Attachment 1 Technical Exhibits (TE).pdf

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Attached to
FORT RUCKER GUNNERY RANGE AND TRAINING COMPLEX OPERATIONS, MAINTENANCE, AND REPAIR SERVICES
Solicitation number
W9124G21R0001
Issued by

About this file

This federal solicitation requests proposals for gunnery range operations, maintenance, and repair services at Fort Rucker, Alabama. The scope of work includes daily range operations, preventative and corrective maintenance for targets and range equipment, grounds maintenance, and repair of erosion and facilities. Offerors must have experience in range operations, land management, and property accountability. The base technical exhibits provide details on required reports, inspections, inventory processes, and safety requirements. The performance requirements summary outlines key performance standards. The pricing workbook instructs offerors how to submit pricing. Proposals are due by July 2021, and award is expected in September 2021. The contract will have one base year and four option years and is set aside for small businesses.

View the file

Other files

File Type Posted
Gunnery Fort Rucker RFP QA 2020 Set 3.xlsx XLSX spreadsheet
W9124G21R0001 Gunnery Range RFP Amendment 8.pdf PDF
Attachment 3 Pricing Workbook Labor Categories with OYs Updated 29 Dec 20.xlsx XLSX spreadsheet
W9124G21R0001 Gunnery Range RFP Amendment 7.pdf PDF
Attachment 5 Past Performance Questionnaire (PPQ) and Cover Letter dated 30 Dec 20.pdf PDF
Gunnery Fort Rucker RFP QA 2020 Set 2.xlsx XLSX spreadsheet
W9124G21R0001 Gunnery Range RFP Amendment 6 Conform (12-23-20).pdf PDF
Attachment 17 USAACE Reg 25-1 POLICY AND PROCEDURES FOR OBTAININGUSING.pdf PDF
Attachment 11 Fort Rucker Reg 385-1 Ranges and TAs (11 Feb 2020).pdf PDF
Attachment 8 Fort Rucker Reg 190-5 Fort Rucker Motor Vehicle Regulation (11 Jul 2019).pdf PDF
Attachment 10 Fort Rucker Reg 380-1 Security Procedures (23 December 2016).pdf PDF
W9124G21R0001 Gunnery Range RFP Amendment 6 (12-23-20).pdf PDF
Attachment 12 Fort Rucker Reg 420-2 Installation Energy And Water Conservation (29 Aug 2018).pdf PDF
Attachment 13 Fort Rucker Reg 420-5 Fire Prevention Program (16 Dec 2011).pdf PDF
Attachment 15 TE 14 Workload (updated 17 Dec 20).pdf PDF
Attachment 14 O M Contract Overview 16 Nov 20.pptx PPTX presentation
Attachment 18 USAACE Reg 600-1 Prohibited and Regulated Conduct (26 Jul 2010).pdf PDF
Attachment 3 Pricing Workbook Labor Categories with OYs Updated 23 Dec 20.xlsx XLSX spreadsheet
Gunnery Fort Rucker RFP QA 2020.xlsx XLSX spreadsheet
Attachment 6 Technical Exhibit 1 Data Item 6 updated 16 Nov 20.pdf PDF
Amendment 6 List of Changes.docx DOCX document
Attachment 7 DPTMS Range Branch SOP (15 Apr 18)(Signed).pdf PDF
Attachment 9 Fort Rucker Reg 215-1 Hunting Fishing Water Safety and Trapping (20 May 2019).pdf PDF
Attachment 19 Amount Billed for Fuel FY10 - FY16.xlsx XLSX spreadsheet
Attachment 20 TE 15 Stock Levels and Materials CLIN Items (11 Dec 20).pdf PDF
Attachment 16 USAACE Reg 1-2 Staff Administrative Procedures and Correspondence Guide (11 Sep 2017).pdf PDF
W9124G21R0001 Gunnery Range RFP Amendment 5.pdf PDF
Attachment 5 Past Performance Questionnaire (PPQ) and Cover Letter dated 16 Dec 20.pdf PDF
Attachment 5 Past Performance Questionnaire (PPQ) and Cover Letter dated 8 Dec 20.pdf PDF
W9124G21R0001 Gunnery Range RFP Amendment 4.pdf PDF
W9124G21R0001 Gunnery Range RFP Amendment 3.pdf PDF
Attachment 5 Past Performance Questionnaire (PPQ) and Cover Letter.pdf PDF
W9124G21R0001 Gunnery Range RFP Amendment 2.pdf PDF
W9124G21R0001 Gunnery Range RFP Amendment 1.pdf PDF
Attachment 4 Service Contract Act WD 2015-4631 May 03 2020.docx DOCX document
W9124G21R0001 Gunnery Range RFP.pdf PDF
Attachment 3 Pricing Workbook.xlsx XLSX spreadsheet
Attachment 2 Performance Requirements Summary (PRS).pdf PDF
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Text version

