Exhibit A CDRL A001-A013.pdf

PDF 3 MB Posted Oct 13, 2021

Attached to: Contracted Air Services (CAS)Contracted Air Services (CAS) Hawaiian Operating Area Helicopter Services
Solicitation number: N0042121R0077
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

About this file

Written by GovTribe AI · Dec 31, 2023

This document package includes a Contract Data Requirements List (CDRL) and a notice for a federal contract opportunity.

The CDRL outlines 13 data items required to be delivered under the contract, including airworthiness documentation, flight schedules, progress reports, inventory reports, briefings, and training certificates. Relevant details include delivery frequencies ranging from one-time to quarterly or semi-annually, distribution statements, review timelines, and points of contact.

The federal contract opportunity notice seeks helicopter services for the Pacific Missile Range Facility in Hawaii. Services include training, supply, and personnel support. The single-award ID/IQ contract would have a 4-year, 364-day ordering period. Interested offerors are requested to provide capabilities statements and respond to 16 questions by May 7, 2020. Details cover aircraft types, past performance, cost per flight hour, facility requirements, and small business qualifications. The contracting agency is the Naval Air Systems Command.

View the file

Other files

File	Type	Posted
Attachment 1 Performance Work Statement (PWS)_Amend0001.pdf	PDF	Nov 23, 2021
N0042121R0077_QandA_111821.pdf	PDF	Nov 18, 2021
L-7 Vol 4 Price_Att_V2.xlsx	XLSX spreadsheet	Nov 4, 2021
L-2 Vol2 T-1 CRM_V2.xlsx	XLSX spreadsheet	Nov 4, 2021
N0042121R007700002_Conformed.pdf	PDF	Nov 4, 2021
N0042121R0077_QandA_110421.pdf	PDF	Nov 4, 2021
N0042121R007700002_Amendment.pdf	PDF	Nov 4, 2021
N0042121R00770001_Amendment.pdf	PDF	Oct 28, 2021
Attachment 1 Performance Work Statement (PWS).pdf	PDF	Oct 28, 2021
N0042121R00770001_Conformed.pdf	PDF	Oct 28, 2021
N0042121R0077_QandA_102721.pdf	PDF	Oct 28, 2021
Industry Day Attendee List sam.gov.pdf	PDF	Oct 27, 2021
L-7 Vol 4 Price_Att.xlsx	XLSX spreadsheet	Oct 26, 2021
L-6 Airworthiness Checklist V2 Final.pdf	PDF	Oct 26, 2021
L-1 Vol 1 ES Tables_Final.xlsx	XLSX spreadsheet	Oct 26, 2021
L-4 Vol 3 PP1 PP Cont Data_Final.xlsx	XLSX spreadsheet	Oct 26, 2021
L-3 Vol 3 PPQ_Final.rtf	RTF text file	Oct 26, 2021
L-2 Vol2 T-1 CRM_Final.xlsx	XLSX spreadsheet	Oct 26, 2021
Attachment 3 Quality Assurance Surveillance Plan.pdf	PDF	Oct 13, 2021
N0042121R0077_101321.pdf	PDF	Oct 13, 2021
Attachment 2 DD254.pdf	PDF	Oct 13, 2021
Attachment 1 Performance Work Statement (PWS).pdf	PDF	Oct 13, 2021
Government Flight Representative (GFR) and Continued Airworthiness.pdf	PDF	Jul 6, 2021
2021.05.18 PMA-226CAS_PMRF.HelicopterIndustryDayV5.pdf	PDF	Jul 6, 2021
AirworthinessBrief N0042121R0077 Industry Day.pdf	PDF	Jul 6, 2021
N0042121R0077 Q and A.pdf	PDF	Jun 22, 2021
N0042121R0077 PWS.pdf	PDF	May 4, 2021
N0042121R0077 Draft Sections.pdf	PDF	May 4, 2021
N00421-20-R-0142 CAS PMRF Helicopter Services PBWS Draft.pdf	PDF	Apr 7, 2020

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A SAFT

CAS PMRF Helos N00421-21-R-0077 TBD

A001 Airworthiness and Related Substantiation Data

DI-SAFT-81905A (See Block 16) (Block 16) PMA-226

N/A D (Block 16)

(Block 16)

N/A

(Block 16)

PMA-226 1

(See Block 16)

0 1 0

Block 4: Copy of Federal Aviation Administration (FAA) certificate, Civil Air Landing Permits (CALP), and all other related airworthiness substantiation information data.

Block 5: PWS paragraphs 3.2, 3.3.1, 3.3.1.1, 3.3.1.2, 3.3.1.3, 3.3.2.2, 3.3.2.3, 3.3.3, 3.3.3.1, 3.5.3.3, 3.5.6, 8.0

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Block 10: The contractor shall submit all updates/changes to the procedures for approval as specified in the PWS paragraphs referenced herein.

Blocks 12/13: Initial submission is required for all aircraft supporting this contract with subsequent submissions required for any aircraft added to the contract or for any changes to the aircraft configuration, FAA certificate status, minimum essential equipment, or flight manual operating limitations and procedures. The Government may submit comments/ concerns to the Contractor. The Contractor has 30 calendar days to submit the revised deliverable for government disposition, and any subsequent rounds of review and revisions shall follow the same time line.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

3 Mar 2021

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A SAFT

CAS PMRF Helos N00421-21-R-0077 TBD

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2 2

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

A MGMT

N00421-2 - -0

A002 Management Plan Standard Operating Procedures

DI-MGMT-80004A (See Block 16) PWS Para 3. .3, 8.0 PMA-226

N/A D (Block 16)

(Block 16)

N/A

(Block 16)

PMA-226 1

(See Block 16)

0 1 0

16. REMARKS

Block 4: Contractor Format is acceptable.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; . Other requests for this information shall be referred to PMA-226.

Block 10/13: The Contractor shall submit all updates/changes to the Management Plan for approval as required. The Government may submit comments/concerns to the Contractor. The Contractor has 30 days to submit the revised deliverable for government disposition, and any subsequent rounds of review and revisions shall follow the same time line.

Block 12: The Contractor shall submit the initial deliverable 30 days contract award. The Government may submit comments/concerns to the Contractor. The Contractor has 30 days to submit the revised deliverable for government disposition, and any subsequent rounds of review and revisions shall follow the same time line.

Block 14: Distribution by electronic mail to:

PMA-226@navy.mil

1 2 Adobe Professional 7.0

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16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

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PREVIOUS EDITION MAY BE USED.

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

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

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

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

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14. DISTRIBUTION

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b. COPIES

Draft Final

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15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY I. APPROVED BY J. DATE

Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

A003 NAVAIR Operations Security (OPSEC) Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81999A (See Block 16) PWS Paragraphs 7.10 and 8.0 PMA-226

A (Block 16) D (Block 16)

(Block 16)

N/A

(Block 16)

PMA-226 1

(See Block 16)

0 1 0

16. REMARKS

Block 4: The term "sensitive information" means any information to which the loss, misuse, or unauthorized access to or modification could adversely affect the national interest or the conduct of Federal programs, or the privacy to which individuals are entitled under section 552A of Title 5 (The Privacy Act), but which has not been specifically authorized under criteria established by an Executive Order or an Act of Congress to be kept secret in the interest of national defense or foreign policy. Also use National Security Decision Directive (NSDD) 298 for the concept of Operations Security. See SECNAVINST 5510.36 Chapter 8 for Guidance.

Blocks 8/12: The Contractor must submit the draft OPSEC Plan (initial deliverable) 90 calendar days after contract award. A final OPSEC Plan is due 45 calendar days from the date that the draft OPSEC Plan is approved in accordance with DD 254 Block 13 - 11(j).

Block 9: Distribution authorized to Department of Defense and US DoD contractors only; administrative and operational use; 15 April 2021.

Other requests for this information shall be referred to PMA-226.

