EXHIBIT A CDRL 13 JUNE 2012
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- Solicitation number
- N00019-10-R-0069
About this file
EXHIBIT A CDRLs 13 JUNE 2012 (AMD 0009)
Text of this file
N000r9-10-R-0069
EXHIBITA
T-34 lT-44 lT-6
CONTRACTOR LOGISTICS SUPPORT (CLS)
CDRLS
13 June2012
CONTRACTOR'S FLIGHT AND GROUND OPERATIONS PLAN
REPAIR PLANNING AND ESTIMATE (P&E) REPORT, OVER AND ABOVE WORK REQUEST (OAWR)
INTEGRATED DATA ACQUIS|TION AND RECORDTNG SYSTEM (TDARS) DOWNLOAD REPORT
STRICKEN AIRCRAFT RECLAMATION AND DISPOSAL PROGRAM REPORT (SARDIP)
CONTRACTOR PROPOSED UNIQUE SUPPORT EeUtpMENT ltST
CONTRACTORS COMPONENT REPAIR LISTING CHANGE REQUEST REPORT
WARRANTY PERFORMANCE REPORT
SERVICE LIFE MAINTENANCE MANAGEMENT (SLMM) ACTIVITY TRACKING REPORT
SERVICE L|FE MATNTENANCE MANAGEMENT (SLMM) PERFORMANCE REPORT
OBSOLESCENCE PARTS MANAGEMENT PLAN ,
OOMA/OIMA DATA BUILD - PARTS LIST & USAGE REPORT .........,
CONTRACTOR OWNED PROPERTY REPORT
GOVERNMENT FURNTSHED pROpERTy (cFp) - PARTS LIST & USAGE REPORT
FINANCIAL LIABILITY INVESTIGATION OF PROPERTY LOSS (DD FORM 200)............ ................j3s
I
N00019-10-R-0069
SITE PREPARATION REQUIREMENTS AND ACTIVATION PLAN
TECHNICAL PUBLICATION DEFICIENCY REPORT (TPDR) & TECHNTCAL TNFORMATTON REPORT DEFtCtENCy (T|RD)
ENV|RONMENTAL OPERATTONAL AND MATNTENANCE (O&M) PLAN .......................4s oPERAT|NG PROCEDURES FOR HMARDOUS MATERIA1S
PROPOSED ENGINEERING CHANGE & RAP|D ACTTON MTNOR ENGTNEERTNG CHANGES (RAMEC) REQUEST.......... s0
DEPOT LEVEL MATNTENANCE SPECIAL WORK REQUEST.........;............. ................... s6
SITE PREPARATION REQUIREMENTS AND INSTALLATION, DEACTIVATION, OR RELOCATION PLAN
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (t oata nem) hepublicreportingburdenforthiscollectionofinformationisestimatedtoaVerage11ohoursperresponse,in xisting data sources, gathering and maintaining the data needed, and completing and reviewing the collection ol inforiration. Send comments regarding this burdei stimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department ol Defense, Execuiive Services irectorate (0704-01 88). Respondents should be aware that notwithstanding any other provision oi law, no person shall be subject to any penalty for lailing to comply;tulate(u/v4-vroor. hesponoenrssnoulqoeawaretnatnotwrthstandrnganyotherprovisionoilaw,nopersonshall besubjecttoanypenaltyforlailingtocomply a collection of information if it does not display a cutrently valid OMB control number. Please do not return your form to the above 6rganization. Seirit pleted form to lhe Government lssuing Contracting Officer fo. the ContracuPR No. listed in Block E.
1, XX37, XX20, XX38, XX39 TDP
TM
OTHER MGMT
T-34/T-44|T-6 CLS
FLIGHT AND GROUND OPERATIONS
4. AUTHORITY (Data Acquisition Doilment No. 5. CONTRACT REFERENCE
PWS PARA. 5.1.1.7
7. DD 250 REO
XX (see BLK 1 6)
12. DATE OF FIRST SUBMISSION
A (SEE BLK 1 6)
16. REMARKS
BLOCK 4: CONTRACTOR WILL PROVIDE, IAW DFARS 2s2.228-7o01, A CONTRACTOR,S FLtcHT AND
GROUND OPERATIONS PLAN. FOR GUIDANCE ON CONTENT, REFER TO DCMA INST
g?1o/NAVATRTNST 3710.1F, ATTACHMENT 10 - PROCEDURES OUTLTNE AND D|-MGMT_81117 FOR
FORMAT GUIDANCE.
BLOCK 7: INSPECTION AND ACCEPTANCE REQUIREMENTS ARE LTSTED tN CLAUSE E-2.
BLOCK 8: CONTRACTOR HAS SIXTY (60) DAYS FOR RE-SUBMTTTAL tF REJECTED.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE tAW EXH|B|T A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-l MARKING OF
CONTRACTOR REPORTS.
BLOCKS -10,
1 2 & 13: INITIAL DRAFT PROVIDED 15 DAC, AFTER GOVERNMENT REVIEW CHANGES
SHALL BE INCORPORATED AND FINAL PBOVIDED 45 DAC. GOVERNMENT APPROVAUREVIEW
ONLY OF INITIAL DRAFT. UPDATES TO THE MANUAL SHALL BE PROVIDED AS REQUIRED.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1, SECTTON O PEGNET
INSTRUCTIONS FOR CDRL DATA SUBMISSION.
ozJ*l gr-C
N00019-r0-R-0069
EXHIBITA
a J
FORM 1423-1, FEB 2001 PREVIOU MAY BE USED Page _1_ of 1 Pages
N000r9-r0-R-0069
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) ( oatanem)
The public reporting burden lor this collection of intormation is estimated to average 110 hours per response, including ttle til.le for rwie*inginstructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inforitation. Send commenis regarding ihis burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Detense, Executlve Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to compty with a collection of information il it does not display a currently valid oMB control number. Please do nbt return your form to the-above arganizati"on. SehO completed form to the Government lssuing Contractinq Officer for the ConiracuPR No, listed in Block E.
XXX6, XX1O, XX12, XX17, XX23,
xx27 , xx2.9, xx37, xX42, XX47 TDP
TM
OTHER MISC
T-34lT-44lT-6 CLS N0001 9-1 0-R-0069
TECHNICAL REPORT - STUDY/SERVICES REPAIR PLANNING AND ESTIMATE (P&E) REPORT,
OVER AND ABOVE WORK REQUEST (OAWR)
DFARS 252.217-7028 AND 252.217-9507(SEE BLK 16)
7. DD 250 REO
XX (see BLK 1 6) c (sEE BLK 16)
8, APP CODE
A (SEE BLK 16)
16. REMARKS
BLOCK 4: TAILOR DID CONTENT TO INCLUDE T-34lT-44 REPATR O & D-LEVEL REpAtR. T-6 O- LEVEL REPORTTNG W|LL BE MADE THROUGH AtR FORCE p&E REQUEST (-107), tAW TO OO_25-107
TO THE CNATRA DET. SUPPLEMENTAL INSTRUCTIONS LISTED BELOW. TO BE REPORTED
SEPARATELY BY AIRCRAFT ryPE, EACH WITHIN A SEPARATE MSEXCEL FILE WITH CONTAINING
COLUMNS HEADED AS THE FOLLOWING:
SUPPLEMENTAL INSTRUCTIONS LISTED BELOW. TO BE REPORTED SEPARATELY BY AIRCRAFT
EACH WITHIN A SEPARATE MSEXCEL FILE WITH CONTAINING COLUMNS HEADED AS THE
1. DATE OF P&E REPORT
10. NATTONALSTOCKNUMBER(NSN)
11. NOMENCLATURE(NOUN)
12. SERIAL NUMBER, IF APPLICABLE.I3. PART NUMBER
14. TTEMS RETURNED TO THE VENDOR(S) FOR REpAtR OR REPLACEMENT
15. OTY
16. COVERED UNDER WARRANry DURTNG THtS pERtOD (COMPLETE DOCUMENTATTON ON
WARRANW LIST CDRL AOXX)
17. CALENDAR REPORTING PERIOD COVERED BY THE REPORT
18. CONTRACTOR'SNAME
19. CONTRACTOR'SCAGECODE
CONTRACTOR'S DODAAC
DELTVERY DATE (DATE OF DD250)
SHIPPING DATE (DATE |TEM RETURNED TO VENDOR) DESTTNATTON
IN-SERVICE DATES (DATE WHEN ITEM RETURNED TO FIELD)
DATE RECEIVED BY REPAIR FACILITY
GOV'T REPAIR AUTHORIZATION DATE
ESTIMATED WORK BEGIN DATE
. ESTIMATEDWORKENDDATE
TOTAL DISASSEMBLY MANHOURS
CALCULATTON OF TOTAL ESTTMATED (MANHOURS X UNtT COST) COST
CALCULATION OF TOTAL ACTUAL (MANHOURS X UNIT COST) COST
15. TOTAL
A',Ar"t{" olJu, I eo r
DD FORM PREVIOUS Page 1 of2 Pages
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (1 Data ltem) not return your form to the above organization. Send completed form to the Governmenl lssuing Contracting Officer for the ContracvpR No. listed in Biock E.
