All_CDRLs.pdf

PDF 367 KB Posted

Attached to
CIP Engineering Services Federal contract opportunity
Solicitation number
FA825117R0016
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

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Corrected CDRL list

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CDRLs.pdf PDF
FA825117R0016_Solicitation.pdf PDF
JA_Honeywell_-_redacted1.pdf PDF
pws_HW.pdf PDF

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CDRL Title DID Up to date A001 Engineering Services Memorandum DI‐MISC‐80748 X A002 Final Reports DI‐MISC‐80048 X A003 Test Plans, Procedures, and Reports DI‐NDTI‐80566, DI‐NDTI‐80809 X A004 Failed Item Analysis Report DI‐RELI‐80253 cancelled A005 Safety Assessment Report (SAR) DI‐SAFT‐80102B X A006 Airworthiness Specification DI‐SESS‐81766 X A007 Airworthiness Certification Criteria Report DI‐SESS‐81768 X A008 Study/Analysis DI‐MISC‐80508 X A009 Program Progress Report DI‐MGMT‐80555A X A010 Five Year Project Plan DI‐MISC‐80748 X A011 Contract Funds Status Report DI‐MGMT‐81468 X A012 Conferences/Reviews DI‐ADMN‐81249 B, DI‐ADMN‐81250, DI‐ILSS‐81335 X A013 Meeting Minutes DI‐ADMIN‐81250 X A014 Integrated Master Schedule DI‐MGMT‐81861 X A015 Government Furnished Property, Material and Equipment (GFP/GFM/GFE) DI‐MGMT‐81453 X A016 Technical Publication Manual Requirements TMCR 86‐01 X A017 Engineering Change Proposals (ECP) DI‐SESS‐80639 X A018 Item Unique Identification (IUID) DI‐MGMT‐81803 X A019 Product Drawings and Associated Lists DI‐SESS‐81000 X A020 Notice of Revision (NOR) DI‐SESS‐80642 X A021 Support Equipment Recommendation Data (SERD) DI‐ILSS‐80118C X

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A001 Engineering Services Memorandum (ESM) Engineering Project Description (EPD) or Notification (EPN)

DI-MISC-80748 Performance Work Statement 419 SCMS/GUEA

DD

A B

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Blocks 10, 12, and 13. Submit each Engineering Project Description (EPD) or Engineering Project Notification (EPN) as an ESM in the Contractor's format, as requested by the Government or as needed. Include a schedule of major milestones, costs, implementation proposal, and other relevant documentation as described in the PWS and per DI-MISC-80748. Each ESM should include estimated completion date and should be delivered within 6 weeks from date of request. Draft copies, although not mandatory, may be submitted for review by the government in electronic format.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=TERRY.SPENCER.H.1231406413 Date: 2017.02.07 14:08:53 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A002 Final Reports N/A

DI-MISC-80048 Performance Work Statement 419 SCMS/GUEA

DD

N/A D

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1 1

1 3 0

Blocks 10, 12, 13. Submit each final report after the completion or the cancellation of each EPD/EPN or phase of the EPD/EPN. The final report should summarize and document all project efforts while providing enough detail such that the conclusions and recommendations of the report can be verified, as per PWS and per DI-MISC-80048. Draft copies shall be submitted for review by the government in electronic format 30 days prior to delivery date.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:11:04 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A003 Test Plans, Procedures, and Reports N/A

DI-NDTI-80566, DI-NDTI-80809 Performance Work Statement 419 SCMS/GUEA

DD

N/A D

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1 1

1 3 0

Blocks 10, 12, 13. Submit each Test Plan, Procedures, and/or Report after the completion or cancellation of each EPD or EPN or phase of the EPD/EPN as required. A report may also be required for Service Revealed Deficiency (SRD) Tasks. The test plan/procedure per DI-NDTI-80566 will be submitted before start of any testing activities. Test reports per DI-NDTI-80809 shall be submitted after testing is completed per requirements of individual EPD/EPN. The test reports shall include a description of the test facilities & equipment used, a description of the testing completed and a copy of all of the data collected & results from the testing. The test report should summarize all aspects of the effort and provide sufficient data such that the government can verify. Delivery schedule is per individual EPD and the PWS. Draft copies shall be submitted for review by the government in electronic format for review prior to final delivery.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:24:36 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A004 Failed Item Analysis Report N/A

