CDRLs.pdf

PDF 866 KB Posted Oct 16, 2019

Attached to: Multifunctional Information Distribution System (MIDS) Joint Tactical Radio System (JTRS) AN/USQ-190(V)
Solicitation number: FA853919R0022
Issued by: Department of the Air Force Materiel Command

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Contract Data Requirements List (CDRLS)

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1006260635_2841357_PKGRQMT_REPORT.pdf	PDF	Oct 16, 2019
IUID.pdf	PDF	Oct 16, 2019
PWS.pdf	PDF	Oct 16, 2019
WAGEDET.pdf	PDF	Oct 16, 2019
2841358_TRNSPDATA_REPORT.pdf	PDF	Oct 16, 2019
FA8539-19-R-0022.pdf	PDF	Oct 16, 2019
DD_254_FD2060-19-00018.pdf	PDF	Oct 16, 2019

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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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(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)

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

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

TDP ________ TM _______ OTHER

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

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

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

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Maintenance Data Collection Record Report (MDCR)

3. SUBTITLE

Maintenance Report

4. AUTHORITY

DI-MISC-81371

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 4.8.2

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

Data shall be compiled IAW T.O. 00-20-2, Section 9-3

To report maintenance actions involving repair, calibration, certification, modification or removal of repairable components. Information will be used to assess equipment readiness, product performance, configuration and logistics management programs.

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Submitted via WAWF for acceptance under DODAAC: FA8539.

Block 9: Distribution Statement B: Distribution authorized to U.S. Government Agencies only(Administrative or Operational Use) (15 December 2006). Other requests for this document shall be referred to 407 SCMS/GUEAE.

Block 11: Based on receipt of first repairable asset.

Block 12: 15 days after first asset is inducted at the repair facility, the contractor shall start providing this report.

Block 10, 13: Every 90 Days, the report shall include maintenance data collected on all assets being repaired / delivered.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

Electronic media shall be provided by CD/DVD media in Microsoft Office compatible format.

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

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

Page 1 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

Ivan Gomez 6/26/19 27 Jun 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Parts Approval Request

3. SUBTITLE

Parts Approval Request, DD2052

4. AUTHORITY

DI-MISC-80071E

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 4.8.3.3

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content. Additionally, each report shall include the following for each request: New P/N; New P/N Specification; New P/N Manufacturer; Old P/N; Old P/N Specification; Old P/N Manufacturer.

Block 7: Submit final with DD Form 250 to account for all previously submitted via WAWF for acceptance under

DODAAC: FA8539.

Block 10, 11, 12, 13: As required, upon each occurrence where a non-standard part needs to be used, the request needs to be sent to Integrated Product Team e-mail list, as soon as the need for approval is discovered. The government will have 15 calendar days to review and provide comments, subsequently the contractor will have 15 calendar days to correct and resubmit.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

Electronic media shall be provided by CD/DVD media in Microsoft Office compatible format.

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

1 1 0

1 1 015. TOTAL

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

Page 2 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

Ivan Gomez 6/26/19

27 Jun 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

Change proposal

4. AUTHORITY

DI-CMAN-80639C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 4.8.3.4

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Acceptance via WAWF under DODAAC: FA8539.

Block 8: The government will have 15 calender days to review and provide comments, subsequently the contractor will have 15 calender days to correct and resubmit.

Block 10, 11, 12, 13: The contractor shall submit Class 1 ECP as required. Upon each occurrence the contractor should send a request to 407 SCMS/GUEAE. The contractor shall notify the Government of Class 2 changes within one month.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

Electronic media shall be provided by CD/DVD media in Microsoft Office compatible format.

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

1 1 0

1 1 015. TOTAL

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

Page 3 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

27 June 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Monthly Status Report

3. SUBTITLE

Status Report

4. AUTHORITY

DI-MGMT-80368A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 4.8.1

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

The contractor shall provide status on balance of Government assets at the contractor facility.

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content. Additionally, each report shall include the following for each item funded through a delivery order: Nomenclature, Serial Number, Part number, Date Received, Date Inducted, Delivery Order Inducted Under, Estimated Completion Date, Final Turnaround Time, Corrective Repair Action, Outgoing Shipment Document Number, Date Shipped.

Block 7: Acceptance via WAWF under DODAAC: FA8539.

Block 11: NLT 5th working day of the month.

Block 12: NLT 30 days after contract award.

Block 13: Report shall be submitted each and every month during the contract.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

Electronic media shall be provided by CD/DVD media in Microsoft Office compatible format.

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

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

Page 4 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

4.10.3.1

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Acceptance via WAWF under DODAAC: FA8539.

Block 8: Government has 15 days to review and forward comments. Contractor has 15 days to resubmit.

Block 10: One Time.

Block 11, 12: 30 days after contract award.

