DISC Exhibit A.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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 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. B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X-MGMT

D. SYSTEM/ITEM

DTR Instrumentation Support Contract

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Technical and Management Work Plan

3. SUBTITLE

Task Order Management Plan (TOMP)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81117A/T

5. CONTRACT REFERENCE

SOW Paragraph 3.2.2.2

6. REQUIRING OFFICE

MDA/DT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Block 4:

Contractor devised and Government approved format. Electronic submission shall be made using Microsoft Office Products.

DID Specific Tailoring

3.3 Add to the end of the paragraph “The plan shall also identify the contractor’s risk management plan and plans to gain efficiencies and improve effectiveness across the contract, improve performance, reduce on-site footprint, consolidate DISC Program assets where applicable, develop and implement DISC Program leave behind, reconfigurable asset capability, and develop and provide DISC Program operator asset training. In addition, the plan shall describe the contractor’s management control system and how it will be implemented for effective planning and control of resources to execute the program requirements and accomplish multiple and complex tasks and/or task orders simultaneously.

The plan shall describe the contractor’s processes to ensure effective procurement management, property accountability, and quality management.”

3.4 Add to the end of the paragraph “The plan shall also identify the contractor’s ability to manage workflow, ensure performance and mitigate risks normally associated with the contractor’s teaming arrangement.”

Block 8:

The Government has 10 calendar days to review and provide comments on the plan. The

Contractor has 10 calendar days, after receipt of Government comments, to prepare and deliver the final product.

Block 9:

DISTRIBUTION STATEMENT E: Distribution authorized to DoD Components only (Test and Evaluation) (April 18, 2016). Other request for this document shall be referred to DTR, Bldg 5224 Martin Road, Redstone Arsenal, AL 35898.

BLOCK 12: First Plan due 10 days after each Task Order.

(Continue to next page)

MDA/DTK PCO 1 1 0

MDA/DTR COR 1 1 0

MDA/DTR 1 1 0

15. TOTAL 3 3 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Reset

DD FORM 1423-1, FEB 2001 Page 2 of 2 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

X-MGMT

TDP TM OTHER

D. SYSTEM/ITEM

DTR Instrumentation Support Contract

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

16. REMARKS (Continued)

Block 13:

Subsequent Plans due 10 days after each Task Order.

Block 14: Electronic submission required. Hard copies will be made available upon request. CDRLs due on weekends and holidays shall be due the morning of the next business day.

Technical data or computer software that is properly included on the data rights assertion list incorporated into the contract and containing "Limited

Rights" or "Restricted Rights" legends as specified in DFARS 252.227-7013 and 252.227-7014 shall not be delivered under or in conjunction with the

CDRL without prior written approval of the Contracting Officer.

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered with any restrictive markings.

Technical Data" is defined at DFARS 252.227-7013(a) (15) and means recorded information, regardless of the form or method of the recording, of scientific or technical nature (including computer software documentation). Computer software is defined at DFARS 252.227-7014(a)(4), and means computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, formulas, and related material that would enable the software to be reproduced, recreated, or recompiled.

Under no circumstance shall technical data or computer software to be delivered under or in conjunction with this CDRL be marked "Proprietary" (or any similar nonconforming marking).

EXPORT WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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 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. B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X-MGMT

D. SYSTEM/ITEM

DTR Instrumentation Support Contract

E. CONTRACT/PR NO. F. CONTRACTOR

A002

Data Accession List

3. SUBTITLE

DAL

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81453B

5. CONTRACT REFERENCE

SOW Paragraph 3.2.2.5

6. REQUIRING OFFICE

MDA/DTR

7. DD 250 REQ

LT

SEMIA

12. DATE OF FIRST SUBMISSION

180DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

See Blk 16

Reg Repro

16. REMARKS

Block 4: The data accession list shall specify internally generated data or other working papers used by the contractor to develop, test, and manage the program that is not a CDRL deliverable or is called out in the SOW for delivery. The list shall include the identification number, title (which shall describe the content), and the in-house release date. All “as-is” subcontractor status reports shall be included in the DAL. Contractor format acceptable.

