Exhibit A 20240322.pdf

DD FORM 1423-1, JUN 90

1007/183

Previous editions are obsolete. Page 1 of 1 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

FORM APPROVED

OBM No. 0704-0188

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington DC 20503. Please DO NOT RETURN your paperwork to either of these addresses. Send completed form to the government Issuing Contracting Officer for the Contract/PR No. in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

TDP X TM OTHER

D. SYSTEM / ITEM

ALE-47

E. CONTRACT / PR NO.

PR# FD2060-24-31163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

See Blk 16

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Acceptance Test Report – (See Block 16)

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW Para 2.1.2, 2.1.4, 2.2.2

6. REQUIRING OFFICE

Technical – Air Force

7. DD 250 REQ

See Blk 16

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASGEN

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft

Final

Reg Repro

16. REMARKS

Block 1: See Exhibit A Attachment #1.

Block 3: Concatinate the subtitle shown on Exhibit A Attachment 1 and Block 3 above.

Example: For CDRL A001, the subtitle will be "Control Display Unit Acceptance Test

Report".

Block 4: Provide paper copy (if required by Block 14) on 8.5 inch x 11 inch, 3 hole punched paper. Provide soft copy in Microsoft Word or Adobe Acrobat file format.

Test results shall be text searchable (i.e. no scanned-in pictures of data.).

Block 7: After data approval by the Requiring Office, submit a combination Receiving

Report/Invoice in Wide Area Workflow (WAWF) to only the office in Block 6 to account for previously submitted data. DD 250 requirement is “"DD” for Pre-production reports.

Blocks 8 and 13: The Requiring Office will provide approval or disapproval/comments within 45 days of receipt (first submission), and within 30 days of receipt thereafter.

The Contractor shall revise and resubmit within 30 days of disapproval/comments receipt. Extent of approval requirements include format and content. Submit final within 14 days of draft approval.

Block 9: See "Document Control" page located at the end of the CDRLs for applicable distribution statements.

Block 12: See Exhibit A Attachment #1.

Block 14: Deliver “Draft” and “Repro” copies via Email. “Reg” copies mean paper copy.

PCO L/O 0 L/O

JPO - Navy 0 0 0

JPO - Air Force 0 0 0

Technical - Navy 0 0 0

Technical - Air Force 1 0 1

15. TOTAL 1 0 1

G. PREPARED BY

H. DATE I. APPROVED BY

J. DATE

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP – Technical Data Package; TM – Technical Manual; Other – other category of data, such as “Provisioning,” “Configuration Management”, etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears in data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item

(optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. Fir technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through

15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition – Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price – Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to producing and delivering such data items to the Government.

b. Group II. Definition – Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with required to depth of content, format, frequency of submittal, preparation, control, or quantity of the data item.

Estimated Price – Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition – Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price – Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition – Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price – Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.

The estimated data prices shall not include any amount for rights in data. The Government’s right to use the data shall be governed by the pertinent provisions of the contract.

DD Form 1423-1 Reverse, JUN 90

Exhibit A Attachment #1

Block 1 Data Item No

NSN

PN

DD Form 1423 Block 3 Subtitle

Block 12 Date Of First Submission (Days ARO)

A001 5865-01-380-8046 179740-0002 Control Display Unit 482

A002 5998-01-580-9469 176058-0005 CDU Power Supply/Connector Interface

CCA

A003 5998-01-388-7062 177276-0001 CDU Power Supply Module CCA 468

A004 5998-01-335-3197 176096-0001 CDU Discrete I/O Module Assembly 461

A005 5998-01-383-8263 176069-0002 CDU Discrete I/O CCA 461

A006 5998-01-335-3198 176095-0001 CDU CPU Module Assembly 454

A007 5998-01-333-1980 176073-0001 CDU CPU CCA 454

A008 5998-01-334-2219 176150-0001 CDU Electronic Indicating Panel Assembly 447

A009 5998-01-414-1387 175830-0003 CDU Front Panel I/O CCA 440

A00A 5998-01-337-7526 176130-0002 CDU Switch Panel (Front Panel) CCA 433

A00B 5895-01-335-6069 166179-0001 CDU Panel, Control, Elect (Faceplate) 426

A00C 5865-01-437-3371 179730-0005 Programmer 419

A00D 5865-01-437-3373 179730-0006 Programmer 419

A00E 5865-01-687-1948 179730-0010 Programmer 419

A00F 5865-01-333-4735 176079-0003 PGMR Electronic Enclosure Assembly 412

A00G 5998-01-336-3867 174240-0004 PGMR Motherboard No. 1 405

A00H 5998-01-439-9525 174260-0009 PGMR CPU CCA 398

A00J 5998-01-702-8446 174260-0020 PGMR CPU CCA 398

A00K 5998-01-603-6648 174255-0009 PGMR Discrete I/O 377

A00L 5998-01-336-9190 179735-0005 PGMR 1553 Mux Bus CCA 370

A00M 5998-01-580-7506 174265-0004 PGMR Power Supply CCA 356

A00N 5930-01-333-2196 179720-0001 Safety Switch 300

A00P 5865-01-334-8349 179750-0001 Dispenser 489

A00Q 5935-01-334-3230 176524-0001 Breechplate Assy 489

A00R 5865-01-451-2868 179250-0003 Sequencer 349

A00S 5865-01-527-2187 179250-0012 Sequencer 349

A00T 5998-01-357-0600 177425-0005 SQCR Signal Conditioner CCA 335

A00U 5998-01-357-0601 177430-0003 SQCR Control Logic CCA 328

A00V 5998-01-357-8993 177466-0002 SQCR Enclosure Assy, Electronic Intermediate

A00W 5998-01-357-0602 177434-0002 SQCR Interconnect, J1/J2 CCA 314

A00X 5998-01-357-0603 177438-0002 SQCR Interconnect, J3 CCA 307

A00Y 5998-01-357-0599 177444-0004 SQCR Fire Select CCA 300

Exhibit A Attachment #1 page 1 of 1