A. CONTRACT LINE ITEM NO.
xxx6, xx10, xx12, xx17, xx23,XX27, xx29, xx37, xx42,XX47
n. ExHtt' I U. LAIEUUHY:
TDP
TM
OTHER [/ISC
D. SYSTENiVITEM
T-34lT-44lT-6 CLS
E. CONTRACT/PR NO.
N0001 9-1 0-R-0069
F. UUN I ]{AC I OH
16. REMAHKS
CDRL A002 REPAIR PLANNING AND ESTIMATE (P&E) REPORT. OVER AND ABOVE WORK REQIJEST (OAWR) PAGE 2:2 (CONT'D)
3.1. ESTIMATED UNIT PRICE
32. ESTIMATED EXTENDED PRICE
33. ESTIMATED IVIANHOURS
U. ESTIIVATED DURATION IN NUIVIBER OF DAYS NECESSARY TO EFFECT REPAIRS
35. SPECIAL REQUIREMENTS NECESSARY (FIXTURE REQUIRED, ETC.)
36. LEVEL OF MATNTENANCE REQUTRED FOR REpAtR (|-LEVEL, O-LEVEL & D-LEVEL)
37. PART(S) REQUIRED
A. NATTONAL STOCK NUMBER (NSN)
B. NOMENCLATURE (NOUN)
C- SERIAL NUMBER, IF APPLICABLE
D. PART NUIVIBER
E. Qry REOUIRED
F. CONTRACTOR'S NAME
G. CONTRACTOR'S CAGE CODE
H. CONTRACTOR'S DODAAC
r. Qw tN sTocK (tF NoNE)
+ ISTHE PART REQUESTEDAS RESULTOF D-LEVEUO.LEVEL MAINTANENCE?
38. REQUIRED REPAIR ACTIONS
39. ADDITIONALLY, FOR CORROSION, REPORT TYPE AND SEVERITY DEFECTS DISCOVERED DURING ACI INCLUDING:
i.COMPLETE DESCRIPTION OF DEFECT INCLUDING SIZE, SEVERITY, AND CRITICALITY, JOR, MINOR).
1. ACCURATE LOCATION OFTHE DEFECT.
2. DESCRIPTION OF CORRECTIVE ACTION TAKEN.
3. ACI TASK NUMBER WHEN DEFECT DISCOVERED-
4. DESCRIBE ANY SPECIAL WORK REQUESTED BY THE SERVICE, ANY DIFFICULTIES ENCOUNTERED WHILE
PERFORMING THE WORK, AND THE NUMBER OF MANHOURS TO COMPLETE.
40. REASON FOR RETURN/MALFUNCTION CODE
41. EXTENT OF THE REPAIRS REQUIRED, INCLUDING MAJOR COMPONENTS TO BE REPAIRED OR REPLACED AND STRUCTURAL REPAIR REQUIRED
42. TYPE OF PRESERVATION REQUIREMENTS ANTICIPATED, IF ANY
43. PARTS AND/OR MATERIAL REQUIRED FOR BY PART NUMBER NOMENCLATURE AND PRICE
44. ESTIMATED DELIVERY DATE FOR MATERIAUPARTS
45. PERCENT OF PARTS RECEIVED
46. ACTUAL UNtT pRtCE (AT CO|VPLET|ON OF REpAtR)
47. ACTUAL EXTENDED pRtCE (AT COtVpLET|ON OF REPAIR)
48. TOTAL ACTUAL DURATION IN NUMBER OF DAYS NECESSARY TO EFFECT REPAIRS
BLOCK5: PWSPARAS.5.1.4.4.1,5.1.4.4.1 .1,5.1.4.4.4,5.1.5.1,5.4.8.2,5.4.8.3,5.4.9.1,5.5.1 1,5.5.12,5.5.13.1,5.1A.2,1.1
BLOCK 7: INSPECTION AND ACCEPTANCE REQUIREMENTS ARE LISTED IN DFARS 252.217-7028 AND 252.217-9507.
BLOCK 8: CONTRACTOR HAS SlXry (60) DAYS FOR RE-SUBMITTAL lF REJECTED.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE IAW EXHIBIT A-SUPPLEMENT 1 (ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTIoN STATEMENT AND MARKING INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY AND SHALL NOT BE MARKED
PROPRIETARY, REFER TO SECTION D, D-1 MARKING OF CONTRACTOR REPORTS.
BLOCKS 12 & 13: THE CONTRACTOR SHALL PROVIDE THE INITIAL DATA SUBMITTAL TO THE GOVERNMENT WITHIN 5 DAYS AFTER THE FIRST oF EACH IVoNTH, BLOCK 14 -34Tf .44/T-6 - DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1 , SECTION 3 PEGNET INSTRUCTIoNS FoR CDRL DATA SUBMISSIoN.
ADDITIONALLY, T.6 O-LEVEL REPORTING WILL ALSO BE SUMBITTED (SIGNATURE COPY SCANNED) TO PEGNET & JPATSS.T6TCSO@WPAFB,AF.MIL
DD FORM 1423. MAY
PREVIOUS EDITION BE USED Page2of2Pages
CoNTRACT DATA REQUTREMENTS LIST (CDRL) (t oata ttem) publicreportingburdenforthiscollectionofinformationisestimatedloaVerage110hourspe-esponse,inctu iing data sources, gathering and maintaining the data needed, and compleiing and reviewing tire collection oiinformation. Send comments regarding thii estimate or any other aspect ol this coliection ot information, including su-ggestions for ieducing the burden, to the Departmeni; d;;;,r"":;;iil;
s Directorate (0704-0188). Respondents should be aware that notwithatanding any other provisi6n of law, no person shall be subject to any penalty lor to comply with a collection ol information if it does_not.display a currently vatio oMe conirol number. Please do not retuin your torm to the above zation. Send completed form to the Government lssuing Contracting dfficer for the ContracvpR No. listed in Block E.
XXO1, XX2O, XX37, XX38, XX39 TDP TM OTHER MFFP
PREVENTION AND CONTROL PLAN
PWS PARA 5.1.1.12
XX (See BLK 16)
8. APP CODE
A (SEE BLK 16)
11. ASOFDATE 13. DATE IF SUBSEOUENT
16. REMARKS
BLOCK 4: TAILOR DID PARAGRAPH 7.1 TO REMOVE CANCELLED M|L-STD-1s68 AS
GUIDANCE AND REFER TO SUPPLEMENTAL INSTRUCTIONS FROM CORROSION
PREVENTION AND CONTROL, PLANNING GUIDEBOOK SPIRAL 3, DTD. SEPTEMBER
2007 (LOCATED ON HTTP:/ A/WW.CORRDEFENSE.ORG ). SECTTON 2.2.4 & AppENDtX C
OF THE CPC GUIDEBOOK PROVIDES FOR CONTENTS OF A CORROSION PREVENTION
AND CONTROL PLAN.
BLOCK 7: INSPECTION AND ACCEPTANCE REQUTREMENTS ARE LTSTED tN CLAUSE E-2.
BLOCK 8: CONTRACTOR HAS SIXTY (60) DAYS FOR RE-SUBMITTAL tF REJECTED.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATTONAL USE tAW EXHtBtT A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND
T/ARKING INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT
PROPRIETARY AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-1
MARKING OF CONTRACTOR REPORTS.
