CDRLS_1 _2 _3 _4 _5 _8 _9 _10.pdf
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- Synopsis for Contractor Logistics Support (CLS) for the Advanced Digital Test Station (ADTS) Federal contract opportunity
- Solicitation number
- FA8519-13-R-30000
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CDRLS A001 A002 A003 A004 A005 A008 A009 A0010
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CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
B-1B ADTS FD2060-13-30000
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001
CONTRACTOR'S PROGRESS, STATUS, AND MANAGEMENT
REPORT
NONE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-80227 PWS para 4.1, 4.4.1, and 4.7.5 WNAAB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED MTHLY 60 DAYS ARO
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
5TH MTHLY Reg Repro
16. REMARKS PROGRAM MANAGER 1
BLOCK 14:
DATA DELIVERY TO WNKBBA SHALL BE WITHOUT ENCLOSURE.
NOTE:
DATA SHALL BE SUBMITTED "ELECTRONICALLY" IN MICROSOFT OFFICE FORMAT.
AFLCMC/WNAAB
ENGINEER 1
AFLCMC/WNAEA
EQUIPMENT SPECIALIST 1
AFLCMC/WNAAA
CONTRACTING 1
AFLCMC/WNKBBA
15. TOTAL ▬▬▬▬► 4
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DAVID RINGLEY, WNAEA
1 Nov 2012
BARABARA BASS, WNABB
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 FNCL
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
B-1B ADTS FD2060-13-30000
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 DEPOT MAINTENANCE COST REPORT NONE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-FNCL-80462 PWS para 4.2.3 WNAAB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED SEMIA BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
A BLOCK 16 BLOCK 16 Reg Repro
16. REMARKS PROGRAM MANAGER 1 1 1
BLOCKS 11/12/13:
FIRST SUBMISSION OF REPORT SHALL BE SUBMITTED 180 DAYS ARO. SUBSEQUENT
DELIVERIES SHALL BE MADE SEMI-ANNAUL (EVERY 6 MONTHS) THROUGHOUT THE CONTRACT
PERIOD OF PERFORMANCE. THE GOVERNMENT WILL HAVE FIVE (5) WORKING DAYS TO
COMMENT ON SUBMITTED REPORTS. THE CONTRACTOR SHALL HAVE FIVE (5) WORKING DAYS
TO ADDRESS/INCORPORATE GOVERNMENT COMMENTS AND RE-SUBMIT REVISED REPORT.
ENGINEER 1 1
EQUIPMENT SPECIALIST 1 1
15. TOTAL ▬▬▬▬► 3 4 1
DAVID RINGLEY, WNAEA
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 QCIC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
B-1B ADTS FD2060-13-30000
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 FAILURE AND ANALYSIS TRACKING REPORT NONE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-QCIC-80131 PWS para 4.2.4 WNAAB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED QRTLY BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
A BLOCK 16 BLOCK 16 Reg Repro
16. REMARKS PROGRAM MANAGER 1 1
BLOCK 7:
WAWF SHALL BE UTILIZED.
BLOCKS 11/12/13:
FIRST SUBMISSION OF REPORT SHALL BE SUBMITTED 90 DAYS ARO. SUBSEQUENT DELIVERIES
SHALL BE MADE QUARTERLY THROUGHOUT THE CONTRACT PERIOD OF PERFORMANCE. THE
GOVERNMENT WILL HAVE FIVE (5) WORKING DAYS TO COMMENT ON SUBMITTED REPORTS.
THE CONTRACTOR SHALL HAVE FIVE (5) WORKING DAYS TO ADDRESS/INCORPORATE
GOVERNMENT COMMENTS AND RE-SUBMIT REVISED REPORT.
ENGINEER 1 1 1
EQUIPMENT SPECIALIST 1 1 1
15. TOTAL ▬▬▬▬► 3 4 2
DAVID RINGLEY, WNAEA
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
B-1B ADTS FD2060-13-30000
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A004 TECHNICAL REPORT, STUDY/SERVICES NONE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MISC-80508B PWS para 4.3 and 4.4.2 WNAEA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED BLOCK 16 BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
A BLOCK 16 BLOCK 16 Reg Repro
16. REMARKS PROGRAM MANAGER 1 1
BLOCKS 10/11/12/13:
PWS PARAGRAPH 4.3:
FIRST SUBMISSION OF REPORT SHALL BE SUBMITTED 180 DAYS ARO. SUBSEQUENT
DELIVERIES SHALL BE MADE SEMI-ANNUAL THROUGHOUT THE CONTRACT PERIOD OF
PERFORMANCE. THE GOVERNMENT WILL HAVE TEN (10) WORKING DAYS TO COMMENT ON
SUBMITTED REPORTS. THE CONTRACTOR SHALL HAVE TEN (10) WORKING DAYS TO
ADDRESS/INCORPORATE GOVERNMENT COMMENTS AND RE-SUBMIT REVISED REPORT.