LIST OF TECHNICAL EXHIBITS (TE)

# of First TE Pages Occurrence Title

1 39 1.1 Deliverables (Reports) 2 1 1.2 Fort Rucker Installation Maps 3 12 1.3 Range Layouts 4 2 1.7.3.2 Government Furnished Facilities 5 11 3.1.2 Government Furnished Equipment

(Nonexpendable and Durable) 6 5 3.1.2 Government Furnished Equipment

(Hand Receipt 991) 7 1 3.1.2 Government Furnished Equipment

(TSC Hand Receipt) 8 1 4.2.4 Enterprise Information Environment Mission

Area (EIEMA) and Related Procurement Items.

9 4 5.1.4.6 Barricade Plan 10 3 5.3.1.1.1 Caswell Target System Equipment 11 1 5.3.2.3.1 Aviation Gunnery Range Target Specifications 12 1 5.4.4.1 Range Complex Inspection Schedule 13 2 5.4.10.1 Lime and Fertilizer Requirements 14 3 1.6.4.1 Historical Workload Data 15 4 5.5.2 Stock Levels 16 6 1.6.2 Performance Requirements Summary 17 11 1.6.5 Position Descriptions

TE 1, page 1 of 39

TECHNICAL EXHIBIT 1

SUMMARY OF REQUIRED REPORTS

1. General.

a. Each set of reports named in the charts below shall have its own sequential numbering system consisting of the two-digit fiscal year and a two-digit sequence number separated by a dash. For example, for FY 21, the first Contract Cost Report would be 21-01, and the second would be 21-02. This number will be shown on the report.

b. When the format specified is a numbered form, the instructions for that form as found in the proponent regulation will be followed. Forms may be filled out using the current version of Adobe Acrobat or other form-generating software. Note that the provisions of paragraph 3.4.5.1 apply to such software if it is to be installed on Government ADPE. Adobe Acrobat is already approved for use on Government computers.

2. The following abbreviations and terms are used in this document (numbers in parentheses indicate the number of reports in that category):

a. D......................................... Daily (1)

b. M ........................................ Monthly (7)

b. Q......................................... Quarterly (1)

c. A......................................... Annually (1)

d. AR ...................................... As Required (27)

e. OTS .................................... One-Time Submission (7)

f. Commencement ................. The first day that work is performed under this contract.

g. COR ................................... Contracting Officer’s Representative

h. Disc .................................... Discovery

i. EOM................................... End of Month

j. EORP ................................. End of the Reporting Period

k. KO ...................................... Contracting Officer

l. PA ...................................... Property Administrator

m. WD ..................................... Work Days

3. Each report on the following pages will have a statement concerning electronic submission. Note that electronic submission is not required for any report; hard-copy submission is always acceptable. It is the contractor’s responsibility to ensure electronically submitted documents open properly and actually arrive. Email or other electronic transmission is an acceptable alternative to documents required to be pro-vided on disk, as long as the document file sizes do not exceed the Fort Rucker e-mail capacity (approx-imately 5MB). The Government reserves the right to change any or all submissions to hard-copy only.

DD FORM 1423-1, FEB 2001 Previous editions may be used.

TE 1, page 2 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

1 Project Manager and Alternate

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

1.6.12.1 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR see block 16 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final see block 16 see block 16 Reg Repro

16. REMARKS:

The contractor shall provide the names, addresses, and telephone numbers of the project manager and alternate to the Contracting Officer within 5 calendar days following contract award. The contractor shall provide notice, in writing, to the Contracting Officer 24 hours in advance of any change of project manager or alternate.

Report may be submitted electronically, either as an email attachment, or in the body of the email.

