FMSSampleTask.docx

DRAFT RFP NOTE: The Government will provide a bidders library with all essential documents needed to accomplish the below FMS Sample Task in the final RFP.

Avionics Intermediate Shop Product Support Integration

(AIS/PSI)

FMS SAMPLE TASK

Prepared By:

416 SCMS/GUMAA

6070 Gum Lane Bldg. 1213 Hill AFB, UT 84056-5825

**Note: This sample task is for AIS/PSI evaluation purposes only and is not awardable.**

1.0 Scope

The Scope of this effort is to obtain AIS/PSI services to provide two suites of Rackmount Improved Avionics Intermediate Shop (R-IAIS) Automatic Test Equipment (ATE), R-IAIS Spares, Support Equipment Recommendation Data (SERD) hardware, and associated ancillary Support Equipment (SE) to the Government on behalf of an FMS Country, as well as the development of any required documentation. The scope of this effort also includes programmatic technical support for the entire procurement and sustainment effort.

2.0 Purpose

The purpose of this Sample Task is to provide two suites of Rackmount Improved Avionics Intermediate Shop (R-IAIS) Automatic Test Equipment (ATE), R-IAIS Spares, Support Equipment Recommendation Data (SERD) hardware, and ancillary Support Equipment (SE) for use by FMS Country at Location #1 and Location #2. It provides the Contractor flexibility to develop cost-effective solutions and the opportunity to propose innovative alternatives for meeting the Government’s identified objectives.

3.0 Program Objectives/Description of Work

· Obtain AIS/PSI technical services, as defined herein, which fulfill customer requirements and expectations.

· Adheres to the AIS/PSI Performance Work Statement (PWS)

· Provide for the procurement, fabrication, integration, testing, and delivery of Automatic Test System (ATS) hardware, to include two R-IAIS test stations, contractor-defined spare hardware, contractor-defined Support Equipment Recommendation Data (SERD) hardware, and associated ancillary SE in support of FMS Country F-16 weapon system requirements.

· Provide all necessary hardware, software, data/documentation, supplies, and other applicable services in the most cost-effective/efficient manner, ensuring that the requirements for purchasing materials and ODCs (to include travel and subcontracted labor) are in full compliance with the terms and conditions of the AIS/PSI PWS.

· Provide Program Management which establishes internal controls, management oversight, and technical support for the requirements defined herein.

· Obtain sufficient rights in technical data, both software and hardware, such that the Government can maintain and modify the equipment using Government personnel and third party contractors as required now and in the future, as applicable.

4.0 Hardware

4.1 ATE Hardware

The Contractor shall provide for the fabrication, integration, test, and delivery of intermediate-level ATE in the configurations and quantities identified in Table 1 (CDRL A002, DI-SESS-81000E; CDRL A00F, DI-SESS-81253/T).

Table 1. ATE Hardware Requirements

4.1.1 ATE Ancillary SE Hardware

The Contractor shall provide for the identification, fabrication or procurement, test, and delivery of all associated ancillary SE required to ensure a fully operational capability for the ATE identified in Table 1(CDRL A002, DI-SESS-81000E; CDRL A00F, DI-SESS-81253/T).

4.1.2 ATE Spares Hardware

This fully operational capability shall include the processes and procedures to be implemented for the identification, fabrication or procurement, test, and delivery of sufficient primary device spares to ensure a 95% probability of having a spare available (as required) when based on a 90-day repair turn-around-time (CDRL A002, DI-SESS-81000E; CDRL A00F, DI-SESS-81253/T).

5.0 SERD Hardware

The Contractor shall provide for the identification, fabrication or procurement, test, and delivery of all SERD Hardware (2 of each) required to test the F-16 Line Replaceable Units (LRUs) identified in Table 2 (CDRL A002, DI-SESS-81000E; CDRL A00F, DI-SESS-81253/T; CDRL A009, DI-SESS 81758A).

