21-R-1000 DRAFT RFP - TASK ORDER 0003.pdf
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- Attached to
- DRAFT REQUEST FOR PROPOSAL - Advanced Space Technology Research and Optimization (ASTRO) Federal contract opportunity
- Solicitation number
- FA9451-21-R-1000
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| ASTRO Virtual Industry Day.pdf | ||
| ASTRO Virtual Industry Day Registration Form.pdf | ||
| 21-R-1000 DRAFT RFP - TASK ORDER 0002.pdf | ||
| 21-R-1000 DRAFT RFP - TASK ORDER 0001.pdf | ||
| 21-R-1000 DRAFT RFP.pdf |
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Text version
ORDER FOR SUPPLIES OR SERVICES
1. CONTRACT/PURCH ORDER/AGREEMENT NO.
FA945121R1000
2. DELIVERY ORDER/ CALL NO.
TASK ORDER 0003
3. DATE OF ORDER/CALL
(YYYYMMMDD)
4. REQUISITION/PURCH REQUEST NO.
SEE SCHEDULE
5. PRIORITY
6. ISSUED BY AFRL/RDKB
CODE FA9451 7. ADMINISTERED BY (If Other than 6) CODE 8. DELIVERY FOB
AF RESEARCH LABORATORY (DET 8)
3550 ABERDEEN AVE SE
KIRTLAND AFB, NM 87117-5776
HARSH HARIYANI 505-846-6877
harsh.hariyani@us.af.mil
DESTINATION
X OTHER
(See Schedule if other)
SCD: PAS: (NONE)
9. CONTRACTOR CODE FACILITY 10. DELIVER TO FOB POINT BY (Date) 11. X IFBUSINESS IS
(YYYYMMMDD) SEE SCHEDULE
SMALL
NAME
AND
12. DISCOUNT ITEMS
SMALL DISAD-
VANTAGED
ADDRESS N
WOMEN-
OWNED
13. MAIL INVOICES TO ADDRESS IN BLOCK
SEE BLOCK 15 (PAYMENT OFFICE)
14. SHIP TO CODE 15. PAYMENT WILL BE MADE BY CODE
SEE SCHEDULE MARK ALL
PACKAGES AND
PAPERS WITH
IDENTIFICATION
NUMBERS IN
BLOCKS 1 AND 2.
EFT:T
16.
DELIVERY/
X
This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.
TYPE CALL
OF
PURCHASE
Reference your furnish the following on items specified herein.
ORDER ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.
NAME OF CONTRACTOR SIGNATURE
TYPED NAME AND TITLE DATE SIGNED(YYYYMMMDD)
If this box is marked, supplier must sign Acceptance and return the following number of copies:
17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE
18. ITEM NO. 19. SCHEDULE OF SUPPLIES/SERVICES 20. QUANTITY
ORDERED/
ACCEPTED*
21.
UNIT
22. UNIT PRICE 23. AMOUNT
*If quantity accepted by the Government is same as quantity ordered, indicate by X. If different, enter actual quantity accepted below quantity ordered and encircle.
24. UNITED STATES OF AMERICA
25. TOTAL
$0.00
29.
DIFFERENCES
BY:
CONTRACTING/ORDERING OFFICER
26. QUANTITY IN COLUMN 20 HAS BEEN 27. SHIP NO. 28. D.O. VOUCHER NO. 30. INITIALS
INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO THE
CONTRACT EXCEPT AS NOTED
PARTIAL 32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR
_______ _________________________________________________ FINAL
DATE SIGNATURE AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32. PAYMENT 34. CHECK NUMBER
36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT. COMPLETE
_______ _________________________________________________ PARTIAL 35. BILL OF LADING
DATE SIGNATURE AND TITLE OF CERTIFYING OFFICER FINAL
37. RECEIVED
AT
38. RECEIVED BY (Print) 39. DATE RECEIVED
(YYYYMMMDD)
