Solicitation_Exhibit_A_CDRLs.pdf

PDF 89 KB Posted Jun 28, 2016

Attached to: Overhaul of the UH-60 Multifunction Display Unit, Control Display Unit, Power Supply Module, Video Interface Group
Solicitation number: W58RGZ-15-R-0274
Issued by: Department of the Army Materiel Command Aviation and Missile Life Cycle Management Command

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Exhibit A - CDRLs

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File	Type	Posted
W58RGZ15R0274-0001.pdf	PDF	Jul 14, 2016
Solicitation_Attachment_0001_PACKAGING_REQUIREMENTS.pdf	PDF	Jun 28, 2016
W58RGZ15R0274.pdf	PDF	Jun 28, 2016
Solicitation_Attachment_0003_M O_Plan_Guidance.xlsx	XLSX spreadsheet	Jun 28, 2016
Solicitation_Attachment_0005_-_Completed_1348.pdf	PDF	Jun 28, 2016
Solicitation_Attachment_0004_ROD_Guidance.docx	DOCX document	Jun 28, 2016
Solicitation_Attachment_0002_DOCUMENT_SUMMARY_LIST.pdf	PDF	Jun 28, 2016

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

11/12/2014Page 1 of 2

1260-01-5449822

DISPLAY UNIT, MULTIFUNCTION

D. SYSTEM / ITEM

A001

1. DATA ITEM NO.

STAGGS, AMANDA C.

G. PREPARED BY

10/03/2014

H. DATE

STAGGS, AMANDA C.

I. APPROVED BY

10/03/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/17/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MSI-LM

NSN

PRID: PART NUMBER:M501-01 822-1796-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Logistics Product Data The Army Maintenance Management System - Aviation (TAMMS-A)

DI-SESS-81758A SOW AMSAM-MSI-LM

A ASREQ

ASREQ

INSERT IN SECT. B

0 1 0

16. REMARKS:

Block 7: Within two business days after a Government QA acceptance the contractor shall submit a copy of the Wide Area Work Flow (WAWF) receiving reports listing each Serial Number (SN) shipped via e-mail to the address listed below. A final receiving report for each Delivery Order (DO) and or contract closeout shall be via submittal to WAWF; use DODAAC W81D17 for this CLIN.

Block 8: The Requiring Office will verify final accounting of all TAMMS-A data reported against the contract/DO and verify that all TAMMS-A data has been received. Any discrepancies will be identified within 5 working days after receipt and comments provided to the contractor. The contractor shall correct errors and resubmit within 10 working days after receipt of the requiring office comments.

Blocks 10 & 12: The contractor shall provide data based on delivery schedules/contract requirements.

Block 14:

TAMMS-A submittal/approval shall be via contractor/vendors use of the TAMMS-A/MCDS web portal https://tamms-a.redstone.army.mil. If the web portal is unavailable or the contractor currently does not have a TAMMS-A/MCDS account, see the Statement of Work attachments for additional instructions.

Commander, U.S. Army Aviation and Missile Command

ATTN: AMSAM-MSI-LM (TAMMS-A)

(M&O) Redstone Arsenal, Alabama 35898-5230 E-mail; usarmy.redstone.amcom.mbx.immc-snrr@mail.mil Fax; (256) 876-3574 ATTN: SNRR Staff

POC: PHONE:

11/12/2014Page 2 of 2

The Army Maintenance Management System - Aviation (TAMMS-A) M&O Statement of Work (SOW)

This TAMMS-A Maintenance & Overhaul (M&O) SOW covers process and preparation instructions for The Army Maintenance Management System-Aviation (TAMMS-A) reporting. M&O includes; any action taken on an item/component that requires TAMMS- A reporting to include Repair, Modification, Reset, Recap, and Remanufacture.

The contractor shall use the TAMMS-A Maintenance Consolidated Database System (TAMMS-A/MCDS) web portal at https://tamms-a.redstone.army.mil to generate/print DA Forms: 2410, 2408-16 and 2408-16-1. The use of the web portal eliminates the requirement for the contractor to mail copies of these forms to AMCOM; it does not eliminate the requirement to ship copies of the required TAMMS-A form with the components/assemblies. Information on accessing the web portal can be found at https://tamms-a.redstone.army.mil.

