J-5_NSP_CDRLs.pdf

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Attached to
Air Turbine Starter Test Stands
Solicitation number
FA8224-18-R-0020
Issued by

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Attachment J-5, NSP CDRLs associated with CLIN 0004; includes A001-A006, A008, and A010-A018; total of 48 pages

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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 3 Pages

Adobe Professional 8.0

17. PRICE GROUP

NSP

18. ESTIMATED

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.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contractor's Progress, Status and Management Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW para 3.2.2

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

EOM

13. DATE OF SUBSEQUENT

SUBMISSION

5th of Mth

Draft

Final

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter through the CO/ACO without further revision to this contract data requirements list

(CDRL).

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to

GBKBB.

BLK 12: Shall be submitted by the 5th of the first month after receipt of order for approval.

Approval required on first submittal only.

BLK 14: Documents shall be provided via e-mail to:

PCO:PZIMB

ATTN: Shawna Dudis

Address: 6038 Aspen Ave

Bldg. 1289 Upstairs

Hill AFB, UT 84056

801-586-8596

530 CMMXS/MXDEA

ATTN: Jaren L. Williams

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine

Hill AFB, UT 84056 e-mail: jaren.williams.1@us.af.mil

530 CMMXS/MXDEA 0 1 0

Jaren L. Williams 5816 D Ave.

Bldg 238 Engineering Mezzanine Hill AFB, UT 84056

PCO:PZIMB 0 1 0

Shawna Dudis 6038 Aspen Ave.

Bldg. 1289 Upstairs

15. TOTAL 0 2 0

G. PREPARED BY

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:08:13 -04'00'

H. DATE

10Jul18

I. APPROVED BY

Tahrea J. Grant GRANT.TAHREA.J.1072249 Digitally signed by

GRANT.TAHREA.J.1072249549

549 Date: 2018.07.11 10:28:01 -04'00'

J. DATE

7/11/2018 mailto:jaren.williams.1@us.af.mil

Reset

DD FORM 1423-1, FEB 2001 Page 2 of 3 Pages

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

16. REMARKS (Continued)

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

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data.

The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 3 Pages

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

A002

Conference Minutes

3. SUBTITLE

BLK 16

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81250B

5. CONTRACT REFERENCE

BLK 16

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

LT

C

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter

BLK 3 (Subtitle) BLK 5 (SOW Paragraph)

Post Award Conference 3.2.3.2

Preliminary Design Review (PDR) 3.2.3.3

Intermediate Design Reviews (IDR) 3.2.3.4

Critical Design Review (CDR) 3.2.3.5

Engineering Data Guidance 4.2.1

In Process Review of the TDP 4.2.2

BLK 4: Contractor Format Acceptable.

agencies and their contractors (Administrative or Operational Use) (9 January 2014). Other requests for this document shall be referred to PCO: PZIMB. Questions concerning technical content shall be referred to 530 CMMXS/MXDEA.

BLK 10, 12, & 13: Minutes shall be provided within 10 working days after the meeting. Mi

PCO:PZIMB

ATTN: Shawna Dudis

Address: 6038 Aspen Ave

Bldg. 1289 Upstairs

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine

Hill AFB, UT 84056 e-mail: jaren.williams.1@us.af.mil

530 CMMXS/MXDEA 0 1 0

Jaren L. Williams 5816 D Ave.

Bldg 238 Engineering Mezzanine Hill AFB, UT 84056

PCO:PZIMB 0 1 0

Shawna Dudis 6038 Aspen Ave.

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:12:27 -04'00'

H. DATE

10Jul18

I. APPROVED BY

549 Date: 2018.07.11 10:28:32 -04'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

(See DoD 5010.12-M for detailed instructions.)

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

Page 1 of 3 Pages

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

A003

Test Plan

3. SUBTITLE

Factory Acceptance Test (FAT)

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80566A

5. CONTRACT REFERENCE

SOW para 3.2.3.6

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

DD

1 Time

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

N/A

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter

BLK 12: Factory Acceptance Test (FAT). Test Plan and Procedures shall be submitted to

Government within 30 days after approval of the Critical Design Review (CDR). Upon receipt of the Test Plan & Procedures the Government will have 15 days to review and/or approve or provide feedback on the submitted Plan/Procedures. If changes are required the contractor shall resubmit update Plan/Procedures to the Government in 10 days upon notification.

BLK 14: Documents submission shall be provided electronically via latest MS Office

(Power Point, Excel, or Word) format. Electronic copy to Government POCs:

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine e-mail: jaren.williams.1@us.af.mil

Notification of submission shall be provided to the PCO via e-mail.

530 CMMXS/MXDEA 0 2 0

Jaren L. Williams 5816 D Ave.

