Attachment 2 - SSHINE CDRLs_Rev. 1_ 6 FEB 25 (Signed).pdf
PDF 3 MB Posted
- Attached to
- FINAL RFP - Space Systems and Hardware Integration for Novel Experiments (SSHINE) Federal contract opportunity
- Solicitation number
- FA9453-25-R-X002-FINAL-RFP
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PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft
Final
Reg
Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785
DD Form 1423, "Contract Data Requirements List" add continuation
CurrentPage:
PageCount:
Select Classification from drop-down list.: 1
DI:
Click on this button to attach a file(s).:
A. CONTRACT LINE ITEM NUMBER: 0011, 1011
exhibit: A
C. CATEGORY: Select for "TDP.": 0
C. CATEGORY: Select for "TM.": 0
C. CATEGORY: Select for "OTHER.": 1
C. CATEGORY: Enter specification for "Other.": IDIQ CONTRACT
System: SSHINE
ContractNum: TBD
Contractor: TBD
1. DATA ITEM NUMBER: A011
titleDataItem: Funds and Man-Hours Expenditure Report subtitle: NA
4. AUTHORITY (Data Acquisition Document Number): DI-FNCL-80331A (https://quicksearch.dla.mil/) contractRef: SOW para. 14 reqOffice: AFRL/RVE
7. DD 250 REQUIREMENT: LT
8. APPROVAL CODE : N
9. DISTRIBUTION STATEMENT REQUIRED: See Blk. 16 freq: Monthly asOfDate: NA dateFirstSub: ATP + 60 Days dateSubseqSub: See Blk. 16
16. REMARKS: Blk 4: Contractor Format is acceptable.
Blk 9: All technical data shall be marked I.A.W. DoDD 5230.24 with Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RVE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.
Export control warning: All technical data shall be marked as follows: "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, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."
All technical data shall be marked with the following statement: “DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
Blk 13: Subsequent submissions shall be 10 business days after end of the month.
Note: All formats shall be submitted electronically encrypted, in a format compatible with software approved for the Kirtland AFB local area network. Submission via unencrypted or unsecure email is not permitted.
Click to add continuation field for Remarks:
14. DISTRIBUTION - a. ADDRESSEE, new line: ACO
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVKI
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVE (PM)
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVE TO MGR
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 4
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 4
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 4 priceGrp:
estTotalPrice:
remarks:
preparedBy: Christopher R. Garcia, AFRL/RVEP
J. SIGNATURE: H. SIGNED ON 20241119
J. SIGNATURE: J. SIGNED ON 20241120
J. SIGNATURE:
approvedBy: Brittney L. Santiago, AFRL/RVKI
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Click to delete additional data items.:
viewer may not be able to display this type of document.
You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.
For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.
Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other
Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft
Final
Reg
Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785
DD Form 1423, "Contract Data Requirements List" add continuation
CurrentPage:
PageCount:
Select Classification from drop-down list.: 1
DI:
Click on this button to attach a file(s).:
A. CONTRACT LINE ITEM NUMBER: 0011, 1011
exhibit: A
C. CATEGORY: Select for "TDP.": 0
C. CATEGORY: Select for "TM.": 0
C. CATEGORY: Select for "OTHER.": 1
C. CATEGORY: Enter specification for "Other.": IDIQ CONTRACT
System: SSHINE
ContractNum: TBD
Contractor: TBD
1. DATA ITEM NUMBER: A022
titleDataItem: Government Property Inventory Report subtitle: NA
4. AUTHORITY (Data Acquisition Document Number): DI-MGMT-80441 (https://quicksearch.dla.mil/) contractRef: SOW para. 14 reqOffice: AFRL/RVE
