB, UT 84056-5811.

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

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

Dissemination of this document is controlled under DOD Directive 5230.25.

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

Distribution Statement, Export Control and Destruction Notice shall be on the first sheet of each drawing and associated lists.

Wendy Heugly 19 Oct 2016 Jacob Otteson 19 Oct 2016

1 4

HEUGLY.WEN

DY.T.1231478

Digitally signed by

HEUGLY.WENDY.T.1231478198

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HEUGLY.WENDY.T.123147819 Date: 2016.10.19 12:39:45 -06'00'

OTTESON.JACO

B.P.1395210706

Digitally signed by

OTTESON.JACOB.P.1395210706

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 12:43:30 -06'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

Page of Pages

0001, 0002, 0006 A

T-38A/B ADS-B FA8220-16-R-0004

Blk 10 A shipping list shall be provided with each shipment of engineering data. This shipping list shall identify, in alphanumeric document number order, each document furnished in the package. Media shall be paper copies.

Blk 11 As required by Government

Blk 12 and 13.

a. Drawing Preliminary/Draft Copies: The contractor shall submit a digital data sample. preliminary drawings to block 14 addressees for review of format, content and accuracy of drawings 45 calendar days prior to final delivery. AFLCMC/WLDEA requires 15 working days to review drawings and provide comments to AFLCMC/WLDMA for return to the contractor. Subsequent to receipt of government comments, the contractor shall then within 30 days submit corrected digital data preliminary to the block 14 addressees for confirmation of acceptability prior to final delivery. Contractor shall deliver 2-D assembly engineering drawings in PDF and associated list media PDF. Contractor shall deliver CAD model in native file format Unigraphics NX.

9. Tailoring to ASME’s as follows:

ASSME Y14.100-2004

(1). (Application Data) para 4.6 - Application Data is required on firsts sheet of each Drawing and Associated List. General use or multi-use notations is allowed.

(2) (Drawing Notes) para 4.26 - Drawing Notes shall be on first sheet of each drawing.

(3) (Language) para 4.26.1 - Drawings and Associated Lists shall be in the English language.

(4) (Drawing Notes-Contents) para 4.26.6 (f) - Flag note symbol used shall be consistent throughout the entire TDP.

(5) (Drawing Verification and Approval) para 4.27 - For newly created Drawings and Associated Lists contractor signature block format is acceptable provided it meets the requirements of ASME Y14.1. In addition, the following blocks shall be added to signature block: AF Authentication and Approval Date, AF Release and Approval Date. Contractor names shall be used for Checker, Engineer, Engineering Approval, and Drafter. AF names shall be used for AF Authentication and AF Release.

NOTE: AF Authentication and AF Release names will be provided to contractor by the Engineering Data Management Officer from AFLCMC/LZPEM prior to final release of the engineering drawings. In addition, at the time of Government acceptance of TDP, the contractor and government shall sign AF Form 2602 (Engineering Document Release Record) for each newly created Drawings and Associated List. Government will provide AF Form 2602 to the contractor. Release dates on AF Form 2602, Drawings and Associated Lists shall match.

(6) Drawing numbers shall be Air Force drawing numbers that will be assigned by AFLCMC.LZPEX.DraftSupp@Hill.af.mil requesting Air Force Drawing Numbers/Cage Code). All unused AF Drawing Numbers shall be turned back to AFLCMC/LZPEM.

When using Air Force Drawing Number and Cage Code dash numbers shall comply as follows:

Parts Assemblies On PL a -dash # must be identified Shown Opposite Shown Opposite

-01 -02 -10 -20 -03 -04 -30 -40 -05 -06 -50 -60 etc etc (do not use dash numbers ending in 9 or 0

ASME Y 14.34M Associated Lists

ASME Y 14.35 M

(1) Redrawn Drawings shall be IAW para. 4.3 sub-para 4.3.2

(2) Revision column shall be IAW para 6.1 sub-para 6.1.2 & 6.1.3 Contractor shall maintain revision history in its entirety.

