Attachment_4E_-_PWS_Appendix_E_DD1423-2_Contract_Data_Requirements_List.pdf

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Attached to
AFICA Systems Engineering and Technical Assistance (SETA) V Federal contract opportunity
Solicitation number
FA0021-15-R-0004
Issued by
Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

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Attachment 4E

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Other files attached to AFICA Systems Engineering and Technical Assistance (SETA) V, newest first.
File Type Posted
FA0021-15-R-0004_Conformed_Copy_dated_21_May_2015.pdf PDF
FA0021-15-R-0004_Amendment_005.pdf PDF
SETA_V_Final_RFP_Q A_Part_4.pdf PDF
FA0021-15-R-0004_Conformed_Copy_dated_19_May_2015.pdf PDF
Attachment_1_-_On-Site_Fully_Burdened_Labor_Rates_(revised).xlsx XLSX spreadsheet
Attachment_6_-_Total_Evaluated_Price_(revised).xlsx XLSX spreadsheet
FA0021-15-R-0004_Conformed_Copy_dated_13_May_2015.pdf PDF
SETA_V_Final_RFP_Q A_Part_3.pdf PDF
FA0021-15-R-0004_Amendment_002.pdf PDF
SETA_V_Final_RFP_Q A_Part_2.pdf PDF
Attachment_7_-_Past_Performance_Questionnaire_rvsd.pdf PDF
FA0021-15-R-0004_Conformed_Copy_dated_11_May_2015.pdf PDF
Attachment_6_-_Total_Evaluated_Price_(revised).xlsx XLSX spreadsheet
FA0021-15-R-0004_Conformed_Copy_dated_4_May_2015.pdf PDF
Attachment_1_-_On-Site_Fully_Burdened_Labor_Rates_(revised).xlsx XLSX spreadsheet
FA0021-15-R-0004_Amendment_001.pdf PDF
SETA_V_Final_RFP_Q A.pdf PDF
Attachment_4_-_PWS.pdf PDF
Attachment_4A_-_PWS_Appendix_A_Mission_Description.pdf PDF
Attachment_3_-_Labor_Categories.pdf PDF
Attachment_5B_-_BWD2005-2518Rev19.pdf PDF
Attachment_8_-_Present_and_Past_Performance_Citations.doc DOC document
Attachment_5A_-_WD2005-3033Rev14.pdf PDF
Attachment_4E(1)_-_PWS_Appendix_E_Addendum_1.xls XLS spreadsheet
Attachment_9_-_Consent_Letter.doc DOC document
Attachment_4F_-_PWS_Appendix_F_Acronyms.pdf PDF
Attachment_10_-_PPQRecipientList.doc DOC document
SETA_V_RFP_FA0021-15-R-0004.pdf PDF
Attachment_4C_-_PWS_Appendix_C_OCONUS_LOA.pdf PDF
Attachment_6_-_Total_Evaluated_Price.xlsx XLSX spreadsheet
Attachment_7_-_Present_and_Past_Performance_Questionnaire_ _Cover_Letter.pdf PDF
Attachment_11_-_Financial_Responsibility_Questionnaire.doc DOC document
Attachment_4D_-_PWS_Appendix_D_DD254wAdd.pdf PDF
Q A.pdf PDF
SETA_V_RFP_Draft_20Feb2015.pdf PDF
DAtch04AASETAVPWS 1 .pdf PDF
DAtch04AppECDRLSA014Add1(1).xls XLS spreadsheet
DAtch04AppBLOIBlank 1 .pdf PDF
Draft_RFP_SETA_V_14_Nov.pdf PDF
DAtch03LaborCategories 1 .pdf PDF
DAtch07_Cost_Workbook_SETA_V_14_NOV.xlsx XLSX spreadsheet
DAtch04AppFAcronyms 1 .pdf PDF
DAtch04AppAMissDesc 1 .pdf PDF
DAtch12PPQRecipientList 1 .pdf PDF
DAtch04AppCOCONUSLOA 1 .pdf PDF
DAtch04AppDDD254wAdd 1 .pdf PDF
DAtch10PPCitationList 1 .pdf PDF
DAtch01ALaborRateTableHurlburt 1 .pdf PDF
DAtch01BLaborRateTableCannon 1 .pdf PDF
DAtch11PPConsentLtr 1 .pdf PDF
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CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

