RFP_Attachment_9_CDRLs_Phase_III_16Oct18.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY:

TDP TM OTHER PSSS

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

F. CONTRACTOR

1. DATA ITEM NO.

A001, B001

2. TITLE OF DATA ITEM

Discrepancy Report

3. SUBTITLE

Discrepancy Reports/Get-well Plans

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-81535A

5. CONTRACT REFERENCE

SOW 3.6

6. REQUIRING OFFICE

AFLCMC/WLDMA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

BLK 16

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors for administrative or operational use, determined 29 August 2012. Other requests for a copy of this document shall be referred to

AFLCMC/WLDMA, T-38 SPO.

"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, as amended, Title 50, U.S.C., App.2401st seg. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25." When it is technically infeasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To Accompany Release of Export-Controlled Data" required by DoD Directive 5230.25 (reference (c)).

Destruction Notice: Unclassified/Limited Distribution documents shall be handled using the same standard as "For Official Use Only (FOUO)" material, and will be destroyed by any method that will prevent disclosure of contents or reconstruction of the document. When local circumstances or experience indicates that this destruction method is not sufficiently protective of unclassified limited information, local authorities may prescribe other methods but must give due consideration to the additional expense balanced against the degree of sensitivity.

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

Block E: Planning PR# F2DCCP8269B101

Block 10, 11, 12 and 13:

Deficiencies shall be brought to the Government's attention immediately upon discovery, and a discrepancy report submitted through the Product Quality Deficiency Reporting (PQDR) system within five days of discovery. Contractor shall provide an acceptable report no more than five days after notification of non-acceptance. Contractor shall provide an acceptable get-well plan no more than five days after notification of non-acceptance.

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254 Hill AFB, UT 84056 Attn: Katey Shaffer

15. TOTAL 0 1 0

G. PREPARED BY

Deanne Browning BROWNING.DEANNE.123154564 Digitally signed by

BROWNING.DEANNE.1231545642

2 Date: 2018.10.16 13:51:39 -06'00'

H. DATE

20181016

I. APPROVED BY

SHAFFER.KATEY.D.136362 Digitally signed by

SHAFFER.KATEY.D.1363624827

4827 Date: 2018.10.16 13:11:29 -06'00'

J. DATE

20181016

Reset

DD FORM 1423-1, FEB 2001 Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY: PSSS

TDP TM OTHER

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

F. CONTRACTOR

16. REMARKS (Continued)

Deliveries shall be provided electronically to the Program Manager, Program Engineer, and Contracting Officer Representative. CD/DVD's will be produced upon Government request. Data shall be provided in current version of government approved MS Office applications running on MS Windows 10.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

A002, B002

Contractor's Progress, Status and Management Report

3. SUBTITLE

Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DDI-MGMT-80227

5. CONTRACT REFERENCE

SOW 3.7

6. REQUIRING OFFICE

AFLCMC/WLDMA

7. DD 250 REQ

LT

BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors for administrative or operational use, determined 29

1979, as amended, Title 50, U.S.C., App.2401st seg. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25." When it is technically infeasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To method that will prevent disclosure of contents or reconstruction of the document. When local circumstances or experience indicates that this destruction method is not sufficiently protective of unclassified limited information, local authorities may prescribe other methods

Block E: Planning PR# F2DCCP8269B101

Block 10, 11, 12 and 13:

Contractor shall provide a monthly report including the following accurate progress updates towards delivery dates by the 15th of every month following the period being reported:

1) Manufacturing status and schedule

2) Kitting status and schedule

3) Subtotal travel

4) Discrepancy reporting and remedial planning Contractor shall provide an accurate report no more than five days after notification of non-acceptance.

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254

Deanne Browning BROWNING.DEANNE.123154564 Digitally signed by

BROWNING.DEANNE.1231545642

2 Date: 2018.10.16 13:41:24 -06'00'

H. DATE

20181016

I. APPROVED BY

SHAFFER.KATEY.D.136362 Digitally signed by

SHAFFER.KATEY.D.1363624827

4827 Date: 2018.10.16 13:12:21 -06'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY: MGMT

TDP TM OTHER

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

F. CONTRACTOR

16. REMARKS (Continued)

Deliveries shall be provided electronically to the Program Manager, Program Engineer, and Contracting Officer Representative. CD/DVD's will be produced upon Government request. Data shall be provided in current version of government approved MS Office applications running on MS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

A003, B003

Briefing Material

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81605

5. CONTRACT REFERENCE

SOW 3.8.1, 3.8.2, 3.8.3, 3.8.4

6. REQUIRING OFFICE

AFLCMC/WLDMA

7. DD 250 REQ

LT

BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors for administrative or operational use, determined 29

AFLCM/WLDMA, T-38 SPO.

