CDRL Terex A005 Unit Training Report.pdf

0BCONTRACT DATA REQUIREMENTS LIST Form Approved CMB 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 collection of 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 222202-2302, 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.

A005

B. Exhibit A

C. Category

ADMIN

D. System/Item.

MAC 50T Crane E. Contract/PR NO.

W56HZV-21-R-0132

F. Contractor

Terex Corporation

CAGE: 4J2G1

1. Data Item No.

A005

Title of Data Item:

UNIT TRAINING REPORT

3. Subtitle:

4. Authority (Data Acquisition Document No.)

DI-MGMT-08368A

5. Contract Reference C.2.5 & C.2.7.5

6. Requiring Office

SFAE-CSS-FP

7. DD 250 Req

LT

9. Dist Statement Required

A

10. Frequency

AS REQ

12. Date of First Submission See Block 16

14. Distribution

8. APP Code A

11. As of Date See Block 16

13. Date of Subsequent Submission See Block 16

a. Addressee b. Copies Draft Final Reg Repro

16. REMARKS

This report shall be provided to the Government upon the completion of the contractor training class on the operation and maintenance of the MAC 50T Crane. At minimum the contractor shall provide the following information. Addition information can be included at the contractor’s discretion.

Title of the Training Date(s) of the Training Student Name Student Rank/Title Student Organization Copy of the Training Student’s Certificate

Block 11: As of Date is the date the training was completed.

Block 12: The initial report is due 7 days following completion of the training.

Block 13: Subsequent reports are due upon the completion of the next training class.

Distribution:

COR: John Page john.c.page.civ@mail.mil Contract Specialist: Tyron Williams tyron.s.williams.civ@mail.mil PM-FP-KW (Kuwait): TBD

COR 1

CS 1

PM-FP KW 1

15. TOTAL 3

G. PREPARED BY

John C. Page

H. DATE

15 Apr 21

I. APPROVED BY

John Danks

J. DATE

16 April 2021 mailto:john.c.page.civ@mail.mil mailto:tyron.s.williams.civ@mail.mil

CONTRACT DATA REQUIREMENTS LIST