CDRLS.pdf

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of13 9

FD20601301783

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

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 4.2.1 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: 20 FEB 2014

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.

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681

478-926-2227 / 468-2227

31 MAR 2014

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of23 9

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

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:

Maintenance Data Collection Record (MDCR) AFTO Form 349

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

DI-MISC-81371A/T Ref PWS Para 4.2.2 411 SCMS/GULD

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

SS

8. APP Code:

N/A See Block 16

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:

NADINE.GOOLSBY@US.AF.MI

L

SHARON.QUINN@US.AF.MIL

0 1 1

15. Total: 0 1 1

16. Remarks:

NAME: Quinn, Sharon A DATE: 26 FEB 2014

BLOCK 4: TAILORED TO PROVIDE FOR SUBMISSION REPORTS ELECTRONICALLY, IN

CONTRACTOR FORMAT IN LIEU OF AFTO FORM 349.

BLOCK 7: CONTRACTOR SHALL SUMIT FINAL DD FORM 250 TO DODAAC FA8524

SHARON.QUINN@US.AF.MIL TO COLLECTIVELY ACCOUNT FOR DATA PREVIOUSLY

SUBMITTED ON LETTER OF TRANSMITTAL.

BLOCKS 10- 13: REPORT SHALL BE SUBMITTED TO ARRIVE NLT 10TH CALENDAR

DAY AFTER THE END OF THE MONTH BEING REPORTED. REPORT SHALL INCLUDE

INFORMATION FOR EACH ITEM BEING REPAIRED DURING THE MONTH. NEGATIVE

REPORTS ARE NOT REQUIRED.

BLOCK 14: EMAIL REPORT TO:

NADINE.GOOLSY@US.AF.MIL

SHARON.QUINN@US.AF.MIL

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of33 9

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

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:

DEPOT MAINTENANCE PRODUCTION REPORT MONTHLY REPAIR/PRODUCTION STATUS

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

DI-ALSS-80728A/T PWS PARA 4.2.2.1 411 SCMS/GULD

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:

SEE BLOCK 16

SEE BLOCK 16

MTHLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro

SEE BLOCK 16

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

PMS-

sharon.quinn@us.af.mil

1 1 1

15. Total: 1 1 1

16. Remarks:

NAME: Quinn, Sharon A DATE: 26 FEB 2014

BLOCK 4: TAILORED TO PROVIDE FOR SUBMISSION REPORTS ELECTRONICALLY, IN

CONTRACTOR FORMAT.

BLOCK 7: WAWF E-DD FORM 250 SHALL BE REQUIRED FOR PRICED DATA. E-DD

FORM 250 SHALL BE SUBMITTED TO FA8524 SHARON.QUINN@US.AF.MIL FOR

ACCEPTANCE.

BLOCKS 10-13: REPORT SHALL BE SUBMITTED TO ARRIVE NLT 10TH CALENDAR DAY

AFTER THE END OF MONTH BEING REPORTED. REPORT SHALL INCLUDE DETAILED

INFORMATION FOR EACH ASSET STATUS DURING THE MONTH. NEGATIVE REPORTS

ARE NOT REQUIRED.

BLOCK 14: EMAIL REPORT TO:

PMS- sharon.quinn@us.af.mil

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of43 9

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

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 4.3.4.2 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 C

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

As Required

As Required

ASREQ

a. Addressee:

b. Copies:

Final

Draft Reg Repro See Remarks

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

78 ABW/SEG, 675 Seventh St, Bldg 707 Robins AFB GA. 31098

ATTN: PCO, AFSC/PZAAA

460 Richard Ray Blvd, Suite 221 Robins AFB,GA. 31098

DCMA/ACO

Program Mgr / COR: 411

SCMS/GULD

460 Rochard Ray Blvd, Suite 200 Robins AFB,GA. 31098

15. Total: 0 4 0

16. Remarks:

NAME: Boarman, Chris P DATE: 06 MAR 2014

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 14: EMAIL Report(s) to the PCO, DCMA/ACO, Program Mnager, and 78 ABW/SEG.

