A001 - Monthly Contractor Employee CAC Report.pdf
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- Attached to
- MCLB Albany GA. Warehouse and Distribution Services Federal contract opportunity
- Solicitation number
- SP3300-20-R-5003
- Issued by
- Defense Logistics Agency Distribution
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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
| 1_DATA_ITEM_NO: A001 |
| 2_TITLE_OF_DATA_ITEM: Monthly Contractor Employee Common Access Card (CAC) Report |
| 3_SUBTITLE: |
| 4_AUTHORITY_Data_Acquisit: N/A |
| 5_CONTRACT_REFERENCE: Attachment J.1, PWS |
| 6_REQUIRING_OFFICE: DLA Distribution J-7 |
| 7_DID_250_REQ: See Block 16 |
| 8_APP_CODE: |
| DIST_STATEMENT: B |
| 10_FREQUENCY: See Block 16 |
| 11_AS_OF_DATE: N/A |
| 12_DATE_OF_FIRST_SUBMISSI: See Block 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: See Block 16 |
| addressee1: J-7 Contract Spec |
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| repro1: 1 |
| addressee2: COR |
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| 16_REMARKS: Tailored to permit contractor's format. Submit electronically. |
The Contractor employee CAC report shall be submitted NLT the fifth (5th) working day of each month covering the previous month.
The report shall be prepared IAW TE 1.2 and shall include:
1.) Employee's name 2.) Date of CAC issuance 3.) Date of CAC expiration 4.) Verification of whether each listed employee still requires a CAC 5.) Changes that have occurred (additions or deletions) since the previous month 6.) Contractor employees who already have a CAC related to another DLA or DoD contract shall be included, noting the issuing organization and the CAC expiration date
Block 7 - Inspection and acceptance requirements:
The COR will review and accept CDRL A001.
Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist.
| 17_PRICE_GROUP: |
| ESTIMATED_TOTAL_PRICE: |
| G_PREPARED_BY: |
| H_DATE: |
| 1_APPROVED_BY: |
| J_DATE: |
| Page: 1 |
| reg38t: 1 |
| A_CONTRACT_LINE_ITEM_NO: X006 |
| B_EXHIBIT: Tech Exhibit 1.2 |
| TDP: |
| TM: |
| OTHER: |
| DSYSTEMITEM: |
| E_CONTRACTPR_NO: |
| FCONTRACTOR: |
| of_pages: 1 |
| Reset: |
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