CDRLS_FD20201900183.pdf
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- Repair of Radio Frequency Interference Filter and Amplifier Filter for the TYQ-23 Program
- Solicitation number
- FA8250-19-Q-0183
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| 9286_RQR_FD20201900183.pdf | ||
| PKG_SOW_FD20201900183.pdf | ||
| PWS_FD20201900183.pdf | ||
| 1126_RQR_FD20201900183.pdf | ||
| Transportation_FD20201900183.pdf | ||
| 9286_RDL_FD20201900183.pdf | ||
| GFP_FD20201900183.pdf | ||
| FA825019Q0183.pdf | ||
| CAVAF_FD20201900183.pdf | ||
| Packaging_FD20201900183.pdf | ||
| 1126_RDL_FD20201900183.pdf |
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CONTRACT DAT A REQUIREMENTS LIST Form Approved
( 1 Data Item) 0MB 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 0MB 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:
A TOP
TM
OTHER
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F. CONTRACTOR
FD20201900183
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
AOOl Commercial Asset Visibility AF(CA V AF) End Item Reporting CAV AF
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81634C PWS 415 SCMSIGUMBA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
See Block 16 Block 16 LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final NIA SUBMISSION Draft
NIA Block 16 Block 16 Reg Repro
16. REMARKS
I. The contractor shall report End Item transactional data through electronic submission in
CA V AF using the CA V AF web site or CICA XML IA W the referenced DID and/or
Contract Repair PWS. This information will be reviewed, by the applicable Contract
Monitor, to ascertain production status.
2. Transactions and data will be submitted by the contractor daily IA W CA V AF Contractor
User Guide, Version 9.0.4 or higher. The Contractor shall obtain a valid DoD PKI certificate to log into CA V AF. Each user shall have an Identity Certificate only; an encryption certificate is not required. Reporting must be accomplished for each Contractor facility/location AND any subcontractor locations.
3. Training will be provided by the applicable ICP representative.
4. This DD Form 1423 applies to end item repair CAV AF reporting only contracts, commonly referred to as Contractor Furnished Material (CFM) type contracts.
5. It is imperative the CA V AF Proof of Shipment reporting actions are accomplished by the contractor.
Block 10:
a. Contractor reporting requirements to CA V AF shall be accomplished daily and/or one business day of a maintenance action IA W Contractor Users Guide.
b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CA V AF Online web site IA W CA V AF Contractor User's
Guide.
Block 11: Data shall be current within one business day of last End Item maintenance occurrence and reflect an accurate representation/status of all assets at a contractor for repair.
Block 12: Date of first submission shall be within one business day following a maintenance transaction after the contract award date and government training as specified in IA W CAV AF Users Guide.
Block 13: Within one business day of each maintenance action/occurrence.
Continued on next page.
G. PREPARED BY H.DATE I. APPROVED BY
TUBBS. BRAD.H. 12 734581 03 ���:
:ait,�.�;��i:r(;\'./:�� s
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3 9-Feb-18 FAULKNER.JASON. THOM
AS.1158647199
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
00-ALC 1
DoDAAC: FB2029
415 SCMS/GUMBA
6012 Fir Avenue
HILL AFB, UT AH
84056-5820
Attention To:
Production Management
Specialist
Jason Faulkner Phone:
801-777-72 l 7
E-mail Address:
jason.faulkner@us.af mi
15. TOTAL 0 1 0
J. DATE
Digitally signed by 9-Feb-18
FAULKNERJASON.TIIOMAS.1158647199
n .. , ... ---· "� ·"
Page _l_ of 2 Pages
Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
A. CONTRACT LINE ITEM NO.
D. SYSTEM/ITEM
16. REMARKS (Continued)
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
c. CATEGORY:
A TOP -- TM - -OTHER
I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
FD20201900183
The contractor's CA V AF reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.
