CDRL A004 Services Report 26 .pdf
PDF 685 KB Posted
- Attached to
- Building 228 Access Controls Service Contract
- Solicitation number
- FA850126Q0013
About this file
This document is a DD Form 1423-1, Contract Data Requirements List (CDRL), which specifies data deliverables required from a contractor under a federal contract. The form identifies a single data item (A004) titled "Services Report" for the Bldg 228 Access Control System Maintenance contract under contract reference DI-MGMT-80866A-1, PWS Section 5.10.5. The requiring office is 78 ABW/SCO located at Robins AFB, GA. The data item is categorized as Administrative/Management Data and does not require DD 250 inspection/acceptance, draft approval, or distribution statement markings.
The Services Report must be completed for all preventative maintenance tasks and shall include detailed information on tasks performed, training provided, findings relating to equipment condition and recommendations for system improvement or repair. The report must clearly identify installed software versions and patches for all ISS software, OS, and antivirus. Deliverables are required in electronic format no later than fifteen calendar days following service completion. The data item applies across five contract line items spanning the base year and four option years (data items A004, B004, C004, D004, and E004). Submission is required to 78 ABW/SCO at Robins AFB, GA, with one final copy required per submission. The form was prepared by Benjamin L. Jowers on 25 Sep 2025.
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Text version
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 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
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 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 administrative and other expenses related to reproducing and delivering such data item to the Government.
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 1423-1 (BACK), FEB 2001
| data_item: A004 |
| title: Services Report |
| sub: |
| auth: DI-MGMT-80368A/T |
| ref: PWS Section 5.10.5 |
| req_ofc: 78 ABW/SCQ |
| dd250: N |
| appcode: |
| dist: N |
| freq: BLOCK 16 |
| asof: BLOCK 16 |
| firstsub: BLOCK 16 |
| subsub: BLOCK 16 |
| addressee1: 78 ABW/SCQ |
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| reg1: 1 |
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| addressee2: Robins AFB, GA |
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| remarks: Blocks 5, 10, 11, 12, and 13. |
5.10.5 Service report(s) shall be completed for all preventative maintenance tasks. The service reports shall include detailed information on tasks performed, training provided, findings relating to equipment condition and recommendations to improve the condition and/or repair the system. The report shall clearly identify the installed software versions and patches for all ISS software, OS, and antivirus. This deliverable shall be provided concurrently to the COR and site Security Manager in electronic format not more than fifteen (15) calendar days following the completion of the services.
CLIN Exhibit Data Item No. Performance Period XXXX A A004 Base Year XXXX B B004 Option Year 1 XXXX C C004 Option Year 2 XXXX D D004 Option Year 3 XXXX E E004 Option Year 4
| group: |
| total_price: |
| prep_name: Benjamin L. Jowers |
| prep_sign: |
| prep_date: 25 Sep 2025 |
| app_by: |
| app_sign: |
| app_date: |
| Page: |
| app: Adobe Professional 7.0 |
| line_item: XX |
| exhibit: A/B/C/D/E |
| xtdp: Off |
| xtm: Off |
| othercat: Admin/Mgmt Data |
| system: Bldg 228 Access Control System Maint. |
| ctr_no: |
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| remarksb: |
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File details come from the government source that posted it. Updated .