S010 Equipment Record Folder.docx

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: AV

C. Category:

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

D. System/Item:

Stryker Family of Vehicles

E. Contract/Pr No.

F. Contractor:

GDLS

1. Data Item No.:

S010

2. Title of Data Item:

Equipment Record Folder

3. Subtitle:

17. Price Group:

4. Authority (Data Acquisition Document No.):

DI-NDTI-80809B /T

5. Contract Reference:

C.10.7.1; C.10.7.5.1; C.10.8.1.1.3; C.10.9.4;C.11.10.11.7

6. Requiring Office:

PMO SBCT

18. Estimated Total Price:

7. DD 250 Req:

NA

9. Dist. Statement Required:

D

10. Frequency:

Once

12. Date of First Submission:

15 calendar days after Vehicle Acceptance

14. Distribution

8. APP Code:

N/A

11. As of Date:

1st vehicle inducted in the period

13. Date of Subsequent Submission:

15th of the Month

a. Addressee:

b. Copies:

16. Remarks:

BLK #: DI-NDTI-80809B is tailored as follows:

Replace section 10.2.1 – 10.2.8 with The contractor shall deliver in electronic format compatible with Microsoft Word, Powerpoint, Excel and or Adobe Acrobat.

Equipment Record Folder shall include documents required during the repair and acceptance process. Each report shall include, at a minimum, the following information:

· Administrative

· Date of acceptance

· Progam

· Vehicle Number

· Repair Location

· Stryker Before Operations PMCS (Preventative Maintenance Checks & Services)(Incoming and Outgoing)

· List of components repaired/replaced

· Shortages are identified on PMCS document & tracked according to CDRL B004

· Completed Engineering Structural Assessment 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