Bldg 238 Engineering Mezzanine

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:15:26 -04'00'

H. DATE

10Jul18

I. APPROVED BY

549 Date: 2018.07.11 10:29:10 -04'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

A004

IUID Marking/Labeling Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81803

5. CONTRACT REFERENCE

SOW para 3.5.1

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

DD

1 Time

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter

BLK 4: Contract Format Acceptable.

BLK 10 & 12: The Contractor shall develop and submit a complete IUID marking plan within 30 days after contract award. The Government will review and determine acceptance or rejection and notify contractor within 10 business days of receipt. If rejected, the Contractor shall have 10 business days to correct any errors and return a corrected IUID

Marking Plan to the Government for review.

The Contractor shall provide updates to the IUID Marking Plan as necessary due to any repair procedure change that impacts the IUID marking of NSNs.

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine

Jaren L. Williams 5816 D Ave.

Bldg 238

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:18:01 -04'00'

H. DATE

10 July 18

I. APPROVED BY

549 Date: 2018.07.11 10:29:43 -04'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

A005

IUID Marking Activity and Verification Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81804A

5. CONTRACT REFERENCE

SOW para 3.5.2

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

DD

BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter

BLK 10, 12 & 13: The Contractor shall deliver a IUID Marking Activity and Verification

Report. The report shall contain a brief narrative of accomplishments, NSNs marked, and registry status. The Contractor shall deliver a IUID Marking Activity and Verification

Report 90 days after the first NSN has been marked and quarterly thereafter. The

Government will review and determine acceptance or rejection and notify contractor within

10 business days of receipt. If rejected, the Contractor shall have 10 business days to correct any errors and return a corrected IUID Marking Activity and Verification Report to the

Government for review.

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine

Jaren L. Williams 5816 D Ave.

Bldg 238

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:19:51 -04'00'

H. DATE

10 July 18

I. APPROVED BY

549 Date: 2018.07.11 10:30:20 -04'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

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.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

A006

Contractor's Progress, Status and Management Report

3. SUBTITLE

Information Assurance (IA) Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW para 3.7

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

DD

AS REQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

AS REQ

13. DATE OF SUBSEQUENT

AS REQ

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to

GBKBB.

BLK 12: Shall be submitted by the 5th of the first month after receipt of order for approval.

Approval required on first submittal only.

PCO: PZIMB

ATTN: Shawna Dudis

Address: 6038 Aspen Ave

Bldg. 1289 Upstairs

Hill AFB, UT 840566

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine

Jaren L. Williams 5816 D Ave.

Bldg 238

PCO:PZIMB 0 1 0

Shawn Dudis 6038 Aspen Ave.

15. TOTAL 0 3 0

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:21:19 -04'00'

H. DATE

10 July 18

I. APPROVED BY

Tahrea J. Grant GRANT.TAHREA.J.1072249 Digitally signed by

GRANT.TAHREA.J.1072249549

549 Date: 2018.07.11 10:30:53 -04'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

A008

Conference Agenda

3. SUBTITLE

BLK 16

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81249B

5. CONTRACT REFERENCE

BLK 16

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

LT

AS REQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter

BLK 3 (Subtitle) BLK 5 (SOW Paragraph)

Engineering Data Guidance 4.2.1

In-Process Review of TDP 4.2.2 agencies and their contractors (Administrative or Operational Use) (9 January 2014). Other requests for this document shall be referred to PCO: PZIMB. Questions concerning technical content shall be referred to 530 CMMXS/MXDEA.

BLK 10, 12, & 13: Documents shall be provided within 10 working days after the meeting.

Minutes shall include presentation material.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft

Office applications to:

PCO:PZIMB

Address: 6038 Aspen Ave

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine

Jaren L. Williams 5816 D Ave.

Bldg 238 Engineering Mezzanine Hill AFB, UT 84056

PCO:PZIMB 0 1 0

Shawn Dudis 6038 Aspen Ave.

15. TOTAL 0 3 0

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:26:15 -04'00'

H. DATE

10 July 18

I. APPROVED BY

549 Date: 2018.07.11 10:31:28 -04'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

of 3

Pages

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

Air Turbine Starter

E. CONTRACT/PR NO. F. CONTRACTOR

A010

Calibration and Measurement Requirements Summary

(CMRS)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80278C

5. CONTRACT REFERENCE

SOW para 4.5

6. REQUIRING OFFICE

7. DD 250 REQ

LT

ONE/R

12. DATE OF FIRST SUBMISSION

ASREQ

8. APP CODE

A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

ASREQ

Reg Repro

16. REMARKS

BLK 4 - DID paragraph 7.1 is deleted in it's entirety. Vendor shall use MIL-STD-1839 as guidance for this DID.

