CDRL Attch 04.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.

0001-0005, 0008, 1001-1018, 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

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

11. AS OF DATE

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

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16b

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16b

G. PREPARED BY

Scott Williams, APM

H. DATE

I. APPROVED BY

Tom Mills, PM

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages http://en.wikipedia.org/wiki/Melting_point� http://en.wikipedia.org/wiki/Boiling_point� http://en.wikipedia.org/wiki/Flash_point� http://en.wikipedia.org/wiki/Toxicity� http://en.wikipedia.org/wiki/Health_effects� http://en.wikipedia.org/wiki/First_aid� http://en.wikipedia.org/wiki/Reactivity� mailto:scott.m.williams1@us.army.mil�

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.

0007, 1021, 2020, 3020, 4020

TDP TM OTHER Configuration Management .

SOF COMBAT CASUATLY CARE

H2222-10-R-00018

A002

Training Materials

TCCC Training Guide - Student Guide

DI-ILSS-80872

DD

AS REQ

12. DATE OF FIRST SUBMISSION

See block 16 14. DISTRIBUTION

8. APP CODE

See block 16 a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

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

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16b

See

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16b

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16b

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16b

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mailto:Scott.M.Williams1@us.army.mil�

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

DD

ONE/R

12. DATE OF FIRST SUBMISSION

See BLK 16 14. DISTRIBUTION

8. APP CODE

AS REQD a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

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.

0007, 1021, 2020, 3020, 4020

TDP TM OTHER Training .

SOF Combat Casualty Care

A004

Training Material

Safety, Operation, and Maintenance Training for the CASEVAC SET

DI-ILSS-80872

DD

ASREQ

12. DATE OF FIRST SUBMISSION

See block 16 14. DISTRIBUTION

8. APP CODE

See block 16 a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

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

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16b

See

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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.

0008, 1021

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.

0008, 1021

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

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.

1001-1018, 2001-2018, 3001-3018, 4001-4018

A007

Engineering Change Proposal (ECP) I, II

ECP

DI-CMAN-80639C

DD

AS GEN

12. DATE OF FIRST SUBMISSION

See block 16 14. DISTRIBUTION

8. APP CODE

See block 16 a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

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.

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017

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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.

A. CONTRACT LINE ITEM NO.

TDP TM OTHER .

A008

Production Test Report

Air Worthiness Report

DI-NDTI-80492

DD

AS REQD

12. DATE OF FIRST SUBMISSION

See BLK 16 14. DISTRIBUTION

8. APP CODE

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.

A. CONTRACT LINE ITEM NO.

TDP TM OTHER .

A009

Status Report

Monthly contract status report

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

DD

MONTHLY

12. DATE OF FIRST SUBMISSION

See Block 16 14. DISTRIBUTION

8. APP CODE

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

The Report shall contain the following:

day of each month thereafter.

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.

Block 14.a: Natick Soldier Center

PM-SOF-SSES RM D017