Exhibit_A_-_Contract_Data_Requirements_List.xlsx

XLSX spreadsheet 381 KB Posted

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AIR-4. 11, N00421-19-R-0003 Irregular Air Platform Engineering supporting AD-4. 11. 6
Solicitation number
N00421-19-R-0003
Issued by

About this file

This sources sought announcement is soliciting capability statements from businesses for an irregular air platform engineering contract supporting advanced technology development, engineering, implementation, and fielding projects. The scope of work includes program management, research, analysis, design, parts procurement, installation, testing, training, and operational support. Interested businesses must submit a capabilities statement by July 9th demonstrating their ability to perform the efforts outlined in the draft statement of work, including relevant experience and technical skills. The anticipated contract is a single-award IDIQ with a five-year ordering period using cost-plus-fixed-fee, firm-fixed-price, and cost reimbursable contract types. Place of performance is estimated at 70% on-site at NAS Patuxent River and 15% each at Webster Field and Yuma Proving Grounds. The applicable NAICS code is 541330 with a small business size standard of $38.5M.

DRAFT Exhibit A

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Other files

File Type Posted
N00421-19-R-0003 Amendment 0010.pdf PDF
N00421-19-R-0003 Amendment 0009 Conform.pdf PDF
Attachment P3 - P3 Hourly Burdened Rates-Rev 1.xlsx XLSX spreadsheet
Attachment P8 - DoD SAFE Help.pdf PDF
N00421-19-R-0003-0008 Conform.pdf PDF
N00421-19-R-0003 Amendment 0007.pdf PDF
Attachment 04 - OCI List.docx DOCX document
N00421-19-R-0003 Amendment 0006.pdf PDF
N00421-19-R-0003 Amendment 0005 Conform.pdf PDF
N00421-19-R-0003 Amendment 0004.pdf PDF
N00421-19-R-0003_Amendment_0003.pdf PDF
N00421-19-R-0003_Amendment_0002.pdf PDF
N00421-19-R-0003__Amendment_0001.pdf PDF
Attachment_P3_-_P3_Hourly_Burdened_Rates.xlsx XLSX spreadsheet
Attachment_P1_-_P1_Past_Performance_Information_Form.pdf PDF
Attachment_P4_-_P4_Reserved.docx DOCX document
Attachment_P6_-_Cost_Summary.xlsx XLSX spreadsheet
Attachment_11_-_MFR_Implementing_PGI_204.7108(d)(12).pdf PDF
Exhbit_A_-_Contract_Data_Requirements_List.xlsx XLSX spreadsheet
Attachment_05_-_Authorized_Subcontractors.docx DOCX document
Attachment_04_-_OCI_List.docx DOCX document
Attachment_09_-_COMR_CDRL_Template.xlsx XLSX spreadsheet
Attachment_10_-_Sexual_Assault_and_Sexual_Harassment_Training_Criteria.docx DOCX document
Attachment_P5_-_P5_Reserved.docx DOCX document
N00421-19-R-0003_Final.pdf PDF
Attachment_06_-_Authorized_Key_Personnel.docx DOCX document
Attachment_08_-_COMR_CDRL_Template_(COR).xlsx XLSX spreadsheet
Attachment_01_-_DD254_signed.pdf PDF
Attachment_P7_-_Subcontractor_Cost_Summary.xlsx XLSX spreadsheet
Attachment_P2_-_P2_Contractor_Performance_Assessment.pdf PDF
Attachment_02_-_CSP_QASP.docx DOCX document
Attachment_07_-_COR_Appointment_Letter.docx DOCX document
Attachment_03_-_Data_Item_Transmittal.docx DOCX document
Attachment_06_-_Authorized_Key_Personnel.doc DOC document
Attachment_P3_Streamlined_Rates.xlsx XLSX spreadsheet
Attachment_07_-_COR_Appointment_Letter.doc DOC document
Attachment_03_-_Data_Transmittal.docx DOCX document
Attachment_04_-_OCI_List.docx DOCX document
Attachment_02_-_CSP_QASP.docx DOCX document
Attachment_01_-_DD254_signed.pdf PDF
Attachment_P5_RESERVED.docx DOCX document
IAPE_Draft_Solicitation_FBO_.pdf PDF
Attachment_05_-_Subcontractors.docx DOCX document
Attachment_09_-_COMR_CDRL_Template_(COR).xlsx XLSX spreadsheet
Attachment_P7_Subcontractor_Cost_Summary.xlsx XLSX spreadsheet
Attachment_08_-_COMR_CDRL_Template.xlsx XLSX spreadsheet
Attachment_P4_RESERVED.docx DOCX document
Attachment_P6_Cost_Summary.xlsx XLSX spreadsheet
IAPE-LOE.pdf PDF
IAPE-SOW.pdf PDF
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CDRL list

