CDRLS_A001_A008.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 C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ASQ-184/AYQ-10

E. CONTRACT / PR NO.

FD20602000016

F. CONTRACTOR

Lockheed Martin

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility Aire Force (CAVAF)

3. SUBTITLE

CDM End Item Reporting

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.3.3

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/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

Rogers, Tiffany SNAME: 25 SEP 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:

Program Manager: Ceriece Burke (E-mail: andrew.lobo.2@us.af.mil) Production Management Specialist Tiffany Rogers (tiffany.rogers.8@us.af.mil)

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Lobo, Andrew D

407 SCMS / GULB

478-926-3668

H. DATE

27 MAR 2020

I. APPROVED BY

//DIGITALLY SIGNED//

LOBO.ANDREW.D.1530365774

407 SCMS / GULB 478-926-3668 / 468-3668

J. DATE

27 MAR 2020

Page 1 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ASQ-184/AYQ-10

E. CONTRACT / PR NO.

FD20602000016

F. CONTRACTOR

Lockheed Martin

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80639D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.3.4

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

DD

8. APP CODE

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

Ellis, Jonathan ANAME: 04 MAR 2020DATE:

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and US DoD contractors only for Administrative or Operational use, 04 March 2020. Other requests for this document shall be referred to 407SCMS/GULEAE.

Block 10-13: The contractor shall submit the Engineering Change Proposal (ECP) as needed. The Government will approve/disapprove the document and notify the contractor within 10 calendar days of receipt. If disapproved, the contractor shall have 10 calendar days to modify the document and return it to the Government for review.

Rogers, Tiffany SNAME: 25 SEP 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.

Block 7: The Government will accept the receiving report through WAWF. The contractor shall submit the receiving report upon final submission to DODAAC FB2065, Attention: andrew.lobo.2@us.af.mil (Program Manager) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove within 30 calendar days after receipt.

Block 9: DISTRIBUTATION STATEMENT "B": Distribution authorized to U.S. Government agencies only for Administrative or Operational Use, 8 AUG 2019. Other requests for this document shall be referred to 407

SCMS/GULB.

Block 10, 11, 12, 13: As required, upon each occurrence.

Block 14: Document submission shall be provided electronically in Portable Document Format (PDF) to the points of contact (POCs) listed below:

Lt. Andrew Lobo 407 SCMS/ GULBA, Logistics Manager andrew.lobo.2@us.af.mil Jonathan Ellis 407 SCMS/GUEAE, Electronics Engineer jonathan.ellis.6@us.af.mil

COORDINATORS:

407 SCMS/GUEAE

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

1 1 0

1 1 015. TOTAL

G. PREPARED BY

Lobo, Andrew D

407 SCMS / GULB

478-926-3668

H. DATE

27 MAR 2020

I. APPROVED BY

//DIGITALLY SIGNED//

LOBO.ANDREW.D.1530365774

407 SCMS / GULB 478-926-3668 / 468-3668

J. DATE

27 MAR 2020

Page 2 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020

A. CONTRACT LINE ITEM NO.

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ASQ-184/AYQ-10

E. CONTRACT / PR NO.

FD20602000016

F. CONTRACTOR

Lockheed Martin

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Part Approval Request

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-80071E

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.3.7

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

DD

8. APP CODE

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

Ellis, Jonathan ANAME: 04 MAR 2020DATE:

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and US DoD contractors only for Administrative or Operational use, 04 March 2020. Other requests for this document shall be referred to 407SCMS/GULEAE.

Block 10-13: The contractor shall submit the Part Approval Request as needed/required. The Government will approve/disapprove the document and notify the contractor within 10 calendar days of receipt. If disapproved, the contractor shall have 10 calendar days to modify the document and return it to the Government for review.

