Exhibit A ACT CDRL List_26Feb2021.pdf

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Attached to
ACT W900KK-21-R-0049
Solicitation number
W900KK21R0049
Issued by

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File Type Posted
ACT W900KK-21-R-0049 Amendment 02.pdf PDF
Att 11 7ATC_ETSD_CFFT_Sustainment_Requirement_MFR_072821.pdf PDF
Exhibit A ACT_CDRLS_29SEP2021.rtf RTF text file
Att 1 ACT_PWS_2022_Recompete_04_Oct_21.docx DOCX document
Att 11 JMRC_AGOS CFFT Sustainment MFR_072221.pdf PDF
Att. 3 Pricing Workbook 09282021.xlsx XLSX spreadsheet
Att 12 DoD OCONUS Tuition Rates.pdf PDF
Att 13 ACT_RFP_Q_A_ 10_07_21.xlsx XLSX spreadsheet
ACT RFP W900KK-21-R-0049 Amendment 01.pdf PDF
ACT PWS App A_092421.xlsx XLSX spreadsheet
Att 10 ACT_CDRLS_29SEP2021.rtf RTF text file
Att. 7 Locations and Wage Determinations 09232021.docx DOCX document
ACT DD 254 Continuation Page.DOCX DOCX document
Supplemental Info ACT_Program_TSS_ENTERPRISE_TADSS_INDEX_CATALOG.pdf PDF
ACT Insturctions for CUI 102320.doc DOC document
Att. 5 Sample Consent Letter.docx DOCX document
Att. 3 Pricing Workbook 08232021.xlsx XLSX spreadsheet
Att. 6 Solicitation Questions_Clarification Form.docx DOCX document
ACT Combined Corrective Maint_Jul_20-Jun_21.pdf PDF
ACT_DRAFTRFP_Q_A_ 9_1_2021.xlsx XLSX spreadsheet
Att. 10 ACT Recompete CDRL List_073021.pdf PDF
Att. 9 Sample DOL Wage Determination Price Adj Request Information.docx DOCX document
Att. 1. ACT_PWS_2022_Recompete_2SEP2021_Final.docx DOCX document
ACT PWS App A_9SEP2021_Final.xlsx XLSX spreadsheet
PWS App. D Data Item Description DID Ref_071521.docx DOCX document
PWS App. E GFP ADDENDUM 07222021.docx DOCX document
Att. 8 Sample DOL Wage Determination Price Adjustment Workbook.xlsx XLSX spreadsheet
Supplemental Info ACT TADSS_082621.xlsx XLSX spreadsheet
Supplemental Info Fort Sill Government Provided Space.pptx PPTX presentation
Att. 2 ACT DD254 17 Mar 2021.pdf PDF
Att. 4 Past Performance Questionnaire.docx DOCX document
Supplemental Info ACT Program Training Device count by serial number 20210816.xlsx XLSX spreadsheet
PWS App. B ACT System Overview_2_17_21.pptx PPTX presentation
Att. 7 Locations and Wage Determinations 08022021.docx DOCX document
PWS App. C ACT Government Furnished Property Master 042221.xlsx XLSX spreadsheet
ACT W900KK-21-R-0049.pdf PDF
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Text version

SFAE-STRI-TSO

6. REQUIRING OFFICE

PWS PARA 3.2.8, 3.8.3.1.1.3

5. CONTRACT REFERENCE

DI-MISC-81419

4. AUTHORITY (Data Acquisition Document No.)

3. SUBTITLE

PERSONNEL REPORT

2. TITLE OF THE DATA ITEM

1. DATA ITEM NO.

F. CONTRACTOR

W900KK-22-C-XXXX

E. CONTRACT/PR NO.

See Block 16

D. SYSTEM/ITEM

TDP

C. CATEGORY

TM OTHER MISC

A

B. EXHIBIT

A. CONTRACT LINE ITEM NO.

LOT 0

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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.

