Counterfeit_Prevention_Plan_CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

Form Approved CMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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_X_ TM__ Other_X_ D. System/Item

WXR-700X NSNs 5975-01432-7267CW and 5985-01-432-3800CW E. Contract/PR NO.

FD2060-15-00042

F. Contractor

1. Data Item No.

A001

2. Title of Data Item:

Counterfeit Prevention Plan

3. Subtitle:

4. Authority (Data Acquisition Document No.)

DI-MISC-81832

5. Contract Reference

6. Requiring Office

407 SCMS/GUEA

7. DD 250 Req

DD

9. Dist Statement Required

10. Frequency

See Blk 16

12. Date of First Submission

14. Distribution

8. APP Code

N/A D 11. As of Date

See Blk 16

13. Date of Subsequent Submission

See Blk 16

a. Addressee b. Copies

Draft Final

Reg Repro

16. REMARKS:

For Invoice 0 0

For the following Items: NSNs 5975-01432-7267CW and 5985-01-432-3800CW

Block 4: Contractor format is acceptable on electronic media. Data Item used as a guide for content. Draft documents shall be submitted in an electronic format suitable for editing.

Block 7: The Government will accept the DD250 through WAWF. Contractor shall submit the receiving report upon final submission to DoDAAC: FA8539

Block 9: Distribution statement: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to AFSC/PZAB, 235 Byron Street, Suite I 9A, Robins AFB, GA 31098-1670.

Block 8, I 0- 12: Contractor shall submit a Counterfeit Prevention Plan (CPP) within 30 calendar days after contract award. Written Government acceptance/commen ts will be within 10 working days after receipt of data.

Contractor final submission shall be submitted within 10 working days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.

Block 11, 13: If during the performance of this contract, changes to the CPP occur, the CPP will be updated as counterfeiting methods evolve to include any new indicators, as well as new prevention processes needed. Subsequent submittals shall fall under the provisions for submitting draft and final documents.

Block 14:

- Ship to for Acceptor invoice DoDAAC FA8539, for Inspection/Acceptance

- The notification email will be provided to the Government Contracting Officer or Program Manager, or Engineer

PCO: Francisco Rivera – Email: francisco.rivera.1@us.af.mil

PM: Gary Tressler – Email: gary.tressler@us.af.mil

Engineer: Dong Pham- Email: dongx.pham.1@us.af.mil

See BLK 16

PCO 1

For email

PM 1

For email

Engineer 1

For Email

15. TOTAL 0 3 0

G. PREPARED BY

Dong Pham

H. DATE

30 Oct. 2014

I. APPROVED BY

Invalid signature

X Nicolle Sillence

Signed by: SILLENCE.NICOLLE.M.1228987545

J. DATE

30 Oct 2014

DD Form 1423-2, Aug 96 Previous editions are obsolete Page 1 of 1 Pages