Block 14: Document submission shall be provided electronically in Portable Document Format (PDF) to the points of contact (POCs) listed below. Changes to the POC Distribution List shall be made by a letter from the Procurement Contracting Officer (PCO) or the Administrative Contracting Officer (ACO) without further revision to this Contract Data Requirements List (CDRL).

CDRL POC Distribution List:

Lt. Andrew Lobo 407 SCMS/ GULBA, Logistics Manager andrew.lobo.2@us.af.mil Jonathan Ellis 407 SCMS/GUEAE, Electronics Engineer jonathan.ellis.6@us.af.mil

Rogers, Tiffany SNAME: 25 SEP 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.

BLOCK 9: : DISTRIBUTATION STATEMENT "C": Distribution authorized to U.S. Government agencies and their contractors for Administrative or Operational Use, 8 AUG 2019. Other requests for this document shall be referred to

407 SCMS/GULB.

BLOCK 7: Submit final with DD form 250 to collectively account for data previously delivered by letter of transmittal.

BLOCKS 8, 10-13: Reports will only be generated when a substitute part is required. Comments/Approval will be provided within 60 business days after receipt of request.

Block 14: Document submission shall be provided electronically in Portable Document Format (PDF) to the points of contact (POCs) listed below:

Lt. Andrew Lobo 407 SCMS/ GULBA, Logistics Manager andrew.lobo.2@us.af.mil Jonathan Ellis 407 SCMS/GUEAE, Electronics Engineer jonathan.ellis.6@us.af.mil

COORDINATORS:

407 SCMS/GUEAE

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

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Lobo, Andrew D

407 SCMS / GULB

478-926-3668

H. DATE

27 MAR 2020

I. APPROVED BY

//DIGITALLY SIGNED//

LOBO.ANDREW.D.1530365774

407 SCMS / GULB 478-926-3668 / 468-3668

J. DATE

27 MAR 2020

Page 3 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020

A. CONTRACT LINE ITEM NO.

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ASQ-184/AYQ-10

E. CONTRACT / PR NO.

FD20602000016

F. CONTRACTOR

Lockheed Martin

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Quality Program Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-QCIC-81722

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 5.9

6. REQUIRING OFFICE

407 SCMS/GUEAE

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

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

Ellis, Jonathan ANAME: 09 MAR 2020DATE:

Block 7: The Government will accept the Quality Program Plan through WAWF. The contractor shall submit the Quality Program Plan upon final submission to DODAAC FA8539, Attention: andrew.lobo.2@us.af.mil (PM) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove the Quality Program Plan in WAWF within 30 calendar days after receipt.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and US DoD contractors only for Administrative or Operational use, 04 March 2020. Other requests for this document shall be referred to 407SCMS/GULEAE.

Block 10-13: The contractor shall submit a complete Quality Program Plan within 30 calendar days after contract award.

The Government will approve/disapprove the Quality Program Plan, and notify the contractor within 30 calendar days of receipt. If disapprove, the contractor shall have 30 calendar days to modify the Quality Program Plan and return it to the Government for review.

Rogers, Tiffany SNAME: 25 SEP 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.

Block 4: Contractor format acceptable.

Block 9: Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational use, 4 June 2019. Other requests for this document shall be referred to the Program Manager Russ Edge, 409

SCMS/GULB

Block 10-13: One submission is required for contract. The government will have 30 calendar days to review and provide comments, subsequently the contractor will have 60 calendar days to correct and resubmit.