1979, as amended, Title 50, U.S.C., App.2401st seg. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25." When it is technically infeasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To method that will prevent disclosure of contents or reconstruction of the document. When local circumstances or experience indicates that this destruction method is not sufficiently protective of unclassified limited information, local authorities may prescribe other methods

Block E: Planning PR# F2DCCP8269B101

Block 10, 11, 12 and 13:

Contractor shall provide Briefing Material no later than 7 calendar days prior to the scheduled conference date and shall prepare/distribute meeting minutes no later than 10 calendar days following.

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254

Deanne Browning BROWNING.DEANNE.123154564 Digitally signed by

BROWNING.DEANNE.1231545642

2 Date: 2018.10.16 13:49:19 -06'00'

H. DATE

20181016

I. APPROVED BY

SHAFFER.KATEY.D.136362 Digitally signed by

SHAFFER.KATEY.D.1363624827

4827 Date: 2018.10.16 13:12:55 -06'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY: MGMT

TDP TM OTHER

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

F. CONTRACTOR

16. REMARKS (Continued)

Deliveries shall be provided electronically to the Program Manager, Program Engineer, and Contracting Officer Representative. CD/DVD's will be produced upon Government request. Data shall be provided in current version of government approved MS Office applications running on MS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

A004, B004

Integrated Program Management Report

3. SUBTITLE

Integrated Master Schedule

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81861A

5. CONTRACT REFERENCE

SOW 3.9

6. REQUIRING OFFICE

AFLCMC/WLDMA

7. DD 250 REQ

LT

BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors for administrative or operational use, determined 29

1979, as amended, Title 50, U.S.C., App.2401st seg. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25." When it is technically infeasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To method that will prevent disclosure of contents or reconstruction of the document. When local circumstances or experience indicates that this destruction method is not sufficiently protective of unclassified limited information, local authorities may prescribe other methods

Block E: Planning PR# F2DCCP8269B101

Block 10, 11, 12 and 13:

Contractor shall provide and maintain an Integrated Master Schedule to include all steps necessary to complete the program requirements. The first submission shall be within 30 days after contract award. The schedule shall be updated, reviewed and submitted to the Government monthly.

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254

Deanne Browning BROWNING.DEANNE.123154564 Digitally signed by

BROWNING.DEANNE.1231545642

2 Date: 2018.10.16 13:52:39 -06'00'

H. DATE

20181016

I. APPROVED BY

SHAFFER.KATEY.D.136362 Digitally signed by

SHAFFER.KATEY.D.1363624827

4827 Date: 2018.10.16 13:13:54 -06'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY: MGMT

TDP TM OTHER

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

F. CONTRACTOR

16. REMARKS (Continued)

Deliveries shall be provided electronically to the Program Manager, Program Engineer, and Contracting Officer Representative. CD/DVD's will be produced upon Government request. Data shall be provided in current version of government approved MS Office applications running on MS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

A005, B005

Contractor's Risk Management Plan

3. SUBTITLE

Risk Mitigation Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81808

5. CONTRACT REFERENCE

SOW 3.10

6. REQUIRING OFFICE

AFLCMC/WLDMA

7. DD 250 REQ

LT

BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors for administrative or operational use, determined 29

1979, as amended, Title 50, U.S.C., App.2401st seg. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25." When it is technically infeasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To method that will prevent disclosure of contents or reconstruction of the document. When local circumstances or experience indicates that this destruction method is not sufficiently protective of unclassified limited information, local authorities may prescribe other methods

Block E: Planning PR# F2DCCP8269B101

Block 10, 11, 12 and 13:

Contractor shall identify possible risks in combination with the Government IPT and develop and maintain a Risk Mitigation Plan.

First submission shall be within 45 days post contract award.

The plan shall be updated, reviewed and submitted to the Government semiannually at the corresponding PMR.

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254

Deanne Browning BROWNING.DEANNE.123154564 Digitally signed by

BROWNING.DEANNE.1231545642

2 Date: 2018.10.16 13:43:11 -06'00'

H. DATE

20181016

I. APPROVED BY

SHAFFER.KATEY.D.136362 Digitally signed by

SHAFFER.KATEY.D.1363624827

4827 Date: 2018.10.16 13:14:31 -06'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY: MGMT

TDP TM OTHER

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

F. CONTRACTOR

16. REMARKS (Continued)

Deliveries shall be provided electronically to the Program Manager, Program Engineer, and Contracting Officer Representative. CD/DVD's will be produced upon Government request. Data shall be provided in current version of government approved MS Office applications running on MS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

A006, B006

Contractors Production Report

3. SUBTITLE

Production Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81867

5. CONTRACT REFERENCE

SOW 3.7, 5.1.1

6. REQUIRING OFFICE

AFLCMC/WLDMA

7. DD 250 REQ

LT

BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors for administrative or operational use, determined 29

1979, as amended, Title 50, U.S.C., App.2401st seg. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25." When it is technically infeasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To method that will prevent disclosure of contents or reconstruction of the document. When local circumstances or experience indicates that this destruction method is not sufficiently protective of unclassified limited information, local authorities may prescribe other methods

Block E: Planning PR# F2DCCP8269B101

Block 10, 11, 12 and 13:

Contractor shall provide a monthly report including sub-contractor production milestones updates towards delivery dates by the 15th of every month following the period being reported.

