Attachment 2 DD Form 1423 - Contract Data Requirements List CDRLs.pdf
PDF 3 MB Posted
- Attached to
- ITIM SYNOPSIS/SOLICITATION FA800325Q0005 Federal contract opportunity
- Solicitation number
- FA800325Q0005
About this file
The document is a Contract Data Requirements List (CDRL) DD Form 1423-1 for the IT-IM BPA Program BPA Call Order. The form details 12 distinct data items that the contractor must submit throughout the contract, including Routine Maintenance Services Report, Quality Control Plan, Hazard Report, Accident/Incident Report, Transition Plan, Workload Status Meeting Minutes, Workload Status Report, Work Orders Report, Outage Report, Inventory of Active Equipment, Initial Assessment Report, and Configuration Control Plan.
Each data item has specific submission requirements, such as frequency (monthly, quarterly, annually), submission method (email or DOD SAFE web application), and distribution to specific government personnel like the Installation Contracting Officer Representative (COR), Contracting Officer, and other authorized government personnel. The distribution is limited to the Department of Defense and U.S. DoD contractors, with a Distribution Statement D for Administrative or Operational Use. Submission timelines vary, ranging from 5 days after work order completion to 120 days after contractor award, depending on the specific report.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| AFIMSC IT-IM PWS 30 Jul 2025.docx | DOCX document | |
| Combo Synopsis Solicitation - Amended 6 IEBPA.docx | DOCX document | |
| IEBPA Amendment 6.pdf | ||
| Updated Attachment 4 Work Sample Template 14 July 2025.docx | DOCX document | |
| IEBPA Amendment 4.pdf | ||
| FA800325Q0005 Attachment 3 Questions and Responses.xlsx | XLSX spreadsheet | |
| FA8003-25-Q-0005 Attachment 4 Work Sample Template.docx | DOCX document | |
| Combo Synopsis Solicitation Amended 3 IEBPA.pdf | ||
| Attachment 1 ITIM PWS 11 Jul 2025.pdf | ||
| IEBPA Amendment 2.pdf | ||
| IEBPA Amendment 1.pdf | ||
| Attachment 3 Vendor Feedback Responses to Draft RFQ.xlsx | XLSX spreadsheet | |
| Attachment 1 ITIM PWS 2 Jun 2025.docx | DOCX document | |
| Combo Synopsis Solicitation - FA800325Q0005.pdf |
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A001 Routine Maintenance Services Report N/A
DI-MGMT-80995A PWS Para.3.1 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16 Installation COR 1 1 0
1 1 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall provide the Routine Maintenance Status Report no later than 10 days beyond the end of the month to the COR, CO, or authorized government personnel. The COR will provide feedback on the report to the contractor within 5 days of receiving the report.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.05.01 11:35:52 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 07:37:55 -05'00'
03/08/2025
Adobe Professional 8.0
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
IT-IM BPA Program BPA Call Order
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A002 Quality Control Plan N/A
DI-MGMT-81986 PWS Para. 5.4 AFIMSC/A53I
Blk 16
Blk 16
Blk 16
Blk 16
Blk 16
AFIMSC/A53I 1 1 0
771 ESS/EGCB 1 1 0
Installation COR 1 1 0
3 3 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: The contractor will deliver a copy of the QCP within 30 days of the award to the Installation COR, CO, authorized government personnel. Subsequent updates shall be provided to the COR, CO, authorized government personnel within 30 days of the update or change as necessary.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.05.01 11:36:40 -05'00'
SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:41:50 -05'00'
05/08/2025
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A003 Hazard Report N/A
DI-MGMT-80995A PWS Para. 5.6.1 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16 Installation COR 1 1 0
1 1 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: The contractor shall report hazards in writing to the COR, CO, or authorized government personnel within 1 work week.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.05.01 11:34:18 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:39:30 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A004 Accident/Incident Report N/A
DI-MGMT-82188 PWS Para. 5.6.2 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16 Installation COR 1 1 0
1 1 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall provide an Accident/Incident Report to the Installation COR, CO, or authorized government personnel within 3 days or as required by installation policy.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.03.25 09:41:20 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:40:50 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A005 Transition Plan (In & Out) N/A
DI-SESS-82299 & DI MGMT-81945 PWS Para. 5.8 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16
AFIMSC/A53I 1 1 0
771 ESS/EGCB 1 1 0
Installation COR 1 1 0
