2451317_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

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force

3. SUBTITLE

CAVAF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.3.3

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: 23 FEB 2018DATE:

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 9.0.4 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

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 1 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Programmatic Environmental Safety and Health Evaluation Plan

3. SUBTITLE

Programmatic Environmental Safety and Health Evaluation Plan

4. AUTHORITY

DI-ENVR-81995

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 4.8

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

ASREQ

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 8: Government has 15 days to review and forward comments. Contractor has 15 days to resubmit.

Block 11, 12: 30 Days after contract award.

Block 13: 15 days after an update.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 2 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Contract Depot Maintenance Production Report

3. SUBTITLE

Production Report

4. AUTHORITY

DI-PSSS-81995

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.3.1 and 4.3.3

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

See Block 16

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

Walters, George BNAME: 05 FEB 2018DATE:

BLK 4: The Data Item Description (DID) contains the format, content and preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. This report shall be provided in the format of Table 1. See DID for Table 1 and content requirement explanations at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (PMS EMAIL ADDRESS) for acceptance.

BLK 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.

BLK 9: "A" Approved for Public Release; distribution is unlimited.

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

BLK 14: EMAIL electronic Contract Depot Maintenance Production Report to the Production Management Specialist (PMS) and Program Manager (PM). 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 SCMC/PMS Workflow:

411SCMS.PMS@us.af.mil PMS email provided on Contract Award Email 411 SCMC/PMS Workflow @ 411SCMS.PMS@us.af.mil

0 1 0

411 SCMS/GULAA Program Manager (PM) PM email provided on Contract Award

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 3 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

IUID Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.3.1.2.1

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

See Block 16

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Acceptance via WAWF under DODAAC: FA8539.

Block 8: The government will have 15 calender days to review and provide comments, subsequently the contractor will have 15 calender days to correct and resubmit.

Block 9: Distribution statement attached.

Block 11, 12: 30 Days after contract award.

Block 13: Only if there is a revision in the IUID Marking Plan.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

1 1 0

1 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 4 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

IUID Marking Activity, Validation and Verification Report

3. SUBTITLE

IUID Marking Activity, Validation and Verification Report

4. AUTHORITY

DI-MGMT-81804A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.3.1.2.2

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

QRTLY

11. AS OF DATE

12. DATE OF FIRST

SUBMISSION

45 DAC

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Acceptance via WAWF under DODAAC: FA8539.

Block 9: Distribution statement attached.

Block 10, 11, 12, 13: The IUID Marking/Verification Report shall be submitted quarterly verifying the implementation of the IUID Marking Plan. First submission shall be 45 days after contract award. The assets reported can be shipped/delivered to the DoD prior to the submittal of this report.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 5 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Parts Approval Request

3. SUBTITLE

Parts Approval Request

4. AUTHORITY

DI-MISC-80071E

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.4.12

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

ASREQ

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16Block

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable via e-mail containing the DD Form 2052 or DD Form 2053 depending upon the type of parts approval request. Data Item to be used as a guide for content. Additionally, each report shall include the following for each request: New P/N; New P/N Specification; New P/N Manufacturer; Old P/N; Old P/N Specification;

Old P/N Manufacturer.

Block 7: Submit final with DD Form 250 to account for all previously submitted via

WAWF.

Block 10, 11, 12, 13: As required, upon each occurrence where a non-standard part needs to be used, the request needs to be sent to Integrated Product Team e-mail list, as soon as the need for approval is discovered. The government will have 15 calendar days to review and provide comments, subsequently the contractor will have 15 calendar days to correct and resubmit.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

FA8524 AFSC PZAA

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 6 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

GIDEP Alert/Safe-Alert Report

3. SUBTITLE

GIDEP Alert/Safe-Alert Report

4. AUTHORITY

DI-QCIC-80125B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.3.5.1

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

See Block 16

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Submit final with DD Form 250 to account for all previously submitted via WAWF for acceptance under

DODAAC: FA8539.

Block 10, 11, 12, 13: As required. The government will have 30 calender days to review and provide comments, subsequently the contractor will have 60 calender days to correct and resubmit.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 7 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

GIDEP Alert Response

3. SUBTITLE

GIDEP Alert Response

4. AUTHORITY

DI-QCIC-80126B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.3.5.2

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

See Block 16

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Submit final with DD Form 250 to account for all previously submitted via WAWF for acceptance under

DODAAC: FA8539.

Block 10, 11, 12, 13: As required. The government will have 30 calender days to review and provide comments, subsequently the contractor will have 60 calender days to correct and resubmit.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 8 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Significant Historical Data

3. SUBTITLE

Significant Historical Data

4. AUTHORITY

DI-MGMT-81564

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.3.6

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

QRTLY

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable via electronic submission and compatible with MS Office programs. Use the DID as a guide.

Block 7: Submit final report with DD Form 250 to account for all previously submitted reports via WAWF for acceptance under DoDAAC: FA8539.

Block 11: Based on receipt of first asset for repair.

Block 12: 30 days after receipt of first asset for repair.

Block 13: The Contractor shall submit the report by the 5th working day following the end of the quarter.

Block 14: Reports shall be submitted electronically via email to the IPT. Email addresses and list of personnel will be provided as required.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 9 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A010

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 Paragraph 4.3.4

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

See Block 16

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4 & 5: Contractor format is acceptable. Contractor shall submit a Counterfeit Prevention Plan in accordance with type of parts being sourced.

Block 7: The Government will accept the Receiving Report through WAWF. Contractor shall submit the Receiving Report upon final submission to DODAAC FA8539 in WAWF.

Block 8, 10-12: Contractor shall submit a Counterfeit Prevention Plan within 15 calendar days after contract award.

Written Government acceptance/comments will be within 15 calendar days after receipt of data. Contractor final submission shall be submitted within 15 calendar days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

Block 11, 13: If, during the performance of this contract, changes to the Counterfeit Prevention Plan are required, submit the revised Counterfeit Prevention Plan to the 411 SCMC/GULAB. Procedures identified for blocks 8, 10-12 will apply.

Block 14: Procurement Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

Electronic media shall be provided electronic media in Microsoft Office compatible format.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 10 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Maintenance Data Collection Record

3. SUBTITLE

Maintenance Data Collection Record

4. AUTHORITY

DI-MISC-81371

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.7

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

See Block 16

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Submit final with DD Form 250 to account for all previously submitted via WAWF for acceptance under

DODAAC: FA8539.

Block 11: Based on receipt of first repairable asset.

Block 12: 15 days after first asset is inducted at the repair facility, the contractor shall start providing this report.

Block 10, 13: Every 90 Days, the report shall include maintenance data collected on all assets being repaired / delivered.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 11 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

HH-60 and UH-1N Hoist and Winch

E. CONTRACT / PR NO.

FD20601701317

F. CONTRACTOR

Goodrich Corporation

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Government Property Inventory Report

4. AUTHORITY

DI-MGMT-80441C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.5

6. REQUIRING OFFICE

411 SCMS/GULAB

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

ANNLY

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Altman, Tasha TNAME: 08 MAR 2018DATE:

Block 4: Contractor format acceptable provided the electronic report is in the specified file type detailed in the DID. Use the DID for reference and specific report requirements.

Block 7: Submit the report via email to the IPT with DD Form 250 via WAWF for acceptance under DoDAAC:

FA8539.

Block 11: One year after contract award.

Block 12& 13: The Contractor shall submit the report within 10 business days of the expiration of the basic year and annually from then on based on the date of contract award.

Block 14: IPT members names and email addresses will be provided as required.

COORDINATORS:

411 SCMS/GULAB

235 Byron Street Bldg 300 Ste 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Altman, Tasha T

411 SCMS / GULD

478-926-7066

H. DATE

09 MAR 2018

I. APPROVED BY

//DIGITALLY SIGNED//

STEWART.TODD.RICHARD.1071073277

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

J. DATE

08 MAR 2018

Page 12 of 12DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 11 Apr 2018