Attach 19a Section 2 All Services CDRL 08 Dec 2021.pdf

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DD FORM 1423, AUG 96

CONTRACT DATA REQUIREMENTS LIST

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 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:

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

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

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 (BACK), AUG 96

addr1_1: Admin Contr. Officer draft1_1:

reg1_1:

repro1_1:

addr1_2: Unit Sec Mgr draft1_2:

reg1_2:

repro1_2:

addr1_3: 7 FTW/Chief IP draft1_3:

reg1_3:

repro1_3:

draft2_1:

addr2_1: Admin Contr. Officer addr2_2: Chief COR reg2_1:

repro2_1:

addr2_3: Functional Commander draft2_3:

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addr3_1: Admin Contr. Officer addr3_2: Functional CORs addr3_3:

draft3_1:

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reg2_2:

line_item: CLIN X001 exhibit:

xtdp: Off xtm: Off othercat: PWS system: Base Operations Support (BOS) Laughlin ctr_no:

contr:

data_item1: 0201 title1: Current Employee Listing sub1:

auth1:

ref1: PWS 2.1.3.5.

req_ofc1: 47 CONS/PKB dd250_1: LT appcode1: A dist1: D freq1: ASREQ asof1: N/A firstsub1: After Award subsub1: Per PWS group1:

totalprice1:

rmks1: Frequency: Fifteen (15) business days after award, monthly and as changes occur.

totaldraft1: 0 totalreq1: 0 totalrepro1: 0 data_item2: 0202 title2: List of New Hires and Transferred Personnel sub2:

auth2:

ref2: PWS 2.1.3.7.

req_ofc2: 47 CONS/PKB dd250_2: LT appcode2: A dist2: D freq2: ASREQ asof2: N/A firstsub2: After Award subsub2: Per PWS rmks2: Send within five (5) business days after hire or transfer.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 0 totalrepro2: 0 data_item3: 0203 title3: Quality Control Plan sub3:

auth3:

ref3: PWS 2.1.3.14.; 2.1.3.14.1 req_ofc3: 47 CONS/PKB dd250_3: LT appcode3: A dist3: D freq3: ASREQ asof3: N/A firstsub3: After Award subsub3: Per PWS rmks3: Due at Pre- Performance Conference and within ten (10) business after changes occur.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 0 totalrepro3: 0 data_item4: 0204 title4: Training Plan sub4:

auth4:

ref4: PWS 2.1.3.10.

req_ofc4: 47 CONS/PKB dd250_4: LT appcode4: A dist4: D freq4: ASREQ asof4: N/A firstsub4: After Award subsub4: Per PWS rmks4: Due at Pre- Performance Conference and after changes occur.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 0 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

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The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: Admin Contr Officer draft1_1:

reg1_1:

repro1_1:

addr1_2: AETC A4PM draft1_2:

reg1_2:

repro1_2:

addr1_3:

draft1_3:

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draft2_1:

addr2_1: Admin Contr Officer addr2_2: 47 FTW/Chief, IP reg2_1:

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addr3_1: Admin Contr Officer addr3_2:

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addr4_1: Admin Contr Officer draft4_1:

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line_item: CLIN X001 exhibit:

xtdp: Off xtm: Off othercat: PWS system: Base Operations Support (BOS) Laughlin ctr_no:

contr:

data_item1: 0205 title1: List of company officers, parent companies and officers sub1:

auth1:

ref1: PWS 2.1.3.2.

req_ofc1: 47 CONS/PKB dd250_1: LT appcode1: A dist1: D freq1: ASREQ asof1: N/A firstsub1: After Award subsub1: Per PWS group1:

totalprice1:

rmks1: Frequency: Fifteen (15) business days after award, monthly and as changes occur.

totaldraft1: 0 totalreq1: 0 totalrepro1: 0 data_item2: 0206 title2: Key Personnel Listing sub2: List of names and phone numbers auth2:

ref2: PWS 2.1.3.4.; 2.1.3.4.1.