Contractor shall provide an accurate report no more than five days after notification of non-acceptance.

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254

Deanne Browning BROWNING.DEANNE.123154564 Digitally signed by

BROWNING.DEANNE.1231545642

2 Date: 2018.10.16 13:47:03 -06'00'

H. DATE

20181016

I. APPROVED BY

SHAFFER.KATEY.D.136362 Digitally signed by

SHAFFER.KATEY.D.1363624827

4827 Date: 2018.10.16 13:15:08 -06'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY: MGMT

TDP TM OTHER

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

F. CONTRACTOR

16. REMARKS (Continued)

Deliveries shall be provided electronically to the Program Manager, Program Engineer, and Contracting Officer Representative. CD/DVD's will be produced upon Government request. Data shall be provided in current version of government approved MS Office applications running on MS

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY:

TDP TM OTHER QCIC

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

A007, B007

QUALITY ASSURANCE PROGRAM PLAN

3. SUBTITLE

QUALITY ASSURANCE PLAN

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81794/T

5. CONTRACT REFERENCE

SOW 5.1.2, 5.1.3

6. REQUIRING OFFICE

AFLCMC/WLDMA

7. DD 250 REQ

LT

BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors for administrative or operational use, determined 29

1979, as amended, Title 50, U.S.C., App.2401st seg. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25." When it is technically infeasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To method that will prevent disclosure of contents or reconstruction of the document. When local circumstances or experience indicates that this destruction method is not sufficiently protective of unclassified limited information, local authorities may prescribe other methods

Block E: Planning PR# F2DCCP8269B101 Block 4: Tailor DI-QCIC-81794 in accordance with SOW Paragraphs: 5.1.2, 5.1.3.

Block 8: The government shall have 30 working days after receipt of the Quality Assurance Plan to review and approve the plan.

Block 10: See page 2, request for variance via DD Form 1694 submittal.

Block 12: The contractor shall submit the Quality Assurance Plan no later than 90 calendar days after Contract award.

Deliveries shall be provided electronically to the Program Manager, Program Engineer, and Contracting Officer Representative. CD/DVDs will be produced upon Government request.

Data shall be provided in current version of government approved MS Office applications running on MS Windows 10.

AFLCMC/WLDMA 1

6064 Dogwood Ave Bldg 1254

Deanne Browning BROWNING.DEANNE.123154564 Digitally signed by

BROWNING.DEANNE.1231545642

2 Date: 2018.10.16 13:38:23 -06'00'

H. DATE

20181016

I. APPROVED BY

SHAFFER.KATEY.D.136362 Digitally signed by

SHAFFER.KATEY.D.1363624827

4827 Date: 2018.10.16 13:15:55 -06'00'

DD FORM 1423-1, FEB 2001 Page 2 of 2 Pages

(1 Data Item)

A. CONTRACT LINE ITEM NO.

0028, 1028

B. EXHIBIT

A, B

C. CATEGORY: QCIC

TDP TM OTHER

D. SYSTEM/ITEM

Pacer Classic III Phase III

E. CONTRACT/PR NO.

FA8220-19-R-0001/BLK 16

F. CONTRACTOR

16. REMARKS (Continued)

The prime contractor shall submit a DD Form 1694 for any request for variance or deviation on any part found to be non-conforming with all requirements per the technical data package provided. The prime contractor shall present this form and supporting documentation (per the instructions on the form) for Government Engineering review and disposition. All planned corrective actions will then become action items to be discussed during subsequent technical interchange meetings (between the Government and contractor) until corrective action has been successfully implemented and the need for future requests for variance is resolved. Requests for variance and associated corrective actions will also be summarized in the monthly status reports. Additional information to support the request for variance may be required and should be provided to the Government within 5 business days.

The Mature and Proven Aircraft (MAPA) Engineering Branch, AFLCMC/WLDEC, is the Engineering Source Authority (ESA) for disposition of all non-conforming products under this effort.

A complete set of each DD Form 1694 applicable to parts within a kit shall be electronically provided to the Contracting Officer and enclosed with each kit shipment.

DD FORM 1423-1 (BACK), FEB 2001

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 delivering such data item to the Government.

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.