40. TOTAL CON-
TAINERS
41. S/R ACCOUNT NO. 42. S/R VOUCHER NO.
DD FORM 1155, JAN 1998 (EG) ConWrite Version 7.4.0.0 PREVIOUS EDITION MAY BE USED Created 17 Jun 2021 7:48 AM
DRAFT TASK
ORDER 0003
LIST OF ATTACHMENTS
FA9451-21-F-1003
1. PURPOSE: The purpose of this task order is to place an order under the Basic contract FA9451-21-D- 1000, Advanced Space Technology Research & Optimization (ASTRO), for the tasks identified under the Statement of Work (SOW) entitled, "Air Force Maui Optical and Supercomputing (AMOS) Projects", dated
DD MONTH YYYY.
2. TASK ORDER TOTAL: The total value of the task order is $0.00.
3. AMOUNT OBLIGATED: The total amount obligated is $0.00.
4. PART I - THE SCHEDULE, SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS
Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount
0001 RESERVED CLIN
Noun: PLACEHOLDER CLIN
PSC:
NSN: N - Not Applicable Descriptive Data:
Placeholder CLIN
MODS - LABOR - RDT&E - AWARD FEE
0002 1 $0.00 Lot $0.00 Noun: AWARD FEE - RDT&E
PSC:
NSN: N - Not Applicable Contract type: R - COST PLUS AWARD FEE Inspection: DESTINATION Acceptance: DESTINATION
FOB: DESTINATION
Descriptive Data:
The total award fee amount is to be determined but shall not exceed 10% of the estimated cost of performance (excluding baselined ODC). The award fee shall be administered and evaluated in accordance with the Basic contract Section J attachment 7, Award Fee Plan.
Contractor shall be reimbursed for performance of this contract in accordance with the contract clauses and the following additional terms:
(a) The total estimated cost of performance (excluding baselined ODC) is ____
(b) The base fee is ____
(c) The maximum award fee is ____
(d) The award fee earned for performance from inception of contract through the evaluation period ending _____ (insert end of evaluation period) has been determined to be _____ (insert award fee earned).
Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount
MODS - LABOR - O&M - AWARD FEE
0003 1 $0.00 Lot $0.00 Noun: AWARD FEE - O&M
PSC:
NSN: N - Not Applicable Contract type: R - COST PLUS AWARD FEE Inspection: DESTINATION Acceptance: DESTINATION
FOB: DESTINATION
Descriptive Data:
The total award fee amount is to be determined but shall not exceed 10% of the estimated cost of performance (excluding baselined ODC). The award fee shall be administered and evaluated in accordance with the Basic contract Section J attachment 7, Award Fee Plan.
Contractor shall be reimbursed for performance of this contract in accordance with the contract clauses and the following additional terms:
(a) The total estimated cost of performance (excluding baselined ODC) is ____
(b) The base fee is ____
(c) The maximum award fee is ____
(d) The award fee earned for performance from inception of contract through the
MODS - LABOR PROCUREMENT - AWARD FEE
0004 1 $0.00 Lot $0.00 Noun: AWARD FEE - PROCUREMENT
PSC:
NSN: N - Not Applicable Contract type: R - COST PLUS AWARD FEE Inspection: DESTINATION Acceptance: DESTINATION
FOB: DESTINATION
Descriptive Data:
The total award fee amount is to be determined but shall not exceed 10% of the estimated cost of performance (excluding baselined ODC). The award fee shall be administered and evaluated in accordance with the Basic contract Section J attachment 7, Award Fee Plan.