If the TAMMS-A/MCDS web portal is unavailable, or the contractor does not have a TAMMS-A/MCDS account, contact the AMCOM Logistics Center (ALC), TAMMS-A Implementation & Compliance Office for alternate instructions. The contractor shall send all requests for alternate instructions to usarmy.redstone.amcom.mbx.immc-snrr@mail.mil. Requests should include company and contract information, justification for waiver, and point of contact information.

DA PAM 25-33 User's Guide for Army Publications and Forms (paragraph 2-9), provides guidance for obtaining all forms, tags, labels and manuals will be supplied by the Government Contracting Officer upon award of this contract. A DA Form 4790-R shall be obtained from the Government Contract Officer. The contractor/vendor shall complete and send DA Form 4790-R to the Government Contracting Officer to obtain all forms, tags, and manuals needed to meet the contract requirements.

For items delivered under this contract, the contractor shall prepare TAMMS-A forms, records, tags, and labels IAW DA PAM 738- 751 (Functional Users Manual for The Army Maintenance Management System-Aviation (TAMMS-A). This includes all TAMMS-A forms and records required for each major assembly and/or sub-component listed in TB 1-1500-341-01 (Aircraft Components Requiring Maintenance Management and Historical Data Reports). The most current and accurate TB 1-1500-341-01 information is available on the Legitimate Code File application located on the TAMMS-A/MCDS web portal. If the item(s) currently being repaired has a later Part Number (PN) than the item listed in the TB, the contractor shall prepare a DA Form 2410. When DA Forms 2410, 2408-16, and 2408-16-1 are required IAW DA PAM 738-751, the contractor shall include a copy of the form(s) with each component when shipped. The use of the web portal does not eliminate the requirement to ship copies of the required TAMMS-A form(s) with the component/assembly.

The contractor shall not change or modify a serial number for any reason to include instructions specified in Depot Maintenance Work Requirements (DMWR), Safety of Flight (SOF) messages, Modification Work Orders (MWO), or related documents without prior approval from the AMCOM TAMMS-A Implementation & Compliance Office (AMSAM-MSI-LM).

For each shipment of items requiring TAMMS-A data under this contract/delivery order, the contractor shall submit a Goverment QA signed copy of the Wide Area Work Flow (WAWF) Receiving Report via e-mail to the SNRR office at usarmy.redstone.amcom.mbx.immc-snrr@mail.mil listing the serial numbers for each top assembly shipped.

A final receiving report for each Delivery Order (DO) and/or contract closeout shall be via submittal to WAWF; use DODAAC W81D17. The SNRR Office will complete a final verification between contracted and reported quantities prior to contract of DO closeouts.

For historical data questions contact the DA Form 2410 Hot Line by phone or e-mail listed below.

Phone: 256-313-2410 Fax: 256-313-2075 E-mail: usarmy.redstone.amcom.mbx.immc-data2410@mail.mil

11/12/2014Page 1 of 2

6610-01-5449828

CONTROL DISPLAY UNIT

D. SYSTEM / ITEM

A001

1. DATA ITEM NO.

STAGGS, AMANDA C.

G. PREPARED BY

10/03/2014

H. DATE

STAGGS, AMANDA C.

I. APPROVED BY

10/03/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MSI-LM

NSN

PRID: PART NUMBER:M502-01 822-1729-003 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Logistics Product Data The Army Maintenance Management System - Aviation (TAMMS-A)

DI-SESS-81758A SOW AMSAM-MSI-LM

A ASREQ

ASREQ

INSERT IN SECT. B

0 1 0

16. REMARKS:

Blocks 10 & 12: The contractor shall provide data based on delivery schedules/contract requirements.

Block 14:

Commander, U.S. Army Aviation and Missile Command

ATTN: AMSAM-MSI-LM (TAMMS-A)

(M&O) Redstone Arsenal, Alabama 35898-5230

Statement of Work (SOW)

For historical data questions contact the DA Form 2410 Hot Line by phone or e-mail listed below.

Phone: 256-313-2410

11/12/2014Page 1 of 2

6130-01-5450375

POWER SUPPLY MODULE

D. SYSTEM / ITEM

A001

1. DATA ITEM NO.

STAGGS, AMANDA C.

G. PREPARED BY

10/03/2014

H. DATE

STAGGS, AMANDA C.