Table 2. F-16 Line Replaceable Units

16C0101-813, 16C0101-815

461360-03-01

VA-018250-0031

5.1 SERD Ancillary SE Hardware

The Contractor shall provide for the identification, fabrication or procurement, test, and delivery of all associated ancillary SE required to ensure a fully operational capability for the SERD hardware resulting from Table 2 (CDRL A002, DI-SESS-81000E; CDRL A00F, DI-SESS-81253/T; CDRL A009, DI-SESS 81758A).

6.0 Hardware Management/Integration Approach

The Contractor shall define the management approach for the hardware requirements identified by FMS Country. The management approach shall include factors such as where hardware will be sourced, how obsolescence issues throughout this effort will be identified and resolved, the handling of Commercial-Off-The-Shelf (COTS) items, how hardware items will be integrated within sub-systems and systems.

7.0 Acceptance Testing

The Contractor shall define Acceptance Test Procedures (ATP) to be utilized for all hardware associated with this effort. ATP shall include the identification of software to be used for Government acceptance. The Contractor shall perform acceptance inspection(s) utilizing Acceptance Test Procedures acceptable to the Government for delivered hardware prior to shipment. The Government (or Government representative) will perform acceptance testing at contractor locations.

8.0 Delivery

The Contractor shall identify the method of delivery for primary ATE hardware, spares, and ancillary equipment to a CONUS location, as well as the method of delivery for SERD hardware and ancillary equipment to a CONUS location. CONUS locations will be provided by the Government once all end items are completed.

9.0 Shipping

The Contractor shall arrange for shipping of FOB Source hardware through the appropriate DCMA Transportation activity for shipment via Government Bill of Lading (GBL). The Contractor shall arrange for shipping of FOB Destination hardware via commercial traceable shipment. The Contractor shall notify the COR or his/her designee when the shipments have occurred.

The Contractor shall ensure that all Delivery and Shipping efforts for this task are performed in accordance with International Traffic in Arms Regulations (ITAR) and Export Administration Regulations (EAR).

10.0 Installation and Checkout

The Contractor shall perform Installation and Checkout (ICO) of the delivered primary hardware at Location 1 and Location 2. ICO(s) shall be conducted on dates mutually agreed upon between the Contractor and the Government within the Period of Performance (POP). The Contractor shall identify and define Installation and Checkout processes/procedures, to include replacement or repair of items that are found to be defective during the ICOs.

11.0 Warranty

No warranty will be required beyond the Original Equipment Manufacturers (OEMs) warranty. All OEM warranties will transfer to the Government.

12.0 Software Development/Updates

12.1 ATE Software

The Contractor shall identify and define the process addressing contingencies for revisions to R-IAIS Control and Support (C&S) software in the event Diminishing Manufacturer and Material Shortage (DMSMS) issues necessitate changes to ATE components, driving changes to the 8XX C&S software.

12.2 Test Program Set (TPS) Software

The Contractor shall provide for the research, development, update, integration, test, and delivery of any necessary TPS or Operational Flight Plan (OFP) load file software so that the capabilities being procured will function with the devices as well as the Line Replaceable Units (LRUs) possessed by FMS Country. (CDRL A005, DI-MCCR-80700/T; CDRL A006, DI-ATTS-80041A/T).

12.2.1 Software Integration

The Contractor shall identify and define the TPS software integration and Government acceptance processes, to include adherence to Contractor and Organic software workload divisions, Engineering Evaluation and Test (EET), what hardware the TPS software will be tested/executed on, software demonstration processes, software delivery requirements. (CDRL A005, DI-MCCR-80700/T; CDRL A006, DI-ATTS-80041A/T).

13.0 Data

13.1 ATE Data

The Contractor shall identify and define processes to update all affected ATE data (as appropriate) which may include ATP updates, R-IAIS Reliability Calculation Reports, General Specification and Slash Sheets, engineering data (to include drawings), spares calculation data, reference material embedded in C&S software, affected Tech Orders, and provisioning / logistics data to support end-user operation of the delivered hardware (CDRL A002, DI-SESS-8100E, CDRL A003, DI-ALSS-81557/T; CDRL A007, DI-MISC-80508B/T; A00E, DI-TMSS-80067).

