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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/AAQ-36 FLIR

E. CONTRACT / PR NO.

FD20601500733

F. CONTRACTOR

FLIR SYSTEMS, INC.

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Maintenance Data Collection Record

3. SUBTITLE

MDCR

4. AUTHORITY

DI-MISC-81371/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 4.2.10

6. REQUIRING OFFICE

411 SCMS

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

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

Schnable, Sarah ENAME: 03 MAR 2016DATE:

Block 4: Tailored to provide for submission of reports electronically, in contractor format, in lieu of AFTO 349.

Block 7: Contractor shall submit final report on DD250 to Wide Area Work Flow (WAWF) FA8524, to collectively account for data previously submitted on letter of transmittal.

Blocks 10-13: The submission shall be by the 10th of the month with the first submittal by the 10th of the month following the first full month of production or repair. Report shall include information for each item being repaired during the month. Negative reports are not required.

Block 14: Submit electronic copies via email to the following addressee(s):

sarah.schnable@us.af.mil rodney.mathis@us.af.mil marcus.brady@us.af.mil Changes to office symbols and/or e-mail addresses, shall be made by letter to the PCO & ACO without further revision to this Contract Data Requirements List (CDRL).

COORDINATORS:

Charles Fleming Charles.Fleming@us.af.mil

0 1 0

Marcus Brady marcus.brady@us.af.mil

0 1 0

Sarah Schnable sarah.schnable@us.af.mil

0 1 0

0 3 015. TOTAL

G. PREPARED BY

Schnable, Sarah E

411 SCMS / GULD

478-327-6937

H. DATE

19 APR 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

19 APR 2016

Page 1 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 06 Jul 2016

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/AAQ-36 FLIR

E. CONTRACT / PR NO.

FD20601500733

F. CONTRACTOR

FLIR SYSTEMS, INC.

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Depot Maintenance Production Report

3. SUBTITLE

Production Report

4. AUTHORITY

DI-ALSS-80728A/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para. 4.2.10.1

6. REQUIRING OFFICE

411 SCMS/GULD

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

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

Schnable, Sarah ENAME: 03 MAR 2016DATE:

Block 4: Tailored to provide for submission reports electronically, in contractor format.

Block 7: Contractor shall submit final report on DD250 to Wide Area Work Flow (WAWF) FA8524 to collectively account for data previously submitted on letter of transmittal.

Block 10-13: Report shall be submitted to arrive NLT the 10th calendar day after the end of the month being reported.

Report shall include information for each item received, inducted & repaired during the month. Negative reports are not required.

Block 14: Email report to the Production Management Specialist (PMS), Sarah.Schnable@us.af.mil and Program Manager, Rodney.Mathis@us.af.mil. Changes to office symbols and /or e-mail addresses, shall be made by letter to the PCO & ACO without further revision to this Contract Data Requirements List (CDRL).

COORDINATORS:

Charles Fleming Charles.Fleming@us.af.mil

0 1 0

Sarah Schnable sarah.schnable@us.af.mil

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Schnable, Sarah E

411 SCMS / GULD

478-327-6937

H. DATE

19 APR 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

19 APR 2016

Page 2 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 06 Jul 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/AAQ-36 FLIR

E. CONTRACT / PR NO.

FD20601500733

F. CONTRACTOR

FLIR SYSTEMS, INC.

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Item Unique Identification Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para. 4.3.2

6. REQUIRING OFFICE

411 SCMS/GULD

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

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

Schnable, Sarah ENAME: 03 MAR 2016DATE:

Block 7: The Contractor shall submit the Receiving Report upon final Government acceptance through Wide Area Workflow (WAWF) FA8524.

Block 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, AFLCMC/WIUEA, 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 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/WIUEA.

Block 14: Email Report to the following addressee(s):

PCO: Howard Carroll, e-mail: Howard.Carroll.1@ua.af.mil Program Manager: Rodney Mathis, e-mail: Rodney.Mathis@us.af.mil Engineer: Doug Lands, e-mail: Douglas.Lands@us.af.mil Production Manager: Sarah Schnable, email: Sarah.Schnable@us.af.mil Changes to office symbols and/or e-mail addresses, shall be made by letter to the PCO & ACO without further revision to this Contract Data Requirements List (CDRL).

