Exhibit_H_RAAF-OY3_Part_A_CDRLs.docx
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- Attached to
- P-8A Airframe and Engine Depot Maintenance Competition Federal contract opportunity
- Solicitation number
- N00019-15-R-2004
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EXHIBIT H
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Data Requirements List (DD 1423’s) for
Airframe Depot Maintenance of United States Navy P-8A Poseidon Aircraft
Exhibit H Contract Data Requirements List (DD 1423’s) 18 May 2016
EXHIBIT H – OY3 CDRLs (RAAF)
DIN TITLE SUBTITLE
| H001 | RESERVED | ||||
| H002 | RESERVED | ||||
| H003 | RESERVED | ||||
| H004 | RESERVED | ||||
| H005 | RESERVED | ||||
| H006 | RESERVED | ||||
| H007 | RESERVED | ||||
| H008 | RESERVED | ||||
| H009 | Scientific and Technical Reports | RAAF Structural Alteration Report | |||
| H00A | Technical Data Package | RAAF Depot Engineering Support Data | |||
| H00B | Scientific and Technical Reports | RAAF Aircraft Mishap Damage Report | |||
| H00C | RESERVED | ||||
| H00D | Scientific and Technical Reports | RAAF Depot/In-field Completion Report | |||
| H00E | RESERVED | ||||
| H00F | Engineering Services Memorandum (ESM) | RAAF Aircraft Field Assessment Report | |||
| H00G | RESERVED | ||||
| H00H | Quality Deficiency Report | RAAF Deficiency Reporting | |||
| H00J | Scientific and Technical Reports | RAAF Delay Notification Report | |||
| H00K | RESERVED | ||||
| H00L | Scientific and Technical Reports | RAAF Initial Assessment Report | |||
| H00M | RESERVED | ||||
| H00N | RESERVED | ||||
| H00P | Internal Contractor Technical Data | RAAF Utilization Approval of Used, Rebuilt, | Report | RAAF Overhauled Parts | |
| H00Q | Over and Above Status Report | RAAF Status Report | |||
| H00R | Sustainment Functional Cost-Hour Report | Contractor Cost Hour Report (CCDR) | |||
| H00S | Cost Data Summary Report (DD1921) | Contractor Cost Hour Report (CCDR) | |||
| H00T | Contractor Work Breakdown Structure | CWBS Dictionary |
CONTRACT DATA REQUIREMENTS LIST
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
TDP
TM
OTHER
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H001
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
H002
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H003
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H004
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H005
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Derick Diaz P-8A Aircraft Systems IPTL
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H006
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H007
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H008
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H009 |
| Scientific and Technical Report |
| RAAF Structural Alteration Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.6, 3.8, 4.1.4 6, 4.2.2, 5.3.4.4 6.4. |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Items to be included in the report are as follows (if applicable):
· Technical description of the completed assessment and repair including Aircraft BUNO, component serial number and location during repair, induction date, repair type, repair work, other.
· List of nomenclature/part number(s)/material used in the repair
· Contractor labor codes/titles and associated hours as well as days for repair
· Applicable weight and balance information
· Certificates of compliance or completion
· Other applicable items or remarks of note
· FAA Form 337 / FAA Form 8130-3 (as required)
· Aircraft Inventory Record (AIR) OPNAV 4790/111 (MRO)
· Acceptance Test results (as required)
BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.
BLOCKS 12 & 13: Due NLT 15 days following Government acceptance of aircraft.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail..
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
SESS
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H00A |
| Technical Data Package |
| RAAF Depot Engineering Support Data |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-SESS-80776A (see Block 16) |
| SOW 8.22 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Shall include all items specified in DI-SESS-80776A (if applicable).
BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.
BLOCKS 12 & 13: The contractor shall deliver the Technical Data Package no later than 5 days after completion.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| 1 |
| of |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H00B |
| Scientific and Technical Reports |
| RAAF Aircraft Mishap Damage Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 8.15 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| ASREQ |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Report shall include the following:
· Identify and report nature of mishap
· Provide information necessary to complete mishap data report specified in OPNAV Instruction 3750.6 series (worksheet)
· Estimated material cost to repair damage
· Estimated labor hours and other direct costs to repair the aircraft
· Estimated date to make aircraft serviceable
BLOCK 12: Due 6 hours after aircraft mishap and the Contractor shall report by phone any accident or incident to COR/TPOC.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H00C
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
16. REMARKS
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H00D |
| Scientific and Technical Reports |
| RAAF Depot/In-Field Completion Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.6, 4.1.5.1, 4.1.5.3,4.2.2 ,4.3, 4.4, 5.3.4.1, 6.4, 8.20 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Contractor format is acceptable. Report shall contain:
1. Complete list of all maintenance performed on the aircraft while at Depot facility or In-field.
2. FAA Form 337 / FAA Form 8130-3 (as required)
3. All warranty documentation, if applicable.
4. Government/Commercial log book, entries.
5. Weight and Balance Documentation, IAW NA 01-1B-50 as required.
6. All over & above completed.
7. Noted but Not Corrected (NBNC)
8. Parts Required Report (PRR)
BLOCKS 12 & 13: Report due at the time of government acceptance of aircraft.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail..
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H00E
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H00F |
| Engineering Services Memorandum (ESM) |
| RAAF Aircraft Field Assessment /Repair Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80748 (See Block 16) |
| SOW 6.1 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Excel or Access.
