SOL_Attach_5_CDRL_A001 - A014.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

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 Department of Defense, Executive Services Directorate (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 collection 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 X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Government Property (GP) Inventory Report

3. SUBTITLE

Annual Government Property Physical Inventory Report

4. AUTHORITY

DI-MGMT-80441D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ANNLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

NOTE: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reports shall be submitted in the English Language.

2. Blocks 10, 11, 12, 13:

a. This report will be provided annually. Reporting Period is one year.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. (1 December 2022) Other requests for this document shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App.

2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

4. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

josh.odell@us.af.mil

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

Page 1 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

PREVIOUS EDITION MAY BE USED.

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Report of Shipping (Item) and Packaging Discrepancy

3. SUBTITLE

SF-364 (ROD)

4. AUTHORITY

DI-MGMT-80503

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

As Required

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Contractor will use WEBSDR to submit an electronic SF-364 (Standard Form) IAW TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, nonreceipt, damage, and/or improperly packaged shipment. If the contractor submits a SF-364, Block 12 of the SF-364 must contain the following information for the missing items:

1.) NSN

2.) Part Number 3.) Nomenclature 4.) Quantity missing 5.) Price for part replacement to include all administrative and labor costs.

Additionally, all tags that accompanied the component, (i.e., shipping labels, repairable tags, and condition tags will be scanned and attached to the ROD request.

DCMA/QAR and/or Plant Clearance Officer must validate the discrepancy upon unpacking of the component.

SDR/ROD must be submitted to the PCO/PMS within unpacking 48 hours of inventory receipt/induction.

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, Critical Technology. Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, OK. (1 October 2024)

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

BLOCK 11: Within 5 working days of discovery of discrepancy.

BLOCK 14: E-mail copies to addressees per attached Distribution Matrix. Report of Discrepancy shall be submitted to the material originator.

Note: It is permissible to submit paper SF 364s until access to WEBSDR is attained.

josh.odell@us.af.mil

421 SCMS/GUMF

3001 Staff Drive, Annex 4, Tinker Air Force Base, Oklahoma 73145

Attention: Josh P. Odell

0 1 0

0 1 015. TOTAL

Page 2 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

FOB DESTINATION

COORDINATORS:

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Production Surge Plan

3. SUBTITLE

Capability Analysis Plan (CAP)

4. AUTHORITY

DI-MGMT-80969

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

In the event that the DoD experiences an unplanned spike or sudden increase in demand, due to major theater warfare or a national emergency (also known as surge, reference DFARs 217.208-70 and DFARs 252.217.7001), and invokes surge: The Contractor is willing to work to meet and sustain this demand for quantity levels above and beyond normal peacetime requirements.

Block 9: Approved for Unlimited Public and Foreign Distribution. Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

Block 10, 11, 12, 13: The Capability Analysis Plan (CAP) shall be prepared IAW DI-MGMT-80969 and shall be submitted 30 days after the contract award.

This Plan shall include a delivery schedule showing the maximum sustainable rate of delivery for items in this contract.

This delivery schedule shall provide acceleration by month up to the maximum sustainable rate of delivery achievable within the Contractor's existing facilities, equipment, and subcontracting structure. This Plan will address the surge capacity possible at no increase to the contract prices as well as the surge capacity possible at an additional cost. Based on this Plan, a mutually agreed to increase the quantity of supplies or services called for under this contract by no more than x % percent; and the accelerate the rate of delivery may be established for this contract, at a price or cost established after contract award or to be established by negotiation.

COORDINATORS:

421 SCMS/GUMF

3001 Staff Drive

Tinker Air Force Base, Oklahoma 73145

Attention: Josh P. Odell

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

Page 3 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV AF)/Government Furnished Material Report

3. SUBTITLE

GFM End Item Reporting

4. AUTHORITY

DI-MGMT-81634C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

SEE BLK 16 FOR REFERENCE

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 5: Contract Reference: PWS and CAV AF Reporting Requirements Document

2. Block 4: All reporting shall be submitted in the English Language. The contractor shall report End Item and Government Furnished Materiel (GFM) transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or Appendix B. This information will be accessed by the 421 SCMS/GUMF Lead Supply Planner and by 428 SCMS/GULA in order to ascertain production status and GFM inventories.