Blocks 10/13: The Contractor shall submit revisions as required throughout the life of the contract as required to ensure the protection of critical program information.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

1 2 Adobe Professional 7.0

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

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16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

2 2

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(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A MISC

CAS PMRF Helos N00421-21-R-0077 TBD

A004 Fuel Chit Report Fuel Tracking Report and Receipts

DI-MISC-81461 (See Block 16) PWS Paragraphs 3.5.2 and 8.0 PMA-226

N/A D (Block 16)

Every 14 Days

(Block 16)

PMA-226 1

CAS Fuel Manager 1 See Block 16

0 2 0

Block 4: Excel template to be provided by PMA-226. Fill in all columns except those in blue text which are to be completed by the CAS Fuel Manager. Contractor shall also provide fuel receipts / chits in Adobe Acrobat format.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Blocks 11/12: First submission within 14 calendar days of first fuel purchase using Government-furnished Fuel Card(s).

Block 13: Subsequent submittals to be delivered every 14 calendar days.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

2. CAS Fuel Manager: Linda Barrett, lindabarrett@teklaresearch.com

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

3 Mar 2021

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MISC

CAS PMRF Helos N00421-21-R-0077 TBD

I I

CDRL A004 Fuel Chit Report Template

Date of Services

Flight Log # Event # Tail # Airport ID Fueling Location Fuel Added (Gallons)

Air time (in FH)

NON

CHARGEABLE

TO USG Ticket # DOC ID SERVICES Invoice Billed Against Notes RECEIVED

Example

08/25/20 123456 2020‐643‐1 NXXXXX PHBK Barking Sands 150 31 119 C053125 Filled out by Fuel Manager

TO651‐PAX‐0010

Filled out by Fuel

Manager

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

A005 Contractor's Progress, Status and Management Report Monthly Status Report

DI-MGMT-81904 (See Block 16) PWS Paragraphs 3.5.4, 4.1, 8.0 PMA-226

N/A D (Block 16)

Monthly

N/A

(Block 16)

PMA-226 1

See Block 16

0 1 0

Block 4: Contractor format is acceptable, electronic submission is preferred.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Block 12: Contractor shall submit report 10 calendar days after the first full month after contract award.

Block 13: The contractor shall submit the deliverables on the 10th of each month.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

3 Mar 2021

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16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

I I

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

A006 Government Furnished Property Inventory and Forecasting Report

Government Furnished Property (GFP) Inventory Report

DI-MGMT-81947B (See Block 16) PWS Paragraphs 5.0, 5.1, 8.0 PMA-226

(Block 16) C (Block 16)

(Block 16)

N/A

(Block 16)

PMA-226 1

GFP Manager 1 See Block 16

0 2 0

Block 4: Government format will be provided.

Block 8: Government has 10 working days for review and acceptance or rejection.

Contractor has 10 working days to resubmit deliverable for acceptance with comments or rejection.

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors; administrative or operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Block 10: The Contractor shall submit the deliverable semi-annually (March and September) each contract year. Government and Contractor will conduct physical annual inventory. Data deliverables are not proprietary and shall not be marked proprietary.

Block 12: First submission to be delivered 30 calendar days after contract award. The Government has 30 working days to review and approve. The Contractor has 30 working days to incorporate comments and provide the final deliverable.

Block 13: Subsequent submissions semi-annually (March and September) each contract year and additionally upon request. Government and Contractor will conduct physical annual inventory.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

2. Government Furnished Property (GFP) Manager: Bradley Cornell, bradley.s.cornell.civ@us.navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

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(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A SAFT

CAS PMRF Helos N00421-21-R-0077 TBD

A007 Airworthiness and Related Substantiation Data Contractor's PAO Flight Schedule

DI-SAFT-81905A (See Block 16) PWS Paragraphs 3.4, 8.0 PMA-226

N/A D (Block 16)

(Block 16)

N/A

(Block 16)

PMA-226 1

GFR 1

(See Block 16)

0 2 0

Block 4: Contractor format is acceptable, subject to COR approval; electronic submission is required. Copy of draft or final flight schedule of planned Public Aircraft Operations (PAO) flights from the contractor for the next day, pursuant to the requirements of DCMA INST 8210.1C Change 1.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Block 10: Pursuant to the requirements of DCMA INST 8210.1C Change 1 before any Contracted PAO flights.

