CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 end 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports 0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of aw no person shall be subject to any penalty for failing to comply with a collection of information if t does not display a currently valid 0MB control number. Please DO NOT RE1'URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MGMT

TOP TM OTHER

D. SYSTEM/ITEM (GUB-18-071)

F16 RADAR MLPRF SRTJ REPAIR

E. CONTRACT/PR NO.

FD2020-19-00010

F. CONTRACTOR

1. DATA ITEM NO.

A00 1

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV) Reporting

3. SUBTITLE

CFM End Item Reporting

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81838/T

8. CONTRACT REFERENCE

SEE BLK 16 FOR REFERENCE

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

TiIN/A

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

1. Block 5: Contract Reference: PWS Paragraph 3.1 and CAV AF CFM Reporting Requirements Document

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 CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence JAW the CAV AF CFM 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 CAV AF using the CAV AF website or CICA XML.

b. The contractor shall submit aDD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil,usingDODAACFA8251. MARKFOR: Address in block 14A.

c. A Letter ofTransmittal 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:

416SCMS.CDRL.Workflow@us.af.mil

416 SCMSI 1

GTJMAD

6070 Gum LN

Bldg. 1213 Hill AFB, UT 84056-5825

SEE BLK 16

18.TOTAL

0 1 0

G. P A ED BY H. DATE

08/20/2018

I. AP OVED BYS1Z'EL ARC LETA (Prgm Mgr)

J.DATE

08/20/2018

17. PRICE GROUP

NSP

'18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 14T' F'B PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

Form Approved 0MB No. 0704-0 188

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports j07O1 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 RE1'URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM (GUB-18-071)

F16 RADAR MLPRF SRU REPAIR.

E. CONTRACT/PR NO.

FD2020-19-00010

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

CDM Production Montnly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-81995/T

5. CONTRACT REFERENCE

PWS Paragraph 3.2

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SEE BLK 16

Draft Final

'16. REMARKS

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV 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-8 1995) 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-8 1995) 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 terminated by the 416 SCMS/GUMAD, 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"

3. Block 9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (August 2018). Other requests for this document shall be referred to 416 SMCS/GUMAD.

416 SCMS/ 1

GUMAD

6070 GumLN

Bldg. 1213 Hill AFB, UT

84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G. yP7RED BY fl / /) H. DATE

08/20/2018

I. AOVED_4

Si7fl?EL ARCHIJLETA (Prgm Mgr)

J.DATE

08/20/2018

DD FORM 142'1, FE 2OO,fr' PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

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

A TOP TM OTHER

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

F16 RADAR MLPRF SRU REPAIR FD2020-19-00010

16. REMARKS (Continued)

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined 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 Arms 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 JAW 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, Information 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:

416SCMS.CDRL.Workflow@us.af.mil

P,ne nf 1 Pene

(1 Date Item)

Form Approved 0MB No. 0704-0 188

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 00 NOT RE1URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MGMT

TDP TM OTHER

D. SYSTEM/ITEM (GUB-18-071)

F16 RADAR MLPRF SRU REPAIR

E. CONTRACT/PR NO.

FD2020-19-00010

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Annual Government Property Physical Inventory Report

4. AUTHORITY (Data Acquisition Document Ns.)

DI-MGMT-80441C/T

5. CONTRACT REFERENCE

PWS Paragraph 3.3

6. REQUIRING OFFICE

416 SCMS/GIJMAD

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ANNLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

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. Block4:

a. All reports shall be submitted in the English Language.

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 the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be currant 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 (Administrative or Operational Use). (August 2018). Other requests for this document shall be referred to 416 SMCS/GUMAD.

b. EXPORT CONTROL WARNING: All technical documents/data @rinted, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

416 SCMS/ 1

GUMAD

6070 Gum LN

Bldg. 1213

Hill AFB, UT

84056-5825

SEE BLK 16

15.TOTAL

0 1 0

GREPAED BY ç H. DATE

08/20/2018

OVED,/L,

EL ARCHIJLETA (Prgm Mgr)

JDATE

08/20/2018

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD IUM 1423r1, FE2O PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

