Exhibit A - CDRL List.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

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

TDP TM OTHER X

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

Flight Data Recorder (FDR) and Interconnecting Box (ICB)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Status Report

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

PWS 1.3.2.1

6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80368A AMEL-LCE-TC INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION IN

LT MONTHLY 30 DAC b. COPIES SECT. B

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

Reg Repro

16. REMARKS:

BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 1.3.2.1.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement BLK 8: The Government requires 30 days to review and provide comments. The contractor has 15 days to incorporate Government comments and resubmit the report, if needed.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award).

Other requests for this document shall be referred to the contracting officer.

BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

SPRBL1

ACO

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

AMSEL-LCL-EIE*

* 1 COPY VECP ONLY.

15. TOTAL 7

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

Kelli Scott, Engineer

FCDD-ISP-AB

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt Chief, Avionics Sustainment Branch DEVCOM, C5ISR Center, ESI

SPRBL1-21-Q-0033

Form Approved OMB No. 0704-0188

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

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

TDP TM OTHER X

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

Flight Data Recorder (FDR) and Interconnecting Box (ICB)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

B001 Notice of Revision (NOR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-80642E SOW 7.2, 7.3; PWS

3.1.5.4

FCDD-ISP-AB INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION IN

LT ASREQ

b. COPIES

SECT. B

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg

Repro

16. REMARKS:

BLK 4: Format shall be in accordance with this Data Item Description, PWS para. 3.1.5.4 and SOW 7.2, 7.3.

BLK 4: Format shall be in accordance with paragraph 2 of this Data Item Description when a change to a contractual baseline document is deemed necessary. Data delivery description for content of NOR (via DD Form 1692) shall be in accordance with EIA-649-1 and EIA-649.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this s the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 days of receipt, Government engineer through the Government contracting officer will respond with notice of approval/disapproval and/or comments. If disapproved, Government engineer response through he Government contracting officer will include instruction for remediation. Contractor shall incorporate changes nto the electronic deliverable within 15 days after receipt of Government comments. The Government will have 30 days to review, accept, and/or comment on the final submission. Notification of approval of the proposed NOR shall be by signed contract modification.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies Administrative/Operational Use)(Date of Contract Award). Other requests for this document shall be referred to he Contracting Officer.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE--Destroy by any method that will prevent disclosure of contents or reconstruction of he document.

BLK 14: All deliveries shall be in digital format. All digital files shall be submitted both by electronic submission, e.g., e-mail, FTP, etc., as arranged with the requiring office, and also by CD ROM readable by computers running Microsoft Office 7 and 10 suite of applications (MS Word, MS Excel, MS PowerPoint, and MS Project, etc.). If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission. Refer to contract for e-mail address of the contracting officer. Alternative delivery media may be discussed with the Contracting Officer prior to delivery. DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

SPRBL1

ACO

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

AMSEL-LCL-EIE*

* 1 COPY VECP ONLY.

15. TOTAL 7

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

Kelli Scott, Engineer

FCDD-ISP-AB

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt Chief, Avionics Sustainment Branch

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

C001 Engineering Change Proposal (ECP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-80639E SOW 7.7; PWS 3.1.5.5 FCDD-ISP-AB INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description, PWS para. 3.1.5.3.1 and SOW 7.7.

BLK 4: Format shall be in accordance with paragraph 2 of this Data Item Description when a change to a contractual baseline document is deemed necessary. Data delivery description for content of ECP (via DD Form 1692) shall be n accordance with EIA-649-1 and EIA-649.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data tem submittals with this requirement.

BLK 8: Within 30 days of receipt, Government engineer through the Government contracting officer will respond with notice of approval/disapproval and/or comments. If disapproved, Government engineer response through the Government contracting officer will include instruction for remediation. Contractor shall incorporate changes into the electronic deliverable within 15 days after receipt of Government comments. The Government will have 30 days to review, accept, and/or comment on the final submission. Notification of approval of the proposed ECP shall be by signed contract modification.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use)(Date of Contract Award). Other requests for this document shall be referred to the Contracting Officer.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE--Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 14: All deliveries shall be in digital format. All digital files shall be submitted both by electronic submission, e.g., e-mail, FTP, etc., as arranged with the requiring office, and also by CD ROM readable by computers running Microsoft Office 7 and 10 suite of applications (MS Word, MS Excel, MS PowerPoint, and MS Project, etc.). If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission. Refer to contract for e-mail address of the contracting officer. Alternative delivery media may be discussed with the Contracting Officer prior to delivery. DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

Kelli Scott, Engineer

FCDD-ISP-AB

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt

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

D001 Obsolescence Alert Notice

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-81941 SOW 8.9; PWS 3.9.8 FCDD-ISP-AB INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description, PWS para.