Delivery shall be made in Microsoft Office Products.

Block 8: Government review and approval (or disapproval) and comments will be provided within 10 days after receipt of each submittal or revision unless otherwise specified. If the

Government provides any comments, submit an update incorporating Government comments within 10 days after receipt of Government comments unless otherwise specified.

Block 9: DISTRIBUTION STATEMENT E: Distribution authorized to DoD Components only due to critical technology as of 06/25/2018. Other requests shall be referred DT-ARC

Missile Defense Agency Bldg 5222, Martin Rd, Redstone Arsenal, AL 35898.

BLOCKS 10/12/13: All data shall be submitted to the Government for approval and/or acceptance. Date of first submission shall be 180 days after contract award. Thereafter, submissions shall be semi-annually.

Block 14: Electronic submission required. Hard copies will be made available upon request. CDRLs due on weekends and holidays shall be due the morning of the next business day.

MDA/DTK PCO 0 1 0

MDA/DTR COR 0 1 0

MDA/DTR 0 1 0

15. TOTAL 0 3 0

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

DTR Instrumentation Support Contract

E. CONTRACT/PR NO. F. CONTRACTOR

Technical data or computer software that is properly included on the data rights assertion list incorporated into the contract and containing "Limited

Rights" or "Restricted Rights" legends as specified in DFARS 252.227-7013 and 252.227-7014 shall not be delivered under or in conjunction with the

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered

Technical Data" is defined at DFARS 252.227-7013(a) (15) and means recorded information, regardless of the form or method of the recording, of scientific or technical nature (including computer software documentation). Computer software is defined at DFARS 252.227-7014(a)(4), and means computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, formulas, and related

Under no circumstance shall technical data or computer software to be delivered under or in conjunction with this CDRL be marked "Proprietary" (or

EXPORT WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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 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.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X-MGMT

D. SYSTEM/ITEM

DTR Instrumentation Support Contract

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

A003

Work Management Plan

3. SUBTITLE

Organizational Conflict of Interest (OCI)

Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81911

5. CONTRACT REFERENCE

PWS Paragraph 3.2.2.6

6. REQUIRING OFFICE

MDA/DTR

7. DD 250 REQ

LT

ONE/R

12. DATE OF FIRST SUBMISSION

30DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Format shall be contractor developed and approved by the Government.

Clarification of Requirements for DI-MGMT-81911. The report shall address as a minimum the following areas:

a) The procedures the Contractor will utilize to identify and evaluate its contracts as well as those of its subcontractors for the existence of conflicts of interest.

b) A description of the approach (engagements, subcontract policies, provisions, penalties, etc. as appropriate) the Contractor will utilize to ensure its subcontractors proactively identify and report conflicts.

c) The procedures the Contractor will utilize to avoid, mitigate or terminate conflicts of interest.

d) The procedures for reporting actual or potential conflicts of interest to the Contracting

Officer.

e) A description of the organizational unit and personnel responsible for implementing the

Contractor’s OCI Management approach to include responsibility for overall management, oversight, and enforcement.

f) The procedures for protecting agency information that could lead to an unfair competitive advantage if disclosed, collecting disclosure agreements covering all individuals, subcontractors, and other entities with access to agency-sensitive information, and physical safeguards, if necessary.

g) The requirements and procedures for OCI training and education of employees.

h) The enforcement mechanisms or approaches used by the Contractor to ensure compliance with company OCI policy.

DISTRIBUTION STATEMENT E: Distribution authorized to DoD Components only

(Test and Evaluation) (Month Day, Year). Other requests shall be referred to MDA DTR, Bldg 5224 Martin Road, Redstone Arsenal, AL 35898.

(continued on next page)

MDA/DTK PCO 1 1 0

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

DTR Instrumentation Support Contract

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

Block 14:

Electronic submission required. Hard copies will be made available upon request. CDRLs due on weekends and holidays shall be due the morning of the next business day.