Form Approved OMB No. 0704-0188

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

N/A

8. APP CODE

LT

7. DD 250 REQ

B

9. DIST STATEMENT

REQUIRED

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

11. AS OF DATE

12. DATE OF FIRST

MNTHLY

10. FREQUENCY

Repro Reg

Final

Draft

b. COPIES

a. ADDRESSEE

14. DISTRIBUTION

J. DATE

I. APPROVED BY

H. DATE

G. PREPARED BY

Johnson, Brittney

Block D: Artillery and Chemical TADSS (ACT)

1. Contractor format is acceptable.

2. Submission shall document the manning and staffing levels.

3. BLK 4: The following paragraphs/sections/terminology are not applicable:

Providing names as part of paragraph 10.2.3 is not required.

4. BLK 11/12: 1ST submission shall be due 30 days after contract award.

5. BLK I3: Submission/postings shall continue through life of the contract.

6. Final submission/postings shall be due on the last working day of the Life Cycle Contractor Support (LCCS) service/contract.

7. BLK 14: Submission shall be in Microsoft Office products and submitted/posted to the MIS. Email notification of the posting shall be required.

16. REMARKS

0 0 0 15. TOTAL

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

Page 1 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.3.1

DI-ADMN-81249B

CONFERENCE AGENDA

TM OTHER ADMN

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

ASREQ

2. BLK 11/12/13: Submission shall be due two (2) weeks prior to each scheduled conference, as required through the end of the contract.

3. BLK 14: Submission shall be in Microsoft Office products and submitted/posted to the MIS. Email notification of posting is required.

4. The Government shall have five (5) days for review and acceptance/rejection of each submission.

5. The contractor shall incorporate Government comments for distribution on the day of the conference.

Page 2 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.3.1

DI-ADMN-81250B

Conference Minutes

TM OTHER ADMN

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

1. Contractor format at is acceptable.

2. BLK 11/ 12 / 13 : Submission shall be due seven (7) days after each scheduled conference, as required through the end of the contract

3. BLK 14: Submiss ion shall be in Microsoft Office and submitted /posted to the MIS. Email notification of the posting is required.

4. The Government shall have 10 days for review and acceptance/rejection of each submission.

5. The contractor shall incorporate Government comments within five (5) days and re-submit.

6. Acceptance of any minutes which include information regarding changes in the contract requirements (including Standards, Statement of Works, and Specifications, etc.) does not constitute Government approval of those changes.

Page 3 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.4.3

DI-MISC-80711A

Transition Plan

Scientific and Technical Reports

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

2. Submission shall document the plan for transitioning the LCCS contract requirement from the incumbent and include all aspects of the transition, such as PMO, MIS etc.

3. BLK 4: The following paragraphs/sections/terminology are not applicable;

paragraphs 10.2

4. BLK 11 / 12: 1ST submission shall be due at the start of the Phase-In-Period/Mobilization period and be a copy of the plan delivered with the Government accepted proposal and contain any changes/ updates since contract award.

5. BLK 13: Subsequent submissions/revisions due as additional information and lessons learned are gathered during the Phase- In-Period/Mobilization. Final submission due 30 days after completion of the Phase-In-Period/ Mobilization period documenting all lessons learned.

6. BLK 14: Submission shall be in Microsoft Office products and submitted/posted to the MIS. Email notification of the posting shall be required.

7. The Government shall have 15 days for review and acceptance/rejection of each submission.

8. The contractor shall incorporate Government comments within 10 days and re-submit.

Page 4 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.8.1.1.2

DI-ILSS-80872

Training Materials

TM OTHER ILSS

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

ONE/R

2. BLK 4: Shall be used as guidance in the development of the instructional/training materials on the use of the Management Information System. The following paragraph s/sections/terminology arc not applicable:

a. Reference to ·'The training materials should be for students... a basic knowledge of hand tools" ( Paragraph I0.1)

b. Paragraph 10.2.1.2, 10.2.1.4, 10.2.1.5, 10.2.1.6, and 10.2.1.7

3. . BLK 11 /12: Submission shall be due 30 days after the completion of the Phase-In-Period.

