Attach 04 CDRL.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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

0001-0003,1001-1018, 1020, 1021, 2001-2018, 3001-3018, 4001-4018

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER Safety .

D. SYSTEM/ITEM

SOF COMBAT CASUALTY CARE

E. CONTRACT/PR. NO.

H92222-10-R-0018

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Safety Studies Report

3. SUBTITLE

Material Safety Data Sheets (MSDS)

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81065

5. CONTRACT REFERENCE

IAW Statement of Objectives 1.0 and SOW paragraph contractor insert number .

6. REQUIRING OFFICE

USSOCOM

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

See block 16 14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

Initial PDM Delivery

13. DATE OF SUBSEQUENT

SUBMISSION

See block 16

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

In lieu of format required by the DID, the Contractor shall provide a summary listing of all items containing hazardous materials or requiring special handling instructions. This summary shall have all related Material Safety Data Sheets included as an appendix. In addition, the MSDS shall be delivered with each item containing hazardous material or requiring special handling instructions.

The MSDS will provide workers and emergency personnel with procedures for handling or working with that substance in a safe manner, and includes information such as physical data (melting point, boiling point, flash point, etc.), toxicity, health effects, first aid, reactivity, storage, disposal, protective equipment, and spill handling procedures.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and direst supporting contractors. Other requests for this document shall be referred to

COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

Block 12/13: First submission with delivery of PDM’s, subsequent deliveries with each procurement order

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017

Kansas St, Natick MA 01760 Attn: Scott Williams, APM-TCCC

Electronic submissions may be addressed to scott.m.williams1@us.army.mil

Natick Soldier Center

15. TOTAL

See

BLK

16b

See

BLK

16b

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BLK

16b

G. PREPARED BY

Scott Williams, APM

H. DATE

24 May 2010

I. APPROVED BY

Tom Mills, PM

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

0004, 1023, 2019, 3019, 4019

TDP TM OTHER Configuration Management .

SOF COMBAT CASUATLY CARE

H2222-10-R-00018

A002

Training Materials

TCCC Training Guide - Student Guide

DI-ILSS-80872

IAW Statement of Objectives 3.2.2

DD

AS REQ

12. DATE OF FIRST SUBMISSION

See block 16 14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

CLIN 1001 Delivery

13. DATE OF SUBSEQUENT

SUBMISSION

See block 16

a. ADDRESSEE

b. COPIES

Draft Final

The Contractor shall provide a Student Training Guide to include safety, operation, and maintenance procedures for the CASEVAC Set. The content shall be suitable for application in a self-paced, self-directed format. The material shall contain sufficient instructions to guide students through all specified hands-on training without a need for instruction lectures and instructor interface. Existing manufacturer’s training and service manuals may be incorporated into the material insofar as they meet specified requirements. The Training Guide will be developed during the PDM training and evaluation phase of the contract.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and direst supporting contractors. Other requests for this document shall be referred to

COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

Block 12/13: First submission in rough draft format to be delivered with the initial PDM’s, in chapter format in 8.5 X 11, 3 ring binders to facilitate rapid change and updates. Subsequent deliveries will be 10 days prior to each of the 5 phases of the evaluation process.

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017

Electronic submissions may be addressed to Scott.M.Williams1@us.army.mil

Block 15: Total qty not to exceed 10, 000

Government review and approval shall be within 30 days of contractor submission. Contractor revisions shall be within 2 weeks of Government review and approval. Final Government approval shall be within 20 days of delivery of final Training Materials.

See

BLK

16b

See

BLK

16b

See

BLK

BLK

16b

See

BLK

16b

See

BLK

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

0001, 1001, 2001, 3001, 4001

TDP TM OTHER .

A003

Commercial Drawings/Models and Associated Lists

Product Baseline Drawings and Inventory Diagrams

DI-SESS-81003D

SOW paragraph contractor insert number

DD

ONE/R

12. DATE OF FIRST SUBMISSION

See BLK 16 14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

Initial PDM Delivery

13. DATE OF SUBSEQUENT

SUBMISSION

AS REQD

a. ADDRESSEE

b. COPIES

Draft Final

The Product Baseline Drawings and Inventory Diagrams required by this CDRL ‘WILL NOT’ be used by the Government for re-procurement purposes.