BLOCKS 10 & 13: THE PLAN SHALL BE REVISED AS NECESSARYTO COMpLyW|TH
CHANGING REGULATIONS WITH GOVERNMENT APPROVAL.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1, SECTTON 3
PEGNET INSTRUCTIONS FOR CDRL DATA SUBMISSION.
15, TOTAL
A.lfri r -IVnl4 tszJ,trl Ut 5'1.'uo
PREVIOUS EDITION
DD FORM 1423.1, FEB 2OO1 Y BE USED PageloilPages
CoNTRACT DATA REQUTREMENTS L|ST (CDRL)
Q oatanem) Thepublicreportingburden'orthiscollectionolin'ormationisestimatedtoaveragettonoursperresPonse, existing data sources, gathering and maintaining the data needed, and compleling and reviewing the collection of infori, ation. Send comments reoardino this burden estimate or any other aspect ol this collection of information, including suggestions for reducing the burden, to the Department of Defense, Execuive Services Directorate (0704-01 88) Respondents should be aware that notwithstanding any other provision oi law, no person shall be subject to any penalty lor tailing to comply with a collection ol information if it does not display a currently valid OMB coritrol number. Please do not return your form to the'above brganizati"on. Seiri lorm to the Government lssuing contracting officer for the contracvpR No. listed in Block E.
x001, xx20, xx37, xx38, xX39 TDP
TM'- OTHER MISC
TECHNICAL REPORT . STUDY/SERVICES INTEGRATED DATA ACQUISITION AND RECORDING
SYSTEM (TDARS) DOWNLOAD REPORT
DI-MISC-8OsO8B SEE BLK 16 PWS PARA. 5.1.1.17.1 PMA-273 T-6 6.6.2.9
10. FREQUENCY
SEE BLK 16
13. DATE IF SUBSEQUENT SUBM.
N/A
16. REMARKS
BLocK 4: TAILOR DID To INOLUDE SUPPLEMENTAL |NSTRUOIONS tAW THE T-6 MATNTENANCE
MANUAL (ENCL 9). FILES SHALL BE NAMED AS DESCRIBED IN THE MAINTENANCE MANUAL TO
PRESERVE FILE STRUCTURE.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE tAW EXHtBtT A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTTON 2, D|STR|BUT|ON STATEMENT AND MARKTNG
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D.1 MARKING OF
CONTRACTOR REPORTS.
BLOCK 10: EVERY 28 DAYS PER AIRCRAFT OR AS REQUTRED By ATRCRAFT
MAINTENANCE MANUAL OR AIRCRAFT INCIDENT.
BLocK 14: DlsrRlBUTloN SHALL BE IAW PWS EXHtBtr A - SUPPLEMENT 1, sEcroN o PEGNET
INSTRUCTIONS FOR CDRL DATA SUBMISSION.
15. TOTAL
f orJql eo i l/l,ttiv..., o DD FORM 1423.1, FEB PREVIOUS EDITION IVAY PagelollPages
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (t oata nem) hepublicreportingburdenforthiscollectionofin'ormationisestimatedtoaVerage11ohourSperresponse'ini xisting data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inforiration. Send commenis regarding inis nurOei stimate or any other aspect ol this collection of information, including suggestions for reducing the burden, to the Department of Defense, Execuijve Services lrgctorate (0704-0188). Bespondents should be aware thai notwithstanding any other provision of law, no person shall be subject to any penalty for faitinq to complv;rorare (u/u4-u I 6d/. Hesponoen$ snoulo De aware tnat notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply a collection of intormation il it does not display a currently valid OMB control number. Please do not return your forin to the-above'organizaiion. Se'n6 pleted form to the Government lssuing Contracting Officer for the ContracvPR No, listed in Block E.
1, XX20, XX37, XX38, XX39
C. CATEGORY:
TDP
TM
OTHER MISC
TECHNICAL REPORT . STUDY/SERVICES MONTHLY MAINTENANCE PLAN (MMP)
4. AUTHORITY (Data Acquiskion Document 5. CONTRACT REFERENCE
PWS PARAS. 5.1.1.20 & 5.12.1
12. DATE OF FIRST SUBMISSION
11, ASOFDATE 13. DATE IF SUBSEQUENT SUBM.
16. REIVARKS
BLOCK 4: TAILOR DID TO INCLUDE SUPPLEMENTAL TNSTRUCTTONS LTSTED BELOW.
THE CONTRACTOR SHALL PROVIDE A MONTHLY MAINTENANCE PLAN IAW CNAFINST 4790.2,
INCLUDING A LIST OF PROJECTED SIGNIFICANT MAINTENANCE ACTIONS AND
REQUIREMENTS FOR THE NEXT 90 DAYS IAW ACCEPTABLE COMMERCIAL OPERATING
PROCEDURES MAY BE IMPLEMENTED IF APPROVED BY THE ACO AND NOT IN DIRECT
CONFLICT WITH CNAFINST 4790.2 SERIES. ALL CONFLICTS BETWEEN APPLICABLE
PUBLICATIONS AND INSTRUCTIONS, AND ALL EXCEPTIONS, DEVIATIONS AND WAIVERS
SHALL BE ADDRESSED TO THE CNATRA ACO VIA THE LOCAL CNATRA DETACHMENT (DET)
oFFtcER tN CHARGE (OtC) FOR RESOLUTTON. THE tVMp CONTENT |NCLUDES, BUT tS NOT
LIMITED TO:
A. REPLACEMENT OF LtFE L|M|TED TTEMS By DD/MMl/yyy (PROJECTED FOR 90 DAYS
FROM DATE OF REPORT)
B. INSPECTIONSCHEDULES
C. STRIP, REPAINTAND CORROSION XSCHEDULES
D. HIGH FAILURE ITEMS
E. CALIBRATIONREQUIREMENTS
F, WEIGHT AND BALANCE INFO
G. PERSONNELREQUALIFICATIONS
H. PERSONNELCERTIFICATIONS
I. EQUIPMENT AND SUPPORT EQUIPMENT LICENSE RENEWAL
J. SIGNATUREAUTHORITIES
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE tAW EXHtBtT A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTTON 2, D|STR|BUT|ON STATEMENT AND MARKTNG
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D.1 MARKING OF
CONTRACTOR REPORTS.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1, SECTTON g
PEGNET INSTRUCTIONS FOR CDRL DATA SUBMISSION.
15. TOTAL
Zrit"e,,yf, 0r Jul DD FORM 1423.1, PREVIOUS PageloflPages
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (t oata nem) public reporting burden lor this collection of information is estimated to average 110 hours per response, including the time lor reviewing in-ructions, searchin!
ing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send commenls reqardinq this burdenrIrV uard suulueu, gdurclrrrg aru Ilrarrltalnlng rne oala neeoeo, ano Complelng ano fevlewlng tne COllecton Ol intofmation. Send Comments fegafding this bufden tate or any other aspect of this collection of information, including suggestions lor reducing the burden, to the Department of Defense, Execuiive Services )torate (0704'0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply a collection of inlormation if it does not display a currently valid OMB control number. Please do not return your form to the above'organizaiion. Sehi torm to the Government lssuing Contractinq Officer for the ContracvpR No. listed in Block E
1, XX2O, XX37, XX38, XX39 TDP
TM
OTHER MISC
T-34lT-44lT-6 CLS N0001 9-1 0-R-0069
REPORT - STUDY/SERVICES Y AIRCRAFT STATUS REPORT (DASR)
4. AUTHORITY (Data Acquisition Document
PWS PARA. 5.1.1"22
12. DATE OF FIRST SUBMISSION
16. REMARKS
BLOCK 4: TAILOR DID TO INCLUDE A DASR IAW CDRL SUPPLEMENT 2.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE tAW EXH|B|T A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES- DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D.l MARKING OF
CONTRACTOR REPORTS.
BLOCKS 12 & 13: DAILY STATUS REPORT: AFTER CONTRACT AWARD, DATA SUBMTSSTON
AND DATA CUTOFF TIME IS OTOO LOCAL TIME OF EACH WORKING DAY, AT EACH SITE.
REPORT DUE BEGINNING FIRST WORKING DAY AFTER CONTRACT AWARD.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXH|B|T A - SUPPLEMENT 1 , SECTTON 3
PEGNET INSTRUCTIONS FOR CDRL DATA SUBMISSION.
