DD 1423 CDRL A001 Annual Report.pdf
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- Solicitation number
- W911N226QA059
About this file
This is a DD Form 1423 (Contract Data Requirements List) dated February 2024 for a GE Image Device Service contract with the U.S. Army. The form specifies one data item requirement: a Preventative Maintenance Report (Data Item A001) referenced in Performance Work Statement Paragraph 5.1. The contractor must perform routine, scheduled annual preventative maintenance on three imaging units, including cleaning of unit/optical paths, calibration to OEM specifications, verification of image quality, and provide recommendations to increase system efficiency and minimize downtime. All preventative maintenance must be completed within 60 days of the period of performance start date.
The report must be submitted within 5 calendar days after each inspection service is completed, with one copy required per piece of equipment. Distribution requires original copies in electronic form transmitted via email attachment to the Government Technical Points of Contact: monica.r.dean.civ@army.mil and jason.w.straley.civ@army.mil. The distribution statement is marked as "Required - A," and the delivery frequency is annual. The price group is designated as NSP (No Separate Pricing), with no estimated total price specified on the form. The form was prepared by Monica Dean and requires signature approval from the designated CDRL approval authority.
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PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024 Page 1 of 2
(Updated 20260205)UNCLASSIFIED
UNCLASSIFIED
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CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
Section J, Exhibit
C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM
GE Image Device Service
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Preventative Maintenance Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
See Block 16
5. CONTRACT REFERENCE
PWS Paragraph 5.1
6. REQUIRING OFFICE
See Block 16
7. DD 250 REQ
NA
8. APP CODE
NA
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
Annually
11. AS OF DATE
See Block 16
12. DATE OF FIRST SUBMISSION
5 Calendar Days after Inspectio
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
In accordance with Performance Work Statement (PWS) paragraph 5.1 for Preventative Maintenance, "The Contractor shall perform routine, scheduled, annual preventative maintenance for each of the three (3) imaging units. All PM visits will be scheduled and coordinated by the Government Technical Point of Contact (TPOC). The Contractor shall perform PM to include cleaning of the unit/optical paths, calibration to OEM specifications, and verification of image quality. The contractor shall also provide recommendations that would increase the system’s efficiency and minimize downtime."
The PM shall be completed within 60 days of PoP start and reports submitted within 5 days of service.
1 copy of report required per piece of equipment.
Block 14: Submit original copies in electronic form transmittal by email attachment to TPOC:
monica.r.dean.civ@army.mil and TPOC: jason.w.straley.civ@army.mil.
add continuation of Remarks Remove Current Page Insert Page
TPOC 1
15.TOTAL 0 1 0
17. PRICE GROUP
NSP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
MONICA DEAN
H. SIGNATURE I. APPROVED BY J. SIGNATURE Add Page to End
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024 Page 2 of 2
(Updated 20260205)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
Page of (Updated 20260205) Instructions
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of (Updated 20260205)
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES Draft Final Reg Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785 DD Form 1423, "Contract Data Requirements List"
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| CUI Indicator Information: |
| Click on this button to attach a file(s).: |
| show: |
| hide: |
| A. CONTRACT LINE ITEM NUMBER: 0001 |
| exhibit: Section J, Exhibit |
| C. CATEGORY: Select for "TDP.": 0 |
| C. CATEGORY: Select for "TM.": 0 |
| C. CATEGORY: Select for "OTHER.": 0 |
| C. CATEGORY: Enter specification for "Other.": |
| System: GE Image Device Service |
| ContractNum: |
| Contractor: |
| 1. DATA ITEM NUMBER: A001 |
| titleDataItem: Preventative Maintenance Report |
| subtitle: |
| 4. AUTHORITY (Data Acquisition Document Number): See Block 16 |
| contractRef: PWS Paragraph 5.1 |
| reqOffice: See Block 16 |
| 7. DD 250 REQUIREMENT: NA |
| 8. APPROVAL CODE : NA |
| 9. DISTRIBUTION STATEMENT REQUIRED: A |
| freq: Annually |
| asOfDate: See Block 16 |
| dateFirstSub: 5 Calendar Days after Inspectio |
| dateSubseqSub: See Block 16 |
| 16. REMARKS: In accordance with Performance Work Statement (PWS) paragraph 5.1 for Preventative Maintenance, "The Contractor shall perform routine, scheduled, annual preventative maintenance for each of the three (3) imaging units. All PM visits will be scheduled and coordinated by the Government Technical Point of Contact (TPOC). The Contractor shall perform PM to include cleaning of the unit/optical paths, calibration to OEM specifications, and verification of image quality. The contractor shall also provide recommendations that would increase the system’s efficiency and minimize downtime." |
The PM shall be completed within 60 days of PoP start and reports submitted within 5 days of service.
1 copy of report required per piece of equipment.
Block 14: Submit original copies in electronic form transmittal by email attachment to TPOC: monica.r.dean.civ@army.mil and TPOC: jason.w.straley.civ@army.mil.
| Click to add/remove continuation field for Remarks: |
| Click to delete CURRENT data items for 1 through 18, unless this is the only data item.: |
| Click to add a page of data items for 1 through 18 immediately following the current page.: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: TPOC |
| 15.TOTAL - Total draft copies is automatically calculated.: 0 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: 0 |
| priceGrp: NSP |
| estTotalPrice: |
| remarks_cont: |
| preparedBy: MONICA DEAN |
| H. SIGNATURE: H. SIGNATURE |
| H. SIGNATURE: |
| approvedBy: |
| J. SIGNATURE: J. SIGNATURE |
| J. SIGNATURE: |
| Click to add additional data items 1 through 18 to the end of the form.: |
File details come from the government source that posted it. Updated .