Block 13: Only if there is a revision in the IUID Marking Plan

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

1 1 0

1 1 015. TOTAL

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

Page 5 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity, Validation, and Verification Report

3. SUBTITLE

IUID Val/Ver Report

4. AUTHORITY

DI-MGMT-81804A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 4.10.3.2

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 7: Acceptance via WAWF under DODAAC: FA8539.

Block 11, 12, 13: The IUID Marking/Verification Report shall be submitted quarterly verifying the implementation of the IUID Marking Plan. First submission shall be 45 days after contract award, due at the end of the month.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

0 1 0

0 1 015. TOTAL

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

Page 6 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Counterfeit Protection Plan (CPP)

3. SUBTITLE

Counterfeit Plan

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 4.12

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

Block 4 & 5: Contractor format is acceptable. Contractor shall submit a Counterfeit Prevention Plan in accordance with type of parts being sourced.

Block 7: Acceptance via WAWF under DODAAC: FA8539.

Block 8, 10-12: Contractor shall submit a Counterfeit Prevention Plan within 15 working days after contract award.

Written Government acceptance/comments will be within 15 working days after receipt of data. Contractor final submission shall be submitted within 15 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 Counterfeit Prevention Plan are required, submit the revised Counterfeit Prevention Plan to the 407 SCMC/GUEAE. Procedures identified for blocks 8, 10-12 will apply.

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

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

1 1 0

1 1 015. TOTAL

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

Page 7 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

Enviromental Health and Safety Plan (HSP)

3. SUBTITLE

Enviromental Plan

4. AUTHORITY

DI-ENVR-81375

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 5.5.4.4

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 8: Government has 15 days to review and forward comments. Contractor has 15 days to resubmit.

Block 11, 12: 30 Days after contract award.

Block 13: If, during the performance of this contract, changes to the Health and Safety Plan (HSP) are required, submit the revised HSP to AFSC/PBAZA and the Safety Office, 78 ABW/SEG, within 15 days after an update.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

Electronic media shall be provided by CD/DVD media in Microsoft Office compatible format.

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

1 1 0

1 1 015. TOTAL

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

Page 8 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

AN/USQ-190(V) MIDS JTRS

E. CONTRACT / PR NO.

FD20601900018

F. CONTRACTOR

DLS

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

Quality Assurance Program Plan

3. SUBTITLE

Quality Assurance Plan

4. AUTHORITY

DI-QCIC-81794

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS 5.7

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

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

Gomez, Ivan GNAME: 25 JUN 2019DATE:

Block 4: Contractor format acceptable on electronic media. Data Item to be used as a guide for content.

Block 8: Government has 15 days to review and forward comments. Contractor has 15 days to resubmit.

Block 10: One time.

Block 11, 12: 30 Days after contract award.

Block 13: If, during the performance of this contract, changes to the Quality Assurance Plan (QAP) are required, submit the revised QAP to AFSC/PBAZA within 15 days after an update.

Block 14: Procuring Officer(s) e-mail along with Integrated Product Team e-mail list will be provided as required.

COORDINATORS:

407 SCMS/GUEAE

235 Byron St., Suite 19A Robins AFB, GA 31098

1 1 0

1 1 015. TOTAL

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

Page 9 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 26 Jun 2019

PREVIOUS EDITION MAY BE USED.

A001_81838_CFM_END_ITEM_REPORTING_v.2

A002_81634C_CAV_GFM_End_Item_Reporting_v.2

A006_80441C_ANNUAL_INVENTORY_REPORT_v.2

A007_82128_GFM_Req_Inventory_Report_v.2

A014_81995_CDM_MONTHLY_PRODUCTION_REPORT_v.2

CDRL_Text_Activity_FD20601900018

(1 Data Item)

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

TDP ________ TM _______ OTHER

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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DSYSTEMITEM: AN/USQ-190(V) MIDS JTRS

E_CONTRACTPR_NO: FD20601900018

FCONTRACTOR: DLS

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Commercial Asset Visibility Air Force (CAV) Reporting

3_SUBTITLE: CFM End Item Reporting

4_AUTHORITY_Data_Acquisit: DI-MGMT-81838

5_CONTRACT_REFERENCE: SEE BLK 16 FOR REFERENCE

6_REQUIRING_OFFICE:

7_DID_250_REQ: DD

8_APP_CODE: A

DIST_STATEMENT: N/A

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: 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 4.13.1 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:

ryan.ward.11@us.af.mil melanie.sapp@us.af.mil thomas.geraldsen.1@us.af.mil

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 6/21/2019

1_APPROVED_BY:

J_DATE: 6/21/2019

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16_REMARKS_Continued:

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:

ryan.ward.11@us.af.mil melanie.sapp@us.af.mil thomas.geraldsen.1@us.af.mil Page2: 2

File details come from the government source that posted it.