DD1423_W911QX26QA104 (Solicitation).docx
DOCX document 122 KB Posted
- Solicitation number
- W911QX26Q104
About this file
This is a Contract Data Requirements List (DD Form 1423-1) that specifies twelve data items the contractor must deliver for an Enterprise UPS System and Turnkey Installation contract (W911QX26QA104) with the United States Army Research Laboratory at Aberdeen Proving Ground, Maryland.
The deliverables include: (A001) Site Preparation Requirements and Installation Plan due within 15 days of contract award; (A002) Environmental Compliance Assessment and Management Program Action Plan/Decommissioning Plan due within 20 days; (A003) Management Plan and Project Schedule due within 15 days; (A004) Quality Program Plan/Quality Control Plan due within 15 days; (A005) As-Built Drawings due within 10 days after installation completion; (A006) Acceptance Test Procedures due 5 business days prior to testing; (A007) Acceptance Test Report due 5 business days after testing; (A008) Training Plan and Materials due 10 business days before scheduled training; (A009) Operations and Maintenance Documentation due at system acceptance; (A010) Warranty Documentation due at system acceptance; (A011) Certificate of Disposal due within 30 days after equipment removal; and (A012) Monthly Status Reports due no later than the 10th day of each following month, with the first report due within 45 days of contract award. All deliverables must be submitted electronically in media selected by the government (FTP, CD-ROM, or DVD-ROM) to the United States Army Research Laboratory point of contact at Aberdeen Proving Ground, MD 21005-5066. Each data item requires a single copy in both draft and final format, with distribution statement A classification.
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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: MGMT
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
SITE PREPARATION REQUIREMENTS AND INSTALLATION PLAN
3. SUBTITLE
SITE ASSESSMENT REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80033A
5. CONTRACT REFERENCE
C.3.1 & C.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
NLT 15 DAYS ACA
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
ACA
13. DATE OF SUBSEQUENT
SUBMISSION N/A
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
BLK 4: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
| TBD |
| 1 |
| 1 |
| 15. TOTAL |
| 1 |
| 1 |
G. PREPARED BY
TBD
H. DATE
8/5/2026
I. APPROVED BY
ARIEL AMEY
J. DATE
8/5/2026
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 01 of Pages 12
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: MGMT
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
ENVIRONMENTAL COMPLIANCE ASSESSMENT AND MANAGEMENT PROGRAM (ECAMP) ACTION PLAN REPORT
3. SUBTITLE
DECOMMISSIONING PLAN
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80898
5. CONTRACT REFERENCE
C.3.2 & C.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
NLT 20 DAYS ACA
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
II. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 02 of Pages 12
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: MGMT
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
MANAGEMENT PLAN
3. SUBTITLE
PROJECT MANAGEMENT PLAN AND SCHEDULE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80004A
5. CONTRACT REFERENCE
C3.1.1 & C.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
III. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 03 of Pages 12
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: QCIC
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
QUALITY PROGRAM PLAN (QPP)
3. SUBTITLE
QUALITY CONTROL PLAN
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-81722
5. CONTRACT REFERENCE
C.5 & C.14
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
| TBD |
| 1 |
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
IV. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 04 of Pages 12
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: FACR
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
FACILITIES PLAN
3. SUBTITLE
AS-BUILT DRAWINGS
| 4. AUTHORITY (Data Acquisition Document No.) |
| DI-FACR-80976 NOT 2 |
| 5. CONTRACT REFERENCE |
C3.4.5 & C. 5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 12: AS-BUILT DRAWINGS ARE DUE NO LATER THAN TEN (10) DAYS AFTER INSTALLATION IS COMPLETE
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
V. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 05 of Pages 12
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: QCIC
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
ACCEPTANCE TEST PLAN
