Exhibit A CDRL A008 Government Furnished Material (GFM) report.pdf

D-1

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 it does not display a currently valid OMB control number. Please DO

NOT RETURN your form to the above address. 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 X

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

VOSS LRU Repair

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A008 Contract Government Furnished Material (GFM) requisition and inventory report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-82128 PARA 3.12.4.1. CECOM ILSC, PM GS, C5ISR

CENTER PRD

INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

QRTLY SEE BLK 16

b. COPIES

8. APP CODE E 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

SEE BLK 16

Reg

Repro

16. Remarks:

Tailoring instructions for DI-MGMT-82128: Data required and identified in the requirements section of the DID 1-2.16 will be replaced with the following data specific to this Contract/Delivery Order:

National Item Identification Number (NIIN)

Contract Number GFM is authorized under Delivery Order (DO)

Open GFM Requisition Number

Due-In Quantity

Quantity Received

Consumable GFM Yes/No

Serviceable “A” Condition Transfer In

Transfer In From Contract/DO number

Serviceable “A” Condition Transfer Out

Transfer Out to Contract/DO Number

Sum Quantity Issued to Repair

Line Sum Quantity Turn-In

Missing Due-In

Plant Clearance

Shipped Quantity

Total On-Hand (OH) Balance

Serviceable “A” Condition OH

Unserviceable “F” Condition OH and Condemned “H” Condition OH

Contractor shall provide a report electronically in .xls or .xlsx format.

Block 12: 30 days from executed modification adding this deliverable requirement

Block 13: Subsequent submissions shall be provided on the Quarterly basis unless otherwise stated, in which case the report shall be delivered the next available business day.

Block 14: Distribution shall be made to the Contracting Officer's

Representative of record at time of delivery.

CECOM ILSC:

ATUL.S.AMIN.CIV@M

AIL.MIL

PM GS:

BEVERLY.C.STEFFEN

2. CIV@MAIL.MIL

C5ISR CENTER PRD:

KEITH.D.HARVEY2.CI

V@MAIL.MIL

15. TOTAL 0 3 0

G. PREPARED BY

Keith Harvey, C5ISR CENTER PRD Industrial Engineer

443-861-2967

H. DATE I. APPROVED BY

John Padre Chief, NV/RSTA & ASE Branch, 443861-2749

J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page # of #