Technical data or computer software that is properly included on the data rights assertion list incorporated into the contract and containing "Limited

Rights" or "Restricted Rights" legends as specified in DFARS 252.227-7013 and 252.227-7014 shall not be delivered under or in conjunction with the

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered

Technical Data" is defined at DFARS 252.227-7013(a) (15) and means recorded information, regardless of the form or method of the recording, of scientific or technical nature (including computer software documentation). Computer software is defined at DFARS 252.227-7014(a)(4), and means computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, formulas, and related

Under no circumstance shall technical data or computer software to be delivered under or in conjunction with this CDRL be marked "Proprietary" (or

EXPORT WARNING – This document may contain technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec

2751, et seq.) or the Export Administration Act of 1979 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

All CLINs

B. EXHIBIT

X

X-FNCL

DISC

E. CONTRACT/PR NO.

XXXX

F. CONTRACTOR

XXXX

A004

Cost and Hour Report (Flexfile)

3. SUBTITLE

Contractor Cost Data Reporting (CCDR)

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-82162

5. CONTRACT REFERENCE

SOW Paragraph(s) 3.2.3.1

6. REQUIRING OFFICE

MDA/DOC

7. DD 250 REQ

LT

See Block 16

See Block 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLOCK A: Applies to all CLINs.

Reporting shall follow the WBS structure identified on the CSDR Plan (DD Form 2794).

BLOCK 8: This data item will be reviewed and accepted/rejected, based on its conforming to the requirements of the DID (most recently approved version).

Upon MDA/DOC's receipt of each contractor submission, the Government will have thirty (30) calendar days for review and acceptance/rejection. In the case of rejection, the Government may allow the Contractor thirty (30) calendar days upon notice of rejection to resubmit. Final approval will be determined by MDA/DOC.

BLOCK 9: Each CDRL submission product that does contain "Technical Information" as defined in DoDI 5230.24, shall be marked with the appropriate Export Control Warning Notice and Distribution Statement IAW DD Form 254, Contract Security Classification Specification, as applicable, and the Statement of Work/Performance Work Statement/Statement of included in the contract.

BLOCK 10: Submissions shall be submitted ANNUALLY, at MILESTONEs (as requested by Government), at program re-baselines due to significant user requirements change, and the final report shall be submitted in accordance with the DID.

BLOCK 11: The report as of date is defined as the day of the month reflected by the reporting entity’s internal financial reporting calendar that comes closest in terms of absolute value to the following dates. The first submission shall report cost data as of sixty (60) days after contract start or modification. Annual submissions shall report cost data as of September 30th. Submissions at MILESTONEs shall report cost data as of the MILESTONE date. Submissions at program re-baselines due to significant user requirements change shall report cost data as of the re-baseline date. The final report shall be submitted in accordance with the DID.

BLOCK 12: The first submission shall be submitted ninety (90) days after contract start or modification.

BLOCK 13: Annual submissions shall be submitted ninety (90) days after the "as of date". Submissions at MILESTONEs shall be submitted sixty (60) days after the MILESTONE date. Submissions at program re-baselines shall be submitted sixty (60) days after the re-baseline. The final report shall be submitted in accordance with the DID.

(see continuation page)

* MDA/DOC 1 1 0

**CADE 0 1 0

MDA/DTR 0 1 0

MDA/DAC PCO 0 1 0

MDA/DAC COR 0 1 0

15. TOTAL 1 5 0

DD FORM 1423-1, FEB 2001 Page of Pages Reset

(1 Data Item)

A. CONTRACT LINE ITEM NO.

All CLINs

B. EXHIBIT

X

DISC

E. CONTRACT/PR NO.

XXXX

F. CONTRACTOR

XXXX

16. REMARKS (Continued)

The following tailoring of the DID is acceptable: 1. Data Group B - Item 4 - Additional Data Fields #1-#12 Not required.

BLOCK 14: Contractor and subcontractors are required to distribute the report to all addressees identified in Block 14a.

