TR_CUI.pdf

PDF 1 MB Posted

Attached to
TPS-75 Dehydrator Compressor Federal contract opportunity
Solicitation number
SPRHA522R0859
Issued by
Defense Logistics Agency Aviation

About this file

This Contract Data Requirements List (CDRL) outlines requirements for a First Article Test Report relating to a compressor-dehydrator system. The small business contractor must deliver the test report within 15 days of completing first article testing, addressing any government comments in a resubmission within a further 15 days. The contractor is to submit the report electronically using MS Office or PDF formats to two government email addresses, marking the first page with Controlled Unclassified Information (CUI) markings and categories. The related solicitation is for the TPS-75 Dehydrator Compressor and is set aside solely for small businesses under Solicitation Number SPRHA522R0859, issued by the Defense Logistics Agency Aviation.

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Text version

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

0001AC BB NDTI

AN/TPS-75 / Compressor-Dehydrator FD2020-22-00859

A002 Test/Inspection Report First Article Test Report

DI-NDTI-80809B USAF AFMC 260 Block 9E 415 SCMS/GUEA

DD

A D

ONE/R

NA

See 16

NA

FY207311 1

415 SCMS/EN 1

William Powell 1

0 1 2

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:

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, 7 May 2020. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.

WARNING: Export Controlled Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the 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 14: Document submission shall be made electronically using MS Office 2016 or newer format or Portable Document Format (PDF).

Address e-mail submissions to:

415 SCMS/EN - 415SCMS.en@us.af.mil William Powell - william.powell.38@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

CUI

CONTROLLED UNCLASSIFIED INFORMATION (CUI) Requirements:

Mark the top and bottom of the first page with CUI.

Include the CUI block below the Destruction Notice.

CUI Block:

"Controlled By: 415 Supply Chain Management Squadron CUI Categories: CTI, CUI EXPT Distribution/Dissemination Control: Distribution Statement D POC: STINFO Manager: 415SCMS.en@us.af.mil"

NSP

0.00

Engineer 415 SCMS/GUEA

POWELL.WILLIAM.ELIAS.15823

72817

Digitally signed by

POWELL.WILLIAM.ELIAS.1582372817

Date: 2022.06.07 13:45:48 -06'00'

6/7/2022 Jackson Andrasko 415 SCMS/GUEA

ANDRASKO.JACKSON.125

8051030

Digitally signed by

ANDRASKO.JACKSON.1258051030

Date: 2022.06.07 14:37:53 -06'00'

6/7/2022

Adobe Professional 8.0

CUI

CUI

Controlled by: DLA Aviation Ogden

Controlled By: AUBA CUI Category: Controlled Tech info

Distribution/ Dissemination Control: FEDCON POC: michelle.mihu@us.af.mil

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

0001AC BB NDTI

AN/TPS-75 / Compressor-Dehydrator FD2020-22-00859

CUI

CUI

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