21-00012_CDRLs_Signed.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

C-5

E. CONTRACT / PR NO.

FD20602100012

F. CONTRACTOR

SYMETRICS INDUSTRIES, LLC

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV)/Government Furnished Material Report

3. SUBTITLE

GFM End Item Reporting

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

SEE BLK 16 FOR REFERENCE

6. REQUIRING OFFICE

FA8538

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

Collins, Kimberly DNAME: 22 JUL 2020DATE:

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 4.9 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:

PM: JAMES PALMER, 409 SCMS/GUMAA james.palmer.11@us.af.mil PMS: KIMBERLY COLLINS, 409 SCMS/GUMAA, kimberly.collins.9@us.af.mil

COORDINATORS:

15. TOTAL

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

Page 1 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

C-5

E. CONTRACT / PR NO.

FD20602100012

F. CONTRACTOR

SYMETRICS INDUSTRIES, LLC

1. DATA ITEM NO.

A002

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 Paragraph: 4.12

6. REQUIRING OFFICE

FA8538

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

Collins, Kimberly DNAME: 20 JUL 2020DATE:

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 assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS),

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

COORDINATORS:

15. TOTAL

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

Page 2 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

C-5

E. CONTRACT / PR NO.

FD20602100012

F. CONTRACTOR

SYMETRICS INDUSTRIES, LLC

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Annual Government Property Physical Inventory Report

4. AUTHORITY

DI-MGMT-80441C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Parargraph: 4.13

6. REQUIRING OFFICE

FA8538

7. DD 250 REQ

LT

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

Collins, Kimberly DNAME: 22 JUL 2020DATE:

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 reports shall be submitted in the English Language.

2. Blocks 10, 11, 12, 13:

a. This report will be provided annually. Reporting Period is one year.

b. 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 requested outside of an annual cadence, the data shall be current as of the date requested.

c. 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.

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 Annual Government Property Physical Inventory Report to the following email address:

PM: JAMES PALMER, 409 SCMS/GUMAA james.palmer.11@us.af.mil PMS: KIMBERLY COLLINS, 409 SCMS/GUMAA, kimberly.collins.9@us.af.mil

COORDINATORS:

SEE BLK 16 0 1 0

0 1 015. TOTAL

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

Page 3 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

C-5

E. CONTRACT / PR NO.

FD20602100012

F. CONTRACTOR

SYMETRICS INDUSTRIES, LLC

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY

DI-MGMT-81803/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA 4.7.1

6. REQUIRING OFFICE

409 SCMS/GUMAB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

ONE/P

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

Collins, Kimberly DNAME: 20 AUG 2020DATE:

BLK 4: The Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http:

//quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524, PM EMAIL ADDRESS: james.palmer.11@us.af.mil, for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAB, 460 Richard Ray Blvd, Ste 221, Robins AFB, GA 31098.

BLKS 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, 409 SCMS/GUEA, within 10 working days after contract award. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, 409 SCMS/GUEAA, 235 Byron Street, Suite 19A, Robins AFB, GA 31098.

Procedures identified for blocks 8 & 10-12 will apply.

BLK 14: EMAIL electronic IUID Marking Plan to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 409 SCMS/GUMAA, and Engineer 409 SCMS/GUEAA. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

Email Addressee (BLK 14) Draft Reg Ref Email: 0 1 0 AFSC/PZAAB Contracting Officer (PCO) Provided on Contract Award Email: william.denny@us.af.mil 409 SCMS/GUEAA Engineer 1 1 1 Email:

409 SCMS/GUMAA Program Manager (PM/COR) PM email provided on Contract Award 1 1 0 Email:

DCMA/ACO 0 1 0

Denny, William FNAME: 19 AUG 2020DATE:

BLK 4: The Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (PM EMAIL ADDRESS) for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAB, 460 Richard Ray

See Block 16 0 1 0

0 1 015. TOTAL

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Blvd, Ste 221, Robins AFB, GA 31098.

BLKS 10-12: Contractor shall submit an IUID Marking Plan, to the Engineer, 409 SCMS/XXXXX, within 10 working days after contract award. Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 13: If, during the performance of this contract, changes to the IUID Marking Plan are required, submit the revised IUID Marking Plan to Engineering Office, 409 SCMS/GUEAA, 235 Byron Street, Suite 19A, Robins AFB, GA 31098.

Procedures identified for blocks 8 & 10-12 will apply.