4. BLK 13: Subsequent submission/updates shall be due within 30 days of requisite change to the MIS and shall continue through life of the contract.

5. Submission shall be a multi-media "take home" training package that can be loaded/run on any Windows Personnel Computer.

6. Final submission/posting shall be due on the last working day of the Life Cycle Contractor Support (LCCS) service/contract.

7. BLK 14: Submission shall be posted to the Management Information System (MIS) for download and review. Email notification of posting is required.

8. The Government will have 30 days for review and acceptance/reject ion of each submission/posting. The Government will respond only as necessary.

9. The contractor shall have 10 days to incorporate or respond to Government comments and repost.

Page 5 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.8.3.1.1.1

DI-MISC-81392

Monthly Status Report

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

Block 2: Contractor Operation and Maintenance of Simulators/Equipment Management Sta

1. Contractor format is acceptable.

2. The Monthly Status Report shall document and summarize operation, maintenance, and utilization management information for compliance reporting.

3. BLK 4: The following paragraphs /sections/terminology are not applicable:

a. Any reference to " Fire Fighter Training Devices" and "FFTD" shall be interpreted as "training device"

b. Paragraph I0. 2.3.5.15

4. BLK 11 / 12 : Submission shall be due 30 days after the start of the Phase-In-Period/Mobilization.

5. BLK 13: Submission/ updates shall continue monthly through life of the contract.

6. Each submission/ posting shall be provided to the applicable device TOR for review/comment three (3) working days after the end of the monthly reporting period and posted to the MIS two (2) working days after TOR review/comment.

7. Final submission/posting shall be due on the last working day of the Life Cycle Contractor Support (LCCS) service /contract.

8. BLK 14: Submission shall be in Microsoft Office products and posted to the MIS. Email notification of the posting is required.

9. The Government will have 10 days for review and acceptance/rejection of each submission/posting. The Government will respond only as necessary.

I0 . The contractor shall have 5 days to incorporate or respond to Government comments.

Page 6 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.9.2.4.2.1.2

TDSP Recommendations

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

2. Submission shall consist of recommendations for changes to the existing TADSS baselines (TDSP, MSP, etc).

3. TDSP Verification comments shall include applicable " redlines" with the following:

a. Publication #

b. List of Discrepancies

e. Verification Method

d. Suggested corrections

e. Page #/Drawing # verified

f. Paragraph #/Sheet # verified

4. BLK 11/12: Submission shall be due As Required (ASREQ) after the completion of the Phase-In-Period/Mobilization.

5. BLK 13: Subsequent submission shall be ASREQ and continue through the life of the contract.

6. Final submission shall be due on the last working day of the contract.

7. BLK 14: Submission shall be submitted/posted to the MIS. Email notification of the posting is required.

8. The Government will have 10 days for review and acceptance/rejection of each submission/ posting. The Government will respond only as necessary.

Page 7 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.9.4.1

DI-MGMT-80259

Physical Inventories Report

TM OTHER MGMT

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

1. Contractor format acceptable.

2. Submission shall establish the baseline inventory of the Government Furnished Property (GFP) and the contractor furnished inventories to establish the consolidated inventory baseline.

3. BLK 11/12: 1ST Submission shall be in Microsoft Office products and be due at the completion of the Phase-In/Mobilization Period.

4. BLK 13 : Subsequent submissions/revisions due within 30 days of change to the baseline inventory and continue through the life of the contract. Final submission/posting shall be due on the last working day of the contract.

5. BLK 14 : Submission shall be posted to the MIS. Email notification of the posting is required.

6. Submission shall be used for the conduct and documenting of the annual inventories.

7. The Government shall have 10 days for review and acceptance/rejection of each submission. The Government will respond only if necessary.

8. The contractor shall incorporate Government comments within 10 days and

Page 8 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.8.3.1.1.2, 3.9.5.5

DI-MISC-81107A

Inventory/Utilization Data Report

LOT 1

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

2. Submission shall use the baseline inventory established via the "Physical Inventory Report" and document the fluctuations/changes of the inventory due to consumption, maintenance, replacement. re-order etc to create a rolling/real-time inventory.