15. TOTAL
G. PREPABED BY
br&tr'{"
H. DATE
ue J,r I loJ
PREVIOUS EDITION MA
DD FORM 1423.1, FEB 2OO1 BE PagelollPages
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) ( aatanem) publicreportingburdenforthiScollectionolinformationisestimatedtoaverage11ohoursperrespo ing data sources, gathering and maintaining the data needed, and completing and reviewing the collection ol inforitation. Send comments regarding this burdei or any other aspect of this collection of information, including suggestions lor reducing ihe burden, to the Department of Defense, Execuiive Services te(0704-0188). Respondentsshouldbeawarethatnotvvithstandinganyotherprovisionoilaw,nopersonshall besubjecttoanypenaltyforfailingtocomply a collection of inlormation if it does not display a currently valid OMB control number. Please do nbt return your forin to the-above brganization. Se'ni pleted form to the Government lssuing Contracting Ofticer for the ContracuPR No. listed in Block E.
, XX2O, XX37, XX38. XX39
C. CATEGORY:
TDP
TM
OTHER MISC
T-34lT-44lT-6 CLS N0001 9- 1 0-R-0069 oF ACTTON AND MTLESTONES (POA&M)
PWS PARA. 5.1.1 .22,5.19.2, 5.19.4.1 PMA-273 6.6.2.9
(SEE BLK 16)
12. DATE OF FIRST SUBMISSION
REQ (SEE BLK 16)
16. REMARKS
BLOCK 4: TAILOR DID TO INCLUDE A PLAN OF ACTTON AND MTLESTONES (POA&M). tN A
MSPROJECT SCHEDULE FORMAT, DETAILING ALLACTIONS REQUIRED FOR RETURN OF
AIRCRAFT TO FLYABLE STATUS.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE tAW EXHtBtT A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-1 MARKING OF
CONTRACTOR REPORTS,
BLOCKS 12 & 13: FOR LONG-TERM DOWN AIRCRAFT, NLT 3O-DAYS AFTER LAST FLTGHT OF
AIRCRAFT DEEMED NON-FLYABLE AND STATUS UPDATE WEEKLY THEREAFTER UNTIL A/C
DEEMED FLYABLE. FOR ACTIVATION/DEACTIVATION, NLT SO.DAYS PRIOR TO ACTION.
BLocK 14: DlsrRlBUTloN SHALL BE IAW PWS EXHtBtr A - SUPPLEMENT 1, sEcrroN 3 PEGNET
INSTRUCTIONS FOR CDRL DATA SUBMISSION.
'f tr/ro urJu I rot VluAu,n
PREVIOUS EDITION MAY BE USED Page 1 oi l
DD FORM 1423-1,
N00019-r0-R-0069
EXHIBIT A
CoNTRACT DATA REQUTREMENTS L|ST (CDRL)
Q oatanem) pubIicreportingbUrdenforthiscollectiono'informationisestimatedtoaVerage11ohoursperresponse,includingthetimeforreuie*@9
L sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments rdgarding this burden ejtimate or other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Selrvicesbirectorate (0704-0188).
)spondents should be aware that.notwithstanding any other provision of law, no person shall be subject to any penalty for lailing to comply with a collection oi information it does,not display a currently valid OMB control number. Please do not return your torm to the above irrganizition. Se.-nd compieted tolm to the Government
Officer for the ContracUPR No. listed in Block E.
TDP
TM
OTHER MISC
OIL ANALYSIS REPORT & ALERT
5. CONTRACT REFERENCE
PWS PARAS. 5.1.2.2.6 & 5.14.16 PMA-273 6.6.2.9
12. DATE OF FIRST SUBMISSION
DAC & SEE BLK 1 6
13. DATE IF SUBSEQUENT SUBM,
Y & SEE BLK 16
16. REMARKS
BLOCK 4: MONTHLY REPORT: CONTRACTOR FORMAT AND CONTENT ACCEPTABLE FOR OtL YSIS. ALERT REPORT: lN ADDITION TO MONTHLY REPORT, TATLOR DtD PARAGRAPH 10.1
T & 10.2.1-10.2.6 CONTENT, TO INCLUDE AN ALERT REPORT WITH THE FOLLOWING
ANY OIL ANALYSIS LAB RESULTS OF SAMPLES THAT EXCEED ANY OF THE "ALERT" LEVELS
S DEFINED IN MED ATA 79-OO-OO/PR.5-1 SHALL BE REPORTED TO AIR 4.1 .1.3 VIA EMAIL ON
HE SAME DAY THE REPORTS ARE RECEIVED FROM THE OIL ANALYSIS FACILITY. IN ADDITION
HE CONTRACTOR SHALL SUBMIT A MONTHLY REPORT THAT PROVIDES OIL ANALYSIS LAB
TS ON ALL SAMPLES THAT EXCEEDED ANY OF THE'ALERT" LEVELS AS DEFINED IN MED
TA 79-OO.OO/PR51 . THE FOLLOWING INFORMATION IS REQUIRED FOR SAMPLES TAKEN
NG THE REPORT PERIOD:
A. TOTAL NUMBER OF SAMPLES TAKEN (OVERALL TOTAL AND TOTALS BY SITE).
B. TOTAL NUMBER OF "ALERT" SAMPLES (OVERALL TOTAL AND TOTALS By StTE).
C. LOW, AVERAGE, AND HIGH COUNTS FOR PPM LEVELS OF EACH WEAR METAL
ANALYZED AND FOR EACH RANGE tN THE PART|CLE COUNTS (OVER ALL TOTAL AND
TOTALS BY S|TE).
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE IAW EXHIBIT A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-l MARKING OF
CONTRACTOR REPORTS.
BLOCK 10 & 13: THE REPORT SHALL BE REVISED AS NECESSARY TO COMPLYWITH
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1, SECTION 3 PEGNET
FOR CDRL DATA SUBMISSION.
15. TOTAL
&rAA {
J. DATE
-( ).t>
PREVIOUS EDITION MA
DD FORM 1423.1, FEB 2OO1 PageloflPages
N00019-r0-R-0069
CoNTRACT DATA REQUTREMENTS L|ST (CDRL)
Q oata nem)
Thepublicreportingburdenforthiscollectionofinformationisesti.aEdEaue,ageliohoillpe-r,esPonse, existing data sources, gathering and mainiaining the data needed, and completing-and reviewing the collection ol inforiration. Send commerils regarding ihil
'b"rd;;
estimate or.any other aspect of this collection of information, including suggeslions for redu;ing the burden, to tne oepartment of Defense, Executr:ve ServicesDirectorate (0704-0188). Respondents should be aware that notwithstan-ding;y other provision oita*, no persln sniit u" !"ol"a i" any penatty tor taiting to compty\v'v-v'ee/.,,ErPv,,ueilrriiluuruuedwdreUratnorwlrnsranolnganyornerprovlsronollaw,nopersonshall besubjecttoanypenaltytortailingtocomply with a collection of information if it does not display a currently valid OMB-control number. Please do not return your torm to the above organization. Sendcompleted form to the Government lssuing Contracting Offi;er for the ContracupR No. tisted in Block E.
TDP
TM
OTHER MISC
T-34lT-44lT-6 CLS N0001 9-1 0-R-0069
TECHNICAL REPORT - STUDY/SERVICES STRICKEN AIRCRAFT RECLAMATION AND DISPOSAL
PROGRAM REPORT (SARDIP)
Dl-Mrsc-80s08B sEE BLK 16 PWS PARA. 5.1.4.3.6
7. DD 250 REO
XX, SEE BLK 1 6
8. APP CODE
A, SEE BLK 16
11. ASOFDATE
N/A
13, DATE IF SUBSEQUENT SUBM.
16. REMARKS
BLOCK4: CONTRACTOR FORMATACCEPTABLE. THE REPORTSHALL TNCLUDE PARTS
RECOMMENDED TO REMOVE PRIOR TO AN AIRCRAFT BEING SARDIP. THE CONTENT INCLUDES.
BUT IS NOT LIMITED TO:
1. AIRCRAFTBUNO
2. PART NUMBER
3. NOMENCLATURE
4. PART UNIT PRICE
BLOCK 8: CONTRACTOR HAS SIXTY (60) DAYS FOR RE-SUBMITTAL IF REJEoTED.
