2293405_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

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/ALM-233 & AN/ALM-256 Signal Generator

E. CONTRACT / PR NO.

FD20601800153

F. CONTRACTOR

Anritsu

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force

3. SUBTITLE

CAV-AF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.2.2, 4.12

6. REQUIRING OFFICE

408 SCMS/GULA

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Danson, Rebecca LNAME: 04 AUG 2017DATE:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 420 SCMS/GUNAB-Robins in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DOD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 7: Enter the applicable code listed in DOD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.)

Block 9: Distribution D. Distribution authorized to Department of Defense and U.S. DoD contractors only due to operational use as of 4 August 2017. Other requests for this document shall be referred to 408 SCMS/GULA or higher DoD authority.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

15. TOTAL

G. PREPARED BY

Mancilla, Lauren M

408 SCMS / GULA

478-222-6549

H. DATE

07 AUG 2017

I. APPROVED BY

//DIGITALLY SIGNED//

MITCHELL.DOUGLAS.E.1229985813

408 SCMS / GULB 478-926-6558 / 468-6558

J. DATE

04 AUG 2017

Page 1 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 25 Oct 2017

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/ALM-233 & AN/ALM-256 Signal Generator

E. CONTRACT / PR NO.

FD20601800153

F. CONTRACTOR

Anritsu

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

IUID Marking Plan

3. SUBTITLE

Marking Plan

4. AUTHORITY

DI- MGMT- 81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.2.2, 4.9

6. REQUIRING OFFICE

AFLCMC/WNYEAA

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Danson, Rebecca LNAME: 04 AUG 2017DATE:

Block 4: Contractor format is acceptable. IUID Marking Plan shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. IUID Marking Plan shall be formatted for printing on standard 8.5" x 11" paper.

BLK 7: For invoice submittal in Wide Area Work Flow (WAWF), use ship to DoDAAC FA8522.

BLK 9: Distribution D. Distribution authorized to Department of Defense and U.S. DoD contractors only due to operational use as of 4 August 2017. Other requests for this document shall be referred to the Responsible Engineering Authority for each system or higher DoD authority.

BLKS 8 & 10-13: Submit NLT 30 Days after contract award. Government comments/approval will be provided within 30 days after receipt. The contractor shall resubmit within 15 days after receipt of Government comments.

COORDINATORS:

Ky Pham, 408 SCMS/GUEA ALQ-131 Engineer Ky.pham@us.af.mil

0 1 0

Lauren Mancilla, 408

SCMS/GULA

ALQ-131 Logistics Manager lauren.mancilla@us.af.mil

0 1 0

Lisa Morris, AFLCMC/WNYEAA

ALQ-131 Lead Engineer lisa.morris@us.af.mil

0 1 0

Matt Moorman, 408

SCMS/GUEA

ALQ-131 Engineer matthew.moorman.3@us.af.mi l

0 1 0

0 4 015. TOTAL

G. PREPARED BY

Mancilla, Lauren M

408 SCMS / GULA

478-222-6549

H. DATE

07 AUG 2017

I. APPROVED BY

//DIGITALLY SIGNED//

MITCHELL.DOUGLAS.E.1229985813

408 SCMS / GULB 478-926-6558 / 468-6558

J. DATE

04 AUG 2017

Page 2 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 25 Oct 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/ALM-233 & AN/ALM-256 Signal Generator

E. CONTRACT / PR NO.

FD20601800153

F. CONTRACTOR

Anritsu

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

IUID Marking Activity and Verification Report

3. SUBTITLE

IUID MAVR

4. AUTHORITY

DI- MGMT- 81804A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.2.2, 4.9

6. REQUIRING OFFICE

AFLCMC/WNYEAA

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

As Required

12. DATE OF FIRST

SUBMISSION

30 DAC

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Danson, Rebecca LNAME: 04 AUG 2017DATE:

Block 4: Contractor format is acceptable. 100% of the units shall be inspected, evaluated and added to the Activity and Verification Report. Initial report during each production cycle shall be delivered electronically via E-mail to the addressees listed in block 14.

All subsequent reports will be stored for 3 years within the contractor's facility or until deemed no longer required by the systems Responsible Engineering Authority.

BLK 7: For invoice submittal in Wide Area Work Flow (WAWF), use ship to DoDAAC FA8522.

BLK 9: Distribution D. Distribution authorized to Department of Defense and U.S. DoD contractors only due to operational use as of 4 August 2017. Other requests for this document shall be referred to the Responsible Engineering Authority for each system or higher DoD authority.

COORDINATORS:

Ky Pham, 408 SCMS/GUEA ALQ-131 Engineer Ky.pham@us.af.mil

0 1 0

Lauren Mancilla, 408

SCMS/GULA

ALQ-131 Logistics Manager lauren.mancilla@us.af.mil

0 1 0

Lisa Morris, AFLCMC/WNYEAA

ALQ-131 Lead Engineer lisa.morris@us.af.mil

0 1 0

Matt Moorman, 408

SCMS/GUEA

ALQ-131 Engineer matthew.moorman.3@us.af.mi l

0 1 0

0 4 015. TOTAL

G. PREPARED BY

Mancilla, Lauren M

408 SCMS / GULA

478-222-6549

H. DATE

07 AUG 2017

I. APPROVED BY

//DIGITALLY SIGNED//

MITCHELL.DOUGLAS.E.1229985813

408 SCMS / GULB 478-926-6558 / 468-6558

J. DATE

04 AUG 2017

Page 3 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 25 Oct 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/ALM-233 & AN/ALM-256 Signal Generator

E. CONTRACT / PR NO.

FD20601800153

F. CONTRACTOR

Anritsu

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY

DI- MISC- 81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.2.2, 4.8

6. REQUIRING OFFICE

AFLCMC/WNYEAA

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Danson, Rebecca LNAME: 04 AUG 2017DATE:

Block 4: Contractor format is acceptable. Counterfeit Prevention Plan (CPP) shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. CPP shall be formatted for printing on standard 8.5" x 11" paper and delivered electronically to the addressees in block 14.

BLK 7: For invoice submittal in Wide Area Work Flow (WAWF), use ship to DoDAAC FA8522.

BLKS 8 & 10-13: Submit NLT 30 Days after contract award. Government comments/approval will be provided within 30 days after receipt. The contractor shall resubmit within 15 days after receipt of Government comments.

BLK 9: Distribution D. Distribution authorized to Department of Defense and U.S. DoD contractors only due to operational use as of 4 August 2017. Other requests for this document shall be referred to AFLCMC/WNYEAA or higher DoD authority.

COORDINATORS:

Ky Pham, 408 SCMS/GUEA ALQ-131 Engineer Ky.pham@us.af.mil

0 1 0

Lauren Mancilla, 408

SCMS/GULA

ALQ-131 Logistics Manager lauren.mancilla@us.af.mil

0 1 0

Lisa Morris, AFLCMC/WNYEAA

ALQ-131 Lead Engineer lisa.morris@us.af.mil

0 1 0

Matt Moorman, 408

SCMS/GUEA

ALQ-131 Engineer matthew.moorman.3@us.af.mi l

0 1 0

0 4 015. TOTAL

G. PREPARED BY

Mancilla, Lauren M

408 SCMS / GULA

478-222-6549

H. DATE

07 AUG 2017

I. APPROVED BY

//DIGITALLY SIGNED//

MITCHELL.DOUGLAS.E.1229985813

408 SCMS / GULB 478-926-6558 / 468-6558

J. DATE

04 AUG 2017

Page 4 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 25 Oct 2017