3. Revised DD FORM 1423-1.pdf
PDF 242 KB Posted
- Attached to
- HH-60G Digital Symbology Generator Unit (DGSU) Interim Contractor Support (ICS) Federal contract opportunity
- Solicitation number
- FA8552-21-R-0001
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RFP Amendment 0001.pdf | ||
| RFP FA8552-21-R-0001.pdf | ||
| 7. U.S. Department of Labor Wage Determination.pdf | ||
| 10.DD FORM 1653.pdf | ||
| 5. AFMC FORM 807 (Destination).pdf | ||
| 6. Government Furnished Property Attachment.xlsx | XLSX spreadsheet | |
| 9. AFMC FORM 158.pdf | ||
| 8. Exhibit A.pdf | ||
| 3. DD FORM 1423-1.pdf | ||
| 4. AFMC FORM 807 (Source).pdf | ||
| 2. PWS.pdf | ||
| 1. DD Form 254.pdf |
Show all 12
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Text version
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item)
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 the 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:
A TDP _____ TM ______ OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DSGU FD2060-20-31527
Raytheon
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 Reports of Receipts, Inventory, Adjustments, and Shipments of Government Property
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-80442 PWS Para 3.3.1 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED Mthly See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A EOM See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: alan.singleton.1@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 12, 13: The Contractor shall submit the draft document monthly 10 business days after the end of the month for the previous month’s data. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days. First report is due 10 business after the end of the month for the month after ARO.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use, 13Jan21). Other request for this document shall be referred to AFLCMC/WIUBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses: walter.seefeld.1@us.af.mil; alan.singleton.1@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Walter Seefeld 13Jan21 20 Jan 21
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
WITTER.GARY.L.1062
900020
Digitally signed by
WITTER.GARY.L.1062900020
Date: 2021.01.20 12:30:37 -05'00'
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 the 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:
A TDP _____ TM ______ OTHER ILSS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DSGU FD2060-20-31527 Raytheon
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 Interim Contractor Support (ICS) Parts Usage and Maintenance Data Collection Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-ILSS-81226 PWS Para 3.3.1 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED Mthly See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A EOM See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: alan.singleton.1@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 12, 13: The Contractor shall submit the monthly draft report 10 business days after the end of the month of the as of date of the report . The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days. First submission is due 10 days after the end of the month after ARO
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors “Administrative or Operational use, 13Jan21. Other request for this document shall be referred to AFLCMC/WIUBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Walter Seefeld 13Jan21
20 Jan 21
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
WITTER.GARY.L.1062
900020
Digitally signed by
Date: 2021.01.20 12:37:04 -05'00'
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 the 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:
A TDP _____ TM ______ OTHER QCIC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DSGU FD2060-20-31527 Raytheon
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 Quality Assessment Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-QCIC-81187/T PWS Para 4.2.1,4.2.2 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED Monthly See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 4: Data Item Description (DID) is tailored as follows: Any place where the occurrence of the words manufacture or manufacturing appear in the report, include the word repair or repairing respectively.
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: alan.singleton.1@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 11-13: The Contractor shall submit the Draft report NLT 17th of each month for data collected in the previous month. Negative reports required. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 business days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days. Initial report is due NLT than the 17th of the following month for the month the order is received.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use, 13Jan21). Other request for this document shall be referred to AFLCMC/WIUBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
WITTER.GARY.L.1062
900020
Digitally signed by
Date: 2021.01.20 12:37:55 -05'00'
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 the 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:
A TDP _____ TM ______ OTHER MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DSGU FD2060-20-31527 Raytheon
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A004 Counterfeit Prevention Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-81832 PWS Para 4.3.4 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: alan.singleton.1@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft plan 15 business days after contract award. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use, 13Jan21). Other request for this document shall be referred to AFLCMC/WIUBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
WITTER.GARY.L.10629
00020
Digitally signed by
Date: 2021.01.20 12:38:35 -05'00'
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 the 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:
A TDP _____ TM ______ OTHER ILSS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DSGU FD2060-20-31527 Raytheon
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A005 Spare Parts Inventory and Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICEDI-ILSS-80483 PWS Para 3.3.1 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED Qtrly SEE BLK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A EOM SEE BLK 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: alan.singleton.1@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 12, 13: The Contractor shall submit the draft quarterly report by the 25th of the month following the as of date of the report. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 business days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.First report is due NLT than the 25th of the month following the end of the first quarter ARO
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use 13Jan21). Other request for this document shall be referred to AFLCMC/WIUBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses: walter.seefeld.1@us.af.mil; alan.singleton.1@us.af.mil email Addresses
15. TOTAL 1 1
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
WITTER.GARY.L.1062
900020
Digitally signed by
Date: 2021.01.20 12:39:18 -05'00'
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 the 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:
A TDP _____ TM ______ OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DSGU FD2060-20-31527 Raytheon
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A006 Physical Inventory Report Chief Financial Officer (CFO) Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-80259/T PWS Para 3.3.1 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION See Block 16 REQUIRED Qtrly SEE BLK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
NA See Blk 16 SEE BLK 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 4: Data Item Description (DID) is tailored as follows: Reporting format as spreadsheet entries.
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: alan.singleton.1@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 12, 13: The Contractor shall submit the draft quarterly report by the 25th of the month following the as of date of the report. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 business days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.First report is due NLT than the 25th of the month following the end of the first quarter ARO
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use 13Jan21). Other request for this document shall be referred to AFLCMC/WIUBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
WITTER.GARY.L.1062
900020
Digitally signed by
Date: 2021.01.20 12:39:47 -05'00'
File details come from the government source that posted it. Updated .