3 3 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall submit a Transition Plan at the Kickoff Meeting to the Installation COR, CO, or authorized government personnel.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.03.25 09:47:27 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:38:46 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A006 Workload Status Meeting Minutes N/A
DI-ADMN-81250C PWS Para. 9.3 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16 Installation COR 1 1 0
1 1 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall provide Workload Meeting Minutes to the COR, CO, or authorized government personnel no later than 10 days after the meeting.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.03.25 10:01:16 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:41:30 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A007 Workload Status Report N/A
DI-MGMT-82476 PWS Para. 9.4 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16 Installation COR 1 1 0
1 1 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall provide the Workload Status Report to the COR, CO, or authorized government personnel on a quarterly basis.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.03.25 10:03:09 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:39:05 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A008 Work Orders Report N/A
DI-MGMT-80995A PWS Para. 10 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16 Installation COR 1 1 0
1 1 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall submit the Work Order Report to the installation COR, CO, or authorized government personnel within 5 days of work order completion.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.03.25 10:28:02 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:41:08 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A009 Outage Report N/A
N/A PWS para.11 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16
AFIMSC/A53I 1 1 0
Installation COR 1 1 0
2 2 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall submit the Outage Report to the Installation COR(s), Contracting Officer, or other authorized government personnel on a quarterly basis.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.03.25 10:33:52 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:37:58 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A010 Inventory of Active Equipment N/A
DI-CMAN-81253 PWS Para. 6.1 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16
AFIMSC/A53I 1 1 0
771 ESS/EGCB 1 1 0
Installationn COR 1 1 0
3 3 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall provide an Inventory Report to the Installation COR, CO, or authorized government personnel on an annual basis.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.03.26 07:44:06 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:38:22 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A011 Initial Assessment Report N/A
DI-CMAN-81253 PWS para. 12 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16
AFIMSC/A53I 1 1 0
771 ESS/EGCB 1 1 0
Installation COR 1 1 0
3 3 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall submit an Initial Assessment Report within 90 days of transition to the installation COR(s), Contracting Officer or other authorized government personnel.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.03.26 07:35:14 -05'00'
03/25/2025 SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.05.08 11:37:30 -05'00'
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
IT-IM BPA Program BPA Call Order
A012 Configuration Control Plan N/A
DI-CMAN-81253 PWS Para. 4 AFIMSC/A53I
A Blk 16
Blk 16
Blk 16
Blk 16
Blk 16 Installationn COR 1 1 0
1 1 0
BLOCK 4: DID is tailored to accept Contractor format and content IAW Current procedures and documentation.
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 26 Aug 22. Other requests for this document shall be referred to AFIMSC/IZCS, JBSA-Lackland TX 78226.
BLOCKs 10-13: Contractor shall submit CCP to the Installation COR, CO, or authorized government personnel within 120 day of contractor award.
BLOCK 14: Contractor shall submit via email or DOD SAFE web application.
MCCLAIN.JAMES.E.III.11491868
Digitally signed by
MCCLAIN.JAMES.E.III.1149186820
Date: 2025.06.02 09:49:47 -05'00'
03/25/2025 Bradley Sevy
SEVY.BRADLEY.DAVID.12
47504695
Digitally signed by
SEVY.BRADLEY.DAVID.1247504695
Date: 2025.06.02 09:53:03 -05'00'
06/02/2025
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the 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.
DD FORM 1423-1 (BACK), FEB 2001
| A001 - Routine Maintenance Services Report |
| A002 - Quality Control Plan |
| A003 - Hazard Report |
| A004 - Accident - Incident Report |
| A005 - Transition Plan In and Out |
| A006 - Workload Status Meeting Minutes |
| A007 - Workload Status Report |
| A008 - Work Orders Report |
| A009 - Outage Report |
| A010 - Inventory of Active Equipment |
| A011 - Initial Assessment Report |
| A012 - Configuration Control Plan |
File details come from the government source that posted it. Updated .