13.2 SERD Data

The Contractor shall identify and define processes to update all affected SERD data (as appropriate) which may include SERD development and/or SERD revisions, Tech Order updates for LM Aero managed Tech Orders, Country Specific Tech Orders, or ATOS managed Tech Orders; engineering data (to include drawings), ACPINs Updates, and provisioning / logistics data to support end-user operation of the delivered hardware (CDRL A009, DI-SESS-81758A; A00E, DI-TMSS-80067; CDRL A002, DI-SESS-8100E; CDRL A003, DI-ALSS-81557/T; CDRL A007, DI-MISC-80508B/T).

14.0 Program Management

The Contractor shall establish and implement a program management office function to manage all technical performance, including reliability, maintainability, schedule, and data delivery requirements of the contract. The Program Manager shall serve as the main point of contact for this effort. The Contractor shall provide a monthly performance report. (CDRL A001, DI-MGMT-80227/T)

14.1 Quality Assurance / Certifications

The Contractor shall establish, document, and maintain a quality system such as International Organization for Standardization (ISO) 9001:2008 as a means of ensuring that the requisite quality assurance oversight is exercised in fulfilling the requirements of this effort. The contractor shall maintain Capability Maturity Model Integration (CMMI) Level 3 Certification (appraised and maintained at Level 3) throughout the duration of this effort.

14.2 Security

The Contractor shall comply with the security requirements detailed on the DD Form 254.

14.3 Travel

The Contractor shall provide rationale for the purpose of the travel and necessary process to support this Sample Task. The Contractor will travel to the following locations for the trip durations identified below unless otherwise directed by the Government:

All travel for the prime contractor shall be proposed at Task Order level in support of requirements of this Sample Task, and is subject Government authorization prior to travel.

15.0 Period of Performance

The POP for this effort, to include hardware and software delivery, Installation and Checkout (ICO), and repair of deficient ICO hardware is from date of award plus 24 months.

16.0 Place and Hours of Performance

Work will be performed at both contractor and end-user facilities.

When working at end-user facilities, work will be accomplished during normal duty hours unless otherwise approved by site personnel.

Contractor personnel shall not report to end-user facilities to work nor remain at work locations any time the end-user is unexpectedly required to close their facilities. The Contractor shall not be compensated for end-user facility closures. The Contractor shall be responsible for notifying contractor staff during times of facility closure.

17.0 Government Furnished Equipment (GFE)

If GFE is needed for SERD acceptance testing or software development activities, the Contractor shall explain proposed approach to submit a DD Form 610 to the COR that details what GFE is needed (by Part Number), when the GFE is required, and the estimated duration of GFE usage, as soon as possible after “hypothetical” Sample Task contract award. The GFE will be provided not later than one month after receipt of the GFE request. The Contractor shall return the GFE to the Government per directions provided by the COR. In the event the Government cannot provide the requested GFE by the requested contractor need date, the Contractor is authorized a delay in schedule (as identified by the Contractor) in order to accommodate the delay in receiving the GFE necessary to complete the task.

ATTACHMENT 2: Sample Task 2 - FMS

Contract Data Requirements List (DD Forms 1423)

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

b. COPIES

8. APP CODE

SUBMISSION

a. ADDRESSEE

Draft Final

A

Reg

Repro

16. REMARKS:

Block 4: Delete block 7 and paragraphs 10.2, 10.3(a, c, d, g-k) of DI-MGMT-80227. Reports shall be submitted and exchanged electronically, in Microsoft ® Office 2000 product suite or later and/or Microsoft ® Project format. The Requiring Office identified in Item 6 may specify alternate or additional formats.

Block 11: Status shall be reported from the 16th to the 15th of each month.

Blocks 12 and 13: Submit NLT the 15th of each month for duration of contract after first full period ARO.

Block 14: Deliver to addressees via electronic transmission.

