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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

1_DATA_ITEM_NO: 13

2_TITLE_OF_DATA_ITEM: Equipment Status Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-MISC-80508B

5_CONTRACT_REFERENCE: 5.8.11

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ: NA

8_APP_CODE:

DIST_STATEMENT: NA

10_FREQUENCY: As Req'd

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: Phase-In (NLT)

13_DATE_OF_SUBSEQUENT_SUB:

addressee1: Contracting Officer draft1:

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16_REMARKS: This will be comprehensive report detailing the last inspection date, condition, deficiencies and action plan to remediate all deficiencies for all vehicles, tanks, fuel dispensing equipment (including hoses, nozzles, connectors etc.)

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 3

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

Page2:

of_pages:

Reset:

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

1_DATA_ITEM_NO: 14

2_TITLE_OF_DATA_ITEM: Government Furnished Equipment Status Report

3_SUBTITLE: Equipment Status Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-80227

5_CONTRACT_REFERENCE: 3.3

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ: NA

8_APP_CODE:

DIST_STATEMENT: NA

10_FREQUENCY: Monthly

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: Phase-In NLT

13_DATE_OF_SUBSEQUENT_SUB:

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16_REMARKS: Report is due monthly unless authorized by the COR to be submitted on a less or more frequent basis. Time will be determined by the COR.

Report will be specific to the commodity being tracked; however, the report should include but not be limited to:

a. Equipment by NIIN, P/N, LIN, Model, Nomenclature, Description or COTS equivalent (as appropriate)

b. Actions depending on mission (washed, moved to SF/maintenance, replaced with, and maintenance steps (Full FMC)

c. Inventory quantity to include On Hand, Ready for use, Non-Mission capable

d. Condition of Readiness (Condition Code, Service Date, or Maintenance Status)

e. Supply Status (as appropriate) to include but not limited to: Date Due-In, Status Codes, Document Numbers, ESD

f. Other information as deemed appropriate by the contractor

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 3

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

Page2:

of_pages:

Reset:

The 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 the Department of Defense, Executive Services Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 15 title: DATA ACCESSION LIST (DAL) sub: DATA ACCESSION LIST (DAL) auth: DI-MGMT-81453A ref: 5.13.5 req_ofc: USAACE G3 dd250:

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: Block 5: Additional PWS references, 1.5.11.5, 5.7.6, 5.7.8, 5.7.10, 5.7.15, 5.7.17, 5.8.1, 5.8.1.1, 5.8.2, 5.12.1, 5.13.2, 5.13.3, 5.13.4, 5.14.3, 5.14.7, 5.15, 5.16.10, 5.16.14, 5.16.17, 5.16.20, 5.16.21, 5.16.23, 5.16.24, 5.16.25, 5.16.26, 5.16.27, 5.16.28, 5.16.29, 5.16.30, 5.16.31, 5.16.32, 5.16.33, 5.16.34, 5.16.35, 5.16.37, 5.16.39, 5.17.

Block 13: The Contractor will provide within time-line specified in PWS or 48 hours for Government requested data.

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

group: NSP total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat: MGMT system: REFUEL/DEFUEL SERVICES ctr_no: W9124G-18-C-0007 contr:

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Page: 1 of_pages: 1 app: Adobe Professional 8.0

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: 16

2_TITLE_OF_DATA_ITEM: Contractor Acquired Property

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-MGMT-80227

5_CONTRACT_REFERENCE: 4.2.1

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ:

8_APP_CODE:

DIST_STATEMENT:

10_FREQUENCY: Quarterly

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: As REQ

13_DATE_OF_SUBSEQUENT_SUB: As REQ addressee1: KO draft1:

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16_REMARKS:

The Contractor shall provide a listing of all CAP acquired, fabricated or purchased by the Contractor to the COR for modification to the contract. The Contractor shall provide complete inventory report quarterly of all CAP in the possession of/used by the Contractor in performance of this contract. The report shall include the following:

1. CLIN

2. Manufacturer/Source

3. Nomenclature

4. Item Description

5. NSN

6. Part Number

7. Quantity

8. Unit of Measure

9. Serial Number (UII)

10. Original Unit Acquisition Cost

11. Date Placed in Service by Contractor

12. Manufacturer CAGE

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 3

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

Page2:

of_pages:

Reset:

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: 17

2_TITLE_OF_DATA_ITEM: USAF Fuel Issue Account Summary

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: 5.7.3

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ:

8_APP_CODE:

DIST_STATEMENT:

10_FREQUENCY: Monthly

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: 30 DAC

13_DATE_OF_SUBSEQUENT_SUB:

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16_REMARKS:

The Contractor shall provide the following data points to the KO/COR NLT the 5th of each month. (USAF Assets Only)

1. Total Quantity of Fuel Issued at Basefield by A/C Tail #.

2. Total Quantity of Fuel Issued at Stagefields by A/C Tail #.

3. Total Quantity of Fuel Received (defueled) at Basefield by A/C Tail #.

4. Total Quantity of Fuel Received (defueled) at Stagefields by A/C Tail #.

5. Cumulative Total for all fuel issued in support of USAF Flight Operations.

*all quantities referenced above will be annotated to the tenth of a gallon.

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

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E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

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1_DATA_ITEM_NO: 01

2_TITLE_OF_DATA_ITEM: Monthly Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-MISC-80508B

5_CONTRACT_REFERENCE: 2.3

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: Monthly

11_AS_OF_DATE: Award

12_DATE_OF_FIRST_SUBMISSI: 30 DAC

13_DATE_OF_SUBSEQUENT_SUB:

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16_REMARKS:

1) Contractor developed in a format to sufficiently document the events, issues, and accomplishments. Government accepted.

2) Content. The Monthly Update will be structured to update the Government on the progress of current missions and near-term missions, addressing the who, what, when, where, and how. Issues shall be addressed in sufficient detail to affect action without requiring additional information. Potential shortcomings and corrective actions will also be addressed.

3) Monthly report shall include:

a. A summary of work performed by each specific task area for the reporting period.

b. Summary of aircraft refueled by type and field

c. A summary of problems encountered and recommended solutions

d. A summary of problems anticipated and preventative measures.

e. Any spills/leaks

f. Any vehicle/equipment removed from service or placed in service.

g. Training completed, planned & training deficits.

h. Results achieved (i.e. synopsis of meetings, issues discussed and resolved or outstanding, tasks performed, mission accomplished)

i. Spills, leaks, emissions, venting

j. Results of the weekly manual stick readings from the Off Specification Fuel Tank.

k. SPCC container inspection checklist. (USAACE form 2711).

l. Supply challenges or shortages.

4) Report is due monthly unless authorized by the COR to be submitted on a less or more frequent basis, as mission requires. Submitted NLT 5th day of each month.

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

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OTHER: MGMT

DSYSTEMITEM: Refuel / De-fuel Services

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

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The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: 02

2_TITLE_OF_DATA_ITEM: Fuel Accounting Summary (ATG summary)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-MISC-80508B

5_CONTRACT_REFERENCE: 5.7.16

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ:

8_APP_CODE:

DIST_STATEMENT:

10_FREQUENCY: Monthly

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: 30 DAC

13_DATE_OF_SUBSEQUENT_SUB: NLT 5th of each month addressee1: Contracting Officer draft1:

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16_REMARKS: Contractor Format authorized, government approved.

The Contractor will provide a daily inventory of fuels to include:

Opening Inventory Quantity Received Quantity Issued Quantity in Contractor trucks/tanks Closing Inventory (end of day)

Contractor will consolidate daily inventory amounts into a monthly report Submit NLT 5th of each month.

For inventory control, Contractor will verify Automatic Tank Gauge (ATG) system for each tank and submit NLT 5th of each month.

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

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DSYSTEMITEM: Refuel/De-fuel Services

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

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The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: 04

2_TITLE_OF_DATA_ITEM: Phase In/Out Effort

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: Clause I.83-FAR 52.237-3

5_CONTRACT_REFERENCE: 1.5.3 & 1.5.4

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ: N/A

8_APP_CODE:

DIST_STATEMENT:

10_FREQUENCY:

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: 30 DAC

13_DATE_OF_SUBSEQUENT_SUB: 180 Days PoP End, OPT6 addressee1: Contracting Officer draft1:

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16_REMARKS: 1. The Phase-In/Out Transition Plans provide a detailed description of the transfer of full assumption of duties at each site to the Government and the follow-on contractor.

Requirements:

a. A written comprehensive plan explaining actions required to complete the total transition effort within a one hundred twenty (120) calendar day transition period.

b. Details of accounts and subscription services to be terminated or transferred.

c. Process to conduct a full joint inventory and transference of all Government Furnished Property inventory including all records.

d. Status of all items in inventory as well as the items that have been inducted into repair facilities, being modified or are being purchased.

e. Details for the removal of all contractor owned items.

f. Critical path schedule for risk mitigation of the transition period.

g. Plan to make training and certification records available of contractor personnel who are considering employment with the succeeding contractor.

