DD1423 (Solicitation).doc
DOC document 284 KB Posted
- Solicitation number
- W911QX26QA081
About this file
This is a DD Form 1423 Contract Data Requirements List (CDRL) for equipment maintenance and repair services under contract number PR #0012441840. The document outlines nine mandatory data submissions that the contractor must provide throughout the contract period for hoisting/lifting equipment and mobile/stationary equipment maintenance.
The required deliverables include: (1) monthly status reports on inspections and repairs, due no later than the last business day of each month to the Contracting Officer Representative (COR) and Equipment Maintenance Operations Point (EMOP); (2) complete equipment maintenance records available for government review and submitted monthly; (3) Inspection Status Reports due monthly listing equipment ARL numbers, nomenclature, model numbers, inspection completion dates, and next annual inspection dates, with detailed fault descriptions for failed inspections; (4) DA Form 2404 documentation for all load-tested, inspected, or functionally tested equipment, submitted by the third business day of each month; (5) USAG ALC Access Form 191 for contractor personnel, due five business days prior to onsite work commencement; (6) contractor Point of Contact information (name, phone, email) submitted 72 hours before work performance begins; (7) cost estimates for any required repairs, submitted within ten business days of equipment assessment; (8) monthly invoices submitted by the third business day following completion of work; and (9) subcontract data timely reported to the designated collection website. All submissions must be delivered electronically via FTP, CD-ROM, or DVD-ROM as selected by the government. The CDRL is approved by Phillip Amador and applies to Contract Line Item 0004 under Exhibit A.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Template last updated 10/21/2021
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:
D. SYSTEM/ITEM
HOISTING/LIFTING EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
Monthly report
3. SUBTITLE
STATUS REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80269
5. CONTRACT REFERENCE
PWS C.6.1
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
Monthly
12. DATE OF FIRST SUBMISSION
N/A
14.
DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall provide a copy of the monthly inspection and acceptance reports to the COR and EMOP that include status of necessary repairs. Exceptions shall be provided by the COR. All records shall be updated immediately upon completion of service submitted NLT the last business day of the month.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
TBD
H. DATE
I. APPROVED BY
PHILLIP AMADOR
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:
D. SYSTEM/ITEM
MOBILE AND STATIONARY EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
Equipment Records
3. SUBTITLE
Documentation
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80269
5. CONTRACT REFERENCE
PWS C.6.2
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14.
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION ASREQ
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall prepare and maintain complete records on all equipment maintained under the contract. These records shall be available for review by the Government during the contract period and provided by the last business day of the month.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
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:
D. SYSTEM/ITEM
MOBILE AND STATIONARY EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
Inspection Status Report for equipment
3. SUBTITLE
Status Reports
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80269
5. CONTRACT REFERENCE
PWS C.6.3
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14.
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION ASREQ
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall prepare and provide an Inspection Status Report for equipment Inspections completed as scheduled (PWS Attachment 1 - Equipment List and Status Report) and provided NLT the last business day of the month.
This report shall include at a minimum:
· ARL number, Nomenclature, year of manufacture, model number, maintained by (contract company name), Inspection Completed Date, next annual inspection due, Equipment POC, Equipment location. If the equipment failed the inspection list the reason the Inspection/Testing failed (fault description) with needed parts or see cost estimate. If the inspection was not completed as scheduled annotate that in the Failure reason/Fault Description field and annotate reason in the additional remarks block. See attached example.
· Date Inspection/Testing shall be completed.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
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:
D. SYSTEM/ITEM
MOBILE AND STATIONARY EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
DA Form 2404
3. SUBTITLE
Documentation
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80269
5. CONTRACT REFERENCE
PWS C.6.4
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14.
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION N/A
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall complete the DA 2404 on each piece of equipment that is load tested, inspected or functional tested as required and shall submit it to the COR NLT the 3rd business day of the month.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
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:
D. SYSTEM/ITEM
MOBILE AND STATIONARY EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
USAG ALC ACCESS FORM 191
3. SUBTITLE
Documentation
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80269
5. CONTRACT REFERENCE
PWS C.6.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
Once
12. DATE OF FIRST SUBMISSION
5 business days prior to start of work 14.
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION N/A
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall complete the USAG ALC ACCESS FORM 191 for contract personnel and shall submit this form to the COR and TPOC NLT five (5) business days prior to start of on site work being performed at the ALC location.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
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:
D. SYSTEM/ITEM
MOBILE AND STATIONARY EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
Contractor POC Information
3. SUBTITLE
Documentation
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80269
5. CONTRACT REFERENCE
PWS C.6.6
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
Once
12. DATE OF FIRST SUBMISSION
72 hours prior arrival for work performance.
14.
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION N/A
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall provide POC information for contract representative personnel, at minimum name, phone number and email address within 72 hours prior arrival for work performance.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
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:
D. SYSTEM/ITEM
MOBILE AND STATIONARY EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
Cost Estimates for repair
3. SUBTITLE
Invoices
4. AUTHORITY (Data Acquisition Document No.)
DI-FNCL-81478
5. CONTRACT REFERENCE
PWS C.6.7
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14.
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall submit the cost estimates for any repairs to the COR within ten (10) business days from the date the equipment was assessed for approval.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
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:
D. SYSTEM/ITEM
MOBILE AND STATIONARY EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
Invoices
3. SUBTITLE
Invoices
4. AUTHORITY (Data Acquisition Document No.)
DI-FNCL-81478
5. CONTRACT REFERENCE
PWS C.6.8
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14.
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall submit the invoices to the COR and EMOP no later than the third (3rd) business day of the month after completion of work for the previous month.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
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:
D. SYSTEM/ITEM
MOBILE AND STATIONARY EQUIPMENT MAINTENANCE
E. CONTRACT/PR NO.
TBD / PR # 0012441840
F. CONTRACTOR
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
Subcontract Data
3. SUBTITLE
Subcontract Data
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80269
5. CONTRACT REFERENCE
C.6.9
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14.
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION N/A
| Draft |
| Final |
| Reg |
| Repro |
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.
The Contractor shall ensure all reportable subcontract data is timely reported to the data collection web site (citing this contract/order number). At the discretion of the prime Contractor, this reporting may be done directly by subcontractors to the data collection-site; or by the prime Contractor after consolidating and rationalizing all significant data from their subcontractors.
All documents shall be sent to:
TBD
| TBD |
| 0 |
| 0 |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
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.
File details come from the government source that posted it. Updated .