416 SCMS/GUMAA

6070 GUM LANE

BLDG 1213

HILL AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 GUM LANE

BLDG 1215

HILL AFB, UT

84056-5825

1*

* - each submission

15. TOTAL

1*

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

SUBMISSION

a. ADDRESSEE

Draft Final

16. REMARKS:

Drawings shall be IAW ASME Y14.100 (including Appendices B, C, D, E), ASME Y14.3M, ASME Y14.34M, ASME Y14.35M.

Blk 4: DI-SESS-81000E and Technical Data Package Option Worksheet (Defined in MIL-STD-31000) are applicable. Tailoring to DID per TDP Option Selection Worksheet.

Blocks 10, 12, and 13:

If changes to the drawings previously submitted to OO-ALC under IAIS-series development programs occur, the Contractor shall submit these drawings to the Government and the first submission of the Product Drawings and Associated Lists shall occur not later than 60 days after delivery of the first production unit and quarterly thereafter.

The Contractor shall include a Metadata spreadsheet formatted in accordance with instructions provided by OO-ALC/TIEDA with all Product Drawing and Associated List submittals.

Block 14:

Product Drawings and Associated Lists, and the Metadata spreadsheet shall be submitted on CD-ROM disk to:

418 SCMS/GULABA

Attn: Ms. Denise Hunt 6032 Fir Avenue, Bldg 1237 Hill AFB, UT 84056-5820

Submit Letter of Transmittal for Product Drawings to 416 SCMS/GUMAA electronically to nicole.checketts@us.af.mil

416 SCMS/GUMAA

6070 Gum Lane Bldg. 1213 Hill AFB, UT 84056-5825

418 SCMS/GULABA

(See Block 16)

LT

15. TOTAL

1*

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

SUBMISSION

a. ADDRESSEE

Draft Final

A

16. REMARKS:

Blocks 10, 12,and 13:

The Contractor shall submit these drawings to the Government not later than 60 days after the design has been released and concurrent with submission of provisioning data to the Government. If changes to the design are implemented that impact assignment of NSN or SMR codes after initial submission, the new data shall be submitted at the earliest opportunity consistent with good management practice. Coordinate method of delivery for Supplemental Data for Provisioning for OO-ALC/LGMPB with Mr. David Dominguez prior to shipping data.

Submit Letter of Transmittal for Supplemental Data for Provisioning electronically to 416 SCMS/GUAA.

416 SCMS/GUMAA

6070 Gum Lane Bldg. 1213 Hill AFB, UT nicole.checketts@us.af.mil

OO-ALC/LGMPB

david.dominguez@hill.af.mil

LT

15. TOTAL

1*

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

SUBMISSION

a. ADDRESSEE

Draft Final

A

16. REMARKS:

BLOCK 4: Contractor shall provide source and executable TPS and OFP object code, as required. Source and executable code shall be delivered on separate disks and marked with the appropriate CPIN number and classification of the software.

BLOCK 12: If required, submittal shall not be later than 20 days after shipment of the TPS ITA and ancillary equipment. The submission shall be made using media, procedures, and processes compatible with previous AIS-series software submissions.

BLOCK 14: Letters of Transmittal to 516 SMXS/MXDEE shall be submitted via e-mail scott.hastings@hill.af.mil . Software media shall be delivered (hand-carried or mailed) to the office symbol identified in Block 14 and in the quantities stipulated below.

For Ogden managed software, the delivery shall include 2 executable disks and one source code disk. For Oklahoma City or Warner Robins-managed software, the delivery shall include 3 executable disks and two source code disks.