BLocK 9: REASoN: ADM|NlsrRATlvE oR OPERAT|ONAL usE tAW EXHtBtr A-suppLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES AHE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D.l MARKING OF
CONTRACTOR REPORTS.
BLOCK 14: DISTRIBUTION SHALL BE tAW PWS EXHtBtT A - SUPPLEMENT 1, SECTTON 3
PEGNET INSTRUCTIONS FOR CDRL DATA SUBMISSION.
15. TOTAL
Zo(rt.Q, ol Juho
J. DATE
1. t. rZ PREVIOUS EDITIONFORM 1423-1, FEB PageloflPages t2
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (t oata nem)
ThepublicreportingburdenforthiscoIlectionofinformationisestimateotoaverage11ohourspe',""pon"", estimate or any other aspect ol this collection of information, including sugges-tions for reduiing the burden, to tt'" o"p"rtr"ni ;i il;;;, il;;ilt;il"" with a collection of inlormation if it does not display a currently valid OMB coritrot number. ptease do nbt return your i;;;"i" d"'"ffi;';6;;;;;ii.;.-U;j completed form to the Gove.nment lssuing Contracting Offi;er fol the ContracvpR No, listed in Block E.
XXO1, XX2O, XX37, XX38. XX39 TDP
TM
OTHER SESS
T-34lT-44lT-6 CLS
MAINTENANCE TEST AND SUPPORT EQUIPMENT
REQUIREMENTS LIST
CONTRACTOR PROPOSED UNIQUE SUPPORT
EQUIPMENT LIST
DI-SESS-802948 SEE BLK 1 6 PWS PARA.5.2.9
7. DD 250 REQ
)<X (See BLK 1 6)
16. REMARKS
BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE. TAILoR DID ooNTENT To oNLY INCLUDE A REPORT OF THE FOLLOWTNG SUppORT EaUtpMENT(SE):
1. SUBJECT
2. REFERENCES
3. ENCLOSURES
4. PURPOSE
5. BACKGROUND
6. MATERIAL REQUIRED (QTY, P/N, CAGE, NOMENCLATURE, NSN)
7. LrSr OF SOURCE(S) & COST
8. ASSEMBLY INSTRUCTIONS (ATTACH. DRAWINGS AND/OR PHOTOS)
9. PART NO. IDENTIFICATION
1O- MAINTENANCE REQUIREMENTS
11. PUBLICATIONS
12. RELATEDINFORMATION
13. DESCRIPTION OF MANPOWER REQUIRED
14. REPORTED BY: NAME /POStTtON /StTE (tNCLUDtNG StcNATURE) 1s. MAINTENANCE CONTRACTOR PMO: NAME (tNCLUDtNG StcNATURE) 1 6. DATE OF APPROVAL By GOVERNTVENT (tF NONE, LEAVE BLANK)
BLOCK 7: INSPECTION AND ACCEPTANCE REQUIREMENTS ARE LISTED IN oLAUSE E.2, BLOCK 8: CONTRACTOR HAS SIXTY (60) DAYS FOR RE-SUBMTTTAL tF REJECTED.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL UsE IAW EXHIBIT A.SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-1 MARKING OF
CONTRACTOR REPORTS.
BLocK 14: DlsrRIBUTloN SHALL BE tAW PWS EXHtBtr A - SUPPLEMENT 1, sEcloN 3 PEGNET
INSTRUCTIONS FOR CDRL DATA SUBMISSION.
15. TOTAL
BY
f orJul Vbu \freo 1423-1, FEB PREVIOUS EDITION PageloflPage coNTRACT DATA REQUTREMENTS L|ST (CDRL) ( oata nem)
Thepublicreportingburdenforthiscollectionolinformationisestimatedoaverage11ohoursperresponse' existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection ol inforiration. Send commenis regarding ini" ourJ"nestimate or any other aspect of this collection of information, including sugges'tions for reduding the burden, to the bepartment of Defense, Execuiive Services Directorate (0704-0188). Respondents should be aware that notwithstanding-a;y other provision oilaw, no person shall be iublect to any penalty for failing to comply with a collection o{ inlormation il it does not dis-playa currently valid OIVIB controi number. Please do not reiurn your form to the above organization. Send completed form to the Government lssuing contracting officer for the contracvpR No. listed in Block E.
XXO1, XX2O, XX37, XX38, XX39 TDP
TM
OTHER FNCL
DEPOT MAINTENANCE COST REPAIR REPORT ON SITE COMPONENT REPAIR LISTING
(Data Acquisition Document No.
DFFNCL-80462 SEE BLK 1 6 PWS PARA. 5.3.1.6; 5.3.1.6.1; 5.3.1 .6.5 PMA-273 T-34 & T-44 6.6.2.9
16. REMARKS
BLOCK 4: TAILOR DID CONTENT TO TNCLUDE T34/r-44 ON StTE REpAtR ONLY.
SUPPLEMENTAL INSTRUCTIONS LISTED BELOW. TO BE REPORTED ON SEPARATE MS EXCEL
FILE FOR EACH AIRCRAFT TYPE/MODEUSERIES, EACH FILE SHALL BE ARRANGED WITH
SEPARATE WORKSHEETS (TABS) IDENTIFIED BY SECTION I, I, III ETC WITH DATA IN SECTION II
ARRANGED IN COLUMNAR FORMAT AS FOLLOWS:
REPORT SECTION 1 DATA ENTRY IN CONTRACTOR FORMAT:
1. AIRCRAFTTYPE/MODEUSERIES.
2. CONTRACTOR'S NAME
3. CALENDAR REPORTING PERIOD COVERED BY THE REPORT
4. CONTRACTOR'S CAGE CODE
5. CONTRACTOR'S DODAAC
6. CONTRACT NUMBER
7. CLIN/ACRN
8. CONTRACT DATE
REPORT SECTION II - DATA ENTRY IN COLUMNAR FORMAT - COMPONENT REPAIR PRICING
DATA:
9. WORK SITE LOCATION
10. Qry PER END ITEM
11. SERIAL NUMBER, IF APPLICABLE
12. PART NUMBER
13. NATIONALSTOCKNUMBER
14. COVERED UNDER WARRANW ('YES" OR 'NO') AND PERIOD OF WARRANTY (MOS).15. DATE ADDED TO REPORT
16. ESTIMATED DURATION IN NUMBER OF DAYS NECESSARYTO EFFECT REPAIRS
17. UNIT PRICE
18. EXTENDED PRICE
19. ESTIMATED MANHOURS FOR REPAIR
20. AVERAGE OF TOTAL ACTUAL REPAIR IVANHOURS THIS REPORTING PERIOD
21. CURRENT APPROVED NOT TO EXCEED (NTE) REPAIR TIME (HOURS)
22. CALCULATION OF TOTAL ESTIMATED (MANHOURS X UNIT COST) COST
23. CALCULATTON OF TOTAL ACTUAL (MANHOURS X UN|T COST) COST
REPORT SECTION III DATA ENTRY _ COMPONENT REPAIR DATA - IN CONTRACTOR FORMAT
24. NOTVENCLATURE(NOUN)
25. REASON FOR RETURN/MALFUNCTION CODE
26. DATE RECEIVED BY REPAIR FACILITY
27. WORK BEGIN DATE
28. WORK END DATE
29. IN-SERVICE DATES (DATE WHEN ITEM RETURNED TO FIELD)
30. DELTVERY DATE (DATE OF DD250)
SEE PAGE 2 CDRL AO11 ON.SITE COMPONENT REPAIR LIS 15. TOTAL
t oz"lu,l2r 1423- PREVIOUS EDI USED Page 1 of 2 Pages
I4
CoNTRACT DATA REQUTREMENTS L|ST (CDHL) (1 Data ltem) not return your lorm to the above organization. send completed form to the Govirnment lssuing contracting officer for the GondacvpR Ho. tisted in Block E.
A. CONTRACT LINE ITEM NO,
XXO1, XX2O, XX37, XX38, XX39
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER FNCL
D. SYSTEM/ITEM
T-34lT-44 CLS
E. CONTRACT/PR NO.
N0001 9-1 0-R-0069
F. CONTRACTOR
16 REMARKS
CDRL 4011 ON-S|TE COMPONENT RE?ATR LISTTNG(CONT'D)
31, REPAIRDESCRIPTION/ACTIONS:
32.
oo.
34.
35.