2. The contractor shall turn-in unserviceable (reparable ERRC code T) GFM associated to the issue of serviceable GFM to the repair line in a timely manner.

3. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 10.1.0 or higher and/or Appendix B. The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

4. Training will be provided by the Contract Depot Maintenance office at Tinker AFB.

5. This DD Form 1423-1 applies to Government Furnished Materiel (GFM) type contracts.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs. of a supply or maintenance action occurrence IAW Contractor Users Guide and/or Appendix B.

b. The method of communication from the contractor to Tinker AFB will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide and/or Appendix B.

Block 11: Data shall be current within 24 hours of last End Item maintenance or GFM supply occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide and/or Appendix B.

Block 13: Same as remarks regarding Block 10 above.

3. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

4. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil, using DODAAC FA8251. MARK FOR: Address in block 14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address: josh.odell@us.af.mil

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

Page 4 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV AF)/Government Furnished Material Report

3. SUBTITLE

GFM End Item Reporting

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

SEE BLK 16 FOR REFERENCE

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 5: Contract Reference: PWS and CAV AF Reporting Requirements Document

2. Block 4: All reporting shall be submitted in the English Language. The contractor shall report End Item and Government Furnished Materiel (GFM) transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or Appendix B. This information will be accessed by the 421 SCMS/GUMF Lead Supply Planner and by 428 SCMS/GULA in order to ascertain production status and GFM inventories.

2. The contractor shall turn-in unserviceable (reparable ERRC code T) GFM associated to the issue of serviceable GFM to the repair line in a timely manner.

3. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 10.1.0 or higher and/or Appendix B. The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF. Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

4. Training will be provided by the Contract Depot Maintenance office at Tinker AFB.

5. This DD Form 1423-1 applies to Government Furnished Materiel (GFM) type contracts.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs. of a supply or maintenance action occurrence IAW Contractor Users Guide and/or Appendix B.

b. The method of communication from the contractor to Tinker AFB will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide and/or Appendix B.

Block 11: Data shall be current within 24 hours of last End Item maintenance or GFM supply occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide and/or Appendix B.

Block 13: Same as remarks regarding Block 10 above.

3. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

4. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil, using DODAAC FA8251. MARK FOR: Address in block

See Block 16 0 1 0

0 1 015. TOTAL

Page 5 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address: josh.odell@us.af.mil

COORDINATORS:

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Contract Government Furnished Material (GFM) Monthly Requisition and Inventory Repor

3. SUBTITLE

Requisition and Inventory Report

4. AUTHORITY

DI-MGMT-82128A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

NOTE: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: All reporting shall be in the English Language.

2. Blocks 10, 11, 12, 13:

a. Data shall be current as of the last date of the reporting period (end of the month).

b. The first report shall be submitted no later than five (5) business days after the close of the first reporting period (previous month's last calendar date).

c. Subsequent reports shall be submitted no later than five (5) business days of the close of the reporting period (previous month's last calendar date).

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. (1 January 2024) Other requests for this document shall be referred to 848 SCMG/EN Tinker Air Force Base, Oklahoma.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

See Block 16 0 1 0

0 1 015. TOTAL

Page 6 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

4. Block 7, 14: Submit the Requisition and Inventory Reports to the following email address: josh.odell@us.af.mil

COORDINATORS:

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Test Report

4. AUTHORITY

DI-NDTI-80809B/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LPSEB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

Block 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is 848 SCMG/EN, Tinker Air Force Base, Oklahoma. (1 January 2023)

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

Report:

Ref Block 10 - As Required Ref Block 12 - 5 Days After Test Completed

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DI-NDTI-80809B/T is tailored as follows:

Title Changed to: "TEST REPORT" Change Para 3.1 to read: The test report is used to document test results, findings and analyses that will enable the government or contracting agency to evaluate compliance with system requirements and performance objectives.

