Contract_Data_Requirements_List.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 E. CONTRACT / PR NO.

FD20601700244

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

NSN: 5945-01-334-8082AL NOUN: SOLENOID

4. AUTHORITY

DI-MGMT-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE per Contract

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1 XTIME

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Brigmond, Ronald LNAME: 09 MAR 2017DATE:

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 5 Nov 2013. Other requests for this document shall be referred to 409 SCMS/GUME.

DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

Block 12: Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award. Government comments provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.

Block 14: Document submission shall be made electronically using MS Office 2007 format or Portable Document Format (PDF) to the PCO, ACO, COR, and Engineer. The e-mail addresses are:

PCO: V. Carol Elliott virginia.elliott.1@us.af.mil

ACO:

COR: Jacqueline Mulkey jacqueline.mulkey@robins.af.mil

Engineer: Dean Silver dean.silver@us.af.mil

Pham, Phong DNAME: 11 JAN 2017DATE:

Blk 2: Contractor format is acceptable

Block 10-12: Contractor shall deliver a Counterfeit Prevention Plan (CPP) within 30 days after contract award.

Government comments will be provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments. Updates to the CPP shall be provided to the Government within twenty (20) calendar days after the initial counterfeit part(s) identification/notification.

ACO: 1 0 1

COR/PM: Jacqueline Mulkey jacqueline.mulkey@robins.af.

1 0 1

Engineer: Dean Silver dean.silver@us.af.mil

1 0 1

PCO: V. Carol Elliott virginia.elliott.1@us.af.mil

1 1 2

4 1 515. TOTAL

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PREVIOUS EDITION MAY BE USED.

Block 13: Updates to the CPP shall be provided within twenty (20) calendar days after each additional counterfeit part(s) identification/notification.

Blk 14: Document submission shall be made electronically via MS Office (Power Point, Excel, or Word) 2010 format or PDF. Final submittal both via Email addresses and in Wide Area Work Flow (WAWF). Submittal in WAWF will be accepted/approved by Government personnel. When information is submitted in WAWF the contractor shall provide email notification to email addresses as in block 14.

COORDINATORS:

G. PREPARED BY

Johnson, Ardell

409 SCMS / GUMEA

478-327-4324

H. DATE

15 MAR 2017

I. APPROVED BY

//DIGITALLY SIGNED//

WARREN.GLENWOOD.JR.1041709908

409 SCMS / GUMEA 478-327-2787 / 497-2787

J. DATE

15 MAR 2017

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

TDP TM OTHER X

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

FD20601700244

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

First Article Qualification Test Report

3. SUBTITLE

NSN: 5945013348082 NOUN: Solenoid

4. AUTHORITY

DI-NDTI-80809B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

Per Contract

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

1 XTIME

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Brigmond, Ronald LNAME: 08 MAR 2017DATE:

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 8: The Government has 45 calendar days to approve.

Block 12: Due 45 Days After Completion of First Article Testing or 335 Days After Receipt of Individual Order.

BLK 14: Electronic delivery Draft copies via AMRDEC to the following Distribution Addresses shall be delivered in PDF format.

AFLCMC/EBREM

David Lewis, First Article Manager (1 each) david.lewis.49@us.af.mil

AFLCMC/EBK

V. Carol Elliott, Contracting Officer (1 each) virginia.elliott.1@us.af.mil

409 SCMS/GUME

Jacqueline Mulkey, Program Manager (1 each) jacqueline.mulkey@us.af.mil

409 SCMS/GUEA

Dean Silver, Mechanical Engineer (1 each) dean.silver@us.af.mil

Electronic delivery of Final copy via e-mail to the following Distribution Address shall be delivered in PDF format.

AFLCMC/EBK

V. Carol Elliott, Contracting Officer (1 each) virginia.elliott.1@us.af.mil

409 SCMS/GUEA

Dean Silver, Mechanical Engineer dean.silver@us.af.mil

1 0 1

409 SCMS/GUME

Jacqueline Mulkey, Program Manager jacqueline.mulkey@us.af.mil

1 0 1

AFLCMC/EBK

V. Carol Elliott, Contracting Officer virginia.elliott.1@us.af.mil

1 1 2

AFLCMC/EBREM

David Lewis, First Article Manager david.lewis.49@us.af.mil

1 0 1

4 1 515. TOTAL

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Zilar, Dale NNAME: 14 JUL 2014DATE:

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION UTILIZING WAWF. A

COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL BE SUBMITTED THROUGH WAWF IN

ORDER TO RECEIVE PAYMENT FOR DATA REPORTS.

BLOCK 8: GOVERNMENT WRITTEN NOTICE OF APPROVAL/DISAPPROVAL IS DUE 60 DAYS AFTER

RECEIPT OF CONTRACTOR'S REPORT.

BLOCK 12: 90 DAYS AFTER CONTRACT AWARD.

SEE ATTACHED DD FORM 1664, DATA ITEM DESCRIPTION.

FIRST ARTICLE INSPECTION (FAI) TEST REPORT IS USED TO DOCUMENT RESULTS OF

PREPRODUCTION TEST AND EXAMINATIONS.

A. SHOW COMPLETION OF INSPECTION AND RESULTS OF INSPECTION PERFORMED TO

DEMONSTRATE THAT THE FIRST ARTICLE UNIT(S) CONFORM TO THE APPLICABLE CONTRACT

TECHNICAL REQUIREMENTS.

B. REPORT SHALL DELINEATE THE SPECIFIC RESULTS OBTAINED, THE WITNESSES, AND ANY OTHER

PERTINENT OBSERVATIONS.

C. INSPECTION RESULTS SHALL BE THE APPLICABLE QUANTITATIVE DATA IN THE FORM OF

RECORDINGS, INSTRUMENT READINGS AND RELATED DATA.

D. AS APPLICABLE, THE FIRST ARTICLE INSPECTION TEST REPORT SHOULD IDENTIFY ANY

DEVIATIONS OR LIMITATIONS IN THE FIRST ARTICLE UNIT(S) INVOLVED, RECOMMENDED ACTIONS

RELATING TO EACH DEVIATION OR LIMITATION AND SUMMARY CONCLUSION(S).

CONTRACTOR FORMAT IS ACCEPTABLE.

REMARK APPLICABLE TO HAZARDOUS ITEMS ONLY: THE TESTS REQUIRED ARE AS SPECIFIED IN

CHAPTER 9 OF THE UNITED NATIONS TRANSPORT OF DANGEROUS GOODS (ORANGE BOOK)

RECOMMENDATIONS.

Intent of this First Article Inspection requirement is to verify/document dimensions against drawing requirements.

Recommend measured results i.e. 'data' be placed in MS Excel spreadsheet for ease of input and interpretation of results.

Further suggest any 'formulas' in the spreadsheet be made available for inspection i.e. do not password protect to hide data.

COORDINATORS:

G. PREPARED BY

Johnson, Ardell

409 SCMS / GUMEA

478-327-4324

H. DATE

15 MAR 2017

I. APPROVED BY

//DIGITALLY SIGNED//

WARREN.GLENWOOD.JR.1041709908

409 SCMS / GUMEA 478-327-2787 / 497-2787

J. DATE

15 MAR 2017

Page 3 of 5DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 17 Mar 2017

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

TDP TM OTHER X

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

FD20601700244

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

First Article Qualification Test Plan and Procedures

3. SUBTITLE

NSN: 5945013348082 NOUN: Solenoid

4. AUTHORITY

DI-NDTI-81307A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

Per Contract

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

1 XTIME

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Brigmond, Ronald LNAME: 08 MAR 2017DATE:

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 8: The Government has 45 calendar days to approve.

Block 12: 45 days ARO contract.

BLK 14: Electronic delivery of Draft copies via AMRDEC to the following Distribution Addresses shall be delivered in PDF format.

AFLCMC/EBREM

David Lewis, First Article Manager (1 each) david.lewis.49@us.af.mil

AFLCMC/EBK

V. Carol Elliott, Contracting Officer (1 each) virginia.elliott.1@us.af.mil

409 SCMS/GUME

Jacqueline Mulkey, Program Manager (1 each) jacqueline.mulkey@us.af.mil

409 SCMS/GUEA

Dean Silver, Mechanical Engineer (1 each) dean.silver@us.af.mil

Electronic delivery of Final copy via e-mail to the following Distribution Addresses shall be delivered in PDF format.

AFLCMC/EBK

V. Carol Elliott, Contracting Officer (1 each) virginia.elliott.1@us.af.mil

Hudson, Connie JNAME: 18 APR 2014DATE:

Contractor must provide a plan to ensure that all drawing requirements are met on each first article. The plan should include the equipment and facilities utilized to verify all drawing requirements. As a minimum, the following information is required.

a. A list of all drawing dimension, tolerances and the equipment utilized to verify each dimension. An actual drawing should be submitted to correlate with the dimension list.

b. A plan to verify that all non-destructive inspections are met.

c. A plan to verify that all visual inspection requirements are met.

d. A plan to verify material properties to include mechanical properties, metallurgical properties and chemical compositions.

e. A plan to verify that all significant manufacturing processes are performed by sources that are currently approved/certified by the OEM (P&W) or the CEA (AFLCMC/LPSAA).

f. A plan to verify that all forging or casting sources are currently approved/certified by the OEM (P&W) or the CEA (AFLCMC/LPSAA) if applicable. Guidelines for first article test plans are contained within LPF-QAR-003, attached.

A government representative must coordinate on the first article test plan. The first article test plan shall be received 30 calendar days from the date of contract.

COORDINATORS:

409 SCMS/GUEA

Dean Silver, Mechanical Engineer dean.silver@us.af.mil

1 0 1

409 SCMS/GUME

Jacqueline Mulkey, Program Manager jacqueline.mulkey@us.af.mil

1 0 1

AFLCMC/EBK

V. Carol Elliott, Contracting Officer virginia.elliott.1@us.af.mil

1 1 2

AFLCMC/EBREM

David Lewis, First Article Manager david.lewis.49@us.af.mil

1 0 1

4 1 515. TOTAL

Page 4 of 5DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 17 Mar 2017

COORDINATORS:

G. PREPARED BY

Johnson, Ardell

409 SCMS / GUMEA

478-327-4324

H. DATE

15 MAR 2017

I. APPROVED BY

//DIGITALLY SIGNED//

WARREN.GLENWOOD.JR.1041709908

409 SCMS / GUMEA 478-327-2787 / 497-2787

J. DATE

15 MAR 2017

Page 5 of 5DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 17 Mar 2017