DRAFT_UL_CLS_CDRLS.pdf

PDF 78 KB Posted Nov 26, 2014

Attached to: C-12 Sources Sought Notice Amendment
Solicitation number: N00019-15-R-5500
Issued by: Department of the Navy Naval Air Systems Command

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Draft CDRLs

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File	Type	Posted
C-12_Pre-Solic_Brief_v_25Jun15.pptx	PPTX presentation	Jun 30, 2015
C-12_Industry_Day_attendee_list_June_24_posted_to_FBO_30_June.xlsx	XLSX spreadsheet	Jun 30, 2015
CLS_PWS_DRAFT_v_21_Nov14.docx	DOCX document	Nov 26, 2014

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Material Utilization and Forecasting Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81947 (T) (See Block 16)

5. CONTRACT REFERENCE

PWS para 4.1.2 & 5.8.1

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

(See Block 16)

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable. Tailored as follows:

Disregard National Stock Number.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative and Operational Use determined on 10 December 2014. Other requests for this document shall be referred to PMA-207.

Blocks 10 & 12: Semi-annual event. If CLIN 0001 is exercised, the Contractor shall submit the deliverable within 30 days after the materials inventory audit. If CLIN 0001 is not exercised, the Contractor shall submit the deliverable on 30 June 2016.

Block 13: If CLIN 0001 is exercised, the subsequent deliverable shall be submitted on 30 June 2016. If CLIN 0001 is not exercised, the subsequent deliverable shall be submitted on 31 December 2016.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

Utility Lift IPTL (See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

David Adams

J. DATE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Ordnance Certification Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.1.6

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST

SUBMISSION

40 DAC

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 13: Subsequent deliverables shall be submitted on the 10th of every month.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 6.6.1.1

AIR-6.6.2.9

AIR 4.1.1.3

COR / TPOC

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

AIRCRAFT STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.1.14

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST

SUBMISSION

40 DACS

8. APP CODE

A (See Block 16)

C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: The Contractor shall format in accordance with attached supplement.

Block 8: The UL IPTL will send an e-mail notification for disposition of the deliverable.

Block 13: Submit no later than on the 10th of each month. The USG has 30 days for review and comment from date of receipt. Draft report will be considered approved after 30 days of USG receipt unless otherwise notified.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 6.6.1.1

AIR-6.6.2.9

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Five Year Overhaul and Rework Projections Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (see Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.4

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

QTRLY

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Submit the first deliverable within 15 days after the first completed quarter of the contract. Subsequent deliverables shall be submitted within 15 days of the completion of each quarter.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 6.6.1.1

AIR-6.6.2.9

AIR 4.1.1.3

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

SESS

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Configuration Status Accounting Information

3. SUBTITLE

AConfiguration Status Accounting Report

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81253A (See Block 16)

5. CONTRACT REFERENCE

PWS Para 5.6.1 & 5.6.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST

SUBMISSION

45 DAC

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable. The deliverable shall be done in MS Excel.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 4.1.1.3

AIR 6.6.1.1

AIR-6.6.2.9

AIR 1.3.2K

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

David A. Adams

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Technical Directive Compliance Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80224B (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.6.3

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted within 10 days after every depot event that had Technical Directive incorporations accomplished.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 4.1.1.3

AIR 6.6.1.1

AIR-6.6.2.9

OSGR

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

SAFT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.7

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted within 24 hours after each accident and incident event.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

Utility Lift IPTL

AIR 4.1.1.3

AIR 6.6.1.1

AIR-2.4.3.1.5

PMA 273E

AIR-6.6.2.9

COR / TPOC

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

SESS

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Source Data for Forecasting Diminishing Manufacturing Sources and Material Shortages

(DMSMS)

3. SUBTITLE

Obsolescence and DMSMS Summary

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81656 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.8.6

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

QTRLY

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 4.1.1.3

AIR 6.6.1.1

AIR-6.6.2.9

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

David A.Adams

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Briefing Material

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81605 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.12.1.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted 10 days prior to every Program Management Review.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

Utility Lift IPTL

AIR 2.3.5.1

AIR 4.1.1.3

AIR 6.6.1.1

PMA 273E

AIR-6.6.2.9

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Contract Funds Status Report (CFSR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81468 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 6.2, 7.2, 30.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: The Contractor shall format in accordance with attached supplement.

Blocks 12 & 13: Submit the first deliverable within 15 days after the first completed month of the contract with a Cost CLIN(s) exercised.

Subsequent deliverables shall be submitted within 15 days of the completion of each month.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 2.3.5.1

AIR-6.6.2.9

PMA 273E

AIR 6.6.1.1

Utility Lift IPTL

DCMA

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MISC

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

Trip/Travel Report

3. SUBTITLE

Travel Summary Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81943 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 7.1 & 7.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

AS PER OCCUR

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted within 30 days after each travel event.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 2.3.5.1

COR / TPOC

AIR 6.6.1.1

AIR-6.6.2.9

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

Teardown Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 8.3,

9.4,10.4,11.5,12.4,21.1,& 22.1

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A (See Block 16)

C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 8: Government will disposition and a resulting Task Order for the Over an Above effort will be awarded.

Blocks 12 & 13: Deliverables shall be submitted within 15 days after each teardown event.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 6.6.1.1

AIR-6.6.2.9

AIR 4.1.1.3

DCMA

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

B004

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Final Depot Summary Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 8.4,

9.5,10.5,11.6,12.5,21.2,22.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

See Block 16

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: The Contractor shall indicate compliance with Service Actions and Service Bulletins; detail and reconcile all labor hours expended; indicate the overall condition and cycle (reset) information; and address applicable FAA documentation of Functional Check Flight(s) and weight-and-balance.

Block 7: The Contractor shall include signed DD-250 and all documentation associated with completion of the inspection, overhaul, rework or repair action.

Blocks 12 & 13: Submit final reports no later than 60 days after each maintenance action is completed.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 6.6.1.1

AIR-6.6.2.9

DCMA

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TMSS

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

B005

2. TITLE OF DATA ITEM

Commercial Off-The-Shelf (COTS) Manuals and Associated Supplemental Data

3. SUBTITLE

Navy Supplemental Publication Updates

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80527C (See Block 16)

5. CONTRACT REFERENCE

PWS para 26.0

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

(See Block 16)

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 10: When a commercial vendor supplies the Contractor with commercial manual updates or when requested by the PCO.

Blocks 12 & 13: Deliverables shall be submitted within 15 days after receipt from commercial vendors or in accordance with the Task Order.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL. If received as a hard copy or CD-ROM/DVD, the Contractor shall make copies and send them to each site and the PMA-207.

AIR 6.6.1.1

AIR-6.6.2.9

TPOC

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MISC

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

B006

2. TITLE OF DATA ITEM

Technical Report - Study/Services

3. SUBTITLE

Engineering Investigation Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B (See Block 16)

5. CONTRACT REFERENCE

PWS para 28.0

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted within 15 days after the completion of each Engineering Investigation.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 4.1.1.3

Utility Lift IPTL

PMA 273E

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

OTHER

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

B007

2. TITLE OF DATA ITEM

Fatigue Appraisal And Structural Tracking (FAST) Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

OT-15-XXXXX (See Block 16)

5. CONTRACT REFERENCE

PWS para 29.0

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

2TIMES

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: One Time Data Item Description. Contractor format is acceptable.

Blocks 12 & 13: Reports are due semi-annually. Reporting period is from 1 May through 30 October and 1 November through 30 April.

All reports shall be delivered on the 10th of the month following the reporting period.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

See Block 16

AIR 4.1.1.3

Utility Lift IPTL (See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

Davd A. Adams

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

0X43

B. EXHIBIT

C. CATEGORY

OTHER

D. SYSTEM/ITEM

Utility Lift C-12 & C-26

E. CONTRACT/PR NO.

N00019-15-R-5500

F. CONTRACTOR

1. DATA ITEM NO.

C001

2. TITLE OF DATA ITEM

Phase-Out Transition Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81945 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 31.3

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1TIME/R

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A D (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 12: Submit draft deliverable no later than 30 days after request by the PCO. The Government will have 15 days to review and provide any comments. If required, the Contractor shall submit the final deliverable within 30 days after receipt of Government comments.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 2.3.5.1

Utility Lift IPTL

AIR 6.6.1.1

PMA 273E

AIR-6.6.2.9

(See Block 16)

15. TOTAL

G. PREPARED BY

Cindy DuBois

H. DATE

11/19/2014

I. APPROVED BY

File details come from the government source that posted it. Updated Nov 14, 2017.