Exhibit A CDRL A001 Site Survey Report.pdf
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- Solicitation number
- W15P7T-25-R-0016
About this file
This is a DD Form 1423-1 Contract Data Requirements List (CDRL) for data item A001 Site Survey Reports (SSR) related to the SATCOM Terminals Maintenance Support (STMS) contract. The form specifies requirements for site survey reports that must be submitted within 30 calendar days after completion of a site survey, with on-site visits limited to no more than two days.
The CDRL requires submissions in both MS Office document and searchable PDF formats via secure electronic means. Distribution is authorized to US Government agencies and Critical Technology as of February 21, 2010. The reports must be distributed to both the Contracting Officer's Representative (COR) and Contracting Officer (CO), with one draft and one final copy required for each. The authority for this requirement is DI-MISC-82104, referenced under PWS paragraph 3.7.2, with SFAE-CCC-TNC listed as the requiring office.
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Text version
18. ESTIMATED
TOTAL
PRICE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
17. PRICE
GROUP
andrew.p.mcclendon Sticky Note Accepted set by andrew.p.mcclendon andrew.p.mcclendon Sticky Note None set by andrew.p.mcclendon
| Contract Line Item No: TBD | |
| TM: Off | |
| Exhibit: A | |
| TDP: Off | |
| Other: MISC | |
| System/Item: STMS | |
| Contractor: TBD | |
| Contract No: TBD | |
| 2024-02-16T08:27:21-0500 | |
| MAZURICK.JAMES.A.1290391985 |
| Prepared Date: |
| Approved Date_af_date: |
| Page: 1 |
| Of Pages: |
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| Block 16: PREPARATION INSTRUCTIONS: Prepare the required document, in contractor format, in accordance with the cited Data Item Description (DID) and PWS paragraph. On-site visits shall be no more than two (2) days. |
Block 9: DISTRIBUTION B: Distribution to authorize US Government agencies, Critical Technology, 21 Feb 2010. Other requests for this document shall be referred to PdL CSTP, BDLG 6010, APG MD.
Blocks 11, 12 and 13: Submit within 30 calendar days after completion of a site survey.
SUBMISSION: All submissions shall be by secure electronic means (email) in both MS Office document compliant and Searchable Portable Document Format (PDF) form.
DISTRIBUTION: Electronic copies shall be submitted to the Contracting Officer’s Representative and Contracting Officer.
| Data Item Number: A001 |
| Title: Site Survey Reports (SSR) |
| Subtitle: |
| Authority: DI-MISC-82104 |
| Contract Reference: PWS Para. 3.7.2 |
| Requiring Office: SFAE-CCC-TNC |
| DD 250: [LT] |
| Approval Code: [N/A] |
| Dist Statement: [B] |
| Frequency: [ASRQ] |
| As of Date: SEE BLK 16 |
| First Sub: SEE BLK 16 |
| Sub sub: SEE BLK 16 |
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