I. APPROVED BY

10/03/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MSI-LM

NSN

PRID: PART NUMBER:M503-01 822-1850-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Logistics Product Data The Army Maintenance Management System - Aviation (TAMMS-A)

DI-SESS-81758A SOW AMSAM-MSI-LM

A ASREQ

ASREQ

INSERT IN SECT. B

0 1 0

16. REMARKS:

Blocks 10 & 12: The contractor shall provide data based on delivery schedules/contract requirements.

Block 14:

Commander, U.S. Army Aviation and Missile Command

ATTN: AMSAM-MSI-LM (TAMMS-A)

(M&O) Redstone Arsenal, Alabama 35898-5230

Statement of Work (SOW)

For historical data questions contact the DA Form 2410 Hot Line by phone or e-mail listed below.

Phone: 256-313-2410

11/12/2014Page 1 of 2

5836-01-5911755

VIDEO INTERFACE GROUP

D. SYSTEM / ITEM

A001

1. DATA ITEM NO.

STAGGS, AMANDA C.

G. PREPARED BY

10/03/2014

H. DATE

STAGGS, AMANDA C.

I. APPROVED BY

10/03/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MSI-LM

NSN

PRID: PART NUMBER:M505 822-2017-002 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Logistics Product Data The Army Maintenance Management System - Aviation (TAMMS-A)

DI-SESS-81758A SOW AMSAM-MSI-LM

A ASREQ

ASREQ

INSERT IN SECT. B

0 1 0

16. REMARKS:

Blocks 10 & 12: The contractor shall provide data based on delivery schedules/contract requirements.

Block 14:

Commander, U.S. Army Aviation and Missile Command

ATTN: AMSAM-MSI-LM (TAMMS-A)

(M&O) Redstone Arsenal, Alabama 35898-5230

Statement of Work (SOW)

For historical data questions contact the DA Form 2410 Hot Line by phone or e-mail listed below.

Phone: 256-313-2410

11/12/2014Page 1 of 2

1260-01-5449822

DISPLAY UNIT, MULTIFUNCTION

D. SYSTEM / ITEM

A002

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/17/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

RDMR-AEM

RDMR-SET

NSN

PRID: PART NUMBER:M501-01 822-1796-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Technical Report - Study/Services Overhaul/Recap/Upgr Doc

DI-MISC-80508B SOW, PARA V RDMR-SET

B ONE/R

N/A

30DAC

SEE BLK 16

0 2 0

16. REMARKS:

BLOCK 8: Government approval/disapproval will be within 30 calendar days of receipt.

If disapproved the contractor shall resubmit within 20 calendar days of Government disapproval.

BLOCK 9: Distribution authorized to U.S. Government agencies only, administrative or operational use, 26 August 2005. Other requests for this document shall be referred to Commander, U.S. Army Research, Development and Engineering Command, Aviation and Missile Research, Development and Engineering Center, 5400 Fowler Road, Redstone Arsenal, AL 35898-5000.

Export Control Act Warning - Not required

BLOCK 13: Revisions shall be submitted 10 calendar days after the change.

BLOCK 14: The documentation shall be submitted IAW MIS-STD-52406B-IS.

11/12/2014Page 1 of 2

6610-01-5449828

CONTROL DISPLAY UNIT

D. SYSTEM / ITEM

A002

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

RDMR-AEM

RDMR-SET

NSN

PRID: PART NUMBER:M502-01 822-1729-003 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Technical Report - Study/Services Overhaul/Recap/Upgr Doc

DI-MISC-80508B SOW, PARA V RDMR-SET

B ONE/R

N/A

30DAC

SEE BLK 16

0 2 0

16. REMARKS:

BLOCK 8: Government approval/disapproval will be within 30 calendar days of receipt.

If disapproved the contractor shall resubmit within 20 calendar days of Government disapproval.

Export Control Act Warning - Not required

11/12/2014Page 1 of 2

6130-01-5450375

POWER SUPPLY MODULE

D. SYSTEM / ITEM

A002

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

RDMR-AEM

RDMR-SET

NSN

PRID: PART NUMBER:M503-01 822-1850-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Technical Report - Study/Services Overhaul/Recap/Upgr Doc

DI-MISC-80508B SOW, PARA V RDMR-SET

B ONE/R

N/A

30DAC

SEE BLK 16

0 2 0

16. REMARKS:

BLOCK 8: Government approval/disapproval will be within 30 calendar days of receipt.

If disapproved the contractor shall resubmit within 20 calendar days of Government disapproval.

