Exhibit_Q_NAVY-OY7_Part_A_CDRLs_18May2016.docx

DOCX document 308 KB Posted

Attached to
P-8A Airframe and Engine Depot Maintenance Competition Federal contract opportunity
Solicitation number
N00019-15-R-2004
Issued by
Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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Exhibits Part A

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Text version

Data Requirements List (DD 1423’s) for

Airframe Depot Maintenance of United States Navy P-8A Poseidon Aircraft

Exhibit Q Contract Data Requirements List (DD 1423’s) 18 May 2016

EXHIBIT Q – OY7 CDRLs

DIN TITLE SUBTITLE

Q001Conference AgendaProgram Management Review (PMR) /
Technical Interchange Meeting (TIM) /
Post Award Conference Agenda
Q002Conference MinutesProgram Management Review (PMR) /
Technical Interchange Meeting (TIM) /
Post Award Conference / Induction
Readiness Review Minutes
Q003Integrated Program Management ReportProgram Master Schedule
(IPMR)
Q004Quality Assurance Program PlanQuality Program Plan
Q005Supplier’s Configuration Management Plan Configuration Management Plan
Q006Operations Security (OPSEC) Plan
Q007Scientific and Technical ReportsTechnical Data Discrepancy Report
Q008Report of Receipts, Inventory,Government Property Management
Adjustments and Shipments ofReport
Government Property
Q009Scientific and Technical ReportsStructural Alteration Report
Q00ARESERVED
Q00BScientific and Technical ReportsAircraft Mishap Damage Report
Q00CScientific and Technical ReportsMaintenance History Summary and
Corrosion Inspection Report
Q00DScientific and Technical ReportsDepot/In-field Completion Report
Q00EScientific and Technical ReportsEngineering Investigations
Q00FEngineering Services Memorandum (ESM)Aircraft Field Assessment Report
Q00GPhase-Out Transition PlanTransition Plan
Q00HQuality Deficiency ReportDeficiency Reporting
Q00JScientific and Technical ReportsDelay Notification Report
Q00KSystem Safety Hazard Analysis ReportCritical Safety Item
(SSHA) / Safety Assessment Report (SAR))
Q00LScientific and Technical ReportsInitial Assessment Report
Q00MRisk Management Status PlanRisk Management Plan
Q00NInventory/Utilization Data Report
Q00PInternal Contractor Technical DataUtilization Approval of Used, Rebuilt,ReportOverhauled Parts
Q00QOver and Above Status ReportStatus Report
Q00RSustainment Functional Cost-Hour ReportStatus Report

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:
7022
Q
TDP

TM

OTHER

ADMN

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

Q001
Conference Agenda
Program Management Review (PMR)/Technical Interchange Meeting (TIM)/Post Award Conference (PAC) Agenda, Initial Baseline Review (IBR)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-ADMN-81249A (See Block 16)
SOW 7.1, 7.2, 7.4
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

AS REQ
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: Deliver in a Microsoft Office format (2010 or later); such as, Excel or Access.

BLOCK 8: Government comments will be provided to the contractor within 5 working days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 3 working days after receipt of Government comments.

BLOCKS 12 and 13: The Contractor shall deliver the agenda for a PMR/TIM/Post Award Conference no less than 14 days prior to the commencement of the meeting.

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 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:
7022
Q
TDP

TM

OTHER

ADMN

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
Q002
Conference Minutes
Program Management Review (PMR) / Technical Interchange Meeting (TIM) / Post Award Conference / Induction Readiness Review (IRR) Minutes
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
18. ESTIMATED TOTAL PRICE
DI-ADMN-81250A (See Block 16)
SOW 7.1, 7.3, 7.4
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

AS REQ
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.

BLOCKS 12 and 13: The Contractor shall deliver the minutes including any action items from PMR/TIM/IRR/Post Award Conferences no more than 14 calendar days following the conclusion of the meeting.

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:
7022
Q
TDP

TM

OTHER

MGMT

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

Q003
Integrated Program Management Report (IPMR)
Program Master Schedule
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MGMT-81861 (See Block 16)
SOW 7.0
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

MTHLY
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
MTHLY
Reg
Repr
16. REMARKS
See Block 16

BLOCK 4: The Contractor shall deliver the report to include milestones and all significant tasks, events and activities required to effectively manage progress and technical performance. The Contractor’s report shall identify technical, cost and schedule risks, as well as mitigation and recovery of said risks.

BLOCK 12: First report will be delivered 30 days after induction of the 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:
7022
Q
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

Q004
Quality Assurance Program Plan
Quality Program Plan
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-QCIC-81722
SOW 7.1, 8.2
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

ONE
30 DAC

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 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 13: Subsequent submission within 30 days of any revisions

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:
7022
Q
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

Q005
Supplier’s Configuration Management Plan
Configuration Management Plan
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-SESS-80858C
SOW 7.10
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

ONE
30 DAC

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 8: Government comments will be provided to the contractor within 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 15 days after receipt of Government comments

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:
7022
Q
TDP

TM

OTHER

MGMT

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

Q006
Operations Security (OPSEC) Plan
Operations Security (OPSEC) Plan
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MGMT-80934C (See Block 16)
SOW 7.12
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

TWO/R
90 DAC

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
A
D (See Block 16)
N/A
See Block 16
Reg
Repr
16. REMARKS
See Block 16

BLOCK 4: Plan shall be in MS Word 2010 (or later).

BLOCK 8: BLOCK 8: Government comments will be provided to the contractor within 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 15 days after receipt of Government comments

BLOCK 9: The words, "FOR OFFICIAL USE ONLY" shall be conspicuously marked at the bottom of the outside cover (if any), on the bottom of each page, and on the bottom of the outside back cover (if any). The front cover (if any) or the first page of the document shall also be conspicuously marked with the following statement:

"This document contains information EXEMPT FROM MANDATORY PUBLIC DISCLOSURE under the Freedom of Information Act Exemption (2) applies."

These markings shall also be applied in an appropriate manner to any data provided in electronic media or transmission Electronic transmission of such data must be via Federal Information Processing Standard (FIPS) 140-1 compliant means.

EXEMPTIONS (2): shall be used on documents which concern internal working processes or procedures (e.g.' OPSEC Plans or Program Protection Implementation Plans).

BLOCK 13: 45 days after Government approval (AIR-7.4.4) of draft. Revisions are required after approval of plan only to comply with Government Data Protection Policy document revisions.

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:
7022
Q
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

Q007
Scientific and Technical Report
Technical Data Discrepancy Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MISC-80711A (See Block 16)
SOW 3.0, 3.3
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: The Contractor shall report technical manual or drawing deficiencies per CNAFINST 4790.2 series with supporting documentation.

BLOCK 12 & 13: Due 15 days after discrepancy is identified.

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:
7022
Q
TDP

TM

OTHER

MGMT

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

Q008
Report of Receipts, Inventory, Adjustments and Shipments of Government Property
Government Property Management Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MGMT-80442 (See Block 16)
SOW 8.9.1. 9.1, 9.4
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

ANNLY
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
ANNLY
Reg
Repr
16. REMARKS
See Block 16

BLOCK 4: Report must include current inventory including part number, National Item Identification Number (NIIN), nomenclature, quantity, and condition. Also, report monthly shipments into and out of the facility including part number, nomenclature and quantity shipped and to what destination and any pertinent information.

BLOCK 12: Due 30 days after beginning of new Fiscal Year.

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:
7022
Q
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

Q009
Scientific and Technical Report
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:

TDP

TM

OTHER

X

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

P-8A Poseidon Depot Maintenance-Airframe

1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

Q00A
RESERVED
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

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:
7022
Q
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

Q00B
Scientific and Technical Reports
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:
7022
Q
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

Q00C
Scientific and Technical Reports
Maintenance History Summary and

Corrosion Inspection 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
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: The Contractor shall deliver the report in accordance with Section 6-4 of attachment 5. The Contractor shall report any cannibalization actions that occurred during the performance of the AEPD

BLOCKS 12 and 13: The Contractor shall deliver report no later than 90 days subsequent to Government acceptance for each aircraft that has undergone IMPDS.

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:
7022
Q
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

Q00D
Scientific and Technical Reports
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 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:
7022
Q
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

Q00E
Scientific and Technical Reports
Engineering Investigations
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MISC-80711A (See Block 16)
SOW 8.17
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: Contractor shall immediately inform the Government and NAVAIR Engineering of any discovered failure and/or abnormal condition in accordance with CNAFINST 4790.2 series.

BLOCKS 12 & 13: The contractor shall deliver report no later than 5 days after discovery of failure or condition.

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:
7022
Q
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

Q00F
Engineering Services Memorandum (ESM)
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:
7022
Q
TDP

TM

OTHER

MGMT

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

Q00G
Phase-Out Transition Plan
Transition Plan
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MGMT-81945 (See Block 16)
SOW 9.3
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

ONE
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
ONE
Reg
Repr
16. REMARKS
See Block 16

BLOCK 4: Report shall be in Contractor format that has been mutually agreed upon by the Government.

The Phase-Out Transition Plan shall include:

a. A written comprehensive plan explaining actions required to complete the total transition effort within a sixty (60) calendar day transition period.

b. Details of accounts and subscription services to be terminated or transferred.

c. Process to conduct a full joint inventory and transference of all Government Furnished Material inventory including all records.

d. Status of all items in inventory as well as the items that have been inducted into repair facilities, being modified or are being purchased.

e. Critical path schedule for risk mitigation of the transition period.

f. Plan to make training and certification records available of contractor personnel who are considering employment with the succeeding contractor.

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: 90 DPT end of contract.

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:
7022
Q
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

Q00H
Quality Deficiency Report
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:
7022
Q
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

Q00J
Scientific and Technical Report
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, 4.1.3.
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:
7022
Q
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) (Q00J)

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…

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