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

A TOP TM OTHER

MGMT

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

F16 RADAR MLPRF SRU REPAIR FD2020-19-00010

16. REMARKS (Continued)

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties. Disseminate JAW 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, Information 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:

4l6SCMS .CDRL.Workflow@us.af.mil

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

Form Approved 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 ci this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports 0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of aw no oerson 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 RE1'IJRN your form to the above address. Send completed form to the Government Issuing Conrtacting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

MISC

D. SYSTEM/ITEM (GUB-18-071)

F16 RADAR MLPRF SRU REPAIR

E. CONTRACT/PR NO.

FD2020-19-0001O

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Maintenance Data Collection Record (MDCR)

3. SUBTITLE

Defense Repair Information Logistics System

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-82003/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.4

6. REQUIRING OFFICE

416 SCMS/GTJMAD

7. DD 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

N/A

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMON

Draft Final

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.

2. Block 4: See attached Defense Repair Information Logistics System (DRILS) Technician Guide for instruction.

3. Block 9: No Distribution Statement is required as data shall be entered into DRILS, a maintenance data database. Reference DRILS Field Technician Guide dated, 2003.

4. Blocks: 10, 11, 12, 13:

a. Data Shall be generated by the contractor when maintenance is accomplished.

b. Data shall be entered into DRILS as the data is generated in real time.

416 SCMS/ 1

GTJMAD

6070 Gum LN Bldg. 1213 Attn:

Program Mgr Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G REP RED BY H. DATE

08/20/2018

I. APOVED BY A' J.DATE

08/20/2018

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FRM'142 -1, FEB 2O,/ PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

Form Approved 0MB No. 0704-0188

The public reporting burden for this colleotion of information is estimated to average 110 hours per response, including the time for reviewing instructiono 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, includint suggestions for reducing the burden, to Department of Defense, Washinoton Headquarters Services, Directorate for Information Operations and Reports 0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of ow 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MISC

TDP TM OTHER

D. SYSTEM/ITEM (GUB-18-071)

F16 RADAR MLPRF SRU REPAIR

E. CONTRACT/PR NO.

FD2020-19-0001O

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81832/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.5

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DO 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

10. FREQUENCY

OT1ME

12. DATE OF FIRST SUBMISSION.

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

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.

2. BLOCK 4: All data deliveries shall be submitted in the English language.

3. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and

Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil using DODAAC FA825 1. MARK FOR: Address in block 14a.

b. The contractor shall submit a Letter of Transmittal (LT) and the Contractors Counterfeit Protection Plan (CPP) via e-mail to the following e-mail address: felix.cruz@us.af.mil

4. Blocks 8, 10, 11, 12, 13: The contractor shall deliver the Counterfeit prevention Plan (CPP) NLT thirty (30) calendar days after contract award. The Government comments will be provided to the contractor within fourteen (14) calendar days after receipt. The contractor shall resubmit the CPP NLT seven (7) calendar days after receipt of Government conmients.

5. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT iDu: Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (August 2018). Other requests for this document shall be referred to (416 SCMS/GUIVIAB, Hill AFB, UT 84056-5826).

EXPORT CONTROL WARNiNG: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

416 SCMS/ 1

GUMAD

6070 Gum LN

Bldg. 1213

Attn:

Program Mgr Hill AFB, UT 84056-5825

SEE BLK 1

15.TOTAL i 0 1 0

G. P A ED BY H. DATE

08/20/2018

I.,OVED BY L

SAMUEL C L TA rgMgr)

TE

08/14/2018

DD F1M 1423-1, FE2O PREVIOUS EDITION MAY BE USED. Page 1 oi2 Pages

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

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

- A TOP TM OTHER MISC

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

F16 RADAR MLPRF SRU REPAIR FD2020-19-00010

16. REMARKS (Continued)

b. EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate lAW 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, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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

Form Approved 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports 0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of aw 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 RE1'URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

MGMT

TDP TM OTHER

D. SYSTEM/ITEM (GIJB -18-071)

F16 RADAR MLPRF SRU REPAIR

E. CONTRACT/PR NO.

FD2020-19-00010

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IIJID Marking Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-8 1803/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.6

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. 00250 REQ

DD

9. 01ST STATEMENT

REQUIRED

D

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEEBLK16

13. DATE OF SUBSEQUENT

SEEBLK16

Draft

Final

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.

