1933351_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 C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/APQ-170 | MC-130H Talon II

E. CONTRACT / PR NO.

FD20601600162

F. CONTRACTOR

Ametek Rotron

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 3.2.1

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

Sostarich, Jonn WNAME: 21 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:

15. TOTAL

G. PREPARED BY

Jackson, Kimberly R

411 SCMS / GULB

478-222-2210

H. DATE

27 JUN 2016

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

411 SCMS / GULB 478-926-3258 / 468-3258

J. DATE

27 JUN 2016

Page 1 of 5DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 28 Jun 2016

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/APQ-170 | MC-130H Talon II

E. CONTRACT / PR NO.

FD20601600162

F. CONTRACTOR

Ametek Rotron

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Depot Maintenance Production Report

3. SUBTITLE

Production Reporting

4. AUTHORITY

DI-ALSS-80728A/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 3.2.2

6. REQUIRING OFFICE

AFLCMC/WIU

7. DD 250 REQ

DD

8. APP CODE

See Block 16

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

Jackson, Kimberly RNAME: 08 APR 2016DATE:

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 FOR ACCEPTANCE.

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

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 THE PRODUCTION MANAGEMENT SPECIALIST (PMS), AND PROGRAM MANAGER. CDRL DISTRIBUTION POINTS OF CONTACT WILL BE PROVIDED TO THE CONTRACTOR AT

CONTRACT AWARD. SUBMIT DIGITAL COPY IN A MICROSOFT® OFFICE® COMPATIBLE FORMAT OR

ADOBE® PORTABLE DOCUMENT FORMAT FOR ALL REPORTS.

COORDINATORS:

411 SCMS/GULB

ATTN: Production Management Specialist 235 Byron Street, Suite 19A Robins AFB, GA 31098

0 1 0

411 SCMS/GULB

ATTN: Program Manager 235 Byron Street Suite 19A Robins AFB GA 30198

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Jackson, Kimberly R

411 SCMS / GULB

478-222-2210

H. DATE

27 JUN 2016

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

411 SCMS / GULB 478-926-3258 / 468-3258

J. DATE

27 JUN 2016

Page 2 of 5DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 28 Jun 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/APQ-170 | MC-130H Talon II

E. CONTRACT / PR NO.

FD20601600162

F. CONTRACTOR

Ametek Rotron

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Item Unique Identification

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.9.2

6. REQUIRING OFFICE

AFLCMC/WIU

7. DD 250 REQ

DD

8. APP CODE

See Block 16

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

Jackson, Kimberly RNAME: 27 JUN 2016DATE:

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

Block 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.

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 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 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 (PCO), DCMA/ACO, Program Manager and Engineer.

CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award.

COORDINATORS:

411 SCMS/GULB

ATTN: Program Manager &

COR

235 Byron Street Suite 19A Robins AFB GA 30198

0 1 0

AFLCMC/WIUEC

ATTN: Engineering 235 Byron Street, Suite 19A Robins AFB, GA 31098

1 1 0

ATTN: DCMA/ACO 0 1 0

ATTN: PCO, AFSC/PZAAA

460 Richard Ray Blvd, Suite Robins AFB GA 31098

0 1 0

1 4 015. TOTAL

G. PREPARED BY

Jackson, Kimberly R

411 SCMS / GULB

478-222-2210

H. DATE

27 JUN 2016

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

411 SCMS / GULB 478-926-3258 / 468-3258

J. DATE

27 JUN 2016

Page 3 of 5DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 28 Jun 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/APQ-170 | MC-130H Talon II

E. CONTRACT / PR NO.

FD20601600162

F. CONTRACTOR

Ametek Rotron

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Item Unique Identification

3. SUBTITLE

IUID Marking Activity and Verification Report

4. AUTHORITY

DI-MGMT-81804

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.9.3

6. REQUIRING OFFICE

AFLCMC/WIU

7. DD 250 REQ

DD

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

QRTLY

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

Jackson, Kimberly RNAME: 08 APR 2016DATE:

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

Block 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.

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 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 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/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 (PCO), DCMA/ACO, Program Manager and Engineer.

CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award.

COORDINATORS:

411 SCMS/GULB

ATTN: Program Manager &

COR

235 Byron Street Suite 19A

0 1 0

AFLCMC/WIUEC

ATTN: Engineering 235 Byron Street, Suite 19A Robins AFB, GA 31098

1 1 0

ATTN: DCMA/ACO 0 1 0

ATTN: PCO, AFSC/PZAAA

460 Richard Ray Blvd, Suite Robins AFB GA 31098

0 1 0

1 4 015. TOTAL

G. PREPARED BY

Jackson, Kimberly R

411 SCMS / GULB

478-222-2210

H. DATE

27 JUN 2016

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

411 SCMS / GULB 478-926-3258 / 468-3258

J. DATE

27 JUN 2016

Page 4 of 5DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 28 Jun 2016

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

AN/APQ-170 | MC-130H Talon II

E. CONTRACT / PR NO.

FD20601600162

F. CONTRACTOR

Ametek Rotron

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

Counterfeit Prevention Plan

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.12.1

6. REQUIRING OFFICE

AFLCMC/WIU

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

Jackson, Kimberly RNAME: 08 APR 2016DATE:

BLK 7: The Contractor shall submit the Receiving Report upon final Government acceptance through Wide Area Work flow.

BLK 8, 10-13: Draft report shall be submitted within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (19 July 07). Other requests shall be referred to the contract management team, AFSC/PZAAA, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLK 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. Submit digital copy in a Microsoft® Office® compatible format or Adobe® Portable Document Format for all reports.

COORDINATORS:

AFLCMC/WIUEC

235 Byron Street,STE 19A Robins AFB, GA 31098

1 1 0

ATTN: DCMA/ACO 0 1 0

ATTN: PCO AFSC/PZAAA

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

0 1 0

ATTN: Program Manager

411 SCMS/GULD

235 Byron Street, STE 19A Robins AFB, GA 31098

0 1 0

1 4 015. TOTAL

G. PREPARED BY

Jackson, Kimberly R

411 SCMS / GULB

478-222-2210

H. DATE

27 JUN 2016

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

411 SCMS / GULB 478-926-3258 / 468-3258

J. DATE

27 JUN 2016

Page 5 of 5DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 28 Jun 2016