B009 - Engineering Change Accomplishment Record

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

OMB NO. 0704-D188

Public reporting burden for this collection of information is estimated to average 440 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 the Contract/PR No. listed in Block E.

A. Contract Line Item No.

B. Exhibit: AJ

C. Category:

TDP |_| TM |_| OTHER |_|

D. System/Item:

Stryker Family of Vehicles

E. Contract/Pr No.

F. Contractor:

GDLS

1. Data Item No.:

B009

2. Title of Data Item:

Engineering Change Accomplishment Record (ECAR)

3. Subtitle:

ECAR

17. Price Group:

4. Authority (Data Acquisition Document No.):

DI-ILSS-81251 /T

5. Contract Reference:

C.11.10.11.6

6. Requiring Office:

PMO SBCT

18. Estimated Total Price:

7. DD 250 Req:

NA

9. Dist. Statement Required:

D

10. Frequency:

Quarterly

12. Date of First Submission:

15 days after 1st Quarter

14. Distribution

8. APP Code:

N/A

11. As of Date:

End of the quarter

13. Date of Subsequent Submission:

15 days after start of quarter

a. Addressee:

b. Copies:

16. Remarks:

BLK #: DI-ILSS-81251 is tailored as follows:

Replace section 10.1 – 10.3 with The contractor shall deliver in electronic format compatible with Microsoft Word, Powerpoint, Excel and or Adobe Acrobat.

Paragraph 10.1: The following sentence is hereby added: “Shortage parts for separate Refurb operations shall be segregated or identified separately. Each submission shall identify the contract number which parts are consumed or repaired under.”

Paragraph 10.2: Deleted and replaced with the following: “This report shall contain a cumulative record of all shortage parts installed on vehicles. Each report shall include, at a minimum, the following information:

-Vehicle Serial Number

- Registration

- Hours

- Miles - End Shortage Item (Part #) -Part Description

- Installed Date -Completed by

- Shortage Created Date -Inspected by

- Government Approved Date https://gcscdrl.tacom.army.mil/ext

G. Prepared By:

Donnie Kluck H. Date:

25 Jan 2018 I. Approved By:

Donnie Kluck

J. Date:

25 Jan 2018

DD Form 1423-1, JUN 90 (EF) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 1 Pages