2. Block 4:

a. Contractor's format is acceptable using Microsoft Office 2013 compatible products (Word, Powerpoint) or Adobe Portable Document Format (PDF).

b. All data deliveries shall be submitted in the English language.

3. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawfeb.mil using DODAAC FA8251. MARK FOR: Address in block 14a

b. The contractor shall submit a Letter of Transmittal (LT) and the IUID Marking Plan via e-mail to the following e-mail address:

samuel.archuleta@us.afmil

4. Blocks 8, 10, 11, 12, 13: The contractor shall deliver the IUTD Plan as required NLT thrity (30) days after contract award. The Government will review and provide comments NLT ten (10) business days following receipt. The contract shall then have ten (10) business days to make correction(s) and resubmit.

5. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (August 2018). Other requests for this document shall be referred to (416 SCMS/GUMAD Hill AFB, UT 84056-5826).

416 SCMS/ 1 1

GUMAD

6070 Gum LN

Bldg. 1213

Attn:

Program Mgr Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 1 1 0

G.p'REPAED BY

H. DATE

08/20/20 18

I. PROVED B

AMU L R L TA (Prgm Mgr)

J.DATE

08/20/20 18

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FOBM 1423-ic FEB 2001 PREVIOUS bUllION MAY SE USE)). Page 1 ot Pages

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

MGMT

A TOP TM OTHER

D. SYSTEM/ITEM (GUB-18-055) E. CONTRACT/PR NO. F. CONTRACTOR

F16 RADAR MLPRF SRU REPAIR FD2020-19-00010

16, REMARKS (Continued)

EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

b. EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate JAW 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, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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

Form Approved 0MB No. 0704-0 188

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports 10701-01881, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form fo the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

MGMT

TDP TM OTHER

D. SYSTEM/ITEM (GUB-18-071)

F16 RADAR MLPRF SRU REPAIR

E. CONTRACT/PR NO.

FD2020-19-00010

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

3. SUBTITLE

IUID Marking Activity & Verification Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-8 1804A/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.6

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DO 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

D

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SEE BLK 16

Draft

Final

16. REMARKS

1. NOTE:

a. Changes to office symbols andlor e-mail addresses when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

b. All data deliveries shall be submitted in the English language.

2. Block 4: Contractors format is acceptable using Microsoft Office 2013 compatible products (Word, Powerpoint) or Adobe Portable Document Format

(PDF).

3. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil using DODAAC FA8251. MARK FOR: Address in block 14a

b. DMCA inspector/acceptor may request a hard copy at the contractor's facility during the time of inspection and acceptance.

c. Contractor shall submit Letter of Transmittal (LT) and the IUID Marking Activity & Verification Report via e-mail to the following e-mail address:

camilla.zampedri@us.af.mil

4. Blocks 8, 10, 11, 12, 13: First submission of information due NLT ninety (90) days after contract award and monthly thereafter. DCMA will review and provide comments in coordination with the F-i 6 CCIU Program Office NLT seven (7) calendar days following receipt. Final report is due NLT seven (7) business days after receipt and incorporation of DCMA comments.

5. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (August 2018). Other requests for this document shall be referred to (416 SCMS/GUMAD, Hill AFB, UT 84056-5826).

DCMA 1

416 SCMS/ 1

GUMAD

6070 Gum LN Bldg. 1213

Attn

Program Mgr Hill AFB UT 84056-5825

SEE BLK 16

15.TOTAL 0 2 0

G. EPA ED BY

A ST L Y ( nt tor a gr)

H. DATE

08/20/20 18

I. AROVED BY 7,L

SIkMUE ARC (Prgm Mgr)

J.DATE

08/20/20 18

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

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

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

MGM

A TOP TM OTHER

T

D. SYSTEM/ITEM (GUB-18-055) E. CONTRACT/PR NO. F. CONTRACTOR

F16 RADAR MLPRF SRU REPAIR FD2020-19-000l0

16. REMARKS (Continued)

EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

b. EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate JAW 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. l -R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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