Contractor shall be reimbursed for performance of this contract in accordance with the contract clauses and the following additional terms:
(a) The total estimated cost of performance (excluding baselined ODC) is ____
(b) The base fee is ____
(c) The maximum award fee is ____
(d) The award fee earned for performance from inception of contract through the
Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount
MODS - BANK CLIN - LABOR
0005 1 $0.00 Lot $0.00 Noun: MODERNIZATION - BASIC-MISSION SUPPORT TASKER (B-
MST) (RESERVED)
PSC:
NSN: N - Not Applicable Contract type: R - COST PLUS AWARD FEE Inspection: DESTINATION Acceptance: DESTINATION
FOB: DESTINATION
Descriptive Data:
The contractor shall furnish the necessary labor and associated labor costs reasonably required to accomplish modernization projects issued pursuant to Section J attachment 1, Task Order Statement of Work (SOW) entitled, " Air Force Maui Optical and Supercomputing (AMOS) Projects"
Modification efforts executed under this CLIN will use units of B-MST Bases of Estimate (BOE) in accordance with Section J attachment 1, Task Order Statement of Work (SOW) entitled, " Air Force Maui Optical and Supercomputing (AMOS) Projects". Modernization projects may vary in size, complexity, and dollar value. Individual modernization projects shall be assigned by the Contracting Officer only. Individual modernization projects instructions, requirements, and any unique execution aspects shall be captured in the individual project-MST. Contractor will complete cost details based on variances between the existing B-MST BOE and the individual project-MST. Additional CLINs will be established and ceiling will be realigned from CLIN 0005 to specific modernaization projects for funding.
Total estimated price for this CLIN is established by multiplying the B-MST BOE by _____ units of B-MST
Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount
0006 1 $0.00 Lot $0.00 Noun: CUSTOMER PROJECT - BASIC-MISSION SUPPORT
TASKER (B-MST) (RESERVED)
PSC:
NSN: N - Not Applicable Contract type: R - COST PLUS AWARD FEE Inspection: DESTINATION Acceptance: DESTINATION
FOB: DESTINATION
Descriptive Data:
The contractor shall furnish the necessary labor and associated labor costs reasonably required to accomplish modernization projects issued pursuant to Section J attachment 1, Task Order Statement of Work (SOW) entitled, " Air Force Maui Optical and Supercomputing (AMOS) Projects"
Customer funded efforts executed under this CLIN will use units of B-MST Bases of Estimate (BOE) in accordance with Section J attachment 1, Task Order Statement of Work (SOW) entitled, " Air Force Maui Optical and Supercomputing (AMOS) Projects".
Customer funded projects may vary in size, complexity, and dollar value. Individual customer projects shall be assigned by the Contracting Officer only. Individual customer projects instructions, requirements, and any unique execution aspects shall be captured in the individual project-MST. Contractor will complete cost details based on variances between the existing B-MST BOE and the individual project-MST. Additional CLINs will be established and ceiling will be realigned from CLIN 0006 to specific customer projects for funding.
Total estimated price for this CLIN is established by multiplying the B-MST BOE by _____ units of B-MST
Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount
DATA AND REPORTS
0007 1 NSP
Lot NSP Noun: DATA & REPORTS
ACRN: U
PSC:
NSN: N - Not Applicable DD1423 is Exhibit: A Contract type: S - COST Inspection: SOURCE Acceptance: SOURCE
FOB: SOURCE
Descriptive Data:
The Contractor shall deliver data and reports as required in accordance with Exhibit A Contract Data Requirements List (CDRL). This CLIN is not separately priced (NSP).
All data shall be delivered in accordance with the delivery schedule shown on the Contract Data Requirements List (CDRLs), or as incorporated by reference.
All reports and correspondence submitted under this contract shall include the contract number and project number, if applicable, and be forwarded prepaid. A copy of the letters of transmittal shall be delivered to the Contracting Officer and Administrating Contracting Officer.