DI-RELI-80253 Performance Work Statement 419 SCMS/GUEA

DD

N/A D

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Blocks 10, 12, 13. Submit the Failed Item Analysis Report after inspection or investigation is complete. This report is usually required for Service Revealed Deficiency (SRD) Tasks. This report will present the results of failure analysis, methods of analysis, failure histories and corrective action taken or recommendations. Delivery schedule is per individual EPD or request from the CO and/or the PWS (typically 2 weeks). Copies shall be submitted to the government in electronic format.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:09:47 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A005 Safety Assessment Report N/A

DI-SAFT-80102C Performance Work Statement 419 SCMS/GUEA

DD

N/A D

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1 1

1 3 0

Blocks 10, 12, 13. Submit the Safety Assessment Report per EPD/EPN requirements. This is a report that details a comprehensive evaluation of the safety risks being assumed prior to test or operation of the system. It will identify all the safety features of the system, design, and procedural hazards that may be present in the system being acquired. Delivery schedule is per individual EPD but typically before aircraft testing is started. A draft copy shall be submitted to the government for review and approval in electronic format 15 days prior to scheduled delivery.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:21:04 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A006 Airworthiness Specification N/A

DI-SESS-81766 Performance Work Statement 419 SCMS/GUEA

DD

N/A D

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1 1

1 3 0

Blocks 10, 12, 13. Submit the Airworthiness Specification per EPD/EPN requirements. This will require coordination with the aircraft System Program Office (SPO) for compliance methods. It will be used to support the Government's airworthiness type certification. Delivery schedule is per individual EPD but typically before aircraft testing is started. Copies shall be submitted as a draft to the government for review and approval in electronic format 2 weeks prior to official delivery.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:02:16 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A007 Airworthiness Certification Criteria Report N/A

DI-SESS-81768 Performance Work Statement 419 SCMS/GUEA

DD

N/A D

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1 1

1 3 0

Blocks 10, 12, 13. Submit the Airworthiness Certification Criteria Report per EPD/EPN requirements. This will require coordination with the aircraft System Program Office (SPO) for compliance methods. It will be used to support the Government's airworthiness type certification. Delivery schedule is per individual EPD but typically before aircraft testing is started. Copies shall be submitted as a draft to the government for review and approval in electronic format 2 weeks prior to official delivery.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:01:37 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A008 Study/Analyis N/A

DI-MISC-80508 Performance Work Statement 419 SCMS/GUEA

DD

N/A D

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1 1

1 3 0

Blocks 10, 12, 13. Submit the Study/Analysis Report per EPD/EPN requirements.

Typically required in response to something that the Government needs to have more information and insight into that requires detailed analysis and study. Report will be delivered to include findings, methods used, and results. Delivery schedule is per individual EPD. A draft copy shall be submitted to the government in electronic format for review and approval 15 days prior to scheduled delivery.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:22:03 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A009 Program Progress Report N/A

DI-MGMT-80555A Performance Work Statement 419 SCMS/GUEA

LT

N/A B

Quarterly

See Block 16

90 Days ARO

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Blocks 11, 13. Submit the first report within 90 days of contract award and subsequent reports quarterly thereafter by the 7th of each of the following months:

January, April, July, October. Submit reports in Contractor's format. Each report shall include all active EPDs listed individually. This report shall address progress, problems, open issues, current status, schedule update, spend update and expected completion date. Reports may be submitted in electronic format.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:20:13 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Power Take Off Shafts FA8251-17-D-0016 Honeywell International

A010 Five Year Project Plan N/A

DI-MISC-80748 Performance Work Statement 419 SCMS/GUEA

LT

N/A B

Quarterly

See Block 16

90 days ARO

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Block 4- This report is for planning purposes for both the contractor and government. Tailor this five year plan per the contractor's format and as discussed with the Government. It should be developed together prior to submittal with the quarterly Program Progress Report by the 7th of each month listed as follows:

January, April, July, and October. Reports may be submitted in electronic format.

