CDRLs.pdf
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- Solicitation number
- FA8539-19-R-0004
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CDRLs
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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.
FD20602000001
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Commercial Asset Visibility Air Force End Item Reportiing
3. SUBTITLE
CAV AF
4. AUTHORITY
DI-MGMT-81634C
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS Paragraph 4.11
6. REQUIRING OFFICE
FA8539
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
Himes, Amy LNAME: 27 JUN 2018DATE:
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 420 SCMS/GUNAB-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:
15. TOTAL
G. PREPARED BY
Keels, Jarvis L
407 SCMS / GULBD
478-926-9588
H. DATE
13 SEP 2018
I. APPROVED BY
//DIGITALLY SIGNED//
UNSWORTH.KAYCI.L.1298395122
407 SCMS / GUBA 478-926-0515 / 468-0515
J. DATE
13 SEP 2018
Page 1 of 7DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Sep 2018
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.
FD20602000001
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
ALERT/SAFE-ALERT REPORT
3. SUBTITLE
N/A
4. AUTHORITY
DI-QCIC-80125B
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.10
6. REQUIRING OFFICE
407 SCMS/GULB
7. DD 250 REQ
NO
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
N/A
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
Nobles, Jennifer RNAME: 28 JUN 2018DATE:
BLOCK 9: APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED. BLOCK 10-13: ONE
SUBMITTAL PER OCCURENCE. BLOCK 14: FORWARD ONE ELECTRONIC COPY IN PDF FORMAT TO
THE FOLLOWING RECIPIENTS: Program Manager Jennifer Nobles (Email: jennifer.nobles.1@us.af.mil) Engineer Dong Pham (Email: dong.pham@us.af.mil)
COORDINATORS:
15. TOTAL
G. PREPARED BY
Keels, Jarvis L
407 SCMS / GULBD
478-926-9588
H. DATE
13 SEP 2018
I. APPROVED BY
//DIGITALLY SIGNED//
UNSWORTH.KAYCI.L.1298395122
407 SCMS / GUBA 478-926-0515 / 468-0515
J. DATE
13 SEP 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM E. CONTRACT / PR NO.
FD20602000001
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
RESPONSE TO AN ALERT/SAFE ALERT
3. SUBTITLE
N/A
4. AUTHORITY
DI-QCIC-80126B
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.10
6. REQUIRING OFFICE
407 SCMS/GULB
7. DD 250 REQ
NO
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
N/A
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
Nobles, Jennifer RNAME: 28 JUN 2018DATE:
BLOCK 9: APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED.
BLOCK 10-13: ONE SUBMITTAL FOR EACH OCCURENCE.
BLOCK 14: FORWARD ONE ELECTRONIC COPY IN PDF FORMAT TO THE FOLLOWING RECIPIENTS:
PROGRAM MANAGER JENNIFER NOBLES (EMAIL: JENNIFER.NOBLES.1@US.AF.MIL) ENGINEER (EMAIL:
DONG.PHAM@US.AF.MIL)
COORDINATORS:
15. TOTAL
Page 2 of 7DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Sep 2018
G. PREPARED BY
Keels, Jarvis L
407 SCMS / GULBD
478-926-9588
H. DATE
13 SEP 2018
I. APPROVED BY
//DIGITALLY SIGNED//
UNSWORTH.KAYCI.L.1298395122
407 SCMS / GUBA 478-926-0515 / 468-0515
J. DATE
13 SEP 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM E. CONTRACT / PR NO.
FD20602000001
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan
3. SUBTITLE
N/A
4. AUTHORITY
DI-MISC-81832
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
N/A
6. REQUIRING OFFICE
407 SCMS/GUEA
7. DD 250 REQ
DD
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
D
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
Pham, Dong XNAME: 21 MAY 2018DATE:
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, 10-12: Contractor shall submit a Counterfeit Prevention Plan (CPP) within 30 calendar days after contract award. Written Government acceptance and comments 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 and Acceptance
- The notification email will be provided to the Government Contracting Officer or Program Manager, or Engineer
PM: Micaela Hamilton, Email: micaela.hamilton@us.af.mil
Engineer: Dong Pham, Email: dongx.pham.1@us.af.mil
COORDINATORS:
Dong Pham 235 Byron ST., STE 19A Robins AFB, GA 31098
0 1 0
Micaela Hamilton 235 Byron ST., STE 19A Robins AFB, GA 31098
0 1 0
0 2 015. TOTAL
G. PREPARED BY
Keels, Jarvis L
407 SCMS / GULBD
478-926-9588
H. DATE
13 SEP 2018
I. APPROVED BY
//DIGITALLY SIGNED//
UNSWORTH.KAYCI.L.1298395122
407 SCMS / GUBA 478-926-0515 / 468-0515
J. DATE
13 SEP 2018
Page 3 of 7DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM E. CONTRACT / PR NO.