This deliverable is considered by the Government as “INFORMATION ONLY” and shall be reflective of the CASEVAC Set configuration delivered to the Government. Contractor drawing format shall apply in lieu of TDP Option Selection Worksheet. First submission of this CDRL shall reflect configuration of the First Article Test Set. The drawings or ‘tabletop’ will be used for inventory management at the user level to ensure kits are complete and available for reuse. Any changes made to the kit configuration after First Article Test Set delivery shall be submitted as updates to this CDRL. Any changes made after Production Sets are delivered shall follow the ECP Configuration Process and will require resubmission of this CDRL reflecting the approved changes and affected data.

Documentation shall be made available on CD-ROM with viewer software and 1 each hard copy provided to the addressee in Block 14. All computer media will be compatible with current government software.

COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

Block 12/13: First submission with delivery of PDM’s, subsequent deliveries with each procurement order

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017

shall be within 20 days of delivery of final drawings/models and associated Lists.

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

0001, 0004, 1001, 1023, 2001, 3001, 4001

TDP TM OTHER Training .

SOF Combat Casualty Care

A004

Training Material

Safety, Operation, and Maintenance Training for the CASEVAC SET

DI-ILSS-80872

IAW Statement of Objectives 3.2.2

DD

ASREQ

12. DATE OF FIRST SUBMISSION

See block 16 14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

Initial PDM Delivery

13. DATE OF SUBSEQUENT

SUBMISSION

See block 16

a. ADDRESSEE

b. COPIES

Draft Final

The Contractor shall provide a Training Video on CD or DVD ROM, in lieu of hardcopy text specified in the DID, to include safety, operation, and maintenance procedures for the CASEVAC Set. The content shall be suitable for application in a self-paced, self-directed format. The material shall contain sufficient instructions to guide students through all specified hands-on training without a need for instruction lectures and instructor interface. Existing manufacturer’s training and service manuals may be incorporated into the material insofar as they meet specified requirements.

COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

Block 12/13: First submission with delivery of Production Models, subsequent deliveries with each procurement order in each Set or Kit. Videos will also be distributed to the components thru

SOFSA.

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017

Block 15: Total qty not to exceed 10, 000 shall be within 20 days of delivery of final Training Material.

BLK

16b

See

BLK

16b

See

BLK

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

0001, 002, 0003, 1001, 2001, 3001, 4001,1022, TDP TM OTHER Provisioned Items Order

SOF TACTICAL COMBAT CASUALTY CARE

A005

Provisioning Parts List

Spare equipment, parts and maintenance material

DI-ILSS-80134A

DD

ASREQ

12. DATE OF FIRST SUBMISSION

See BLK 16 14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

Initial Proposal

13. DATE OF SUBSEQUENT

SUBMISSION

Annually

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

Provisioned Items Order (PIO, also known as spares) – Provisioning is the management process of determining and acquiring the range and quantity of support items necessary to operate and maintain an end item of materiel. The PIO CLIN is required to support the provisioning process and is assigned a predetermined not to exceed (NTE) dollar amount. The government may procure spares, repair parts, and support equipment via delivery orders with pricing to be determined at the time the requirement arises and an order is placed over the length of this contract. The total of all delivery orders issued under these CLINs shall not exceed the NTE amount specified in Section B for these CLINs.

Delivered in 8.5”X11” hardbound three ring binder and in digital format via CD-ROM in Government compatible software. All illustrations in the document shall be supplied in Tagged Information Format (TIF) and all data files used to develop the Manual shall be provided on the CD-ROM.

and direct supporting contractors. Other requests for this document shall be referred to

COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

Block 12/13: First submission with delivery of PDM’s, subsequent deliveries with each procurement order and/or ECP change.

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

0001, 0002, 0003, 1001, 2001, 3001, 4001,1022, A006

Recommended Spare Parts List for Spares Acquisition Integrated with Production (SAIP)

DI-ILSS-80293B

DD

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16 14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

Initial offer

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

The Contractor shall submit a complete list of all individually replaceable sub-components with the entire TCCC Set.

