Attch 5 - Contract Deliverable Requirements List.pdf

Enterprise Services Center (ESC)

ATTACHMENT 5

Contract Deliverable Requirements List (CDRL)

ESC Information Technology –

Teaming

Partner Acquisition

8 July 2022

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:

TDP ____ TM _____ OTHER _________________________

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

PRISM/DELPHI TEAMING PARTNER ACQ TBD TBD

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

A001

CONTRACTOR ROSTER AND EMPLOYEE CHANGES

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

TOTAL PRICE

PWS AMK-020/MMAC PM

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

N/A REQUIRED MONTHLY 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 AMQ-722/CO 1 D

BLOCK 11 - DATE OF ASSUMING FULL PERFORMANCE

BLOCK 12 - AFTER ASSUMING FULL PERFORMANCE, REPORT IS DUE ON THE 15TH DAY

FOLLOWING THE MONTHLY REPORTING PERIOD

BLOCK 13 - SUBSEQUENT REPORTS ARE DUE ON THE 15TH DAY OF EACH MONTH FOLLOWING

EACH MONTHLY REPORTING PERIOD

CONTRACTOR FORMAT TO INCLUDE THE FOLLOWING INFORMATION:

LAST NAME

FIRST NAME

EMAIL ADDRESS

CURRENT TASK ORDER NO.

FAA BADGE EXPIRATION DATE

FAA ORG ROUTING SYMBOL

REPORT TO BE ALPHABETIZED BY LAST NAME

ELECTRONIC SUBMITTAL IS ACCEPTABLE

- LIST EMPLOYEES ASSIGNED TO THE CONTRACT FOR THE PREVIOUS

MONTH

- IDENTIFY EMPLOYEES EMPLOYEE CHANGE(S) INFORMATION (I.E.

REASSIGNED, CLEARED FROM EMPLOYMENT

AMK-020/MMAC PM

*1

AMC-700/SECURITY 1

15. TOTAL ▬▬▬▬► *

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

MONIQUE WALSWICK, AMK-020

8 Jul 2022

ABIGAEL SCHULTZ, AAQ-722

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

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:

TDP ____ TM _____ OTHER _________________________

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

PRISM/DELPHI TEAMING PARTNER ACQ TBD TBD

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

A002

VACANCY REPORT

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

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

N/A REQUIRED MONTHLY SEE BLOCK 16

a. ADDRESSEE

Final

SEE BLK 16 SEE BLOCK 16 Reg Repro

16. REMARKS AMQ-722/CO 1 D

BLOCK 11 - DATE OF ASSUMING FULL PERFORMANCE

BLOCK 12 - AFTER ASSUMING FULL PERFORMANCE, REPORT IS DUE ON THE 15TH DAY

FOLLOWING THE MONTHLY REPORTING PERIOD

BLOCK 13 - SUBSEQUENT REPORTS ARE DUE ON THE 15TH DAY OF EACH MONTH FOLLOWING

EACH MONTHLY REPORTING PERIOD

CONTRACTOR FORMAT TO INCLUDE THE FOLLOWING INFORMATION:

POSITION DESCRIPTION

CURRENT TASK ORDER NO.

FAA ORG ROUTING SYMBOL

ELECTRONIC SUBMITTAL IS ACCEPTABLE

- LIST EMPLOYEES ASSIGNED TO THE CONTRACT FOR THE PREVIOUS

MONTH

- IDENTIFY EMPLOYEES EMPLOYEE CHANGE(S) INFORMATION (I.E.

REASSIGNED, CLEARED FROM EMPLOYMENT

AMK-020/MMAC PM

AMC-700/SECURITY 1

MONIQUE WALSWICK, AMK-020

8 Jul 2022

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:

TDP ____ TM _____ OTHER _________________________

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

PRISM/DELPHI TEAMING PARTNER ACQ TBD TBD

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

A003 MONTHLY PROGRESS, TRAINING, INVOICING AND

PAYMENT

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

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

N/A REQUIRED MONTHLY SEE BLOCK 16

a. ADDRESSEE

Final

SEE BLK 16 SEE BLOCK 16 Reg Repro

16. REMARKS AAQ-722/CO 1

BLOCK 11 - DATE OF ASSUMING FULL PERFORMANCE

BLOCK 12 - AFTER ASSUMING FULL PERFORMANCE, REPORT IS DUE ON THE 15TH DAY

FOLLOWING THE MONTHLY REPORTING PERIOD

BLOCK 13 - SUBSEQUENT REPORTS ARE DUE ON THE 15TH DAY OF EACH MONTH FOLLOWING

EACH MONTHLY REPORTING PERIOD

FORMAT FOR FIRM FIXED TASK ORDERS:

REPORT TITLE

CONTRACT NUMBER, ORDER NO. AND TASK NO

REPORTING PERIOD (PRIOR MONTH)

SECTION 1 - PROGRESS REPORT

--MONTHLY ACTIVITIES (ASSIGNED TASKS ACCOMPLISHED DURING THE REPORTING PERIOD)

--PLANNED ACTIVITY FOR FOLLOWING MONTH

--ANTICIPATED PROBLEMS/CONCERNS ASSOCIATED WITH TASK ASSIGNED

--ACTIONS REQUIRED BY THE GOVERNMENT

SECTION 2 - FUNDS & MAN HOURS EXPENDITURE REPORT

SECTION 3 - TRAINING ACCOMPLISHED

-- PURPOSE OF TRAINING, REQUESTED/APPROVAL DATE, COURSE NAME, CONTRACT

EMPLOYEE NAME/LABOR CATEGORY

--MMAC TRAINING ACCOMPLISHED/COURSE NAME, RECORDED BY DATE, CONTRACT EMPLOYEE

NAME/LABOR CATEGORY

SECTION 4 - EXCEL SPREADSHEET (FORMAT INAW ATTACHED CONTRACT INVOICE AND

PAYMENT RECORD).

--INCLUDE ORDER NO., TASK NO. ORDER VALUE, TOTAL OBLIGATED DOLLARS, MONTHLY

INVOICED DOLLARS (FOR THE REPORTING PERIOD (T&M) OR MONTHLY PAYMENT FOR THE

PERIOD (FIXED PRICE)

--PROJECTED INCURRED DOLLARS (1 MONTH), BALANCE OF FUNDS AVAILABLE

*THE TOTAL NUMBER OF REPORTS WILL DEPEND ON THE NUMBER OF TASKS AND COR'S

ASSIGNED TO PROVIDE OVERSIGHT OF THE TASKS.

AMK-020/MMAC PM

MULTIPLE TASK CORS *1

MONIQUE WALSWICK, AMK-020

8 Jul 2022

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:

TDP ____ TM _____ OTHER _________________________

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

PRISM/DELPHI TEAMING PARTNER ACQ. TBD TBD

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

A004 STATUS OF GOVERNMENT FURNISHED REPORT

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

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

N/A REQUIRED ANNUALLY SEE BLOCK 16

a. ADDRESSEE

Final

SEE BLK 16 SEE BLOCK 16 Reg Repro

16. REMARKS AAQ-722/CO 1 D

BLOCK 11 - DATE OF ASSUMING FULL PERFORMANCE

BLOCK 12 - AFTER ASSUMING FULL PERFORMANCE, REPORT IS DUE AT THE BEGINNING OF THE

FIRST OPTON PERIOD, IF EXERCISED

BLOCK 13 - SUBSEQUENT REPORTS ARE DUE AT THE BEGINNING OF EACH SUBSEQUENT

OPTION YEAR, IF EXERCISED

FORMAT:

CONTRACTOR TO PROVIDE COMPOSITE LIST OF GFE/GFP SEPERATED BY TASK

MULTIPLE TASK CORS

AMK-020/MMAC PM 1

MONIQUE WALSWICK, AMK-020

8 Jul 2022 ABIGAEL SCHULTZ, AAQ-722