CDRLS DD 1423.docx

DD FORM 1423, FEB 2001

CONTRACT DATA REQUIREMENT LIST, PREVIOUS EDITION MAY BE USED Form Approval 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 this burden, to 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.: A001 D. SYSTEM/ITEM:

B. EXHIBIT: N/A E. CONTRACT/PR NO.: TBD

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A001

2. TITLE: Contractor’s Quality Control Program

3. SUBTITLE: Contract Data Requirements List

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS, 1.6.1

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: ANNUALY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: The contractor will establish a complete quality control program to assure the requirements of the contract are provided as specified. One copy of the contractor's quality control plan will be provided to the contracting officer as part of the proposal submission.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020 I: APPROVED BY: Dennis J. Nadrasik J: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A002 D. SYSTEM/ITEM: N/A

B. EXHIBIT: N/A E. CONTRACT/PR NO.: TBD

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A002

2. TITLE: Contractor’s Quality Control Program

3. SUBTITLE: Weight Tickets

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.1, 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: DAILY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: The contractor shall provide services for The Government’s estimated maximum daily requirements, excluding Saturday, Sunday; National, State, and local holidays are listed by area of performance within each schedule. The contractor will submit weight tickets, reflecting gross, tare, and net weight, in duplicate, properly certified IAW federal, state, and commonwealth or district regulations to the ordering officer with documentation. The contractor will furnish the ordering officer the completed inventory, packing list, and weight tickets not later than four workdays from date of pickup for HHG and three workdays from date of pickup for UB shipments. The weight tickets will contain the name and address of the weighing station, the date, name of contractor, van or trailer number, name of member/employee, call number assigned by the ordering officer, and signature of the weigh master. When a reweigh is ordered, the contractor will furnish the ordering officer weight tickets in duplicate within seven workdays of completion of the service.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A003 D. SYSTEM/ITEM:

B. EXHIBIT: E. CONTRACT/PR NO.: TBD

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A003

2. TITLE: Household Goods Descriptive Inventory

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: DAILY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: The contractor will prepare the inventory in five copies for outbound HHG and UB shipments and in three copies for local drayage moves. The original and all copies will be legible and will bear the name and complete mailing address of the contractor. The original inventory will be furnished to the ordering officer, the contractor will retain one copy, and one copy will be given to the member/employee (CDRL 0003, Household Goods Descriptive Inventory).

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A004 D. SYSTEM/ITEM:

B. EXHIBIT: N/A E. CONTRACT/PR NO.: TBD

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A004

2. TITLE: Exception Sheet

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: DAILY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: Removal from NTS.

a. When the personal property is to be removed from NTS, the contractor will obtain from the storage contractor two legible copies of the NTS inventory and in conjunction with the storage contractor, check each item of the storage lot IAW such inventory. If at the time each item is checked there is a difference in condition of the item from that listed on the NTS inventory, the contractor will prepare an Exception Sheet and such differing conditions will be noted thereon. When the contractor elects to make a new inventory, differences as to condition of individual items, as compared with the NTS inventory, will be shown on an Exception Sheet as described above. In the event the opinions of the contractor’s representative and storage contractor’s representative differ as to shortages and overages or condition of an item(s), both opinions will be listed on the Exception Sheet and separately identified as to the source. Both parties will sign and date the Exception Sheet, each retaining a legible copy for their respective files (CDRL 0004, Exception Sheet). Such an Exception Sheet will remain an internal industry document. In the event a claim is filed, the contractor will provide legible copies of the Exception Sheet to the claims officer.

Additionally, for HHG, the contractor will place an envelope containing the following documents in an easily accessible location inside the No. 1 container: one copy of the packing list and Exception Sheet for shipments released from Nontemporary Storage (NTS). For UB shipments, the contractor will place one copy of the member’s/employee’s orders inside the carton prior to sealing. The member/employee will be required to furnish all necessary copies of their orders.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A005 D. SYSTEM/ITEM:

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A005

2. TITLE: Report of Government Owned Containers

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: MONTHLY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: The contractor will report, store and, when directed by the ordering officer, reposition government-owned HHG containers. GOC Report. The contractor will submit a GOC report (a local form or for Air Force Installations, AF Form 384, Government-Owned Container Control Record). The report will be submitted to the ordering officer 15 days after the contract start date and thereafter on the first workday of each month.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A006 D. SYSTEM/ITEM:

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A006

2. TITLE: Joint Statement of Loss and Damage at Delivery

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 4

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: DAILY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: The Contractor must abide by all applicable Forms:

DD 1840 Joint Statement of Loss or Damage at Delivery DD 1840-R Notice of Loss or Damage

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A007 D. SYSTEM/ITEM:

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A007

2. TITLE: Claims Correspondence

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: DAILY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: In the event a claim is filed, the contractor will provide legible copies of the Exception Sheet to the claims officer.