Blocks 12/13: Submissions are required prior to any PAO flights.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

2. Government Flight Representative (GFR): Dennis Pratt, dennis.r.pratte.civ@us.navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers, and the following details shall be included:

Aircraft Type/N Number:

City pairs:

Pilots (flight crew):

Non-flight crew:

Call signs:

Mission for that flight:

PAO/Civil Aircraft Operations (CAO):

Note: each person on board the aircraft must be approved by the GFR prior to being added to the schedule. Also, there is no need to update schedule for departure delays unless a flight departs next business day based on Universal Time Coordinated (UTC) time.

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TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A SAFT

CAS PMRF Helos N00421-21-R-0077 TBD

I I

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A MISC

CAS PMRF Helos N00421-21-R-0077 TBD

A008 Integrated Master Schedule (IMS)

DI-MISC-81183A (See Block 16) PWS Para 3.1.4, 8.0 PMA-226

A (Block 16) D (Block 16)

BI-WE

N/A

(Block 16)

PMA-226 1

(See Block 16)

0 1 0

Block 4: MS Project file.mpp format is required.

Block 8: The Government will have 15 calendar days for review and acceptance/rejection.

Contractor will have 10 working days to make changes based on rejection comments and resubmit.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Block 12: First submission to be delivered 5 calendar days after Stand-Up Task Order award.

Block 13: The Contractor shall immediately submit proposed revision for Government acceptance/rejection if the contractor identifies any change to the previously accepted IMS.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

3 Mar 2021

1 2 Adobe Professional 8.0 r

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MISC

CAS PMRF Helos N00421-21-R-0077 TBD

2 2

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

A009 Contractor's Progress, Status and Management Report Cost and Usage Report

DI-MGMT-81904 (See Block 16) PWS Paragraphs 3.5.10 and 8.0 PMA-226

N/A D (Block 16)

Quarterly

N/A

(Block 16)

PMA-226 1

(See Block 16)

0 1 0

Block 4: Excel template to be provided by PMA-226.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Blocks 12/13: After contract award, the contractor shall submit report 10 calendar days after the end of each Government quarter (and 10 calendar days after the final day of performance under the contract for the final, partial quarter):

1st Qtr – Oct - Dec 2nd Qtr – Jan - Mar 3rd Qtr – Apr - Jun 4th Qtr – Jul - Sep

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

I I

CDRL A009 Cost Usage Report Template

Please provide the following information for all commercial air carriers your agency uses. List all air carriers even if there was no usage this period.

NAME

AIR CARRIER

CONTRACT NUMBER Number of DOD

Missions

Number of

DOD

Passengers (Military & Civilians

Only)

NO CONTRACTORS

Total Weight in lbs (cargo/ bags/mail) Type of

Mission*

Total Cost of DOD

Missions

"T" = Passenger Transportation "O" = Operational Support Missions; i.e., aerial photography, aerial reconnaissance, etc.

Please provide the following information:

NAME:__________________________________________

EMAIL ADDRESS:________________________________

OFFICE:_________________________________________

PHONE:_________________________________________

Please return report by email to:

scott.lockwood.2 @us.af.mil

Report DOD personnel only (mil/civ) and do not report contractor totals.

Specifically excluded are contractors, foreign host nationals and third country civilians.

Only report DOD personnel directly hired and paid from appropriated or non-appropriated funds, under perm or temp appt.

JP 1-0 - individuals required in either a military or civilian capacity to accomplish the assigned mission.

If you have any questions, please contact Mr. Scott Lockwood at (618) 229-2068.

* Type of Mission Explanations:

DOD COMMERCIAL AIR CARRIER COST & USAGE REPORT

FOR THE PERIOD ______________ TO _______________

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

A010 Contractor Roster

DI-MGMT-81596 (See Block 16) PWS Paragraphs 3.7 and 8.0 PMA-226

N/A D (Block 16)

(Block 16)

N/A

(Block 16)

COR 1

Alternate COR 1 CAS FRS IPT Lead 1 See Block 16

0 3 0

Block 4: Contractor Format is acceptable. For all prime and subcontractor personnel assigned to the contract. Do NOT include social security numbers or places and dates of birth. In addition to Clearance Status, where applicable include the expiration dates of Contractor Access Cards (CAC) held as well as the 10-digit Electronic Data Interchange Personal Identifier (EDIPI) number located on the back side of the CAC.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Blocks 10/13: The Contractor shall submit all updates/changes to the Contractor Roster within 10 calendar days following changes to any of the contents of the Roster.

Blocks 12: The Contractor shall submit the initial deliverable within 30 calendar days after contract award.

Block 14: Distribution by electronic mail to:

1. COR, email address obtained from the Contract Section G Clause 5252.201-9501

DESIGNATION OF CONTRACTING OFFICER'S REPRESENTATIVE (COR)

(NAVAIR)

2. Alt COR, email address obtained from the Contract Section G Clause 5252.201-9501

3. CAS Fleet Range Support (FRS) IPT Lead: Rhonda Link, rhonda.k.link.civ@us.navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

I I

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

A011 Briefing Material Post-Award Conference (PAC) Brief

DI-MGMT-81605 (See Block 16) PWS Paragraphs 3.5.1.1 and 8.0 PMA-226

N/A D (Block 16)

ONE/R (Block 16)

N/A

(Block 16)

N/A

PMA-226 1

PCO and CS 2 (See Block 16)

0 3 0

Block 4: Copy of PAC Briefing materials and supporting documentation.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Blocks 10/12: The contractor shall submit draft briefing materials 10 calendar days after contract award. The Government will provide any questions or suggestions for revisions 10 calendar days after receipt. The contractor shall submit final briefing materials 2 working days prior to the PAC.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

2. Procuring Contracting Officer (PCO) and Contract Specialist (CS) as listed in Section A of the contract.

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

I I

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

A012 Briefing Material Program Management Reviews (PMR) Brief

DI-MGMT-81605 (See Block 16) PWS Paragraphs 3.5.1.2 and 8.0 PMA-226

N/A D (Block 16)

SEMIA (Block 16)

N/A

(Block 16)

PMA-226 1

(See Block 16)

0 1 0

Block 4: Copy of PMR Briefing materials and supporting documentation.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Blocks 10/12/13: The contractor shall submit draft briefing materials 30 calendar days prior to each PMR, which occur semi-annually. The Government will provide any questions or suggestions for revisions 10 calendar days after receipt. The contractor shall submit final briefing materials 2 working days prior to the PMR.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

3 Mar 2021

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A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A MGMT

CAS PMRF Helos N00421-21-R-0077 TBD

I I

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0007 A PSSS

CAS PMRF Helos N00421-21-R-0077 TBD

A013 Course Conduct Information Package Fuel / AIR Card SOU and Training Certificates

DI-PSSS-81522D (See Block 16) PWS Paragraphs 3.5.2.1 and 8.0 PMA-226

N/A D (Block 16)

ASGEN (Block 16)

N/A

(Block 16)

PMA-226 1

See Block 16

0 1 0

Block 4: Data Item Description (DID) content / requirements are limited to the submission of Fuel / AIR Card Statement of Understanding (SOU) and training certificate of completion only.

Block 9: Distribution authorized to Department of Defense and US DoD contractors only;

administrative and operational use; 01 March 2021. Other requests for this information shall be referred to PMA-226.

Blocks 10/12/13: As designated contractor employees complete fuel / AIR card training, refresher training, and SOUs, the contractor shall submit Fuel / AIR card initial and refresher training certificates of completion and signed Card User SOUs 5 working days after completion.

Block 14: Distribution by electronic mail to:

1. PMA-226@navy.mil

At a minimum, the subject line of the submission email shall contain the contract and CDRL numbers.

3 Mar 2021

Adobe Professional 7.0

Directorate collection

PREPARED BY

<},~D~4r -4£ ~"'""• 4 A ........ v .. ~r-n ..,.,..,.. 1 2

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

0007 A PSSS

CAS PMRF Helos N00421-21-R-0077 TBD

I I

Exhibit A CDRL A004 Fuel Chit Report Template_03.01.21.pdf

data

Exhibit A CDRL A004 Fuel Chit Report Template_03.01.21.pdf

data

Exhibit A CDRL A009 Cost Usage Report Template_03.01.21.pdf

Sheet1

File details come from the government source that posted it. Updated Oct 13, 2021.