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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-1088). 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.

B. EXHIBIT

A

C. CATEGORY:

TDP_____ TM ______ OTHER: GFP

D. SYSTEM/ITEM

STATIONARY PM

E. CONTRACT/PR NO.

0012005654

F. CONTRACTOR

Craneworks Inc

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Government Property Status Report

3. SUBTITLE

STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

52.245-1

6. REQUIRING OFFICE

ARL

7. DD 250 REQ

XX

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

Annually

12. DATE OF FIRST SUBMISSION

One Year after award 14.

DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION N/A

16. REMARKS

Block 4. Government Property (GP) Status Report. This report describes the status and supply data of Government Furnished Property (GFP) and Contractor Acquired Property (CAP) which the contractor has received or acquired under the contract. This report will be used to review the condition, installation, and effectiveness of the GP. This DID is applicable to contracts in which GP has been provided or acquired in support of the contract. Format provided in Government Property Status Report template (embedded below) to ensure all 52.245-1(f)(1)(iii)(A)(1-10) requirements are met. Note: Instructions to populate data is located in the Instructions Tab within the spreadsheet.

15. TOTAL

G. PREPARED BY

WAYNE MITCHELL

H. DATE

07/13/2023

I. APPROVED BY

CONTRACTING OFFICER

J. DATE

07/13/2023

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-1088). 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.

B. EXHIBIT

A

C. CATEGORY:

TDP_____ TM ______ OTHER: GFP

D. SYSTEM/ITEM

STATIONARY PM

E. CONTRACT/PR NO.

0012005654

F. CONTRACTOR

Craneworks Inc

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Performance Documentation

3. SUBTITLE

Manuals, Bulletins, SOP’s

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

C.6.1-C.6.5

6. REQUIRING OFFICE

ARL

7. DD 250 REQ

XX

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14.

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION N/A

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

BLK 9: Distribution is limited to US Government Agencies due to operations security.

BLK 12: Submission is due IAW PWS.

BLK 14: Reproducible copies shall be electronic transmission.

The government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

Army Research Laboratory (Wayne Mitchell) 6375 Johnson Road Bldg. 321t Aberdeen Proving Ground, MD 21005

15. TOTAL

G. PREPARED BY

H. DATE

07/13/2023

I. APPROVED BY

CONTRACTING OFFICER

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-1088). 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.

B. EXHIBIT

A

C. CATEGORY:

TDP_____ TM ______ OTHER: GFP

D. SYSTEM/ITEM

STATIONARY PM

E. CONTRACT/PR NO.

0012005654

F. CONTRACTOR

Craneworks

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Monthly Inspection

3. SUBTITLE

Status Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

C.6.6

6. REQUIRING OFFICE

ARL

7. DD 250 REQ

XX

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

MONTHLY

12. DATE OF FIRST SUBMISSION

See block 16 14.

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION See block 16

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

BLK 9: Distribution is limited to US Government Agencies due to operations security.

BLK 12: Submission is due after the first month of the period of performance.

BLK 13: Submissions are due monthly by the 7th of each month.

The government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

Army Research Laboratory (Wayne Mitchell) 6375 Johnson Road Bldg. 321 Aberdeen Proving Ground, MD 21005

15. TOTAL

G. PREPARED BY

H. DATE

07/13/2023

I. APPROVED BY

CONTRACTING OFFICER

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-1088). 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.

B. EXHIBIT

A

C. CATEGORY:

TDP_____ TM ______ OTHER: GFP

D. SYSTEM/ITEM

STATIONARY PM

E. CONTRACT/PR NO.

0012005654

F. CONTRACTOR

Craneworks Inc

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Equipment Records

3. SUBTITLE

Documentation

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

C.6.7

6. REQUIRING OFFICE

ARL

7. DD 250 REQ

XX

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14.

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION ASREQ

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

BLK 9: Distribution is limited to US Government Agencies due to operations security.

The government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

Army Research Laboratory (Wayne Mitchell) 6375 Johnson Road Bldg. 321 Aberdeen Proving Ground, MD 21005

15. TOTAL

G. PREPARED BY

H. DATE

07/13/2023

I. APPROVED BY

CONTRACTING OFFICER

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-1088). 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.

