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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 and Communications 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

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

1_DATA_ITEM_NO: A0001

2_TITLE_OF_DATA_ITEM: SUPPLEMENTAL PRICED ITEM LIST

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE:

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

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16_REMARKS: BLOCK 12: Within thirty (30) days post contract award and periodically updated.

DESCRIPTION: The Vendor and COR may agree 10 add items not found in Che proposed databases to a Supplemental Priced Items (SPI) List. The contractor must also provide the COR with a list of initial storestock items.

FORMAT: The SPI List and list of initial store stock items shall be in an approved contractor fonnat.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR:

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0010

2_TITLE_OF_DATA_ITEM: TRANSITION PLAN

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

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16_REMARKS: BLOCK 12: Within ten (10) calendar days of contract award.

DESCRIPTION: If the Contractor is not the incumbent, the Contractor shall provide a reasonable and realistic transition plan. The plan shall demonstrate how the Contractor will begin COCESS operations within 30 calendar days after contract award.

FORMAT: A chronological sequence of events from time of award until the COCESS start date. Show how the Contractor shall keep their inventory separate from the incumbent Contractor's inventory. Submit any requests for facility maintenance, repairs, or improvements to the COR for routing.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0011

2_TITLE_OF_DATA_ITEM: PHASE-OUT PLAN

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

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16_REMARKS: 18. REMARKS

BLOCK 12: Within ten (10) calendar days of contract award.

DESCRIPTION: The Contractor shall provide a reasonable: and realistic phase-out plan. The plan shall demonstrate: how the Contractor will end COCESS operations prior to contract end.

FORMAT: The phase-out plan must contain, at a minimum, items listed below:

The incumbent Contractor shall provide: familiarization, to the: Government or the follow-on Contractor. During the phase-out familiarization period, the incumbent shall be fully responsible for COCESS operations. The Contractor shall perfonn the following as pan of the phase-out process:

- Provide all records and programs to the COR.

- Turn in all keys that arc listed on the key control log to the COR or key control Government representative:.

- Inventory and tum over all GFP to the COR.

- Tum in all Contraccor employee issued CACs to 90 FSS for destruction.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0001

2_TITLE_OF_DATA_ITEM: SUPPLEMENTAL PRICED ITEM LIST

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.4.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

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16_REMARKS: BLOCK 12: Within thirty (30) days post contract award.

DESCRIPTION: The Contractor shall provide the COR with a list of initial store stock items. The Contractor may use their COCESS store stock to fulfill material requests.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0003

2_TITLE_OF_DATA_ITEM: ALL AVAILABLE COCESS STORE ITEM LIST

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

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16_REMARKS: BLOCK 12: Within thirty (30) calendar days post contract award and as updated.

DESCRIPTION: All store stock items shall be input into TRIRIGA IAW Section 1.3.2 of the SOW and the TRIRIGA Material Control Management Reference Guide with a quantity of zero.

FORMAT: The COCESS Store Items List shall be in an approved contractor format.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0004

2_TITLE_OF_DATA_ITEM: EMPLOYEE LISTING

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

addressee2: AFLCMC/PZI draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

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repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_repro: 0

16_REMARKS: BLOCK 12: Within five (5) duty days from contract start and as updated.

DESCRIPTION: The Contractor shall submit a listing of all Contractor employees on HANSCOM AFB to the COR and CO. The listing shall also include phone: contact information for after duty hours for the COCESS Store Manager and Alternate manager.

FORMAT: The Employee Listing shall be sent electronically.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0005

2_TITLE_OF_DATA_ITEM: EMERGENCY PERSONNEL LISTING

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

addressee2: AFLCMC/PZI draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

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draft37:

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repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_repro: 0

16_REMARKS: BLOCK 12: Within thirty (30)days of contract start.

DESCRIPTION: The Contractor shall provide emergency support during other than normal duty hours as described in the SOW only upon authorization by the CO. Emergency personnel must be authorized to purchase, receive: and issue materials. Emergency personnel must be able to be reached and respond to the workplace within two{:!) hours after notification. The Contractor shall provide the COR and CO a listing of emergency personnel and an acceptable means (cell phone, telephone, etc.) of how they can be contacted

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0006

2_TITLE_OF_DATA_ITEM: ON-SITE STORE MANAGER/ALTERNATE LIST

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

addressee2: AFLCMC/PZI draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

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draft38:

reg38x:

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total_draft: 0 total_repro: 0

16_REMARKS: BLOCK 12: Within ten (10) days of contract award.

DESCRIPTION: The Contractor shall provide an on-site Store manager who shall be responsible for contract performance on a daily basis. The on-site manager shall have a minimum of two (2) years experience in merchandising the type of materials used for this contract or supply logistics. The name of this person and an alternate shall be designated in writing to the CO and COR. The Store Manager and alternate shall have full authority to act for the Contractor on all contract matters relating to the daily operation of the COCESS contract. During normal hours, the on-site manager or alternate shall be available within 30 minutes to meet on the installation with Government personnel to discuss issues.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0007

2_TITLE_OF_DATA_ITEM: TRIRIGA TRAINING CERTIFICATE

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

addressee2: AFLCMC/PZI draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

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total_draft: 0 total_repro: 0

16_REMARKS: 18. REMARKS

BLOCK 12: Within thirty (30) days of starting work.

DESCRIPTION: Contractor personnel shall be required to complete the one-time computer based training for"NexGen IT TRIRIGA Transformation Course Ver 1.1" and provide the certificate of completion to the COR within 30 days of starting work.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0008

2_TITLE_OF_DATA_ITEM: FINAL INVENTORY LISTING

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

addressee2: AFLCMC/PZI draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

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repro38:

total_draft: 0 total_repro: 0

16_REMARKS:

BLOCK 12 ; No later than ten (10) duty days following termination/completion of contract.

DESCRIPTION: The Contractor shall submit a final inventory of all hazardous materials used since the last hazardous usage report to the COR and CE Environmental Element.

FORMAT: The final inventory will list all hazardous materials used, total amount of each used,and a description of the disposition of any remaining hazardous material.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A0009

2_TITLE_OF_DATA_ITEM: ENVIRONMENT AL MANAGEMENT SYSTEM (EMS)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: SOW 1.15.4

6_REQUIRING_OFFICE: 66 ABG/CED

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE REMARKS

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: 66 ABG/CED draft1:

reg1: 1 repro1:

addressee2: AFLCMC/PZI draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

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16_REMARKS:

BLOCK 12: Within thirty (30)days of starting work.

DESCRIPTION: The Contractor shall ensure all employees that work on HANSCOM AFB complete the Environmental Management System (EMS) Awareness training IAW AFI 32-700I, paragraph 5.6, Environmental Management. The Contractor EMS Awareness training can be accessed at https://goleam.adls.af.mil/. The Contractor shall submit a list of the employee names that have completed this training to the COR

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: JOSHUA HUSSEY

H_DATE: 01/30/2020

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: NA

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: COCESS

E_CONTRACTPR_NO:

FCONTRACTOR: TBD

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