CDRLs_Natural Gas Maintenance _PANDTA25P0000005054_12-30-24.docx

DOCX document 71 KB Posted

Attached to
Maintenance of Natural Gas Pipelines
Solicitation number
W912GY25R0002
Issued by

About this file

This file contains Contract Data Requirements Lists (CDRLs) for a natural gas pipeline maintenance contract at Sierra Army Depot in Herlong, CA. The CDRLs detail 16 different deliverables (numbered 9001-9016) that the contractor must provide, including monthly reports, an annual schedule, quality control plan, compressed natural gas training certificates, service call reports, repair estimates, after-action reports, remote monitor units map, monthly leak survey reports, preventative maintenance plans, valve maintenance plans, gas nominations, meter replacement documentation, hazardous material inventory, drawings/manuals, and estimates for additional work.

Each CDRL specifies submission requirements including frequency (ranging from weekly to annual), distribution (typically two electronic copies to the Contracting Officer and Technical Point of Contact), and timing of first submissions (usually within 7-30 days of contract award). Key deliverables include monthly leak surveys that must also be submitted within one business day of any earthquake, a preventative maintenance plan due within 30 days of award, and repair estimates that must be submitted within 4 working days of inspection. All deliverables are to be submitted electronically to both the Contracting Officer and Technical Point of Contact.

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DD FORM 1423, FEB 2001

Monthly Report 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.: 9001 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ___ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9001

2. TITLE: Monthly Report

3. SUBTITLE:

4. AUTHORITY: Contract Format 5. CONTRACT REFERENCE:Part 5

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY:Monthly 11. AS OF DATE: after date of contract

12. DATE OF FIRST SUBMISSION:as specified in the Performance Work Statement

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:One electronic copy (email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 1

PAGE 1 OF 2 PAGES

16. REMARKS: The Contractor shall provide a monthly report to the COR/KO by fifth business day of the following month per PWS.

SUBMIT ELECTRONICALLY TO KO & TPOC

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

I: APPROVED BY:

J: DATE:

PAGE 2 OF 2 PAGES

Schedule 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.: 9002 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER _x__

F. CONTRACTOR:

1. DATA ITEM NO:9002

2. TITLE: Schedule

3. SUBTITLE:

4. AUTHORITY: Contract Format 5. CONTRACT REFERENCE:PWS Paragraph 1.4

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: Annual 11. AS OF DATE: after date of contract

12. DATE OF FIRST SUBMISSION:7 days of the order award

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The Contractor shall provide an annual schedule per PWS.

SUBMIT ELECTRONICALLY TO KO & TPOC

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Quality Control Plan 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.: 9003 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER _x__

F. CONTRACTOR:

1. DATA ITEM NO:9003

2. TITLE: Quality Control Plan (QCP)

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 1.6.1

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: within 7 days of task order award or as changes are made

11. AS OF DATE: after date of contract

12. DATE OF FIRST SUBMISSION:within 7 days of task order award or as changes are made

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The Contractor shall provide a Quality Control Plan as specified at PWS.

SUBMIT ELECTRONICALLY TO KO & TPOC

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Compressed Natural Gas Training Certificate 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.: 9004 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER _x__

F. CONTRACTOR:

1. DATA ITEM NO:9004

2. TITLE: Compressed natural gas training certificate

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 1.6.8

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: as required when new employee are added

11. AS OF DATE: after date of contract

12. DATE OF FIRST SUBMISSION:within 10 days of task order award &/or whenever changed occur.

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS:as specified in the PWS.

SUBMIT ELECTRONICALLY TO KO & TPOC

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Report of Service Call 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.: 9005 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9005

2. TITLE: Report of service call

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 5.2.1.2

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: as required for repair services

11. AS OF DATE:date of contract award

12. DATE OF FIRST SUBMISSION: as required for repair services

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS:as specified in the PWS.

SUBMIT ELECTRONICALLY TO KO & TPOC

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Repair Estimate 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.: 9006 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9006

2. TITLE: Repair estimate

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE: PWS Paragraph 5.2.2.1;5.2.2.2;

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: as required for repairs.