* Contractor and subcontractors are required to submit reports electronically to MDA/DOC at email: csdr@mda.mil. Alternatively, if the prime contractor has an established platform for electronic delivery of contract deliverables with the program office, MDA/DOC's representative must be granted access to such platform prior to submissions of this deliverable and a notification of the delivery must be sent to csdr@mda.mil.

** Distribution to Cost Assessment Data Enterprise (CADE). Data submitters must register through the CADE website and possess a DoD-issued CAC or DoD-approved ECA digital certificate to obtain a CADE Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the CADE Portal and requesting a CSDR submitter user role. After the registration information has been verified, the CADE may authorize the user account and requested roles. CADE Portal users with a DoD-issued CAC may be able to register their CAC with their CADE Portal account, enabling CAC login. All CADE Portal accounts need to be renewed at least annually.

Format. The FlexFile shall be delivered in either a) MS Excel (.xlsx) or comma separated values (.csv) in the contractor’s format of choosing, so long as it fulfills the requirements of the DD FORM 2794 and is in accordance with the FlexFile DID or b) JavaScript Object Notation (JSON) as described in the FlexFile File Format Specification (FFS) and Data Exchange Instructions (DEI) referenced in the FlexFile DID Requirements Section 2.

Subcontractors. Prime contractors are responsible for flowing down requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. Prime contractors are responsible for providing the government with a list of all subcontractors exceeding reporting thresholds. If a subcontractor is not initially estimated to meet reporting thresholds, but during the life of the contract, is indeed estimated to exceed the threshold amount, it is the responsibility of the Prime contractor to report this subcontractor to the government. At that time, requirements will be flowed down and the subcontractor will be required to report all subsequent annual and final reporting submissions. Subcontractor reporting includes requiring subcontractors to electronically report directly to the CADE and distribute to all Addressees in Block 14. The Prime contractor's submission cannot be evaluated if the subcontractor's submissions have not been delivered to MDA/DOC. If this occurs, the Prime Contractor's submission will be rejected due to incomplete information.

References. All Cost and Software Data Reports (CSDR) must be in accordance with approved Cost and Software Data Reporting (CSDR) Plan provisions, the WBS Data Dictionary, and the CSDR Manual (DoD 5000.04-M-1). The CSDR Plan (DD Form 2794) is included as a contract attachment. The CSDR Manual is available from the CADE Web site at https://cade.osd.mil. The initial CSDR plan for cost reporting submissions, including the initial CWBS, must be approved by DOC. Any edits to the initial, approved CWBS must be approved by MDA/DOC and MDA/EV and only MDA/DOC may modify the CSDR plan. All cost reporting requirements are applicable to any and all elements added to the CWBS after an approved submittal. Any deletion of elements from an approved CWBS will not be removed from cost reporting requirements unless approved by MDA/DOC and reflected on a updated, MDA/DOC-issued CSDR plan. It is the responsibility of the Prime Contractor to request modifications to the CSDR plan.

Technical data or computer software that is properly included on the data rights assertion list incorporated into the contract and containing "Limited Rights" or "Restricted Rights" legends as specified in DFARS 252.227-7013 and 252.227-7014 shall not be delivered under or in conjunction with the CDRL without prior approval of the Contracting Officer. "Technical Data" is defined at DFARS 252.227-7013(a)(15) and means recorded information, regardless of the form or method of the recording, of scientific or technical nature (including computer software documentation).

Under no circumstance shall technical data or computer software to be delivered under or in conjunction with this CDRL be marked "Proprietary" (or any similar nonconforming marking).

EXPORT WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

(see continuation page) mailto:csdr@mda.mil

CONTRACT DATAREQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO.

All CLINs

B. EXHIBIT

X

C. CATEGORY:

TDP TM OTHER X-FNCL

D. SYSTEM/ITEM

DISC

E. CONTRACT/PR NO.

XXXX

F. CONTRACTOR

XXXX

Remarks (FlexFile, Quantity Data Report and 1921-3)

The contractor shall provide a description of the type and timing of all impacts to program schedule, incurred actual costs, forecasted at complete costs, in process quantities, and delivered quantities, which are directly attributable to the COVID-19 pandemic.