Blocks 10, 11, 12, 13. It should list, at a minimum, the project or proposed project, estimated cost, spent to date (if any), years to completion, cost per year, and assigned project number. Submit the first report within 90 days of contract award and subsequent reports quarterly thereafter in the months of January, April, July, and October.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA Phoenix Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

NSP

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:45:32 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:12:10 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A011 Contract Funds Status Report N/A

DI-MGMT-81468 Performance Work Statement 419 SCMS/GUEA

LT

N/A B

Monthly

See Block 16

60 Days ARO

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Blocks 11, 13. Submit the first report within 60 days of contract award and subsequent reports every month thereafter. Submit the report on or before the 20th of each month. The data will include information relating to the previous month and before. Submit report in contractor's format. Each report shall include at a minimum, project title, delivery order, total spent, estimated completion date, EPD period of performance and total invoiced.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:04:35 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A012 Conferences/Reviews N/A see Block 16 Performance Work Statement 419 SCMS/GUEA

LT

N/A D

See Block 16

N/A

N/A

N/A

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Block 4 includes: DI-ADMN-81249 B, DI-ADMN-81250, DI-ILSS-81335.

DI-ILSS-81335 uses MIL-STD-1521 for detailed explanation of Reviews requirements.

Block 10. The contractor shall conduct an annual program review at a time and location mutually agreed upon by the government and the contractor. The program review shall provide a comprehensive status report on each EPD/EPN currently active, review of recently completed projects, and discussions of proposed future projects. The annual program review will serve as the Program Progress Report for that quarter. The contractor shall provide a conference agenda 2 weeks prior to the scheduled program review per DI-ADMN-81249. The annual program review will usually occur in August or September.

Other technical reviews may be required per individual orders (e.g. Preliminary Design Review, Critical Design Review, Test Readiness Review, etc.). The contractor shall record and provide conference minutes and actions per DI-ADMN-81250 and provide a program review report. Two weeks prior to any technical review, the contractor shall provide an entry criteria checklist verifying that all requirements are met.

All minutes will be sent to the government 1 week after the conference or review.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 2

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:03:16 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A012 Conferences/Reviews N/A

See Block 16 Performance Work Statement 419 SCMS/GUEA

LT

N/A D

See Block 16

N/A

N/A

N/A

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

NSP

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

2 2

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:03:52 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A013 Meeting Minutes N/A

DI-ADMIN-81250 Performance Work Statement 419 SCMS/GUEA

LT

N/A B

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Blocks 10, 12, 13. The contractor shall provide formal published meeting minutes for formal design reviews and major program reviews as required in individual EPD/EPNs. For informal telecons, project status meetings, etc., the contractor is not required to submit formal published meeting minutes but submit informal minutes/action items via email directly to the government project manager within 7 days. For formal meetings, submit in Contractor's format, to all participants.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:16:25 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A014 Integrated Master Schedule N/A

DI-MGMT-81861 Performance Work Statement 419 SCMS/GUEA

LT

N/A B

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Block 4- Format 6 - Integrated Master Schedule (IMS) Blocks 10, 12, 13. Submit in Contractor's format 30 days after signed and accepted EPD. The IMS shall be updated and submitted with each quarterly status review, at each technical review, and at the annual review.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1231406413

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2017.02.07 14:14:17 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Data CLINs X

CIP for Secondary Power Systems FA8251-17-D-0016 Honeywell International

A015 Government Furnished Property, Material and Equipment N/A

DI-MGMT-81453 Performance Work Statement 419 SCMS/GUEA

LT

N/A B

See Block 16

N/A

See Block 16

See Block 16

AFMC/PZABA 1

DCMA 1

USAF 1

0 3 0

Block 4, applies to Government Furnished Property, Material and Equipment under possession of the contractor.

Blocks 10, 12, 13. Submit in Contractor's format each time Government Furnished Property, Material, and/or Equipment is received. A report at the end of each calendar year will also be required and 30 days before the close of the contract.

Block 14. Send one copy in electronic format or paper copy to the appropriate entity listed. Address information:

Contracting:

AFMC/PZABA

6050 Gum Lane BLDG 1215 Hill AFB, UT 84056-5825

DCMA

Two Renaissance Square 40 North Central Avenue Suite 400 Phoenix AZ, 85004-4424

Technical:

USAF

419 SCMS/GUEA

6041 Gum Lane BLDG 1226 Hill AFB, UT 84056-5826

TBD

0.00

Tyrell Philpott 02/07/2017 Spencer Terry 02/07/2017

1 1

PHILPOTT.TYREL

L.G.1273598614

Digitally signed by

PHILPOTT.TYRELL.G.1273598614

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=PHILPOTT.TYRELL.G.1273598614 Date: 2016.01.25 13:50:09 -07'00'

Digitally signed by

TERRY.SPENCER.H.1…

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