2057375_CDRL1_REPORT.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER X

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

FD20601601003

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility (CAVAF) End Item Reporting

3. SUBTITLE

CAVAF

4. AUTHORITY

A001

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragragh 4.8

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Smith, Brandon ANAME: 22 DEC 2016DATE:

1. The contractor shall report end item and Government-Furnished Material (GFM) data through electronic submission in CAV II using the CAV II website IAW SOW. This information will be accessed by the program office to ascertain production status and GFM inventories.

2. Transactions and data will be submitted by the contractor daily IAW CAVAF User Guide, Version 8.0 or higher. The Contractor shall obtain a valid DoD PKI certificate to log into CAVAF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 406 SCMS/GUMAAB, (478) 327-6602 or 327-6603.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Center (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 in IAW CAVAF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

409 SCMS/GUMCA 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Presberry-James, Tracey L

409 SCMS / GUMCC

478-327-5970

H. DATE

29 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

GRIFFIS.KRISTINE.S.1267561059

409 SCMS / GUMCA 478-926-6009 / 468-6009

J. DATE

28 DEC 2016

Page 1 of 8DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 04 Jan 2017

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

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

FD20601601003

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Status Reports

3. SUBTITLE

Program Status

4. AUTHORITY

A002

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.3.1.6

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

11. AS OF DATE

See block 16

12. DATE OF FIRST

SUBMISSION

See block 16

13. DATE OF SUBSEQUENT

SUBMISSION

MTHLY

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Smith, Brandon ANAME: 22 DEC 2016DATE:

Block 4: Format- The reports shall be prepared in Contractor MS Compatible format and shall be legible and suitable for reproduction.

**Block 7: Final shall be submitted with a DD Form 250 to collectively account for data previously submitted via Letter of Transmittal. Government will approve/disapprove within 30 days of receipt.

Block 10-13: Monthly Status reports are due no later than ten (10) days after the beginning of each month and shall cover the activities of the previous month.Report is due each month for the life of the contract.

Block 14: Content- The data below shall be contained on a title page or on the first page of the report.

a. Title/Identification of the system/component/program

b. Type of Report is Monthly

c. Period covered by report

d. Contract Number

e. Preparing activity or Contractor's title

f. Distribution Statement

The report shall contain but not limited to the following information

1. Receipt/Induction

2. Estimated Completion Dates

3. Repair Action/Status

4. Shipping Information

5. Report preparer: Name of person(s) and telephone number (s)

Monthly Status Report and Letter of Transmittal is to be electronically mailed to the following e-mail address:

brandon.smith.73@us.af.mil

COORDINATORS:

Program Manager 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Presberry-James, Tracey L

409 SCMS / GUMCC

478-327-5970

H. DATE

29 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

GRIFFIS.KRISTINE.S.1267561059

409 SCMS / GUMCA 478-926-6009 / 468-6009

J. DATE

28 DEC 2016

Page 2 of 8DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 04 Jan 2017

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

TDP TM OTHER X

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

FD20601601003

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Technical Report

3. SUBTITLE

Study/Service

4. AUTHORITY

A003

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.3.1.7

6. REQUIRING OFFICE

409 SCMS

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

F

10. FREQUENCY

ASREQ

11. AS OF DATE

See block 16

12. DATE OF FIRST

SUBMISSION

See block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Smith, Brandon ANAME: 22 DEC 2016DATE:

Block 9: Distribution code F - Further dissemination only as directed by 409 SCMS/GUMCA or 409 SCMS/GUEA

Block 10-11: Frequency as required (contingent upon opening of investigation)

Block 12: Completion of investigation

Block 13: As Required

Block 14: Contingent upon investigation to be delivered electronically created with Microsoft Office (or a system compatible with current government software applications).

Submit copies to brandon.smith.73@us.af.mil, Program Manager and william.johansen@us.af.mil, Engineer.

COORDINATORS:

Engineer See block 16

0 1 0

Program Manager See block 16

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Presberry-James, Tracey L

409 SCMS / GUMCC

478-327-5970

H. DATE

29 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

GRIFFIS.KRISTINE.S.1267561059

409 SCMS / GUMCA 478-926-6009 / 468-6009

J. DATE

28 DEC 2016

Page 3 of 8DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 04 Jan 2017

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

TDP TM OTHER X

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

FD20601601003

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

N/A

4. AUTHORITY

a004

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.6

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

DD

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

See block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Smith, Brandon ANAME: 22 DEC 2016DATE:

Block 7: The contractor shall submit each report with a letter of transmittal. Submit invoice in WAWF after submittal of final report to account for all previously submitted.

Blocks 10-13: Date of first submission shall be within 30 days of contract award. The Government shall provide approval/comments/corrections thirty days after receipt of document. The contractor then has thirty days to correct and resubmit the document. The Counterfeit Prevention Plan shall be updated as counterfeiting methods evolve to include new indicators as well as new prevention processes needed.

Block 14: Counterfeit Prevention Plan shall be delivered electronically via E-mail to the Government Program Manager, brandon.smith.73@us.af.mil.

COORDINATORS:

Program Manager See block 16

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Presberry-James, Tracey L

409 SCMS / GUMCC

478-327-5970

H. DATE

29 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

GRIFFIS.KRISTINE.S.1267561059

409 SCMS / GUMCA 478-926-6009 / 468-6009

J. DATE

28 DEC 2016

Page 4 of 8DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 04 Jan 2017

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

TDP TM OTHER X

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

FD20601601003

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

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

3. SUBTITLE

Report

4. AUTHORITY

A005

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.7.2

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

See block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Smith, Brandon ANAME: 22 DEC 2016DATE:

Block 4: Tailored to provide for submission of report electronically, in contractor format.

Block 7: Contractor shall submit final report on DD250 to WAWF FA8538, to collectively account for data previously submitted on letter of transmittal.

Block 10-13: Report shall be submitted to arrive NLT 10th calendar day after the end of the month to notify the Government of nonconforming items, supplies, and services or safety problems which have adversely impacted or have the potential to adversely impact the program during the duration of the contract.

Block 14: e-mail the report to : brandon.smith.73@us.af.mil

COORDINATORS:

GIDEP

P.O. Box 8000 Corona, CA 91718-8000

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Presberry-James, Tracey L

409 SCMS / GUMCC

478-327-5970

H. DATE

29 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

GRIFFIS.KRISTINE.S.1267561059

409 SCMS / GUMCA 478-926-6009 / 468-6009

J. DATE

28 DEC 2016

Page 5 of 8DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 04 Jan 2017

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

TDP TM OTHER X

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

FD20601601003

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

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

3. SUBTITLE

Report

4. AUTHORITY

A006

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.7.2

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Smith, Brandon ANAME: 22 DEC 2016DATE:

Block 4: Tailored to provide for submission of reports electronically, in contractor format.

Block 7: Contractor shall submit final report on DD250 to WAWF FA8538, to collectively account for data previously submitted on letter of transmittal.

Block 10-13: Report shall be submitted to arrive NLT 10th calendar day after the end of the month to notify the Government of nonconforming items, supplies, and services or safety problems which have adversely impacted or have the potential to adversely impact the program during the duration of the contract.

Block 14 E-mail the report to : brandon.smith.73@us.af.mil

COORDINATORS:

GIDEP

P.O. Box 8000

CORONA CA

91718-8000

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Presberry-James, Tracey L

409 SCMS / GUMCC

478-327-5970

H. DATE

29 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

GRIFFIS.KRISTINE.S.1267561059

409 SCMS / GUMCA 478-926-6009 / 468-6009

J. DATE

28 DEC 2016

Page 6 of 8DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 04 Jan 2017

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

TDP TM OTHER X

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

FD20601601003

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Environmental Health and Safety Plan (HSP)

3. SUBTITLE

Health and Safety Plan

4. AUTHORITY

A007

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 5.5.3.1

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

As Required

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Smith, Brandon ANAME: 22 DEC 2016DATE:

Block 4 & 5: Contractor format is acceptable.

Contractor shall submit a Health and Safety Plan in accordance with the elements listed in Appendix C.

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

Block 8: Contractor shall submit a Health and Safety Plan within 10 working days after contract award. Written Government approval/comments/disapproval will be within 10 working days after receipt of data. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Approval by the Government is required prior to formal distribution.

Block 9: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests shall be referred to the contract management team, AFSC/PZAAB, 235 Byron St., Suite 19A, Robins AFB, GA 31098.

Block 14: Procurement Officer(s) e-mail along with Integrated Product Team e-mail distro list will be provided as required. Electronic media shall be provided by CD/DVD media in Microsoft Office compatible format.

Letter of Transmittal may sent via E-Mail to Brandon Smith, Program Manager, brandon.smith.73@us.af.mil.

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Presberry-James, Tracey L

409 SCMS / GUMCC

478-327-5970

H. DATE

29 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

GRIFFIS.KRISTINE.S.1267561059

409 SCMS / GUMCA 478-926-6009 / 468-6009

J. DATE

28 DEC 2016

Page 7 of 8DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 04 Jan 2017

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

TDP TM OTHER X

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

FD20601601003

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

N/A

4. AUTHORITY

A008

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.4.2

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Smith, Brandon ANAME: 22 DEC 2016DATE:

Block 7: The Government will accept the receiving report through WAWF. Contractor shall submit the receiving report upon final submission to DoDAAC FA8538 to account for data previously submitted by letters of transmittal.

Government will approved/disapprove within 30 business days of receipt.

Blocks 8, 10-13: Contractor shall submit an IUID plan within 30 business days after contract award. Written government comments, approval, or disapproval will be provided within 10 working days after receipt of data. Contractor final submission shall be submitted within 10 working days of receiving government comments. Approval by the Government is required prior to implementation.

Block 9: Distribution authorized to Department of Defense (DoD) and DoD contractors only. Other requests shall be referred to 409 SCMS/GUMCA, 235 Byron Street., Suite 19A, Robins AFB, GA 31098.

Block 14: Submit digital copy in a Microsoft Office ® compatible format. Deliver to: brandon.smith.73@us.af.mil

COORDINATORS:

Program Manager See Block 16

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Presberry-James, Tracey L

409 SCMS / GUMCC

478-327-5970

H. DATE

29 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

GRIFFIS.KRISTINE.S.1267561059

409 SCMS / GUMCA 478-926-6009 / 468-6009

J. DATE

28 DEC 2016

Page 8 of 8DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 04 Jan 2017