DD1423_FA8534-17-R-0007.docx

DOCX document 82 KB Posted

Attached to
Noise Suppressor Sustainment Federal contract opportunity
Solicitation number
FA8534-17-R-0007
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

About this file

This Contract Data Requirements List (CDRL) outlines nine required data items for the Noise Suppressor sustainment contract between the contractor and the Air Force Materile Command Lifecycle Management Center. Key deliverables include status reports, test procedures and reports, engineering change proposals, and an integrated master schedule. Submission due dates vary by item but are typically monthly or as required. The CDRL specifies distribution as limited to U.S. government agencies and their contractors for administrative or operational use. It identifies the approving authority for each data item as AFLCMC/WN-SEV/NOISE SUPPRESSORS and requires government approval of submissions.

Draft CDRLs

View the file

Other files for this federal contract opportunity

Other files attached to Noise Suppressor Sustainment, newest first.
File Type Posted
Attachment_7,_Relevancy_Assessment.pdf PDF
Attachment_8,_Cross_Reference_Matrix.pdf PDF
Attachment_1,_Pricing_Exhibits.xlsx XLSX spreadsheet
Attachment_5,_Electronic_Proposal_Volumes.pdf PDF
Attachment_6,_Past_Performance_Information.pdf PDF
Attachment_19,_Wage_Determination.pdf PDF
Attachment_2,_Request_for_Proposal_Checklist.pdf PDF
Attachment_10,_Statement_of_Objectives_for_Sample_Task_2.pdf PDF
Attachment_9,_Statement_of_Objectives_for_Sample_Task_1.pdf PDF
Attachment_3,_Consolidated_Gov't_Furnished_Property.pdf PDF
Quality_Assurance_Surveillance_Plan.pdf PDF
Attachment_12,_Teaming_Member_Consent_Form.pdf PDF
Attachment_13,_Past_Performance_Questionnaire.pdf PDF
Attachment_14,_Transmittal_Letter.pdf PDF
Attachment_18,_Ordering_Instructions.pdf PDF
Attachment_20,_DD1423.pdf PDF
Attachment_4,_Cost_Model.xlsx XLSX spreadsheet
FBO_Verbiage.docx DOCX document
Attachment_15,_Client_Authorization_Letter.pdf PDF
Attachment_17,_Section_L_&_M.pdf PDF
FA8534-17-R-0007.pdf PDF
Attachment_11,_Performance_Based_Work_Statement.pdf PDF
Questions_and_Answers_-_5_Oct_2017.pdf PDF
Draft_RFP_FA853417R0007.pdf PDF
Attachment_18_OrderingInstructions.pdf PDF
Attachment_4_CostModel.xlsx XLSX spreadsheet
Attachment_17_SectionLandM.pdf PDF
Questions_and_Answers_23_Aug_17.pdf PDF
Attachment_17_SectionsLandM.doc DOC document
Attachment_8,_Cross_Reference_Matrix.docx DOCX document
Attachment_4,_Cost_Model.xlsx XLSX spreadsheet
Questions_and_Answers.pdf PDF
Attachment13,PastPerformanceQuestionnaire.docx DOCX document
Attachment7,RelevancyAssessment.docx DOCX document
Attachment12,TeamingConsentForm.docx DOCX document
Attachment9StatementofObjectivesforSampleTask1.doc DOC document
Attachment10StatementofObjectivesforSampleTask2.doc DOC document
Attachment11PerformanceBasedWorkStatement.docx DOCX document
Attachment1NoiseSuppressorPricingExhibits.xlsx XLSX spreadsheet
Attachment5ElectronicProposalVolumes.docx DOCX document
Attachment17ConsentForm.docx DOCX document
Attachment2RequestforProposalChecklist.docx DOCX document
Attachment15ClientAuthorizationLetter.docx DOCX document
Attachment14TransmittalLetter.docx DOCX document
Attachment6PastPerformanceInformation.docx DOCX document
NSS_Q&A.pdf PDF
FA853417R0007.pdf PDF
DRAFT_Noise_Suppressor_Pricing_Exhibits.xlsx XLSX spreadsheet
DRAFT_RFP_FA853417R0007.pdf PDF
DRAFT_Noise_Suppressor_PWS.pdf PDF
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Text version

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

OTHER

X

D. SYSTEM/ITEM

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

PWS paragraph 4.4.1.30 , 4.4.16

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

30 DAC

14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

Monthly Draft Final Reg Repro

16. REMARKS

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

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11: Frequency shall be monthly, NLT the 10 th working day of the month.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Repairable Item Inspection Report

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-ILSS-80386

5. CONTRACT REFERENCE

PWS paragraph 4.4.2.3

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11: As required Blocks 12, 13: Report shall be turned in IAW PWS Table 2, Contractor Response Time. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

G. PREPARED BY

Lauren Janelle

H. DATE

12 June 2017

I. APPROVED BY

J. DATE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

)DD FORM 1423, AUG 96

PREVIOUS EDITION MAY BE USED.

Page 1 of x Pages Adobe Professional 8.0

Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Statement of Work

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-MGMT-81606

5. CONTRACT REFERENCE

PWS paragraph 4.4.2.4

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11: As required Blocks 12, 13: Report shall be turned in IAW PWS Table 2, Contractor Response Time. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Test Procedure

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE

PWS paragraph 4.4.3

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

G. PREPARED BY

Lauren Janelle

H. DATE

12 June 2017

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

)DD FORM 1423, AUG 96

PREVIOUS EDITION MAY BE USED.