KO 1

1 COR

15. TOTAL 2

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

M. Buxton 10 Feb 20

TE 1, page 3 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

2 Official Access Notification

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

1.6.24.2 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR 4:30 p.m. next WD b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Completion of visit Reg Repro

16. REMARKS:

The contractor shall verbally notify the Contracting Officer within 10 minutes after notification of any inspection or visit by an agent or agents of any regulatory agency (other than OSHA). The contractor shall submit a written report by close of business of the next working day following completion of the inspection or visit (including OSHA), to include the names, identification numbers, and agency of the inspectors and the reason for the visit. The contractor shall include a copy of all reports received and documents provided.

The format of the report is at the discretion of the contractor as long as it includes all required information and is signed by the contractor.

Electronic submission is not satisfactory as signature is required to authenticate data.

KO 1

1 COR

15. TOTAL 2

TE 1, page 4 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

3 Samples Taken During Official Visit

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

1.6.24.2 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR 4:30 p.m. next WD b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Completion of visit Reg Repro

16. REMARKS:

The contractor shall notify the Contracting Officer of any inspection or visit by an agent or agents of any regulatory agency (other than OSHA).

If samples are collected by the regulatory agency, the contractor shall inform the Contracting Officer. The samples submitted by the contractor shall be accompanied by a statement signed by the contractor validating their authenticity.

The format of the report is at the discretion of the contractor as long as it includes the following information and is signed by the contractor: date of visit, date of sample, regulatory agency, what the sample was of and amount, where the sample was taken, and what the intentions of the regulatory agency were, if known. The contractor shall include a copy of the authenticity statement.

Electronic submission is not satisfactory as signature is required to authenticate data.

COR 1

15. TOTAL 1

TE 1, page 5 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4 Hazardous Conditions in Government Furnished Facilities

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

1.6.25.2.3 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR 5 WD after discovery b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS:

If, at any time during the term of this contract, hazardous conditions not identified in TE 4 are discovered by the contractor or made known by any Federal or state agency responsible for enforcing OSHA standards or if any work-around procedures designated in TE 4 are determined by a Federal or state agency as inadequate, the contractor shall report such conditions, in writing, to the Contracting Officer.

The format of the report is at the discretion of the contractor as long as it includes the following information: facility; location within facility;

description of hazardous condition or procedure; tentative or temporary work-around; processes, materials, or equipment threatened with loss of access; actual threat to health or safety; and what it would take to fix the problem, if known.

Report may be submitted electronically, either as an email attachment, or in the body of the email.

Although five workdays are allowed, the contractor shall submit this report as expeditiously as possible.

COR 1

15. TOTAL 1

TE 1, page 6 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

5 Files List

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

4.8.1 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

OTS 10 days after start b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Upon change Reg Repro

16. REMARKS:

The contractor shall furnish the Contracting Officer, within 10 days of the commencement of this contract, a list of all functional files related to requirements of this contract. The contractor shall maintain these files IAW AR 25-55 and AR 25-400-2. The contractor shall submit additions as they occur.

The list may be in tabular, table, or spreadsheet format, showing file numbers, titles, and disposition instructions.

Report may be submitted as an email attachment.

COR 1

15. TOTAL 1

M. Buxton 20 Feb 20

TE 1, page 7 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

6 Management Plan

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

5.1.1 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

OTS With proposal b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

See block 16 Reg Repro

16. REMARKS:

Page limitations, format requirements, and number of copies are outlined in Section L of the Request For Proposal. These requirements do not apply to changes made after contract award.

The contractor shall submit changed pages as outlined in Section L.

After contract award, the contractor shall submit proposed changes to the Government for review and acceptance prior to implementation.

Changes shall be readily identifiable. Submit one copy to the COR and one copy to the KO.

Electronic submission is not satisfactory.

See block 16

15. TOTAL

TE 1, page 8 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

7 Quality Control Inspections

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

1.6.1 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR When insp performed b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS:

As part of his Quality Control Program, the contractor shall maintain files of all QC inspections conducted and the corrective action taken.

Files shall be maintained IAW paragraph 4.8.1.

Inspection format is at the discretion of the contractor, but shall include as a minimum, the nomenclature of the items inspected, the date of the inspection, inspection criteria, and results.

If the contractor elects to record inspections using DA Forms 2404 or 2407, he shall fill them out IAW DA Pam 750-8.