BLK 14: EMAIL electronic IUID Marking Plan to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 409 SCMS/GUMAA, and Engineer 409 SCMS/GUEAA. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

Email Addressee (BLK 14) Draft Reg Ref Email: 0 1 0 AFSC/PZAAB Contracting Officer (PCO) Provided on Contract Award Email: william.denny@us.af.mil 409 SCMS/GUEAA Engineer 1 1 1 Email:

409 SCMS/GUMAA Program Manager (PM/COR) PM email provided on Contract Award 1 1 0 Email:

DCMA/ACO 0 1 0

Matthews, Christopher RNAME: 26 FEB 2020DATE:

Block 4.

Delete 4.2.5.

Delete 4.3.

Delete 4.3.1.

Delete 4.5.

Add 4.4 IAW IUID Checklist

Block 10-13: One-time report shall be provided within 60 days after receipt of contract and after receipt of this CDRL.

Block 14: Reports shall be electronically submitted via email to the personnel listed below.

Procurement Contracting Officer: deborah.manly@us.af.mil Program Manager: janet.butcher@us.af.mil Engineer: andrew.hyatt.9@us.af.mil Production Management Specialist: christopher.matthews.27@us.af.mil

COORDINATORS:

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

Page 5 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

C-5

E. CONTRACT / PR NO.

FD20602100012

F. CONTRACTOR

SYMETRICS INDUSTRIES, LLC

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) - Marking Activity and Verification Report

3. SUBTITLE

IUID Marking Activity and Verification Report

4. AUTHORITY

DI-MGMT-81804

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA: 4.7.2

6. REQUIRING OFFICE

409 SCMS/GUMAA

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

QRTLY

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

Collins, Kimberly DNAME: 20 AUG 2020DATE:

BLK 4: The Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http:

//quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (PM EMAIL ADDRESS) for acceptance.

BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAB, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Contractor shall submit an IUID Marking Activity and Verification Report, to the Engineer, 409 SCMS/GUEAA, every three months (quarterly). Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 14: EMAIL electronic IUID Marking Activity and Verification Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 409 SCMS/GUMAA, and Engineer 409 SCMS/GUEAA. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

Email Addressee (BLK 14) Draft Reg Ref Email:

AFSC/PZAAB Contracting Officer (PCO) 0 1 0 Provided on Contract Award Email: william.denny@us.af.mil 409 SCMS/GUEAA Engineer 0 1 0 Email:

409 SCMS/GUMAA Program Manager (PM/COR) PM email provided on Contract Award 0 1 0 Email:

DCMA/ACO 0 1 0

Denny, William FNAME: 19 AUG 2020DATE:

BLK 4: The Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 (PM EMAIL ADDRESS) for acceptance.

BLK 8: Approval (written) is not required. However, the data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID, and within the review time specified in Block 16, items 10-12.

15. TOTAL

Page 6 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team, AFSC/PZAAB, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Contractor shall submit an IUID Marking Activity and Verification Report, to the Engineer, 409 SCMS/GUEAA, every three months (quarterly). Written Government acceptance/comments/rejection will be within 10 working days after receipt of Plan from the Contractor. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

BLK 14: EMAIL electronic IUID Marking Activity and Verification Report to the Procuring Contract Officer (PCO), DCMA/ACO, Program Manager (PM) 409 SCMS/GUMAA, and Engineer 409 SCMS/GUEAA. Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

Email Addressee (BLK 14) Draft Reg Ref Email:

AFSC/PZAAB Contracting Officer (PCO) 0 1 0 Provided on Contract Award Email: william.denny@us.af.mil 409 SCMS/GUEAA Engineer 0 1 0 Email:

409 SCMS/GUMAA Program Manager (PM/COR) PM email provided on Contract Award 0 1 0 Email:

DCMA/ACO 0 1 0

COORDINATORS:

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

C-5

E. CONTRACT / PR NO.

FD20602100012

F. CONTRACTOR

SYMETRICS INDUSTRIES, LLC

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

BILL OF MATERIALS (BOM) FOR LOGISTICS AND

SUPPLY CHAIN RISK MANAGEMENT

3. SUBTITLE

BOM - DMSMS Report

4. AUTHORITY

DI-PSSS-81656A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA: 4.14

6. REQUIRING OFFICE

409 SCMS/GUMAA

7. DD 250 REQ

LT

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

C

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

Collins, Kimberly DNAME: 20 AUG 2020DATE:

BLK 4: The Data Item Description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements delineated in the statement of work. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 Program Manager, james.palmer.11@us.af.mil, for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the Contract Management team, AFSC/PZAAB, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

15. TOTAL

Page 7 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020

BLKS 10-13: Draft Counterfeit Prevention Plan shall be submitted electronically within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.