JO.
37.
i.DESCRIPTION OF DEFECT.
ii.LOCATION OF THE DEFECT.
iii.DESCRIPTION OF CORRECTIVE ACTION TAKEN.
DESCRIBE ANY DIFFICULTIES ENCOUNTERED WHILE PERFORMING THE WORK.
REPAIRS REQUIRED, INCLUDING MAJOR COMPONENTS TO BE REPAIRED OR REPLACED AND STRUCTURAL REPAIR REOUIRED
TYPE OF PRESERVATION REQUIREMENTS ANTICIPATED, IF ANY
PARTS AND/OR MATERIAL REQUIRED FOR BY PART NUMBER NOMENCLATURE AND PRICE
ESTIMATED DELIVERY DATE FOR MATERIAUPARTS
PERCENT OF PARTS RECIEVED
BLOCK 9: REASON: ADMINISTRATIVE'OR OPERATIONAL USE IAW EXHTBTT A-SUPPLEMENT 1 (ATTACHMENT 2 TO THE CONTRACT), SECTTON 2, D|STRTBUT|ON STATEMENT AND MARKING INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-l MARKING OF CONTRACTOR REPORTS.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1, SECTION 3 PEGNET INSTRUCTIONS FOR CDRL DATA SUBMISSION.
DD FORM 1423-1, FEB PREVIOUS EDITION MAY BE USED
Page2of2Pages
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (t oata nem)
The public reporting burden for this collection of information is estimated to average 110 hours per response, inctuolnglne tirne tor reviewing insiructions, searchinf existing data sources, gathering and maintaining the data needed, and completing and reviewing the collectton of inforitation. Send commenits rug"iOing ifri" OurJ"n estimate or any other aspect of this collection of inlormation, including suggestions for reducing the burden, to the Deoartment of Detense. Execuive Seruice.estimate or any other aspect of this collection of inlormation, including suggestions for reducing the burden, to the Department of Delense, Execuiive Seruices Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision oilaw, no person shall be subject to any penalty lor lailing to comply with a collection of information if it does not display a cutrenlly valid OMB coritrol number. Please do not retutn your torm to the-above irrganizati'on. Se'nO form lo the Government lssuing contracting officer for the contracvpR No. listed in Block E.
XXO1, XX2O, XX37, XX38, XX39 TDP
TM
OTHER IVISC
T-34lT-44lT-6 CLS
COMPONENT REPAIR LISTING CHANGE
4. AUTHORITY (Data Acquisition Doilment No.
DI-MISC.817O9 SEE BLK 1 6 PWS PARA. 5.3.1.6.5; 5.3.1.6.6,5.3.1.7 PMA-273 6.6.2.9
7. DD 250 REQ
XX (See BLK 16)
8. APP CODE
A (SEE BLK 16)
16, REMARKS
BLOCK 4: TAILOR DID CONTENT TO INCLUDE A REPORT OF THE FOLLOWTNG TNFORMATTON
RELATIVE TO CHANGES OF THE CONTRACTORS COMPONENT REPAIR REPORT(AO1 1 ):
DATA SHALL BE IN AN MSEXCEL FILE WITH DATA SHOWN IN COLUMNAR FORMAT.
1. SUBJECT
DESCRIPTION OF CHANGE BEING REQUESTED fNTE" , "REMOVAL" OR "COMPONENT
DATA")
DESCRTPTTON OF ASSEMBLY (PART NOMENCLATURE/NAME)
. PART NUMBER AND/OR NSN
. REFERENCES DOCUMENTS OR REPAIR MANUAL
6. ENCLOSURES AS REQUIRED
7. PURPOSE
BACKGROUND AND JUSTIFICATION FOR CHANGE (I.E. NEW REQUIREMENTS)
PRIOR 'NOT TO EXCEED' (NTE) MAN HOURS APPROVED
10. DATEOFLASTNTEAPPROVAL
11. NEW NTEHOURSREQUESTED
12. AVERAGE OF ACTUAL REPAIR TIME _ FROM CONTRACT AWARD (MAN HOURS)
13. AVERAGE ACTUAL COSTS FOR REPAIR - FROM CONTRACT
14. RELATED INFORMATION
15. DESCRIPTION OF MANPOWER REQUIRED
6. REPORTED BY: NAME /POSITION /SITE (INCLUDING S|GNATURE)
17. MAINTENANCE CONTRACTOR PMO: NAME (INCLUDtNG StcNATURE)
BLOCK 7: INSPECTION AND ACCEPTANCE REQUIREMENTS ARE LISTED tN CLAUSE E-2.
BLOCK 8: CONTRACTOR HAS SIXTY (60) DAYS FOR RE-SUBMTTTAL tF REJECTED.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE IAW EXHIBIT A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-1 MARKING OF
CONTRACTOR REPORTS.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1, SECTTON 3
PEGNET INSTRUCTIONS FOR CDRL DATA SUBMISSION.
15. TOTAL
BY ./
rft{u orJ,r hor Vuvrc 2001 PREVIOUS EDITION MA1423-1, FEB Page ! of 1 Page coNTRACT DATA REQUTREMENTS L|ST (CDRL) ( aatanem) public reporting burden for this collection of information is estimated to average 110 hours per response, irctrrOing tl",e time ior reviewing instructions, Garcning- :ing data sources, gathering and maintaining the data needed, an-d. completing and reviewing the collection of inforiration. Send commen-is regarding inis burdei nate or any other aspect ol this collection of information, including suggestlons for reduCing the burden, to the Department of Defense, Execuiive Services )torate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penatty for failing to comply a collection of information lf it does not display a currently valid OMB control number. Please do not return your form to the'above brganizat-lon. Seni form to the Government lssuing contracting oflicer for the contracupR No. lisled in Block E.
xxl 0, xx1 2, xx17, xX23, XX27.
TDP
TM
OTHER MGMT
T-34lT-44lT-6 CLS
REPAIF/MODIFICATION/OVERHAUL STATUS REPORT
DI-MGMT-80933 SEE BLK 16 PWS PARAS 5.4.7 &5.5.2 PMA-273 6.6.2.9
7. DD 250 REQ
XX (See BLK 16)
12, DATE OF FIRST SUBMISSION
8. APP CODE
A(SEE BLK 16)
11. ASOFDATE 13. DATE IF SUBSEOUENT SUBM.
4: TAILOR DID PARAGRAPH 10.2 TO INCLUDE SUPPLEMENTAL tNSTRUCT|ONS. TH|S
PORT TO INCLUDE ONLY APPLICAPLE AIRCRAFT AND REPORTED SEPARATELY BY
ryPE, EACH WITH A SEPARATE MSEXCEL FILE CONTAINING DIFFERENT
(S) FOR EACH COMPONENT (E.G, LANDING GEAR, PROPELLORS AND
: ON SPREADSHEET, LEAVE COLUMN BLANK IF DATA TO BE PROVIDED IS NOT
DO NOT DELETE COLUMN. IF NEW REQUESTS ARE BEING MADE FOR ACO
THEN BOLD FONT THE ROW.