Block 7, 14: Forward one electronic copy in PDF format to the following email address:

Program Manager: Lt. Andrew Lobo (E-mail: andrew.lobo.2@us.af.mil) Engineer: Jonathan Ellis (E-mail: jonathan.ellis.6@us.af.mil)

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Lobo, Andrew D

407 SCMS / GULB

478-926-3668

H. DATE

27 MAR 2020

I. APPROVED BY

//DIGITALLY SIGNED//

LOBO.ANDREW.D.1530365774

407 SCMS / GULB 478-926-3668 / 468-3668

J. DATE

27 MAR 2020

Page 4 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020

A. CONTRACT LINE ITEM NO.

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ASQ-184/AYQ-10

E. CONTRACT / PR NO.

FD20602000016

F. CONTRACTOR

Lockheed Martin

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Conterfeit Prevention Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.3.8

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

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

Ellis, Jonathan ANAME: 09 MAR 2020DATE:

Block 7: The Government will accept the Counterfeit Prevention Plan through WAWF. The contractor shall submit the Counterfeit Prevention Plan upon final submission to DODAAC FA8539, Attention: andrew.lobo.2@us.af.mil (PM) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove the Counterfeit Prevention Plan in WAWF within 30 calendar days after receipt.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and US DoD contractors only for Administrative or Operational use, 04 March 2020. Other requests for this document shall be referred to 407SCMS/GULEAE.

Block 11-13: The contractor shall submit a complete Counterfeit Prevention Plan within 30 calendar days after contract award. The Government will approve/disapprove, and notify the contractor within 30 calendar days of receipt. If disapprove, the contractor shall have 10 calendar days to modify the Counterfeit Prevention Plan and return it to the Government for review.

Rogers, Tiffany SNAME: 25 SEP 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.

Block 7: The Government will accept the receiving report through WAWF. The contractor shall submit the receiving report upon final submission to DODAAC FB2065, Attention: andrew.lobo.2@us.af.mil (Program Manager) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove within 30 calendar days after receipt.

Block 9: Distribution authorized to U.S. Government agencies only. Other requests for this document shall be referred to

407 SCMS/GULB.

Block 10-13: The contractor shall submit a complete Counterfeit Prevention Plan within 30 calendar days after contract award. The Government will review and determine acceptance or rejection and notify contractor within 10 calendar days of receipt. If rejected, the contractor shall have 10 calendar days to correct any error and return a corrected Counterfeit Prevention Plan to the Government for review.

Block 14: Forward one electronic copy in PDF format to the following email address:

Engineer: Jonathan Ellis (E-mail: jonathan.ellis.6@us.af.mil)

COORDINATORS:

See Block 16 1 1 0

1 1 015. TOTAL

G. PREPARED BY

Lobo, Andrew D

407 SCMS / GULB

478-926-3668

H. DATE

27 MAR 2020

I. APPROVED BY

//DIGITALLY SIGNED//

LOBO.ANDREW.D.1530365774

407 SCMS / GULB 478-926-3668 / 468-3668

J. DATE

27 MAR 2020

Page 5 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020

A. CONTRACT LINE ITEM NO.

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ASQ-184/AYQ-10

E. CONTRACT / PR NO.

FD20602000016

F. CONTRACTOR

Lockheed Martin

1. DATA ITEM NO.

A006

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 Para 4.3.3.1

6. REQUIRING OFFICE

407 SCMS/GULBA

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

Rogers, Tiffany SNAME: 25 SEP 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 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 for Administrative or Operational Use, 5 JUN 2019. 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:

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:

Program Manager: Lt. Andrew Lobo (E-mail: andrew.lobo.2@us.af.mil) Production Management Specialist Tiffany Rogers (tiffany.rogers.8@us.af.mil)

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Lobo, Andrew D

407 SCMS / GULB

478-926-3668

H. DATE

27 MAR 2020

I. APPROVED BY

//DIGITALLY SIGNED//

LOBO.ANDREW.D.1530365774

407 SCMS / GULB 478-926-3668 / 468-3668

J. DATE

27 MAR 2020

Page 6 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020

A. CONTRACT LINE ITEM NO.

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ASQ-184/AYQ-10

E. CONTRACT / PR NO.

FD20602000016

F. CONTRACTOR

Lockheed Martin

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

CDM Production Monthly Status Report

4. AUTHORITY

DI-MGMT-81995

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 4.3.3.2

6. REQUIRING OFFICE

407 SCMC/GULBA

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

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

Rogers, Tiffany SNAME: 25 SEP 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 407 SCMS/GULB, 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"