0008 1 $0.00 Lot $0.00 Noun: MODS PROJECT #1 (CLIN FUNDING TYPE TBD)
PSC:
NSN: N - Not Applicable Contract type: R - COST PLUS AWARD FEE Inspection: DESTINATION Acceptance: DESTINATION
FOB: DESTINATION
Descriptive Data:
The contractor shall furnish all labor, supplies, hardware, materials, travel, facilities, and other direct costs reasonably required to accomplish accomplish the modernization project as described in MST attachment #TBD issued pursuant to Section J attachment 1, Task Order Statement of Work (SOW) entitled, " Air Force Maui Optical and Supercomputing (AMOS) Projects"
Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount
0009 1 $0.00 Lot $0.00 Noun: CUSTOMER PROJECT #1 (CLIN FUNDING TYPE TBD)
PSC:
NSN: N - Not Applicable Contract type: R - COST PLUS AWARD FEE Inspection: DESTINATION Acceptance: DESTINATION
FOB: DESTINATION
Descriptive Data:
The contractor shall furnish all labor, supplies, hardware, materials, travel, facilities, and other direct costs reasonably required to accomplish accomplish the customer project as described in MST attachment #TBD issued pursuant to Section J attachment 1, Task Order Statement of Work (SOW) entitled, " Air Force Maui Optical and Supercomputing (AMOS) Projects"
5. PART I - THE SCHEDULE, SECTION F - DELIVERIES OR PERFORMANCE
SHIP MARK TRANS
ITEM SUPPLIES SCHEDULE DATA QTY TO FOR PRI DATE
0002 1 FA9451 FA9451 ASREQ
Noun: AWARD FEE - RDT&E Descriptive Data:
The Technical Period of Performance (TPOP) ends on DD MONTH YYYY.
The Task Order Period of Performance (POP) ends on DD MONTH YYYY.
0003 1 FA9451 FA9451 ASREQ
Noun: AWARD FEE - O&M
ACRN: 9
Descriptive Data:
0004 1 FA9451 FA9451 ASREQ
Noun: AWARD FEE - PROCUREMENT
ACRN: 9
Descriptive Data:
0005 1 FA9451 FA9451 ASREQ
Noun: MODERNIZATION - BASIC-MISSION SUPPORT
TASKER (B-MST) (RESERVED)
ACRN: 9
Descriptive Data:
SHIP MARK TRANS
ITEM SUPPLIES SCHEDULE DATA QTY TO FOR PRI DATE
0006 1 FA9451 FA9451 ASREQ
Noun: CUSTOMER PROJECT - BASIC-MISSION SUPPORT
TASKER (B-MST) (RESERVED)
ACRN: 9
Descriptive Data:
0007 1 FA9451 FA9451 ASREQ
Noun: DATA & REPORTS
ACRN: U
Descriptive Data:
0008 1 FA9451 FA9451 ASREQ
Noun: MODS PROJECT #1 (CLIN FUNDING TYPE TBD)
ACRN: 9
Descriptive Data:
MODS - PROJECT #1 ENDS ON DD MM YYYY
0009 1 U ASREQ
Noun: CUSTOMER PROJECT #1 (CLIN FUNDING TYPE
TBD)
ACRN: 9
6. PART I - THE SCHEDULE, SECTION G - CONTRACT ADMINISTRATION DATA:
To Be Decided.