EPORT SHALL INCLUDE A ONGOING LISTING OF COMPONENT TO BE REMOVED AND
THE FOLLOWING INFORMATION WITHIN A SPREADSHEET WITH COLUMNS HEADED
THE FOLLOWING:
1. DATE (ADDED TO THE REPORT)
2. COMPONENT END ITEM
3. SERIAL NUMBER
4. NUMBER OF HOURS ON COMPONENT SINCE NEW AND SINCE OVERHAUL
s. REASON FOR REMOVAL (REpAtR OR OVERHAUL)
6. FACILITY TO WHICH WILL /VAS SHIPPED FOR REPAIR OR OVERHAUL
7. ESTIMATED DATE EXPECTED TO COMPLETE REPAIR OR OVERHAUL
8. ESTIMATED PRICE OF EACH FOR THE OVERHAUUREPAIR LABOR
9. ESTIMATED PRICE OF EACH FOR THE OVERHAUUREPAIR MATERIAL
1 0. REQUESTTNG ACO AppROVAL FOR OVERHAUL (VERSUS REpAtR) - YES/NO
1-1. DATE CONTRACTOR REQUESTED FOR ACO APPROVAL FOR OVERHAUL (VERSUS
REPAIR)
12. DATE ACO APPROVAL FOR OVFRHAUL (VERSUS REPAIR) - RECEIVED (OR
INDICATE 'DENIED')
13. ESTIMATED AND ACTUAL PRICE FOR OVERHAUL MATERIAL (ENGINES)
14. ESTTMATED AND ACTUAL pR|CE FOR CyCLtC MATERTAL (ENGtNES)
15. TECHNTCAL DTRECTTVES TNCORPORATED (10 DAYS OF RETURN OF THE ENGTNE
FROM THE REpAtR OR OVERHAUL FACtLtTy)
16. TECHNICAL DIRECTIVES NOT INCORPORATED WITH REASON FOR NON-
INCORPORATION, IF APPLICABLE
17. ACTUAL DATE REMOVED (REMOVED FROM THE AIRCRAFT FOR REPAIR OR
OVERHAUL)
18. ACTUAL DATE SHIPPED TO REPAIR OR OVERHAUL FACILITY
1 9. ACTUAL START DATE FOR REPAIR OR OVERHAUL (DATE INDUCTED AT OVERHAUL
FACTLTTY)
20, ACTUAL DATE REPAIR OR OVERHAUL IS COMPLETE
21. ACTUAL DATE RECEIVED BACK ON-SITE
22. ACTUAL PRICE OF EACH FOR THE OVERHAUUREPAIR LABOR
23. ACTUAL PRICE OF EACH FOR THE OVERHAUUREPAIR MATERIAL
CDRL AO13 REPAIR/MODIFICATION/OVERHAUL STATUS REPORT Paoe 1:2 (CONT,D)
15. TOTAL
BY
I
PREVIOUS EDITION MAY BE
l7 1423-1, FEB 2001 of 2 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data ttem) not return your form to the above organization. Send completed foim to the Grovernm6ni lssuing Contracting Ofticer lor the ContracvpR ruo. listed in Biock E.
A. CONTRACT LINE ITEM NO.
xx1 0, xx1 2, xx1 7, XX23, XX27, XX29, XX33, XX47
B. EXHIBIT
A
CATEGORY:
TDP TM
OTHER MGMT
D. SYSTEM/ITEM
T-34lT-44lT-6 CLS
E. CONTRACT/PR NO.
N0001 9-1 0-R:0069
F. UUN I TIAG I OH
17. REMARKS
CDRL A013 REPAIR/MODIFICATION/OVERHAUL STATUS REpORT paae 2:2 (CONT,D)
24, TOTAL ACTUAL PRICE TO OVERHAUUREPAIR
25. FINANCIAL COMPLETITION DATE
26. GENERAL MATERIAL CONDITION OF COMPONENT WHEN RECEIVED
BLOCK 7: INSPECTION AND ACCEPTANCE REQUTREMENTS ARE LTSTED tN CLAUSE E-2.
BLOCK 8: CONTRACTOR HAS SIXTY (60) DAYS FOR RE-SUBMTTTAL tF REJECTED.
BLOCK 9: REASON:ADMINISTRATIVE OR OPERATIONAL USE IAW EXHIBIT A-SUPPLEMENT 1 (AfiACHMENT 2 TO THE CONTRACT), SECTTON 2, D|STR|BUT|ON STATEMENT AND MARKING INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY AND SI{ALL NOT BE MARKED
PROPRIETARY. REFER TO SECTION D, D-1 MARKING OF CONTRACTOR REPORTS.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A . SUPPLEMENT 1, SECTION 3 PEGNET INSTRUCTIONS FOR CDRL DATA SUBMISSION.
tL2?- PREVIOUS EDITION MAY BE USED, FEB 2001
Page2of2Pages
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (t oata ttem)
Thepublicreportingburdenforthiscollectionofinformationisestimatedtoaverage11ohoursperresponse, existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inforiration. Send commenits regarding inis OurOen estimate or any other aspect of this collection of information, including suggestions for reduCing the burden, to the Depariment of Defense, Execuiive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failinq to complvurlecrotale (u/u4-u I d6,. nesponoenB snoulo oe aware tnat notwlthstanding any other provision ot 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 OMR control number. Please do not retutn your form to the'above brganizati"on. Seni completed form to the Government lssuing Contracting Oflicer tor the ContracuPR No. listed in Block E.
xx01 , xx1 0, xx20, xx23, xx27, XX37, XX38, XX39, XX42 TDP
TM
OTHER SESS
T-34lT-44lT-6 CLS N0001 9-1 0-R-0069
WARRANTY PERFORMANCE REPORT
DI-SESS-81639 SEE BLK 16 PARAS. 5.4.7.1 , 5.4.10, 5.5.14.1 , 5.14.3
11. ASOFDATE
N/A
13. DATE IF SUBSEOUENT
EOM + 5 DAYS
16. REMARKS
BLOCK 4: CONTRACTOR CONTENT ACCEPTABLE. THE REPORT SHALL CONTA|N, tN MSEXCEL
SPREADSHEET WITH COLUMNS. SUPPLEMENTAL DATA PERTAINING TO WARRANTED ITEMS
TO BE REPORTED IN MS WORD FORMAT.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE tAW EXH|B|T A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D.1 MARKING OF
CONTRACTOR REPORTS.
BLOGK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1 , SECTTON 3 PEGNET
INSTRUCTIONS FOR CDRL DATA SUBMISSION.
I :Julinrt
PREVIOUS EDITION MA1423-1, FEB 2001
PagelotlPages
CoNTRACT DATA REQUIREMENTS L|ST (CDRL) (t oatanem) publicreportingburdenforthiscollectionofinformationisestimatedtoaVerage11ohoursperrespons ing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inforiration. Send commenls regarding this burdei or any other aspect of this collection ol intormation, including suggeslions for reducing the burden, to the Department of Defense, Executive Services te (0704-0188). Respondents should be aware that notwithstanding any other provision oilaw, no person shall be iubject to any penalty for tailing to comply a collection of information il it does not display a currently valid OMB- control number. Please do not return y"ut rorin tol6e'$;;'il#;;t"i.; "!$j tleted torm to the Government lssuing Contracting Officer for the ContracuPR No. listed in Block E.
TDP
TM
OTHER QCIC
T-34/T-44IT-6 CLS N0001 9-1 0-R-0069
2. TITLE OF DATA ITEM
CONTROL PROGRAM PLAN UPDATES
PWS PARAS. 5.7.4 &5.7.5
7. DD 250 REO
XX (See BLK 1 6)
10. FREQUENCY
(SEE BLK 1 6)
8. APP CODE
A (SEE BLK 16)
1.I. AS OF DATE
16. REMARKS
BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE. TATLOR DtD AS FOLLOWS:
PARAGRAPHS 10.1, PREPARATION INSTRUCTIONS & 7.2, APPLICATION / INTERRELATIONSHIP.
THE QUALTTY MANUAL SHALL BE tAW AEROSPACE STANDARD (AS) 9100C (NOT tSO 9OO1_
]01/ISO 9OO1.2OO8 AS STATED IN DID) AND SHALL BE IN EFFECT ON THE FIRST DAY OF
ARAGRAPH 10.4, CONTENT - INDICATE THE ORGANIZATIONAL TITLE OF PERSONS
FOR ACCOMPLISHMENT OF ACTIVITIES AND TASKS, INSTEAD OF'NAMES OF
1O-4.1, QUALITY SYSTEM EFFECTIVENESS . INDICATE THE ORGANIZATIONAL
ITLE OF PERSONS RESPONSIBLE FOR ACCOMPLISHMENT OF ACTIVITIES AND TASKS,
oF "NAMES OF THE PERSON(S).
10.5, THE CONTRACTORS CORPORATE QUALITY MANUAL MAY BE REFERRED TO
THE PLAN IN LIEU OF BEING ATTACHED.
BLOCK 7: INSPECTION AND ACCEPTANCE REQUTREMENTS ARE LTSTED tN CLAUSE E-2.
BLOCK 8: CONTRACTOR HAS SIXTY (60) DAYS FOR RE-SUBI/ITTAL tF REJECTED.
BLocK 9: REASON: ADMlNlsrRATlvE oR OPERAT|ONAL usE tAW EXHrBrr A-supPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVEBABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-1 MARKING OF
CONTRACTOR REPORTS.
