CDRLs.pdf
PDF 748 KB Posted
- Attached to
- UMTE Circuit Card Assemblies Federal contract opportunity
- Solicitation number
- SPRHA5-20-R-0351
- Issued by
- Defense Logistics Agency Aviation
About this file
This Contract Data Requirements List (CDRL) outlines three data items required under a federal contract to procure circuit card assemblies. The contractor must submit a First Article Qualification Test Plan and First Article Test Report within specified timeframes prior to and after testing. Additionally, the contractor is required to deliver a Counterfeit Prevention Plan addressing certain standards within 30 days of award. Deliverables are to be sent electronically to Defense Logistics Agency offices by specified due dates, and must include distribution statements and destruction notices. The related solicitation seeks four each of three national stock numbered circuit card assemblies from qualified contractors for use in weapon systems.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| EDL NSN 3926.pdf | ||
| SPRHA520R0351.pdf | ||
| EDR NSN 4514.pdf | ||
| EDL NSN 4514.pdf | ||
| EDR NSN 1753.pdf | ||
| EDL NSN 1753.pdf | ||
| EDR NSN 3926.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
Form Approved 0MB No. 0704-0 188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-01881. 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 0MB 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
A
C. CATEGORY:
TDP
TM____ OTHER NDTI
D. SYSTEM/ITEM
Weapon system
E. CONTRACT/PR NO.
FD2020200035 1
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
First Article Qualification Test Plan
3. SUBTITLE
First Article Test Procedure
4. AUTHORITY (Data Acqu/sit/on Document No.)
DI-NDTI-81307A
5. CONTRACT REFERENCE
USAF AFMC 260 Block 9C
6. REQUIRING OFFICE
415 SCMS/GUEA
7. DD 250 REQ
DD
9.
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
See 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repm
16. REMARKS
Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.
Block 9: Data submittal shall be marked with the following on the cover page:
Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction ofthe document.
Block 12: The Contractor shall deliver the First Article Test Plan a minimum of 30 days prior to first article test. The contractor shall make any re-submittal NLT 15 days after receipt of government comments.
Block 14a: Electronic submission is acceptable. Addresses are:
peter.pham.2@us.af.mil 415SCMS.EN@us.af.mil
415 SCMS/GUEA
FB2029 1
415 SCMS/EN
15.TOTAL 0
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
First Article Test Report
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
USAF AFMC 260 Block 9E
6. REQUIRING OFFICE
415 SCMS/GUEA
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
See 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
IN/Il.
13. DATE OF SUBSEQUENT
SUBMISSIOE1
IN/Il.
Draft Final
Reg Repro
16. REMARKS
Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.
Block 9: Data submittal shall be marked with the following on the cover page:
Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction ofthe document.
Block 12: The Contractor shall deliver the First Article Test Report NLT 15 days after first article test. The contractor shall make any re-submittal NLT 15 days after receipt of government comments.
Block 14a: Electronic submission is acceptable. Addresses are:
engineerus.af.mil
415SCMS.EN@us.af.mil
415 SCMS/GUEA
FB2029 1
415 SCMS/EN
15.TOTAL ¯ 0 1 2
G. PREPARED BY
Peter Pham
PHAM.PETER.H. 1230957769
H. DATE I. APPROVED BY J.DATE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
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.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
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 1 5. 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.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II, Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to
Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
(1 Data Item)
Form Approved 0MB No. 0704-0 188
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 Defenoe, Executive Services Directorate 10704-0188). 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 0MB 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
C. CATEGORY:
TDP TM OTHER _______________________________
D. SYSTEM/ITEM
NSN 5998-01 -678-1753FD
E. CONTRACT/PR NO.
FD20202000351
F. CONTRACTOR
1. DATA ITEM NO.
cooi
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-IvllSC-81832
5. CONTRACT REFERENCE
PWS 10.3
6. REQUIRING OFFICE
415 SCMS/GUEA
7. DD 250 REQ
DD
9. 01ST STATEMENT
REQUIRED
D
10. FREQUENCY
1TJ1v1E
12. DATE OF FIRST SUBMISSION
3ODAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
Draft Final
16. REMARKS
Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the CO/ACO without further revision to this CDRL.
Block 4: Plan shall include all items from section 3 of SAE AS5553.
Block 12: Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award. Government comments provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.
Block 14: Document submission shall be made electronically using MS Office 2010 or newer format or Portable Document Format (PDF).
Address e-mail submissions to: USAF AFMC 415 SCMS/EN, 4I5SCMS.en@us.af.mil, peter.pham.2@us.af.mil
DODAAC: FY2073
Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820
Block9:
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 21 Nov 2008. Other requests for this document shall be referred to OO-ALC/AFMC 415 SCMS/GUEA.
DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.