COORDINATORS:

Charles Fleming Charles.Fleming@us.af.mil

1 1 0

Douglas Lands douglas.lands@us.af.mil

1 1 0

Howard Carroll howard.carroll.1@us.af.mil

1 1 0

Sarah Schnable sarah.schnable@us.af.mil

1 1 0

4 4 015. TOTAL

G. PREPARED BY

Schnable, Sarah E

411 SCMS / GULD

478-327-6937

H. DATE

19 APR 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

19 APR 2016

Page 3 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 06 Jul 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/AAQ-36 FLIR

E. CONTRACT / PR NO.

FD20601500733

F. CONTRACTOR

FLIR SYSTEMS, INC.

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

IUID Marking Activity, Validation and Verification Report

3. SUBTITLE

IUID Validation and Verification Report

4. AUTHORITY

DI-MGMT-81804

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para. 4.3.4

6. REQUIRING OFFICE

411 SCMS/GULD

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

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

Schnable, Sarah ENAME: 02 MAR 2016DATE:

Block 4: Contractor format is acceptable. 100% of the units shall be inspected, evaluated and added to the activity and verification report.

Block 7: Contractor shall submit each report with a letter of transmittal. The final report shall summarize all reports and shall be submitted on DD Form 250 to Wide Area Workflow (WAWF) FA8524.

Blocks 10-13: The first report shall be submitted within 10 days after the first full month after contract award. Reporting shall continue on a monthly basis to be received no later than the 10th day of the month following the end of the report period. Monthly reports shall be submitted via email.

Block 14: Email report to the following addressee(s):

PMS: Sarah Schnable, sarah.schnable@us.af.mil Eng: Douglas Lands, dougals.lands@us.af.mil Changes to office symbols and/or e-mail addresses, shall be made by letter to the PCO & ACO without further revision to this Contract Data Requirements List (CDRL).

COORDINATORS:

Douglas Lands douglas.lands@us.af.mil

0 1 0

Sarah Schnable Sarah.Schnable@us.af.mil

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Schnable, Sarah E

411 SCMS / GULD

478-327-6937

H. DATE

19 APR 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

19 APR 2016

Page 4 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 06 Jul 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/AAQ-36 FLIR

E. CONTRACT / PR NO.

FD20601500733

F. CONTRACTOR

FLIR SYSTEMS, INC.

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para. 4.5

6. REQUIRING OFFICE

411 SCMS/GULD

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

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

Schnable, Sarah ENAME: 03 MAR 2016DATE:

Block 7: FINAL WILL BE SUBMITTED WITH A DD FORM 250 TO DODAAC FA8524 via Wide Area Work Flow (WAWF) attention: rodney.mathis@us.af.mil to collectively account for data previously submitted by Letter of Transmittals. GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 15 BUSINESS DAYS OF RECEIPT.

Block 9: Distribution authorized to the Department of Defense and DoD contractors only for Administrative and Operational use, 31 December 2014. Other requests for this document shall be referred to the Program Manager Rodney Mathis, 411 SCMS/GULD.

Block 10-13: Report shall be submitted after contract award. Quarterly updates provided as necessary until final at completion of program. The Government shall have 15 days to resubmit report if changes were deemed necessary by the Government.

Block 14: Submittal shall be made using Wide Area Workflow (WAWF) and accepted by the Government. When notification is submitted in WAWF the contractor shall provide email notification to Contracting Officer Representative (COR), rodney.mathis@us.af.mil, or Engineer, douglas.lands@us.af.mil. Document submission shall be provided electronically via Microsoft Office word format (doc) or Portable Document Format (PDF). Changes to office symbols and /or e-mail addresses, shall be made by letter to the PCO & ACO without further revision to this Contract Data Requirements List (CDRL).

COORDINATORS:

Charles.Fleming Charles.Fleming@us.af.mil

0 1 0

Douglas Lands douglas.lands@us.af.mil

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Schnable, Sarah E

411 SCMS / GULD

478-327-6937

H. DATE

19 APR 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

19 APR 2016

Page 5 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 06 Jul 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/AAQ-36 FLIR

E. CONTRACT / PR NO.

FD20601500733

F. CONTRACTOR

FLIR SYSTEMS, INC.

1. DATA ITEM NO.

A006

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 Paragraph 4.6

6. REQUIRING OFFICE

FA8524

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

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

Branham, Douglas WNAME: 18 APR 2016DATE:

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 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.

COORDINATORS:

411 SCMS GULD

235 Byron St Suite 19A Warner Robins Ga 31098-

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Schnable, Sarah E

411 SCMS / GULD

478-327-6937

H. DATE

19 APR 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRACK.NEIL.M.1073866681

411 SCMS / GULD 478-926-2227 / 468-2227

J. DATE

19 APR 2016

Page 6 of 6DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 06 Jul 2016

File details come from the government source that posted it. Updated .