2727941_CDRL1_REPORT.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

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, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER X

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

FD20601900152

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV)/Government Furnished Material Report

3. SUBTITLE

GFM End Item Reporting

4. AUTHORITY

DI-MGMT-81634C/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

SEE BLK 16 FOR REFERENCE

6. REQUIRING OFFICE

410 SCMS/GULB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Gregory-Benz, Leigh ANAME: 06 FEB 2019DATE:

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 5: Contract Reference: PWS Paragraph 4.3.2 and CAV AF 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 IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

4. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in 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 FA8251. MARK FOR: Address in block 14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

leigh.gregory@us.af.mil

COORDINATORS:

15. TOTAL

G. PREPARED BY

Gregory-Benz, Leigh A

410 SCMS / GULB

478-327-3318

H. DATE

08 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

VICIOSO.JOHAN.M.1294137579

410 SCMS / GUEA 478-222-2114 / 472-2114

J. DATE

08 FEB 2019

Page 1 of 6DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 20 Feb 2019

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

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

FD20601900152

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV) Reporting

3. SUBTITLE

CFM End Item Reporting

4. AUTHORITY

DI-MGMT-81838/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

SEE BLK 16 FOR REFERENCE

6. REQUIRING OFFICE

410 SCMS/GULB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Gregory-Benz, Leigh ANAME: 06 FEB 2019DATE:

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 5: Contract Reference: PWS Paragraph 4.3.2 and CAV AF 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 IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

4. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in 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 FA8251. MARK FOR: Address in block 14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

leigh.gregory@us.af.mil

COORDINATORS:

15. TOTAL

G. PREPARED BY

Gregory-Benz, Leigh A

410 SCMS / GULB

478-327-3318

H. DATE

08 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

VICIOSO.JOHAN.M.1294137579

410 SCMS / GUEA 478-222-2114 / 472-2114

J. DATE

08 FEB 2019

Page 2 of 6DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 20 Feb 2019

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

TDP TM OTHER X

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

FD20601900152

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

CDM Production Monthly Status Report

4. AUTHORITY

DI-PSSS-81995/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph: 4.3.2

6. REQUIRING OFFICE

410 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Gregory-Benz, Leigh ANAME: 06 FEB 2019DATE:

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

1. Block 4:

a. All 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-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 5 (five) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the (Requiring Office), Program Manager (PM) or the Production Management Specialist (PMS),

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

3. Block 9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office)

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are 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 IAW 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.

15. TOTAL

Page 3 of 6DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 20 Feb 2019

4. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

leigh.gregory@us.af.mil

COORDINATORS:

G. PREPARED BY

Gregory-Benz, Leigh A

410 SCMS / GULB

478-327-3318

H. DATE

08 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

VICIOSO.JOHAN.M.1294137579

410 SCMS / GUEA 478-222-2114 / 472-2114

J. DATE

08 FEB 2019

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

TDP TM OTHER X

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

FD20601900152

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Annual Government Property Physical Inventory Report

4. AUTHORITY

DI-MGMT-80441C/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph: 4.3.2

6. REQUIRING OFFICE

410 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ANNLY

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Gregory-Benz, Leigh ANAME: 07 FEB 2019DATE:

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

1. Block 4:

a. All 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 of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

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

3. Block 9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office).

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are 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 IAW 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.

15. TOTAL

Page 4 of 6DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 20 Feb 2019

4. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

leigh.gregory@us.af.mil

COORDINATORS:

G. PREPARED BY

Gregory-Benz, Leigh A

410 SCMS / GULB

478-327-3318

H. DATE

08 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

VICIOSO.JOHAN.M.1294137579

410 SCMS / GUEA 478-222-2114 / 472-2114

J. DATE

08 FEB 2019

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

TDP TM OTHER X

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

FD20601900152

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

NONE

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS, PARA. 4.3.3

6. REQUIRING OFFICE

410 SCMS/GULB

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLK. 16

12. DATE OF FIRST

SUBMISSION

SEE BLK. 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK. 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Tobias, Mario ANAME: 06 FEB 2019DATE:

Block 10-12: Contractor shall deliver a Counterfeit Prevention Plan (CPP) within 30 business days after contract award.

Government comments will be provided to the contractor within 14 business days after receipt, with contractor re-submittal due 7 business days after receipt of comments. Updates to the CPP shall be provided to the Government within twenty (20) business days after the initial counterfeit part(s) identification/notification.

Block 13: Updates to the CPP shall be provided within twenty (20) business days after each additional counterfeit part(s) identification/notification.

Block 14. Submittal shall be made using Wide Area WorkFlow (WAWF) and accepted by the Government. When notification is submitted in WAWF the contractor shall provide email notification to gus.monos.1@us.af.mil, Contracting Officer Representative (COR). Document submission shall be provided electronically via Microsoft Office word format (doc) or Portable Document Format (PDF). Changes to office symbols and/or e-mail addresses, shall be made by letter to the PCO & ACO without further revision to this Contract Data Requirements List (CDRL). POC information for CDRL Delivery is listed in below.

BLOCK 14: Contract Data Requirements List (CDRL) POC information for Distribution List is below:

410 SCMS/GUEA, ATTN:

Program Engineer Email: mario.tobias@us.af.mil

410 SCMS/GULB, ATTN:

Program Manager Email: gus.monos.1@us.af.mil

410 SCMS/GULB, ATTN:

Program Equipment Specialist Email: james.bergstrom.2@us.af.mil

COORDINATORS:

410 SCMS/GUEA

235 Bryon Street Suite 19A Robins AFB, GA 31098-1813

0 1 0

0 1 015. TOTAL

Page 5 of 6DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 20 Feb 2019

G. PREPARED BY

Gregory-Benz, Leigh A

410 SCMS / GULB

478-327-3318

H. DATE

08 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

VICIOSO.JOHAN.M.1294137579

410 SCMS / GUEA 478-222-2114 / 472-2114

J. DATE

08 FEB 2019

Page 6 of 6DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 20 Feb 2019