S005 Preventative Maintenance Checks and Services

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: AQ

C. Category:

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

D. System/Item:

Stryker Family of Vehicles

E. Contract/Pr No.

W56HZV-16-D-0035

F. Contractor:

GDLS

1. Data Item No.:

S005

2. Title of Data Item:

Preventative Maintenance Checks and Services (PMCS)

3. Subtitle:

17. Price Group:

4. Authority (Data Acquisition Document No.):

DI-MGMT-80920 /T

5. Contract Reference:

C.10.7.5.1; C.10.8.1.1.3

6. Requiring Office:

PMO SBCT

18. Estimated Total Price:

7. DD 250 Req:

No

9. Dist. Statement Required:

D

10. Frequency:

Monthly

12. Date of First Submission:

See Block 16

14. Distribution

8. APP Code:

N/A

11. As of Date:

15 DAC

13. Date of Subsequent Submission:

See Block 16

a. Addressee:

b. Copies:

16. Remarks:

BLK #: DI-MGMT-80920 is tailored as follows:

Replace section 10.2 with the following:

The contractor shall deliver a Before Operations Preventative Maintenance Checks and Services (PMCS) Report in a contractor electronic format compatible with Microsoft Word, Powerpoint, Excel and or Adobe Acrobat. This report shall consist of the final Before Operations Preventative Maintenance Checks and Services (PMCS) for each repaired vehicle accepted by the Government during the previous monthly period. Delivery shall begin 15 days after the date of the first vehicle acceptance. Subsequent deliveries will be on a monthly basis until all of the vehicles on the delivery order have been delivered and accepted by the Government.

Reports can be delivered in conjunction with the presentation to DCMA of the Reset/BDR/Crash Damage serial number specific vehicle work books submitted in electronic format following vehicle acceptance by DCMA, 15 days after vehicle completion of Reset/BDR/Crash Damage.

https://gcscdrl.tacom.army.mil/ext

G. Prepared By:

Donnie Kluck H. Date:

19Jan18 I. Approved By Donnie Kluck J. Date:

19Jan18

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