Attachment 17 - Contract Data Requirement List (CDRLs) A500 - A519 12 Sep 2022.pdf

PDF 7 MB Posted Sep 13, 2022

Attached to: Base Operations Support (BOS) - Tyndall AFB
Solicitation number: FA481922R0014
Issued by: Department of the Air Force Air Combat Command

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Other files

File	Type	Posted
Solicitation Amendment FA481922R00140005 SF 30.pdf	PDF	Jan 13, 2023
Attachment 19 CBA Memorandum of Agreement.pdf	PDF	Jan 13, 2023
Solicitation Amendment FA481922R00140004 SF 30.pdf	PDF	Dec 30, 2022
CBA Memorandum of Agreement 14 Jun 2022.docx.pdf	PDF	Dec 30, 2022
Attachment 1A - Historical Workload 30 Dec 2022.xlsx	XLSX spreadsheet	Dec 30, 2022
Questions and Answers 30 Dec 2022.xlsx	XLSX spreadsheet	Dec 30, 2022
Solicitation Amendment FA481922R00140003 SF 30.pdf	PDF	Dec 19, 2022
Attachment 1C - Air Force Preventative Maintenance Task List Data 14 Dec 2022.xlsx	XLSX spreadsheet	Dec 19, 2022
Attachment 1D - Licenses and Certifications 14 Dec 2022.xlsx	XLSX spreadsheet	Dec 19, 2022
Attachment 1Q - Historical Real Property Asset Inventory Data 14 Dec 2022.pdf	PDF	Dec 19, 2022
Attachment 1S - 325 CES Pest Management Plan.docx	DOCX document	Dec 19, 2022
Attachment 1U - Tyndall Hazardous Waste Management Plan.pdf	PDF	Dec 19, 2022
Attachment 5 - Addendum to FAR 52.212-1 14 Dec 2022.docx	DOCX document	Dec 19, 2022
Attachment 7 - Proposal Volume II Quick View Revision 1 14 Dec 2022.pdf	PDF	Dec 19, 2022
Attachment 1T - Hazardous Material Emergency Planning and Response Plan.pdf	PDF	Dec 19, 2022
Attachment 6 - Addendum to FAR 52.212-2 14 Dec 2022.docx	DOCX document	Dec 19, 2022
Questions and Answers 19 Dec 2022.xlsx	XLSX spreadsheet	Dec 19, 2022
Attachment 1B - Real Property and Facility Inventory 14 Dec 2022.xlsx	XLSX spreadsheet	Dec 19, 2022
Attachment 9 - Manpower Matrix Worksheet 14 Dec 2022.xlsx	XLSX spreadsheet	Dec 19, 2022
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Attachment 1 - PWS 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1C - Air Force Preventative Maintenance Task List Data 20 July 2022.xlsx	XLSX spreadsheet	Sep 13, 2022
Attachment 1K--Publications and Forms 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 2 - CBA 2021 01 Mar 2021.pdf	PDF	Sep 13, 2022
Attachment 12 - Sample Subcontractor Letter of Consent 20 July 2022.docx	DOCX document	Sep 13, 2022
Attachment 15 - Base Access Request EAL 20 July 2022.xlsx	XLSX spreadsheet	Sep 13, 2022
Solicitation - FA481922R0014.pdf	PDF	Sep 13, 2022
Attachment 1B - Real Property and Facility Inventory 20 July 2022.xlsx	XLSX spreadsheet	Sep 13, 2022
Attachment 1D - Licenses and Certifications 20 July 2022.xlsx	XLSX spreadsheet	Sep 13, 2022
Attachment 1F - Govt-Furnished Equip (EAID) 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1H - Govt-Furnished ADPE 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1I - Govt-Furnished Radios 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1J - Govt-Furnished Training 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1N - CE PLAYBOOKS 20 July 2022.docx	DOCX document	Sep 13, 2022
Attachment 7 - Proposal Volume II Quick View 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1E - Maps and Work Area Layouts 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1G - Govt-Furnished Equip (Non- EAID) 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1L - Local Plans 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1M - Definitions 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 1O - Utility Privatization PODs 20 July 2022.docx	DOCX document	Sep 13, 2022
Attachment 3 - SCLS WD 2015-4559 Rev 21 28 July 2022.pdf	PDF	Sep 13, 2022
Attachment 4 - DD254 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 8 - Pricing Matrix Worksheet 20 July 2022.xlsx	XLSX spreadsheet	Sep 13, 2022
Attachment 11 - Past Performance Questionnaire 20 July 2022.docx	DOCX document	Sep 13, 2022
Attachment 13 - Sample Client Authorization Letter 20 July 2022.docx	DOCX document	Sep 13, 2022
Attachment 14 - Financial Responsibility Questionnaire 20 July 2022.pdf	PDF	Sep 13, 2022
Attachment 16 - Question Worksheet 20 July 2022.xlsx	XLSX spreadsheet	Sep 13, 2022
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PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, FEB 2001 PagesPage of

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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:

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

0018 Management

A500 Status Report

DI-MGMT-80368A PWS Para 4.27.1.1.2 325 CES/CEO

See Remarks

N/A

See Remarks

1. Content:

a. Tailored to remove sections 3.2.1(d), 3.2.1(e), 3.2.1(h), 3.2.3, 3.2.4

b. Section 3.2.1(a) tailored to include status of all personnel, vehicles, equipment, and materiel control throughout transition period

2. Submission: Weekly throughout the Transition period

325 CES/CEOS 1

0.00

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X001 Management

A501 Quality Control Plan

PWS Paragraph 1.2.2 325 CES/CEOS

See Remarks

N/A

See Remarks

1. Format: Contractor format acceptable

2. Content: The contractor shall submit a Quality Control Plan that includes methods, procedures, controls, records and maintenance of the plan to ensure compliance with all contract requirements.

3. Submission: first submission due 30 days after contract start date. If disapproved by the Government, the contractor shall submit a revised QCP within 10 days.

325CES/CEOS 1

Frederick M. Wassil

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X001 Management

A502 Safety Plan

PWS Paragraph 1.2.2.1 325 CES/CEOS

See Remarks

N/A

See Remarks

1. Format: Contractor format acceptable

2. Content: The report shall include the following information:

a. The contractor shall submit a safety plan that adequately identifies methods, procedures, controls, records and maintenance of the plan to ensure compliance with AFI 91-202 and AFMAN 91-203

ACCSUP.

3. Submission: 30 days after contract start date. If disapproved by the Government, the contractor shall submit a revised Safety Plan within 10 days.

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X001 Management

A503 Government Property Management Plan

PWS Para 3.1.1 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Content: The contractor shall submit a written Government Property Management Plan that adequately identifies the processes, systems, procedures, records, and methodologies necessary for effective and efficient control of Government property in its possession as required by FAR 52.245-1.

3. Submission: The GFP Management Plan shall be submitted to the COR NLT 30 days after contract start date for review and approval. Any changes to the approved plan shall be approved by the COR prior to implementation.

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X001 Management

A504 Government Property (GP) Inventory Report

DI-MGMT-80441D PWS Paragraphs 3.1.2, 4.27.1.1.7 325 CES/CEO

See Remarks

N/A

See Remarks

1. Content: Tailored to require that all government furnished property under contractor control are completed in accordance with AFI-23-101. Materiel Management, paragraph 5.7 Physical Inventory and Adjustments, Table 5.5 Inventory Frequency, as applicable.

2. Submission: The contractor shall submit the Government Property Inventory Report no later than the final day of the Transition-In period. An updated Government Property Inventory Report shall be submitted within 15 days of the exercise of each subsequent option period.

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X001 Management

A505 Strike Contingency Plan

PWS Para 4.3 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Content: The contractor shall develop and maintain a strike contingency plan that establishes procedures to adequately address labor disputes among its unionized workforce. At a minimum, the strike contingency plan shall identify an adequate approach to providing the requisite labor support to meet all required contract performance objectives.

3. Submission: The contractor Strike Contingency Plan shall be submitted to the Government for acceptance not later than 30 days after contract start date. Any changes to the plan shall be submitted to the Government for review within 14 days of the change.

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X001 Management

A506 Contingency Price List

PWS Para 4.25.1 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable.

2. Content: the contractor shall submit a Contingency Price List to the COR and CO identifying the hourly overtime labor rates for all personnel fulfilling Unit Control Center (UCC), Ride Out Element (ROE) and Base Recovery Element (BRE) efforts outside of the normal duty hours as required to support the 325 CES Contingency Response Plan 702, Annex B. In addition to the Price List, the contractor shall include the status of the materials on hand and associated equipment available to support contingency responses.

3. Submission: Annually, no later than 1 June throughout the life of the contract

325CES/CEOS 1

325CONS/PKB 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X002 Management

Chiller Replacement Plan

A507 Chiller Replacement Plan

None PWS Para 1.3.1.4.2.5 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Contents: The Chiller Replacement Plan shall use applicable data from BUILDER or other established lifecycle/ROI analysis techniques. At a minimum, the chiller replacement plan shall identify the condition of each chiller the contractor is responsible for and the expected replacement date.

3. Submission: Initial submission 90 days after contract start date. Subsequent submissions shall updated. annually throughout the life of the contract.

325CES/CEOS 1

325CONS/PKB 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X001 Management

A508 Employee List

PWS Para 4.27.1.1.3 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Content: The contractor shall maintain and provide an Employee List that identifies the full name of each employee under the contract (including subcontractor if applicable) and their associated work center.

3. Submission: Initial submission due no later than the final day of the transition-in period, and updates shall be submitted quarterly, as applicable.

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X012 Management

Refrigerant Management Plan

A509 Refrigerant Management Plan

PWS Para 1.8.4.1 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Content: The contractor shall maintain and submit the Refrigerant Management Plan annually to ensure compliance with AFMAN 32-7002 Environmental Compliance and Pollution Prevention and Tyndall’s Federally Enforceable State Operation Permit.

3. Submission: The contractor shall submit the plan 30 days after the contract start date, and annually thereafter throughout the life of the contract.

325CES/COES 1

325CES/CEI 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X012 Management

R-22/HCSC-22 Refrigerant Replacement

A510 R-22/HCSC-22 Refrigerant Replacement Records

PWS Para 1.8.4.1.1 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Air Program Information Management System (APIMS) through the CE Dash.

2. Content: The contractor shall ensure that all refrigerant related equipment maintenance and/or servicing actions are recorded in the Air Force’s refrigerant module in Air Program Information Management System (APIMS) through the CE Dash. At a minimum, the contractor shall ensure all service records are updated in APIMS at least quarterly and leak rates are calculated within the regulatory time period specified in 40 CFR Part 82.

3. Submission: 30 days after contract start date, and quarterly thereafter throughout the life of the contract.

325CES/CEOS 1

325CES/CEI 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X006 Management

A511 Power Production Operation/Run Times

PWS Para 1.6.3 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Air Program Information Management System (APIMS) through the CE Dash.

2. Content: Identify the Stationary Emergency Reciprocating Internal Combustion Engine operating (runtime) hours for the reporting period.

3. Submission: Initial submission 30 days after contract start date, subsequent submissions NLT 20 calendar days after preceding month throughout the life of the contract.

325CES/CEOS 1

325CES/CEI 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X011 Management

A512 Wastewater Report

PWS Para 1.8.2.6 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Content: Provide monthly wastewater report IAW the TAFB Bay Count Wastewater Pretreatment Agreement.

