Draft_W9124R-24-R-0004_RFP_Att0002_CDRLs.docx

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Attached to
Yuma Mission Test Support Services - Draft RFP W9124R-24-R-0004 Version Two Federal contract opportunity
Solicitation number
YumaMTSS_Draft_RFP_V2
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Yuma Proving Ground

About this file

This document is a set of Contract Data Requirements Lists (CDRLs) related to a federal contract opportunity for Yuma Proving Ground Mission Test Support Services.

The CDRLs detail over 25 required deliverables that the contractor must provide, including reports on key personnel, recalls, quality control, cost accounting, government property management, accident reporting, safety training, range safety procedures, personnel clearances, training, and travel. Specific requirements are provided for the frequency, format, distribution, and due dates of each deliverable. The documents reference various military standards and regulations that the contractor must comply with. While most deliverables are required monthly or weekly, some are due at specific milestones such as 30 days after contract award or 30 days prior to full performance. The government will review and provide feedback on many of the deliverables within a few business days. Overall, the CDRLs demonstrate the extensive reporting and compliance requirements the contractor will be subject to under this contract.

View the file

Other files for this federal contract opportunity

Other files attached to Yuma Mission Test Support Services - Draft RFP W9124R-24-R-0004 Version Two, newest first.
File Type Posted
Draft_W9124R-24-R-0004_RFP_Att0001_PWS_Att0001_PRS.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0001_PWS_Att0003_ContractorFurnishedEquipment.docx DOCX document
Draft_W9124R-24-R-0004_RFP_Att0001_PWS_Att0005_TE2_GFP.xlsx XLSX spreadsheet
Draft_W9124R-24-R-0004_RFP_Att0001_PWS_Att0006_TE3_Non-GFP_EquipMaintList.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0001_PWS_Att0007_TE4_GFF.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0001_PWS_Att0008-TE-5_Labor_Categories.xlsx XLSX spreadsheet
Draft_W9124R-24-R-0004_RFP_Att0009_QuestionTemplate.xlsx XLSX spreadsheet
Yuma_MTSS_Command _Overview_IndustryDay.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0001_PWS_Att0004_TE1_HistoricalWorkloadData.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0003_DIDs.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0004_Pricing_Matrix.xlsx XLSX spreadsheet
Draft_W9124R-24-R-0004_RFP_Att0007_GFP_Different_Contract.docx DOCX document
QA_ForIndustry_12JUN24.xlsx XLSX spreadsheet
W9124R-24-R-0004_Letter_from_the_KO_13June2024.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0001_PWS.docx DOCX document
Draft_W9124R-24-R-0004_RFP_Att0001_PWS_Att0002_DD254.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0006_CBA YumaMTSS_2021-2024.PDF PDF
Draft_W9124R-24-R-0004_RFP_Att0008_PPQ.pdf PDF
Draft_W9124R-24-R-0004_RFP_20240611.docx DOCX document
Yuma_MTSS_MICC_Overview_IndustryDay.pdf PDF
Draft_W9124R-24-R-0004_RFP_Att0005_OCI_Certification.docx DOCX document
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CDRL A001

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A001 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A001

2. TITLE OF DATA ITEM: Key Personnel Identification/Substitution

3. SUBTITLE..........: N/A

4. AUTHORITY.........: DI-MGMT-81834A

5. CONTRACT REFERENCE: 1.4.10 & 1.4.13

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: ASREQ

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: 30 Days Prior to Performance

13. DATE OF SUBS. SUB.: 30 Days Prior to Substitution

14. DISTRIBUTION:

A. ADDRESSEE(S): ATEC
B. COPIES:
DRAFT: 1
FINAL: 1
REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

BLKS 10: ASREQ = As Required

BLK 12: The Government will provide either approval or comments within 5 business days after delivery of CDRL. If no response is received from the Government, approval is assumed after this timing. The KTR shall have 3 days to respond to any comments. Upon receipt of re-delivery, the Government timing remains the same.

13: 30 Days Prior to Substitution

BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

IAW with DI-MGMT-81834A contractor format is acceptable.

Ensure data is complete for the following positions:

•Contract Manager
•Alternate Contract Manager
•Safety Manager

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: C. Jackson, Jr. H. DATE: TBD

I. APPROVED BY: J. DATE: TBD

CDRL A002

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A002 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A002

2. TITLE OF DATA ITEM: Recall Roster

3. SUBTITLE..........: N/A

4. AUTHORITY.........: DI-MGMT-81834A

5. CONTRACT REFERENCE: 1.4.11

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: ASREQ

11. AS OF DATE........: TBD

12. DATE OF FIRST SUB.: 5 DARO

13. DATE OF SUBS. SUB.: ASREQ

14. DISTRIBUTION:

A. ADDRESSEE(S): ATEC
B. COPIES:
DRAFT: 1
FINAL: 1
REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

BLK 10:

ASREQ = As Required BLKS 12: 5 Days after receipt of an order under the contract.

BLKS 13: ASREQ = As Required

BLK 14 A.: Submission shall be via electronic mail (e-mail) to the contract COR, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

IAW with DI-MGMT-81834A contractor format is acceptable as long as it is in excel and editable.

Ensure data is complete for the following:

The Contractor shall provide name, address, and telephone number for both the designated and alternate representative(s) to the KO and COR within 5 business days following contract award (Deliverable R-02) (USARMY JB San Antonio ACC MICC Mailbox TSC-Div1 <usarmy.jbsa.acc-micc.mbx.tsc-div1@army.mil>). The Contractor shall verbally notify the KO and COR of changes as they occur and provide written changes no later than 24 hours after effective date of the change.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: C. Jackson, Jr. H. DATE: January 2024 I. APPROVED BY: TBD J. DATE: July 2024

CDRL A003 – Continuous Process Improvement

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A003 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A003

2. TITLE OF DATA ITEM: Continuous Process Improvement

3. SUBTITLE..........:

4. AUTHORITY.........: DI-MGMT-81996

5. CONTRACT REFERENCE: 1.6.4

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: 30 days ACS

13. DATE OF SUBS. SUB.: ASREQ

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

Contractor format is acceptable and shall be delivered as a PDF.

BLK 8: The report shall be submitted 30 days after full contract performance. CORs will review and provide feedback 5 calendar days following receipt of initial submission. The contractor shall address all issues within 14 calendar days following receipt feedback. Upon COR approval, the PCO shall provide the contractor with a documented notification of QPP approval. Following initial Government approval, the contractor shall submit any modifications to the Quality Control Plan to the CORs for approval in accordance with the initial approval process in this CDRL. The Government will provide comments within 10 business days after signature of Modification P00004. The contractor shall then address Government comments within 30 business days.

BLK 10: ONE/R = One Time with Revisions

BLK 13: ASREQ = As Required

BLK 14 A.: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A004

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A004 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A004

2. TITLE OF DATA ITEM: Op-Sync

3. SUBTITLE..........: Weekly Performance Report

4. AUTHORITY.........: DI-MGMT-81991

5. CONTRACT REFERENCE: 1.6.10

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: Weekly

11. AS OF DATE........: 30 DARO

12. DATE OF FIRST SUB.: COB 2nd BD ARO

13. DATE OF SUBS. SUB.: COB 2nd BD Weekly

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)/ and Program Manager

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

DI-MGMT-81991 is tailored as follows:

Paragraph 1 - Delete Figure 1, 2 and 3.

Contractor format is acceptable as long as it is in excel and editable.

Paragraph 2.5 - DELETE.

Paragraph 2.6 - Replace Figure 1,2,3 for NMS GVS Op-Sync Figure 1.

Paragraph 2.7 through 3.3 - DELETE.

Ensure data includes the following:

Labor data (direct, indirect, maintenance, etc.), and other cost (procurement & sub-contract costs), shall be made available in cost center, account code, and overall summary formats to the COR and the Budget Officer. Reports shall be submitted by COB the second business day of each week.

Block 14 - Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.----------------------------------------------------------------------------------

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson

I. APPROVED BY: TBD

CDRL A005

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A005 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A005

2. TITLE OF DATA ITEM: Cost Allocations Report

3. SUBTITLE..........: N/A

4. AUTHORITY.........: DI-FNCL-80165A

5. CONTRACT REFERENCE: 1.6.11 & 1.6.12

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: B

10. FREQUENCY.........: WKLY

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: ARO

13. DATE OF SUBS. SUB.: WKLY

14. DISTRIBUTION:

A. ADDRESSEE(S): ATEC

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

DI-FNCL-80165A is tailored as follows:

Paragraph 2 - Delete The Cost Breakdown Structure Summary Report shall be prepared using the DD Form 2417, See Figure 1. Replace with: The Cost Allocation Report shall be web-based and in contractor’s format.

Contractor format is acceptable as long as it is web based.

Ensure data includes the following:

Labor cost data shall be uploaded to the Resource Management system no later than 1300 hours the second business day of each week utilizing the following fields: Date of performance, Receiving Cost Object 1 (WBS Element), Receiving Cost Object 2 (Internal Order), Contract Number, Work Order Number (PWS paragraph), Sub-CLIN, ACRN, Wage Determination Code, Employee ID, Employee First Name, Employee Middle Name, Employee Last Name, Regular Hours or Overtime Hours.

BLK 8: The Government will review and provide comments no later than three business days from receipt of IMS. The contractor shall revise and resubmit within one business days of receipt of Government comments, if required.

BLKS 10: WKLY = Weekly BLKS 13: Labor – no later than 1300 hrs on 2nd business day of each week. Non-Labor – no later than 1300 hrs on the 3rd business day of each week.

BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A006

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A006 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A006

2. TITLE OF DATA ITEM: Manning

3. SUBTITLE..........: N/A

4. AUTHORITY.........: DI-MGMT-81991

5. CONTRACT REFERENCE: 1.6.13

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: B

10. FREQUENCY.........: Bi-WKLY

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: ARO

13. DATE OF SUBS. SUB.: Bi-WKLY

14. DISTRIBUTION:

A. ADDRESSEE(S): ATEC

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

DI-MGMT-81991 is tailored as follows:

Paragraph 1 - Delete Figure 1, 2 and 3.

Contractor format is acceptable as long as it is in excel and editable.

Ensure data includes the following:

A level of effort report titled “BI-Weekly Manning” shall be made available to the COR in a spreadsheet format. Each functional area’s manning as it appears at the end of the two-week cycle will be reported with each bi-weekly invoice (by COB the first Tuesday of the following cycle). The report is to distinguish between personnel assigned to an area, cross-utilized from/to an area, and those in an inactive status. The attached notes will describe the reasons for changes, the inactive category each inactive employee is being carried in and give a heads-up on projected changes. Organization structure will be submitted during the Phase-in (see sections 1.25) and updated as needed throughout the contract. A phone roster shall be submitted in excel format quarterly.

BLK 8: The Government will review and provide comments no later than three business days from receipt of IMS. The contractor shall revise and resubmit within one business days of receipt of Government comments, if required.

BLKS 10: WKLY = Weekly BLKS 13: By COB the second business day of each week BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A007

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A007 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A007

2. TITLE OF DATA ITEM: Cost Accounting Reports

3. SUBTITLE..........: N/A

4. AUTHORITY.........: DI-FNCL-80165A

5. CONTRACT REFERENCE: 1.6.14

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: B

10. FREQUENCY.........: Bi-WKLY

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: ARO

13. DATE OF SUBS. SUB.: Bi-WKLY

14. DISTRIBUTION:

A. ADDRESSEE(S): ATEC

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

DI-FNCL-80165A is tailored as follows:

Paragraph 2 - Delete The Cost Breakdown Structure Summary Report shall be prepared using the DD Form 2417, See Figure 1. Replace with: The Cost Allocation Report shall be web-based and in contractor’s format.

Contractor format is acceptable as long as it is in excel and editable.

Ensure data includes the following:

The Contractor shall provide roll-up and detail reports in a spreadsheet format which substantiates each BI-weekly invoice, due by COB the first Tuesday of the following cycle.

BLK 8: The Government will review and provide comments no later than three business days from receipt. The contractor shall revise and resubmit within one business days of receipt of Government comments, if required.

BLKS 10: Bi-WKLY = Bi-Weekly BLKS 13: Due by COB on 2nd business day bi- week.

BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A008

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A008 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A008

2. TITLE OF DATA ITEM: Quality CONTROL

3. SUBTITLE..........: Quality Manual (QM)

4. AUTHORITY.........: DI-QCIC-81722

5. CONTRACT REFERENCE: 1.7.1

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: 30 days ARO

13. DATE OF SUBS. SUB.: ASREQ

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

BLK 4: DI-QCIC-81722 is tailored to the following:

Use and Relationship is revised

Inspection Program - Included shall be a quality control inspection program covering all general and specific tasks included in the contract scope of work. It shall specify tasks or areas to be inspected on a scheduled or unscheduled basis, the manner in which inspections are to be conducted, the titles of the individuals who will perform the inspections, and the percentage of the work that will be inspected on a recurring basis. In developing this inspection program, the Contractor shall identify the key activities and associated characteristics in each process that have a significant influence on specific services and provide for methods for evaluation of the selected characteristics.

Deficiency Identification - The QCP shall include a method of identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable as defined in the PRS. This shall contain processes for corrective action without dependence upon Government direction. The Contractor shall report significant events having negative test mission impact.

Deficiency Correction - The program shall contain process control and process performance measurement procedures that shall include how the Contractor shall implement preventive corrective actions. The Contractor shall demonstrate that it has designed quality into the delivery of services thereby mitigating the risk(s) associated with delivery of deficient or nonconforming services.

Documentation and Enforcement - The QCP shall include a method of documenting and enforcing quality control operations of both prime contractor and subcontractor work, including inspection and testing.

Trend Analysis - The QCP shall include a method of performing trend analysis and assessments through the use of metrics.

Surveillance Methods - The QCP shall contain specific surveillance techniques for all contract services. The surveillance methods shall be comprehensive and adaptable to the reporting system of the plan.

Contractor format is acceptable as long as it is submitted in pdf.

BLK 8: CORs will review and provide feedback 30 calendar days following receipt of initial submission. The contractor shall address all issues within 14 calendar days following receipt feedback. Upon COR approval, the PCO shall provide the contractor with a documented notification of QPP approval. Following initial Government approval, the contractor shall submit any modifications to the Quality Control Plan to the CORs for approval in accordance with the initial approval process in this CDRL. The Government will provide comments within 10 business days after signature of Modification P00004. The contractor shall then address Government comments within 30 business days.

BLK 10: ONE/R = One Time with Revisions

BLK 13: ASREQ = As Required

BLK 14 A.: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A009

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A009 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A009

2. TITLE OF DATA ITEM: Quality Deficiency Report

3. SUBTITLE..........: N/A

4. AUTHORITY.........: DI-QCIC-80736

5. CONTRACT REFERENCE: 1.7.2

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: As REQD

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: SEE BLK 16

13. DATE OF SUBS. SUB.: As REQD

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

The reporting system shall include Quality Deficiency Reports (QDR’s). Initial notification of a QDR will be reported via an email to the COR office NLT COB on the next business day (Deliverable R-07). Reports will include the five (5) W’s (What happened, Where did it happen, When did it happen, Who the POC is, and What mitigating/corrective action is being taken). The initial focus will be on timeliness; therefore, a report will not be delayed if the answer to one of the W’s is missing. A finalized, printable QDR will be made available to the CORs’ office within three (3) business days of deficiency identification.

Contractor format is acceptable as long as it is submitted on excel and editable or CVS.

BLKS 10: AS REQD = As Required

BLK 12: Initial notification NLT COB next business day. Finalized Report within 3 business days of occurrence. The Government will provide either approval or comments within 5 business days after delivery of CDRL. If no response is received from the Government, approval is assumed after this timing. The KTR shall have 5 days to respond to any comments. Upon receipt of re-delivery, the Government timing remains the same.

BLKS 13: AS REQD = As Required.

BLK 14 A.: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A010 Procurement Report

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A010 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A010

2. TITLE OF DATA ITEM: Procurement Report

3. SUBTITLE..........:

4. AUTHORITY.........: DI-MGMT-80441D

5. CONTRACT REFERENCE: 1.9.4

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: MTHLY

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: SEE BLK 16

13. DATE OF SUBS. SUB.: MTHLY

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

Contractor format is acceptable if it is submitted via editable excel. The Contractor shall provide a monthly report (Excel or CSV) to the COR by the 5th business day of each month (CDRL A010) that details all procurements for the previous month. The report shall include:

•Purchase Authorization Number
•Contractor Purchase Order (PO) Number
•Total dollar amount
•WBS number
•PWS paragraph name and number or Cost Center (if references PWS)
•Account ID
•Vendor Name
•Description of Items purchased
•Government Funder name
•CFE Yes or No

The contractor shall also include all Contractor Furnished Property (CFP)procurements as well as noted in the PWS at 4.1.

BLK 10: MTHLY = Monthly

BLK 12: The report shall be submitted the 5th day of each month.

BLK 13: MTHLY = Monthly

BLK 14 A.: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

CDRL A011

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A011 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A011

2. TITLE OF DATA ITEM: New Employee Clearance Report

3. SUBTITLE..........: PER STAT

4. AUTHORITY.........: DI-MISC-81419

5. CONTRACT REFERENCE: 1.10.7

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: WKLY

11. AS OF DATE........: N/A

13. DATE OF SUBS. SUB.: See BLK 16

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

BLK 4: DI-MISC-81419 is tailored as follows:

Paragraph 10.2.1 – Deleted Paragraph 10.2.2 - Deleted Paragraph 10.2.4 – Deleted

Ensure to include the following:

A complete list of all new personnel shall be forwarded on a weekly basis, (Tuesdays by COB) (Deliverable R-09) to the Intelligence and Security Office with the following information (spreadsheet format): Name, social security number, job position, security clearance, investigation closed date, eligibility date, continuous evaluation date (other or deferred investigation)..

BLK 12: The Government will provide either approval or comments within 3 business day after delivery of CDRL. If no response is received from the Government, approval is assumed after this timing. The KTR shall have 1 day to respond to any comments. Upon receipt of re-delivery, the Government timing remains the same.

IAW DI-MISC-81419 Contractor format is acceptable as long as it is submitted on excel and editable.

BLK 13: Due by COB Tuesday weekly.

BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A012

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A012 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A012

2. TITLE OF DATA ITEM: Departing Employee Clearance Report

3. SUBTITLE..........: PER STAT

4. AUTHORITY.........: DI-MISC-81419

5. CONTRACT REFERENCE: 1.10.13

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: WKLY

11. AS OF DATE........: N/A

13. DATE OF SUBS. SUB.: See BLK 16

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

BLK 4: DI-MISC-81419 is tailored as follows:

Paragraph 10.2.1 – Deleted Paragraph 10.2.2 - Deleted Paragraph 10.2.4 – Deleted

Ensure to include the following:

All out-processing contractor employee CAC’s must be collected by the Contractor prior to COB on the last day the employee has cleared the installation. The contractor’s Out-Processing form and collected CACs shall be submitted to CORs on a weekly basis, Tuesdays by COB for revocation in the Mission Partner Identity Credentials and Access Management (MP ICAM) system. A COR will return collected CACs to responsible Govt. office The Intelligence and Security Office shall be notified of departing employees on a weekly clearance report for removal of security access.

BLK 12: The Government will provide either approval or comments within 3 business day after delivery of CDRL. If no response is received from the Government, approval is assumed after this timing. The KTR shall have 1 day to respond to any comments. Upon receipt of re-delivery, the Government timing remains the same.

IAW DI-MISC-81419 Contractor format is acceptable as long as it is submitted on excel and editable.

BLK 13: Due by COB Tuesday weekly.

BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A013

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A013 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A013

2. TITLE OF DATA ITEM: Physical Security Plan

3. SUBTITLE..........: N/A

4. AUTHORITY.........: DI-MGMT-82189

5. CONTRACT REFERENCE: 1.10.16

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: AS REQD

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: SEE BLOCK 16

13. DATE OF SUBS. SUB.: AS REQD

14. DISTRIBUTION:

A. ADDRESSEE(S): COR

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

BLK 4: DI-MGMT-82189 is tailored as follows:

Paragraph 2.1 C(5) replace with the following:

The Contractor shall develop and implement a Physical Security Plan IAW guidance contained in AR 190-13 (The Army Physical Security Program), AR 190-51 (Security of Unclassified Army Property), AR 190-11 (Physical Security of Arms, Ammunitions, and Explosives) and DOD 5100.76M (Physical Security of Sensitive Conventional AAE).

Ensure that the plan includes:

The Physical Security Plan shall include all government property and equipment furnished for the performance of the contract. The plan shall describe how the Contractor will prevent unauthorized access, vandalism, pilferage, larceny, and arson to all property and equipment that is provided for the performance of this contract. The Government shall not be responsible for damage to Contractor or contractor’s personnel’s supplies, materials, equipment, and property (personal or company provided) that are damaged or destroyed by fire, theft, vandalism, accidental means, or natural disaster.

The Contractor shall be responsible for keys provided by the Government. Keys shall not be duplicated except as authorized by USAYPG's Keys/Locks Custodian, nor shall they be used by unauthorized personnel. Procedures for safeguarding keys shall be included in the Physical Security Plan, and in compliance with AR 190-51, Appendix D

Contractor format is acceptable as long as it is submitted in pdf.

BLK 10: AS REQD = As Required

BLK 12: The Contractor shall submit the plan at the post-award conference or 30 calendar days prior to contract full performance, whichever comes first. The Government will make final review and request changes or provide acceptance of the Physical Security Plan. CORs will have 5 business days to review and provide comments to the KTR. The KTR shall have 5 days to respond to any comments. In the event changes are required, the Contractor shall submit changes to the Physical Security Plan to the Contracting Officer NLT 10 calendar days prior to the effective date of the change. The contractor shall not implement any changes without prior written approval of the Contracting Officer. Upon receipt of re-delivery, the Government timing remains the same.

BLK 13: AS REQD = As Required

BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A014

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A014 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A014

2. TITLE OF DATA ITEM: Key Control

3. SUBTITLE..........: N/A

4. AUTHORITY.........: DI-MGMT-82188

5. CONTRACT REFERENCE: 1.10.17

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: AS REQD

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: SEE BLOCK 16

13. DATE OF SUBS. SUB.: AS REQD

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

BLK 4: DI-MGMT-82188 is tailored as follows:

Paragraph 2.1 – Delete Paragraph 2.2 – Delete Paragraph 2.3 – Delete

Add:

The Contractor shall report any occurrence of duplicated, misplaced, or lost keys to the COR within 2 hours after discovery of occurrence and submit a finalized written report to the COR by close of business the next workday (Deliverable R-11). The written report shall provide complete details relating to duplication, misplaced key, or loss.

Contractor format is acceptable.

BLKS 10: AS REQD = As Required

BLK 12: Initial notification within 2 hours after discovery. Finalized report by COB next business day. The Government will provide either approval or comments within 3 business days after delivery of CDRL. If no response is received from the Government, approval is assumed after this timing. The KTR shall have 3 days to respond to any comments. Upon receipt of re-delivery, the Government timing remains the same.

BLKS 13: WEKLY = Weekly

BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.----------------------------------------------------------------------------------

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A015

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A015 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A015

2. TITLE OF DATA ITEM: Accident Report

3. SUBTITLE..........: Accident Report

4. AUTHORITY.........: DI-MGMT-82188

5. CONTRACT REFERENCE: 1.16

6. REQUIRING OFFICE..: ATEC

7. DD250 REQ.........: LT

8. APP CODE..........: N/A

9. DIST. STMT. REQD..: C

10. FREQUENCY.........: AS REQD

11. AS OF DATE........: N/A

12. DATE OF FIRST SUB.: SEE BLOCK 16

13. DATE OF SUBS. SUB.: AS REQD

14. DISTRIBUTION:

A. ADDRESSEE(S): COR(S)

B. COPIES:

DRAFT: 1

FINAL: 1

REG REPRO: 0

15. TOTAL COPIES: 2

16. REMARKS:

BLK 4: DI-MGMT-82188 is tailored as follows:

Paragraph 1: Format is deleted and replaced with: Contractor format is acceptable.

Figure 1 is deleted.

Ensure that the report:

Contractor shall comply with the reporting requirements of AR 385-40 and YPGR 385-1. Written reports for accident classes “A” through “D” shall be sent to USAYPG Safety Office, with a copy furnished to the COR. Immediate verbal notification (as required for class “A” and “B” accidents) will also be made to the same points of contact. For accidents beneath the formal reporting criteria (nonfatal injuries provided they do not result in a day or more time loss or are accompanied by property damage exceeding $4,999.99). The Contractor shall use their own form.

Notification to the USAYPG Command Group, Senior Commander’s, and the COR’s Office for all Commanders Critical Incident Review (CCIR) is required within the time limits established IAW USAYPG Commander’s Policy Statement No. 1M – USAYPG CCIR and Serious Information Reporting (SIR) Requirements

BLK 10: As REQD = As Required

BLK 12: The report shall be submitted 24 hours after incident. CORs will have 30 days to approve or reject the submission. Any COR requested revision of Inventory and Usage report will be resubmitted within 7 days of CORs initial request for revision. The revisions will be reviewed within the same timeframes as listed above.

BLK 13: AS REQD = As Required

BLK 14 A: Submission shall be via electronic mail (e-mail) to the contract COR,CIMS or as directed by Budget Officer, Procuring Contracting Officer, YPG Site lead, and encrypted with a minimum of 128 bit encryption. The submissions shall be prepared and delivered in current Microsoft Office software suite.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Charley Jackson H. DATE: TBD

I. APPROVED BY: TBD J. DATE: TBD

CDRL A016

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 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 this burden, to 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.: D. SYSTEM/ITEM....: MTSS

B. EXHIBIT...............: A016 E. CONTRACT/PR NO.: TBD

C. CATEGORY..............: OTHER F. CONTRACTOR.....: TBD

1. DATA ITEM NO......: A016

2. TITLE OF DATA ITEM: Safety Training Plan

3. SUBTITLE..........:

4. AUTHORITY....

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