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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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 the 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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A001 title: PRODUCTION REPORT sub:

auth: DI-MGMT-81867 ref:

req_ofc: AFLCMC/WNA dd250: NO appcode: N/A dist: D freq: QRTLY asof: See Blk 16 firstsub:

subsub:

addressee1: AFLCMC/WNAAA draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Blk 4: The Production Report shall be in the Contractor’s format

Blk 11: Due by the 15th of the month following the end of the required quarter

Blk 14: Submit electronic copies via e-mail. Submissions will be addressed to AFLCMC/WNAAA, Program Manager and Contracting Officer group:

total_price:

prep_name: Milan N Damnjanovic line_item: 0004AA exhibit:

xtdp: Off xtm: Off othercat: Program Management system: AN/USM-670A ctr_no: FD2060-18-33695 contr: AAI Corporation remarksb: The report shall include, but not be limited to, the following data elements:

1. Contract CLIN

2. Option Period

3. Delivery Order Award Date

4. Description

5. Part Number(s)

6. Serial Number(s)

7. Quantity

8. Unit Cost

9. Total Cost

10. Projected Ship Date

11. Ship Date

12. Explanation for Schedule Delays

13. Projected Ship Date

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2018-07-20T13:05:18-0400

DAMNJANOVIC.MILAN.NMN.1208559520

prep_date: 7 Aug 18 app_by: George Alex Lunceford

2018-08-07T13:22:02-0400

LUNCEFORD.GEORGE.A.JR.1239545749

app_date: 7 Aug 18

Page:

of_pages:

app: Adobe Professional 8.0

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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: WARRANTY PERFORMANCE REPORT sub:

auth: DI-SESS-81639A ref:

req_ofc: AFLCMC/WNA dd250: NO appcode: N/A dist: D freq: As required asof: Blk 16 firstsub:

subsub:

addressee1: AFLCMC/WNA draft1:

reg1:

repro1:

addressee2: ATS Program Office draft2:

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addressee3: 235 Byron St, Ste 19A draft3:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Blk 4: The Warranty Performance Report shall be in the Contractor’s format

Blk 11: Initial warranty reports shall be due by the 15th work day following shipment of a warranted item to the Government/User

Blk 14: Submit electronic copies via e-mail. Submissions will be addressed to AFLCMC/WNAAA, Program Manager and Contracting Officer group:

total_price:

prep_name: Milan N Damnjanovic line_item: 0004AB exhibit:

xtdp: Off xtm: Off othercat: Program Management system: AN/USM-670A ctr_no: FD2060-18-33695 contr: AAI Corporation remarksb:

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2018-07-20T13:07:13-0400

DAMNJANOVIC.MILAN.NMN.1208559520

prep_date: 7 Aug 2018 app_by: George Alex Lunceford

2018-08-07T13:22:29-0400

LUNCEFORD.GEORGE.A.JR.1239545749

app_date: 7 Aug 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003 title: COUNTERFEIT PREVENTION PLAN sub:

auth: DI-MISC-81832 ref:

req_ofc: AFLCMC/WNA dd250: NO appcode: N/A dist: D freq: As required asof: Blk 16 firstsub:

subsub:

addressee1: AFLCMC/WNA draft1:

reg1:

repro1:

addressee2: ATS Program Office draft2:

reg2:

repro2:

addressee3: 235 Byron St, Ste 19A draft3:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks:

Blk 4: The contractor shall follow Data Item Description (DID) DI-MISC-81832 requirements sections. Contractor format is acceptable

Blk11: Summary audits of suspected counterfeit parts are required periodically as directed by the contract. Government comments or approval will be provided within 30 days after the receipt of the summary audits document. The contractor shall incorporate the Government comments/corrections into the final document due 15 days after receipt of the comments. The contractor shall immediately notify the Program Manager and Contracting Officer of all suspected counterfeit items

Blk 14: Submit electronic copies via e-mail. Submissions will be addressed to AFLCMC/WNAAA, Program Manager and Contracting Officer group:

total_price:

prep_name: Milan N Damnjanovic line_item: 0004AC exhibit:

xtdp: Off xtm: Off othercat: Program Managment system: AN/USM-670A ctr_no: FD2060-18-33695 contr: AAI Corporation remarksb:

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2018-07-20T13:34:55-0400

DAMNJANOVIC.MILAN.NMN.1208559520

prep_date: 7 Aug 2018 app_by: George Alex Lunceford

2018-08-07T13:22:47-0400

LUNCEFORD.GEORGE.A.JR.1239545749

app_date: 7 Aug 2018

Page: 1 of_pages: 1 app: Adobe Professional 8.0

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 the Department of Defense, Executive Services and Communications 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

Milan Damnjanovic George Alex Lunceford

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: CONFERENCE MINUTES

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-ADMN-81250B

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: AFLCMC/WNA

7_DID_250_REQ: NO

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: As required

11_AS_OF_DATE: Blk16

12_DATE_OF_FIRST_SUBMISSI:

13_DATE_OF_SUBSEQUENT_SUB:

addressee1: AFLCMC/WNA draft1:

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reg2:

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addressee3: 235 Byron Street draft3:

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17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

H_DATE: 7 Aug 2018

J_DATE: 7 Aug 2018

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0004AD

B_EXHIBIT:

TDP:

TM:

OTHER: Program Managment

DSYSTEMITEM: AN/USM-670A

E_CONTRACTPR_NO: FD2060-18-33695

FCONTRACTOR: AAI Corporation of_pages: 1

Reset:

2018-08-08T07:22:26-0400

DAMNJANOVIC.MILAN.NMN.1208559520

2018-08-08T07:54:36-0400

LUNCEFORD.GEORGE.A.JR.1239545749

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 the Department of Defense, Executive Services and Communications 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