FY2073 1
415 SCMS/EN
15.TOTAL E 0 1
G. PREPARED BY
Peter Pham 415 SCMS/GUEA
PHAM.PETER.H.1230957769
H. DATE
12/18/2019
I. APPROVED BY
Bryson Kent 415 SCMS/GUEA
KENT.BRYSONC.13855179
86 n,t, ,nis ni i, .57w
J.DATE
11/06/2019
17. PRICE GROUP
NSP
18. ESTIMATED
TOTAL PRICE
0.00
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages
Adobe Professional 6.0
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
C TDP TM OTHER MISC
0. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
NSN 5998-O1 -678-1753FD FD20202000351
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
I FOR THE
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark IX) 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 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
Item 10. Specify number of times data items are to be delivered
Item 11. Specify as-of date of data item, when applicable.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when Estimated Price - Group IV items should normally be shown applicable, on the DD Form 1423 at no cost.
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.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any
Form Approved 0MB No. 0704-0 188
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 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 0MB 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
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
NSN 5998-01-678-3926FD
E. CONTRACT/PR NO.
FD2020200035 1
F. CONTRACTOR
1. DATA ITEM NO.
cooi
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81832
5. CONTRACT REFERENCE
PWS 10.3
6. REQUIRING OFFICE
415 SCMS/GIJEA
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
iTilviE
12. DATE OF FIRST SUBMISSION
3ODAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
Draft
Final
16. REMARKS
Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the CO/ACO without further revision to this CDRL.
Block 4: Plan shall include all items from section 3 of SAE AS5553.
Block 12: Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award. Government comments provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.
Block 14: Document submission shall be made electronically using MS Office 2010 or newer format or Portable Document Format (PDF).
Address e-mail submissions to: USAF AFMC 415 SCMS/EN, 415SCMS.en@us.af.mil, peter.pham.2@us.af.mil
DODAAC: FY2073
Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820
Block9:
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 21 Nov 2008. Other requests for this document shall be referred to OO-ALC/AFMC 415 SCMS/GUEA.
DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.
FY2073 1
415 SCMS/EN
15.TQTAL 0 1
G. PREPARED BY
Peter Pham 415 SCMS/GUEA
PHAM.PETER.H.1230957769
H. DATE
12/18/2019
I. APPROVED BY
Bryson Kent 415 SCMS/GUEA
KENT.BRYSON.C.13855179 b355517956 86 mi.. 701*01 ii *.is-*g -row
J.DATE
11/06/2019
17. PRICE GROUP
NSP
18. ESTIMATED
TOTAL PRICE
0.00
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
C TDP TM OTHER ______________________________________________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
NSN 5998-O1 -678-3926FD FD2020200035 1
DD FORM 1423-1, FEB 2001 -'age ot I-'ages
FOR GOVERNMENT PERSONNEL I FOR THE CONTRACTOR
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 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort Iproduction, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when Estimated Price - Group IV items should normally be shown applicable, on the DD Form 1423 at no cost.
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.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any
Form Approved 0MB No. 0704-0 188
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 Directorate 1D704-01881. 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 0MB 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 iii Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT
C
C. CATEGORY:
TOP TM OTHER MISC
D. SYSTEM/ITEM
NSN 5998-01 -678-4514FD
E. CONTRACT/PR NO.
FD20202000351
F. CONTRACTOR
1. DATA ITEM NO.
cooi
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MTSC-81832
5. CONTRACT REFERENCE
PWS 10.3
6. REQUIRING OFFICE
415 SCMS/GUEA
7. DO 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
1TIME
12. DATE OF FIRST SUBMISSION
3ODAC
14. OISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
Draft Final
16. REMARKS
Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the CO/ACO without further revision to this CDRL.
Block 4: Plan shall include all items from section 3 of SAE AS5553.
Block 12: Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award. Government comments provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.
Block 14: Document submission shall be made electronically using MS Office 2010 or newer format or Portable Document Format (PDF).
Address e-mail submissions to: USAF AFMC 415 SCMS/EN, 41SSCMS.en@us.af.mil, peter.pham.2@us.af.mil
DODAAC: FY2073
Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: FULL AFB UT 84056-5820
Block9:
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 21 Nov 2008. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.
DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure ofthe contents or reconstruction of the document.
FY2073 1
415 SCMS/EN
15.TOTAL 0 1
G. PREPARED BY
Peter Pham 415 SCMS/GUEA P}IAM.PETER.H.1230957769 g r,H.r23o9577rs
H. DATE
12/18/2019
I. APPROVED BY
Bryson Kent 415 SCMS/GUEA
KENTBRYSONC. 13855179
n.y ,pis 0117 mb -Os -ptw
J.DATE
11/06/2019
17. PRICE GROUP
NSP
18. ESTIMATED
TOTAL PRICE
0.00
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
C TD' TM OTHER MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
NSN 5998-O1 -678-4514FD FD20202000351
DD FORM 1423-1, FEB 2001 Page of Pages
I FOR THE
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 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
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.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group Ill. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and
Item 9. For technical data, specify requirement for contractor to mark the delivering such data item to the Government.
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.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when Estimated Price - Group IV items should normally be shown applicable, on the DD Form 1423 at no cost.
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.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any
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