Electronic or other copies of these records are not required to be submitted, however, this documentation shall be made available to the Government during the term of the contract.

File 1

15. TOTAL 1

TE 1, page 9 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

8 Quality Control Summary Report

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

1.6.1 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

M 5 WD after EOM b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

EOM Reg Repro

16. REMARKS:

As a minimum, this report shall list the work performed, unscheduled grounds maintenance repair initiated, the status of projects started but not completed, work deferred and reason, and the identification of all targets which are not fully operational.

The format of the report is at the discretion of the contractor as long as it includes all required information.

Report may be submitted electronically, either as an email attachment, or in the body of the email.

COR 1

15. TOTAL 1

TE 1, page 10 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

9 Initial Safety Briefing

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

5.1.1.7.2 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

OTS 5 WD prior b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Commencement Reg Repro

16. REMARKS:

The contractor shall provide, for Government review, the content of the initial range safety briefing five workdays prior to contract commencement. This is the briefing to be presented to all employees semiannually regarding hazards which are inherent on firing ranges.

These hazards include dud-producing ammunition and surface danger zones. New employees shall be briefed prior to starting work.

The format of this document is at the discretion of the contractor, and may be narrative, outline, table, or other format.

Report may be submitted electronically, either as an email attachment, or in the body of the email.

COR 1

15. TOTAL 1

TE 1, page 11 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

10 Semi-Annual Safety Brief

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

5.1.1.7.2 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Previous briefing 6 months Reg Repro

16. REMARKS:

The contractor shall brief all employees at least semiannually regarding hazards which are inherent on firing ranges, and shall provide a by-name list to the Contracting Officer when required safety briefings are accomplished.

The format of the report is at the discretion of the contractor as long as it includes the name of the employees and the date of the briefing.

Note that paragraph 5.1.1.7.2 does not require that all employees are briefed at the same time, but that each employee is briefed at least semiannually.

Report may be submitted electronically, either as an email attachment, or in the body of the email.

COR 1

15. TOTAL 1

TE 1, page 12 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

11 Accidents with Injury or Environmental Insult

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

5.1.1.7.8 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR Within 24 hours b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Occurrence Reg Repro

16. REMARKS:

The contractor shall report on-the-job injuries and environmental contamination or harm to the Contracting Officer. The contractor shall provide a verbal report to the Contracting Officer within thirty minutes after occurrence. A written follow-up report shall be provided within twenty-four hours of accidents involving personal injury or environmental harm.

The format of the report is at the discretion of the contractor as long as it includes the following: date and time of incident; name and position of personnel involved; what happened; extent of injuries, damage, contamination, or harm; immediate cause and contributing factors;

work-arounds or remediation required as a result of the incident;

approximate length of time personnel, services, equipment, or facilities will be unavailable; and any other appropriate information.

Electronic submission is not satisfactory as signature is required to authenticate data.

KO 1

1 COR

15. TOTAL 2

TE 1, page 13 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

12 Log and Summary of Work-Related Injuries and Injuries

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

5.1.1.7.8 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR 6 WD b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Occurrence 6 WD Reg Repro

16. REMARKS:

OSHA Form 300 is available at the OSHA website and within the Range Branch library both as a .pdf file and an Excel spreadsheet. The instructions are included on the form.

Electronic or other copies of this form are not required to be submitted.

File 1

15. TOTAL 1

TE 1, page 14 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

13 Supplementary Record

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

5.1.1.7.8 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR With OSHA 300 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS:

OSHA Form 301 is available at the OSHA website and within the Range Branch library as a .pdf file. The instructions are included on the form.

Electronic or other copies of this form are not required to be submitted.

File 1

15. TOTAL 1

TE 1, page 15 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

14 Fatality or Mass Hospitalization Notification

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

5.1.1.7.8 OSHA

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR Within 48 hours b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Occurrence Reg Repro

16. REMARKS:

Report shall be by the most expeditious means. Report the circumstances of the accident, the number of fatalities, and the extent of any injuries. A copy of this report shall be provided to the Contracting Officer by 4:30 p.m. the next workday.

Electronic submission is not satisfactory as signature is required to authenticate data.

OSHA Rep 1

1 KO

15. TOTAL 2

TE 1, page 16 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

15 Report of Accident with Damage

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

5.1.1.7.9 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR 15 calendar days b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Accident Reg Repro

16. REMARKS:

Submit DA Form 285 or DA Form 285AB IAW AR 385-10 and DA Pam 385-40. Report work accidents that result in damage to Government-owned or leased facilities and equipment.

