CDRLS.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB No. 0704-0 188

The public reporting burden for this collection of information is estimated to average 1 10 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 ol 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 serson 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

A-b Monitor, Television (CCTVS)

E. CONTRACT/PR NO.

FD2020-20-00007

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility (CAV) Reporting

3. SUBTITLE

End Item Reporting

4. AUTHORITY (Data Acquisit/on Document No.)

DI-MGMT-8 1838

5. CONTRACT REFERENCE

PWS Paragraph: 4.4.1

6. REQUIRING OFFICE

416 SCMS/GUMBC

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

KT/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

IReg 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. 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 a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil, using DODAAC FA8212. MARK FOR: Address in block 14A.

c. The contractor shall submit a Letter of Transmittal (LT) in the month the delivery order is completed, covering all reports transmitted for that order. The Letter of Transmittal (LT) shall be submitted via e-mail to the following e-mail address: 4165CM5.CDRL.Workflow@us.af.mil

2. Block 10: The Contractor reporting requirements to CAY AF shall be accomplished daily and/or within one (1) business day of a maintenance action JAW Contractor Users Guide.

3. Block 11: Data shall be current within one (1) business day of the last End Item maintenance occurrence and reflect an accurate representation/status of all assets at a contractor for repair.

4. Block 12: Date of first submission shall be within one (1) business day following a maintenance transaction after the contract award date and Government training as specified JAW CAY AF Users Guide.

5. Block 13: Date of subsequent submittal(s) shall be within one (1) business day of each End Item maintenance action/occurrence.

416 SCMS/ 1

GT.JMBC

6071 Gum Lane Bldg. 1223

Hill AFB, UT.

84056-5826

SEE BLK 16

15. TOTAL 0 1 0

C. PREPARED Y:(Contr orD

M er

Knstin O'D449

H. DATE

31 July 2019

I. APPROVED BY:(Log. Mgt. Specialist)

Kenneth

J. DATE

31 July 2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE US -. 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 reviewinginstructions 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, ncluding suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports )0701-0188), 1218 Jefferson Davis Highway, Suite 1204, Arlington, VA 222Q2-4302. Respondents s)iould be aware thpt notwithstanding any other provision of law 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:

TDP TM OTHER

D. SYSTEM/ITEM

A-b Monitor, Television (CCTVS)

E. CONTRACT/PR NO.

FD2020-20-00007

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

CDM Production Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-8 1995

5. CONTRACT REFERENCE

PWS Paragraph 4.4.2

6. REQUIRING OFFICE

416 SCMS/GUMBC

7. DO 250 REQ

LT

9. DIST STATEMENT

REQUIRED

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

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

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

CDRL.

1. Block 4: Format shall be provided in the format of Table I.

2. Block 7, 14: The Contractor shall submit a letter of transmittal (LT) and the CDM Production Monthly Status Reports via email to the following email addresses:

416SCMS.CDRL.Workfiow@us.af.mil kenneth.ospital@us.af.mil

3. 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. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (July 2019). Other requests for this document shall be referred to (416 SMCS/GUMBC, Hill AFB, Ut. 84056-5826).

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:

416 SCMS/ 1

GUMBC

6071 Gum LN Bldg. 1223 Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G. PREPARED Y (Contia orDataMa ager

Kristin OtDell))A )

H. DATE

31 July 2019

I. APPROVED BY:(Log.Mgt.Speci ist

KennethOspitr.

J. DATE

-31 July 2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 14231, FEB 2001 PREVIOUS EDITION MAY BE USED7 Page 1 of 2 Pages

(y

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

A TDP TM OTHER

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

A-lU Monitor, Television (CCTVS) FD2020-20-00007

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. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 10 (Ten) 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/GUMBC Logistic Management Specialist (LMS) or the Production Management Specialist (PMS).

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report".

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 reviewinct instructions searchina existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information Send comments regarBing this burden estimale or any other aspect or this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for lnforqtation Operations and Reports 0701-01881, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents siiould 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 B.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

MGMT

TDP TM OTHER

D. SYSTEM/ITEM

A-b Monitor, Television (CCTVS)

E. CONTRACT/PR NO.

FD2020-20-00007

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 No.)

DI-MGMT-80441C

5. CONTRACT REFERENCE

PWS Paragraph: 4.4.3

6. REQUIRING OFFICE

416 SCMS/GTJMBC

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

1'

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. Block 7, 14: The Contractor shall submit a letter of Transmittal (LT) and the Annual Government Property Physical Inventory Report via email to the following email addresses:

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

2. 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. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (July 2019). Other requests for this document shall be referred to 416 SMCS/GUMBC.

