Attachment 2 CDRL A004 - Contractor Roster.pdf
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- Attached to
- The Federal Aviation Administration (FAA) has a requirement for Second Level Engineering Services
- Solicitation number
- 6973GH-26-R-00011
About this file
The document is a Contract Data Requirements List (CDRL) for Second Level Engineering Services. The CDRL specifies Data Item A004, a Contractor Roster, which requires quarterly reporting of contract employee names starting within 30 days after the performance period begins. The report must include the report date, contract number, three-month access period dates, and employee names in alphabetical order. Distribution will go to AJW-11/COR and AMC-700/Security, with one draft and one final/reproduction copy. The contract line items are 0006, 1006, 2006, 3006, and 4006, with specific submission dates noted in Block 16. The document was prepared by Richard Pak (AJW-11) and approved by Chris Trubizi (AJW-14) on 10 Jan 2025.
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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
SECOND LEVEL ENGINEERING SERVICES TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A004 CONTRACTOR ROSTER
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
SOW 8.5 AJW-1
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
N/A REQUIRED QUARTERLY 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 11 - DATE OF ASSUMING FULL PERFORMANCE
BLOCK 12 - WITHIN 30DAYS AFTER POP START DATE
BLOCK 13 - SUBSEQUENT REPORTS ARE DUE ON THE 15TH OF THE FOLLOWING MONTH, EVERY
QUARTER TILL END OF POP:
THE REPORT SHALL INCLUDE THE DATE OF THE REPORT, THE CONTRACT NUMBER, THE DATES
OF THREE-MONTH ACCESS PERIOD, AND THE NAMES OF THE CONTRACT EMPLOYEES IN
ALPHABETICAL ORDER.
CONTRACT FORMAT IS ACCEPTABLE
AMC-700/SECURITY 1
15. TOTAL ▬▬▬▬► 2
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
RICHARD PAK, AJW-11
10 Jan 2025
CHRIS TRUBIZI, AJW-14
10 Jan 2025
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
File details come from the government source that posted it. Updated .