CDRL_A001_&_A002.pdf

CONTRACT DATA REQUIREMENTS LIST

(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:

TDP TM OTHER __X__

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

1. DATA ITEM NO. 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80527C

5. CONTRACT REFERENCE

PD paras 7.1

6. REQUIRING OFFICE:

402 AMXG/MXDQBD

7. DD 250 REQ

NO

9. DIST

STATEMENT

REQUIRED

A

10. FREQUENCY

ONE/R

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

15. TOTAL 0 2 0

I. APPROVED BY J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _ _ of __Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

A001

1 1

G. PREPARED BY

Christine L. Clark

Armstrong

H. DATE

11 April 19

2. TITLE OF DATA ITEM

COMMERICAL OFF-THE-SHELF (COTS)

EQUIPMENT MANUAL REQUIREMENTS

16. REMARKS

Block 4: Follow preparation instructions from DI-TMSS-80527C. Para 7 of Data Item is not required (reference IETMs). All COTS manuals shall be provided in electronic .pdf and hardcopy format. The electronic .pdf files shall be delivered on a DVD.

Blocks 11, 12, 13: Data shall be provided in the original product format at or within 15 calendar of delivery of each boom lift.

Addressee:

Wayne D Thompson

402 AMXG/MXDQBD

92 Phantom Street Building 125 Robins AFB, GA 31098 DoDAAC: F3QCCM (Contact Govt Representative to arrange delivery) 478-222-2949 or cell 478-973-5505

NOTE: 1 hardcopy of each commercial technical and user manual will be provided with EACH lift

SEE BLK 16

HARD COPY

ELECTRONIC 0 1 0

Christine L. Clark 11 April 19

CONTRACT DATA REQUIREMENTS LIST

(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:

TDP TM OTHER __X__

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

1. DATA ITEM NO. 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A/T

5. CONTRACT REFERENCE

PD paras 7.2

6. REQUIRING OFFICE:

402 AMXG/MXDQBD

7. DD 250 REQ

NO

9. DIST

STATEMENT

REQUIRED

A

10. FREQUENCY

ONE/R

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

15. TOTAL 0 2 0

I. APPROVED BY J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _ _ of __Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

A002

1 1

G. PREPARED BY

Christine L. Clark

Armstrong

H. DATE

11 April 19

2. TITLE OF DATA ITEM

EXPLOSION PROOF CERTIFICATION

16. REMARKS

Block 4: Certification authority format acceptable

Blocks 11, 12, 13: Data shall be provided in the original certifier format within 16 weeks of contract award for each boom lift.

Addressee:

Wayne D Thompson

402 AMXG/MXDQBD

92 Phantom Street Building 125 Robins AFB, GA 31098 DoDAAC: F3QCCM E-mail: wayne.thompson.4@us.af.mil

478-222-2949 or cell 478-973-5505

SEE BLK 16

ELECTRONIC 0 0

* NOTE: 1 electronic e-mail copy is to be provided for EACH lift.

Christine L. Clark 11 April 19

A