req_ofc2: 47 CONS/PKB dd250_2: LT appcode2: A dist2: D freq2: ASREQ asof2: N/A firstsub2: After Award subsub2: Per PWS rmks2: Due at Pre-Performance Conference and within five (5) business days after changes occur.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 0 totalrepro2: 0 data_item3: 0207 title3: Government Property Management Plan sub3:

auth3:

ref3: PWS 2.1.24.; 2.1.24.1.10 req_ofc3: 47 CONS/PKB dd250_3: LT appcode3: A dist3: D freq3: ASREQ asof3: N/A firstsub3: After Award subsub3: Per PWS rmks3: Due at Pre- Performance Conference and as changes occur.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 0 totalrepro3: 0 data_item4: 0208 title4: Vehicle List sub4:

auth4:

ref4: PWS 2.1.26.9.

req_ofc4: 47 CONS/PKB dd250_4: LT appcode4: A dist4: D freq4: ASREQ asof4: N/A firstsub4: After Award subsub4: Per PWS rmks4: Due at Pre- Performance Conference.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 0 totalrepro4: 0 prep_by:

prep_date:

app_by:

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The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: Admin Contr Officer draft1_1:

reg1_1:

repro1_1:

addr1_2: Requestor draft1_2:

reg1_2:

repro1_2:

addr1_3:

draft1_3:

reg1_3:

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draft2_1:

addr2_1: Admin Contr Officer addr2_2: Chief COR reg2_1:

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addr2_3: 47 FTW/SE draft2_3:

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addr3_1: Admin Contr Officer addr3_2: 47 FTW/Chief IP addr3_3:

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line_item: CLIN X001 exhibit:

xtdp: Off xtm: Off othercat: PWS system: Base Operations Support (BOS) Laughlin ctr_no:

contr:

data_item1: 0209 title1: Report of Requested Substance Abuse Testing sub1:

auth1:

ref1: PWS 2.1.3.8.1.

req_ofc1: 47 CONS/PKB dd250_1: LT appcode1: A dist1: D freq1: ASREQ asof1: N/A firstsub1: After Award subsub1: Per PWS group1:

totalprice1:

rmks1: Send as requested.

totaldraft1: 0 totalreq1: 0 totalrepro1: 0 data_item2: 0210 title2: Report of Safety Hazards and Mishaps sub2:

auth2:

ref2: PWS 2.1.4.5.; 2.1.4.7.

req_ofc2: 47 CONS/PKB dd250_2: LT appcode2: A dist2: D freq2: ASREQ asof2: N/A firstsub2: After Award subsub2: Per PWS rmks2: Due as incident is identified.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 0 totalrepro2: 0 data_item3: 0211 title3: Visitor Authorization Letter (VAL) sub3:

auth3:

ref3: PWS 2.1.5.2.4.

req_ofc3: 47 CONS/PKB dd250_3: LT appcode3: A dist3: D freq3: ASREQ asof3: N/A firstsub3: After Award subsub3: Per PWS rmks3: Due at Pre- Performance Conference and validated quarterly.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 0 totalrepro3: 0 data_item4: 0212 title4: Strike Contingency Plan sub4:

auth4:

ref4: PWS 2.1.19.1.

req_ofc4: 47 CONS/PKB dd250_4: LT appcode4: A dist4: D freq4: ASREQ asof4: N/A firstsub4: After Award subsub4: Per PWS rmks4: Due no later than ten (10) business days after contract start date.; within thirty (30) business days after change occurs group4:

totalprice4:

totaldraft4: 0 totalreg4: 0 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

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app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: 47 SFS/S5S/A/C draft1_1:

reg1_1:

repro1_1:

addr1_2:

draft1_2:

reg1_2:

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addr1_3:

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draft2_1:

addr2_1: ACO addr2_2: COR.