Per the DIDs, note any relevant information that could be used in the interpretation of the data. Provide general or, if available, quantifiable contract impacts within the Summary Remarks. Provide impacts to specific WBS Elements or

Functional Elements within the Remarks by DD FORM 2794 WBS Element. Provide impacts to the business unit within the

Remarks of each 1921-3 submission. Organize impacts under a heading in the remarks that refers to “COVID-19 impacts”, or similar language, that segments this information from the rest of the remarks.

If applicable, the contractor shall provide an explanation of any new charge codes, work packages, control accounts, pricing categories, or other methods explicitly utilized to capture impacts of COVID-19.

If there are no impacts to report, then report there are no impacts in the Summary Remarks of each FlexFile and the

Remarks of each 1921-3 submission.

Additional Data Fields #1-#12 (FlexFile)

If applicable, the contractor shall utilize a “Tag” or the “Additional Data Field” referenced in Section B of the FlexFile DID (DI-

FNCL-82162) to identify COVID-19 related data.

DD FORM 1423, FEB 2001 Page of Pages

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

18. ESTIMATED

TOTAL PRICE

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

All CLINS

B. EXHIBIT

X

DISC

E. CONTRACT/PR NO.

XXXX

F. CONTRACTOR

A005

Contractor Business Data Report (DD Form 1921-3)

3. SUBTITLE

CCDR DD Form 1921-3

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-81765B

5. CONTRACT REFERENCE

SOW Paragraph(s) 3.2.3.1

6. REQUIRING OFFICE

OSD CAPE

7. DD 250 REQ

NO

See Blk 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

See Blk 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 9: Each CDRL submission product that does contain "Technical Information" as defined in DoDI 5230.24, shall be marked with the appropriate Export Control Warning Notice and Distribution Statement IAW DD Form 254, Contract Security Classification Specification, as applicable, and the Statement of Work/Performance Work Statement/Statement of included in the contract.

Blocks 10,11,12 & 13: Contractors shall be required to submit 1921-3 Contractor Business Data Report on an annual basis within 60 days subsequent to the end of the contractor's fiscal year for the life of the contract in accordance with DI-FNCL-81765B (or most recently approved version). Only one report is required to be completed and submitted by each FPR (Forward Pricing Rate) unit (e.g., plant, site, business unit) per year, independent of the number of contracts within the FPR unit which contain this CDRL item. The Contractor Business Data Report is to be prepared by and for the business entity (e.g., plant, site, or business unit) responsible for submitting the Forward Pricing Rate Proposal (FPRP) representing the basis for Forward Pricing Rate Agreement (FPRA) negotiations with the government. In the absence of a FPR requirement, the term “FPR unit” should be interpreted for reporting purposes as “business unit” as defined in the

FAR.

The Cost Assessment Data Enterprise (CADE) is responsible for administration of this requirement. The CADE website is located at https://cade.osd.mil.

All 1921-3 reports shall be submitted electronically using the 1921-3 & FPR Submit-Review System. The required form and file type for each 1921-3 report is specified in its Data Item Description (DID). Data submitters must register through the CADE website and possess a DoD-issued CAC or DoD-approved ECA digital certificate to obtain a CADE Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the CADE Portal and requesting a CSDR submitter user role. After the registration information has been verified, the CADE may authorize the user account and requested roles. CADE Portal users with a DoD-issued CAC may be able to register their CAC with their CADE Portal account, enabling CAC login. All CADE Portal accounts need to be renewed at least annually.

(see continuation page)

CADE 0 1 0

MDA/DACD PCO 0 1 0

MDA/DACD COR 0 1 0

*MDA/DOC 0 1 0

MDA/DTR COR 0 1 0

15. TOTAL 0 5 0

DD FORM 1423-1, FEB 2001 Page of 1 Pages

(1 Data Item)

A. CONTRACT LINE ITEM NO.

All CLINS

B. EXHIBIT

X

DISC

E. CONTRACT/PR NO.

XXXX

F. CONTRACTOR

XXXX

16. REMARKS (Continued)

* A notification of the delivery to the CADE must be sent to MDA/DOC at csdr@mda.mil.

