CDRLS_A001_THRU_A006_Exhibit_A.pdf

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of13 6

FD20601301395

A

C-5 Trunnion Bearing Assembly

A001

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 form to either of these addresses. 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.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Commercial Asset Visibility Air Force (CAVAF) CAVAF

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-81634B PWS para 3.3 FA8524

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A A

11. As of Date: 13. Date of Subsequent Submission:

see block 16 see block 16

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro see block 16

G. Prepared By: H. Date I. Approved By: J. Date:

16. Remarks:

NAME: Sostarich, Jonn W DATE: 28 AUG 2013

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 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 as listed in DoD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.)

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 the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

Moon, Larry M

409 SCMS / GUMAB

478-926-6911

25 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

409 SCMS / GUMAB

SHIVER.BRAD.F.1229942383

478-926-3887 / 468-3887

24 SEP 2013

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of23 6

A

C-5 Trunnion Bearing Assembly

A002

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 form to either of these addresses. 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.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Item Unique Identification (IUID) Marking Plan N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-81803 PWS Para 4.21.1 AFLCMC/WLSEA

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

DD

8. APP Code:

A B

11. As of Date: 13. Date of Subsequent Submission:

30DAC

30DARC

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

G. Prepared By: H. Date I. Approved By: J. Date:

See Block 16 1 1 0

15. Total: 1 1 0

16. Remarks:

NAME: Moon, Larry M DATE: 12 SEP 2013

Block 8: Within 30 working days after contract award, Contractor shall submit IUID Marking Plan to WR-ALC/GRSEA electronically via email in a Microsoft Office compatible format for approval prior to implementation. Written Government approval/comments/disapproval will be provide within 30 working days after receipt of data. Contractor final submission shall be submitted within 30 working days of receiving government comments. Approval by the Government is required prior to formal distribution.

Block 9: Distribution authorized to U.S. Government Agencies only. To protect information not owned but the U.S. government. Other request for this document shall be referred to

AFLCMC/WLSEA

Blocks 10: One Preliminary & One Final Block 11: Preliminary will be (as of) 30 days after contract award. Final will be (as of) 30 days after Government review.

Block 14:

AFLCMC/WLSEA Engineer email address will be provided at contract award.

AFSC/PZAAA Procurement Officers (PCO) email address will be proved at contract award.

Moon, Larry M

409 SCMS / GUMAB

478-926-6911

25 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

409 SCMS / GUMAB

SHIVER.BRAD.F.1229942383

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of33 6

A

C-5 Trunnion Bearing Assembly

A003

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 form to either of these addresses. 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.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Item Unique Identification (IUID) Marking Activity and Verification Report

N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-81804A PWS Para 4.21.2 WR-ALC/GRSE

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

DD

8. APP Code:

N/A B

11. As of Date: 13. Date of Subsequent Submission:

See Block 16

See Block 16

QRTLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Block 16

G. Prepared By: H. Date I. Approved By: J. Date:

See Block 16 0 1 0

15. Total: 0 1 0

16. Remarks:

NAME: Moon, Larry M DATE: 12 SEP 2013

Block 4: Reports will be submitted electronically via email in Microsoft office compatible format.

IUID Marking activity and Verification report shall be applied to NSN requiring marked parts and equipment with IUID data matrix symbols and their reporting activities. Contractor report shall provide verification column indicating pass/fail for each item Data Matric Symbol Quality.

Block 9: Distribution authorized to U.S. Government Agencies only. To protect information not owned by the U. S. Government. Other request for this document shall be referred to

AFLCMC/WLSEA.

Blocks 11-13: Contractor shall submit a quarterly report for any assets shipped during that quarter.

Quarters will be based on fiscal year quarters (31 Dec, 31 Mar, 30 Jun, & 30 Sep). The first report will be submitted at the end of the quarter that the first shipment of assets occurs. Each report will be submitted with 7 days after the quarter ends.

Block 14: AFLCMC/WLSEA Engineers email address will be proved at contract award.

AFSC/PZAAA Procurement Officers (PCO) email address will be provided at contract award.

Moon, Larry M

409 SCMS / GUMAB

478-926-6911

25 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

409 SCMS / GUMAB

SHIVER.BRAD.F.1229942383

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of43 6

A

C-5 Trunnion Bearing Assembly

A004

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 form to either of these addresses. 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.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Accident/Incident Report Mishap Notification and Reporting

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-SAFT-81563 PWS para 4.18.2 78 ABW/SE

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

DD

8. APP Code:

N/A B

11. As of Date: 13. Date of Subsequent Submission:

ASREQ

ASREQ

ASREQ

a. Addressee:

b. Copies:

Final

Draft Reg Repro See BLK 16

G. Prepared By: H. Date I. Approved By: J. Date:

78 ABW/SEG

675 Seventh St.

Bldg. 707 RAFB, Ga. 31098 478-926-6271

ACO

See Block 16

COR

See Block 16

PCO/Buyer/Spec See Block 16

15. Total: 0 4 0

16. Remarks:

NAME: Moon, Larry M DATE: 27 AUG 2013

BLOCK 4: Contractor shall submit a report on ALL mishaps, damage to DoD property, and employee injury, to the Installation Safety Office telephonically within four (4) hours after initial notification. Written report shall be submitted within three (3) calendar days of mishap. Electronic submissions are acceptable. Information that is not available at the time of the initial notification shall be provided within 20 calendar days after the mishap.