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addr3_1: ACO addr3_2: COR addr3_3:

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addr4_1: 47 SFS/ATO draft4_1:

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addr4_2: AETC A4PM draft4_2:

reg4_2:

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addr4_3: 47 FTW/Chief IP draft4_3:

reg4_3:

repro4_3:

draft2_2:

repro2_2:

reg2_2:

line_item: CLIN X001 exhibit:

xtdp: Off xtm: Off othercat: PWS system: Base Operations Support (BOS) Laughlin ctr_no:

contr:

data_item1: 0213 title1: Entry Authorization List (EAL) sub1:

auth1:

ref1: PWS 2.1.6.1.3.

req_ofc1: 47 CONS/PKB dd250_1: LT appcode1: A dist1: D freq1: ASREQ asof1: N/A firstsub1: After Award subsub1: Per PWS group1:

totalprice1:

rmks1: Due Thirty (30) business days after contract start date, annually or as changes occur.

totaldraft1: 0 totalreq1: 0 totalrepro1: 0 data_item2: 0214 title2: Annual GFP Inventory Equipment Test & Inspection Rec sub2:

auth2:

ref2: PWS 2.1.24.1.2.

req_ofc2: 47 CONS/PKB dd250_2: XX appcode2: A dist2: D freq2: ASREQ asof2: N/A firstsub2: After Award subsub2: Per PWS rmks2: Electronic AF Form 1071, and maintenance record. Ten (10) business days after contract start date, annually at start of FY.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 0 totalrepro2: 0 data_item3: 0215 title3: Annual GFP Equipment Inventory sub3:

auth3:

ref3: PWS 2.1.24.1.2.

req_ofc3: 47 CONS/PKB dd250_3: LT appcode3: A dist3: D freq3: ASREQ asof3: N/A firstsub3: After Award subsub3: Per PWS rmks3: Due ten (10) business days after start of contract and annually at start of FY.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 0 totalrepro3: 0 data_item4: 0216 title4: Operating Instruction (OI) sub4:

auth4: PWS 2.1.6. 1.1.

ref4: PWS 2.1.6. 1.1.

req_ofc4: 47 CONS/PKB dd250_4: LT appcode4: A dist4: D freq4: ASREQ asof4: N/A firstsub4: After Award subsub4: Per PWS rmks4: Due Ten (10) business days after Pre- Performance Conference; and as changes occur.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 0 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

Page: 4 pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: ACO draft1_1:

reg1_1:

repro1_1:

addr1_2: COR draft1_2:

reg1_2:

repro1_2:

addr1_3:

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line_item: CLIN X001 exhibit:

xtdp: Off xtm: Off othercat: PWS system: Base Operations Support (BOS) Laughlin ctr_no:

contr:

data_item1: 0217 title1: Essential Crisis Management Plan sub1:

auth1:

ref1: PWS 2.1.10.8.

req_ofc1: 47 CONS/PKB dd250_1: LT appcode1: A dist1: D freq1: ASREQ asof1: N/A firstsub1: After Award subsub1: Per PWS group1:

totalprice1:

rmks1: Due ten (10) business days after contract start date.

totaldraft1: 0 totalreq1: 0 totalrepro1: 0 data_item2:

title2:

sub2:

auth2:

ref2:

req_ofc2:

dd250_2:

appcode2:

dist2:

freq2:

asof2:

firstsub2:

subsub2:

rmks2:

group2:

totalprice2:

totaldraft2: 0 totalreg2: 0 totalrepro2: 0 data_item3:

title3:

sub3:

auth3:

ref3:

req_ofc3:

dd250_3:

appcode3:

dist3:

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asof3:

firstsub3:

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rmks3:

group3:

totalprice3:

totaldraft3: 0 totalreg3: 0 totalrepro3: 0 data_item4:

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dd250_4:

appcode4:

dist4:

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asof4:

firstsub4:

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totaldraft4: 0 totalreg4: 0 totalrepro4: 0 prep_by:

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