Delete Para 7.2 & 7.3 Add to Para 10.1 Title: Format/Content. Electronic Submission is acceptable.

Para 10.2, 10.2.1, 10.2.2, 10.2.3, 10.2.3.1, Delete entirely.

Para 10.2.3.2 First Sentence, delete "inspected" Para 10.2.3.2 Delete sub-paragraphs d, f & g.

Para 10.2.3.3, 10.2.4 Delete all instances of the word "inspection" in both paragraphs.

Para 10.2.5 Delete all instances of the word "inspection" in the paragraph and delete sub-paragraph "d."

Para 10.2.6 through 10.2.8 are deleted entirely.

Ref Block 14 - Distribution e-mail Test Report to Patrick CdeBaca, Engineer at:

patrick.cdebaca@us.af.mil

AFLCMC/LPSEB

Attn: Patrick CdeBaca 3001 Staff Drive

AFLCMC/LPSEB (See Block 16)

0 1 0

0 1 015. TOTAL

Page 7 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

Tinker AFB, OK 73145 Telephone: (405) 734-5340

Zilar, Dale NNAME: 30 JAN 2023DATE:

NSN: 6150-01-161-7564HS

P/N: 737944B

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

Block 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is 848 SCMG/EN, Tinker Air Force Base, Oklahoma. (1 January 2023)

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

Report:

Ref Block 10 - As Required Ref Block 12 - 5 Days After Test Completed

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DI-NDTI-80809B/T is tailored as follows:

Title Changed to: "TEST REPORT" Change Para 3.1 to read: The test report is used to document test results, findings and analyses that will enable the government or contracting agency to evaluate compliance with system requirements and performance objectives.

Delete Para 7.2 & 7.3 Add to Para 10.1 Title: Format/Content. Electronic Submission is acceptable.

Para 10.2, 10.2.1, 10.2.2, 10.2.3, 10.2.3.1, Delete entirely.

Para 10.2.3.2 First Sentence, delete "inspected" Para 10.2.3.2 Delete sub-paragraphs d, f & g.

Para 10.2.3.3, 10.2.4 Delete all instances of the word "inspection" in both paragraphs.

Para 10.2.5 Delete all instances of the word "inspection" in the paragraph and delete sub-paragraph "d."

Para 10.2.6 through 10.2.8 are deleted entirely.

Ref Block 14 - Distribution e-mail Test Report to Patrick CdeBaca, Engineer at:

patrick.cdebaca@us.af.mil

AFLCMC/LPSEB

Attn: Patrick CdeBaca 3001 Staff Drive Tinker AFB, OK 73145 Telephone: (405) 734-5340

COORDINATORS:

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

Page 8 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Acquisition and Sustainment Data Package (ASDP) Teardown Deficiency Report

3. SUBTITLE

TDR

4. AUTHORITY

DI-PSSS-81534B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Block 4: DID requirements are tailored as follows: Delete para(s) 10.1.2, 10.1.3.4, 10.1.4.

Contractor's format is acceptable provided all applicable DID requirements are included.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for administrative or operational use. Other requests for this document shall be referred to the AFLCMC Program Office.

Block 9, 11-13: Reports shall be submitted quarterly after contract award. Reports are due by the 20th of each new quarter (i.e. Jan 20th, Apr 20th, Jul 20th, Oct 20th). The first report shall be submitted by the 20th of the next quarter after contract award.