11. AS OF DATE:date of contract award

12. DATE OF FIRST SUBMISSION: as required for repairs.

13. DATE OF SUBS. SUBMISSION: within 4 days of inspection repairs are required

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: This estimate must be turned in to the COR and the Contracting Specialist for approval within four (4) working days of inspection. No parts will be ordered, and no repair efforts are to start until the Government gives the Contractor a written notice to proceed.

SUBMIT ELECTRONICALLY TO KO & TPOC

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

After Action Report-Repairs 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.: 9007 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9007

2. TITLE: After action report-repairs

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE: PWS Paragraph 5.2.2.4

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: as repairs are made

11. AS OF DATE:date of contract award

12. DATE OF FIRST SUBMISSION: within 10 days of completed repair.

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
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15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: in accordance with PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Remote Monitor Units Map 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.: 9008 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9008

2. TITLE: Remote monitor units map

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE: PWS Paragraph 5.2.3.4

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: Initial and after any additions to the pipeline

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 30 days of contract award

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Monthly Leak Survey Report 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.: 9009 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9009

2. TITLE: Monthly leak survey report

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE: PWS Paragraph 5.2.3.5

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: Monthly and within one business day of any earthquake

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 30 days of contract award

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
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FINAL:
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15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The contractor shall submit a monthly line leak survey report to the COR on the 5th day of the month as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Preventative Maintenance Plan (PMP) 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.: 9010 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9010

2. TITLE: PMP

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 5.2.2.2;5.2.3.1

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: Weekly

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 30 days of contract award

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
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15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The contractor shall develop and maintain a PM Plan within 30 days of contract award. The schedules will remain constant except for equipment additions or deletions. The PM plan shall be an electronic format, as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Annual Valve Maintenance Plan 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.: 9011 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9011

2. TITLE: Annual valve maintenance plan

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 5.2.3.7

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: annual

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 30 days of contract award

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
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15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The contractor shall provide and annual valve maintenance plan and remove/install per life cycle completion of each unit, as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Monthly Gas Nomination 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.: 9012 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9012

2. TITLE: Monthly gas nomination

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 5.2.3.8

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: monthly

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 30 days of contract award

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
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15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The contractor shall submit a gas nomination within 5 days preceding month. The contractor will submit the report to the COR., as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Annual Meter Replacement 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.: 9013 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9013

2. TITLE: Annual meter replacement

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 5.2.3.9

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: annual

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 30 days of contract award

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The contractor shall submitthe report to the COR., as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Hazardous Material Inventory 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.: 9014 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9014

2. TITLE: Hazardous material inventory

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 1.6.18

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: as items are added

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 30 days of contract award

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The contractor shall submit the inventory to the COR as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Drawings Manuals 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.: 9015 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9015

2. TITLE: as built drawings/ manuals

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 4.5

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: as items are added

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 7 days of completion additional work.

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The contractor shall submit the drawings/manuals to the COR as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

Estimate for Additional Work 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.: 9016 D. SYSTEM/ITEM:

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

C. CATEGORY:

TDP ____ TM ____ OTHER __x_

F. CONTRACTOR:

1. DATA ITEM NO:9016

2. TITLE: Estimate for additional work

3. SUBTITLE:

4. AUTHORITY: Contract Format 5.CONTRACT REFERENCE:PWS Paragraph 5.3.12

6. REQUIRING OFFICE:Sierra Army Depot 7. DD250 REQ: No

8. APP CODE: 9. DIST. STATEMENT REQ:

10. FREQUENCY: as items are added

11. AS OF DATE:date of award

12. DATE OF FIRST SUBMISSION: within 7 days of completion additional work.

13. DATE OF SUBS. SUBMISSION:

14. DISTRIBUTION:

A. ADDRESSEE:KO and TPOC
B. COPIES:Two electronic copies(email)
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

A. ADDRESSEE:

B. COPIES:
DRAFT:
FINAL:
REG REPRO:

15. TOTAL COPIES: 2

PAGE 1 OF 2 PAGES

16. REMARKS: The Contractor will provide a cost proposal. The proposal shall should include the cost of labor and materials (provide a breakdown of all the parts needed and their costs), the estimated number of hours it will take to complete the repair, how many contractor employees it will take to complete the work, and any anticipated problems. This estimate must be turned in to the COR and the Contracting Officer for approval, as specified in the PWS.

17. PRICE GROUP:

G. PREPARED BY:Carolina Guerrero

H: DATE: 12/30/24

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