Page 2 of x Pages

Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

PWS paragraph 4.4.3

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Contract S ummary Report

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-ADMN-80447A

5. CONTRACT REFERENCE

PWS paragraph 4.4.5

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

G. PREPARED BY

Lauren Janelle

H. DATE

12 June 2017

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

)DD FORM 1423, AUG 96

PREVIOUS EDITION MAY BE USED.

Page 3 of x Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

PWS paragraph 4.4.6

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

30 DAC

14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

Monthly Draft Final Reg Repro

16. REMARKS

B lock 4:

Media shall be submitted as one copy on paper and one in electronic format.

The contractor shall develop and maintain a spreadsheet including all major components and subsystems repaired for the duration of this effort. The information shall be sortable by location, frequency, type of repair, and component. An example spreadsheet will be provided for reference.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Block 11: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-SESS-80639D

5. CONTRACT REFERENCE

PWS paragraph 4.4.

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Bloc ks 10, 11, 12, 13: As required.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

G. PREPARED BY

Lauren Janelle

H. DATE

12 June 2017

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

)DD FORM 1423, AUG 96

PREVIOUS EDITION MAY BE USED.

Page 4 of x Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Notice of Revision (NOR)

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-SESS-80642

5. CONTRACT REFERENCE

PWS paragraph 4.4.

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

Conference Agenda

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-ADMN-81249A

5. CONTRACT REFERENCE

PWS paragraph 4.4.

12.1, 4.4.12.2, 4.4.19

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

G. PREPARED BY

Lauren Janelle

H. DATE

12 June 2017

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

)DD FORM 1423, AUG 96

PREVIOUS EDITION MAY BE USED.

Page 5 of x Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

Conference Minutes

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

D

I-ADMN-81250A

5. CONTRACT REFERENCE

PWS paragraph 4.4.

12.1, 4.4.12.2, 4.4.20

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

As required

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A015

2. TITLE OF DATA ITEM

Integrated Master Schedule

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-MGMT-81650

5. CONTRACT REFERENCE

PWS paragraph 4.4.

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

30 DAC

14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

Monthly Draft Final Reg Repro

16. REMARKS

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

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11: Frequency shall be monthly, NLT the 10 th working day of the month.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

G. PREPARED BY

Lauren Janelle

H. DATE

12 June 2017

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

)DD FORM 1423, AUG 96

PREVIOUS EDITION MAY BE USED.

Page 6 of x Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A016

2. TITLE OF DATA ITEM

Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-QCIC-80125B

5. CONTRACT REFERENCE

PWS paragraph 4.

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

Block 4: GIDEP Response format shall be at the contractor’s discretion. Contractor shall adhere to the policies and directives of GIDEP.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

GIDEP OPS CTR

Code 30G Corona, CA 92878-8000

15. TOTAL

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A017

2. TITLE OF DATA ITEM

Response to a Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-QCIC-80126

B

5. CONTRACT REFERENCE

PWS paragraph 4.8

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

Block 4: GIDEP Response format shall be at the contractor’s discretion. Contractor shall adhere to the policies and directives of GIDEP.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

GIDEP OPS CTR

Code 30G Corona, CA 92878-8000

15. TOTAL

G. PREPARED BY

Lauren Janelle

H. DATE

12 June 2017

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

)DD FORM 1423, AUG 96

PREVIOUS EDITION MAY BE USED.

Page 7 of x Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A018

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

D

I-ADMN-81250A

5. CONTRACT REFERENCE

PWS paragraph

5.5.2.1

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.

Media shall be submitted as one copy on paper and one in electronic format.

Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.

Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

Noise Suppressor

E. CONTRACT/PR NO.

FA8534-17-R-0007

F. CONTRACTOR

1. DATA ITEM NO.

A019

2. TITLE OF DATA ITEM

Environmental Health and Safety Plan

3. SUBTITLE

4. AUTHORITY

(Data Acquisition Document No.)

DI-ENVR-81375

5. CONTRACT REFERENCE

PWS paragraph 5.5.2.3

6. REQUIRING OFFICE

AFLCMC/WN-SEV/NOISE SUPPRESSOR

S

7. DD 250 REQ

DD

9. DIST STATEMENT REQUIRED

C

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft Final Reg Repro

16. REMARKS

Block 4: Contractor format acceptable.

Block 7:

The Government will accept the Receiving Report through WAWF/ iRAPT . Contractor shall submit the Receiving Report upon final submission.

Block 8 , 10-12 Contractor shall submit a Health and Safety Plan within 14 calendar days after contract award. Written Government acceptance/comments will be submitted within 14 calendar days after receipt of data. Contractor final submission shall be submitted within 14 calendar days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.

Blocks

11, 13:

If, during the performance of this contract, changes to the Safety and Health Plan are required, submit the revised Safety and Health Plan to AFLCMC/WN-SEV/NOISE SUPPRESSORS. Procedures identified for Blocks 10-12 shall apply.

AFLCMC/WN-SEV/

NOISE SUPPRESSORS

235 Byron Street Suite 19-A Robins AFB, GA 31098-1813

15. TOTAL

G. PREPARED BY

Lauren Janelle

H. DATE

12 June 2017

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

)DD FORM 1423, AUG 96

PREVIOUS EDITION MAY BE USED.

Page 8 of x Pages

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