FD20602000001
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
FAILURE REPORTING, ANALYSIS AND
CORRECTIVE ACTION TAKEN
3. SUBTITLE
N/A
4. AUTHORITY
MIL-HDBK-2155
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARAGRAPH 4.12
6. REQUIRING OFFICE
407 SCMS/GULB
7. DD 250 REQ
LT
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
N/A
10. FREQUENCY
QRTLY
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
Nobles, Jennifer RNAME: 28 JUN 2018DATE:
BLOCK 4: CONTRACTOR FORMAT IS ACCEPTABLE.
BLOCK 9: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES ONLY. OTHER REQUESTS
FOR THIS DOCUMENT SHALL BE REFERRED TO 407 SCMS/GULB.
BLOCK 13: QUARTERLY after Contract Award
BLOCK 14: FORWARD ONE ELECTRONIC COPY IN PDF FORMAT TO THE FOLLOWING: PROGRAM
MANAGER JENNIFER NOBLES (EMAIL: JENNIFER.NOBLES.1@US.AF.MIL) ENGINEER DONG PHAM
(EMAIL: DONG.PHAM@US.AF.MIL)
COORDINATORS:
15. TOTAL
G. PREPARED BY
Keels, Jarvis L
407 SCMS / GULBD
478-926-9588
H. DATE
13 SEP 2018
I. APPROVED BY
//DIGITALLY SIGNED//
UNSWORTH.KAYCI.L.1298395122
407 SCMS / GUBA 478-926-0515 / 468-0515
J. DATE
13 SEP 2018
Page 4 of 7DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM E. CONTRACT / PR NO.
FD20602000001
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Item Unique Identification (IUID) Marking Plan
3. SUBTITLE
N/A
4. AUTHORITY
DI-MGMT-81803
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
N/A
6. REQUIRING OFFICE
407 SCMS/GUEA
7. DD 250 REQ
SD
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ASREQ
11. AS OF DATE
See Blk 16
12. DATE OF FIRST
SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Pham, Dong XNAME: 21 MAY 2018DATE:
BLK 4. TAILORING OF DID REQUIREMENTS. CONTRACTOR FORMAT IS ACCEPTABLE.
BLK 8. APPROVAL OF PLAN OR COMMENTS SHALL BE FURNISHED WITH APPROVAL AND REJECTION.
BLK 9. APPROVED FOR PUBLIC RELEASE
BLK 11 THROUGH 14. IUID MARKING PLAN DUE 30 DAYS PRIOR TO ASSET SHIPMENT. GOVERNMENT
WILL RESPOND WITHIN 14 DAYS.
- Ship to for Acceptor invoice DoDAAC FA8539
- The notification email will be provided to the Government Contracting Officer or Program Manager, or Engineer PM: Micaela Hamilton, Email: micaela.hamilton@us.af.mil Engineer: Dong Pham, Email: dongx.pham.1@us.af.mil
COORDINATORS:
Dong Pham 235 Byron St., STE 19A Robins AFB, GA 31098
1 1 0
Micaela Hamilton 235 Byron St., STE 19A Robins AFB, GA 31098
1 1 0
2 2 015. TOTAL
G. PREPARED BY
Keels, Jarvis L
407 SCMS / GULBD
478-926-9588
H. DATE
13 SEP 2018
I. APPROVED BY
//DIGITALLY SIGNED//
UNSWORTH.KAYCI.L.1298395122
407 SCMS / GUBA 478-926-0515 / 468-0515
J. DATE
13 SEP 2018
Page 5 of 7DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM E. CONTRACT / PR NO.
FD20602000001
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Item Unique Identification (IUID) Marking Activity and Verification Report
3. SUBTITLE
N/A
4. AUTHORITY
DI-MGMT-81804
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
N/A
6. REQUIRING OFFICE
407 SCMS/GUEA
7. DD 250 REQ
SD
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ASREQ
11. AS OF DATE
See Blk 16
12. DATE OF FIRST
SUBMISSION
See Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Pham, Dong XNAME: 21 MAY 2018DATE:
BLK 4. TAILORING OF DID REQUIREMENTS. CONTRACTOR FORMAT IS ACCEPTABLE.
BLK 8. APPROVAL OF PLAN OR COMMENTS SHALL BE FURNISHED WITH APPROVAL AND REJECTION.
