E Dept HEL MAC IDIQ - CDRL A001 - CTR Monthly Report_Signed.pdf

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Attached to
High Energy Laser- Rapid Prototyping Federal contract opportunity
Solicitation number
N0017822R4300
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This document is a Contract Data Requirements List (CDRL) outlining reporting requirements for a multiple award contract to provide high energy laser rapid prototyping services to the Naval Surface Warfare Center Dahlgren Division. The contractor will be required to submit a monthly status report no later than 15 days after the end of each reporting period, synchronizing with their monthly invoicing cycle. The report shall be delivered electronically to the technical points of contact, contracting officer representative, and contract specialist. The reporting requirements specify the distribution statement, review process, and other details regarding the submission and handling of the monthly status reports.

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Text version

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

1_DATA_ITEM_NO: A001
2_TITLE_OF_DATA_ITEM: CONTRACTING OFFICER'S MANAGEMENT REPORT
3_SUBTITLE: MONTHLY STATUS REPORT
4_AUTHORITY_Data_Acquisit: DI-MGMT-81864A
5_CONTRACT_REFERENCE: C.4.1.3
6_REQUIRING_OFFICE: NSWC DAHLGREN, E10
7_DID_250_REQ: LT
8_APP_CODE: A
DIST_STATEMENT: D(SEE BLK 16)
10_FREQUENCY: MTHLY
11_AS_OF_DATE: See BLK 16
12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16
13_DATE_OF_SUBSEQUENT_SUB: See BLK 16
addressee1: TPOC
draft1: 0
reg1: 1
repro1:
addressee2: CS
draft2: 0
reg2: 1
repro2:
addressee3: COR
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reg3: 1
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16_REMARKS:

BLK 8: THE GOVERNMENT WILL HAVE 10 WORKING DAYS AFTER RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 5 WORKING DAYS TO INCORPORATE COMMENTS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 10 DAYS, SUBMITTAL IS APPROVED.

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE AND OPERATIONAL USE [APR 2021]. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMAND, NAVAL SURFACE WARFARE CENTER, DAHLGREN DIVISION (E10), 4045 HIGLEY ROAD, DAHLGREN, VA 22448-5110.

BLK 11: REPORTING PERIOD SHALL BE SYNCHRONIZED WITH THE CONTRACTOR'S MONTHLY INVOICING CYCLE.

BLK 12-13: FIRST AND SUBSEQUENT SUBMISSIONS ARE DUE NLT 15 DAYS AFTER THE END OF THE REPORTING PERIOD.

BLK 14: REPORT SHALL BE DELIVERED VIA ELECTRONIC MAIL TO THE TPOC, COR AND CONTRACT SPECIALIST (CS), DESIGNATED IN SECTION G, GOVERNMENT CONTRACT ADMINISTRATION POINTS OF CONTRACT AND RESPONSIBILITIES, AND TO THE TECHNICAL POINTS OF CONTACT IDENTIFIED FOR EACH INDIVIDUAL DELIVERY ORDER.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE: 29 July 2021
1_APPROVED_BY:
J_DATE: 29 July 2021
Page:
reg38t: 3
A_CONTRACT_LINE_ITEM_NO: CLIN 0002
B_EXHIBIT: A
TDP:
TM:
OTHER: X - MGMT
DSYSTEMITEM: HEL Rapid Prototyping
E_CONTRACTPR_NO: N0017821R4300
FCONTRACTOR: TBD
of_pages:
Reset:
2021-07-29T11:23:14-0400
MELTON.ZACHARY.DAVID.1388251758
2021-07-29T11:56:14-0400
BLASER.NATHALINE.SWINT.1047400402

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