DD FORM 1423-1, FEB 2001
Page_2_ of __ 2_Pages
CONTRACT DATA REQUIREMENTS LIST Form Approved
J�ia ps��t�;;,po�tg�ri��r��� ��j��i:in1�gei��0� a�� igl����:i��ds c��im:t1�g 1�c1�:�,��i�� 0t�e°��11f iii6�5gf r�f�r��i�d��g J��ii�����iii(e��nr�i�ngsy�i�tig�/�le�e:��rr;,na�e e��s��� other aspe ct o� this colle ction of information, in cludin� suggestions for redu cing the Durden, to Department of Defense, Washin�ton Headquarters Servi ces, Dire ctorate for Information Operations and Reports {0701-0188), 1 15 :Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-43 2. Respondents should be aware that ���i1�s�:r�?i�3��Xr .01�f :a��
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1�l �o c e c�)1�R v
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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
MGMT
TDP TM OTHER
D.SYSTEM/ITEM
I �b2S�l.niifs1f PR NO F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM 3. SUBTITLE
Government Property Inventory Report Annual Government Property Physical Inventory Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80441C/T PWS Paragraph:
415 SCMS/GUMBA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED ANNLY SEE BLK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
NIA SEE BLK 16
SUBMISSION Draft SEE BLK 16 Reg Repro
16. REMARKS 1
NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ ACO without further revision to this CORL.
1. Block 4:
a. All reports shall be submitted in the English Language. SEE BLK 16
2. Blocks 10, 11, 12, 13:
a. This report will be provided annually. Reporting Period is one year.
b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.
c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.
3. Block 9:
a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Detennination). Other requests for this document shall be referred to (DoD Controlling Office).
b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are detennined to contain export-controlled technical data, shall be marked with the following statement:
15.TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
JASON FAULKNER 15-0CT-2018 JASON FAULKNER 15-0CT-2018
Name(Contractor Data Mgr) Name (Prgm. Mgr)
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of 2 Pages
17. PRICE GROUP
NSP
18. ESTIMATED
0.00
I
B. EXHIBIT
D. SYSTEM/ITEM
16. REMARKS (Continued/
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
C. CATEGORY:
TDP __ TM _ _ OTHER _M_G_M_T ________ _____ _
�bS:£�lJM}fsVPR NO. I
F. CONTRACTOR
EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the An11S Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate IA W provisions of DoD Directive 5230.25.
c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Infonnation Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
4. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:
(EMAIL ADDRESS)
JASON.l'AULKNER@US.AEMIL
DD FORM 1423-1, FEB 2001 Page l of
Pages
(1 Data Item) OMS No. 0704-0188
J�ta ����g:;, po
��giri�� r ��� ��i�� j iin1g� e da�� j gl�d��� i ��J s c��i�:t1�g �0rnf �:�,��i�� 0t�e
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�e����i� n s y�i� ti g�r�e� e n a�e e i r s �g� other aspect o� this collection of information, includin suggestions for reducing the tiurden, to Department of Defense, Washin i ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1 15 :Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-43 2. Respondents should be aware that &�t i ��ir�?
i �s.;�Jr .
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6�i��� f J���, �o c r :c1}
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I listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY: MGMT TDP TM OTHER --- --
D. SYSTEM/ITEM
I foS:S�l9'6{}fs1f PR NO. F.CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM 3. SUBTITLE
Commercial Asset Visibility Air Force (CA V) CFM End Item Reporting Reporting
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81838/T SEE BLK 16 FOR REFERENCE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES
8. APP CODE
NIA
11.AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final A SEE BLK 16 SUBMISSION Draft SEE BLK 16 Reg Repro
16. REMARKS 1
NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.
1. Block5: Contract Reference: PWS Paragraph XXX and CA V AF Reporting Requirements Document
SEE BLK 16
2. Block 4: All reporting shall be submitted in the English Language.
3. Blocks 10, 11, 12, 13:
a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.
b. Contractor reporting requirements to CA V AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IA W the CA V AF Reporting Requirements Document.
c. Data shall be current within 24 hours of the last End Item maintenance occurrence.
4. Blocks 7, 8, 14:
a. The contractor shall report End Item transactional data through electronic submission in CA V AF using the CA V AF website or CICA XML.
b. The contractor shall submit a DD Fonn 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WA WF) website address: https://wawf.eb.mil, using DODAAC F A825 l . MARK FOR: Address in block 14A.
c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:
(EMAIL ADDRESS)
15.TOTAL 0 1 0
H. DATE i. APPROVED BY J. DATE
15-0CT-2018
G. PREPARED BY
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of I Pages
I
I I
I
I
117. PRICE GROUP
I
NSP
I
I
I
I I
I
I
I I
I
I I
I I
I I
I I
I
I
I
I I
18. ESTIMATED
TOTAL PRICE
0.00
JASON FAULKNER 15-OCT-18 JASON FAULKNER
JASON.FAULKNER@US.AF.MIL
CONTRACT DAT A REQUIREMENTS LIST Form Approved
J�fa Ps����;;, po
��ggri�� r ��� ��i�� i :in1g� e f��
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i ��j s c�� i ;i1:11�g � rnf'�:�,��i�1 °t�e
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t ��r�e� e n a�e e s �g?
other aspect o� this collection of inform ation, includin su g gestions for reducin g the Durden, to Dep artment of Defense, Washin ton He adqu arters Services, Director ate for lntormat1on Oper ations and Reports (0701-0188), 1 15 Jefferson D avis Hi ghway, Suite 1204, Arlington, VA 22202-43 2. Respondents should be aware th at ��'t1��t�f i�3r::�Jr .
�r:a�� t�
�0 t �e'Tuf rf �� u� n fg�� t� t�� b Jgg�!
a��re�;� a ��ig r c��tiit�� 1��J io 1h t ao\ j ��t 1:�8f �� m c a J���a�t1�g
6t1i��� f����J lo c r :c�}
�R v t listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
PSSS TDP TM OTHER
D.SYSTEM/ITEM
I r1}rS�l��fsVPR NO. F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM 3. SUBTITLE
Contract Depot Maintenance (CDM) Production Report CDM Production Monthly Status Report
4. AUTHORITY /Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-PSSS-81995/T PWS Paragraph:
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED MTHLY SEE BLK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Fin al
NIA SEE BLK 16
SUBMISSION Draft
SEE BLK 16 Reg Repro
16. REMARKS 1
NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.
1. Block 4:
a. All repmiing shall be submitted in the English Language. SEE BLK 16
b. The Contractor's CA V AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.
c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.
d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.
2. Blocks 10, 11, 12, 13:
a. The reports shall be provided monthly within 5 (five) business days of the previous month's last calendar date.
b. Reports shall continue to be submitted by the contractor unless the requirement is tem1inated by the (Requiring Office), Program Manager (PM) or the Production Management Specialist (PMS),
c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"
15. TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
JASON FAULKNER 15-0CT-2018 JASON FAULKNER 15-0CT-18
Name(Contractor Data Mgr) Name(Prgm. Mgr)
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of 1 Pages
17. PRICE GROUP
NSP
18. ESTIMATED
0.00
16. REMARKS (Continued/
3. Block 9:
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
c. CATEGORY:
TDP _ _ TM _ _ OTHER
PSSS
I PDrS�UM}RYPR NO.
I
F. CONTRACTOR
a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date ofDetennination). Other requests for this document shall be referred to (DoD Controlling Office)
b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are detennined to contain export-controlled technical data, shall be marked with the following statement:
EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the An11S Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions ofDoD Directive 5230.25.
c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Infonmtion Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
4. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:
(EMAIL ADDFRESS)
)/\SON.F/\ULKNER€vUS./\F.MIL
DD FORM 1423-1, FEB 2001 Page of 1 Pages
(1 Data Item) 0MB 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 0MB 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:
B TOP TM OTHER ILSS
D.SYSTEM/ITEM
I
E. CONTRACT/PR NO. F. CONTRACTOR
CRC TRC 214 FD2020-l9-00183
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
8001 Repairable Item Inspection Report Maintenance Data Collection
4. AUTHORITY (Data Acquisition Document No.}
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-ILSS-80386 PWS 10.2 415 SCMS/GUMBB
7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION REQUIRED ASGEN ASGEN DD b. COPIES
8. APP CODE 11.AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D SUBMISSION Draft
NIA 7 See Blk 16 Reg Repro
16. REMARKS 415 SCMS/GUMBB 1
Changes to names and office symbols, when necessary, shall be made by letter through the 415 SCMS/EN 1 CO/ACO without revision to this CORL. AFMC OL:H/PZAAA 1
Block 4: Paragraph 10.1.1 Shall be modified to remove items a, f, and i.
Paragraph 10.1.1 items b, c, d and e refer to the assembly submitted for repair.