B. EXHIBIT

A

C. CATEGORY:

TDP_____ TM ______ OTHER: GFP

D. SYSTEM/ITEM

STATIONARY PM

E. CONTRACT/PR NO.

0012005654

F. CONTRACTOR

Craneworks Inc.

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

PM Status Report

3. SUBTITLE

Status Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

C.6.8

6. REQUIRING OFFICE

ARL

7. DD 250 REQ

XX

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14.

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION ASREQ

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

BLK 9: Distribution is limited to US Government Agencies due to operations security.

The government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

Army Research Laboratory (Wayne Mitchell) 6375 Johnson Road Bldg. 321 Aberdeen Proving Ground, MD 21005

15. TOTAL

G. PREPARED BY

H. DATE

07/13/2023

I. APPROVED BY

CONTRACTING OFFICER

J. DATE

EXHIBIT A – ATTACHMENT 1

ARMY RESEARCH LABORATORY

Report Title Goes Here

Any Subtitles Go Here

By Some Author and Another Author

Month XXXX

Prepared by

Whatever Technology Corporation

0000 Research Drive

Anywhere, ST 20006-1000

Under contract

W911QX-XX-C-XXXX

DISTRIBUTION STATEMENT GOES HERE

EXHIBIT A – ATTACHMENT 2

The findings in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents.

Citation of manufacturer's or trade names does not constitute an official endorsement or approval of the use thereof.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Instructions

Instructions to complete GFP or CAP tab Title Instructions

Column A Contract Number Enter contract information.

Column B Task Order/Delivery Order Enter contract information.

Column C CAGE Code Enter contract information.

Column D Location Enter location of property (base/site).

Column E Item Name A name associated to the item, indicated using alpha-numeric characters. Value cannot exceed 48 characters.

Column F Item Description A name associated to the item, indicated using alpha-numeric characters. Value cannot exceed 250 characters.

Column G Part Number If applicable, enter a Part Number for the item indicated using alpha-numeric characters.

Column H Manufacturer Enter company name.

Column I Model Number Model number for the item using alpha-numeric characters. Value cannot exceed 48 characters.

Column J Serial Number Serial number for the item using alpha-numeric characters. Value cannot exceed 48 characters.

Column K UII IUID UII IUID for the item using alpha-numeric characters. Value cannot exceed 48 characters.

Column L National Stock Number 13 digit number that will not start with zero. One of NSN, CAGE and part Number, or Model Number is required. Note: Non-standard NSNs cannot be annotated in GFP Module.

Column M Acquisition Date 'CCYY-MM-DD' format.

Column N Unit Acquisition Cost Must be a positive value with no more than 2 decimal places and greater than or equeal to zero. Numbers with more than two decimals will be rounded to the nearest whole number. Do not enter a "$" symbol or other currency symbols.

Column O Total Acquisition Cost Must be a positive value with no more than 2 decimal places and greater than or equeal to zero. Numbers with more than two decimals will be rounded to the nearest whole number. Do not enter a "$" symbol or other currency symbols.

Column P Quantity Received Quantity cannot be zero. Up to 10 digits (including decimal point if quantity is fractional).

Column Q Unit of Measure Provide Unit of Measure (ex. each, gallon, quart).

Column R Current Condition Enter current condition of property (ex. new, used, unserviceable).

Column S Current Condition Code Refer to DLA Condition Codes located at https://www.dla.mil/DispositionServices/DDSR/QuickLinks/conditioncodes/

Column T Date Placed in Service 'CCYY-MM-DD' format. Note: Date placed in service is generally contract award date or contract MOD for GFP. For CAP, date received by contractor.

Column U Posting Reference Lastest document showing current status.

Column V Transaction Type Added or removed from stewardship records (if removed, depict PCARSS, loss, contract MOD).

Column W Transaction Date 'CCYY-MM-DD' format.

Column X Status List "Active" if on contract.

Column Y Disposition List "Pending" if awaiting instructions.

Column Z Special Tooling or Special Test Equipment Y/N.

Column AA Asset Number Enter contractor assigned asset number using alpha-numeric characters. Value cannot exceed 48 characters.

GFP

CAP