3.9.8 and SOW 8.9.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: The Government requires 30 days to review and provide comments. The contractor has 15 days to incorporate Government comments and resubmit the notice, if required.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.

BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

Kelli Scott, Engineer

FCDD-ISP-AB

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt

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

Flight Data Recorder (FDR) and Interconnecting Box (ICB)

E001 Diminishing Manufacturing Sources and Material Shortages (DMSMS) Management Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-81948 SOW 8.4; PWS 3.9.3 FCDD-ISP-AB INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description, PWS para. 3.9.3 and

SOW 8.4.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 45 days of known obsolescence issue, contractor will submit a draft Diminishing Manufacturing Sources and Material Shortages (DMSMS) Management Plan.

Within 60 days of receipt and through the Government contracting officer, the Government engineer will respond with notice of review and/or comments. If comments are required, contractor shall respond within 30 days after receipt of Government comments. The Government will have 30 days to review, accept, and/or comment on the final submission.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use)(Date of Contract Award). Other requests for this document shall be referred to the Contracting Officer.

BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

\If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt

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

F001 Bill of Materials (BOM) for Logistics and Supply Chain Risk Management

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-PSSS-81856B PWS 3.9.5 FCDD-ISP-AB INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

LT ASREG

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 3.9.5.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement BLK 8: If applicable, the Government requires 30 days to review and provide comments. The contractor has 15 days to incorporate Government comments and resubmit the report, if required.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award).

Other requests for this document shall be referred to the contracting officer.

BLK 14: Schedule shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

Kelli Scott, Engineer

FCDD-ISP-AB

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt

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

G001 DMSMS Life Cycle Management Data DMSMS Case Summary and Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-82274 PWS 3.9.9 FCDD-ISP-AB INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description and PWS para 3.9.9.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 45 days of the alert notice, contractor will submit DMSMS Case Summary and

Report .Within 60 days of receipt and through the Government contracting officer, the Government engineer will respond with notice of review and/or comments. If comments are required, contractor shall respond within 30 days after receipt of Government comments. The Government will have 30 days to review, accept, and/or comment on the final submission.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.

BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt

Form Approved OMB No. 0704-0188

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

TDP TM OTHER FNCL

J001 Performance and Cost Report Monthly Cost Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-FNCL-80912A PWS 1.3.2.3 AMEL-OAS-OSL INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION IN

LT MONTHLY 30 DAC b. COPIES

SECT. B

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

SEE BLOCK 16

BLK 4: Format shall be in accordance with this Data Item Description and PWS para.1.3.2.3. Contractor shall provide a report electronically in .xls or .xlsx format, using the Government provided template.

BLK 7: The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 7 & 14: Deliverables shall be emailed to the following:

- Contracting Officers Representative (COR)

- Contracting Officer (KO)

- Contract Specialist (KS)

- Technical Contracting Officer Representative (TCOR) The emailed letter of transmittal subject shall include:

- Contract/Task Order identification

- ‘Monthly Cost Report’ BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use), (Date of Contract Award).

Other requests for this document shall be referred to the contracting officer.

BLK 12: Initial report shall be submitted 30 days after contract award.

BLK 13: Ten (10) business days after the end of the month.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

15. TOTAL 7

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

Kelli Scott, Engineer

FCDD-ISP-AB

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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 X OTHER

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

H001 Technical Report–Study/Services Foreign Influence Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS 1.1.2.1 AMEL-OAS-OSL

INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ See BLK 16

b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

See BLK 16

16. Remarks:

Block 4: Format shall be in accordance with this Data Item Description and contractor shall provide responses to the following, with supporting documentation:

1. Do any foreign person(s), directly or indirectly, own or have subscribed 5% or more of your organization’s stock or total capital commitment?