Technical data or computer software that is properly included on the data rights assertion list incorporated into the contract and containing "Limited Rights" or "Restricted Rights" legends as specified in DFARS 252.227-7013 and 252.227-7014 shall not be delivered under or in conjunction with the CDRL without prior approval of the Contracting Officer.

Under no circumstance shall technical data or computer software to be delivered under or in conjunction with this CDRL be marked "Proprietary" (or any similar nonconforming marking).

"Technical Data" is defined at DFARS 252.227-7013(a)(15) and means recorded information, regardless of the form or method of the recording, of scientific or technical nature (including computer software documentation).

EXPORT WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

The contractor shall provide a description of the type and timing of all impacts to program schedule, incurred actual costs, forecasted at complete costs, in process quantities, and delivered quantities, which are directly attributable to the COVID-19 pandemic.

Per the DIDs, note any relevant information that could be useful in the interpretation of the data provided in this report.

Provide general or, if available, quantifiable contract impacts within the Remarks (Item 22) of each 1921 submission. Provide impacts to specific WBS Elements or Functional Elements within the Remarks (Item 22) of each 1921-1, 1921-2, and/or 1921-5 submission. Provide impacts to the business unit within the Remarks of each 1921-3 submission. Organize impacts under a heading in the remarks that refers to “COVID-19 impacts”, or similar language, that segments this information from the rest of the remarks.

If applicable, the contractor shall provide an explanation of any new charge codes, work packages, control accounts, pricing categories, or other methods explicitly utilized to capture impacts of COVID-19.

If there are no impacts to report, then report that there are no impacts in the Remarks of each 1921 and 1921-3 submission.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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 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. B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X - MGMT

D. SYSTEM/ITEM

DTR Instrumentation Support Contract

E. CONTRACT/PR NO.

HQ0859-21-D-00##

F. CONTRACTOR

A006

Contract Funds Status Report

3. SUBTITLE

CFSR

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81468

5. CONTRACT REFERENCE

SOW Paragraph(s) 3.2.3.4, 3.2.3.6

6. REQUIRING OFFICE

MDA/DTR

7. DD 250 REQ

LT

MTHLY

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

See Blk 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLOCK 4:

a. Contractor devised and Government approved format. Electronic submissions shall be made electronically using Microsoft Office products. The Government shall have access, on an as-required basis, to electronic Contractor CFSR data.

b. Report by CLIN and Task Order in block 11 of CFSR.

c. The “at completion” column of Block 12 shall be the contractor’s Estimated Price at

Completion (EPC) (including Government share of any projected overruns).

d. Projections in blocks 12,13,14 of the CFSR shall be monthly for at least six months, quarterly for the remainder of the government fiscal year, four quarters of the following fiscal year, and then annual to completion.

e. For block 15 of the CFSR, report actual payments received as a cumulative value for the period from contract award through the current report date. Include any pertinent information to explain a projected change in funding required or change to the EPC.

f. The contractor shall submit copies of major and/or critical subcontractors and/or subsidiaries CFSRs as attachments to the Contractor’s consolidated submittal. A major subcontractor and/or subsidiary is defined as one performing $3M or more each year of the basic and option contract period effort (excluding ODC and Travel). A critical subcontractor and/or subsidiary is one whose performance on the awarded contract is such that if it fails, could significantly impact program success.

BLOCK 9:

DISTRIBUTION STATEMENT E: Distribution authorized to DoD Components only

(Critical Information) as of 9 August 2016. Other requests shall be referred to Missile

Defense Agency Attn: MDA/DTX, 5222 Martin Road, Redstone Arsenal, AL 35898.

BLOCK 11:

Data shall be as of the last working day of the contractor's monthly accounting period.

BLOCK 12:

First report due 15 calendar days after first full accounting period.

(Continued on next page)

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

X - MGMT

DTR Instrumentation Support Contract

E. CONTRACT/PR NO.

HQ0859-21-D-00##

F. CONTRACTOR

BLOCK 13: Subsequent submissions NLT than the 15th of the month after the end of each subsequent fiscal month period. If the 15th day falls on a non-work day, the contractor shall submit the data the next work day.