The provision of FRV to all DOD customers provides for the replacement, repair, or payment for the non-depreciated value of lost or damaged items. The liability limits for FRV are the greater of $75,000.00 per shipment, or $6.00 times either the net weight of the HHG shipment or the gross weight of UB shipment, in pounds, not to exceed $75,000.00.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A008 D. SYSTEM/ITEM:

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A008

2. TITLE: Bill of Lading

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: MONTHLY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: Outbound UB shipments:

On all outbound shipments moving by a PPGBL/BL, the contractor will surrender the original and copies 2, 3, and 4 of the PPGBL/BL to the carrier when the shipment is picked up. The contractor will return copies 5, 6, and 7 of the PPGBL/BL to the ordering officer not later than the close of business the next workday after the day the shipment is picked up. Computer generated PPGBL/BLs are not numbered. In instances where computer generated PPGBL/BLs are used, enough copies will be made to ensure the right number of copies will be submitted. All copies of the PPGBL/BL returned to the ordering officer will bear a legible pickup date, carrier pro number stickers, and signature of the carrier’s representative.

Tagging, Inventorying, and Packing List:

Motorcycles, mopeds, and motor scooters will be inventoried as one line item, listing their serial number, make, year, model, and odometer reading. For international shipments, ensure one copy of the title and/or registration is attached to all copies of the PPGBL/BL/Commercial Bill of Lading/Transportation Control and Movement Document (TCMD) (Form DD1384).

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A009 D. SYSTEM/ITEM:

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A009

2. TITLE: Contractor's Weekly Report

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: WEEKLY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: The contractor is required to submit a weekly report showing outbound shipments on-hand which were picked up prior to the previous Wednesday.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A010 D. SYSTEM/ITEM:

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A010

2. TITLE: Report of Shipments On-Hand

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: WEEKLY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: The contractor is required to submit an on-hand report for all inbound shipments at the contractor’s facility (CDRL 0010, Report of Shipments on Hand). This report will list all inbound shipments in storage and/or waiting to be delivered. This requirement will continue to include those shipments on hand that have been converted to customer’s expense and must be annotated on the report for PPSO tracking.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A011 D. SYSTEM/ITEM:

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A011

2. TITLE: Outsized Air Cargo Report

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 3.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: DAILY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: If any container being prepared to enter the DTS has an outside measurement greater than 84 inches, the contractor is required to prepare an Outsized Air Cargo Report.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020

A. CONTRACT LINE ITEM NO.: A012 D. SYSTEM/ITEM:

C. CATEGORY:

TDP ____ TM ____ OTHER _X_

F. CONTRACTOR: TBD

1. DATA ITEM NO: A012

2. TITLE: Monthly SDS Metrics Report

3. SUBTITLE: N/A

4. AUTHORITY: N/A

5. CONTRACT REFERENCE: PWS 1.6.2

6. REQUIRING OFFICE: ASC, 404 AFSB, LRC

7. DD250 REQ: N/A

8. APP CODE: N/A

9. DIST. STATEMENT REQ: See BLK 16

10. FREQUENCY: MONTHLY

11. AS OF DATE: 13 August 2021

12. DATE OF FIRST SUBMISSION: 13 August 2021

13. DATE OF SUBS. SUBMISSION: N/A

14. DISTRIBUTION:

A. ADDRESSEE: Charles D. Anderson

B. COPIES:

DRAFT: N/A

FINAL: N/A

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS: The contractor will provide monthly metrics measuring the Service Delivery Summary Performance Threshold. These statistics will be used in the monthly evaluation of the contractor and also as a part of the annual performance report.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

G. PREPARED BY: Kevin Troy Matthias H: DATE: 10 Nov 2020