2. Does your organization directly or indirectly through subsidiaries and affiliates, own 10% or more of any foreign interest?

3. Do any non-US citizens serve in a decision-making capacity for your organization (e.g., board of directors, general partners, trustees or senior management officials) or control the direction of organizational activities?

4. Does anyone that serves in a decision-making capacity for your organization hold any position with or serve as consultants for any foreign entity?

5. Does your organization have any contracts, agreements, understandings, or arrangements with a foreign entity?

6. Does your organization have any indebtedness, liabilities or obligations to foreign entities?

Blocks 12 and 13: Submit once and modify if there are any changes over the contract period of performance.

Alternatively, provide Standard Form 328 Certificate Pertaining to Foreign Interests OMB No. 0704-0579 if your organization has completed one.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

15. TOTAL 0 7 0

G. PREPARED BY

Kelli Scott, Engineer

FCDD-ISP-AB

H. DATE

08/16/2021

I. APPROVED BY

Kate McDevitt

J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page # of #

Form Approved OMB No. 0704-0188

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

TDP TM OTHER MGMT

K001 Contract Government Furnished Material Requisition and Inventory Report

4 . AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-82128A PWS 5.4.1 AMEL-OAS-OSL INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION IN

LT MONTHLY 30 DAC b. COPIES

SECT. B

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 5.4.1. Contractor shall provide a report electronically in .xls or .xlsx format, using the Government provided template.

BLK 7: The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 7 & 14: Deliverables shall be emailed to the following:

- Contracting Officers Representative (COR)

- Contracting Officer (KO)

- Contract Specialist (KS)

- Technical Contracting Officer Representative (TCOR) The emailed letter of transmittal subject shall include:

- Contract/Task Order identification

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.

BLK 12: Initial report shall be submitted 30 days after contract award.

BLK 13: Ten (10) business days after the end of the month.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

15. TOTAL 7

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

Kelli Scott, Engineer

FCDD-ISP-AB

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt

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

L001 Government Furnished Equipment Status Report

Repair Status Report

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

PWS 1.3.2.2, 3.3.1,

3.3.4.2

6. REQUIRING OFFICE 18. ESTIMATED

DI-ILSS-80620

AMEL-LCE-TC INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION IN

LT MONTHLY 30 DAC b. COPIES

SECT. B

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 1.3.2.2, 3.3.1, 3.3.4.2 BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement BLK 8: The Government requires 30 days to review and provide comments. The contractor has 15 days to incorporate Government comments and resubmit the report, if needed.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award).

Other requests for this document shall be referred to the contracting officer.

BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

Kelli Scott, Engineer

08/16/2021

Kate McDevitt

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

M001 Report, Record of Meeting/Minutes

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81505 PWS 1.1.7.2, 1.3.1 AMEL-LCE-TC

INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 1.1.7.2, 1.3.1.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Draft submission is due five business days after conclusion of meeting, with five business days for comment by attendees prior to submission of the final submission.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.

BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt

Form Approved OMB No. 0704-0188

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

N001 Government Property Inventory Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80441D PWS 5.4.7 AMEL-OAS-OSL INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION IN

LT MONTHLY 30 DAC b. COPIES

SECT. B

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 5.4.7.

Contractor shall provide a report electronically in .xls or .xlsx format, using the Government provided template.

BLK 7: The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 7 & 14: Deliverables shall be emailed to the following:

- Contracting Officers Representative (COR)

- Contracting Officer (KO)

- Contract Specialist (KS)

- Technical Contracting Officer Representative (TCOR) The emailed letter of transmittal subject shall include:

- Contract/Task Order identification BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.

BLK 12: Initial report shall be submitted 30 days after contract award.

BLK 13: Ten (10) business days after the end of the month.

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 in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.

QAR

AMEL-LCE-TC

FCDD-ISP-AB

AMSEL-LCL-ECM

15. TOTAL 7

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

Kelli Scott, Engineer

FCDD-ISP-AB

DEVCOM, C5ISR Center, ESI

08/16/2021 Kate McDevitt