A001 - ECIS CFSR.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) 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 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:

TBD A TDP _____ TM ___ OTHER SUSTAINMENT DATA

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

ECIS N61340-21-R0048

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 TECHNICAL REPORT: STUDY/SERVICES CONTRACT FUNDING STATUS REPORT (CFSR)

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

TOTAL PRICE

DI-MISC-80508B SEE BLK 16 NAWCTSD

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED MTHLY SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

B

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

SEE BLK 16 Reg Repro

16. REMARKS: NAWCTSD PJM 1 1

1. BLK4: ONLY DID PARAGRAPH 3(C)(2) APPLIES.

2. SEE ANNEX A001 FOR SAMPLE REPORT CONTENTS. ALL ANNEX PARAGRAPHS

APPLY.

3. BLK 5: SEE PWS ADDENDUM B PARAGRAPH 3.2.1

4. BLK 12: FIRST SUBMISSION SHALL BE SIMULTANEOUSLY SUBMITTED TO ALL BLK 14A.

ADDRESSEES NO LATER THAN THE 5TH WORKING DAY AFTER THE INITIAL

REPORTING PERIOD. THE INITIAL REPORTING PERIOD ENDS AT THE COMPLETION

OF THE MOBILIZATION PERIOD.

5. BLK 13: SUBSEQUENT MONTHLY REPORTS SHALL BE SUMBITTED FROM

CONTRACTOR SUPPORT DATE (CSD) THROUGH THE END OF THE CONTRACT OR

UNTIL ALL BALANCES ARE ZERO (0) AND NO MORE ACTIONS ARE PENDING (I.E.; DOL

CLAIM, ET CETERA). THE CONTRACTOR SHALL SUBMIT THE SUBSEQUENT

SUBMISSION NO LATER THAN THE 5TH WORKING DAY AFTER THE END OF THE

MONTHLY PERIOD

6. THE GOVERNMENT WILL HAVE FIFTEEN (15) WORKING DAYS FOR REVIEW AND

ACCEPTANCE/REJECTION OF EACH SUBMISSION. NO RESPONSE WILL INDICATE

ACCEPTANCE.

7. BLK 14: SUBMISSIONS SHALL BE AN EMAIL ATTACHMENT IN MICROSOFT® EXCEL

2016 (OR LATER) COMPATIBLE FORMAT AND SHALL INCLUDE IN THE SUBJECT LINE:

CONTRACT/TASK ORDER NUMBER, CDRL DATA ITEM NUMBER, AND PERIOD (E.G.;

N6134020F00XX-A001-JAN2020). EMAIL ADDRESSES ARE PROVIDED IN THE

CONTRACT SCHEDULE AND/OR THE CDRL ADDRESSEE LIST (ATTACHMENT 3 OF THE

CONTRACT).

8. BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED ON THE DELIVERABLE:

DISTRIBUTION B: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT

AGENCIES ONLY, ADMINISTRATIVE OR OPERATIONAL USE, 14 JANUARY

2020. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO

THE COMMANDING OFFICER, NAVAL AIR WARFARE CENTER TRAINING

SYSTEMS DIVISION, IN-SERVICE SUPPORT DIVISION, 12211 SCIENCE DRIVE,

ORLANDO, FL 32826-3224.

NAWCTSD PCO 1 1

NAWCTSD Sustainment 1 1

15. TOTAL ▬▬▬▬► 3 3

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

R. Smith, NAWCTSD Sustainment 02/10/2021

C. Caudill NAWCTSD PJM 04/22/2021

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

ANNEX TO EXHIBIT A001

CONTRACT FUNDING STATUS REPORT (CFSR)

ECIS CDRL REQUIREMENT

1.0 SUMMARY CONTENTS:

1.1 HEADER INFORMATION. Data elements to be provided as header information are as follows, in the order shown.

a. Contract. Enter appropriate contract number.

b. Task Order. Enter appropriate task order number.

c. Contractor. Enter name of contractor's firm.

d. Reporting Period. Enter month and year for which report is being prepared.

1.2 REPORT BODY. The main body of the report shall be completed in accordance with the attached sample format. Entry of actual data is to be made in the appropriate column for the period covered by the report. Data element titles to be included are as follows:

a. CLIN/SLIN. Enter contract line item number/sub-line item number (CLIN/SLIN) which are being performed or have been performed, as shown in Section B of the task order. (The report is to be cumulative, showing all

CLINs/SLINs which are currently active or have been active.)

b. ACRN. Enter appropriate Accounting Classification Requirements Number (ACRN) for the CLIN/SLIN.

c. Description of Supplies/Services. Enter CLIN/SLIN description as shown in Section B. An alternate format can be drawn from the Price Breakout Worksheet (PBW).

d. Total CLIN/SLIN Amount. Enter total CLIN/SLIN amount as shown in Section B.

e. CLIN/SLIN Funded Amount. Enter CLIN/SLIN funded amount as shown in Section B

f. De-obligated Amount To Date. Enter the de-obligation as a negative value. The negative amount may increase if there is more than one de-obligation in a funding line over time.

g. Invoiced/Expended Amount to Date. Enter cumulative amount invoiced for CLIN/SLIN.

h. CLIN/SLIN Funds Remaining. Enter difference between CLIN/SLIN funded (less de-obligations) and invoiced amounts.

i. Percent Invoiced of Funded Amount. Enter invoiced amount as a percentage of funded amount (less de-obligations).

j. Deductions for Period. Enter amount of any performance deduction taken against the CLIN/SLIN during the reporting period. Enter deduction amount or “N/A” (not applicable), as appropriate.

k. Cumulative Deductions. Enter cumulative total of all deductions taken to date against the CLIN/SLIN. Enter cumulative total or “N/A” as appropriate.

l. Amount Paid to Date. Enter amount which Contractor has received payment against the CLIN/SLIN.

m. Total Amount. Enter columnar sums.

1.3 FORMAT.

1.3.1 Magnetic Media. Where applicable, individual area files shall be placed on Compact Disc Recordable/Re-Writable

(CD-R/CD-RW media) optical disc. Magnetic files shall be compatible to Microsoft® Office formats as specified in block 16 of the CDRL.

1.3.2 E-Mail. Reports shall be attached files to E-Mail that are compatible to Microsoft® Office formats as specified in block 16 of the CDRL.

2.0 SEE ATTACHED SAMPLE CONTRACT FUNDING STATUS REPORT:

FIGURE 1: Sample CONTRACT FUNDING STATUS REPORT (CFSR)

CDRL: A001 CONTRACT FUNDING STATUS REPORT Contract: N61340-XX-X-XXXX

Task Order: XXXX ____________

Reporting Period: Month:________ Year: _______ Contractor: XYZ Corp.__________________

(1)

CLIN/SLIN

(2)

ACRN

(3)

DESCRIPTION

OF SUPPLIES/

SERVICES

(4)

TOTAL

AMOUNT

(5)

FUNDING

(6)

DE-OBLIGATED

TO DATE

(7)

INVOICED /

EXPENDED

AMOUNT

TO DATE

(8)

FUNDS

REMAINING

(5) + (6) – (7)

(9)

PERCENT

INVOICED

OF FUNDED

AMOUNT

(7) / (5)+(6)

(10)

DEDUCTIONS

FOR PERIOD

(11)

CUMULATIVE

DEDUCTIONS

(12)

PAID TO

DATE

Example:

0002AA

AC

AC

COMS @

NS NORFOLK

AIRLANT

Funding

$2,400

$1,200

($200)

$480

$520

48%

N / A

$75

$240

TOTAL AMT $2,400 $1,200 ($200) $480 $520 48% $25 $75 $240