7. DD 250 REQUIREMENT: LT
8. APPROVAL CODE : N
9. DISTRIBUTION STATEMENT REQUIRED: See Blk. 16 freq: AS REQ.
asOfDate: NA dateFirstSub: See Blk. 16 dateSubseqSub: See Blk. 16
16. REMARKS: Requirements:
1. Reference documents. None.
2. Format. The report shall be in an electronic .xls or .xlsx compatible format.
3. Content. The report shall contain the following column headers (i.e., data fields):
A. Contract Number B. Agency or Service Asset Identification Number (GFP Only) C. Contractor Asset Identification Number D. Item Description E. Manufacturer Part Number F. Manufacturer Model Number G. Manufacturer Serial Number H. National Stock Number (NSN) (if applicable) I. Quantity J. Unit of Measure K. Unit Acquisition Cost L. Unique Item Identifier (if registered in the Item Unique Identification (IUID) Registry;
GFP only) M. Asset Location N. Asset Sub-Location (if applicable) O. Type of Government Property (i.e., Government Furnished Property (GFP) or Contractor Acquired Property (CAP) P. Classification of Government Property (i.e., Communication Security (COMSEC), Equipment (EQP), Material (MAT), Special Test Equipment (STE), or Special Tooling (ST) Q. Date of Last Physical Inventory R. Federal Condition Code
Blk 8: Approval is for content. Allow 10 business days for Government review. Updated submissions shall be 5 business days after receipt of comments unless otherwise coordinated with the Government in writing.
Blk 9: Distribution Statement A. Approved for public release: Distribution unlimited.
Blks 10,12 & 13: First submission shall be 30 calendar days after initial receipt of Government Property furnished by the Government or acquired by the contractor. Subsequent submissions shall be: 1) annually based on physical inventories and 2) a final property identification listing suitable for close-out purposes containing use/disposition recommendations.
Click to add continuation field for Remarks:
14. DISTRIBUTION - a. ADDRESSEE, new line: ACO
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVKI
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVE (PM)
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVE TO MGR
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 4
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 4
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 4 priceGrp:
estTotalPrice:
remarks:
preparedBy: Christopher R. Garcia, AFRL/RVEP
J. SIGNATURE: H. SIGNED ON 20241119
J. SIGNATURE: J. SIGNED ON 20241120
J. SIGNATURE:
approvedBy: Brittney L. Santiago, AFRL/RVKI
Click to add additional data items.:
Click to delete additional data items.:
viewer may not be able to display this type of document.
You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.
For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.
Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other
Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft
Final
Reg
Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785
DD Form 1423, "Contract Data Requirements List" add continuation
CurrentPage:
PageCount:
Select Classification from drop-down list.: 1
DI:
Click on this button to attach a file(s).:
A. CONTRACT LINE ITEM NUMBER: 0011, 1011
exhibit: A
C. CATEGORY: Select for "TDP.": 0
C. CATEGORY: Select for "TM.": 0
C. CATEGORY: Select for "OTHER.": 1
C. CATEGORY: Enter specification for "Other.": IDIQ CONTRACT
System: SSHINE
ContractNum: TBD
Contractor: TBD
1. DATA ITEM NUMBER: A004
titleDataItem: Inspection Report subtitle: NA
4. AUTHORITY (Data Acquisition Document Number): DI-NDTI-80809B (https://quicksearch.dla.mil/) contractRef: SOW para. 14 reqOffice: AFRL/RVE
7. DD 250 REQUIREMENT: LT
8. APPROVAL CODE : N
9. DISTRIBUTION STATEMENT REQUIRED: See Blk. 16 freq: See Blk. 16 asOfDate: See Blk. 16 dateFirstSub: See Blk. 16 dateSubseqSub: See Blk. 16
16. REMARKS: Blk 4: Tailoring :
- Contractor format is acceptable subject to government approval.
Blk 9: All technical data shall be marked I.A.W. DoDD 5230.24 with Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RVE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.
Export control warning: All technical data shall be marked as follows: "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, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."
All technical data shall be marked with the following statement: “DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
Blk 10, 12 & 13: As defined per task order
Click to add continuation field for Remarks:
14. DISTRIBUTION - a. ADDRESSEE, new line: ACO
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVKI
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVE (PM)
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVE TO MGR
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 4
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 4
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 4 priceGrp:
estTotalPrice:
remarks: “DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
Blks 10 - 13: The contractor shall deliver the Scientific and Technical Report, in final format, no later than the date specified in the Schedule, CLIN 0002. The USAF will review and, if necessary, return the report with comments no later than the date specified in the Schedule, CLIN 0002. If the report is returned to the contractor with comments, the contractor shall deliver the camera-ready copy of the report no later than the date specified in the Schedule, CLIN 0002.
