Exhibit A ACT CDRL List_26Feb2021.pdf
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- ACT W900KK-21-R-0049
- Solicitation number
- W900KK21R0049
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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 .