A001PRESENTATION MATERIAL
A002TEST PROCEDURES
A003TEST PLAN
A004AIRWORTHINESS-RELATED SUBSTANTIATION DATA
A005CONTRACTOR'S STANDARD OPERATING PROCEDURESFLIGHT OPERATING PROCEDURES/POLICIES
A006CONTRACTOR'S STANDARD OPERATING PROCEDURESGROUND OPERATING PROCEDURES
A007SYSTEM/EQUIPMENT SPECIFICATIONS
A008PRODUCT DRAWINGS/MODELS AND ASSOCIATED LISTS
A009SOFTWARE DEVELOPMENT PLAN

Hansell, Coryn M CIV AD, 2.0: Hansell, Coryn M CIV AD, 2.0:

Updated SOW 3.3.5.1.7

A010CONTRACTING OFFICER'S MANAGEMENT REPORTSEGREGATION OF COSTS AND INVOICE REQUIREMENTS REPORT
A011RESERVED
A012CONTRACT SUMMARY REPORT
A013PHASE-OUT TRANSITION PLAN
A014MANAGEMENT PLANCONFIGURATION MANAGEMENT PLAN
A015SAFETY ASSESSMENT REPORT (SAR)
A016TRIP/TRAVEL REPORT
A017REPORT, RECORD OF MEETING/MINUTES
A018MANAGEMENT PLAN
A019RESERVED
A020RESERVED
A021OPERATIONS SECURITY (OPSEC) PLAN
A022MANAGEMENT PLANLOGISTICS AND MATERIAL SUPPORT PLAN
A023ACCIDENT/INCIDENT REPORT
A024CONTRACTOR’S SAFETY MANUAL
A025SCIENTIFIC & TECHNICAL REPORTS SUMMARYMONTHLY TECHNICAL REPORT
A026TEST/INSPECTION REPORTTEST REPORT
A027TEST/INSPECTION REPORTAIRCRAFT/SYSTEMS UNSCHEDULED MAINTENANCE REPORT
A028TECHNICAL MANUAL VERIFICATION DISCREPANCY/DISPOSITION RECORD
A029ENGINEERING CHANGE PROPOSAL (ECP)
A030WAIVER OR DEVIATION SYSTEM SAFETY REPORT (WDSSR)
A031NOTICE OF REVISION (NOR)
A032SPECIFICATION CHANGE NOTICE (SCN)
A033SCIENTIFIC & TECHNICAL REPORTS SUMMARYComputer-aided Design/Manufacturing (CAD/CAM) Data
A034COMPUTER OPERATION MANUAL (COM)
A035SCIENTIFIC & TECHNICAL REPORTS SUMMARYAD-HOC TECHNICAL REPORTS/MEMOS
A036SOURCE/VENDOR LIST
A037DOD INFORMATION ASSURANCE CERTIFICATION AND ACCREDITATION PROCESS (DIACAP) AND RISK MANAGEMENT FRAMEWORK (RMF) DELIVERABLE DATA
A038
A039
A040
A041
A042

A001

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010TDP_________TM ________Other ADMN
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A001PRESENTATION MATERIAL
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-ADMN-81373PWS PARA 3.3.1.5.2, 3.3.3.3.9, 3.3.3.4.1ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
LTREQUIREDASREQASREQb. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/AN/AASREQRegRepro
16. REMARKSSEE BLOCK 16111
BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE.

TO INCLUDE PROGRAM MANAGEMENT REVIEW PRESENTATIONS, PRELIMINARY DESIGN REVIEW PRESENTATIONS AND CRITICAL DESIGN REVIEW PRESENTATIONS.

BLOCK 7: LETTER OF TRANSMITTAL ONLY.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage1of37
1007/183

A002

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005ATDP_________TM ________Other NDTI
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A002TEST PROCEDURES
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-NDTI-80603APWS PARA 3.3.1.1.3, 3.3.1.6.7, 3.3.5.1.4ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQ45 DPTTb. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/A15 DPTTRegRepro
16. REMARKSSEE BLOCK 16111
BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE BUSINESS DAYS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage2of37
1007/183

A003

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005ATDP_________TM ________Other NDTI
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A003TEST PLAN
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-NDTI-80566APWS PARA 3.3.1.1.3, 3.3.1.6.8, 3.3.5.1.3ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQ45 DPTTb. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/A15 DPTTRegRepro
16. REMARKSSEE BLOCK 16111
BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE BUSINESS DAYS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage3of37
1007/183

A004

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005ATDP_________TM ________Other SAFT
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A004AIRWORTHINESS-RELATED SUBSTANTIATION DATA
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SAFT-81905APWS PARA 3.3.6.3.2, 3.3.6.3.4, 3.3.6.3.11, 3.3.6.3.14, 3.3.6.4.1, 3.3.6.4.2, 3.3.6.4.6, 3.3.6.5.1, 3.3.6.5.3ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQSEE BLK 16b. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AN/ARegRepro
16. REMARKSSEE BLK 16111
BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE.

DATA MUST INCLUDE (AS APPLICABLE):

-FAA TYPE CERTIFICATION DATA SHEET

-FAA STANDARD AIR WORTHINESS CERTIFICATE, NORMAL CATEGORY

-FAA SPECIAL AIR WORTHINESS CERTIFICATE, RESTRICTED (AS REQUIRED)

-HOST NATION SPECIAL LANDING AND OVERFLIGHT CLEARANCE

-FORM 8110-3 (MODIFICATION)

-FORM 337 (MODIFICATION)

-AIRCRAFT MANUALS

-AIRCRAFT MANUAL SUPPLEMENTS

-COMPANY POLICY MANUALS

-MANUFACTURER MANUALS

-WEIGHT AND BALANCE MANUALS

-APPROVED MINIMUM EQUIPMENT LIST, INCLUDING FAA LETTER OF AUTHORIZATION AND SERIALIZED EQUIPMENT LISTINGS -STATUS OF LIMITED PARTS, FATIGUE LIFE TRACKING, AND CRITICAL SAFETY ITEMS: AIRCRAFT MAINTENANCE MANUAL, AIRWORTHINESS LIMITATIONS MANUAL, COMPONENT MAINTENANCE MANUAL, STRUCTURAL INSPECTION AND REPAIR MANUAL, MAINTENANCE TRACKING SHEETS, COMPLETE LIST OF AIR DIRECTIVES (AD'S) AND DEMONSTRATED COMPLIANCE, VALIDATION OF CONTRACT MISSION PROFILES AGAINST RESTRICTED CATEGORY DESIGN MISSION PROFILE -FLIGHT CREW PERSONNEL RECORDS TO INCLUDE EXPERIENCE, QUALIFICATIONS, APPLICABLE MEDICAL STATUS -FLIGHT CREW LOGBOOKS, INSTRUMENT PROFICIENCY CHECK DATA, AND PERTINENT INFORMATION RELATED TO COMPLIANCE -VERIFICATION OF SECOND IN COMMAND (SIC) COMMERCIAL PILOT CERTIFICATION IN ACCORDANCE WITH 14 CFR 61.55

-SIGNED INSPECTION COMPLIANCE, AIRWORTHINESS RELEASE AND MAINTENANCE RECORDS

BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE BUSINESS DAYS.