Blk 14: The contractor shall distribute the Scientific and Technical Report (final/CRC version(s)) in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.
preparedBy: Christopher R. Garcia, AFRL/RVEP
J. SIGNATURE: H. SIGNED ON 20241119
J. SIGNATURE: J. SIGNED ON 20241120
J. SIGNATURE:
approvedBy: Brittney L. Santiago, AFRL/RVKI
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Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft
Final
Reg
Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785
DD Form 1423, "Contract Data Requirements List" add continuation
CurrentPage:
PageCount:
Select Classification from drop-down list.: 1
DI:
Click on this button to attach a file(s).:
A. CONTRACT LINE ITEM NUMBER: 0011, 1011
exhibit: A
C. CATEGORY: Select for "TDP.": 0
C. CATEGORY: Select for "TM.": 0
C. CATEGORY: Select for "OTHER.": 1
C. CATEGORY: Enter specification for "Other.": IDIQ CONTRACT
System: SSHINE
ContractNum: TBD
Contractor: TBD
1. DATA ITEM NUMBER: A012
titleDataItem: Integrated Program Management Report subtitle: NA
4. AUTHORITY (Data Acquisition Document Number): DI-MGMT-81861C (https://quicksearch.dla.mil/) contractRef: SOW para. 14 reqOffice: AFRL/RVE
7. DD 250 REQUIREMENT: LT
8. APPROVAL CODE : N
9. DISTRIBUTION STATEMENT REQUIRED: See Blk. 16 freq: See Blk. 16 asOfDate: NA dateFirstSub: See Blk. 16 dateSubseqSub: See Blk. 16
16. REMARKS: The contractor may be required to provide Integrated Program Management Reports (IPMRs) at the task order level to support program oversight and decision-making. The requirement for IPMRs and their scope will be specified in individual task orders. An Earned Value Management System (EVMS) and EVMS artifacts are not required in the submission of IPMRs.
Blk 4: The IPMR shall be delivered electronically, in a format compatible with Microsoft Project and can be submitted via DoD encrypted email via the Kirtland AFB local area network.
Blk 9: All technical data shall be marked I.A.W. DoDD 5230.24 with Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RVE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.
Export control warning: All technical data shall be marked as follows: "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, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."
All technical data shall be marked with the following statement: “DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
Blk 10, 12 & 13: First report submitted within 15 working days after completion of the first full month following contract award of the task order. Monthly thereafter for the duration of the contract. Last submission shall be at contract completion.
Click to add continuation field for Remarks:
14. DISTRIBUTION - a. ADDRESSEE, new line: ACO
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVKI
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVE (PM)
14. DISTRIBUTION - a. ADDRESSEE, new line: AFRL/RVE TO MGR
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 1
15.TOTAL - Total draft copies is automatically calculated.: 4
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 4
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 1
15.TOTAL - Total final reproducible copies is automatically calculated.: 4 priceGrp:
estTotalPrice:
remarks:
preparedBy: Christopher R. Garcia, AFRL/RVEP
J. SIGNATURE: H. SIGNED ON 20241119
J. SIGNATURE: J. SIGNED ON 20241120
J. SIGNATURE:
approvedBy: Brittney L. Santiago, AFRL/RVKI
Click to add additional data items.:
Click to delete additional data items.:
viewer may not be able to display this type of document.
You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.
For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.
Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other
Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft
Final
Reg
Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785
DD Form 1423, "Contract Data Requirements List" delete continuation
CurrentPage:
PageCount:
Select Classification from drop-down list.: 1
DI:
Click on this button to attach a file(s).:
A. CONTRACT LINE ITEM NUMBER: 0011, 1011
exhibit: A
C. CATEGORY: Select for "TDP.": 0
C. CATEGORY: Select for "TM.": 0
C. CATEGORY: Select for "OTHER.": 1
C. CATEGORY: Enter specification for "Other.": IDIQ CONTRACT
System: SSHINE
ContractNum: TBD
Contractor: TBD
1. DATA ITEM NUMBER: A028
titleDataItem: Interface Control Document subtitle: NA
4. AUTHORITY (Data Acquisition Document Number): DI-SESS-81248 (https://quicksearch.dla.mil/) contractRef: SOW para. 14 reqOffice: AFRL/RVE
7. DD 250 REQUIREMENT: LT
8. APPROVAL CODE : A
9. DISTRIBUTION STATEMENT REQUIRED: See Blk. 16 freq: See Blk. 16 asOfDate: See Blk. 16 dateFirstSub: See Blk. 16 dateSubseqSub: See Blk. 16
16. REMARKS: Requirements:
1. Reference documents. The applicable issue of any…
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