CDRL Distribution Points of Contact will be emailed at Contract Award

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of53 9

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

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:

IUID MARKING PLAN IUID MARKING PLAN

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

DI-MGMT-81803 PWS Para 4.3.9.2 AFLCMC/WIUEC

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

DD

8. APP Code:

A C

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

SEE BLK 16

SEE BLK 16

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro

SEE BLK 16

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

ATTN: DCMA/ACO

ATTN: Engineering, AFLCMC/WIUEC

235 Byron Street, Suite 19A Robins AFB, GA. 31098

ATTN: PCO,

AFSC/PZAAA

460 Richard Ray Blvd, Suite 221 Robins AFB, GA. 31098

ATTN: Program Manager and

COR, 411 SCMS/GULD

460 Richard Ray Blvd. STE 200 Robins AFB, GA. 31098

15. Total: 1 4 0

16. Remarks:

NAME: Boarman, Chris P DATE: 06 MAR 2014

Block 7: The Contractor shall submit the Receiving Report upon final Government acceptance through Wide Area Workflow.

Block 8, 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, AFLCMC/WIUEC, within 10 working days after contract award. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. 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, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098

Block 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, AFLCMC/WIUEC .

Procedures identified for blocks 8, 10-12 will apply.

Block 14: EMAIL Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager and Engineer. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of63 9

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

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:

IUID MARKING ACTIVITY AND VERIFICATION REPORT IUID MARKING ACTIVITY AND VERIFICATION REPORT

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

DI-MGMT-81804 PWS Para 4.3.9.3 AFLCMC/WIUEC

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

A C

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

SEE BLK 16

SEE BLK 16

QRTLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro

SEE BLK 16

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

ATTN: PCO,

AFSC/PZAAA

460 Richard Ray Blvd, Suite 221 Robins AFB, GA. 31098

Attn: Engineer, AFLCMC/WIUEC 235 Byron Street, Suite 19A Robins AFB, GA. 31098

DCMA/ACO

Program Mgr: Chris Boarman, 411

SCMS/GULD

PRIMARY COR: Chris Boarman, 411 SCMS/GULD

460 Richard Ray Blvd, Suite 200 Robins AFB, GA. 31098

15. Total: 1 4 0

16. Remarks:

NAME: Boarman, Chris P DATE: 06 MAR 2014

Block 7: The Contractor shall submit a Receiving Report upon final Government acceptance through Wide Area Workflow to collectively account for data previously submitted by Letter of Transmittal.

Block 8, 10-12: Contractor shall submit an IUID Marking Activity and Verification Report, to the Engineer, AFLCMC/WIUEC every three months. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Report from the Contractor. 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, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

Block 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, AFLCMC/WIUEC, 235 Byron Street, Suite 19A, Robins AFB, GA 31098. Procedures identified for blocks 8, 10-12 will apply.

Block 14: EMAIL Report to the Procuring Contract Officer, DCMA/ACO, Program Manager and Engineer. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of73 9

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

A007

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:

Government Industry Data Exchange Program (GIDEP) Alert/Safe

- Alert Report

Report

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

DI-QCIC-80125B/T PWS paragraph 4.3.10.1 411 SCMS/GULD

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A C

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:

ATTN: COR

411 SCMS/GULD

460 Richard Ray Blvd, Suite 200 Robins AFB GA 31098

ATTN: Engineering

AFLCMC/WIUEC

235 Byron Street, Suite 19A Robins AFB GA 31098

ATTN: PMS

411 SCMS/GULD

460 Richard Ray Blvd, Suite 200 Robins AFB GA 31098

ATTN: Program Manager

411 SCMS/GULD

460 Richard Ray Blvd, Suite 200 Robins AFB GA 31098

GIDEP

P.O. Box 8000 Corona, CA 92878-8000

15. Total: 0 5 0

16. Remarks:

NAME: Sisneros, Charlette Y DATE: 28 MAR 2014

BLK 4: Tailored to provide submission of report electronically, in contractor format.