BLOCK 12: SUBMIT 45 DAYS PRIOR TO REQUIRED OPERATIONAL DATE.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage4of37
1007/183

A005

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005ATDP_________TM ________Other MGMT
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A005CONTRACTOR'S STANDARD OPERATING PROCEDURESFLIGHT OPERATING PROCEDURES/POLICIES
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-81580PWS PARA 3.3.6.1.1, 3.3.6.3.8ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDANNLY30 DACb. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSSEE BLOCK 16111
BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE; IAW DCMA INST 8210.1C (CHANGE 1)

PROCEDURES MUST INCLUDE THE FOLLOWING:

-PROVIDE SPECIFIC GUIDANCE ACTIVITIES AND REQUIREMENTS OF THIS SOW PERTAINING TO SAFETY AS WELL AS FLIGHT AND GROUND OPERATOINS APPLICABLE TO THIS CONTRACT.

-DESCRIBE IN DETAIL HOW THE CONTRACTOR ENSURES THAT INDIVIDUALS PERFORM ONLY DUTIES THEY ARE QUALIFIED AND AUTHORIZED TO PERFORM.

-EXPLAIN ALL ASPECTS OF A GIVEN OPERATOIN TO INCLUDE THE PURPOSE, SCOPE, AND STEPS TO ACCOMPLISH THE TASK.

-IDENTIFY THE OFFICE AND TITLE OF INDIVIDUALS RESPONSIBLE.

-INCLUDE REQUIREMENTS TO VERIFY THE SUCCESSFUL COMPLETION OF THE PROCEDURE, WHEN APPROPRIATE.

-BE APPROVED BY THE GOVERNMENT FLIGHT REPRESENTATIVE (GFR).

BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN TEN BUSINESS DAYS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR), GOVERNMENT FLIGHT REPRESENTATIVE (GFR), AND GOVERNMENT PROGRAM MANAGER.

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage5of37
1007/183

A006

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010ATDP_________TM ________Other MGMT
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A006CONTRACTOR'S STANDARD OPERATING PROCEDURESGROUND OPERATING PROCEDURES
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-81580PWS PARA 3.3.3.4.4, 3.3.6.1.1, 3.3.6.3.8, 3.3.6.3.22ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDANNLY30 DACb. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSSEE BLOCK 16111
BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE; IAW DCMA INST 8210.1C (CHANGE 1)

PROCEDURES MUST INCLUDE THE FOLLOWING:

-PROVIDE SPECIFIC GUIDANCE ACTIVITIES AND REQUIREMENTS OF THIS SOW PERTAINING TO SAFETY AS WELL AS FLIGHT AND GROUND OPERATOINS APPLICABLE TO THIS CONTRACT.

-DESCRIBE IN DETAIL HOW THE CONTRACTOR ENSURES THAT INDIVIDUALS PERFORM ONLY DUTIES THEY ARE QUALIFIED AND AUTHORIZED TO PERFORM.

-EXPLAIN ALL ASPECTS OF A GIVEN OPERATION TO INCLUDE THE PURPOSE, SCOPE, AND STEPS TO ACCOMPLISH THE TASK.

-IDENTIFY THE OFFICE AND TITLE OF INDIVIDUALS RESPONSIBLE.

-INCLUDE REQUIREMENTS TO VERIFY THE SUCCESSFUL COMPLETION OF THE PROCEDURE, WHEN APPROPRIATE.

-BE APPROVED BY THE GOVERNMENT GROUND REPRESENTATIVE (GGR) OR GOVERNMENT FLIGHT REPRESENTATIVE (GFR).

-FOREIGN OBJECT DAMAGE/FOREIGN OBJECT DEBRIS (FOD) PREVENTION PROGRAM

-ESTABLISH AND IMPLEMENT PROCEDURES AND INSTRUCTIONS PERTAINING TO SERVICING, HANDLING, AND STORING FUEL AND OIL TO MEET ESTABLISHED SAFETY STANDARDS

BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN TEN BUSINESS DAYS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR), GOVERNMENT FLIGHT REPRESENTATIVE (GFR), AND GOVERNMENT PROGRAM MANAGER.