Export Control Act Warning - Not required

11/12/2014Page 1 of 2

5836-01-5911755

VIDEO INTERFACE GROUP

D. SYSTEM / ITEM

A002

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

RDMR-AEM

RDMR-SET

NSN

PRID: PART NUMBER:M505 822-2017-002 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Technical Report - Study/Services Overhaul/Recap/Upgr Doc

DI-MISC-80508B SOW, PARA V RDMR-SET

B ONE/R

N/A

30DAC

SEE BLK 16

0 2 0

16. REMARKS:

BLOCK 8: Government approval/disapproval will be within 30 calendar days of receipt.

If disapproved the contractor shall resubmit within 20 calendar days of Government disapproval.

Export Control Act Warning - Not required

11/12/2014Page 1 of 2

1260-01-5449822

DISPLAY UNIT, MULTIFUNCTION

D. SYSTEM / ITEM

A003

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/17/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

SEE BLK 16

NSN

PRID: PART NUMBER:M501-01 822-1796-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Depot Maintenance Production Report

DI-ALSS-80728A SOW, PARA N AMSAM-MMM-OM

N/A

A MTHLY

SEE BLK 16

NLT 10 DAEOM

0 1 0

16. REMARKS:

This report shall be prepared in contractor format.

Block 12: The first report is due 3 working days after receipt of reparable item(s).

Block 14: The contractor shall provide data in digital format to:

usarmy.redstone.usamc.mbx.immc-smb-ammo@mail.mil

11/12/2014Page 1 of 2

6610-01-5449828

CONTROL DISPLAY UNIT

D. SYSTEM / ITEM

A003

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

SEE BLK 16

NSN

PRID: PART NUMBER:M502-01 822-1729-003 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Depot Maintenance Production Report

DI-ALSS-80728A SOW, PARA N AMSAM-MMM-OM

N/A

A MTHLY

SEE BLK 16

NLT 10 DAEOM

0 1 0

16. REMARKS:

This report shall be prepared in contractor format.

Block 12: The first report is due 3 working days after receipt of reparable item(s).

11/12/2014Page 1 of 2

6130-01-5450375

POWER SUPPLY MODULE

D. SYSTEM / ITEM

A003

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

SEE BLK 16

NSN

PRID: PART NUMBER:M503-01 822-1850-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Depot Maintenance Production Report

DI-ALSS-80728A SOW, PARA N AMSAM-MMM-OM

N/A

A MTHLY

SEE BLK 16

NLT 10 DAEOM

0 1 0

16. REMARKS:

This report shall be prepared in contractor format.

Block 12: The first report is due 3 working days after receipt of reparable item(s).

11/12/2014Page 1 of 2

5836-01-5911755

VIDEO INTERFACE GROUP

D. SYSTEM / ITEM

A003

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

SEE BLK 16

NSN

PRID: PART NUMBER:M505 822-2017-002 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Depot Maintenance Production Report

DI-ALSS-80728A SOW, PARA N AMSAM-MMM-OM

N/A

A MTHLY

SEE BLK 16

NLT 10 DAEOM

0 1 0

16. REMARKS:

This report shall be prepared in contractor format.

Block 12: The first report is due 3 working days after receipt of reparable item(s).

11/12/2014Page 1 of 2

1260-01-5449822

DISPLAY UNIT, MULTIFUNCTION

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/17/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MMA-NM

NSN

PRID: PART NUMBER:M501-01 822-1796-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Quality Deficiency Report

DI-QCIC-80736 SOW, PARA S RDMR-SEQ

N/A

A SEE BLK 16

N/A

SEE BLK 16

0 1 0

16. REMARKS:

BLOCKS 10, 12, AND 13: No report is necessary unless there is a discrepancy.

Contractor shall submit NLT 10 days after discovery of deficiency.

The Contractor shall coordinate quality deficiency with the Cognizant Government Representative.

11/12/2014Page 1 of 2

6610-01-5449828

CONTROL DISPLAY UNIT

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MMA-NM

NSN

PRID: PART NUMBER:M502-01 822-1729-003 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Quality Deficiency Report

DI-QCIC-80736 SOW, PARA S RDMR-SEQ

N/A

A SEE BLK 16

N/A

SEE BLK 16

0 1 0

16. REMARKS:

BLOCKS 10, 12, AND 13: No report is necessary unless there is a discrepancy.

