ADC_CDRL_A001-005.pdf

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

(1 Data Item)

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

TDP ________ TM _______ OTHER

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

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 delivering such data item to the Government.

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

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

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 data_item: A002 title: Item Unique Identification (IUID) Marking Plan sub:

auth: DI-MGMT-81803 ref: PWS 4.5.2 req_ofc: 409 SCMS/GUMBB dd250: N/A appcode: N/A dist: N/A freq: See Blk 16 asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 409 SCMS/GUMBB draft1:

reg1: 1 repro1:

addressee2: Attn: Program Manager draft2:

reg2:

repro2:

addressee3: 235 Byron Street draft3:

reg3:

repro3:

addressee4: Suite 19A draft4:

reg4:

repro4:

addressee5: Robins AFB, GA draft5:

reg5:

repro5:

addressee6: 31098 draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: The Item Unique Identification (IUID) Marking Plan fully documents the scope of meeting MIL-STD-130 DoD Standard Practice Identification Marking of U.S. Military Property, with the Contractor's marking requirements, marking methodology/strategy, data management, quality assurance, facilities and marking equipment, technical data package requirements, data carrier symbols and print quality and the master schedule to help the government manage marking activities in a cost effective and timely manner.

1. Reference documents: The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices and revisions will be as cited on-line at Acquisition Streamlining and Standardization Information System (ASSIST) Update at the time of the solicitation.

2. Format. Contractor's format is acceptable.

3. Content. The Marking Plan will cover the following elements:

3.1 Describe the minimum item marking requirements

3.2 List/Detail items/assets to be marked within the scope of the plan

3.3 Marking Methodology/Strategy

3.3.1 Describe which type of marking methodology will be used

3.3.2 Describe the Imprint Method/Type of Label/Nameplate

3.3.3 Marking Specifications

3.3.3.1 Identify applicable engineering drawings requiring IUID marking

3.3.3.2 Machine Readable Mark Generation Instructions

3.3.3.2.1 Define the construct method

3.3.3.2.2 Determine the Enterprise Identifier (EID)

3.3.3.2.3 Determine the level of serialization

3.3.3.2.4 If using Construct 1 - I8S, identify the sequence number generation process

3.3.3.2.5 Determine other data elements required in the data matrix symbol

3.3.3.3 Determine the Human Readable Mark Generation elements to be included on the label

3.3.3.4 For labels/nameplates, identify which type of material will be used for the creation of the Mark

3.3.3.5 Describe the overall layout of the Mark including

3.3.3.5.1 Size

3.3.3.5.2 Shape

3.3.3.5.3 Layout/Order

3.3.3.5.4 Marking

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat: X system: ASN-167 (V) GCAS Air Data Computer ctr_no: FD2060-16-00160 contr: Honeywell International Inc.

remarksb: 3.3.3.5.5 Type of Lettering

3.3.3.5.6 Attachment Method

4. Describe the contractor's process for marking legacy parts, Government Furnished Property (GFP) and Property in Possession of Contractor (PIPC) including tooling.

4.1 Data Management

4.1.1 Describe the systems required to incorporate Serial Number Tracking (SNT) and Parent/Child relationship if any and communicate the IUID data to the Program Manager.

4.1.2 Describe the contractors process/systems required to assign Unique Items Identifiers (UIIs) and register Unique Identification (UID) information to the Department of Defense IUID Registry.

4.1.3 Describe the contractors process/system used to identify and track all warranted items i.e. all items with an extended warranty. Describe how the contractor will mark/use the IUID data on the package and shipping containers.

4.2 Quality Assurance

4.2.1 Describe the verification process and any sampling techniques which ensure the Machine Readable Information (MRI) complies with applicable standards as prescribed in MIL-STD-130.

