CDRL package for Aguada PWSV2.docx

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Niscemi MUOS SATCOM
Solicitation number
N6817126QN044
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About this file

This is a Contract Data Requirements List (CDRL) document that specifies 13 data items the contractor must deliver under the Aguada PWSV2 contract. The requiring office is NCTS Naples, and all deliverables are classified as "OTHER" category technical reports and studies with Distribution Statement F, meaning further dissemination is restricted to the Commanding Officer at NCTS Naples or higher DoD authority. All documents must be distributed via email or as otherwise acceptable to the Contracting Officer's Representative (COR).

The 13 required data items include: A001 Transition Plan (one-time submission at award), A002 Training Plan (as required), A003 Reports and Records (as required), A004 List of On-Site Contractor Personnel (as required), A005 Contractor's Quality Control Plan (as required), A006 Deficiency Correction Plan (as required), A007 Budget Projections (annual, no later than April 30), A008 Meeting Minutes (as required), A009 INFOCON Plan (as required), A010 Safety Plan (as required), A011 Certificate of Insurance (one-time submission at award), A012 Review and Revise SOPs (as required), and A013 Missing Equipment Report (as required). Each data item references specific Performance Work Statement (PWS) paragraphs that detail the substantive requirements. The document was prepared by Jugal Patel and approved by Chris Jensen on July 1, 2021.

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

A

C. CATEGORY:

TDP _________ TM ________________ OTHER _________X____________

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

To be Assigned

F. CONTRACTOR

1. DATA ITEM

NO.

A001

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

TRANSITION PLAN

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 2.1.4

6. REQUIRING OFFICE

NCTS NAPLES

7. D.D. 250 REQ

DD

9. DISTRIBUTION

STATEMENT

REQUIRED

F

10. FREQUENCY

ONE

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

AWARD

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg

Repro

16. REMARKS

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

Block 12 and 13: As set forth in Block 5.

Block 14: Distribution by email preferred, or as otherwise acceptable to COR.

COR

15. TOTALS

G. PREPARED BY

Jugal Patel

H. DATE

01 JUL 2021

I. APPROVED BY

Chris Jensen

J. DATE

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

1003, 2003, 3003, 4003, 5003, 6003

B. EXHIBIT

A

A002

TRAINING PLAN

5. CONTRACT REFERENCE

PWS PARA. 3.5.1

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

Jugal U Patel

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A003

REPORTS AND RECORDS

5. CONTRACT REFERENCE

PWS PARA. 3.6.3

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

0003, 1003, 2003, 3003, 4003, 5003, 6003

B. EXHIBIT

A

A004

LIST OF ON-SITE CONTRACTOR PERSONNEL

5. CONTRACT REFERENCE

PWS PARA. 2.4, 2.5, 4.3, and 4.5

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A005

CONTRACTOR’S QUALITY CONTROL (QC) PLAN

5. CONTRACT REFERENCE

PWS PARA. 5.0

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

H. DATE

01 JUL 2021

I. APPROVED BY

CHRIS JENSEN

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A006

DEFICIENCY CORRECTION PLAN

5. CONTRACT REFERENCE

PWS PARA. 7.1

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

JUGAL PATEL

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A007

BUDGET PROJECTIONS

5. CONTRACT REFERENCE

PWS PARA. 10.5

REQUIRED

F

10. FREQUENCY

ANNUAL

(NLT 30APR)

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A008

MEETING MINUTES

5. CONTRACT REFERENCE

PWS PARA. 10.9

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A009

INFOCON PLAN

5. CONTRACT REFERENCE

PWS PARA. 11.1.7.6

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A010

SAFETY PLAN

5. CONTRACT REFERENCE

PWS PARA. 11.2.1

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A011

CERTIFICATE OF INSURANCE

INSURANCE REQUIREMENT

NOT APPLICABLE

5. CONTRACT REFERENCE

PWS PARA. 16.1

REQUIRED

F

10. FREQUENCY

ONE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

Block 14: Distribution by email preferred, or as otherwise acceptable to PCO.

PCO

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A012

REVIEW AND REVISE SOPs

5. CONTRACT REFERENCE

PWS PARA. 3.6.1

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

Block 14: Distribution by email preferred, or as otherwise acceptable to PCO.

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 12 of 13

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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

B. EXHIBIT

A

A013

MISSING EQUIPMENT REPORT

5. CONTRACT REFERENCE

PWS PARA. 8.2.12

REQUIRED

F

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

Block 9: Mark documents “Distribution F. Further dissemination only as directed by Commanding Officer, NCTS Naples, or higher DoD authority.”

Block 14: distribution by email preferred, or as otherwise acceptable to PCO.

H. DATE

01 JUL 2021

I. APPROVED BY

D.D. Form 1423-1, JUN 90 Previous editions are obsolete Page 13 of 13

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