Exhibit A CDRL A009 Government Property Inventory Report.pdf

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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

A009 Government Property Inventory Report

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

TOTAL PRICE

DI-MGMT-80441C PARA 3.12.4.7. 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

ANNLY 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

Tailoring instructions for DI-MGMT-80441C:

a) Contractors must provide to the COR a physical inventory plan demonstrating how the contractor will achieve a 100% physical inventory count of all material in the contractor’s custody over the shorter of the length of period of performance or 1 calendar year from the start of the period of performance.

Data required and identified in the requirements section of the DID

Section 2, Content, will be replaced with the following specific to this

Contract/Delivery Order:

National Stock Number (NSN)

Manufacturer Part Number

Item Name/Nomenclature

Serial Number (if available)

Quantity

Unit of Measure

Condition Code

Storage Location

Sub Location (if applicable)

Date of Last Physical Inventory

Quantity Counted at Date of Last Physical Inventory

Quantity Adjusted (if applicable)

Contractor shall provide a report electronically in .xls or .xlsx format on an annual basis.

Inventory records are subject to verification by the government.

Contractor must maintain record of physical inventory counts performed to be provided in the event of an inspection. Notification of inspection will be coordinated through the Government Property Administrator or

COR.

Block 13: Date of subsequent submission shall be 12 months from date of prior submission.

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

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