BLK 14: EMAIL electronic Counterfeit Prevention Plan to the Procuring Contract Officer (PCO) AFSC/PZAAB, DCMA/ACO, Program Manager (PM) 409 SCMS/GUMAA and Engineer 409 SCMS/GUEAA. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

Email Addressee (BLK 14) Draft Reg Ref Email:

AFSC/PZAAB Contracting Officer (PCO) 0 1 0 Provided on Contract Award Email: william.denny@us.af.mil 409 SCMS/GUEAA Engineer 1 1 0 Email:

409 SCMS/GUMAA Program Manager (PM/COR) PM email provided on Contract Award 1 1 0 Email:

DCMA/ACO 0 1 0

Denny, William FNAME: 19 AUG 2020DATE:

BLK 4: The Data Item Description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements delineated in the statement of work. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 Program Manager (PM) for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the Contract Management team, AFSC/PZAAB, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Draft Counterfeit Prevention Plan shall be submitted electronically within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.

BLK 14: EMAIL electronic Counterfeit Prevention Plan to the Procuring Contract Officer (PCO) AFSC/PZAAB, DCMA/ACO, Program Manager (PM) 409 SCMS/GUMAA and Engineer 409 SCMS/GUEAA. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

Email Addressee (BLK 14) Draft Reg Ref Email:

AFSC/PZAAB Contracting Officer (PCO) 0 1 0 Provided on Contract Award Email: william.denny@us.af.mil 409 SCMS/GUEAA Engineer 1 1 0 Email:

409 SCMS/GUMAA Program Manager (PM/COR) PM email provided on Contract Award 1 1 0 Email:

DCMA/ACO 0 1 0

COORDINATORS:

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

Page 8 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

C-5

E. CONTRACT / PR NO.

FD20602100012

F. CONTRACTOR

SYMETRICS INDUSTRIES, LLC

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS PARA: 4.10.9

6. REQUIRING OFFICE

409 SCMS/GUMAA

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

Collins, Kimberly DNAME: 20 AUG 2020DATE:

BLK 4: The Data Item Description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements delineated in the statement of work. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 Program Manager (PM) for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the Contract Management team, AFSC/PZAAB, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Draft Counterfeit Prevention Plan shall be submitted electronically within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.

BLK 14: EMAIL electronic Counterfeit Prevention Plan to the Procuring Contract Officer (PCO) AFSC/PZAAB, DCMA/ACO, Program Manager (PM) 409 SCMS/GUMAA and Engineer 409 SCMS/GUEAA. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

Email Addressee (BLK 14) Draft Reg Ref Email:

AFSC/PZAAB Contracting Officer (PCO) 0 1 0 Provided on Contract Award Email: william.denny@us.af.mil 409 SCMS/GUEAA Engineer 1 1 0 Email:

409 SCMS/GUMAA Program Manager (PM/COR) PM email provided on Contract Award 1 1 0 Email:

DCMA/ACO 0 1 0

Denny, William FNAME: 19 AUG 2020DATE:

BLK 4: The Data Item Description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements delineated in the statement of work. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 7: Applicable code as listed in DOD 5010.12-M, Chapter 3. (LT for Letter of Transmittal if not separately priced or DD if separately priced). WAWF E-DD FORM 250 shall be required for separately priced data. E-DD FORM 250 shall be submitted to FA8524 Program Manager (PM) for acceptance.

BLK 9: "C" Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (28 April 16). Other requests shall be referred to the Contract Management team, AFSC/PZAAB, 460 Richard Ray Blvd, Suite 221, Robins AFB, GA 31098.

BLKS 10-13: Draft Counterfeit Prevention Plan shall be submitted electronically within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government

15. TOTAL

Page 9 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020 will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.

BLK 14: EMAIL electronic Counterfeit Prevention Plan to the Procuring Contract Officer (PCO) AFSC/PZAAB, DCMA/ACO, Program Manager (PM) 409 SCMS/GUMAA and Engineer 409 SCMS/GUEAA. CDRL Distribution Points of Contact will be provided to the Contractor at Contract Award. Submit digital copy in a Microsoft Office compatible format or Adobe Portable Document Format for all reports.

Email Addressee (BLK 14) Draft Reg Ref Email:

AFSC/PZAAB Contracting Officer (PCO) 0 1 0 Provided on Contract Award Email: william.denny@us.af.mil 409 SCMS/GUEAA Engineer 1 1 0 Email:

409 SCMS/GUMAA Program Manager (PM/COR) PM email provided on Contract Award 1 1 0 Email:

DCMA/ACO 0 1 0

COORDINATORS:

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

Page 10 of 10DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 20 Aug 2020