4.2.2 Identify a format for reporting verification results to include pass/fail and any acceptance criteria from MIL-STD-130 in paragraph 5 titled Data Matrix symbol quality

4.2.3 Describe the process for identifying and reporting deficiencies in the mark properties, as well as repair and replacement procedures

4.2.4 Include UID Contract Data Requirement List (CDRLs) as part of the surveillance method or Quality Assurance processes

4.2.5 Describe the contractor's process used to document UII marking of legacy parts that an IUID Engineering Assessment completed when they are returned to the depot for repair

4.3 Facilities and Marking Equipment

4.3.1 Describe the facilities, marking equipment, floor space, utilities, environment and safety elements required to meet marking requirements on a production basis

4.4 Technical data package requirements

4.5 Master Schedule

5. End of DI-MGMT-81803

Page2:

Reset:

2015-10-27T14:13:11-0400

WARREN.MICHELE.A.1228769220

prep_date:

app_by:

2015-10-30T07:47:58-0400

BUSBY.JAMES.M.1230010168

app_date: 30 Oct 15

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: A003 title: Item Unique Identification (IUID) Marking Activity and Verification Report sub:

auth: DI-MGMT-81804 ref: PWS 4.5.3 req_ofc: 409 SCMS/GUMBB dd250: N/A appcode: N/A dist: N/A freq: See Blk 16 asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 409 SCMS/GUMBB draft1:

reg1: 1 repro1:

addressee2: Attn: Program Manager draft2:

reg2:

repro2:

addressee3: 235 Byron Street draft3:

reg3:

repro3:

addressee4: Suite 19A draft4:

reg4:

repro4:

addressee5: Robins AFB, GA draft5:

reg5:

repro5:

addressee6: 31098 draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: The Item Unique Identification (IUID) Marking Activity and Verification as a tabular list providing IUID marking activities data such as physical asset marking, registration, verification, inventory audits, quality audits and other asset life cycle activities. A "Pass" value will be assigned to records whose data matrix symbol(s) meet or exceed MIL-STD-130 DoD Standard Practice Identification Marking of U.S. Military Proeprty, Data Matrix Symbol Quality.

1. Reference documents: MIL-STD-130. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notice and revisions, shall be as cited on-line at Acquisition Streamlining and Standardization Information System (ASSOST) Update, ASSIST Update at the time of the solicitation.

2. The Contractor's format is acceptable.

3. The tabular report shall include the following alphanumeric fields:

3.1 Unique Item Identifier (UII)

3.2 UII Type (Construct)

3.3 Enterprise Identifier (EID)

3.4 EID Type

3.5 Original Equipment Manufacturer (OEM) Part Number

3.6 Serial Number

3.7 Equipment Nomenclature

3.8 National Stock Number

3.9 Activity/Event

3.10 Activity/Event Date

3.11 Verification (Pass/Fail)

3.12 For parts that "Fail" IUID verification, identify if item will be re-marked or scrapped

4. The Contractor shall ensure machine-readable IUID marks required under this contract are permanently placed on the items subjected to contractually-required performance testing; and further shall include all mark serviceability problems in the subject's test report(s).

5. End of DI-MGMT-81804

11-3-15 A002 RHK

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: ASN-167 (V) GCAS Air Data Computer ctr_no: FD2060-16-000160 contr: Honeywell International Inc.

remarksb:

Page2:

Reset:

2015-10-27T14:13:41-0400

WARREN.MICHELE.A.1228769220

prep_date:

app_by:

2015-10-30T07:31:38-0400

BUSBY.JAMES.M.1230010168

app_date: 30 Oct 15

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: A004 title: Status Report sub: Monthly Status Report auth: DI-MGMT-80368/T ref: PWS 4.10 req_ofc:

dd250: LT appcode: N/A dist: N/A freq: Monthly asof: See Blk 16 firstsub: See Blk 16 subsub: Monthly addressee1: 409 SCMS/GUMBB draft1:

reg1: 1 repro1:

addressee2: Attn: Program Manager draft2:

reg2:

repro2:

addressee3: 235 Byron Street draft3:

reg3:

repro3:

addressee4: Suite 19A draft4:

reg4:

repro4:

addressee5: Robins AFB, GA draft5:

reg5:

repro5:

addressee6: 31098 draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: BLK 7: Contractor shall submit final status report with a DD Form 250 to collectively account for data previously delivered by letter of transmittal. The Government will approve or disapprove the DD Form 250 within 45 days of receipt.

BLK 10 and 13: The Contractor shall provide the first monthly status report 10 days after the completion of the first calendar month after receipt of order. Subsequent reports are due at the end of the month.

BLK 14: Electronic media delivery is preferred and shall be in MS Word format compatible with Microsoft Windows 7 or higher. Delivery shall be provided via CD/DVD ROM or on-line access such as e-mail When electronic submittal is not possible, hard copies of the report shall be submitted.

Report shall include the following as a minimum:

a) Identify each reparable item by contract number, delivery order number and CLIN

b) Identify each reparable item by National Stock Number (NSN)

c) Identify each reparable item by nomenclature

d) Quantity of each reparable item in-work

e) Quantity of each reparable item on-hand awaiting induct for maintenance

f) Quantity repaired per NSN on contract

g) Number of Deficiency Reports received for each reparable item

h) Quantity of Beyond Economical Repair (BER) for each reparable item on contract

i) Quantity of condemnations for each reparable item on contract

BLK 14A:

michele.warren@us.af.mil

11-3-15 A007 RHK

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat: X system: ASN-167(V) GCAS Air Data Computer ctr_no: FD2060-16-00160 contr: Honeywell International Inc.

remarksb:

Page2:

Reset:

2015-10-27T14:15:09-0400

WARREN.MICHELE.A.1228769220

prep_date:

app_by:

2015-10-30T07:32:14-0400

BUSBY.JAMES.M.1230010168

app_date: 30 Oct 15

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: A005 title: Failure Summary and Analysis Report sub:

auth: DI-SESS-80255 ref: PWS 4.11 req_ofc: 409 SCMS/GUMBB dd250: LT appcode: N/A dist: A freq: Quarterly asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: 409 SCMS/GUMBB draft1:

reg1: 1 repro1:

addressee2: Attn: Program Manager draft2:

reg2:

repro2:

addressee3: 235 Byron Street draft3:

reg3:

repro3:

addressee4: Robins AFB, GA draft4:

reg4:

repro4:

addressee5: 31098 draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: In accordance with Performance-Based Work Statement (PWS), this report shall identify the summary of analysis and the repair action(s) taken. The report shall be provided quarterly. Contractor electronic format is acceptable.

An electronic copy shall be provided to the Program Manager. A paper copy of the report must also be provided to the address in Block 14a. However, the Contractor may forgo the provision of paper copy of this report by obtaining a waiver from the Program Manager. The waiver can be obtained via email with a statement that exempts the Contractor from providing a paper copy.

Block 12. The first submission of this report is due 45 days after the first quarter of performance. The performance period begins on the date of award of the order against the basic contract.

Block 13: Subsequent reports are due 45 days after the end of the quarter.

11-3-15 A008 RHK

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: ASN-167(V) GCAS Air Data Computer ctr_no: FD2060-16-00160 contr: Honeywell International Inc.

remarksb:

Page2:

Reset:

2015-10-27T14:19:25-0400

WARREN.MICHELE.A.1228769220

prep_date:

app_by:

2015-10-30T07:33:31-0400

BUSBY.JAMES.M.1230010168

app_date: 30 Oct 15

Page: 1 of_pages: 1 app: Adobe Professional 8.0

2. Transactions and data will be submitted by the contractor daily IAW CAVAF User Guide, Version 7.s or higher. The contractor shall obtain a valid DoD PKI certificate to log into CAVAF. Each user shall be required have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 409 SCMS/GUMA, (478) 327-6602 or 327-6603.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 10:

a. Contractor reporting requirements to CAVAF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractors User Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAVAF Online web site IAW CAVAF 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 IAW CAVAF Users Guide.

BLOCK 13: Same as remarks regarding Block 10 above..