Contractor shall prepare the plan 120 days prior to contract Phase-In beginning. The report will be contractor developed and Government approved and submitted in electronic media via e-mail. Government will review within 15 days. Final plan is required within 15 days after receipt of Government comments.

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE:

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A_CONTRACT_LINE_ITEM_NO:

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TDP:

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OTHER:

DSYSTEMITEM: Refuel/ De-Fuel

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

Page2:

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Reset:

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: 05

2_TITLE_OF_DATA_ITEM: Quality Control Plan (QCP)

3_SUBTITLE: QCP

4_AUTHORITY_Data_Acquisit: DI-MGMT-80004A

5_CONTRACT_REFERENCE: 1.5.6

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: No

10_FREQUENCY:

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: 30 DAC

13_DATE_OF_SUBSEQUENT_SUB:

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16_REMARKS: The Contractor shall establish and maintain a comprehensive quality control program to assure the requirements of the contract are provided as specified. The QCP shall also integrate all Environmental considerations and planning. The QCP shall be provided to the Government for review and acceptance. Government recommendations for improvement to the QCP will be forwarded to the Contractor for inclusion in his plan. Any changes to the Government accepted QCP shall be reviewed by Contracting Officer prior to implementation. Upon acceptance of the changes to the QCP by the Government, the Contractor shall provide the Government and Contracting Officer with an updated copy of the QCP within five (5) days of acceptance.

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE:

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reg38t: 3

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: Refuel/ De-Fuel

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

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of_pages:

Reset:

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: 06

2_TITLE_OF_DATA_ITEM: Standard Operating Procedures

3_SUBTITLE: SOP

4_AUTHORITY_Data_Acquisit: DI-MGMT-81453A

5_CONTRACT_REFERENCE: 5.1

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ: NA

8_APP_CODE: N/A

DIST_STATEMENT: No

10_FREQUENCY: As Req'd

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: 30 DAC

13_DATE_OF_SUBSEQUENT_SUB:

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16_REMARKS: The Contractor shall develop an Internal SOP for use by all employees. The SOP shall address the following areas at a minimum: Driving on Airfields, Fuel Procedures, Defuel Procedures and Receipt Procedures for Capitalized Bulk Resupply and distribution, Site Security Procedures and Safety procedures. This will address each type of aircraft being fueled/ defueled.

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 3

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: Refuel/D-Fuel

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

Page2:

of_pages:

Reset:

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: 07

2_TITLE_OF_DATA_ITEM: Physical Security Plan

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-MISC-80505B

5_CONTRACT_REFERENCE: PWS 1.5.12.5

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ:

8_APP_CODE:

DIST_STATEMENT: NO

10_FREQUENCY: As Req'd

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: 30 DAC

13_DATE_OF_SUBSEQUENT_SUB:

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16_REMARKS: 1) The contractor shall incorporate in their Standard Operating Procedures, as a separate chapter.

2) A Physical Security Plan.

3) Monthly key inventories will be provided to the COR. The contractor shall provide physical security at all times for all Government property, Petroleum, Oil, and Lubricants products and equipment while in the contractor's possession. Should future mission requirements dictate semi- permanent/permanent fuel storage at stage fields, the contractor will complete site preparation and incorporate into the physical security plan.

2) Monthly key inventories shall be provided to the COR.

Block 14: The preferred method of delivery shall be electronically in Microsoft Office (2013 or later) format via email to a CDRL Mailbox. If approved by the Government the following two methods may also be used as secondary means of delivery: Integrated Data Environment, or an ftp site with email notification.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 3

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: Refuel/Defuel

E_CONTRACTPR_NO: W9124G-18-R-0007

FCONTRACTOR:

16_REMARKS_Continued:

Page2:

of_pages:

Reset:

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: 08

2_TITLE_OF_DATA_ITEM: Environmental Protection/Response Plan

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-MISC-80508B

5_CONTRACT_REFERENCE: 2.3;2.6;2.8;5.7.13

6_REQUIRING_OFFICE: USAACE G3

7_DID_250_REQ: NA

8_APP_CODE:

DIST_STATEMENT: NA

10_FREQUENCY: As Req'd

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI: 30 DAC

13_DATE_OF_SUBSEQUENT_SUB:

addressee1: Contracting Officer draft1:

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