Attachment 2 CDRL A003 - Activity Reports.pdf

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The Federal Aviation Administration (FAA) has a requirement for Second Level Engineering Services
Solicitation number
6973GH-26-R-00011
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This is a Contract Data Requirements List (CDRL) for NAS Engineering Services with a Data Item No. A003 for Activity Reports. The document specifies that monthly reports will be submitted by the contractor for each task order, with reports due on the 5th day of the month following a full month of performance period. The reports will be submitted to the Contracting Officer's Representative (COR) in the AJW-1 office, and the contractor's format is acceptable. The specific contract/PR number and contractor are currently listed as "TBD" (to be determined), and the document was prepared by Richard H. Pak on 9 Jan 2025 and approved by Chris Trubizi.

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CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

SEE BLOCK 16 TDP ____ TM _____ OTHER _________________________

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

NAS ENGINEERING SERVICES TBD TBD

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

A003 ACTIVITY REPORTS

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

TOTAL PRICE

SOW 8.4 AJW-1

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

N/A REQUIRED SEE BLK 16 SEE BLOCK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

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

Draft Final

SEE BLK 16 SEE BLOCK 16 Reg Repro

16. REMARKS AJW-1 COR 1

BLOCK A - 0006, 1006, 2006, 3006, 4006

BLOCK 10 - MONTHLY

BLOCK 11 - DATE OF ASSUMING FULL PERFORMANCE

BLOCK 12 - MONTHLY REPORTS FOR EACH TASK ORDER SHALL BE SUBMITTED TO THE COR ON

THE 5TH DAY OF THE MONTH FOLLOWING START OF ONE FULL MONTH OF PERIOD OF

PERFORMANCE (POP) AND TILL END OF POP.

CONTRACTOR FORMAT IS ACCEPTABLE.

15. TOTAL ▬▬▬▬► 2

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

RICHARD H. PAK, AJW-11

9 Jan 2025

CHRIS TRUBIZI, AJW-14

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

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