11/12/2014Page 1 of 2

6130-01-5450375

POWER SUPPLY MODULE

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MMA-NM

NSN

PRID: PART NUMBER:M503-01 822-1850-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Quality Deficiency Report

DI-QCIC-80736 SOW, PARA S RDMR-SEQ

N/A

A SEE BLK 16

N/A

SEE BLK 16

0 1 0

16. REMARKS:

BLOCKS 10, 12, AND 13: No report is necessary unless there is a discrepancy.

11/12/2014Page 1 of 2

5836-01-5911755

VIDEO INTERFACE GROUP

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MMA-NM

NSN

PRID: PART NUMBER:M505 822-2017-002 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Quality Deficiency Report

DI-QCIC-80736 SOW, PARA S RDMR-SEQ

N/A

A SEE BLK 16

N/A

SEE BLK 16

0 1 0

16. REMARKS:

BLOCKS 10, 12, AND 13: No report is necessary unless there is a discrepancy.

11/12/2014Page 1 of 4

1260-01-5449822

DISPLAY UNIT, MULTIFUNCTION

D. SYSTEM / ITEM

A005

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/17/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MAV-C

NSN

PRID: PART NUMBER:M501-01 822-1796-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Overhaul Repair Report

DI-ILSS-80755 SOW, PARA R AMSAM-MAV-C

A QTRLY

90DAC

15DDEQ

0 1 0

16. REMARKS:

BLOCK 8: Govt has 45 days for approval. If disapproved, the contractor(s) have 30 days to correct.

BLOCK 14:

1. The report media shall be on a three and one half (3 1/2) inch floppy disk and shall utilize American Standard Code for information interchange (ASCII) format and be IBM compatible.

2. All submissions shall be in 80 column record format and broken out to identify each entry as either a repairable item record or repair part record with additional instructions/definitions as follows:

A. One repairable item record identified by Army Material Command (AMC) Procurement Request Order Number (PRON) and specific Item Number Identifier (National Stock Number/Part Number) is required for each repairable item on which consumption data/repair parts usage is being reported.

B. Submit a repair parts record to identify the individual repair parts consumed (cumulative) in the repair/overhaul of the item identified of the header repairable item record.

3. Format of records shall be as follows:

Reparable Item Record Field Length Card Column Explanation

DIC 1-3 BT 4

Card Code 4 I Correction Code 5 Blank (for correction of previous record - enter X) Procurement Request 6-19 Breakout as follows: Number (PRON) Order 6-7 EJ, AV or AX (constant) specific code to be used as identified in the Contract/Delivery Order 8 Enter 2nd digit of Fiscal Year (FY) e.g. 96=6, 97=7, etc.

as identified by the Contract Document AMC PRON 9-13 PRON Serial Number;

i.e. (5) digits in the AMC PRON following the FY indicator

11/12/2014Page 2 of 4

14-15 00 Numeric (constant) 16-19 EJEJ, AVAV, or AXAX (constant) code used will be the same letters as in Block 6-7 above Consumption Report 20-21 Enter the sequential number of this report for the Code contract (01 through 99 or FF for the final report) Work Accomplishment 22-23 Enter the WAC codes for the scope of the work indicated on Code (WAC) authorizing contract document as follows:

A1 - Cyclic/Normal Overhaul/Rebuild A2 - Battle/Crash Damage Overhaul/Rebuild IO - Repair Perf ACT-CD-MAINT 24-25 96 REL-CD 26 Use one of the following codes:

A. Reduce usage - assets in better than average condition.

B. Increased usage - crash or battle damage.

C. Increased usage - assets were cannibalized.

D. Increased usage - assets excessively deteriorated or damage.

R. Reported usage is reliable (within established parameters).

Quantity Overhaul/ 27-35 Enter the cumulative quantity of reparable items repaired or Repair overhauled through the reporting period on authorizing contract document (right justified and zero filled). CC 27-35 entry shall be for the reporting period as specified in contract.

Reparable Item 36-67 Enter National Stock Number (NSN) or Part Number (PN) of the Identifier reparable item being repaired/overhauled (left justified and no dashes in NSN). Must be the same number as reflected in the authorizing contract document.

73-80 Key in Blank spaces.