3. BLK 11/ 12: 1ST Submission shall be in Microsoft Office products and be due monthly starting at the completion of the Phase-In-Period/Mobilization.

4. BLK 13: Subsequent submissions/revisions due daily and continue through the life of the contract. Final submission/posting shall be due on the last working day of the contract.

5. BLK 14 : Submission shall be posted to the MIS.

6. The Government shall have 10 days for review and acceptance/ rejection of each submission.

7. The contractor shall incorporate Government comments within 10 days and

Page 9 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.10.2

DI-ILSS-80191D

Readiness Report

Contractor Device Performance Report

TM OTHER ILSS

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

2. The Readiness Report shall list the status/condition of each device, trainer, and system supported for compliance reporting.

3. BLK 4: The following paragraphs/sections/terminology are not applicable:

a. Paragraph 10.2.2

4. BLK 11 /12: Submission shall be due 30 days after the completion of the Phase-In-Period/Mobilization.

5. BLK 13 : Submission/postings shall continue through life of the contract.

6. Final submission/posting shall be due on the last working day of the Life Cycle Contractor Support (LCCS) service/contract.

7. BLK 14: Submission shall be in Microsoft Office products and posted to the MIS. Email notification of the posting is required.

8. The Government will have 10 days for review and acceptance/rejection of each submission/posting. The Government will respond only as necessary.

9. The contractor shall have 5 days to incorporate or respond to Government comments.

10. Annex to Exhibit 010 applies.

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

PWS PARA 3.10.5

DI-SESS-81315B

TM OTHER SESS

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

Block 2: FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT (FRACAR)

1. Contractor format is acceptable.

2. Submission shall provide status of downtime and/or trend in failures in the maintenance area.

3. BLK 11/12: Submission shall be due seven (7) days after the occurrence of the downtime and/or trends in failures are suspected.

4. BLK 13: Submission shall be in Microsoft Office products ASREQ.

5. BLK 14: Submission shall be submitted/ posted to the MIS.

6. The Government shall have 10 days for review and acceptance/rejection of each submission.

7. The contractor shall have 5 days to respond to Government comments and repost.

Page 11 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.10.10.1

PMCS

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

ANNLY

2. Submission shall provide a schedule for preventive maintenance.

3. BLK 11 /12: 1ST submission shall be due 60 days after the Phase-In-Period/Mobilization period.

4. BLK 13: Subsequent submissions/revisions due 30 days prior to each option year.

5. BLK 14: Submission shall be in Microsoft Office products and submitted/posted to the MIS. Email notification of the posting shall be required.

6. The Government shall have 30 days for review and acceptance/rejection of each submission.

7. The contractor shall incorporate Government comments within 10 days and

Page 12 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.10.10.2

DI-MISC-81392

Corrective Maintenance

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

Block 2: Contractor Operation and Maintenance of Simulators/Equipment Management Sta

1. Contractor format is acceptable.

2. Corrective Maintenance shall document and summarize the corrective maintenance operation management information for compliance reporting.

3. BLK 4: The following paragraphs/sections/terminology are not applicable:

a. Any reference to 'Fire Fighter Training Devices" and " FFTD" shall be interpreted as "training device"

b. Paragraph 10.2.3.5.15

4. BLK 11 / 12: Submission shall be due 30 days after the start of the Phase-In-Period/Mobilization.

5. BLK 13: Submission/updates shall continue monthly through life of the contract.

6. Each submission/posting shall be provided to the applicable device TOR for review/comment three (3) working days after the end of the monthly reporting period and posted to the MIS two (2) working days after TOR review/comment.

7. Final submission/posting shall be due on the last working day of the Life Cycle Contractor Support (LCCS) service/contract.

8. BLK 14: Submission shall be in Microsoft Office products and posted to the MIS. Email notification of the posting is required.

