A001-A002 CDRLs_V6 FACT E.pdf

CUI

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existin data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or an other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (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 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.

A001

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

See Block 16

5. CONTRACT REFERENCE

PWS Part 2, para 11.1

6. REQUIRING OFFICE

SEE BLOCK16

7. DD 250 REQ

N

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

SEE BLOCK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK16

Draft

Final

Reg Repro

Submit report via email to the

Contracting Officer and Contracting

Officer

Representative.

16. REMARKS

1.BLOCK 4: As per BLOCK 5 authorities.

1a. BLOCK 5: The Status Report will be due by the 5th business day of the month or as otherwise noted in the individual paragraph.

2a. BLOCK 5: Training Status Report (AUTH: DI-MGMT-80368A): The contract shall report all training conducted to the COR in Microsoft-Word or PDF format) detailing how each mission, training objective, end-state, and deliverable was accomplished. The report will also include a student roster and student progress. The contractor shall describe all training completed, all issues encountered, and any reasons for the cancellation of raining.

2b. BLOCK 5: Contractor Assessment Report (AUTH: DI-MGMT-): The Contractor shall submit a report on the previous months self-assessment in accordance with the Contractor’s Quality Control Plan. The number of self-assessments conducted within the month shall be dependent upon the complexity of the mission and the success/failure rate of previous assessments. The results of the assessment and any corrective actions shall be included inthe report. Self-assessments shall begin in the first month following the Government’s acceptance of the Contractor’s quality control plan.

2c. BLOCK 5: Data Rights (AUTH: DI-MGMT-80934C). The contractor shall develop, maintain, and provide to the COR a continuous report that identifies and tracks all documents under this mission, as they are created or become available, considered to be Government owned data rights. The Contractor shall also identify and track any document or other under this mission not considered protected under these rights, along with the justification for omitting them.

2d. BLOCK 5: Roster (AUTH: DI-MGMT-80368A): The contractor shall develop, maintain and provide to the COR a contractor personnel roster which shall include names and positions of all contractor personnel, security clearance(s) as well as indicating which employees were issued CAC or other forms of government identification cards. The roster will include a listing of all members phone numbers that have been verified and maintained by the Site Lead. If PLBs are authorized by the country, the Contractor will provide a list of who is assigned a PLB to include PLB by name, model, hex ID (or operating ID), battery expiration date, and serial number. The Contractor shall provide notification within five (5) business days when changes are made thereafter.

15. TOTAL 0

G. PREPARED BY

y

H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 21 Pages

Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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

TDP TM OTHER

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

2e. BLOCK 5: Isolated Personnel Report (ISOPREP): (AUTH: DI-MGMT-): The Contractor shall track all ISOPREP completions, to include all completed ISOPREP Forms (DD Form 1833 or equivalent). All USG Contractor personnel will complete an ISOPREP form prior to departure to duty location. Personnel attending FACT will complete the ISOPREP with the SATMO S2 Section. To use PRO-FILE, the user will need a CAC-enabled computer connected to a .mil or .gov domain. To use PRO-FILE, the user will need a CAC-enabled computer connected to a .mil or .gov domain. **

All ISOPREP forms must be turned into SATMO S2 at least ninety-six (96) hours prior to deployment.

2f. BLOCK 5: Personnel Status Report (PERSTAT)(AUTH: DI-MGMT-80368A): The Contractor will maintain, and be prepared to report, full accountability of all personnel at any time. The Contractor shall report a summary of contract responsibilities, illnesses, and projected time-off. The

Contractor shall report all scheduled time-off a minimum of thirty (30) business day in advance with a plan to ensure all mission requirements are covered. The Contractor shall always maintain and report a full accountability of deployed personnel. The Contractor shall include a listing of

Contractor employees who quit, were fired or other during the previous month and the date their CACs were turned in. ** The Contractor shall ensure that all requests for information pertaining to the Contractor’s personnel are provided to SATMO and the COR in the event of an incident that requires

Personnel Recovery plans to be implemented.

2g. BLOCK 5: After-Action Report (AUTH: DI-MGMT-80368A): The Contractor shall maintain detailed notes during the performance of this training mission. At the conclusion of this mission, the contractor shall provide an After-Action Report (AAR) / Lessons Learned report to the COR/Contract

Specialist and SATMO. ** The Contractor shall submit a final Status Report within twenty (20) business days of contract completion that includes the

After-Action Report.

2h. BLOCK 5: Contingency Reports (AUTH: DI-MGMT-80368A): The Contractor shall submit contingency reports as required by SATMO Policy

Memo 19 Reportable Event - Incident Requirements (attached).

3.BLOCK 6: ACC Orlando Contracting Officer or designated Contracting Officers Representative.

DD FORM 1423-1, FEB 2001 CUI

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

CUI

Page of Pages

Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existin data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or an other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (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 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.

A002

2. TITLE OF DATA ITEM

Billing Invoices

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

See Block 16

5. CONTRACT REFERENCE

PWS SEC 2, para 11.3

6. REQUIRING OFFICE

SEE BLOCK16

7. DD 250 REQ

N

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

SEE BLOCK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK16

Draft

Final

Reg Repro

16. REMARKS

1a. BLOCK 5: Monthly Billing Invoices (AUTH: DI-MGMT-80911). The Contractor shall transmit monthly billing invoices through the Wide Area Workflow (WAWF) system for Inspection and/or Feedback. The Contractor shall provide copies of monthly invoices with itemized charges to both the COR and Contract Specialist.

1b. BLOCK 5: Supporting Documentation (AUTH: DI-MGMT-80911). Invoices that include a request for reimbursement of costs incurred (other than Firm Fixed Priced

Contract Line-Item Numbers (CLINs), shall include copies of supporting documentation.

Acceptable supporting documentation includes an itemized breakdown of costs, receipts, and other necessary supporting details for any expenses other than standard, recurring basic services. Any expense greater than $500 requires written preapproval from the COR.

Supporting documentation on expenses greater than $500 shall also include this approval to be eligible for reimbursement. Pre-authorization email from COR shall be included in the invoice submittal.

1c. BLOCK 5: Other Direct Costs / Travel Costs (ODC) (COST)(AUTH: DI-MGMT-

80911): Contract ODCs that are associated with this case in accordance with the PWS will be submitted for COR review and KO approval prior to purchase. The Contractor shall submit written requests for ODCs, for both travel and other, to the COR/Contract Specialist at least ten (10) business days prior to need date. Contractor shall ensure all ODCs are approved by the COR prior to expenditure of funds.

2. BLOCK 6: ACC-Orlando Contracting Officer or designated Contracting Officers

Representative.

3. BLOCKS 10, 12, 13: As per BLOCK 5 frequencies.

Submit report via email to the

Contracting Officer and Contracting

Officer

Representative.

15. TOTAL

G. PREPARED BY

H. DATE J. DATE

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 (optiona 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 requiremen 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 delivering such data item to the Government.

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 CUI