Milan Damnjanovic George Alex Lunceford

1_DATA_ITEM_NO: A005

2_TITLE_OF_DATA_ITEM: Contractor's Progress, Status and Management Report

3_SUBTITLE: Monthly Status Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-80227

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: AFLCMC/WNA

7_DID_250_REQ: NO

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Mthly

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI:

13_DATE_OF_SUBSEQUENT_SUB:

addressee1: AFLCMC/WNAAA draft1:

reg1:

repro1:

addressee2: ATS Program Office draft2:

reg2:

repro2:

addressee3: 235 Byron Street draft3:

reg3:

repro3:

addressee4: Ste 19A draft4:

reg4:

repro4:

addressee5: Robins AFB, GA draft5:

reg5:

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addressee6: 31098-1670 draft6:

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total_draft: 0 total_repro: 0

16_REMARKS: Blk 4: Contractor format acceptable

Blk 12: Shall be due 30 days after contract award

Blk 13: Shall continue monthly through the life of the contract

Blk 14: Submit electronic copies via e-mail. Submissions will be addressed to AFLCMC/WNAAA, Program Manager

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

H_DATE: 7 Aug 2018

J_DATE: 7 Aug 2018

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0004AE

B_EXHIBIT:

TDP:

TM:

OTHER: Program Managment

DSYSTEMITEM: AN/USM-670A

E_CONTRACTPR_NO: FD2060-18-33695

FCONTRACTOR: AAI Corporation of_pages: 1

Reset:

2018-08-08T07:26:18-0400

DAMNJANOVIC.MILAN.NMN.1208559520

2018-08-08T07:54:54-0400

LUNCEFORD.GEORGE.A.JR.1239545749

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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Item Unique Identification (IUID) Marking Plan sub:

auth: DI-MGMT-81803NOT1 ref:

req_ofc: AFLCMC/WNA dd250: DD appcode: A dist: D freq: As Requested asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: AFLCMC/WNAAA draft1:

reg1:

repro1:

addressee2: ATS Program Office draft2:

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addressee3: 235 Byron St, Ste 19A draft3:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Block 9- Distribution authorized to Department of Defense and U.S. DoD contractors to execute marking requirements identified in the in the Government Statement of Work and Performance Work Statement (PWS) objectives, and/or Defense Federal Acquisition Regulation Supplement (DFARS)

BLOCK 12 - Plan shall be submitted within 30 days of the beginning of the PoP.

Format shall be mutually agreed to by the government and contractor. Electronic format shall be compatible with PC-based versions of Microsoft Office 2010 or 2013

Blk 14: Submit electronic copies via e-mail. Submissions will be addressed to AFLCMC/WNAAA, Program Manager and Engineer group:

total_price:

prep_name: Milan N Damnjanovic line_item: 0004AF exhibit: A xtdp: Off xtm: Off othercat: Program Managment system: AN/USM-670A ctr_no: FD2060-18-33695 contr: AAI Corporation remarksb: The report shall include, but not be limited to, the following data elements:

1. Contract CLIN

2. Option Period

3. Delivery Order Award Date

4. Description

5. Part Number(s)

6. Serial Number(s)

7. Quantity

8. Unit Cost

9. Total Cost

10. Projected Ship Date

11. Ship Date

12. Explanation for Schedule Delays

13. Projected Ship Date

Page2: 2

Reset:

2018-07-20T14:19:08-0400

DAMNJANOVIC.MILAN.NMN.1208559520

prep_date: 7 Aug 2018 app_by: George Alex Lunceford

2018-08-07T13:23:54-0400

LUNCEFORD.GEORGE.A.JR.1239545749

app_date: 7 Aug 2018

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A007 title: Item Unique Identification (IUID) Marking Activity, Validation, and Verification Report sub:

auth: DI-MGMT-81804A ref:

req_ofc: AFLCMC/WNA dd250: LT appcode: N/A dist: D freq: As Requested asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: AFLCMC/WNAAA draft1:

reg1:

repro1:

addressee2: ATS Program Office draft2:

reg2:

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addressee3: 235 Byron St, Ste 19A draft3:

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repro3:

addressee4: Robins AFB, GA draft4:

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repro4:

addressee5: 31098-1670 draft5:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks:

Block 9- Distribution authorized to Department of Defense and U.S. DoD contractors to execute marking requirements identified in the in the Government Statement of Work and Performance Work Statement (PWS) objectives, and/or Defense Federal Acquisition Regulation Supplement (DFARS)

BLOCK 12 - Report shall be submitted within 30 days of the beginning of the PoP.

Format shall be mutually agreed to by the government and contractor. Electronic format shall be compatible with PC-based versions of Microsoft Office 2010 or 2013 group:

total_price:

prep_name: Milan N Danmjanovic line_item: 0004AG exhibit:

xtdp: Off xtm: Off othercat: Program Managment system: AN/USM-670A ctr_no: FD2060-18-33695 contr: AAI Corporation remarksb: The report shall include, but not be limited to, the following data elements:

1. Contract CLIN

2. Option Period

3. Delivery Order Award Date

4. Description

5. Part Number(s)

6. Serial Number(s)

7. Quantity

8. Unit Cost

9. Total Cost

10. Projected Ship Date

11. Ship Date

12. Explanation for Schedule Delays

13. Projected Ship Date

Page2: 2

Reset:

2018-07-20T14:35:42-0400

DAMNJANOVIC.MILAN.NMN.1208559520

prep_date: 7 Aug 2018 app_by: George Alex Lunceford

2018-08-07T13:23:37-0400

LUNCEFORD.GEORGE.A.JR.1239545749

app_date: 7 Aug 2018

Page: 1 of_pages: 2 app: Adobe Professional 8.0