The list shall include, as a minimum, Contractor quantities for every type of spare part for the Set to include all consumable and expendable items, part number, OEM part number, NSN if assigned, nomenclature, quantity and estimated price.

The list must be kept updated with pricing and ECP driven part changes.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and direct supporting contractors. Other requests for this document shall be referred to

COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

BLK 12: The Contractor shall submit a SAIP concurrent with delivery of Product Demonstration Sets.

BLK 13: SAIP subsequent submission shall be 45 days following the scheduled delivery of Full Production Sets

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017

The deliverable shall be submitted in Government compatible software, Microsoft Office, Adobe or a mutually agreed upon format. Mail one hard copy or email to Block 14 Addressee.

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

0006, 1020

A007

Engineering Change Proposal (ECP) I, II

ECP

DI-CMAN-80639C

IAW Statement of Objectives 3.1.6 and

DD

AS GEN

12. DATE OF FIRST SUBMISSION

See block 16 14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See block 16

a. ADDRESSEE

b. COPIES

Draft Final

The Contractor shall submit a Class II ECP for each proposed change that will NOT affect form, fit, function, or safety. Class II ECPs shall be provided in Contractor format. They shall be provided for Government concurrence in classification only and will not require Government approval, but will be used for configuration tracking.

The Contractor shall provide Type I ECPs for Government review and approval. The Government will review the ECP for technical merit and impact. Final approval/disapproval of the Type I ECPs will be granted by the Government Contracting Officer in writing.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and direst supporting contractors. Other requests for this document shall be referred to

COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

Block 12/13: BLK 12: Class I ECPs shall be submitted in time to allow 30 days for Government approval process.

See

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16b

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16b

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16b

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16b

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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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

0001,1001, 1021, 2001, 3001, 4001

TDP TM OTHER .

A008

Production Test Report

Air Worthiness Report

DI-NDTI-80492

SOW paragraph contractor insert number

DD

AS REQD

12. DATE OF FIRST SUBMISSION

See BLK 16 14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

Initial PDM Delivery

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

The Contractor shall submit Air Worthiness documentation for all electronic components and carry on equipment that may impact or applies to airworthiness IAW Army Regulation 70-62. This regulation may be found online.

COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

BLKs 12 and 13: The report/certificate shall be submitted with the initial Solicitation response. If an item is new and has not been certified it is the responsibility of the Contractor to have the item certified prior to final production award. A certificate will also be required with each item submitted in the ECP process if that item previously required an Airworthiness certificate.

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.

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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

ALL

TDP TM OTHER .

A009

Status Report

Monthly contract status report

DI-MGMT-80368A / DI-MGMT-80227

SOW paragraph contractor insert number

DD

MONTHLY

12. DATE OF FIRST SUBMISSION

See Block 16 14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

Initial PDM Delivery

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

Blocks 10, 12, 13: Initial submission shall be made within 15 days of the end of the first full month of performance under this order. Subsequent submissions shall be made by the 15th day of each month thereafter.

The Report shall contain the following:

1.0 Summary: The summary shall include a brief statement of the overall project status, covering accomplished technical activities and development, objectives of efforts, summary results of efforts, identification of major problems/deficiencies with impact and recommended solutions.

2.0 Body of Report: The body shall contain the following:

a. A statement as to whether the program is on task/schedule. If not, provide details of why and the planned effort to get on task/schedule.

b. Effort expended on each task to date, a brief description of work performed during the reporting period.

c. Key dates in any testing or development work with significant results.

d. A narrative of outstanding problems existing as of the previous status report and their resolution status.

e. New problem areas encountered or anticipated, their effect on the overall work effort/project and steps being taken to remedy problem situations.

f. Significant results of conferences, trips or directives for the Contracting Officers Representative.

g. Any other information which may cause significant changes in the program schedule.

3.0 Itemized man-hours and costs. Itemized man-hour and cost expenditure incurred for the reporting period by category and task, total contractual expenditures and funds remaining as of the reporting date.

4.0 Contract deliveries status. The status of each deliverable end items, including data deliverables, as required by the contract. Provide item and contract identification, shipping/transmittal data, acceptance status, and schedule due date information.