7. PART I - THE SCHEDULE, SECTION G - CONTRACT ADMINISTRATION DATA:
8. PART I - THE SCHEDULE, SECTION G - CONTRACT ADMINISTRATION DATA: The funding obligated to Task Order is as follows:
///last item///
SCHEDULE
DOCUMENT PGS DATE TITLE
EXHIBIT A 39 16 JUN 2021 CONTRACT DATA REQUIREMENTS LISTS
ATTACHMENT 1 9 TASK ORDER 0003 STATEMENT OF WORK (SOW)
ATTACHMENT 2 4 16 JUN 2021 SOW SUPPLEMENTAL REQUIREMENTS
ATTACHMENT 3 1 16 JUN 2021 DD 254 - DOD CONTRACT SECURITY
CLASSIFICATION SPECIFICATION
ATTACHMENT 4 1 16 JUN 2021 DATA RIGHTS ASSERTIONS
ADVANCED SPACE TECHNOLOGY RESEARCH & OPTIMIZATION
(ASTRO)
FA9451-21-R-1000
EXHIBIT A, CONTRACT DATA REQUIREMENTS LIST
ITEM TITLE SUBTITLE DID
A001 Technical and
Management Work Plan
DI-MGMT-81117A
A002 Status Report DI-MGMT-80368A
A003 Presentation Material DI-ADMN-81373
A004 Integrated Program Management Data and Analysis Report
Integrated Master Schedule (IMS)
DI-MGMT-81861B
Notice 1
A005 Report, Record of Meetings/Minutes
DI-ADMIN-81505
A006 Real-Property Facilities
As Built Drawings DI-MISC-81489B
A007 Hazardous Materials Management Plan
Hazardous Waste Plan
DI-MISC-81398C
A008 Contract Work Breakdown Structure
(CWBS)
DI-MGMT-81334D
A009 Contract Funds Status Report (CFSR)
DI-MGMT-81468A
A010 Performance and Cost Report
DI-FNCL-80912A
A011 Operation and Maintenance Instructions for R&D Equipment
Mission Equipment O&M Instructions
DI-MISC-81414A
A012 Management Plan Task Order Management Plan
DI-MGMT-80004A
A013 Management Plan Maintenance Management Plan
DI-MGMT-80004A
A014 Management Plan Operations Management Plan
DI-MGMT-80004A
A015 Management Plan Program Management Plan
DI-MGMT-80004A
A016 Accident/Incident Report
DI-SAFT-81563
A017 System Safety Program Plan
DI-SAFT-81626
A018 System Safety Hazard Analysis Report (SSHA)
DI-SAFT-80101C
A019 Safety Assessment Report
DI-SAFT-80102C
A020 Technical Report— Studies/Services
DI-MISC-80508B
A021 Supplier’s Configuration Management Plan
Configuration Management Plan
DI-SESS-80858D
A022 System/Subsystem Specification
DI-IPSC-81431A
A023 Test Plan DI-NDTI-80566A
A024 Test/Inspection Report
DI-NDTI-80809B
A025 Interface Control Document
DI-SESS-81248B
A026 Development Design Drawings/Models and Associated Lists
DI-SESS-81002F
A027 Conceptual Design Drawings/Models and Associated Lists
DI-SESS-81001E
A028 Scientific and Technical Report
Final Report DI-MISC-80711A
A029 Systems Engineering Management Plan
DI-SESS-81785A
A030 Software Development Plan
DI-IPSC-81427B
A031 Interface Requirements Specification
DI-IPSC-81434A
A032 Software Requirements Specification
DI-IPSC-81433A
A033 Software Design Description (SDD)
DI-IPSC-81435A
A034 Software Test Description
DI-IPSC-81439A
A035 Software Test Report DI-IPSC-81440A
A036 Software User Manual
DI-IPSC-81443A
EXHIBIT A
A. CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval 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 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.: xxxx
B. EXHIBIT....................................: A
C. CATEGORY..............................:
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A001
2. TITLE OF DATA ITEM............: Technical and Management Work Plan
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-MGMT-81117A
5. CONTRACT REFERENCE......: Task Order Specific
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: A
9. DIST. STATEMENT REQUIRED......: B
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
12. DATE OF FIRST SUBMISSION: 60DAC
13. DATE OF SUBSEQUENT SUBM.: See Blk 16
14. DISTRIBUTION A. ADDRESSEES
B. COPIES
DRAFT FINAL
AFRL/RDSM 1 1
AFRL/RDKB LT LT
ACO LT LT
15. TOTAL: 1 1
16. REMARKS
Blk 4: DI-MGMT-81117A is tailored as follows:
A. General: Contractor format is acceptable. Electronic media format. Submission via unencrypted or unsecure email is not permitted.
Blk 8: Approval by the Task Order Officer.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies only, Administrative or Operational Use, (author fill in date of report, dd mmm yy). Other requests for this document shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.