3. Block 9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 5 JUN 2019. 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:

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:

Program Manager: Lt. Andrew Lobo (E-mail: andrew.lobo.2@us.af.mil) Production Management Specialist Tiffany Rogers (tiffany.rogers.8@us.af.mil)

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Lobo, Andrew D

407 SCMS / GULB

478-926-3668

H. DATE

27 MAR 2020

I. APPROVED BY

//DIGITALLY SIGNED//

LOBO.ANDREW.D.1530365774

407 SCMS / GULB 478-926-3668 / 468-3668

J. DATE

27 MAR 2020

Page 7 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020

A. CONTRACT LINE ITEM NO.

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ASQ-184/AYQ-10

E. CONTRACT / PR NO.

FD20602000016

F. CONTRACTOR

Lockheed Martin

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Environmental Health and Safety Plan (HSP)

3. SUBTITLE

N/A

4. AUTHORITY

DI-ENVR-81375/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Para 5.5.2

6. REQUIRING OFFICE

4007 SCMS/GULB

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

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

Ellis, Jonathan ANAME: 09 MAR 2020DATE:

Block 7: The Government will accept the Environmental Health and Safety Plan through WAWF. The contractor shall submit the Environmental Health and Safety Plan upon final submission to DODAAC FA8539, Attention:

andrew.lobo.2@us.af.mil (PM) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove the Environmental Health and Safety Plan in WAWF within 30 calendar days after receipt.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and US DoD contractors only for Administrative or Operational use, 04 March 2020. Other requests for this document shall be referred to 407SCMS/GULEAE.

Block 10-13: The contractor shall submit a complete Environmental Health and Safety Plan within 30 calendar days after contract award. The Government will approve/disapprove the Environmental Health and Safety Plan, and notify the contractor within 30 calendar days of receipt. If disapprove, the contractor shall have 30 calendar days to modify the Environmental Health and Safety Plan and return it to the Government for review.

Rogers, Tiffany SNAME: 25 SEP 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.

Block 4 & 5: Contractor format is acceptable. Contractor shall submit a Safety and Health Plan in accordance with the elements listed in Appendix C.

Block 7: The Government will accept the Receiving Report through WAWF. Contractor shall submit the Receiving Report upon final submission.

Block 8, 10-12: Contractor shall submit a Health and Safety Plan within 10 working days after contract award. Written Government acceptance/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 9: DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 5 JUN 2019. Other requests for this document shall be referred to contract management team, AFSC/PZABA, 235 Byron St., Suite 19A, Robins, GA 31098.

Block 11, 13: If, during the performance of this contract, changes to the Safety and Health are required, submit the revised Safety and Health Plan to Contracting AFSC/PZABA and the Safety Office, 78 ABW/SEG. Procedures identified for blocks 8, 10-12 will apply.

Block 14: Forward one electronic copy in PDF format to the following recipients:

Program Manager: Lt. Andrew Lobo (E-mail: andrew.lobo.2@us.af.mil) PCO: Erica Wendy Mendez (E-mail: erica.mendez@us.af.mil) Engineer: Jonathan Ellis (E-mail: jonathan.ellis.6@us.af.mil)

Electronic media shall be provided by CD/DVD media in Microsoft Office compatible format to the 78 ABW/SEG.

COORDINATORS:

AFSC/PZABA

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

0 1 0

0 1 015. TOTAL

Page 8 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020

G. PREPARED BY

Lobo, Andrew D

407 SCMS / GULB

478-926-3668

H. DATE

27 MAR 2020

I. APPROVED BY

//DIGITALLY SIGNED//

LOBO.ANDREW.D.1530365774

407 SCMS / GULB 478-926-3668 / 468-3668

J. DATE

27 MAR 2020

Page 9 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2020