(3) Revision Letters shall be IAW para 7.1, sub-paras 7.1.1 (a), (b), (d), & (e), and para 7.2, sub-para 7.2.1 (a), (b), & (c).

(4) Revision History Block shall be IAW para 7.1 sub-para 7.1.2 (a) & (b).

(5) Revision status of sheets block shall be IAW para 7.4, sub-para 7.4.2 (a), (b), & (c).

(6) Adding sheets shall be IAW para 7.5 sub-para 7.5.1(a)

(7) Deleting sheets shall be IAW para 7.5 sub-para 7.5.2 (a)

2 4

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

Page of Pages

0001, 0002, 0006 A

T-38A/B ADS-B FA8220-16-R-0004

3 4

ASME Y14.5M

Dimensioning and Tolerancing shall be IAW para 1.6 and shall be decimal inch.

ASME Y14.3-2003

Angle of projection shall be IAW para1.6.1 third angle projection.

ASME Y14.100-2004 INVOKED APPENDICES:

Appendix B- Non Commercial Drawing Practices Appendix C- Drawing Titles Appendix D- Numbering, Coding, and Identification Appendix E- Markings on Engineering Drawings Appendix E- for para E7 see DD1423 Block 9

JEDMICS REQUIREMENTS (Instructions ) for All documents (Drawings and Associated Lists) submitted in PDF Format. Metadata shall be prepared IAW Digital Data Description Requirement document 9579776 Revision L Option 2 Hill Air Force Base.

Contractor shall submit a Digital Data Sample in PDF (including Metadata (indexing file) for Drawings and Associated Lists. Sample shall be submitted on CD ROM to AFLCMC/LZPEM thirty (30) working days prior to final delivery. The Government requires ten

(10) working days for inspection and acceptance of sample files. Metadata shall be submitted in Microsoft Access 2007.AFLCMC/LZPEM will provide Sample Metadata file (including Microsoft Access 2007 database) as an attachment to to CDRL package (Attach - CD ROM).

Final Delivery

(b) Contractor shall submit Drawings and Associated Lists to BLK 14 addressees NLT forty five (45) working days after Government approval of Configuration Baseline. All newly created Drawings and Associated Lists shall be released at the Basic Revision. All updated/ revised Drawings and Associated Lists shall be delivered with all outstanding Engineering Change Orders (ECOs) incorporated. Final delivery format shall match sample formats defined above or as agreed upon by the government. Government requires forty five (45) working days for final inspection and acceptance of delivery. CD-ROM label(s) shall be marked with Date, Contract Number, Company Name, Data Item Number and System.

MIL-STD-31000

TDP OPTION SELECTION WORKSHEET

SYSTEM: DATE PREPARED:

A. CONTRACT NO. B. EXHIBIT/ATTACHMENT NO. C. CLIN D. CDRL DATA

ITEM NO(s).

1. TDP Level (X and complete as applicable .)

A. CONCEPTUAL LEVEL

DEVELOPMENTAL LEVEL

PRODUCTION LEVEL

B. REMARKS:

2. TYPE AND FORMAT (X all that apply and complete as applicable .)

TYPE 2D: 2D DRAWINGS

TYPE 3D: 3D MODELS ONLY

TYPE 3D: 3D MODELS WITH

ASSOCIATED 2D DRAWINGS

NATIVE CAD (SPECIFY TYPE) ____________________________________

ISO 10303 STEP FORMAT (Specify STEP PROTOCOL AP203, AP 214 etc.)

ISO 32000 PORTABLE DOCUMENT FORMAT ________________________

OTHER ELECTRONIC FORMAT (SPECIFY TYPE)

HARDCOPY ___________________________________________________

REMARKS : ______________________________________________________

3. CAGE Code AND DOCUMENT

NUMBERS

A. CONTRACTOR CAGE AND DOCUMENT NUMBERS

GOVERNMENT CAGE (COMPLETE 3B & 3C OR 3D)

D. To Be Assigned By:

B. USE CAGE CODE:

C. USE DOCUMENT NUMBERS:

4. DRAWING FORMATS (X one and complete as applicable)

CONTRACTOR FORMAT.