Block 14: Report is to be transmitted electronically and delivered to the AFLCMC Program Office and/or personnel as designated by that office.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

BLOCKS 10, 11, 12, and 13: To be negotiated upon government's request.

josh.odell@us.af.mil

COORDINATORS:

421 SCMS/GUMF

3001 Staff Drive, Annex 4 Tinker Air Force Base, Oklahoma 73145 Attention: Josh P. Odell

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

Page 9 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Acquisition and Sustainment Data Package (ASDP) Deficiency Report (DR)

3. SUBTITLE

ASDP DR

4. AUTHORITY

DI-PSSS-81535B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

As Required

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

Blocks 10, 11, 12, and 13: As defined by T.O. 00-35D-54, submit a report whenever a material or quality deficiency occurs using SF 368 or equivalent.

Changes to office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

josh.odell@us.af.mil

COORDINATORS:

421 SCMS/GUMF

3001 Staff Drive, Annex 4 Tinker Air Force Base, Oklahoma 73145 Attention: Josh P. Odell

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

Page 10 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Monthly Production Report

3. SUBTITLE

CDM Production Monthly Status Report

4. AUTHORITY

DI-PSSS-81995A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

NOTE: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995A) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995A) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

Block 4 & 5 Report will facilitate engine repair management and will allow timely customer response. Referenced DID shall be tailored to provide data as outlined in attachments and include all CLINs on the contract.

a. The Contractor shall format the Production Report per Attachment "CDRL A00E Production Report sample format attach 1 and sample attach 5 (Job Routed)" and contain data as described in Attachment "CDRL A00E Production Report column description attach 2". Attachment 1 contains one page and Attachment 2 contains two pages.

b. The Contractor shall format the Production Constraints tab of the Production Report as described in attachments "CDRL A00E Production Report sample format attach 3" and "CDRL A00E Production Report constraints column description attach 4". Attachment 3

2. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 5 (five) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS).

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report".

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. Other requests for this document shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma. (1 December 2023)

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App.

2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

See Block 16 0 1 0

0 1 015. TOTAL

Page 11 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

c. DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

4. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

josh.odell@us.af.mil

COORDINATORS:

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Technical Order Improvement Report and Reply

3. SUBTITLE

AFTO Form 22

4. AUTHORITY

DI-TMSS-80229D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUMF

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

As Required

12. DATE OF FIRST

SUBMISSION

As Required

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 20 NOV 2024DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

This report shall be submitted IAW TO 00-5-1 using AFTO 22 for Air Force TOs. The contractor shall report when an error or improvement changes the meaning of the instructions or information contained in the technical directives where it may prevent mission performance. Also, this report shall be used by the contractor to indicate omissions of pertinent overhaul procedures in TOs or desired changes to TO date.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, critical technology. (1 October 2024) Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

DESTRUCTION NOTICE : For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

josh.odell@us.af.mil

COORDINATORS:

421 SCMS/GUMF

3001 Staff Drive, Annex 4 Tinker Air Force Base, Oklahoma 73145 Attention: Josh P. Odell

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

Page 12 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

Comprehensive Engine Management System (CEMS) Reporting

3. SUBTITLE

CEMS

4. AUTHORITY

DI-MGMT-81324C

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LPZC CEMS PMO

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 22 NOV 2024DATE:

Block 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is 421st SCMS/GUEA, Tinker Air Force Base, Oklahoma.

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

Blocks: 10, 11, 12, & 13:

Contractor shall provide CEMS reporting for all Engines and/or Parts that have been identified as CEMS serially tracked items.

1. (U.S.) Contractor reporting responsibilities are described in T.O. 00-25-254-1 and update requirements are described in T.O. 00-25-254-2.

(a) CEMS reporting should be accomplished by contractor no later than Close of Business of the next business day following the date/time of the occurrence.

(b) Contractor shall obtain AF Portal and CEMS access. The contractor shall complete the forms required to obtain CEMS access per the New Contractor CEMS Access Process. All forms and instructions are located on the CEMS webpage: https://my.af.mil/gimmsprod/cpmo/.

