Attachment IV CDRLS Portfolio.pdf

For the best experience, open this PDF portfolio in

Acrobat X or Adobe Reader X, or later.

Get Adobe Reader Now!

http://www.adobe.com/go/reader

DD FORM 1423, AUG 96

CONTRACT DATA REQUIREMENTS LIST

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

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

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 (BACK), AUG 96

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP: Off

TIM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Program Status and Management Report

3_SUBTITLE: PSMR

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: NWC War Gaming Department

7_DD_250_REQ:

8_APP_CODE:

diststmt:

10_FREQUENCY: Quarterly

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI:

13_DATE_OF_SUBSEQUENT_SUB:

addr1: Marc Proulx draft1: 4 reg1: 1 repro1: 0 addr2:

draft2:

reg2:

repro2:

addr3:

draft3:

reg3:

repro3:

totaldraft: 4 totalreg: 1 totalrepro: 0

16_REMARKS: In support of the technical requirements identified in paragraph X.X through X.X.X, the contractor shall submit a brief status report describing the accomplishments for the reporting period and plans for the next reporting period. The report shall include (a) progress made against the SOW to include a summary of work accomplished, action items completed, products developed, and events supported for each paragraph to document the acceptable delivery of these products and services, (b) results positive or negative achieved to include government sponsor directed requests for product revision to meet government sponsor accuracy/quality requirements, (c) problem areas encountered and recommended solutions, (d) plans for the following period, (e) contract schedule status to include early, on time or late submittal of products with a brief explanation provided for late submittal, (f) significant changes to the contractor’s organization, and (g) name(s) and contact information of the Government representatives who received the support/products identified within the technical requirements.

17_PRICE_GROUP: NSP

18_Est_Total:

1_DATA_ITEM_NO2: A002

2_TITLE_OF_DATA_ITEM2: Monthly Financial Report

3_SUBTITLE2:

4_AUTHORITY_Data_Acquis2:

5_CONTRACT_REFERENCE2:

6_REQUIRING_OFFICE2: NWC War Gaming Department

7_DD_250_REQ2:

8_APP_CODE2:

diststmt2:

10_FREQUENCY2: Monthly

11_AS_OF_DATE2:

12_DATE_OF_FIRST_SUBMISS2:

13_DATE_OF_SUBSEQUENT_2:

16_REMARKS2: The contractor shall submit a monthly financial summary showing costs incurred for the period, total costs incurred, hours expended for the period, and cumulative hours expended, cost curves, and cost performance metrics which compare estimated cost versus costs incurred for the work performed during the period. In addition, a description of problem areas affecting cost elements of the tasks shall be provided.

addr1_2: Marc Proulx addr2_2:

addr3_2:

draft1_2: 4 draft2_2:

draft3_2:

totaldraft2: 4 reg1_2: 1 reg2_2:

reg3_2:

totalreg2: 1 repro1_2: 0 repro2_2:

repro3_2:

totalrepro2: 0

17_PRICE_GROUP2: NSP

18_Est_Total2:

1_DATA_ITEM_NO3: A003

2_TITLE_OF_DATA_ITEM3: Quarterly Financial Report

3_SUBTITLE3:

4_AUTHORITY_Data_Acquis3:

5_CONTRACT_REFERENCE3:

6_REQUIRING_OFFICE3: NWC War Gaming Department

17_PRICE_GROUP3: NSP

18_Est_Total3:

7_DD_250_REQ3:

8_APP_CODE3:

diststmt3:

10_FREQUENCY3: Quarterly

11_AS_OF_DATE3:

12_DATE_OF_FIRST_SUBMISS3:

13_DATE_OF_SUBSEQUENT_3:

16_REMARKS3: The contractor shall submit a quarterly financial summary in accordance with the basic contract showing task number, modifications, period of performance, and financial data. Financials shall include funded values for authorized costs and fixed fee, as well as expenditures for the period and expenditures to date, for labor, travel, material, subcontracts, and other direct costs (ODCs). Percent of task completion in both dollars and level of effort (LOE) shall also be provided.

addr1_3: Marc Proulx addr2_3:

addr3_3:

draft1_3: 4 draft2_3:

draft3_3:

reg1_3: 1 reg2_3:

reg3_3:

repro1_3:

repro2_3:

repro3_3:

totalrepro3: 0 totalreg3: 1 totaldraft3: 4

1_DATA_ITEM_NO4: A004

2_TITLE_OF_DATA_ITEM4: Written Progress Reviews

3_SUBTITLE4:

17_PRICE_GROUP4: NSP

18_Est_Total4:

4_AUTHORITY_Data_Acquis4:

5_CONTRACT_REFERENCE4:

6_REQUIRING_OFFICE4: NWC War Gaming Department

7_DD_250_REQ4:

8_APP_CODE4:

diststmt4:

10_FREQUENCY4: Monthly

11_AS_OF_DATE4:

12_DATE_OF_FIRST_SUBMISS4:

13_DATE_OF_SUBSEQUENT_4:

16_REMARKS4: The contractor shall produce monthly reports and prepare briefing materials and deliver briefings on the progress of task areas efforts as directed.

addr1_4: Marc Proulx addr2_4:

addr3_4:

draft1_4: 4 draft2_4:

draft3_4:

totaldraft4: 4 reg1_4: 1 reg2_4:

reg3_4:

totalreg4: 1 repro1_4:

repro2_4:

repro3_4:

totalrepro4: 0

G_PREPARED_BY: Marc Proulx

H_DATE: 04/27/2020

1_APPROVED_BY:

J_DATE:

Page: 1 of: 2

Reset:

The public reporting burden for this collection of information is estimated to average 440 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP: Off

TIM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

1_DATA_ITEM_NO: A005

2_TITLE_OF_DATA_ITEM: Performance Assessment Plan

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: Applicable NWC Department

7_DD_250_REQ:

8_APP_CODE:

diststmt:

10_FREQUENCY: EOY/End of Task

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI:

13_DATE_OF_SUBSEQUENT_SUB:

addr1: Marc Proulx draft1: 4 reg1: 1 repro1:

addr2:

draft2:

reg2:

repro2:

addr3:

draft3:

reg3:

repro3:

totaldraft: 4 totalreg: 1 totalrepro: 0

16_REMARKS: The contractor shall review the performance data reported in the PSMR. The contractor shall summarize its performance under this task order in support of government generated annual Contractor Performance Assessment Report (CPAR). Contractor management shall provide a contractor self assessment of the performance rendered during the reporting period. Contractor management shall focus attention onto performance areas that do not meet performance standards.

17_PRICE_GROUP: NSP

18_Est_Total:

1_DATA_ITEM_NO2: A006

2_TITLE_OF_DATA_ITEM2: Naval War College Reports

3_SUBTITLE2: Post Game Reports

4_AUTHORITY_Data_Acquis2:

5_CONTRACT_REFERENCE2:

6_REQUIRING_OFFICE2: Applicable NWC Department

7_DD_250_REQ2:

8_APP_CODE2:

diststmt2:

10_FREQUENCY2: End of Game/Exercise

11_AS_OF_DATE2:

12_DATE_OF_FIRST_SUBMISS2:

13_DATE_OF_SUBSEQUENT_2:

16_REMARKS2: Naval War College Reports. In support of the technical requirements identified in paragraph X.X, the contractor shall prepare game/exercise reports for those events supported by the contractor.

addr1_2: Marc Proulx addr2_2:

addr3_2:

draft1_2: 4 draft2_2:

draft3_2:

totaldraft2: 4 reg1_2: 1 reg2_2:

reg3_2:

totalreg2: 1 repro1_2:

repro2_2:

repro3_2:

totalrepro2: 0

17_PRICE_GROUP2: NSP

18_Est_Total2:

1_DATA_ITEM_NO3: A007

2_TITLE_OF_DATA_ITEM3: Training Materials/Pregame Reports

3_SUBTITLE3:

4_AUTHORITY_Data_Acquis3:

5_CONTRACT_REFERENCE3:

6_REQUIRING_OFFICE3: Applicable NWC Department

17_PRICE_GROUP3: NSP

18_Est_Total3:

7_DD_250_REQ3:

8_APP_CODE3:

diststmt3:

10_FREQUENCY3: Prior to each Game

11_AS_OF_DATE3:

12_DATE_OF_FIRST_SUBMISS3:

13_DATE_OF_SUBSEQUENT_3:

16_REMARKS3: Naval War College Reports. In support of the technical requirements identified in paragraph X.X, the contractor shall prepare pregame/exercise reports for those events supported by the contractor.

addr1_3: Marc Proulx addr2_3:

addr3_3:

draft1_3: 4 draft2_3:

draft3_3:

reg1_3: 1 reg2_3:

reg3_3:

repro1_3:

repro2_3:

repro3_3:

totalrepro3: 0 totalreg3: 1 totaldraft3: 4

1_DATA_ITEM_NO4: A008

2_TITLE_OF_DATA_ITEM4: Evaluations and Briefs

3_SUBTITLE4:

17_PRICE_GROUP4: NSP

18_Est_Total4:

4_AUTHORITY_Data_Acquis4:

5_CONTRACT_REFERENCE4:

6_REQUIRING_OFFICE4: Applicable NWC Department

7_DD_250_REQ4:

8_APP_CODE4:

diststmt4:

10_FREQUENCY4: As requested

11_AS_OF_DATE4:

12_DATE_OF_FIRST_SUBMISS4:

13_DATE_OF_SUBSEQUENT_4:

16_REMARKS4: Naval War College Reports. In support of the technical requirements identified in paragraph X.X, the contractor shall prepare Evaluations, Surveys, Briefs, slides and reports as requested, for NWC departments supported by the contractor.

addr1_4: Marc Proulx addr2_4:

addr3_4:

draft1_4: 4 draft2_4:

draft3_4:

totaldraft4: 4 reg1_4: 1 reg2_4:

reg3_4:

totalreg4: 1 repro1_4:

repro2_4:

repro3_4:

totalrepro4: 0

G_PREPARED_BY: Marc Proulx

H_DATE: 04/27/2020

1_APPROVED_BY:

J_DATE:

Page:

of:

Reset:

The public reporting burden for this collection of information is estimated to average 440 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP: Off

TIM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

1_DATA_ITEM_NO: A009

2_TITLE_OF_DATA_ITEM: Staffing Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE:

7_DD_250_REQ:

8_APP_CODE:

diststmt:

10_FREQUENCY: 15 days post award

11_AS_OF_DATE:

12_DATE_OF_FIRST_SUBMISSI:

13_DATE_OF_SUBSEQUENT_SUB:

addr1: Marc Proulx draft1: 4 reg1: 1 repro1:

addr2:

draft2:

reg2:

repro2:

addr3:

draft3:

reg3:

repro3:

totaldraft: 4 totalreg: 1 totalrepro: 0

16_REMARKS: Remarks: The contractor shall provide a staffing report which identifies all key personnel who will perform on day 1 of the contract, proof of commitment, required certifications, clearance level, and resumes for each labor category. Key Personnel are denoted with a (*) in Section B and C of the contract.

17_PRICE_GROUP:

18_Est_Total:

1_DATA_ITEM_NO2:

2_TITLE_OF_DATA_ITEM2:

3_SUBTITLE2:

4_AUTHORITY_Data_Acquis2:

5_CONTRACT_REFERENCE2:

6_REQUIRING_OFFICE2:

7_DD_250_REQ2:

8_APP_CODE2:

diststmt2:

10_FREQUENCY2:

11_AS_OF_DATE2:

12_DATE_OF_FIRST_SUBMISS2:

13_DATE_OF_SUBSEQUENT_2:

16_REMARKS2:

addr1_2:

addr2_2:

addr3_2:

draft1_2:

draft2_2:

draft3_2:

totaldraft2: 0 reg1_2:

reg2_2:

reg3_2:

totalreg2: 0 repro1_2:

repro2_2:

repro3_2:

totalrepro2: 0

17_PRICE_GROUP2:

18_Est_Total2:

1_DATA_ITEM_NO3:

2_TITLE_OF_DATA_ITEM3:

3_SUBTITLE3:

4_AUTHORITY_Data_Acquis3:

5_CONTRACT_REFERENCE3:

6_REQUIRING_OFFICE3:

17_PRICE_GROUP3:

18_Est_Total3:

7_DD_250_REQ3:

8_APP_CODE3:

diststmt3:

10_FREQUENCY3:

11_AS_OF_DATE3:

12_DATE_OF_FIRST_SUBMISS3:

13_DATE_OF_SUBSEQUENT_3:

16_REMARKS3:

addr1_3:

addr2_3:

addr3_3:

draft1_3:

draft2_3:

draft3_3:

reg1_3:

reg2_3:

reg3_3:

repro1_3:

repro2_3:

repro3_3:

totalrepro3: 0 totalreg3: 0 totaldraft3: 0

1_DATA_ITEM_NO4:

2_TITLE_OF_DATA_ITEM4:

3_SUBTITLE4:

17_PRICE_GROUP4:

18_Est_Total4:

4_AUTHORITY_Data_Acquis4:

5_CONTRACT_REFERENCE4:

6_REQUIRING_OFFICE4:

7_DD_250_REQ4:

8_APP_CODE4:

diststmt4:

10_FREQUENCY4:

11_AS_OF_DATE4:

12_DATE_OF_FIRST_SUBMISS4:

13_DATE_OF_SUBSEQUENT_4:

16_REMARKS4:

addr1_4:

addr2_4:

addr3_4:

draft1_4:

draft2_4:

draft3_4:

totaldraft4: 0 reg1_4:

reg2_4:

reg3_4:

totalreg4: 0 repro1_4:

repro2_4:

repro3_4:

totalrepro4: 0

G_PREPARED_BY: Marc Proulx

H_DATE: 04/27/20

1_APPROVED_BY:

J_DATE:

Page:

of:

Reset: