Performance_Work_Statement_App_G3.pdf

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Defense Transportation Regulation – Part IV 21 September 2012 Personal Property

ATTACHMENT G3

CONTRACTOR DOCUMENTS REQUIREMENT LISTINGS

Contractor’s Quality Control Program. See Contract Data Requirements List (CDRL) 0001.

Weight Tickets. See CDRL 0002.

Household Goods Descriptive Inventory. See CDRL 0003.

Exception Sheet. See CDRL 0004.

Report of Government Owned Containers. See CDRL 0005.

Joint Statement of Loss and Damage at Delivery. See CDRL 0006.

Claims Correspondence. See CDRL 0007.

Bill of Lading. See CDRL 0008.

Contractor's Weekly Report. See CDRL 0009.

Report of Shipments On-Hand. See CDRL 0010.

Outsized Air Cargo Report. See CDRL 0011.

Monthly SDS Metrics Report. See CDRL 0012.

The following abbreviations and their meanings are used in the CDRL.

ASREQ - As Required

COR - Contracting Officer

DAC - Day after contract start

DS - Destination

EAS - Each shipment

MTHLY Monthly

N/A Not applicable

ONE/R - One time with revisions

PPSO - Personal Property Shipping Office

QTRLY - Quarterly

WKLY - Weekly

IV-G3-1

Defense Transportation Regulation – Part IV 21 September 2012

CONTRACT DATA REQUIREMENTS LIST 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 collecting 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 must 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 Contractor's Quality Control Program

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part III, Para.5.a

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9. Dist Statement Required

10. Frequency One/R

12. Date of 1st Submission 14. Distribution

a. Addressee

b. Copies

8. App Code 11. As of Date N/A

13. Subsequent Submit Final Reg Rep

16. Remarks Basic version submitted at preaward survey conference. Updated version submitted on contract start date. Schedule I, II, and III.

15. Total

1. Data Item No.

2. Title of Data Item Weight Tickets

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I, Para A.2.b.

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9. Dist Statement Required

10. Frequency

EAS

8. App Code 11. As of Date N/A

13. Subsequent Submit Final Reg Rep

16. Remarks Weight tickets not required on inbound shipments unless reweigh is ordered. Schedule I, II, and III.

2. Title of Data Item Household Goods Descriptive Inventory

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I, Para A.5.i

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9.Dist Statement Required

10. Frequency

EAS

8. App Code 11. As of Date N/A

13. Subsequent Submit Final Reg Rep

Inventories not required on inbound shipments. Schedule I and III.

2. Title of Data Item Exception Sheet

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I, Para A.5.l

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9.Dist Statement Required

10. Frequency See 16

8. App Code 11. As of Date See 16

13. Subsequent Submit Final Reg Rep

16. Remarks Exception sheets are made on shipments from NTS when contractor's representative and storage contractor's representative disagree on condition of goods. Maintained in contractor's file and made available to claims office.

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

IV-G3-2

Defense Transportation Regulation – Part IV 21 September 2012

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 collecting 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 must 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 Report of Government Owned Containers

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I , Para A. 8.g.(2)

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9. Dist Statement Required

10. Frequency

8. App Code 11. As of Date See 16

13. Subsequent Submit Final Reg Rep

16. Remarks Initial report due 15 days after contract start date. Subsequent reports are due the first workday of each month. Schedule I and III.

2. Title of Data Item Joint Statement of Loss & Damage at Delivery

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I , Para A.14

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9. Dist Statement Required

10. Frequency

8. App Code 11. As of Date See 16

13. Subsequent Submit Final Reg Rep

DD Form 1840. Schedule II and III.

2. Title of Data Item Claims Correspondence

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I , Para A.14.

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9.Dist Statement Required

10. Frequency

8. App Code 11. As of Date N/A

13. Subsequent Submit Final Reg Rep

16. Remarks Each time any correspondence regarding a claim is received from anyone other than the local TO, the contractor must furnish the TO an information copy. Schedule I, II, and III.

2. Title of Data Item Bill of Lading

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I , Para A.9.d

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9.Dist Statement Required

10. Frequency

8. App Code 11. As of Date N/A

13. Subsequent Submit Final Reg Rep

16. Remarks Original and copies 2, 3, and 4 are given to the carrier. Copies 5, 6, and 7 to the TO and copy 8 maintained by the contractor. In instances where computer generated PPGBL/BLs are used, enough copies must be made to ensure the right number of copies will be submitted.

IV-G3-3

Defense Transportation Regulation – Part IV 21 September 2012

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 collecting 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 must 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 Contractor's Weekly Report

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I, Para A.9.j

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9. Dist Statement Required

10. Frequency

WKLY

8. App Code 11. As of Date See 16

13. Subsequent Submit Final Reg Rep

16. Remarks Block 11 - Day of submission Block 12 - First Monday after contract start date Schedule I

2. Title of Data Item Report of Shipments on Hand

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I, Para A10.h

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9. Dist Statement Required

10. Frequency

8. App Code 11. As of Date See 16

13. Subsequent Submit Final Reg Rep

16. Remarks Blocks 10 & 11 - Determined by the TO Negative reports are required. Should identify when reports are submitted to TO Schedule II

2. Title of Data Item Outsized Air Cargo Report

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part I, Para A.9.g

6. Requiring Office COR 18. Est.

Total 7. DD 250 Req

DS

9.Dist Statement Required

10. Frequency

8. App Code 11. As of Date See 16

13. Subsequent Submit Final Reg Rep

Schedule I

2. Title of Data Item Monthly SDS Metrics Report

3. Subtitle 17. Price Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference Part III, Para 5.b

6. Requiring Office

18. Est.

Total 7. DD 250 Req

DS

9.Dist Statement Required

10. Frequency

MTHLY

8. App Code 11. As of Date N/A

13. Subsequent Submit Final Reg Rep

Schedule I, II, and III.

IV-G3-4

ATTACHMENT G3

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