BLK 9. APPROVED FOR PUBLIC RELEASE
BLK 11 THROUGH 14. IUID MARKING ACTIVITY AND VERIFICATION REPORT TO BE SENT WITHIN 30
DAYS AFTER SHIPMENT OF ASSETS. GOVERNMENT WILL RESPOND WITHIN 14 DAYS.
- Ship to for Acceptor invoice DoDAAC FA8539
- The notification email will be provided to the Government Contracting Officer or Program Manager, or Engineer PM: Micaela Hamilton, Email: micaela.hamilton@us.af.mil Engineer: Dong Pham, Email: dongx.pham.1@us.af.mil
COORDINATORS:
Dong Pham 235 Byron St., STE 19A Robins AFB, GA 31098
1 1 0
Micaela Hamilton 235 Byron St., STE 19A Robins AFB, GA 31098
1 1 0
2 2 015. TOTAL
G. PREPARED BY
Keels, Jarvis L
407 SCMS / GULBD
478-926-9588
H. DATE
13 SEP 2018
I. APPROVED BY
//DIGITALLY SIGNED//
UNSWORTH.KAYCI.L.1298395122
407 SCMS / GUBA 478-926-0515 / 468-0515
J. DATE
13 SEP 2018
Page 6 of 7DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Sep 2018
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM E. CONTRACT / PR NO.
FD20602000001
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Quality Control Plan
3. SUBTITLE
Quality Management System
4. AUTHORITY
DI-QCIC-81187
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS PARA 5.9
6. REQUIRING OFFICE
FA8519
7. DD 250 REQ
LT
8. APP CODE
N/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
Nobles, Jennifer RNAME: 17 MAY 2018DATE:
Block 7: Ship to for Acceptor Invoice DODAAC FB2065, For Acceptance.
Blocks 10-13: Contractor shall submit QCP/QMS in contractor's format within 30 days after contract award. Any and all revisions to plan shall be submitted as updates are made.
Block 14: Distribution of plan shall be made by Contractor through WAWF to the Government Logistics Management Specialist.
LMS: Jennifer Nobles Email: jennifer.nobles.1@us.af.mil Commercial Phone: 478-926-7169
COORDINATORS:
15. TOTAL
G. PREPARED BY
Keels, Jarvis L
407 SCMS / GULBD
478-926-9588
H. DATE
13 SEP 2018
I. APPROVED BY
//DIGITALLY SIGNED//
UNSWORTH.KAYCI.L.1298395122
407 SCMS / GUBA 478-926-0515 / 468-0515
J. DATE
13 SEP 2018
Page 7 of 7DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Sep 2018
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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
X
SSCVR FD20602000001 L3
A009 Contract Depot Maintenance (CDM) Production Report CDM Production Monthly Status Report
DI-PSSS-81995 PWS Paragraph: 4.11.1 FA8539
LT
N/A D
MTHLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
407 SCMS/GULB ( 1
460 Richard Ray Bl Robins AFB, GA 3
SEE BLK 16
0 1 0
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"
NSP
0.00
7 Dec 2018 7 Dec 2018
1 1
KEELS.JARVIS.L.152384
Digitally signed by
KEELS.JARVIS.L.1523847054
Date: 2018.12.07 10:55:01 -05'00'
NOBLES.JENNIFER.RENEE.1
500823891
Digitally signed by
NOBLES.JENNIFER.RENEE.1500823891
Date: 2018.12.07 11:07:17 -05'00'
(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)
Page of Pages
X
SSCVR FD20602000001 L3
3. Block 9:
a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology). (7 December 2018). 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 CDM Production Monthly Status Reports to the following email address:
jennifer.nobles.1@us.af.mil
(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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
X
SSCVR FD20602000001 L3
A010 Government Property Inventory Report Annual Government Property Physical Inventory Report
DI-MGMT-80441C PWS Paragraph: 4.11.2 FA8539
LT
N/A D
ANNLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
407 SCMS/BULB ( 1
460 Richard Ray Bl Robins AFB, GA 3
SEE BLK 16
0 1 0
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 (Critical Technology). (7 December 2018). Other requests for this document shall be referred to (407
SCMS/GULB).
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:
NSP
0.00
Name(Contractor Data Mgr) 7 Dec 2018 7 Dec 2018
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KEELS.JARVIS.L.1523847
Digitally signed by
KEELS.JARVIS.L.1523847054
Date: 2018.12.07 10:53:33 -05'00'
NOBLES.JENNIFER.RENEE.
1500823891
Digitally signed by
NOBLES.JENNIFER.RENEE.1500823891
Date: 2018.12.07 11:06:08 -05'00'
(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)
Page of Pages
X
SSCVR FD20602000001 L3
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:
jennifer.nobles.1@us.af.mil
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File details come from the government source that posted it.