BLK 7: FINAL WILL BE SUBMITTED WITH A DD FORM 250 to DODAAC FA8524, via Wide Area Work Flow (WAWF), to collectively account for data previously submitted on Letter of Transmittals.

BLK 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 non-conforming items, supplies, and services or safety problems which have adversely impacted or have the potential to adversely impact the program during the duration of the contract.

BLK 14: EMAIL digital copy in a Microsoft® Office® compatible format or Adobe® Portable Document Format for all reports, to the Program Manager, Program Management Specialist (PMS), Contracting Officer Representative (COR) and Engineer. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award.

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of83 9

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

A008

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:

Government Inducstry Exchange Program (GIDEP) Alert/Response

Report

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

DI-QCIC-80126B/T PWS paragraph 4.3.10.2 411 SCMS/GULD

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A C

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:

ATTN: COR

411 SCMS/GULD

460 Richard Ray Blvd, Suite 200 Robins AFB GA 31098

ATTN: Engineering

AFLCMC/WIUEC

235 Byron Street, Suite 19A Robins AFB GA 31098

ATTN: PMS

411 SCMS/GULD

460 Richard Ray Blvd, Suite 200 Robins AFB GA 31098

ATTN: Program Manager

411 SCMS/GULD

460 Richard Ray Blvd, Suite 200 Robins AFB GA 31098

GIDEP

P.O. Box 8000 Corona, CA 92878-8000

15. Total: 0 5 0

16. Remarks:

NAME: Sisneros, Charlette Y DATE: 28 MAR 2014

BLK 4: Tailored to provide submission of report electronically, in contractor format.

BLK 7: FINAL WILL BE SUBMITTED WITH A DD FORM 250 to DODAAC FA8524, via Wide Area Work Flow (WAWF), to collectively account for data previously submitted on Letter of Transmittals.

BLK 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.

BLK 14: EMAIL digital copy in a Microsoft® Office® compatible format or Adobe® Portable Document Format for all reports, to the Program Manager, Program Management Specialist (PMS), Contracting Officer Representative (COR) and Engineer. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award.

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of93 9

A

ONTIC Engineering & ManufacturingHH60 Fuel Quantity Indicator

A009

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:

Counterfeit Protection Plan Report

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

DI-MISC-81832 PWS paragraph 5.0 411 SCMS/GULD

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

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

A C

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:

ATTN: DCMA/ACO

ATTN: Engineering

AFLCMC/WIUEC

235 Byron Street, Suite 19A Robins AFB GA 31098

ATTN: PCO

AFSC/PZAAA

460 Richard Ray Blvd, Suite 221 Robins AFB GA 31098

ATTN: Program Manager

411 SCMS/GULD

460Richard Ray Blvd, Suite 200 Robins AFB GA 31098

15. Total: 2 4 0

16. Remarks:

NAME: Sisneros, Charlette Y DATE: 28 MAR 2014

BLK 7: FINAL WILL BE SUBMITTED WITH A DD FORM 250 to DODAAC FA8524, via Wide Area Work Flow (WAWF), to collectively account for data previously submitted by Letter of Transmittals. GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 15

BUSINESS DAYS OF RECEIPT.

BLK 8, 10-13: Draft report shall be submitted at after contract award Quarterly updates provided as necessary until final at completion of program. The Government will have 15 business days to approve, submit comments, or disapprove all submissions. The contractor shall have 15 business days to resubmit report if changes were deemed necessary by the Government.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 March 14) Other request for this document shall be referred to 411

SCMS/GULC.

BLK 14: EMAIL digital copy in a Microsoft® Office® compatible format or Adobe® Portable Document Format for all reports, to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager and Engineer. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award.

Jones, Joseph L

WR-ALC / GRUEC

478-926-7500

01 APR 2014 //DIGITALLY SIGNED//

COORDINATORS:

411 SCMS / GULD

BRACK.NEIL.M.1073866681