PWS PARAGRAPH 4.4.2:
REPORT SHALL BE SUBMITTED WITHIN TEN (10) WORKING DAYS OF COMPLETING AN ON-SITE
TECHNICAL SUPPORT VISIT.
ENGINEER 1 1 1
DAVID RINGLEY, WNAEA
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 ILSS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
B-1B ADTS FD2060-13-30000
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A005 TRAINING MATERIALS NONE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-ILSS-80872 PWS para 4.4.3 WNAAB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED BLOCK 16 BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
A BLOCK 16 BLOCK 16 Reg Repro
16. REMARKS PROGRAM MANAGER 1 1 1
BLOCKS 10/11/12/13:
PWS PARAGRAPH 4.3:
THE TRAINING MATERIALS SHALL BE SUBMITTED NLT FIFTEEN (15) WORKING DAYS PRIOR TO
THE SCHEDULED TRAINING EVENT. THE GOVERNMENT WILL HAVE FIVE (5) WORKING DAYS TO
COMMENT ON SUBMITTED TRAINING MATERIALS. THE CONTRACTOR SHALL HAVE FIVE (5)
WORKING DAYS TO ADDRESS/INCORPORATE GOVERNMENT COMMENTS AND RE-SUBMIT
REVISED TRAINING MATERIALS.
DAVID RINGLEY, WNAEA
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 SAFT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
B-1B ADTS FD2060-13-30000
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A008 ACCIDENT/INCIDENT REPORT
TICR/DART (TOTAL INCIDENT CASE RATE/DAYS AWAY
RESTRICTED TRANSFER)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-SAFT-81563/T PWS Para.4.7.2 WNAAB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED AS REQ AS REQ
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
N/A AS REQ AS REQ Reg Repro
16. REMARKS PROGRAM MANAGER
BLOCK 4: DID PARA 2. C. THRU K. NOT REQUIRED. OTHER PERTINENT INFORMATION FOR PARA
2.L. SHALL BE EXPANSION OF DAYS OFF DUE TO INJURY. THIS SHALL BE THE SAME
INFORMATION THE CONTRACTOR REPORTS ON OSHA 300 LOG. CONTRACTOR FORMAT
ACCEPTABLE.
BLOCK 7: THE GOVERNMENT WILL ACCEPT RECEIVING REPORT THROUGH WAWF.
CONTRACTOR SHALL SUBMIT THE RECEIVING REPORT UPON FINAL SUBMISSION.
BLOCK 9: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD
CONTRACTORS ONLY. OTHER REQUESTS SHALL BE REFERRED TO THE CONTRACT
MANAGEMENT TEAM, OFFICE SYMBOL (AFLCMC/WNKBBA), STREET ADDRESS (235 BYRON ST.,
SUITE 19A), ROBINS AFB, GA 31098.
BLOCKS 10-13: CONTRACTOR SHALL SUBMIT ANNUAL UPDATES AS REQUIRED.
BLOCK 14: PROCURING OFFICER(S) E-MAIL ALONG WITH INTEGRATED PRODUCT TEAM E-MAIL
DISTRO LIST WILL BE PROVIDED AS REQUIRED. ELECTRONIC MEDIA SHALL BE PROVIDED BY
CD/DVD MEDIA IN MICROSOFT OFFICE COMPATIBLE FORMAT.