Paragraph l 0.1.1 item h refers to the part(s) that were replaced, repaired, calibrated, cleaned, etc. to return the assembly to operational condition. Reportable data includes ( l ) NSN and part number (if available) of failed part, (2) description or name of failed part, (3) location of failed part in the assembly (sufficient to uniquely identify the specific part when the failed part exists in multiple locations in the assembly).
An electronic template containing the preferred format for submitting the data is available.
If it is not attached to the solicitation, it may be obtained from the 415 SCMS/GUMAD engineer through the CO/ ACO.
Blocks IO, 11, 12 & 13: Contractor shall deliver the Repairable Item Inspection report within 7 days after the completion of each repair.
Block 14: Document submission shall be made electronically using MS Office 2010 format or Portable Document Format (PDF).
Address e-mail submissions to: USAF AFMC 415 SCMS/EN, 415SCMS.en@us.af.mil 415 SCMS engineer @us.af.mil 748 SCMG/PKA, PCO (TBD) @us.af.mil (For PCO name see contract)
DODAAC: FY2073
Address Line I: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820
Block 9:
DISTRIBUTION STATEMENT D: Distribution is limited to DoD and U.S. DoD contractors only for administrative or operational use only. Other requests for this data shall be referred to 415 SCMS/GUMBB, HILL AFB, UT 84056.
WARNING: Export Controlled DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document
15. TOTAL 0 1 2
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
Engineer 415 SCMS/GUMBB Clayton Butler 415 SCMS/GUMBB
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages
Adobe Professional 8.0
17. PRICE GROUP
CONTRACT DAT A REQUIREMENTS LIST
( 1 Data Item)
A. CONTRACT LINE ITEM NO.
I
B. EXHIBIT
B I
c. CATEGORY:
ILSS
TOP_ _ TM __ OTHER
D.SYSTEM/ITEM I E. CONTRACT/PR NO.
I
F. CONTRACTOR
CRCTRC214 FD2020-I9-00183
16. REMARKS /Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
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 OMS 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:
C TDP TM OTHER MISC
D.SYSTEM/ITEM
I
E. CONTRACT/PR NO. F. CONTRACTOR
CRC TRC 214 F A2020-l9-00183
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
COOl Counterfeit Prevention Plan
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-81832 415 SCMS
7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
lTIME 30DAC DD b. COPIES
8. APP CODE 11.AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D SUBMISSION Draft
A N/A N/A Reg Repro
16. REMARKS 415 SCMS 2
Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter 748 SCMG/PKA 1 through the CO/ACO without further revision to this CDRL. FY2073 1
Block 4: Plan shall include all items from section 4 of SAE AS5553.
Block 12: Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award. Government comments provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.
Block 14: Document submission shall be made electronically using MS Office 2010 format or Portable Document Format (PDF).
Address e-mail submissions to: USAF AFMC 415 SCMS/EN, 415SCMS.en@us.af.mil
415 SCMS engineer @us.af.mil
748 SCMG/PKA, PCO (TBD) @us.af.mil (For PCO name see contract)
DODAAC: FY2073
Address Line 1: FY2073 GLSC 415 SCMS
Address Line 2: BLDG 1239 CP 801 586 1368
Address Line 3: 6012 FIR AVE
Address Line 4: HILL AFB UT 84056-5820
Block 9:
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 2 I Nov 2008. Other requests for this document shall be referred to 00-ALC/ AFMC 415 SCMS/GUMBB.
DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.
15. TOTAL 0 1 3
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Eric Widdison
20131105 Clayton Butler
::t:'\;·:�',t.::::::::.:: BUTLER.CLA YTON.D. 1365."' ,,,_, ,,; ,., '" 20131105 WlDDlSON.ERIC.R. i 2583366U3 �-:,,,,,,."""'·'""' 012349 . """'"""'
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages
Adobe Professional 8.0
17. PRICE GROUP
CRCTRC 214
16. REMARKS (Continued}
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
c TOP __ TM�- oTHER _M_rs_c _ ________ _____ _
I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
F A2020-l9-00183
DD FORM 1423-1, FEB 2001 Page __ of Pages
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010. 12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TOP - 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 CORL.
Item H. Date CORL was prepared.
Item I. Signature of CORL approval authority.
Item J. Date CORL 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.
DD FORM 1423-1 {BACK), FEB 2001
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 Ill. 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 Ill 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.
File details come from the government source that posted it.