Block 7: WAWF ACCEPTOR: The Government will accept the Receiving Report through WAWF.

Contractor shall submit Receiving Report upon each submission

BLOCK 9: Distribution authorized to US Government agencies only. Other requests for this document shall be referred to 78 ABW/SE.

BLOCK 10-13: Written report will be dated and submitted within (3) calendar days of mishap.

BLOCK 14: Procurement Contracting Officer (PCO), Contracting Officer Representative (COR), and Administrative Contracting Officer (ACO) addresses will be provided at time of contract award.

Moon, Larry M

409 SCMS / GUMAB

478-926-6911

25 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

409 SCMS / GUMAB

SHIVER.BRAD.F.1229942383

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of53 6

A

C-5 Trunnion Bearing Assembly

A005

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 form to either of these addresses. 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.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

GIDEP ALERT/SAFE-ALERT REPORT N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-QCIC-80125B PWS Para 4.24 406 SCMS/GUEA

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

DD

8. APP Code:

N/A A

11. As of Date: 13. Date of Subsequent Submission:

ASREQ

ASREQ

ASREQ

a. Addressee:

b. Copies:

Final

Draft Reg Repro

ASREQ

G. Prepared By: H. Date I. Approved By: J. Date:

GIDEP Operations Ctr Naval Warfare Assessment Center Corona, Ca 91718-8000 www.gidep.org

See Block 16

15. Total: 0 2 0

16. Remarks:

NAME: Moon, Larry M DATE: 24 SEP 2013

BLOCK 4: THE ALERT/SAFE ALERT SHALL BE PRESENTED ON DD FORM 1938 OR

ELECTRONICALLY

BLOCK 10 - 13:

CONTRACTOR SHALL PREPARE AN ALERT, NO LATER THAN THE 15TH CALENDAR

DAY AFTER THE END OF THE MONTH TO NOTIFY THE GOVERNMENT OF

NONCONFORMING ITEMS, SUPPLIES, AND SERVICES OR SAFETY PROBLEMS WHICH

HAVE ADVERSELY IMPACTED OR HAVE THE POTENTIAL TO ADVERSERLY IMPACT

THE PROGRAM DURING THE DURATION OF THE CONTRACT.

(GIDEP MEMBER EXEMPT)

Block 7:

DD 250 shall be submitted once final submission for this requirement has been submitted to GIDEP.

Block 14: Email Report to Engineer, will be provided at contract award.

Moon, Larry M

409 SCMS / GUMAB

478-926-6911

25 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

409 SCMS / GUMAB

SHIVER.BRAD.F.1229942383

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of63 6

A

C-5 Trunnion Bearing Assembly

A006

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 form to either of these addresses. 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.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

GIDEP Response to an Alert/Safe Alert N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-QCIC-80126B PWS para 4.24 406 SCMS/GUEA

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

DD

8. APP Code:

N/A A

11. As of Date: 13. Date of Subsequent Submission:

ASREQ

ASREQ

ASREQ

a. Addressee:

b. Copies:

Final

Draft Reg Repro

ASREQ

G. Prepared By: H. Date I. Approved By: J. Date:

GIDEP Operations Ctr Naval Warfare Assessment Center Corona, Ca 91718-8000 www.gidep.org

See Block 16

15. Total: 0 2 0

16. Remarks:

NAME: Moon, Larry M DATE: 24 SEP 2013

BLOCK 10 - 13: CONTRACTOR SHALL SUBMIT A RESPONSE TO AN ALERT/SAFE-

ALERT NO LATER THAN THE 20th OF THE MONTH TO PROVIDE THE GOVERNMENT

WITH INFORMATION ON THE APPLICABILITY IMPACT AND CORRECTIVE ACTION OR

DISPOSITION OF ALERTED PARTS, ASSEMBLIES AND UNITS CONTAINING ALERTED

PARTS.

Block 14: Email Report to Engineer, will be provided at contract award.

Moon, Larry M

409 SCMS / GUMAB

478-926-6911

25 SEP 2013 //DIGITALLY SIGNED//

COORDINATORS:

409 SCMS / GUMAB

SHIVER.BRAD.F.1229942383