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage6of37
1007/183

A007

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010ATDP_________TM ________Other IPSC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A007SYSTEM/EQUIPMENT SPECIFICATIONS
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-IPSC-81431APWS PARA 3.3.1.1.1, 3.3.1.5.3, 3.3.2.2.11ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQASREQb. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSSEE BLOCK 16111
BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN TEN BUSINESS DAYS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage7of37
1007/183

A008

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010ATDP_________TM ________Other SESS
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A008PRODUCT DRAWINGS/MODELS AND ASSOCIATED LISTS
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-81000EPWS PARA 3.3.1.1.1, 3.3.1.1.2, 3.3.1.3.4, 3.3.1.5.4, 3.3.2.2.10, 3.3.2.2.11ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQSEE BLOCK 16b. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSSEE BLOCK 16111
BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN TEN BUSINESS DAYS.

BLOCK 12: SUBMIT NLT 10 WORKING DAYS AFTER PROJECT DESIGN RECEIVES GOVERNMENT APPROVAL.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage8of37
1007/183

A009

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005ATDP_________TM ________Other IPSC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A009SOFTWARE DEVELOPMENT PLAN
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-IPSC-81427BPWS PARA 3.3.5.1.7ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQASREQb. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSSEE BLOCK 16111
BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE.

BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN TEN BUSINESS DAYS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Katy Gates10/9/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage9of37
1007/183

A010

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0005, 0006, 0007, 0008, 0009, 0010ATDP_________TM ________Other MGMT
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A010CONTRACTING OFFICER'S MANAGEMENT REPORT
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-81864APWS PARA 3.1.3.1, 3.3.3.5.2ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDMTHLY15 DARPb. COPIES
E
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AEOM15 DARPRegRepro
16. REMARKSSEE BLK 16111
BLOCK 4: CONTRACTOR FORMAT IS ACCEPTABLE SO LONG AS IT CAPTURES ALL DATA FIELDS PRESENTED IN THE PROPOSED GOVERNMENT-PROVIDED TEMPLATE.

BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE BUSINESS DAYS.

BLOCK 12: 15 DAYS AFTER REPORTING PERIOD. REPORTING PERIOD IS END OF MONTH AFTER THE TASK ORDER STARTS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN AN EDITABLE ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

Gates, Katy M CIV: Gates, Katy M CIV:

Do we need to reference attachment letter in Block 16 reference to Block 4 for report template?

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage10of37
1007/183

A011 - Reserved

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
ATDP_________TM ________Other
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A011 - Reserved
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
REQUIREDb. COPIES
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
RegRepro
16. REMARKS
15. TOTAL000
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
DD Form 1423-1, JUN 90Previous editions are obsoletePageERROR:#VALUE!of37
1007/183

A012

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0005, 0006, 0007, 0008, 0009, 0010ATDP_________TM ________Other ADMN
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A012CONTRACT SUMMARY REPORT
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-ADMN-80447APWS PARA 3.1.8.1.4, 3.3.3.3.19ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQASREQb. COPIES
E
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSSEE BLK 16111
BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE

THIS REPORT WILL INCLUDE THE FOLLOWING: TOTAL ESTIMATED COSTS, TOTAL FINAL COSTS, REASONING/JUSTIFICATION FOR DIFFERENCES BETWEEN ESTIMATED AND FINAL COSTS, TECHNICAL OBJECTIVES MET, TECHNICAL OBJECTIVES NOT MET, REASONING/JUSTIFICATION FOR OBJECTIVES NOT BEING MET, INVENTORY STATUS AND LIST, AND LESSONS LEARNED.

BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN TEN BUSINESS DAYS.