BLK 9 - The following information shall be included on the CMRS: DISTRIBUTION

STATEMENT D: DoD and US DoD contractors only.

BLK 10 - CMRS is a one time deliverable. If required, vendor shall provide revisions after

Government review and comment.

BLK 11 and 12 - A draft submission is due at Preliminary Design Review (PDR) and updated submission during Critical Design Review (CDR). Final submission is due 60 days before delivery of the Air Turbine Starter (ATS) Test Stand. The Government requires 30 calender days for review and comment. The contractor has 10 calender days after receipt of

Government comments to prepare and deliver the final data. Criteria for approval shall be correct content and format.

BLK 14 - Reproducible copy shall be delivered

AFMETCAL 1

ATTN: A. Woods 813 Irving-Wick Dr. W. Bldg 2 Heath, Ohio 43056-6116

15. TOTAL 0 1 0

WOODS.ANTHONY.S.123020570 Digitally signed by WOODS.ANTHONY.S.1230205708

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WOODS.ANTHONY.S.1230205708 Date: 2016.12.07 13:33:20 -05'00'

H. DATE I. APPROVED BY

HAGOPIAN.RICHARD.M.12 Digitally signed by HAGOPIAN.RICHARD.M.1228559160

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, 28559160 cn=HAGOPIAN.RICHARD.M.1228559160 Date: 2017.01.31 10:21:18 -05'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter

E. CONTRACT/PR NO. F. CONTRACTOR

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

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.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

A011

Test Plan

3. SUBTITLE

Acceptance Test Plan (ATP)

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80566A

5. CONTRACT REFERENCE

SOW para 4.6

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

DD

1 Time

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter

BLK 12: Also known as “Acceptance Test Plan.” Test Plan and Procedures shall be submitted to Government 30 days prior to the acceptance test demonstration. Upon receipt of the Test Plan & Procedures the Government will have 15 days to review and/or approve or provide feedback on the submitted Plan/Procedures. If changes are required the contractor shall resubmit update Plan/Procedures to the Government in 10 days upon notification.

Address: 6038 Aspen Ave

Bldg. 1289 Upstairs

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine

530 CMMXS/MXDEA 0 1 0

Jaren L. Williams 5816 D Ave.

Bldg 238 Engineering Mezzanine Hill AFB, UT 84056

PCO:PZIMB 0 1 0

Shawn Dudis 6038 Aspen Ave.

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:36:23 -04'00'

H. DATE

10 July 18

I. APPROVED BY

549 Date: 2018.07.11 10:31:56 -04'00'

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

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.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

A012

Test/Inspection Report

3. SUBTITLE

Acceptance Test Report (ATR)

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW para 4.6

6. REQUIRING OFFICE

530 CMMXS/MXDEA

7. DD 250 REQ

DD

1 Time

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Changes to office symbols and/or email addresses, when necessary, shall be made by letter

BLK 4: DID is tailored to delete the following paragraphs: 7.2, 7.3, 10.2.1.a, 10.2.1.d, 10.2.1.f.

Content of test result report shall include:

a. Identification of each item tested

b. Government approved test/inspection requirements (OEM procedures)

c. Reference list of technical data & drawings

d. Approved Government sell-off testing results

BLK 9: Distribution Statement C. Distribution authorized to the US Government

Agencies and their contractors. Other request for this document shall be referred to 530

CMMXS/MXDEA

BLK 12: Repair Acceptance Test Unit shall be shipped to addressee in Block 14. Report shall be submitted 30 days after 309 CMXG/ENI approval of first repair to the addressee in

Block 14.

Address: 6038 Aspen Ave

Bldg. 1289 Upstairs

Address: 5816 D Ave.

Bldg 238, Engineering Mezzanine

Hill AFB, UT 84056 e-mail: jaren.williams.1@us.af.mil

530 CMMXS/MXDEA 0 1 0

Jaren L. Williams 5816 D Ave.

Bldg 238 Engineering Mezzanine Hill AFB, UT 84056

PCO:PZIMB 0 1 0

Shawn Dudis 6038 Aspen Ave.

Alger M. Taylor Digitally signed by

TAYLOR.ALGER.M.1119243331 TAYLOR.ALGER.M.1119243331

Date: 2018.07.10 14:38:57 -04'00'

H. DATE

10 July 18

I. APPROVED BY

549 Date: 2018.07.17 14:39:59 -04'00'

7/17/2018

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

Air Turbine Starter (ATS) Test Stands

E. CONTRACT/PR NO.

FD

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the administration required to perform additional work to conform to Government without conforming to Government requirements, and the effort and does not require any substantial change to conform to

Government requirements with regard to depth of content, format, 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.

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

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