Report shall include:
· Date of submittal
· Aircraft Assessment Date
· Component Serial Number
· Aircraft BUNO
· Shipping Activity (FRC/MALS)
· Primary failure item nomenclature
· Primary failure item part number
· Primary failure item failure mode
· Major Structural Repairs
· All temporary structural repairs
· Need for proposed work
· Description of findings/comments (including major discrepancies/work to be performed and resulting benefits)
· Estimated cost/BOE for engineering, materials and equipment and/or services with FAR required proposal supporting documentation and information
· GFE required
· Estimated turn-around time (TAT) and completion date
· Signature/Title
BLOCKS 12 & 13: Due within 4 working days after assessment personnel arrival at the aircraft site, unless significant damage requires further negotiation.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H00G
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
QCIC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H00H |
| Quality Deficiency Report |
| RAAF Deficiency Reporting |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-QCIC-80736 (See Block 16) |
| SOW 8.14 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Word, Excel or Access.
The investigation Report should include, at a minimum, the following data:
· Identify and report deficiency of item
· Identify and report the cause of deficiency for that item
· Recommendations to the Government to alleviate future failures of item
· Manufacture’s recommendations for the correction of deficiency
· Information from the following reports submitted against defective items manufactured, repaired, or overhauled by the Contractor or a Sub-Contractor including vendor parts issued through the On-Site Storeroom:
a. Product Quality Deficiency Report (PQDR)
b. Engineering Investigation (EI)
c. Material Deficiency Report (MDR)
d. Acceptance Inspection Deficiency Report (AIDR)
e. Aircraft Deficiency Report (ADR)
f. Hazardous Material Report (HMR)
g. Technical Publication Deficiency Report (TPDR)
BLOCK 12: Due 30 days after investigation request
BLOCK 13: Due monthly to arrive at PMA-290 NLT the last day of the month, until investigation completion.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H00J |
| Scientific and Technical Report |
| RAAF Delay Notification Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.5 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: The Contractor shall deliver an initial Impact Assessment Report detailing estimated TAT following completion of the initial inspection/assessment.
The Contractor shall utilize the established Delay Notification Process. This process uses the DNF to document delays during modification or maintenance activity. The DNF details changes in the delivery schedule (TAT) associated with excusable delays as outlined in FAR 52.249-14, including contractor caused delays, duration-based delays, and hours-based delays as calculated per Attachment 7.
The Delay Notification shall include: the relevant contractor Notification Form (DNF) and a technical narrative describing the causes of the impact with relevant backup documentation as follows:
-Funding Related Delays: Contract Letter submitted in accordance with FAR 52.249-14 to request additional funding and any subsequent letters related to work delays or stoppages.
-Parts and GFM Related Delays: Based upon scheduled start date from associated work ticket.
-Warranty Claims - Contract Letter submitted to document warranty claims on GFE/GFM
Continued next page
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
A. CONTRACT LINE ITEM NO.
| B. EXHIBIT |
| C. CATEGORY: |
| 3037 |
| H |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
16. REMARKS (Continued) (H00J)
Late Contract Changes - Contract Letters and Contract Modifications to document changes or late award of additional scope.
-Contractor Caused Delays -Contractor will provide relevant documentation to explain the reason for delay. No TAT relief will be granted for these delays.
BLOCK 12: First submission will be at within 10 days of discovering delays to the original established TAT as determined by the Initial Impact Assessment, of the aircraft. Extensions may be requested pending completion of the AEPD Inspections.
BLOCK 13: Subsequent submissions will be as required, but not to exceed monthly, with a Final Impact Assessment submitted within 30 Days of DD250 of the aircraft. The final impact assessment shall include Over and Above related delays. The contractor will provide all over and above completed documented in CDRL A00Q, Over and Above Status report. TAT extensions shall be granted based upon the total number of O&A s negotiated. The final impact assessment will also include a summary of all duration based delays.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H00K
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H00L |
| Scientific and Technical Report |
| RAAF Initial Assessment Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.3, 4.1.2. |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| ASREQ |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Contractor format acceptable The Contractor shall deliver the following information for each aircraft: contract number, delivery order number, bureau number, contractual induction date, actual induction date, O&A hours expended to date, O&A hours estimated at completion, contractual delivery date, estimated delivery date, schedule impacts (with a narrative to explain reason for impacts), proposed material cost, number of DRs negotiated, number of DRs to be negotiated, total DRs, list of major discrepancies, and list of minor discrepancies.
BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.
BLOCK 12: The Contractor shall deliver the report no later than 10 days after the completion of the AEPD look phase.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H00M
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
H00N
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
RESERVED
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 3037 |
| H |
| TDP |
TM
OTHER
SESS
X
D. SYSTEM|ITEM
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| H00P |
| Internal Contractor Technical Data Report |
| RAAF Utilization Approval of Used, Rebuilt, Overhauled Parts |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-SESS-81309A (See Block 16) |
| SOW 8.11.1 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
| 1 |
| 1 |
BLOCK 4: Items to be included in the report are as follows (if applicable):
· Approved FAA Form 8130-3
· Complete set of all maintenance, inspection, and service usage records including accumulated cycles / hours and operators
· Service life remaining for any life-limited part
BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.
BLOCKS 12 & 13: Due NLT 15 days following Government acceptance of each engine.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager…
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