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 275 1, 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 ofDoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual NIESPOM), 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.

416 SCMS/ 1

GUMBC

6071 Gum LN Bldg. 1223 Hill AFB, UT

84056-5 825

SEE BLK 16

15. TOTAL

G. PREPARED : (Contra or Data Manager)

Kristin 1h13

H. DATE

31 July 2019

I. APPROVED BY: (Log. Mgt. Spe st)

Kenneth

J. DATE

31 July 2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE Page 1 of 2 Pages

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

A TDP TM OTHER MGMT

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

A-b Monitor, Television (CCTVS) FD2020-20-00007

16. REMARKS (Continued)

3. 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 current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

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 or this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports ç07O1 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222Q2-4302. Respondents should be aware that notwithstanding any other provision of law no person shall be subiect 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:

M SC

TDP TM OTHER

0. SYSTEM/ITEM

A-1O Monitor, Television (CCTVS)

E. CONTRACT/PR NO.

FD2020-20-00007

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 Acqu/s/tion Document No.)

DI-MISC-82003/T

5. CONTRACT REFERENCE

PWS Paragraph: 4.4.5

6. REQUIRING OFFICE

416 SCMS/GUMBC

7. DD 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

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

SUBMISSION

SEE BLK 16

Draft Final

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

2. Blocks: 7, 14: The contractor shall submit a Letter of Transmittal (LT) on the last day of the month in which transactions occurred, coveting all reports transmitted electronically for the preceding month. The Letter of Transmittal (LT) shall be submitted via email to the following email address:

kenneth.ospital@us.af.mil

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

GUMBC

6071 Gum LN

Bldg. 1223 Hill AFB, UT.

84056-5 825

SEE BLK 16

15.TOTAL ¯ 0 1 0

G. PREPARED BY ( ontracto ata Manager)

Kristin ODell ()J,)

H. DATE

31 July 2019

I. APPROVED BY: (Log. Mgt. Speciali

Kenneth

J. DATE

) 31 July 2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.1,I Page1 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 regar8ing 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 0701-01881, 1i15 Jefferson Davis Highway, Suite 1204, Arlington, VA 222Q2-4302. 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

A-b Monitor, Television (CCTVS)

E. CONTRACT/PR NO.

FD2020-20-00007

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

PWS Paragraph: 4.4.6

6. REQUIRING OFFICE

416 SCMS/GUMBC

7. DO 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

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

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. Block 4: Contractor format is acceptable.

2. Blocks 7, 14: The contractor shall submit a Letter of Transmittal (LT) and the Monthly Status Report via e-mail to the following e-mail address:

kenneth.ospital@us.af.mil

3. 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). (July 2019). Other requests for this document shall be referred to (416 SCMS/GUMBC, Hill AFB, UT 84056-5826).

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

416 SCMS/ 1

GUMBC

6071 Gum Lane Bldg. 1223

Attn:

Log. Mgt.

Specialist (LMS) Hill AFB, UT 84056-5826

SEE BLK 16

15.TOTAL 0 1 0

G. PREPARED

Kristin OTDellJj)Y: (Contri or Data Manager)

Q

H. DATE

31 July 2019

I. APPROVED BY; (Log. Mgt. Specialist)

Kenneth Ospitai'

J. DATE

J,J July 2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 1423-1, FEB 2001 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

A-b Monitor, Television (CCTVS) FD2020-20-00007

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.I -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.

DF) FORM 142-1 FER 7fl01 Paae of

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 regarSing this burden estimate or any other aspect at this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports 10701-0188), 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 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

A-b Monitor, Television (CCTVS)

E. CONTRACT/PR NO.

FD2020-20-00007

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

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

3. SUBTITLE

JUID Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-8 1804A/T

5. CONTRACT REFERENCE

PWS Paragraph: 4.4.8

6. REQUIRING OFFICE

416 SCMS/GUMBC

7. DD 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

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

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

1. Block 4: Contractor's format is acceptable using Microsoft Office 2013 compatible products (Word, Power point) or Adobe Portable Document Format

(PDF).

2. Blocks 7, 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. DCMA inspector/acceptor may request a hard copy at the contractor's facility during the time of inspection and acceptance.