9. The Government will have 10 days for review and acceptance/rejection of each submission/posting. The Government will respond only as necessary.

IO. The contractor shall have 5 days to incorporate or respond to Government comments.

Page 13 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.10.12

DI-CMAN-80639C

Engineering Change Proposal (ECP)

TM OTHER CMAN

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

2. The ECP shall document recommended configuration changes to the TADSS and associated MSP.

3. BLK 13: Submission shall be in Microsoft Office products ASREQ and continue throughout the life of the contract

4. BLK 14: Submission shall resubmitted/posted to the MIS. Email notification of posting is required.

5. The Government will have 10 days for review and acceptance/rejection of each submission/posting. The Government will respond only as necessary.

6. The contractor shall have 5 days to incorporate or respond to Government comments

Page 14 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.10.13.1

Contract Modification Request (CMR)

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

2. Submission shall provide a report of Contract Modification Request Requirements.

3. BLK 13 : Submission shall be in Microsoft Office products ASREQ and continue through the life of the contract.

4. BLK 14: Submission shall be submitted/posted to the MIS. Email notification of posting is required .

5. The Government shall have 30 days for review and acceptance/rejection of each submission.

6. The contractor shall incorporate Government comments within 10 days and

Page 15 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.10.14

DI-QCIC-81379

Quality System Plan

TM OTHER QCIC

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

Block 3: Quality Assurance Surveillance Plan (QASP)

1. Contractor format is acceptable.

2. BLK 11/12: 1ST submission shall be due 30 days after contract award.

3. BLK 13: Subsequent/update submissions shall be due 30 days after each option exercise as changes occur and continue through out the life of the contract. Final submission shall be due on the last working day of the contract.

4. BLK 14: Submission shall be in Microsoft Office products and posted to the MIS. Email notification of the posting is required.

5. The Government shall have 30 days for review and acceptance/rejection of each submission.

6. The contractor shall incorporate Government comments within 15 days and

Page 16 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.13.2

DI-SAFT-81563

Accident/Incident Report

TM OTHER SAFT

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

2. BLK 11/12/13: Submission shall be due within 24 hours of any accident/incident, as required, and continue through out the contract.

3. BLK 14: Submission shall be in Microsoft Office products and submitted/posted to the MIS. Email notification of the posting is required.

Final submission/posting shall be due on the last working day of the Life Cycle Contractor Support (LCCS) service/contract.

4. The Government shall have 5 days for review and acceptance/rejection of each submission.

5. The contractor shall incorporate Government comments within 5 days and

Page 17 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.13.4

Material Safety Data Sheets (MSDS)

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

1. BLK 11/12: Submission shall be due at the completion of the Phase-In Period/Mobilization.

2. Submission shall be the MSDS to support the operation and maintenance of the TADSS.

3. BLK 13: Subsequent submissions due as new/additional hazardous materials are added to the support inventory.

4. BLK 14: Submission shall be in Microsoft Office products and located on site, as appropriate, with a duplicate submission posted to the MIS. Email notification of the posting is required. Email notification of the posting is required.

5. The Government shall have 15 days for review and acceptance/rejection of each submission.

6. The contractor shall incorporate Government comments within 15 days and

Page 18 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

PWS PARA 3.6

DI-FNCL-80912A

Performance and Cost Report

TM OTHER FNCL

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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

2. Submission shall document status of all obligated funds associated with the contract to include payments, cancellations and invoices against each contract line item number (CLIN).

3. BLK 4: The following paragraphs/sections/terminology are not applicable:

a. Paragraph 10.2.3.

4. BLK 11/12: Submission shall be due 30 days after the completion of the Phase-In-Period/ Mobilization.

5. BLK 13: Submission/ postings shall continue through life of the contract.

6. Final submission/posting shall be due on the last working day of the Life Cycle Con tractor Support ( LCCS) service/contract.

7. BLK 14: Submission shall be in Microsoft Office products and submitted/ posted to the MIS. Email notification of the posting shall be required.

Page 19 of 19 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

File details come from the government source that posted it. Updated .