516 SMXS/MXDEE

416 SCMS/GUMAA

Attn: Nicole Checketts 6070 Gum Lane, Bldg 1213

See Item 16

LT

Only

15. TOTAL

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

SUBMISSION

a. ADDRESSEE

Draft Final

A

16. REMARKS:

Block 4:

a. STS(s) Volume I and Volume II shall be submitted for each new or modified Line Replaceable Unit (LRU) and Interface Test Adapter (ITA).

b. STS(s) Volume I for modified LRUs, ITAs, and ATE shall be consistent with the original STS format.

c. STS(s) Volume II for new or modified LRUs, and STS(s) Volume I for new LRUs shall be prepared in accordance with the General Development Specification for F-16 Test Program Sets, document 16FWSEA01.

d. The STS(s) Volume II for new or modified ITAs and STS(s) Volume I for new ITAs shall be prepared in accordance with the General Development Specification for F-16 Test Program Sets, document 16FWSEA01.

e. STS(s) Volume I and II shall be submitted and exchanged electronically in Microsoft Office 2000 or product suite or later.

Block 8:

Government approval/comments will be provided by 516 SMXS/MXDEE.

a. Government comments will be provided within 30 days of receipt of initial submittal. If no comments are received within 30 days, the Contractor shall consider the submittal to be approved.

b. If Government comments are received, the Contractor shall incorporate the comments within 30 days of receipt and resubmit to the Government for approval.

Blocks 10 and 12:

a. For LRU/ITA/ATE software that requires System Compatibility Test (SCT):

1) STS(s) Volume I only shall be submitted no later than 30 calendar days prior to SCT.

2) STS(s) Volume II shall be submitted for approval concurrent with release of the associated program.

516 SMXS/MXDEE

416 SCMS/GUMAA

Attn: Nicole Checketts 6070 Gum Lane, Bldg 1213

LT

Only

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

SUBMISSION

a. ADDRESSEE

Draft Final

A

16. REMARKS:

Blocks 10 and 12:

b. For LRU/ITA/ATE software which does not require SCT: STS(s) Volume I and/or II shall be submitted for approval concurrent with unlimited release of associated test program.

Block 13:

a. Final approved copies shall be distributed no later than 30 calendar days after Government approval. If approved as written and originally submitted, previous distribution will not be duplicated.

b. Additional copies of STS(s) Volume I and II shall be delivered as requested.

Block 14:

Letters of Transmittal to 516 SMXS/MXDEE shall be submitted via e-mail electronically. Copies of the STS shall be mailed to the office symbol identified in Block 14 and in the quantity indicated.

15. TOTAL

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

SUBMISSION

a. ADDRESSEE

Draft Final

A

16. REMARKS:

Block 4: Use DID as a guide. Contractor format is acceptable.

a. Contractor shall generate a Recommended Spares List, a Special Tools/Ancillary Support Equipment List, Reliability Calculation Report, General Specification Update, and Field Service Bulletin.

Blocks 10, 12, and 13: Reports and dates of submission shall be as requested by each delivery/Task Order.

Block 14: Hardcopy or electronic media is acceptable. Electronic media shall be in Microsoft Office 2000 product suite or later.

416 SCMS/GUMAA

6070 Gum Lane Bldg. 1213 Hill AFB, UT

15. TOTAL

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

SUBMISSION

a. ADDRESSEE

Draft Final

N/A

16. REMARKS:

1. Block 3: Support Equipment Recommendation Data (SERD) Reference Documents:

SAE-GEIA-STD-0007, Logistics Product Data GEIA-HB-0007, Logistics Product Data Handbook (Para 3.5 and 4.1.3) TA-HB-0007-1, Handbook and Guide for Logistics Product Data Reports

2. Block 4: Contractor format is acceptable

3. Block 9: DISTRIBUTION STATEMENT D: Distribution Authorized to Department of Defense and their contractors for administrative purposes. Date of determination, April 2013. Other requests for this document shall be referred to AFMC OL: H/PZBB.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751 et seq.) or Executive Order 12470. Violation of the export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25 and AFI 61-204.

DISTRIBUTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Chapter 5, Section 7, Para705 or DoD 5200.1-R, Information Security Program, Chapter 6. For unclassified limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Blocks 10, 11, 12, 13: Reports and dates of submission shall be as requested by each Delivery Order.