3. Blocks 8, 10, 11, 12, 13: First submission of the report due NLT ninety (90) calendar days after contract award and monthly thereafter. DCMA will review and provide comments in coordination with the A-i 0 CCTVS Program Office NLT seven (7) calendar days following receipt. Final report is due NLT seven (7) business days after receipt and incorporation ofDCMA comments.

4. 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). (July 2019). Other requests for this document shall be referred to (416 SCMS/GUMBC, Hill AFB, UT 84056-5826).

DCMA 1

SEE BLK 16

15. TOTAL 0 1 0

G. PREPARED BY: (C ntra rData Manager)

Knstin O'Dell /t()

H. DATE

31 July 2019

I. APPROVED BY: (Lo . Mgt. Sp

Kenneth Ospita i' DATE

31 July 2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 1423-1, FEB 2001"

PREVIOUS EDITION MAY BE USED. "Page of 2 Pages

-V

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

A TDP TM OTHER MGMT

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

A-b Monitor, Television (CCTVS) FD2020-20-00007

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 ofDoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Ui1.1t1&F .kA¯ Paae ') of ') Paciee

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 searc)iing existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burçlen estimate or any other aspect or 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 doesnot 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 ContractlF'R No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

B

C. CATEGORY:

MISC

TDP TM OTHER

D. SYSTEM/ITEM

A-b Monitor, Television (CCTVS)

E. CONTRACT/PR NO.

FD2020-20-00007

F. CONTRACTOR

1. DATA ITEM NO.

BOO1

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-8 1832

6. CONTRACT REFERENCE

PWS Paragraph: 4.4.4

6. REQUIRING OFFICE

416 SCMS/GUMBC

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

OTIME

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

SUBMISSION

SEEBLK16

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. Blocks 7, 14:

a. The contractor shall submit the 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. The contractor shall send the Contractors Counterfeit Protection Plan (CPP) and notice ofposting to (WAWF) via e-mail to the following e-mail address: charles.reveal@us.af.mil

2. 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 comments.

3. 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). (July 2019). Other requests for this document shall be referred to (416 SCMS/GUMBC, 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/

GTJIMBC

6071 Gum LN Bldg. 1223 Aftn: A-lU CCTVS

Engineer Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G. PREPARED Y (Contra Data Manager)

Kristin O'Dell )2J (C') //),,J2

H. DATE

31 July 2019

I. APPROVED BY: (Log. Mgt. S e as

Kenneth

J. DATE

21 July 2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE P1 of 2 Pages

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

MISC

B TOP TM OTHER

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

A-b Monitor, Television (CCTVS) FD2020-20-00007

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 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.

DO FOHIVI 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 searcjiing existing data sources, ciathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect ol this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for nforrpation Pperations 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 t does not display a currently valid 9MB 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/IA No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

B

C. CATEGORY: MGMT

TOP TM OTHER _______________________________

D. SYSTEM/ITEM

A-b Monitor, Television (CCTVS)

E. CONTRACT/PR NO.

FD2020-20-00007

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

Item Unique Identification (IUTD) Marking Plan

3. SUBTITLE

TUID Marking Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-8 1803!T

5. CONTRACT REFERENCE

PWS Paragraph: 4.4.7

6. REQUIRING OFFICE

416 SCMS/GUMBC

7. DO 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

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

NOTE: 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.

1. Block 4: Contractor's format is acceptable using Microsoft Office 2013 compatible products (Word, Power point) or Adobe Portable Document Format

(PDF).

2. Blocks7,14:

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: First 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 addresses:

kenneth.ospitalus.af.mil jeffrey.moody.6@us.af.mil

3. Blocks 8, 10, 11, 12, 13: The contractor shall deliver the IUID Plan as required NLT sixty (60) 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.

4. 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). (July 2019). Other requests for this document shall be referred to (416 SCMS/GUIMBC, Hill AFB, UT 84056-5826).

416 SCMS/ 1

GUMIBC

6071 Gum LN Bldg. 1223

Hill AFB, UT.

84056-5825

SEE BLK 16

AFMC PZABB/ I

6050 Gum LN

BLDG 1215

HILL AFB, UT

84056-5825

SEE BLK 16

'I5.TOTAL 0 2 0

G. PREPARED BY.( ontractor ataManager)

Kristin O'Dell \'T

H. DATE

31 July 2019

I. APPROVED BY(Log.Mgt.Specia1is

Kenneth Ospif

J. DATE

31 July 2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

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

B TDP TM OTHER MGMT

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

A-b Monitor, Television (CCTVS) FD2020-20-00007

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 Anus 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 (NTSPOM), 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.