Blk 10, 12, 13, 14: Based on instructions in each individual task order as tailored by the Task Order Officer. The government will review, edit and return the draft no later than 10 business days. Upon receipt of the reviewed and edited draft, the contractor shall take no more than 10 business days to incorporate all required changes and deliver a final version.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: Devin K.H. Leong, Maj, USAF
H. DATE: J. DATE:
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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....................................: A
C. CATEGORY..............................: Other; IDIQ Contract
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A002
2. TITLE OF DATA ITEM............: Status Report
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-MGMT-80368A
5. CONTRACT REFERENCE......: Task Order Specific
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: N/A
9. DIST. STATEMENT REQUIRED......: D
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
12. DATE OF FIRST SUBMISSION: See Blk 16
AFRL/RDSM 1
AFRL/RDKB 1
ACO LT
15. TOTAL: 2
Submission via unencrypted or unsecure email is not permitted.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, Export Controlled, (author fill in date of report, dd mmm yy). Other requests for this document shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”
Blk 10, 11, 12, 13: Task Order Status Reports: The contractor shall submit status of task order activities documented in a monthly status report submitted five business days after each full month of performance for each task order.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable,
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: Devin K.H. Leong, Maj, USAF
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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....................................: A
C. CATEGORY..............................: Other; IDIQ Contract
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A003
2. TITLE OF DATA ITEM............: Presentation Materials
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-ADMIN-81373
5. CONTRACT REFERENCE......: Task Order Specific
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: N/A
9. DIST. STATEMENT REQUIRED......: D
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
AFRL/RDKB LT
15. TOTAL: 1
Blk 4: DI-ADMN-81373 is tailored as follows:
A. General: Contractor format is acceptable. Submission via unencrypted or unsecure email is not permitted.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology and Export Controlled, (author fill in date of report, dd mmm yy). Other requests shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland
AFB, NM 87117-5776.
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”
Blk 10, 11, 12, 13, 14: Draft presentation material shall be delivered 3 business days before the scheduled event. Final presentation material (for gov’t records) will be delivered 3 business days after the event, unless otherwise stated.
Blk 14: The contractor shall submit presentation materials concurrent with the presentation in the format requested by the task order officer.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable,
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: Devin K.H. Leong, Maj, USAF
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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....................................: A
C. CATEGORY..............................: Other
D. SYSTEM/ITEM........:
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A004
2. TITLE OF DATA ITEM............: Integrated Program Management Data and Analysis Report
3. SUBTITLE..................................: Integrated Master Schedule (IMS)
4. AUTHORITY.............................: DI-MGMT-81861B Notice 1
5. CONTRACT REFERENCE......: Task Order Specific
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: No
9. DIST. STATEMENT REQUIRED......: D
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
DRAFT FINAL
AFRL/RDSM 1
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, Export Controlled, (author fill in date of report, dd mmm yy). Other requests for this document shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”
Blk 10-13: Reports submitted within 10 working days after completion of the first full month following task order award. Final submittal is due one month after technical performance period ends.