GOVERNMENT FORMAT.

REMARKS: ______________________________________________________________________________________

5. TDP ELEMENTS REQUIRED (X all that apply ) ELEMENTS REQUIRED TO BE DETERMINED BY CONTRACTOR - OR THE FOLLOWING ARE REQUIRED:

CONCEPTUAL DRAWINGS/MODELS AND ASSOCIATED LISTS

DEVELOPMENTAL DESIGN DRAWINGS/MODELS AND ASSOCIATED LISTS

PRODUCT DRAWINGS/MODELS AND ASSOCIATED LISTS

COMMERCIAL DRAWINGS/MODELS AND ASSOCIATED LISTS

QUALITY ASSURANCE PROVISIONS

SPECIAL INSPECTION EQUIPMENT (SIE) DRAWINGS/MODELS AND ASSOCIATED LISTS

SPECIAL TOOLING (ST) DRAWINGS/MODELS AND ASSOCIATED LISTS

SPECIFICATIONS

SOFTWARE DOCUMENTATION

SPECIAL PACKAGING INSTRUCTIONS (SPI) DRAWINGS/MODELS AND ASSOCIATED LISTS

6. ASSOCIATED LIST (X and complete as applicable)

A. PARTS LIST (X ONE) (1) INTEGRAL (2) SEPARATE

B. DATA LISTS (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY)

C. INDEX LISTS (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY) D. WIRING LISTS (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY) E. INDENTURED DATA LISTS (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY) F. APPLICATION LISTS (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY)

7. APPLICABILITY OF STANDARDS. The following Standards apply: (X as applicable)

ASME Y14.100

ENGINEERING DRAWING

PRACTICES

WITH APPENDICES:

B C D E

ASME Y14.24 TYPES AND APPLICATIONS OF

ENGINEERING DRAWINGS

ASME Y14.34 ASSOCIATED LIST

ASME Y14.35M REVISION OF ENGINEERING

DRAWINGS AND ASSOCIATED LIST

ASME Y14.41 DIGITAL PRODUCT DEFINITION DATA

PRACTICES

ASME Y14.5 DIMENSIONING AND TOLERANCING

OTHER STANDARDS

APPLY AS

DESCRIBED:

COMPANY STANDARDS

PERMITTED YES NO

8. OTHER TAILORING (Attach additional sheets as necessary)

FIGURE 1: TDP Option Selection Worksheet

Siemens NX

Adobe text searchable .pdf format

98747

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0002, 0006 A

QCIC

T-38A/B ADS-B FA8220-16-R-0004

A011 Acceptance Test Report (ATR)

DI-QCIC-81891 BLK 16 AFLCMC/WLDMA

BLK 16

BLK16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5:PWS Paragraph: 5.1.3, 5.1.10, 5.1.11, 6.3.5, 9.3.2

Warning: This document contains technical data whose export is restricted by the Export Control Act (Title 22, V.S.C., Sec 2751 et seq.) or Executive Order 12470.

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

The above Distribution Statement, Warning Notice, and Destruction Notice shall be displayed or affixed to the data in a conspicuous position.

Block's 10, 11, 12, and 13: The Acceptance Test Report shall be submitted As Required

19 Oct 16 19 Oct 16

1 1

OTTESON.JACOB.P.1

395210706

Digitally signed by OTTESON.JACOB.P.1395210706 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=OTTESON.JACOB.P.1395210706 Date: 2016.10.19 13:26:26 -06'00'

ALAWNEH.DEBORA

H.I.1161171324

Digitally signed by

ALAWNEH.DEBORAH.I.1161171324

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.10.19 09:55:11 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0006 A

SESS

T-38A/B ADS-B FA8220-16-R-0004

A012 Failure Modes, Effects, and Criticality Analysis Report

DI-SESS-81495A BLK 16 AFLCMC/WLDMA

BLK 16

BLK16

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056-5816 Attn: Edward Waghorn

0 1 0

Contractor format is acceptable using Microsoft Office Products.

BLK 5: PWS Paragraph: 5.1.7

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Nov 14, 2017.