5. Block 14: Hardcopy of electronic media is acceptable. Delivery Order to define format and media type.

FOB Destination

416 SCMS/GUMAA

6070 Gum Lane Bldg. 1213 Hill AFB, UT

AFMC OL:H/PZBB

Bldg. 1215 Hill AFB, UT 84056-5825

SEE BLK 16

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

SUBMISSION

a. ADDRESSEE

Draft Final

A

16. REMARKS:

1. Block 4: Use the tailored TM-86-1N as a guide and submit in contractor format.

2. Block 9: DISTRIBUTION STATEMENT D: Distribution Authorized to Department of Defense and their contractors for administrative purposes. Date of determination, April 2013. Other requests for this document shall be referred to AFMC OL:H/PZBB WARNING: This document contains technical data whose export is restricted by Arms Export Control Act (Title 22, U.S.C., Sec 2751 et seq.) or Executive Order 12470. Violation of these export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25 and AFI 61-204.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 522.22-M, National Industrial Security Program Operating Manual (NISPOM), Chapter 5, Section 7, Para 705 or DoD5200.1-R, Information Security Program, Chapter 6. For unclassified limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

3. Blocks 10, 11, 12, 13: Reports and dates of submission shall be as requested by the Delivery Order.

4. Block 14: Will be delivered in electronic format. Delivery Order to define format.

416 SCMS/GUMAA

6070 Gum Lane Bldg. 1213 Hill AFB, UT

AFMC OL:H/PZBB

Bldg. 1215 Hill AFB, UT 84056-5825

SEE BLK 16

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

SUBMISSION

a. ADDRESSEE

Final

16. REMARKS:

Blocks 4 and 14: Data Item Description (DID) is tailored to delete MIL-STD-973. Provide update information for LM Aero ACMS report of all IAIS Automatic Test Equipment (ATE) and Optical Test Bench (OTB) Configuration Items (CIs) delivered including the CI modification status and the Class I change status. Report shall contain the following elements, as applicable:

a. Part I – CI Delivery Report

(11) ECPs Incorporated (Latest ECP Only (Paper)

b. Part II – CI Modification Status Report: To be provided in paper form.

(1) CI Number

(2) CI Nomenclature

(3) CI Part Numbers

(4) ECP Number

(5) ECP Title

(6) Retrofit Effectivity (Inclusive)

(7) Serial Numbers Modified

(8) Exclusion Data (By SERNO)

(9) Date of Modification (Q.C. Acceptance)

(10) Location of Modification

(11) Delivery Date (*)

(12) DD Form 250 Number (*)

(13) Destination of Shipment (*)

Attn: Nicole Checketts

416 SCMS/GUMAA

6070 Gum Lane, Bldg. 1213 Hill AFB, UT

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

AIS/PSI

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

SUBMISSION

a. ADDRESSEE

Final

16. REMARKS:

(14) Contract Number (*)

(*)Data applicable when modification/retrofit is performed at contractor’s facility and delivery of modified equipment is made via DD Form 250. NOTE: When commercial shippers are required in lieu of DD Form 250, their identifying numbers shall be used. CI Modification Status Report to contain only verifiable data as reported to the Contractor.

c. Part III – Change Status Report

(1) Paper, Part of Delivery Report Part I:

(a) Contractor ECP Number (Submitted)

(b) ECP Description

(c) ECP Approval Status

(d) Contractual Authorization

(e) Production Effectivity (Inclusive SERNOs)

(f) Retrofit Effectivity (Inclusive SERNOs)

(2) Part of ECP as applicable:

(a) Kits required

(b) Kit Part Number (Contractor)

(c) TCTO Identification (When Applicable)

(d) Service Bulletin Identification (When Applicable)

2. Blocks 10, 12, 13:

a. Part I Delivery Report Information – 20 days after each equipment delivery.

b. Part II CI Modification Status Report – 20 days after completion of modification.

c. Part III Change Status Report Information – As required and incorporated in Part I Delivery Report and/or ECP information.

Submit Letters of Transmittal to 416 SCMS/GUMAA shall be submitted via e-mail to nicole.checketts@us.af.mil .

15. TOTAL

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