Note: All formats shall be submitted electronically encrypted in accordance with DI-MGMT-81861A.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable,
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: Devin K.H. Leong, Maj, USAF
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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.: 0004
B. EXHIBIT....................................: A
C. CATEGORY..............................:
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A005
2. TITLE OF DATA ITEM............: Report, Record of Meetings/Minutes
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-ADMIN-81505
5. CONTRACT REFERENCE......:
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: N/A
9. DIST. STATEMENT REQUIRED......: D
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
DRAFT FINAL
AFRL/RDSM 1
Blk 4: DI-ADMN-81505 is tailored as follows:
A. General: Contractor format is acceptable. Submission via unencrypted or unsecure email is not permitted.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, Export Controlled, (author fill in date of report, dd mmm yy). Other requests for this document shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”
Blk 10, 11, 12, 13, 14: The contractor shall deliver reports and records of meetings as generated in support of specified task order or standardized meeting requirements.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable,
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: PM; Devin K. H. Leong, Maj, USAF H. DATE: 09 June 2021 J. DATE: 09 June 2021
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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.: 0004
B. EXHIBIT....................................: A
C. CATEGORY..............................:
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A006
2. TITLE OF DATA ITEM............: Real-Property Facilities
3. SUBTITLE..................................: As Built Drawings
4. AUTHORITY.............................: DI-MISC-81489B
5. CONTRACT REFERENCE......:
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: A
9. DIST. STATEMENT REQUIRED......: C
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
DRAFT FINAL
AFRL/RDSM 1 1
Blk 4: DI-MISC-81489B is tailored as follows:
A. General: Contractor format is acceptable. Submission via unencrypted or unsecure email is not permitted. Copies shall be maintained and stored electronically at the individual site.
Blk 9: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors, Administrative or Operational Use, (author fill in date of report, dd mmm yy). Other requests for this document shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.
Blk 10, 11, 12, 13, 14: The contractor shall deliver as built drawings in support of individual task orders, experiment support or infrastructure changes. The government will review, edit and return the draft no later than 10 business days. Upon receipt of the reviewed and edited draft, the contractor shall take no more than 5 business days to incorporate all required changes and deliver a final version.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable,
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: PM; Devin K. H. Leong, Maj, USAF
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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.: 000x
B. EXHIBIT....................................: A
C. CATEGORY..............................:
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A007
2. TITLE OF DATA ITEM............: Hazardous Materials Management Plan
3. SUBTITLE..................................: Hazardous Waste Plan
4. AUTHORITY.............................: DI-MISC-81398C
5. CONTRACT REFERENCE......:
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: A
9. DIST. STATEMENT REQUIRED......: B
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
12. DATE OF FIRST SUBMISSION: 90 DAC
DRAFT FINAL
AFRL/RDSM 1 1
Blk 4: DI-MISC-81398C is tailored as follows:
A. General: Contractor format is acceptable. Submission via unencrypted or unsecure email is not permitted. Copies shall be maintained and stored electronically at the individual site.
Blk 9: DISTRIBUTION STATEMENT B: Distribution authorized to U.S. Government agencies, Administrative or Operational Use, (author fill in date of report, dd mmm yy). Other requests for this document shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.
Blk 10, 11, 12, 13: The government will review, edit and return the draft no later than 10 business days. Upon receipt of the reviewed and edited draft, the contractor shall take no more than 10 business days to incorporate all required changes and deliver a final version.
Blk 14: Copies will be provided to the site facilities officer and/or local civil engineering for review and comment.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable,
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: PM; Devin K. H. Leong, Maj, USAF
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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.: 000x
B. EXHIBIT....................................: A
C. CATEGORY..............................:
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A008
2. TITLE OF DATA ITEM............: Contract Work Breakdown Structure (CWBS)
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-MGMT-81334D
5. CONTRACT REFERENCE......: Task Order Specific
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: No
9. DIST. STATEMENT REQUIRED......: D
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
DRAFT FINAL
AFRL/RDSM 1
ACO 1
Blk 4: Extensions of the CWBS can be tailored to the specific program but will be consistent with MIL-HDBK-881 at the discretion of the Task Order Officer.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology and Export Controlled, (author fill in date of report, dd mmm yy). Other requests shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”
Blk 10-13: First report submitted within 17 working days after completion of the first full month following task order award.
If changes to the CWBS occur, the contractor must submit an updated CWBS Index and Dictionary with the next affected Integrated Program Management Report.
(CDRL A004).