3. SUBTITLE
ACCEPTANCE TEST PROCEDURES
| 4. AUTHORITY (Data Acquisition Document No.) |
| DI-QCIC-80553A |
| 5. CONTRACT REFERENCE |
C.3.4 & C.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 12: ACCEPTANCE TEST PROCEDURES ARE DUE FIVE (5) BUISINESS DAYS PRIOR TO TESTING
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
VI. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 06 of Pages 12
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: QCIC
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
ACCEPTANCE TEST REPORT (ATR)
3. SUBTITLE
ACCEPTANCE TEST REPORT
| 4. AUTHORITY (Data Acquisition Document No.) |
| DI-QCIC-81891 NOT 2 |
| 5. CONTRACT REFERENCE |
C.3.4 & C.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 12: ACCEPTANCE TEST REPORT ARE DUE FIVE (5) BUISINESS DAYS AFTER TESTING
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
VII. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 07 of Pages 12
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: MGMT
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
POST TRAINING AND OPERATIONS REPORT
3. SUBTITLE
TRAINING PLAN AND MATERIALS
| 4. AUTHORITY (Data Acquisition Document No.) |
| DI-MGMT-81862 NOT 1 |
| 5. CONTRACT REFERENCE |
C.3.5 & C.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 12: TRAINING PLAN AND MATERIALS ARE DUE TEN (10) BUISINESS DAYS BEFORE SCHEDULED TRAINING
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
VIII. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 08 of Pages 12
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: MISC
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
OPERATION AND MAINTENANCE INSTRUCTIONS FOR RESEARCH AND DEVELOPMENT (R&D) EQUIPMENT
3. SUBTITLE
OPERATIONS AND MAINTENANCE DOCUMENTATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81414A
5. CONTRACT REFERENCE
C 3.4.6 & C.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 12: OPERATIONS AND MAINTENANCE DOCUMENTATION IS DUE AT SYSTEM ACCEPTANCE
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
IX. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 09 of Pages 12
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: MGMT
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
WARRANTY DOCUMENTATION
3. SUBTITLE
WARRANTY DOCUMENTATION
4. AUTHORITY (Data Acquisition Document No.)
N/A
5. CONTRACT REFERENCE
& C.5
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
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: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 12: WARRANTY DOCUMENTATION IS DUE AT SYSTEM ACCEPTANCE
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
X. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 10 of Pages 12
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: MGMT
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A011
| 2. TITLE OF DATA ITEM |
| CERTIFICATE OF DISPOSAL |
| 3. SUBTITLE |
DISPOSAL CERTIFICATIONS
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82372
| 5. CONTRACT REFERENCE |
| C.3.2 & C.5 |
| 6. REQUIRING OFFICE |
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ONCE
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
BLK 4: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLOCK 12: DISPOSAL CERTIFICATIONS ARE DUE NO LATER THAN 30 DAYS AFTER EQUIPMENT REMOVAL
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
XI. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 11 of Pages 12
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
C. CATEGORY:
TDP_____ TM ______ OTHER:
D. SYSTEM/ITEM
ENTERPRISE UPS SYSTEM AND TURNKEY INSTALLATION
E. CONTRACT/PR NO.
TBD / 0012429836
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A012
2. TITLE OF DATA ITEM
STATUS REPORT
3. SUBTITLE
MONTHLY STATUS REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80368A
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
TBD
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
MONTHLY
12. DATE OF FIRST SUBMISSION
NLT 45 DAYS ACA
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
BLK 4: REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.
BLK 13: SUBSEQUENT SUBMISSIONS SHALL BE MADE NLT THE 10TH DAY OF THE MONTH FOLLOWING THE PERIOD OF PERFORMANCE REPORTING ON.
BLOCK 14: ADDRESSEE – THE COPY OF THE REPORT SHALL BE SENT TO:
UNITED STATES ARMY RESEARCH LABORATORY
POINT OF CONTACT: TBD
EMAIL ADDRESS: TBD
Aberdeen Proving Ground, MD 21005-5066
TBD
15. TOTAL
G. PREPARED BY
H. DATE
8/5/2026
XII. APPROVED BY
ARIEL AMEY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 12 of Pages 12
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.
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