BLOCKS 10, 12, & 13: 30 DAYS PRIOR TO COMPLETION OF EACH TASK ORDER.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage12of37
1007/183

A013

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0005ATDP_________TM ________Other MGMT
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A013PHASE-OUT TRANSITION PLAN
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-81945PWS PARA 3.1.8ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDONE TIME45 DPT EOCb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AN/ARegRepro
16. REMARKSSEE BLK 16111
BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE BUSINESS DAYS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage13of37
1007/183

A014

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0006, 0007, 0008, 0009, 0010ATDP_________TM ________Other MGMT
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A014MANAGEMENT PLANCONFIGURATION MANAGEMENT PLAN
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-80004APWS PARA 3.3.2.2.1ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQ14 DATOb. COPIES
E
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSSEE BLK 16111
BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE BUSINESS DAYS.

BLOCK 12: 14 DAYS AFTER TASK ORDER START

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage14of37
1007/183

A015

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010ATDP_________TM ________Other SAFT
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A015SAFETY ASSESSMENT REPORT (SAR)
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SAFT-80102CPWS PARA 3.3.2.4.8, 3.3.6.3.5, 3.3.6.5.4ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDBLK 16BLK 16b. COPIES
E
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ABLK 16RegRepro
16. REMARKSSEE BLK 16111
BLOCK 4: SHALL IDENTIFY ALL SAFETY FEATURES OF SYSTEM HARDWARE AND SOFTWARE DESIGN, SPECIFIC CONTROLS TO FOLLOW AND VERIFICATION OF COMPLIANCE TO SYSTEM SAFETY REQUIREMENTS

BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE BUSINESS DAYS.

BLOCKS 10, 12 & 13. SUBMITTAL SHALL BE 30 DAYS PRIOR TO TEST OR OPERATION OF THE AIRCRAFT AND MISSION SYSTEMS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage15of37
1007/183

A016

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0005ATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A016TRIP/TRAVEL REPORT
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-81943PWS PARA 3.1.5.1.5ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
LTREQUIREDASREQBLK 16b. COPIES
E
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/AN/AN/ARegRepro
16. REMARKSSEE BLK 16111
BLOCK 7: LETTER OF TRANSMITTAL ONLY.

BLOCK 12: REQUIRED 7 BUSINESS DAYS AFTER COMPLETION OF TRAVEL

MUST INCLUDE THE FOLLOWING: ACTUAL COST, JUSTIFICATION FOR OVERAGES, TECH OBJECTIVES MET, TECH OBJECTIVES NOT MET AND REASONING, LESSONS LEARNED, AND FOLLOW-ON RECOMMENDATIONS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage16of37
1007/183

A017

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0006, 0007, 0008, 0009, 0010ATDP_________TM ________Other ADMN
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A017REPORT, RECORD OF MEETING/MINUTES
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-ADMN-81505PWS PARA 3.3.3.4.1ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
XXREQUIREDASREQ7 DAYS AFTER MEETINGb. COPIES
C
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSSEE BLK 16111
BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE BUSINESS DAYS.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage17of37
1007/183

A018

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. EXHIBITC. CATEGORY:
0001, 0002, 0003, 0004, 0005ATDP_________TM ________Other MGMT
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
ASIDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A018MANAGEMENT PLAN
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-80004APWS PARA 3.1.3.2, 3.3.6.3.23ASID
7. DD 250 REQ9.DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
LTREQUIREDASREQ30 DACb. COPIES
E
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/A30 DATORegRepro
16. REMARKSSEE BLK 16111
BLOCK 7: ACCEPTANCE WILL BE BY THE COR VIA THE DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM (ATTACHMENT 3). IF THIS FORM HAS NOT BEEN TRANSMITTED WITHIN 30 DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED. CONTRACRTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN TEN BUSINESS DAYS.

BLOCK 13: 30 DAYS AFTER TASK ORDER START

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO ASID CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
Dana Tippett5/15/18Kevin Holland10/9/18
DD Form 1423-1, JUN 90Previous editions are obsoletePage18of37
1007/183

A019 - Reserved

CONTRACTS DATA REQUIREMENTS LISTForm 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 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 Highway,

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