All reports shall be submitted electronically in accordance with DI-MGMT-81334D. Contractor formats are acceptable and can be submitted via DoD encrypted email via Kirtland AFB local area network.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable,
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: PM; Devin K. H. Leong, Maj, USAF
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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.: 000x
B. EXHIBIT....................................: A
C. CATEGORY..............................: Other: IDIQ Contract
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A009
2. TITLE OF DATA ITEM............: Contract Funds Status Report (CFSR)
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-MGMT-81468A
5. CONTRACT REFERENCE......: Task Order Specific
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: N/A
9. DIST. STATEMENT REQUIRED......: D
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
DRAFT FINAL
AFRL/RDSM 1
AFRL/RDKB Lt ACO Lt
Blk 4: Tailoring
- Contractor Format is encouraged. All financial data should be presented in a format that facilitates interpretation.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology and Export Controlled, (author fill in date of report, dd mmm yy). Other requests shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”
Blk 10-13: First report submitted within 10 working days after completion of the first full month following task order award. Monthly thereafter for the duration of the contract. Last submission shall be at contract completion.
Note: E-mail transmittal is not permitted for CDRL submission.
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable,
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED BY: Billy Paney, Jr., DO-II, DAF I. APPROVED BY: PM; Devin K. H. Leong, Maj, USAF
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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.: 000x
B. EXHIBIT....................................: A
C. CATEGORY..............................: Other
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A010
2. TITLE OF DATA
Performance and Cost Report
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-FNCL-80912A
5. CONTRACT REFERENCE......: Task Order Specific
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: N/A
9. DIST. STATEMENT REQUIRED......: D
10. FREQUENCY......................................: See Blk 16
11. AS OF DATE........................................: See Blk 16
DRAFT FINAL
AFRL/RDKB 1
ACO
LT
Blk 4: Tailored:
-FORMAT – The Performance and Cost Report format shall be contractor selected. All financial data should be presented in a format that facilitates interpretation.
When reporting at the CLIN level, roll up all of the labor CLINs as one item and all of the ODC CLINs as one item. No separate reporting at the funding type level is required (i.e. RDT&E, O&M, etc.). Copies will be provided in Excel and PDF format.
-CONTENT – The Performance and Cost Report shall contain the following:
Replacement for 3.1. Man-Hours – Total man-hours expended by WBS by CLIN for the month, cumulative total man-hours to date, and percentages of total man-hours spent to date. State whether or not remaining hours are sufficient to complete the WBS task. The WBS reporting level will be determined by the task order officer.
Replacement for 3.2. Funds – Total funds expended, by CLIN for the month, cumulative total funds spent to date, and percentage of total task order funds spent to date. Also provided is Estimate to Complete (ETC) by CLIN. State whether or not remaining funds are sufficient to complete the task order at the CLIN level.
Replacement for 3.3. Budget performance – At WBS reporting level 5, the following is provided: Budgeted cost and estimated fee, cumulative actuals to date, commitments, estimated fee, and remaining budget.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology and Export Controlled, (author fill in date of report, dd mmm yy). Other requests shall be referred to Air Force Research Laboratory, AFRL/RDS, 3550 Aberdeen Ave SE, Kirtland
AFB, NM 87117-5776.
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”
DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, Blk 10-13:
-Man-hour reports submitted 10 working days after completion of the first full calendar month following task order award. Monthly thereafter for the duration of the task order. Last submission shall be at task order completion.
-Funding report submitted 10 working days after completion of each contractor fiscal month and the third Friday of each fiscal month.
-Budget performance report submitted 10 working days after completion of each contractor fiscal month and the third Friday of each fiscal month. Last submission shall be at task order completion.
G. PREPARED BY: Mr. Billy Paney I. APPROVED BY: Maj Devin Leong
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1_ of 1 _ Pages
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 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.: CLIN
B. EXHIBIT....................................: A
C. CATEGORY..............................: Other
D. SYSTEM/ITEM........: ASTRO
E. CONTRACT/PR NO.
F. CONTRACTOR.........:
1. DATA ITEM NO........................: A011
2. TITLE OF DATA ITEM............: Operation and Maintenance Instructions for R&D Equipment
3.…
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