Repair Part Record

11/12/2014Page 3 of 4

Field Length Card Column Explanation

DIC 1-3 BT 4

Card Code 4 P Correction Code 5 Blank (for correction of previous record - enter X) Procurement Request 6-19 Same as Reparable Item Record Order above, column 6-19 Consumption Report 20-21 Enter the sequential number of this report for the Code contract (01 through 99 or FF for the final submission) Supply Source (PASS) 22 Use one of the following codes:

P. Requisitioned through normal channels L. Locally procured F. Locally fabricated or manufactured J. Obtained by cannibalization Repair Part Qty 23-31 Cumulative qty of this repair part consumed.

Right justified qty. Zero filled.

Unit of Issue 32-33 Enter applicable unit of issue (reference AR 708-17) Repair Part Identifier 34-65 Enter National Stock Number (NSN) or Part Number (PN) of the repair part being consumed (left justified and no dashes in NSN) Commercial and 66-70 CAGE (formerly FSCM) must be entered when P/N is used Government Entity as Repair Part Identifier (CC-34-65).

Code (CAGE) Must be blank when NSN is used.

Reserved 71-80 Blank

Submit electronic copy of overhaul repair report to email- usarmy.redstone.peo-avn.list.cargo-maintoverhaul-ch47@mail.mil

11/12/2014Page 4 of 4

11/12/2014Page 1 of 4

6610-01-5449828

CONTROL DISPLAY UNIT

D. SYSTEM / ITEM

A005

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MAV-C

NSN

PRID: PART NUMBER:M502-01 822-1729-003 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Overhaul Repair Report

DI-ILSS-80755 SOW, PARA R AMSAM-MAV-CC

A QTRLY

90DAC

15DDEQ

0 1 0

16. REMARKS:

BLOCK 8: Govt has 45 days for approval. If disapproved, the contractor(s) have 30 days to correct.

BLOCK 14:

1. The report media shall be on a three and one half (3 1/2) inch floppy disk and shall utilize American Standard Code for information interchange (ASCII) format and be IBM compatible.

B. Submit a repair parts record to identify the individual repair parts consumed (cumulative) in the repair/overhaul of the item identified of the header repairable item record.

3. Format of records shall be as follows:

Reparable Item Record Field Length Card Column Explanation

DIC 1-3 BT 4

as identified by the Contract Document AMC PRON 9-13 PRON Serial Number;

11/12/2014Page 2 of 4

A1 - Cyclic/Normal Overhaul/Rebuild A2 - Battle/Crash Damage Overhaul/Rebuild IO - Repair Perf ACT-CD-MAINT 24-25 96 REL-CD 26 Use one of the following codes:

A. Reduce usage - assets in better than average condition.

B. Increased usage - crash or battle damage.

C. Increased usage - assets were cannibalized.

D. Increased usage - assets excessively deteriorated or damage.

R. Reported usage is reliable (within established parameters).

73-80 Key in Blank spaces.

11/12/2014Page 3 of 4

Field Length Card Column Explanation

DIC 1-3 BT 4

P. Requisitioned through normal channels L. Locally procured F. Locally fabricated or manufactured J. Obtained by cannibalization Repair Part Qty 23-31 Cumulative qty of this repair part consumed.

Right justified qty. Zero filled.

Code (CAGE) Must be blank when NSN is used.

Reserved 71-80 Blank

11/12/2014Page 1 of 4

6130-01-5450375

POWER SUPPLY MODULE

D. SYSTEM / ITEM

A005

1. DATA ITEM NO.

DIGESTI, VICTOR L.

G. PREPARED BY

10/09/2014

H. DATE

DIGESTI, VICTOR L.

I. APPROVED BY

10/14/2014

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

DATE: 10/16/2014

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MAV-C

NSN

PRID: PART NUMBER:M503-01 822-1850-001 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Overhaul Repair Report

DI-ILSS-80755 SOW, PARA R AMSAM-MAV-C

A QTRLY

90DAC

15DDEQ

0 1 0

16. REMARKS:

BLOCK 8: Govt has 45 days for approval. If disapproved, the contractor(s) have 30 days to correct.

BLOCK 14:

1. The report media shall be on a three and one half (3 1/2) inch floppy disk and shall utilize American Standard Code for information interchange (ASCII) format and be IBM compatible.

A. One repairable item record identified by Army Material Command (AMC) Procurement Request Order Number (PRON)…

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File details come from the government source that posted it. Updated Nov 14, 2017.