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

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File details come from the government source that posted it. Updated .