(c) Once access is granted, the contractor shall update all serially tracked assets whether repaired or new production into

CEMS.

(d) THE PRIME CONTRACTOR IS RESPONSIBLE FOR PROCESSING SECURITY INVESTIGATION

PACKAGES FOR SUBCONTRACTOR PERSONNEL.

2. (Foreign Military Sales) Contractor shall e-mail or fax an AF Form 1534 (CEMS CDB Report), or a spreadsheet with the pertinent data to CEMS.PMO.Helpdesk@us.af.mil for fax to 405-734- 3807. All forms and documents are located on the CEMS web page: https://my.af.mil/gimmsprod/cpmo/.

COORDINATORS:

AFLCMS/LPZC CEMS

Program Management Office

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

Page 13 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

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

TDP TM OTHER X

D. SYSTEM / ITEM

T56 Engine / multiple items

E. CONTRACT / PR NO.

FD20302500579

F. CONTRACTOR

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

421 SCMS/GUEA

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Aduddell, Tonia DNAME: 22 NOV 2024DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, Critical Technology. (1 October 2024) Other requests shall be referred to 421 SCMS/GUEA, Tinker Air Force Base, Oklahoma.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

Destruction Notice for Unclassified Documents: destroyed by any method that will prevent disclosure of contents or reconstruction of the document.

Destruction Notice for Classified Documents: Follow the procedures in DOD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DOD 5220.0 I M, Information Security Program , Vol 3, Protection of Classified Information.

The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 90 calendar days after contract award. (FA8122)

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DID Requirements are NOT tailored.

Delivery CANNOT be deferred.

COORDINATORS:

421 SCMS/GUEA

3001 Staff Drive Tinker Air Force Base, Oklahoma 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Aduddell, Tonia D

421 SCMS / GUMFA

405-739-9568

H. DATE

13 DEC 2024

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Burgess, Justin D

421 SCMS / GUMFA 405-582-9540 / 852-9540

J. DATE

13-DEC-24

Page 14 of 14DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

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 x

T56 FD2030-25-00282

A014 SUPPLY CHAIN RISK MANAGEMENT CFM END ITEM REPORTING

DI-MGMT-82256A SOW 421 SCMS/GUMF

LT

A N/A

SEE BLK 16

SEE BLK 16

See BLK 16

SEE BLK 16

421 SCMS/GUMF 1

3001 STAFF DR.

POST 1AG1 112A

TINKER AFB

OKLAHOMA 73145

0 1 0

NAME: Odell, Josh P DATE: 15 DEC 2025 Note: Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

1. Block 7, 14: The Contractor shall submit a letter of transmittal (LT) and the Supply Chain Risk Management (SCRM) Report Plan via email to the following email address:

kawika.ah_lo@us.af.mil

2. Block 8: For the SCRM Plan and Risk Register, the Government has 15 days to review the preliminary draft. Comments will be provided. Contractor shall incorporate government comments into final document. Acceptance is based on technical content. Final report due 15 days after receipt of Government comments.

3. Block 9: DISTRIBUTION STATEMENT "D." Distribution authorized to Department of Defense and U.S. DoD contractors only (Administrative or Operational Use, 1 October 2024). Other request for this document shall be referred to the Update: 421 SCMS/GUMA, 3001 Staff Drive, Tinker Air Force Base, OK 73145.

EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

Destruction Notice for Unclassified Documents: destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

Destruction Notice for Classified Documents: follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program:

Protection of Classified Information, Enclosure 3, paragraph 17.

4. Blocks 10, 11, 12, 13:

a. SCRM plan:

(i) If creating initial plan for 5-year time period then provide within 90 days of award.

(ii) If a current 5-year plan is available, then provide within 10 business days of the award.

b. Risk Register: Report shall be provided monthly within 10 business days of the previous months last calendar date.

COORDINATORS:

Adobe Professional 7.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 x

T56 FD2030-25-00282

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify…