B304 v2 EUHW USMC CDRL_Asset Shipment Report.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED PAGE 1 OF 2

0BCONTRACT 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.

1BB. EXHIBIT

A

C. CATEGORY:

TDP ____ TM ____ OTHER __X_______

D. SYSTEM/ITEM

NGEN

E. CONTRACT/PR NO.

End User Hardware (EUHW)

2BF. CONTRACTOR

TBD

1. DATA ITEM NO

3BB304

2. TITLE OF DATA ITEM

Contractual Shipping Document

3. SUBTITLE

Asset Shipment Report (ASR)

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81863/ DI-PSSS-81656B

5. CONTRACT REFERENCE

PWS Paragraphs 3.4.5.1.b, 3.4.5.1.c

6. REQUIRING OFFICE

USMC

7. DD250 REQ

LT

9. DIST. STATEMENT

REQUIRED

D

10. FREQUENCY

ASGEN

12. DATE OF FIRST SUBMISSION

2DADO

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

DRAFT

FINAL

Reg Repro

16. REMARKS:

Asset Shipment Reports provide Contractor shipment data used to populate PfM SES asset tracking tool.

Block 4: DID Tailoring Instructions:

Format. Reports shall be provided in Microsoft Excel spreadsheet format. To avoid database import errors, the following instructions shall be followed:

1. Ensure all alpha characters are in upper case

2. Provide column headings

3. Include all data for each system serial number on one row

4. Include complete information in each field for each entry (do not use ditto marks)

5. Place data within indicated fields

6. Do not use formulas to populate fields

7. Do not use hard returns in any data field

8. Do not use text-wrap in any data field

9. Do not use commas in any data field

Content. A, E, and H does not apply.

The following column headings (in sequence) are provided as minimum information required:

1. Column A: SYSTEM SERIAL NUMBER

2. Column B: TAMCN (Provided by GOVT, Government Task Order (GTO)

Additional Markings:)

3. Column C: DID/UII (Concatenated Elements)

4. Column D: UNIQUE ITEM IDENTIFIER TYPE

5. Column E: NSN (Provided by GOVT, in GTO as PN/CN: NSN ‘Numbers will be here, N/A if an NSN is not provided and not required’)

6. Column F: SOFTWARE OPERATING SYSTEM / VERSION

7. Column G: FIRMWARE VERSION

8. Column H: OEM MODEL NUMBER

9. Column I: CLIN (Provided by GOVT, GDO/TO first Item Number ex: 1400)

10. Column J: ADDED OPTIONAL CLIN (Items separated by pipe symbol “|”)

(Provided by GOVT, GDO/TO Item Numbers after the first or primary Item Number. If multiple configurations are included in the same GDO/TO optional / additional Item Numbers for each configuration should be provided and identified with the applicable configuration).

USMC 1 0 1

PfM SES, APfM-L 0 0 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED PAGE 2 OF 2

11. Column K: DELIVERY ORDER (Provided by GOVT, GDO/TO Blocks 2 and 4)

12. Column L: CAGE CODE

13. Column M: MARINE CORPS PROGRAM NAME (Provided by GOVT, GDO/TO Sect. IV Request or Information: Program)

14. Column N: SHIP TO UNIT IDENTIFICATION CODE (UIC) (Provided by

GOVT, GDO/TO (Delivery Information)

15. Column O: SHIP TO ADDRESS (Provided by GOVT, GDO/TO Delivery

Information)

16. Column P: SHIPPED DATE (MM/DD/YYYY FORMAT)

17. Column Q: CARRIER

18. Column R: SHIPMENT TRACKING NUMBER

19. Column S: WARRANTY EXPIRATION DATE (MM/DD/YYYY

FORMAT) - If applicable

20. Column T: COMMENTS (Include adding any upgrades if applicable or leave blank if no comments)

Block 8: Revise and resubmit updated deliverable(s) for Government approval within 10 days of receipt of initial Government comments; within five (5) days for all subsequent revisions.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only; Administrative or Operational use; 13 Feb 2017. Other requests for this document shall be referred to Commander, MARCORSYSCOM, PfM SES, 2200 Lester Street, Quantico, VA 22134-6050.

Block 10: Contractors shall generate with every scheduled delivery (per GTO).

Contractors shall include a complete Bill of Material (BOM) packing list and a complete copy of the TO with each shipment. Asset Shipment Reports shall not be combined and shall include the information for only one GTO per report.

Block 13: Submitted with each GTO.

Block 14: CS3CustomerCare@usmc.mil will verify draft and approve final copy posted to the USMC contract portal.

15. TOTAL

G. PREPARED BY

Robert Smith

H. DATE

6 Mar 2018

I. APPROVED BY

Michael Berry

J. DATE

6 Mar 2018