BLOCKS l0, 12 & 13: lNlTlAL DRAFT PROVTDED W|TH PROPOSAL. AFTER GOVERNMENT
CHANGES SHALL BE INCORPORATED AND FINAL PROVIDED 30 DAC. GOVERNMENT
AUREVIEW ONLY OF INITIAL DRAFT. UPDATES TO THE MANUAL SHALL BE PROVIDED
REQUIRED. ALL UPDATES SHALL BE INCORPOHATED INTO THE PROGRAM PLAN ANNUALLY
DELIVERED TO THE GOVERNMENT ANNUALLY.
BLocK 14: DlsrRlBUTloN SHALL BE IAW PWS EXHtBtr A - SUPPLEMENT 1, sEcroN 3 PEGNET
IONS FOR CDRL DATA SUBMISSION.
15. TOTAL
t 01,/u I 2oi PREVIOUS EDITIONFORM 1423-1, FEB of 1 Pages
CoNTRACT DATA REQUTREMENTS LIST (CDRL) ( oatanem) he public reporting burden lor this collection of information is estimated to average 110 hours per response, inctuOingntre tirne tor reviewing instructions, searchin!
xisting data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden stimate or any other aspect ol this collection of information, including suggestions for reduCing the burden, to the Department of Defense, Execuiive Services
)torate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be sub.iect to any penalty for failing to comply a collection of information if it does not display a currently valid OMB control number. Please do not return your forin to the'above brganizati-on, Sehi folm to the Government lssuing Contractinq Officer for the ContracvpR No. listed in Block E.
1, XX20, XX37, XX38, XX39 TDP
TM
OTHEH QCIC
T-34lT-44lT-6 CLS
2. TITLE OF DATA ITEM
QUALITY ASSESSMENT REPORT
.81 187 SEE BLK 16 PWS PARA,5,7.5
11. ASOFDATE
16. REMARKS
BLOCK 4: CONTRACTOR FORI/AT ACCEPTABLE.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE IAW EXHtBtT A-SUPPLEMENT 1
(ATTACHMENT 2 TO THE CONTRACT), SECTION 2, DISTRIBUTION STATEMENT AND MARKING
INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY
AND SHALL NOT BE MARKED PROPRIETARY. REFER TO SECTION D, D-l MARKING OF
CONTRACTOR REPORTS.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1, SECTTON 3
PEGNET INSTRUCTIONS FOR CDRL DATA SUBMISSION.
15. TOTAL
orJutrro
PREVIOUS EDITION MAYDD FORM 1423.1,FEB
2t
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (t Data ttem) publicreportingburdenforthiscollectionofinformationise@pons", ing data sources, gathering and maintaining the data needed, and completing-and reviewing tne cottection ol infor;ation. send comments regarding this burdenlate or any other aspect of this collection of information, including..sugges-tions for reduiing the burden, to tr.,e oepirtmeni oi o"t"n"", Executive services)torate (0704-0188). Respondents should be aware that notwithstan-dlng
-a-ny otner provision ot"law,. no person shall be subject to any penatty ior failing to complya collection of inlormation il it does not display a currently valid oMB- control number. Please do not return your form to the above organization. sendpleted form to the Govelnment lssuing Contlicting Offiier for the contracvpR No. listed in Block E.
XXOI, XX2O, XX37, XX38, XX39 TDP
TM
OTHER MISC
T-34lT-44lT-6 CLS N0001 9-1 0-R-0069
RVICE LIFE MAINTENANCE MANAGEMENT (SLMM)
TIVIry TRACKING REPORT
4. AUTHORITY ( Data Acquisition Document No.
PWS PARAS. 5.8.3 & 5.9.1
7. DD 250 REQ
XX (See BLK 1 6)
12. DATE OF FIRST SUBMISSION
A (See BLK 16) + 5 DAYS
16. REMARKS
BLocK 4: TAILOR DID To tNcLUDE SUPPLEMENTAL tNSTRUOIONS To tNCLUDE A sERVtcE
FE MAINTENANCE MANAGEMENT (SLMM) ACTIVITY TRACKING REPORT. TAILOR DID
3 CONTENT, TO INCLUDE SUPPLEMENTAL INSTRUCTIONS LISTED BELOW.
REPORT SHALL CONTAIN SEPARATE MSEXCEL SPREADSHEETS FOR EACH OF 1
4 LISTED BELOW, IN COLUMNAR FORMAT, A CONSECUTIVE LISTING OF THE
) SLMM ENGINE TRACKING REPORT
A) SITE
B) T/M/S
c) A|RCRAFT BUNO
D) ENGTNE SERTAL NU|VBER(S/N)
E) TIME STNCE OVERHAUL (TSO)
F) T|ME TO HOT SECTTON tNSpECTtON (HSt)
G) CTW
SLMM PROPELLER TRACKING REPORT
A) SITE
B) ATRCRAFTBUNO
c) PBOP S/N D) rso
E) BLADE LIFE REMAINING
SLMM LANDING GEAR TRACKING REPORT
A) S|TE
B) AIRCRAFT BUNO
C) RH MLG, LH MLG, NLG, MOTOR & ACTUATOR SERIAL NUMBERD) RH MLG, LH MLG, NLG, MOTOR & ACTUATOR TSO
E) RH IVLG, LH MLG, NLG, MOTOR & ACTUATOR LANDINGS SINCE OVERHAUL
SLMM RECOMMENDATIONS REPORT
A) SITE
B) ATRCRAFT BUNO
c) RECOMMENDATTONS FOR TRANSFER, SARD|p &AMARGD) JUSTIFICATION FORRECOMMENDATION E)
72 (CONTD)
15. TOTAL
Ar^fr { orJ..r ll o i VwrLwo
PREVIOUS EDITION MAY1423-1, FEB
Page 1 of2 Pages
CoNTRACT DATA REQUTREMENTS L|ST (CDRL) (1 Data ltem) not return your form to the above organization. Send completed form to the Government lssuing Contracting Officer for the ContracVpR No. listed in Biock E.
A. CONTRACT LINE ITEM NO.
XXO1, XX2O, XX37, XX38, XX39
C. CATEGORY:
TDP- TM-
r5. E^l'Httil I
A OTHER tvltsc
D. SYSTEM/ITEM
T-34lT-44lT-6 CLS
E. CONTRACT/PR NO.
N0001 9-1 0-R-0069
F. CONTRACTOR
16. REMARKS
CDRL AO17 SERVICE LIFE MAINTENANCE MANAGEMENT (SLMM) ACTIVIW TRACKING REPORT PAGE 2:2 (CONT,D)
BLOCK 8: CONTRACTOR HAS SIXTY (60) DAYS FOR RE-SUBMTTTAL tF REJECTED.
BLOCK 9: REASON: ADMINISTRATIVE OR OPERATIONAL USE IAW EXHIBIT A-SUPPLEMENT 1 (ATTACHMENT 2 TO THE CONTRACT), SECTTON 2, D|STR|BUT|ON STATEMENT AND MARKING INSTRUCTIONS FOR DATA DELIVERABLES. DATA DELIVERABLES ARE NOT PROPRIETARY AND STiALL NoT BE MARKED
PROPRIETARY. REFER TO SECTION D, D.1 MARKING OF CONTRACTOR REPORTS.
BLOCK 14: DISTRIBUTION SHALL BE IAW PWS EXHIBIT A - SUPPLEMENT 1 , SECTION 3 PEGNET INSTRUoTIoNS FoR CDRL DATA SUBMISSIoN.
CoNTRACT DATA REQUTREMENTS L|ST (CDRL)
Q oatanem) hepublicreportingburdenforthiscollectionofinformationisestimatedtoaVeragetlonot,rsperresponse, xisting data sources, gathering and maintaining the data needed, and completing and reviewing the collection ol inforiration. Send comments regarding this burdeitor any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Delense, Executive Services
:e(0704-0188) Respondentsshouldbeawarethatnotwithstandinganyotherprovisionoilaw,nopersonshall besubjecttoanypenaltyforfaitingtocompty'(wrqE w,w+-vreor' nElpurruclrts srruuru ue aware ular noNrrnsranolng any Omer pIOVlSlOn Ol law, nO person Shall be SubjeCt tO any penalty for failing tO Comply a collection of information if it does not display a currently valid OMB control number. Please do not return your forin to the-above
-organizati-ion.
Senipleted torm to the…
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