BLOCK 14:

Electronic submission required. Hard copies will be made available upon request. CDRLs due on weekends and holidays shall be due the morning of the next business day.

Technical data or computer software that is properly included on the data rights assertion list incorporated into the contract and containing "Limited

Rights" or "Restricted Rights" legends as specified in DFARS 252.227-7013 and 252.227-7014 shall not be delivered under or in conjunction with the

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered

Technical Data" is defined at DFARS 252.227-7013(a) (15) and means recorded information, regardless of the form or method of the recording, of scientific or technical nature (including computer software documentation). Computer software is defined at DFARS 252.227-7014(a)(4), and means computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, formulae, and related

Under no circumstance shall technical data or computer software to be delivered under or in conjunction with this CDRL be marked "Proprietary" (or

WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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 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.

000#

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X-FNCL

D. SYSTEM/ITEM

DTR Instrumentation Support Contract

E. CONTRACT/PR NO. F. CONTRACTOR

A007

Funds and Man-Hours Expenditure Report

3. SUBTITLE

FMHER

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80331A

5. CONTRACT REFERENCE

SOW Paragraph 3.2.3.4, 3.2.3.6

6. REQUIRING OFFICE

MDA/DTR

7. DD 250 REQ

LT

MTHLY

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

See Blk 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4:

- Submission must include all required information.

- A columned report reflecting contractor forecast of labor hours and expenditures, by reporting period and on a cumulative basis, through the period of performance is required.

- In addition to a report at the Task Order (T/O) level, a separate formatted report and corresponding columned forecast to be submitted for each accounting classification reference number (ACRN).

- The T/O will require a spreadsheet similar to DI-FNCL-80331 Figure 1 that correlates

ACRNS to T/O.

- At the bottom of each FMER report, indicate (under columns a, b, and d), the average manpower strength and average unloaded salary appropriate to the definition of the column.

- Subcontractor data to be reported for the same period end dates as prime contractor information.

DISTRIBUTION STATEMENT E: Distribution authorized to DoD Components only (Test and Evaluation) (April 18, 2016). Other requests shall be referred to MDA/DTR, Bldg 5224

Martin Road, Redstone Arsenal, AL 35898.

Block 10:

Each monthly report shall be submitted capturing data for the preceding 30 days. The report shall be submitted five business days following the conclusion of the data collection.

Block 11:

Last day of contractor's monthly accounting period.

Block 12:

First report due 15 calendar days after first full accounting period. The data collection period for the first report shall begin at the contract award date.

Block 13:

Subsequent submittals are due on the 15th of the month following contractor's accounting month with the exception of the December submittal, which will be submitted on 31

January. Submission must include all required information.

(1 Data Item)

A. CONTRACT LINE ITEM NO.

000#

B. EXHIBIT

A

DTR Instrumentation Support Contract

E. CONTRACT/PR NO. F. CONTRACTOR

Electronic submittal required. Provide a courtesy copy of the written contract transmittal letter to the PCO via email. CDRLs due on weekends and holidays shall be due the morning of the next business day.

Technical data or computer software that is properly included on the data rights assertion list incorporated into the contract and containing "Limited

Rights" or "Restricted Rights" legends as specified in DFARS 252.227-7013 and 252.227-7014 shall not be delivered under or in conjunction with the

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered

Technical Data" is defined at DFARS 252.227-7013(a) (15) and means recorded information, regardless of the form or method of the recording, of scientific or technical nature (including computer software documentation). Computer software is defined at DFARS 252.227-7014(a)(4), and means computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, formulas, and related

Under no circumstance shall technical data or computer software to be delivered under or in conjunction with this CDRL be marked "Proprietary" (or

EXPORT WARNING – This document may contain technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec

2751, et seq.) or the Export Administration Act of 1979 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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 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.

00##

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X-MGMT

D. SYSTEM/ITEM

DTR Instrumentation Support Contract

E. CONTRACT/PR NO. F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report / Final Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A/T

5. CONTRACT REFERENCE

SOW Par. 3.2.3.5, 3.2.8.1, 3.2.9.2

6. REQUIRING OFFICE

MDA/DTR

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

E

10. FREQUENCY

See Blk 16

12. DATE OF FIRST SUBMISSION

See Blk 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Blk 16 Draft

Final

Reg Repro

16. REMARKS

Block 4: Contractor devised and Government approved format. Electronic submission shall be made using Microsoft Office Products.

Delete 3.2.3, Itemized man-hours and costs.

Monthly Status Report: Contractor format is acceptable.

Final Report: Contractor format is acceptable. Submit draft 60 days prior to anniversary and/or end of contract to the technical office for review and approval.

Block 8: Government review and approval (or disapproval) and comments will be provided within 10 days after receipt of each submittal or revision unless otherwise specified. If the

Government provides any comments, submit an update incorporating Government comments within 10 days after receipt of Government comments unless otherwise specified.

Block 9: DISTRIBUTION STATEMENT E: Distribution authorized to DoD Components only due to critical technology as of 06/25/2018. Other requests shall be referred DT-ARC

Missile Defense Agency Bldg 5222, Martin Rd, Redstone Arsenal, AL 35898.

BLOCK 12: Initial report is to cover period to end of first full month following award.

BLOCK 13: Subsequent reports due 15 days after completion of each month’s effort.

Block 14: Electronic submission required. Hard copies will be made available upon request. CDRLs due on weekends and holidays shall be due the morning of the next business day.

(Continue to next page)

MDA/DTK PCO 0 1 0

MDA/DTR COR 0 1 0

MDA/DTR 0 1 0

15. TOTAL 0 3 0

(1 Data Item)

A. CONTRACT LINE ITEM NO.

00##

B. EXHIBIT

A

DTR Instrumentation Support Contract

E. CONTRACT/PR NO. F. CONTRACTOR

Technical data or computer software that is properly included on the data rights assertion list incorporated into the contract and containing "Limited

Rights" or "Restricted Rights" legends as specified in DFARS 252.227-7013 and 252.227-7014 shall not be delivered under or in conjunction with the

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered

Technical Data" is defined at DFARS 252.227-7013(a) (15) and means recorded information, regardless of the form or method of the recording, of scientific or technical nature (including computer software documentation). Computer software is defined at DFARS 252.227-7014(a)(4), and means computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, formulas, and related

Under no circumstance shall technical data or computer software to be delivered under or in conjunction with this CDRL be marked "Proprietary" (or

EXPORT WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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 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. B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X-MGMT

D. SYSTEM/ITEM

DTR Instrumentation Support Contract

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

A009

Work Management Plan

3. SUBTITLE

Small Business Utilization Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81911

5. CONTRACT REFERENCE

SOW 3.2.4

6. REQUIRING OFFICE

MDA/DTR

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Blk 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

See Blk 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Electronic submission shall be made using Microsoft Office Products.

the following areas identified in Table 3.2.4-1 in the SOW.

For Small Business Reporting:

In order to gather data and assess the Contractor’s small business utilization compliance with FAR 52.219-8 (Utilization of Small Business Concerns) and DoD Class Deviation

2020-O0008, Revision 1 - Limitations on Subcontracting for Small Business, the Contractor shall submit a report in accordance with Table 3.2.4-1 in the SOW. If applicable, the Table included in the report shall identify the similarly situated entity (SSE) category(s) of small business concerns, and dollars and percentages of subcontracting to SSEs. The report shall be submitted annually, by October 30 of each year for the life of the contract; and a final report shall be submitted 30 days prior to the end of the contract year.

Block 8: Government review and approval (or disapproval) and comments will be provided within 10 days after receipt of each submittal or revision unless otherwise specified. If the

Government provides any comments, submit an updated version incorporating Government comments within 10 days after receipt unless otherwise specified.

Block 9: Distribution Statement E: Distribution authorized to DoD Components only due to

Test…