CDLR A001.pdf

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Attached to
GSA OASIS 8(a) - PIER Fiber Maintenance
Solicitation number
N0018926RL022
Issued by

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This is a Contract Data Requirements List (DD Form 1423-1) specifying a single data item requirement for a federal contract.

The required deliverable is a Technical Report - Study/Services (Data Item A001) documenting completed preventive maintenance activities. The report must be submitted monthly throughout the contract period, with the first submission due one month after contract start and subsequent submissions due monthly thereafter. The report shall be formatted in Microsoft Office compatible files and delivered to the Contracting Officer's Representative (COR) by the end of the fifth business day of each month. Distribution is limited to the COR/ACOR, with one draft copy and one final copy required per submission. The data requirement is based on the Performance Work Statement (PWS) paragraph 13.1 and is referenced under Data Acquisition Document DI-MISC-80500A. The requiring office is NCTAMS LANT N5/N8, and e-mail distribution is the preferred delivery method. The form was prepared by Douglas S. Smith on 12/19/2025 and approved by Christopher Jensen on 01/16/2026.

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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: A001
2_TITLE_OF_DATA_ITEM: TECHNICAL REPORT - STUDY/SERVICES
3_SUBTITLE: Report of Completed Preventive Maintenance
4_AUTHORITY_Data_Acquisit: DI-MISC-80508A
5_CONTRACT_REFERENCE: PWS 7.6.3.1
6_REQUIRING_OFFICE: NCTAMS LANT N5/N8
7_DID_250_REQ: N/A
8_APP_CODE: N/A
DIST_STATEMENT: PWS para. 13.1
10_FREQUENCY: Monthly
11_AS_OF_DATE: Start of Contract
12_DATE_OF_FIRST_SUBMISSI: 1 month after start of contract
13_DATE_OF_SUBSEQUENT_SUB: Monthly*
addressee1: COR/ACOR
draft1: 1
reg1: 1
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16_REMARKS: Block 13: Report is required monthly through the end of the contract.

Block 14: E-mail distribution preferred

The report shall be formatted in Microsoft Office compatible file to provide records for preventive maintenance performed. The report is due to the COR by the end of the 5th business day of each month.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY: Douglas S. Smith
H_DATE: 12/19/2025
1_APPROVED_BY: Christopher Jensen
J_DATE: 01/16/2026
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER:
DSYSTEMITEM:
E_CONTRACTPR_NO:
FCONTRACTOR: TBD
of_pages: 1
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