2881099_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

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force

3. SUBTITLE

CAV AF

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.3.3

6. REQUIRING OFFICE

FA8538

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

Parker, Adam SNAME: 30 AUG 2019DATE:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 409 SCMS/GUMCA-Robins in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 or higher.

The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602.

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

Block 7: Enter the applicable code as listed in DoD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.)

Block 10:

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

b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

COORDINATORS:

409 SCMS GUMCA

235 Byron ST Suite 19A 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 1 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV) Reporting

3. SUBTITLE

CFM End Item Reporting

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Reference 4.3.3

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Parker, Adam SNAME: 30 AUG 2019DATE:

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 5: Contract Reference: PWS Paragraph 4.3.3 and CAV AF Reporting Requirements Document

2. Block 4: All reporting shall be submitted in the English Language.

3. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

4. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil, using DODAAC FA8251. MARK FOR: Address in block 14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

maureen.sandrock.2@us.af.mil

COORDINATORS:

15. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 2 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Contract Government Furnished Material (GFM) Requisition and Inventory Report

3. SUBTITLE

GFM Requisition and Inventory Report

4. AUTHORITY

DI-MGMT-82128

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Reference 4.3.3

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ANNLY

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

Parker, Adam SNAME: 30 AUG 2019DATE:

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: All reporting shall be in the English Language.

2. Blocks 10, 11, 12, 13:

a. Data shall be current as of the last date of the reporting period (end of the month)

b. The first report shall be submitted no later than five (5) business days after the close of the first reporting period (previous month's last calendar date).

c. Subsequent reports shall be submitted no later than five (5) business days of the close of the reporting period (previous month's last calendar date).

3. Block 9: a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S.

DoD Contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office).

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement: EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Block 7, 14: Submit the Requisition and Inventory Reports to the following email address: Carolyn.Schnee@us.af.mil and/or maureen.sandrock.2@us.af.mil

COORDINATORS:

carolyn.schnee@us.af.mil 1 1 0 diana.washington@us.af.mil 1 1 0 maureen.sandrock.2@us.af.mil 0 1 0

2 3 015. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 3 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

CDM Production Monthly Status Report

4. AUTHORITY

DI-PSSS-81995/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Reference 4.3.3

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Parker, Adam SNAME: 30 AUG 2019DATE:

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 5 (five) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the (Requiring Office), Program Manager (PM) or the Production Management Specialist (PMS),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

COORDINATORS:

SEE BLK 16 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 4 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP X TM OTHER

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

GFP Inventory Report

4. AUTHORITY

DI-MGMT-80441C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Reference 4.3.3

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

N/A

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ANNLY

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Parker, Adam SNAME: 30 AUG 2019DATE:

BLK 4: DI-MGMT-80441C, Government Property Inventory Report, prescribes the format, content, and preparation instructions for the data product required to meet this requirement. Report shall be formatted using Microsoft Excel and may utilize Adobe PDF. Submission shall be delivered electronically via email to the following people:

carolyn.schnee@us.af.mil and/or maureen.sandrock.2@us.af.mil

The contractor shall conduct an annual 100 percent physical inventory over the course of a years time of each NIIN as not to impede maintenance operations. Upon completion of each NIINs 100 percent physical inventory, the contractor shall provide the AF government an inventory listing of the result of all AF Government Furnished Property (GFP) in the contractor's possession, by contract, and by National Stock Number (NSN). The Contractor shall submit a Table for each designated repair facility / DoDAAC location for which the contractor has received inventory during the reporting period, including Subcontractor facilities. The report should include all AF Government Furnished Property in possession of the Contractor.

The contractor's CAV AF reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each

NIIN.

BLK 9: Distribution authorized to Department of Defense and U.S. DoD contractors only. Other request for this document shall be referred to 408 SCMS/GULB.

BLK 10: This report will be provided annually, at a minimum, but also shall be provided upon request by the Government.

BLK 11. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period (if period of performance begins on 15 September 18, first annual reporting period ends 14 September 19). If requested outside of an annual cadence, the data shall be current as of the date requested.

BLK 12 & 13. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

COORDINATORS:

carolyn.schnee@us.af.mil 0 1 0 maureen.sandrock.2@us.af.mil 0 1 0

0 2 015. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 5 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Reference 4.3.4

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/P

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

60 Days ARO

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Parker, Adam SNAME: 30 AUG 2019DATE:

Block 7: DD250 shall be submitted via WAWF.

Block 9: Distribution authorized to the Department of Defense and U.S. DoD contractors only due to sensitive information (4 Dec 2013). Other requests shall be referred to 409 SCMS/GUMCA.

Blocks 10, 11, 12, 13: 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.

Block 14: If mutually agreed to by the contractor and the government, the document may be submitted electronically via email or on any PC based formatted media such as CDROM, Submissions shall be addressed to the designated and alternate points of contacts identified by the PCO.

COORDINATORS:

409 SCMS/GUMCA

235 Byron St.

Suite 109 Robins AFB, GA 31098

1 1 0

1 1 015. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 6 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

PARTS APPROVAL REQUEST

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-80071E

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Reference 4.6

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

DD

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

Parker, Adam SNAME: 30 AUG 2019DATE:

Blocks 10, 11, 12 & 13: Requests will be submitted on an as needed basis IAW the Performance Work Statement

(PWS).

COORDINATORS:

409 SCMS GUMCA

235 Byron Street. Suite 109

ROBINS AFB GA 31098

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Engineering Change Proposal

3. SUBTITLE

Engineering Change Proposal

4. AUTHORITY

DI-CMAN-80639C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS para 4.6

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Parker, Adam SNAME: 30 AUG 2019DATE:

BLK 8: The Government will have 10 days after receipt for approval or disapproval. The contractor shall have 5 days after receipt of the Government comments to resubmit.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors.

Other requests for this document shall be referred to 409 SCMS/GUMCA.

BLK 14: Documents shall be provided to the following personnel via electronic media utilizing standard Microsoft Office applications.

PM: maureen.sandrock.2@us.af.mil PCO: diana.washington@us.af.mil EN: david.jones.25@us.af.mil

See BLK 16 0 1 0

0 1 015. TOTAL

Page 7 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

COORDINATORS:

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP X TM OTHER

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Technical Report-Study/Services

3. SUBTITLE

Report of Findings

4. AUTHORITY

DI-MISC-80508B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para. 4.7

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Parker, Adam SNAME: 30 AUG 2019DATE:

Block 7: DD250 shall be submitted via WAWF at the end of each portion of the contract exercised (basic and options) for all reports.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only due to critical technology (26 Dec 2012.) Other requests shall be referred to 409 SCMS/GUMCA.

Blocks 10, 11, 12 and 13: The CDRL applies to the basic and all exercised options of the contract. A report shall be submitted 10 business days after receipt of a DR.

COORDINATORS:

409 SCMS/GUMCA

435 Byron Street, Suite 109 Robins AFB, GA 31098-1813

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 8 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Weekly status report of units at repair facility

4. AUTHORITY

DI-MGMT-80368A/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 4.8

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

WEKLY

11. AS OF DATE

See Blk 16

12. DATE OF FIRST

SUBMISSION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Parker, Adam SNAME: 30 AUG 2019DATE:

Block 4. The contractor shall provide a report detailing number of units on hand, number of units in work, stage of unit in the repair process and type of repairs being completed by serial number of unit on a weekly basis when units are at the repair facility IAW referenced DID.

Block 7: WAWF E-DD Form 250 shall be required for Priced Data. When required, WAWF E-DD Form 250 will be submitted to WAWF E-DD for acceptance.

Block 10-13: Weekly status report to begin within 60 days after receipt of contract maintaining record all repairs and component replacement actions detailing number of units on hand, number of units in work, and stage of unit in repair process by serial number.

Block 14. Reports shall be electronically submitted via e-mail to the personnel listed below.

diana.washington@us.af.mil carolyn.schnee@us.af.mil maureen.sandrock.2@us.af.mil

COORDINATORS:

15. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 9 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PACS-46

E. CONTRACT / PR NO.

FD20601801879

F. CONTRACTOR

Hamilton Sundstrand

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Quality Program Plan

3. SUBTITLE

Contractor's Quality Control Plan

4. AUTHORITY

DI-QCIC-81722

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 5.9

6. REQUIRING OFFICE

409 SCMS/GUMCA

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

11. AS OF DATE

ASREQ

12. DATE OF FIRST

SUBMISSION

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Parker, Adam SNAME: 30 AUG 2019DATE:

Block 4, 10-13: The Quality Control Plan (QCP) is submitted after award in accordance with the DD1423 and is approved by the Contracting Officer Representative (COR) before any work begins. The Plan shall be comprehensive, detailed, and logical if the contractor's quality control program is to be effective and shall included a site safety checklist when applicable. The Plan shall demonstrate that the contractor has fully considered the specific contract requirements and specified level of quality. If changes to the plan are necessary, the changes must be made and accepted by the Government Contracting Officer, prior to implementation.

COORDINATORS:

409 SCMS/GUMCA

235 Byron Street, Suite 9 Robins AFB, GA 31098-1813

1 1 0

1 1 015. TOTAL

G. PREPARED BY

Schnee, Carolyn A

409 SCMS / GUMCC

478-327-8698

H. DATE

23 OCT 2019

I. APPROVED BY

//DIGITALLY SIGNED//

FOX.SUSAN.D.1145383176

407 SCMS / GUMCB 478-926-5710 / 468-5710

J. DATE

23 OCT 2019

Page 10 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Dec 2019