DA Form 285 and DA Form 285AB are available within the Range Branch library as .pdf files. The instructions are included on the forms.

Electronic submission is not satisfactory as signature is required to authenticate data.

KO 1

COR

File

15. TOTAL 3

TE 1, page 17 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

16 Key Loss Report

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

1.6.8.2.2 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR 4:30 p.m. next WD b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Discovery of loss Reg Repro

16. REMARKS:

Report key identification number, who was signed for the key, details of the loss, what was being protected by the lock, what is being done to find or recover the key, and what is being done to protect the property affected by the loss.

Report may be submitted electronically, either as an email attachment, or in the body of the email.

NOTE: report any occurrence of lost keys within 30 minutes upon discovery of the loss to the COR.

COR 1

15. TOTAL 1

TE 1, page 18 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

17 Mobilization and Contingency Plan

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

5.1.3.2 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

OTS With proposal b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

30 days after start Reg Repro

16. REMARKS:

The contractor shall assume that the Army cannot provide any supplemental forces and will continue to need the same or additional performance under this contract and which contractor shall be required to meet. The plan should include, but is not limited to, what type and amount of corporate support can be expected, what steps the contractor plans to take to increase the work force if necessary, and replacement of personnel subject to military recall or draft. Examples of occurrences for which the contractor shall develop contingency plans are mobilization, civil disturbances, natural disasters, and strikes.

The contractor shall submit an initial Mobilization and Contingency Plan to the Contracting Officer with his bid and a comprehensive plan 30 calendar days after contract start date. Plan updates shall be provided to the Contracting Officer for review at least 30 calendar days prior to proposed implementation.

Electronic submission is not satisfactory.

KO 1

1 COR

15. TOTAL 2

TE 1, page 19 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

18 Pre-performance Observation Period Plan

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

1.5.1 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

OTS With proposal b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS:

The contractor shall submit to the Contracting Officer a detailed plan for the pre-performance observation period, which shall include contractor actions to mobilize, train, and observe current range complex operations, as necessary, in preparation for assuming full operational responsibility of the contract on contract start date. The plan shall also include identification of key positions or key personnel who will participate. Costs associated with the pre-performance observation period shall be included in the contractor’s proposal.

The incumbent is not required to include this plan.

Electronic submission is not satisfactory.

KO 1

15. TOTAL 1

TE 1, page 20 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

19 Phase Out Plan

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

1.5.3 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

OTS See block 16 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS:

If the contractor is not awarded the subsequent contract for these services, the last 15 days of contract performance will be the phase-out period. During this time, the contractor shall provide an opportunity for the successor contractor (and his key employees) or government personnel to observe and become familiar with all operations under this contract in the same manner as permitted by the Government during the Pre-performance Observation Period described above. If not awarded the subsequent contract, the contractor shall submit to the Contracting Officer 90 days prior to the end of this contract a detailed plan for the phase-out period.

Report may be submitted electronically, either as an email attachment, or in the body of the email.

COR 1

15. TOTAL 1

TE 1, page 21 of 39

CONTRACT DATA REQUIREMENTS LIST

(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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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:

TE-1 TDP TM OTHER

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

Gunnery Range OM&R

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

20 Non-concurrence with Performance Evaluation

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

1.5.4 KO

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

AR see block 16 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS:

Performance evaluation meeting: The project manager shall meet with the Quality Assurance Evaluator (QAE), the COR, and Contracting Officer weekly during the first month of the contract. Thereafter, meetings will be held as often as necessary as determined by the Contracting Officer. However, a meeting will be held each time a Contract Discrepancy Report (CDR) is issued. A mutual effort shall be made by the contractor and contracting officer to resolve all problems identified. The written minutes, prepared by the Government, of these meetings shall be signed by the project manager, Contracting Officer and QAE. Should the contractor not concur with the minutes, within 24 hours the contractor shall state, in writing, to the Contracting Officer wherein he does not concur.

Electronic submission is not satisfactory as signature is required to authenticate response.

KO

COR

15. TOTAL 1

TE 1, page 22 of 39

CONTRACT DATA REQUIREMENTS LIST

(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.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .