E01 EXHIBIT A - CO-B-VHI CDRL A001 CERTIFICATE OF COMPLETION.pdf

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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

Certificate of Completion

1. BLK 4: Delete paragraph 10.2 of the DID and prepare IAW this CDRL and the PWS. For each CDRL, provide name and contact information for the person who can verify that services have been completed.

1. BLK 9: The following statement shall be included on the deliverable:

"DISTRIBUTION E. Distribution authorized to DoD Components only to protect information in management reviews, records of contract performance evaluation, or other advisory documents evaluating programs of contractors. Date of determination: 31 May 2024. Other requests for this document shall be referred to CECOM ILSC SAMD, AMEL-LCS-RC, 6565 Surveillance Loop, Aberdeen Proving Ground, MD, 21005."

3. BLK 12: Submit each certificate of completion along with each DD 250 as each CDRL requirement is completed

4. BLK 13: Submit a final Certificate of Completion with a DD250 noting this is the final Certificate of Completion

5. All submittals shall be by electronic transmittal (e-mail) and shall include DD Form 250. All submittals shall be delivered to the addressees identified by the contracting officer.