5.0 ECP Status. Include a summary of ECP’s, including identification of proposed ECP’s, Approved ECP’s and implemented ECP’s.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and direst supporting contractors. Other requests for this document shall be referred to COMMAND SURGEON, USSOCOM, MACDILL AIR FORCE BASE, TAMPA FL.

OMB No. 0704-0188

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

I TDP X TM OTHER

0001-0002, 1001-1018, 1021, 2001-2018, 3001-3018, 4001-4018

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

SOF Combat Casualty Care H92222-10-R-0018

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A010 Bar Code Identification Report See block 16

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80177B Clause 252.211-7003 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ See block 16 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

ASREQ See block 16 Reg Repro

16. REMARKS

Natick Soldier Center 1

Item Unique Identification marking requirements: The following items are to be marked and registered with the IUID registry in compliance with Defense Acquisition Regulation Supplement (DFARS) clause 252.211-7003.

a. Casualty Evacuation Set (CASEVAC Set)

b. Extraction Kit

c. Mobility Kit

d. Transport Kit

e. Sustainment Kit

f. All Modules within each kit

g. All durable/repairable embedded items within a module

BLK 4: A Data Report profiling the assembly, embedded subassemblies, components and parts shall be delivered at the time of inspection. The Data Report will be submitted as an electronic database in Contractor format.

BLK 8: Approval (written) is not required. However, the data will be rejected and submitted for rework if it does not conform to the requirements herein. The Government will review and provide comment within 30 days of receipt, as required.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S.

Government Agencies and direst supporting contractors. Other requests for this document shall be referred to COMMAND SURGEON, USSOCOM, MCDILL AIR FORCE BASE, TAMPA FL

BLK 12: Due concurrent with delivery of the Test Article.

BLK 13: Updates due to configuration changes are due concurrent with the respective configuration change CDRL. Updates due to other reasons are due within 30 days of identification of need.

(Continued on next page.)

15. TOTAL 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Scott Williams, Asst Program Manager 5-24-2010 Tom Mills, Program Manager 5-24-2010

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 2 Pages

CONTRACT DATA REQUIREMENTS LIST (CDRL)

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

See above L TDP ____ TM _____ OTHER X Logistics

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

SOF Combat Casualty Care H92222-10-R-0018 TBD

16. REMARKS (Continued) Bar Code Identification Report

Kansas St, Natick MA 01760 addressed to scott.m.williams1@us.army.mil

DATA DESCRIPTION:

The purpose of this CDRL is to ensure the reporting of the Item Unique Identification registration and marking of qualified assets for use in monitoring critical assets throughout their lifecycles.

Defense Acquisition Regulation Supplement (DFARS) clause 252.211-7003 mandates that DOD UID, or a DOD-recognized unique identification equivalent, is required for the following items and/or criteria:

a. All items for which the Government’s unit cost is $5,000 or more.

b. Items for which the Government’s unit acquisition cost is less than $5,000, when identified by the requiring activity as DOD serially managed, mission essential, or controlled inventory.

c. Items for which the Government’s unit acquisition cost is less than $5,000 and for which the requiring activity determines that permanent identification is required.

d. Regardless of value, marking and registering requirements apply to any DOD serially managed subassembly, component, or part embedded within a delivered item and to the parent item that contains the embedded within a delivered item and to the parent item that contains the embedded subassembly, component, or part.

The following field information shall be identified (at a minimum) for each subassembly item delivered per Parent End Item

CLIN:

(1) Concatenated unique item identifier or DoD recognized unique identification equivalent of the PARENT ITEM delivered under a contract line, sub-line, or exhibit line item that contains the embedded subassembly, component, or part

(2) Concatenated unique item identifier or DoD recognized unique identification equivalent of the (CHILD) embedded subassembly, component, or part

(3) Unique item identifier type**

(4) Issuing agency code (if concatenated unique item identifier is used)**

(5) Enterprise identifier (if concatenated unique item identifier is used)**

(6) Original part number**

(7) Lot or batch number**

(8) Current part number (if not the same as the original part number)**

(9) Current part number effective date**

(10) Serial number**

(11) Unit of measure

(12) Description

(13) Ship to location

(14) Contract Number ** Once per item.

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 2