AFLCMC/WNAAB 1
ENGINEER
AFLCMC/WNAEA 1
EQUIPMENT SPECIALIST
AFLCMC/WNAAA 1
CONTRACTING
AFLCMC/WNKBBA 1
DCMA/ACO 1
15. TOTAL ▬▬▬▬► 5
DAVID RINGLEY, WNAEA
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 ENVR
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
B-1B ADTS FD2060-13-30000
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A009 ENVIRONMENTAL HEALTH AND SAFETY PLAN (HSP) SAFETY AND HEALTH PLAN
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-ENVR-81375 APPENDIX C 78 ABW/SEG
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED BLOCK 16 BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
A BLOCK 16 BLOCK 16 Reg Repro
16. REMARKS PROGRAM MANAGER 1 1
BLOCK 4 & 5:
CONTRACTOR FORMAT IS ACCEPTABLE. CONTRACTOR SHALL SUBMIT A SAFETY AND HEALTH
PLAN IN ACCORDANCE WITH THE ELEMENTS LISTED IN APPENDIX C.
THE GOVERNMENT WILL ACCEPT THE RECEIVING REPORT THROUGH WAWF. CONTRACTOR
SHALL SUBMIT THE RECEIVING REPORT UPON FINAL SUBMISSION.
BLOCK 8, 10-12:
CONTRACTOR SHALL SUBMIT A HEALTH AND SAFETY PLAN WITHIN 10 WORKING DAYS AFTER
CONTRACT AWARD. WRITTEN GOVERNMENT ACCEPTANCE/COMMENTS WILL BE WITHIN 10
WORKING DAYS AFTER RECEIPT OF DATA. CONTRACTOR FINAL SUBMISSION SHALL BE
SUBMITTED WITHIN 10 WORKING DAYS OF RECEIVING GOVERNMENT COMMENTS. ACCEPTANCE
BY THE GOVERNMENT IS REQUIRED PRIOR TO FORMAL DISTRIBUTION.
BLOCK 9:
DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS
ONLY. OTHER REQUESTS SHALL BE REFERRED TO THE CONTRACT MANAGEMENT TEAM,
AFLCMC/WNKBBA, 235 BYRON ST., SUITE 19A, ROBINS AFB, GA 31098.
BLOCK 11, 13:
IF, DURING THE PERFORMANCE OF THIS CONTRACT, CHANGES TO THE SAFETY AND HEALTH
PLAN ARE REQUIRED, SUBMIT THE REVISED SAFETY AND HEALTH PLAN TO AFLCMC/WNKBBA
(PCO OFFICE SYMBOL) AND THE SAFETY OFFICE, 78 ABW/SEG. PROCEDURES IDENTIFIED FOR
BLOCKS 8, 10-12 WILL APPLY.
PROCUREMENT OFFICER(S) E-MAIL ALONG WITH INTEGRATED PRODUCT TEAM E-MAIL DISTRO
LIST WILL BE PROVIDED AS REQUIRED. ELECTRONIC MEDIA SHALL BE PROVIDED BY CD/DVD
MEDIA IN MICROSOFT OFFICE COMPATIBLE FORMAT.
ENGINEER 1
78 ABW/SEG 1 1
675 SEVENTH ST
BLDG 707
ROBINS AFB, GA 31098
CONTRACTING 1 1
AFLCMC/WNKBB
15. TOTAL ▬▬▬▬► 3 5
DAVID RINGLEY, WNAEA
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 QCIC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
B-1B ADTS FD2060-13-30000
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A010 QUALITY PROGRAM PLAN (QPP) CONTRACTOR'S QUALITY CONTROL PLAN
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-QCIC-81722 PWS para. 4.7.7 WNAAB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED AS REQ BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
B
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
N/A 15 DAYS ARO AS REQ Reg Repro
16. REMARKS PROGRAM MANAGER 1 1
BLOCK 7: WAWF ACCEPTOR:
THE GOVERNMENT WILL ACCEPT THE RECEIVING REPORT THROUGH WAWF. CONTRACTOR
SHALL SUBMIT RECEIVING REPORT UPON EACH SUBMISSION.
BLOCK 11:
CONTRACTOR SHALL SUBMIT QPP 15 DAYS AFTER CONTRACT AWARD AND AS CHANGES
OCCUR.
THE PROCURING CONTRACTING OFFICER(S) E-MAIL ALONG WITH INTEGRATED PRODUCT TEAM
E-MAIL DISTRO LIST WILL BE PROVIDED AS REQUIRED. ELECTRONIC MEDIA SHALL BE
PROVIDED IN MICROSOFT OFFICE COMPATIBLE FORMAT.
AFLCMC/WNKBB
15. TOTAL ▬▬▬▬► 3 5
DAVID RINGLEY, WNAEA
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