3. Submission: 30 days after contract start date, and monthly thereafter throughout the life of the contract.

325CES/CEOS 1

325CES/CEIE 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X011 Management

A513 Water Well Meter Readings

PWS Para 1.8.2.11 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Content: The contractor shall record all water well meter readings monthly and provide to CEO/

CEIE.

3. Submission: Initial submission 30 days after contract start date, and monthly thereafter throughout the life of the contract.

325CES/CEOS 1

325CES/CEIE 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X002 Management

A514 Facility Manager Listing

PWS Para 1.3.2.2 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable.

2. Content: The contractor shall provide a listing of all assigned primary and alternate facility managers for their respective facilities on Tyndall AFB.

3. Submission: 30 days after contract start date, and annually or upon the request of the COR thereafter.

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

X001 Management

A515 Generator Inventory/Classification

PWS Para 1.4 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable, data shall also updated within BUILDER and NEXGEN-IT Systems

2. Content: Shall include Annual inventory of all 325 CES operated and maintained RPIE and EAID generators, including generators that are replacement-eligible. All RPIE generators shall be reconciled with real property records and EAID generators with Custodian Authorizations and Custody Receipt Listing records.

3. Submission: Annually, NLT 1 Aug of each year throughout the life of the contract.

325CES/CEOS 1

AFCEC/COSM 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X006 Management

A516 Aircraft Arrestment Report

PWS Para 1.6.3.3 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Aircraft Arresting Reporting System at https://portal.afcec.hedc.af.mil/CO/AAS/SitePages/ Home.aspx

2. Content: Data pursuant to AFMAN 32-1040, Para 2.13.4, for all Aircraft Arresting System (AAS) engagements and missed engagements.

3. Submission: As soon as possible after engagement event.

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X006 Management

A517 Vehicle Final Denial Barrier (FDB) Schedule

PWS Para 1.6.3.2 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Content: quarterly maintenance schedule shall identify the planned dates, times, and anticipated maintenance activity for all FDBs throughout the quarter.

3. Submission, 60 days after contract start date, and quarterly thereafter throughout the life of the contract.

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X010 Management

A518 Pest Management Report

PWS Para 1.8.3.1 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Integrated Pest Management Information System (IPMIS) via https://web.ipmis-helpdesk.org.

1. Content: Pest Management Report shall include all pesticide inventory data, pesticide applicator certification data, and pesticide application data

3. Submission: 10th day of every month throughout the life of the contract

325CES/CEOS 1

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

X002 Management

A519 NEXGEN Data Quality Summary Report

PWS Para 1.3.2.3 325 CES/CEO

See Remarks

N/A

See Remarks

1. Format: Contractor Format Acceptable

2. Data quality summary report shall identify, at a minimum, the data entry quality, timeliness, and accuracy for each shop pursuant to PWS paragraph 1.3.2.3.

3. Submission: Initial submission 90 days after contract start date, quarterly thereafter throughout the life of the contract

325CES/CEOS 1

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

DD FORM 1423-1 (BACK), FEB 2001

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 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.

A500 Status Report (Transition-In) CDRL

A501 Quality Control Plan CDRL

A502 Safety Plan CDRL

A503 Government Property Management Plan CDRL

A504 Government Property Inventory Report CDRL

A505 Strike Contingency Plan CDRL

A506 Contingency Price List CDRL

A507 Chiller Replacement Plan CDRL

A508 Employee List CDRL

A509 Refrigerant Management Plan CDRL

A510 R-22 HCSC-22 Refrigerant Replacement CDRL

A511 Power Production Operation Run Times CDRL

A512 Wastewater Report CDRL

A513 Water Well Meter Readings CDRL

A514 Facility Manager Listing CDRL

A515 Generator Inventory Classification CDRL

A516 Aircraft Arrestment Report CDRL

A517 Vehicle Final Denial Barrier (FDB) Schedule CDRL

A518 Pest Management Report CDRL

A519 NEXGEN Data Quality Summary CDRL

File details come from the government source that posted it. Updated Sep 13, 2022.