CDRLs for SHAR 14007 Signed.pdf
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- B-41 RENOVATION
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- SICG004-22
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DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
TBD A MGMT
Building 41- Renovations TBD TBD
A001 Contractor's Personnel Roster
DI-MGMT-81596A SOW Para. 5.14 1022
LT
N/A B
ASREQ
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
16. REMARKS
BLK 12 - First submission is due at the Post Award Kick-Off meeting, ASREQ.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
BLK 16- Contract shall disregard the Social Security Number, Date and Place of Birth, and Clearance Status.
Contractor shall add any certification employee holds
Adobe Professional 8.0
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
TBD A SAFT
Building 41- Renovations TBD TBD
A002 Operating, Support, Health, and Safety (OSH&S) Hazard Analysis Report
DI-SAFT-81841 SOW Para. 3.4.1 1022
LT
N/A B
ASREQ
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
16. REMARKS
BLK-12 First submission is due at the Post Award Kick-Off meeting, ASREQ.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
BLK-16 . Format the AHA shall be in accordance with EM 385-1-1, Section 1
N/A
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
TBD A MISC
Building 41- Renovations TBD TBD
A003 Technical Report - Study Services Accident Prevention Plan
DI-MISC-80508B SOW Para. 3.4.2 1022
LT
N/A B
ASREQ
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
16. REMARKS
BLK 4 - Utilize format found in EM-385-1-1.
BLK 12 First submission is due at the Post Award Kick-Off meeting, ASREQ.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
BLK 16- . Format the AHA in accordance with EM 385-1-1, Appendix A, paragraph 3.k
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A004 Technical Report - Study Services Severe Hazard Exposure
DI-MISC-80508B SOW Para. 3.5 1022
LT
N/A B
ASREQ
N/A
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 12 - Immediately.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MGMT
Building 41- Renovations TBD TBD
A005 Accident Incident Report
DI-MGMT-82188 SOW Para. 3.4.4, 5.7 1022
LT
N/A See BLK 16
ASREQ
ASREQ
ASREQ
ASREQ
COR 1
1022 1
0 1 1
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A006 Technical Report - Study/Services Damage Reporting
DI-MISC-80508B SOW Para. 3.4.4, 5.9 1022
LT
N/A B
ASREQ
ASREQ
ASREQ
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - Use format in accordance with OPNAVIST 5102.1, Chapter 3, #2.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A007 Technical Report - Study/Services Quality Control Plan
DI-MISC-80508B SOW Para. 3.3.1 1022
LT
N/A B
N/A
N/A
See BLK 16
N/A
COR 1
1022 1
0 1 1
BLK 4 - Contractor format is acceptable.
BLK 12 - Due at Post Award Kickoff.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A008 Technical Report - Study/Services Production Report / Schedule / Checklist
DI-MISC-80508B 3.3.1, 3.1.3 1022
LT
N/A B
WEEKLY
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - Contractor format is acceptable.
BLK 12 - Due at Post Award Kickoff, weekly after Notice to Proceed
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A009 Technical Report - Study/Services Waste Management Plan
DI-MISC-80508B SOW Para. 3.5 1022
LT
N/A B
ASREQ
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - Contractor format is acceptable.
BLK 12 - Due 5 days after award.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A010 Technical Report - Study/Services Hazardous Material Clean-Up Report
DI-MISC-80508B SOW Para. 3.5 1022
LT
N/A B
ASREQ
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - Contractor format is acceptable
BLK 12 - As required by 40 CFR 355.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A011 Technical Report - Study/Services Waste Management Report
DI-MISC-80508B SOW Para 3.6 1022
LT
N/A B
ASREQ
ASREQ
ASREQ
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - Contractor format is acceptable.
BLK 12 - Report shall be provided as required and upon completion of contract.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A012 Technical Report - Study/Services Asbestos Containing Building Material Report
DI-MISC-80508B SOW Para. 3.7.1 1022
LT
N/A B
ASREQ
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - Contractor format is acceptable.
BLK 12 - Due upon completion of the contract.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A013 Technical Report - Study/Services Warranty Management Plan
DI-MISC-80508B SOW Para. 3.8 1022
LT
N/A B
ASREQ
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - Contractor format is acceptable.
BLK 16 - Due 10 days prior to pre-warranty conference.
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MGMT
Building 41- Renovations TBD TBD
A014 Priced Bill of Materials Bill of Materials
DI-MGMT-81994 SOW Para. 3.9 1022
LT
N/A B
ASREQ
ASREQ
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - Contractor shall provide part specifications on all materials. Contractor Format is acceptable
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A015 Technical Report - Study/Services Build Drawings
DI-MISC-80508B SOW Para. 3.0 1022
LT
N/A B
ASREQ
N/A
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - The Build Drawings shall accurately reflect the condition of all real property facilities, as to be constructed, installed, and erected.
The title "Build Drawings" shall be clearly marked on the as-built drawings, above the title block, and the words, "REV #" shall be inserted in the title block.
Drawings shall be in accordance with professional engineering and drafting standards and practices.
BLK 12 - Due at Post Award Kickoff
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
TBD A MISC
Building 41- Renovations TBD TBD
A016 Technical Report - Study/Services Asbestos Abatement Plan
DI-MISC-80508B SOW Para. 3.1.3, 5.4.2 1022
LT
N/A B
ASREQ
N/A
See BLK 16
ASREQ
COR 1
1022 1
0 1 1
BLK 4 - The Asbestos Abatement Plan shall utilize the format listed in EM385-1.
BLK 12 - Due at Post Award Kickoff
BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.
| CDRL's for SHAR 14007.pdf |
| DD1423-1_A001_ContractorPersonnelRoster |
| DD1423-1_A002_OSH&S |
| DD1423-1_A003_Accident Prevention Plan |
| DD1423-1_A004_Severe Hazard Exposure |
| DD1423-1_A005_Accident Incident Report |
| DD1423-1_A006_Damage Reporting |
| DD1423-1_A007_Quality Control Plan |
| DD1423-1_A008_Production Report.Schedule.Checklist |
| DD1423-1_A009_Waste Management Plan |
| DD1423-1_A010_Hazardous Material Clean-Up Report |
| DD1423-1_A011_Waste Management Report |
| DD1423-1_A012_Asbestos Containing Building Material Report |
| DD1423-1_A013_Warranty Management Plan |
| DD1423-1_A014_Bill of Material |
| DD1423-1_A015_Build Drawings |
DD1423-1_A016_Asbestos abatement plan.pdf
| 2022-05-05T13:48:58-0400 | |
| FERNANDEZ FRANCESCHINI.MERISABETH.1594993590 |
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| FERNANDEZ FRANCESCHINI.MERISABETH.1594993590 |
File details come from the government source that posted it. Updated .