Attachment 4E

29 January 2015

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

15. TOTAL

16. REMARKS

G. PREPARED BY

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

PREVIOUS EDITION MAY BE USED.DD FORM 1423-2, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

15. TOTAL

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

3. SUBTITLE

The public reporting burden for this collection of information is estimated to average 220 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

FA0021-15-R-0004

SETA V dd1423-2 pg 1
SETA V dd1423-2 pg 2
SETA V dd1423-2 pg 3
SETA V dd1423-2 pg 4
SETA V dd1423-2 pg 5
SETA V dd1423-2 pg 6
SETA V dd1423-2 pg 7
SETA V dd1423-2 pg 8
SETA V dd1423-2 pg 9
A Contract No: 0005
A B EXHIBIT: a
A TDP:
A TM:
A OTHER: DoD 5010.12-L
A System: HQ AFSOC SETA V Contract
A E CONTRACTPR NO:
A F CONTRACTOR: TBD
A Data Item Number: A001
A TITLE OF DATA ITEM: STATUS REPORT
A SUBTITLE: MONTHLY STATUS REPORT
A PRICE GROUP:
A AUTHORITY: DI-MGMT-80368A
A CONTRACT REFERENCE: PWS Para 1.5.10.1, 1.5.10.2.1
A REQUIRING OFFICE: AFICA/765 SCONF
A DD250REQ: LT
A 18 ESTIMATED TOTAL PRICE:
A 9 DIST STATEMENT REQUIRED: E
A10 FREQUENCY: MTHLY
A12 DATE OF FIRST SUBMISSION: ASREQ
AAPP CODE: N/A
A11 AS OF DATE: EOM
A13 DATE OF SUBSEQUENT SUBMISSION: ASREQ
ADraftRow1:
ARegRow1:
AREMARKS: Blk 3: Include Task Order (TO) Title and Number for TO Reports.

Blk 4: Contractor format acceptable. Para 3.2.3 is amended to add (at the TO level): Include cumulative price/cost information by CLIN in addition to the reporting period. Include status of funds expended/remaining. Annual Reporting for VPP.

Blk 7: Inspection and Acceptance by using organization is automatic unless otherwise stated in TO PWS.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5407.

Blks 12 and 13: First submission shall be NLT the 15th of the month after the first full month of performance. Subsequent submissions shall be monthly NLT the 15th of each month.

Blk 14: As required in each TO PWS

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DATA ITEM NO: A002
A2 TITLE OF DATA ITEM_2: UNOFFICIAL TRAVEL REPORTS
A3 SUBTITLE_2: TRIP REPORT
A17 PRICE GROUP_2:
AAUTHORITY a: DI-MISC-81368
A5 CONTRACT REFERENCE_2: MTHLY
6 REQUIRING OFFICE_2: AFICA/765 SCONF
ADD250REQ_2: NO
A18 ESTIMATED TOTAL PRICE_2:
A9 DIST STATEMENT REQUIRED_2: E
A10 FREQUENCY_2: MTHLY
A12 DATE OF FIRST SUBMISSION_2: ASREQ
AAPPCODE_2: N/A
A11 AS OF DATE_2: EOM
A13 DATE OF SUBSEQUENT SUBMISSION_2: ASREQ
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AADDRESSEE: ASREQ
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ARemarks 2: Blk 3: Include TO Title and Number.

Blk 4: Contractor format acceptable. Paragraphs 10.2.1 and 10.2.2 are deleted, and replaced as follows: 10.2.1 Each trip report shall cover one trip. 10.2.2 Purpose of travel (Short Title) 10.2.3 Travelers 10.2.4 Itinerary - Dates/Location 10.2.5 List of Contacts or Attendees 10.2.6 Discussion / Overview 10.2.7 Recommendations / Conclusion / Summary Blk 9: Distribution authorized DoD component only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 12 and 13: As required in TO PWS. If not indicated, include trip reports as attachments to CDRL A001.

Blk 14: Distribution will be as identified in TO PWS.

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APREPARED BY: KURT N. BUCHANAN
AH DATE:
AI APPROVED BY: MARTIN A. MUNIZ
ADATE:
AText20: 1
AText21: 9
BContract No: 0005
B EXHIBIT: A
BTDP:
B TM:
B OTHER: DoD 5010.12-L
BSystem: HQ AFSOC SETA V Contract
BE CONTRACTPR NO:
BF CONTRACTOR: TBD
Data Item Number: A003
2 TITLE OF DATA ITEM: TRAINING MATERIALS
3 SUBTITLE2: ASREQ
17 PRICE GROUP2:
AUTHORITY2: DI-ILSS-80872
5 CONTRACT REFERENCE2: PWS 1.5.10.1
6 REQUIRING OFFICE2: AFICA/765 SCONF
DD250REQ2: LT
18 ESTIMATED TOTAL PRICE2:
9 DIST STATEMENT REQUIRED2: E
10 FREQUENCY2: MTHLY
12 DATE OF FIRST SUBMISSION2: ASREQ
APP CODE2: N/A
11 AS OF DATE2: EOM
13 DATE OF SUBSEQUENT SUBMISSION2: ASREQ
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REMARKS2: Blk 3: Include TO Title and Number.

Blk 4: Contractor format acceptable.

Blk 7: Inspection and Acceptance by using organization is automatic unless otherwise stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS. Government approval is automatic unless dispproval is provided within 30 calendar days after receipt.

Blks 9, 10, 11, 12, 13, and 14: As required in each TO PWS

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DATA ITEM NO2: A004
2 TITLE OF DATA ITEM_22: TECHNICAL REPORT - STUDY/SERVICES
3 SUBTITLE_22: ASREQ
17 PRICE GROUP_22:
AUTHORITY a2: DI-MISC-80508B
5 CONTRACT REFERENCE_22: PWS Para 1.5.10.1
6 REQUIRING OFFICE_22: AFICA/765 SCONF
DD250REQ_22: LT
18 ESTIMATED TOTAL PRICE_22:
9 DIST STATEMENT REQUIRED_22: E
10 FREQUENCY_22: ASREQ
12 DATE OF FIRST SUBMISSION_22: ASREQ
APPCODE_22: A
11 AS OF DATE_22: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION_22: ASREQ
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ADDRESSEE2: ASREQ
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Remarks 22: Blk 3: As specified on each TO. Include TO Title and Number.

Blk 4: Contractor format acceptable.

Blk 7: Inspection and Acceptance by using organization is automatic unless otherwise stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS. Government approval is automatic if disapproval is not provided within 30 calendar days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 10, 11, 12, 13, 14: As required in each TO PWS.

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PREPARED BY2: KURT N. BUCHANAN
H DATE2:
I APPROVED BY2: MARTIN A. MUNIZ
DATE2:
Text202: 2
Text212: 9
Contract No3: 0005
B EXHIBIT3: A
TDP3:
TM3:
OTHER3: DoD 5010.12-L
System3: HQ AFSOC SETA V Contract
E CONTRACTPR NO3:
F CONTRACTOR3: TBD
Data Item Number3: A005
2 TITLE OF DATA ITEM3: CONFERENCE AGENDA
3 SUBTITLE3: ASREQ
17 PRICE GROUP3:
AUTHORITY3: DI-ADMIN-81249A
5 CONTRACT REFERENCE3: PWS Para 1.5.10.1
6 REQUIRING OFFICE3: AFICA/765 SCONF
DD250REQ3: LT
18 ESTIMATED TOTAL PRICE3:
9 DIST STATEMENT REQUIRED3: ASREQ
10 FREQUENCY3: ASREQ
12 DATE OF FIRST SUBMISSION3: ASREQ
APP CODE3: A
11 AS OF DATE3: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION3: ASREQ
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REMARKS3: Blk 3: Include Conference Name, TO Title and Number.

Blk 7: Inspection and Acceptance by using organization as stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS. Government approval is automatic if disapproval is not provided within 30 calendar days after receipt.

Blks 9, 10, 11, 12, 13, and 14: As required in each TO PWS.

ADDRESSEE: ASREQ
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DATA ITEM NO3: A006
2 TITLE OF DATA ITEM_23: CONFERENCE MINUTES
3 SUBTITLE_23: ASREQ
17 PRICE GROUP_23:
AUTHORITY a3: DI-ADMIN-81250A
5 CONTRACT REFERENCE_23: PWS Para 1.5.10.1
6 REQUIRING OFFICE_23: AFICA/765 SCONF
DD250REQ_23: NO
18 ESTIMATED TOTAL PRICE_23:
9 DIST STATEMENT REQUIRED_23: ASREQ
10 FREQUENCY_23: ASREQ
12 DATE OF FIRST SUBMISSION_23: ASREQ
APPCODE_23: N/A
11 AS OF DATE_23: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION_23: ASREQ
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Remarks 23: Blk 3: Include Conference Name, TO Title and Number.

Blk 4: Para 10.2e amended to add e-mail addresses of attendees.

Blks 9, 10, 11, 12, 13, and 14: As required in each TO PWS.

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PREPARED BY3: KURT N. BUCHANAN
H DATE3:
I APPROVED BY3: MARTIN A. MUNIZ
DATE3:
Text2033333: 3
Text2133333: 9
Contract No4: 0005
B EXHIBIT4: A
TDP4:
TM4:
OTHER4: DoD 5010.12-L
System4: HQ AFSOC SETA V Contract
E CONTRACTPR NO4:
F CONTRACTOR4: TBD
Data Item Number4: A007
2 TITLE OF DATA ITEM4: SCIENTIFIC AND TECHNICAL REPORTS
3 SUBTITLE4: ASREQ
17 PRICE GROUP4:
AUTHORITY4: DI-MISC-80711A
5 CONTRACT REFERENCE4: PWS Para 1.5.10.1
6 REQUIRING OFFICE4: AFICA/765 SCONF
DD250REQ4: LT
18 ESTIMATED TOTAL PRICE4:
9 DIST STATEMENT REQUIRED4: E
10 FREQUENCY4: ASREQ
12 DATE OF FIRST SUBMISSION4: ASREQ
APP CODE4: A
11 AS OF DATE4: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION4: ASREQ
REMARKS4: Blk 3: Include report subject, TO Title and Number.

Blk 4: Contractor format acceptable.

Blk 7: Inspection and Acceptance by using organization as stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS. Government approval is automatic if disapproval is not provided within 30 calendar days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 10, 11, 12, 13, and 14: As required in each TO PWS.

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DATA ITEM NO4: A008
2 TITLE OF DATA ITEM_24: SOFTWARE TEST DESCRIPTION (STD)
3 SUBTITLE_24: ASREQ
17 PRICE GROUP_24:
AUTHORITY a4: DI-IPSC-81439A
5 CONTRACT REFERENCE_24: PWS Para 1.5.10.1
6 REQUIRING OFFICE_24: AFICA/765 SCONF
DD250REQ_24: LT
18 ESTIMATED TOTAL PRICE_24:
9 DIST STATEMENT REQUIRED_24: E
10 FREQUENCY_24: ASREQ
12 DATE OF FIRST SUBMISSION_24: ASREQ
APPCODE_24: A
11 AS OF DATE_24: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION_24: ASREQ
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ADDRESSEE4: ASREQ
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Remarks 24: Blk 3: Include Software Test Name, TO Title and Number.

Blk 4: Contractor format acceptable. Particulars to be specified in each TO.

Blk 7: Inspection and Acceptance by using organization as stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS. Government approval is automatic if disapproval is not provided within 30 days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 10, 11, 12, 13, and 14: As required in each TO PWS.

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PREPARED BY4: KURT N. BUCHANAN
H DATE4:
I APPROVED BY4: MARTIN A. MUNIZ
DATE4:
Text204: 4
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Contract No5: 0005
B EXHIBIT5: A
TDP5:
TM5:
OTHER5: DoD 5010.12-L
System5: HQ AFSOC SETA V Contract
E CONTRACTPR NO5:
F CONTRACTOR5: TBD
Data Item Number5: A009
2 TITLE OF DATA ITEM5: TEST PLANS/PROCEDURES
3 SUBTITLE5: ASREQ
17 PRICE GROUP5:
AUTHORITY5: DI-NDTI-80808
5 CONTRACT REFERENCE5: PWS Para 1.5.10.1
6 REQUIRING OFFICE5: AFICA/765 SCONF
DD250REQ5: LT
18 ESTIMATED TOTAL PRICE5:
9 DIST STATEMENT REQUIRED5: E
10 FREQUENCY5: ASREQ
12 DATE OF FIRST SUBMISSION5: ASREQ
APP CODE5: A
11 AS OF DATE5: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION5: ASREQ
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REMARKS5: Blk 3: Include Test Name, TO Title and Number.

Blk 4: Contractor format acceptable.

Blk 7: Inspection and Acceptance by using organization is automatic unless otherwise stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS. Government approval is automatic if disapproval is not provided within 30 calendar days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 10, 11, 12, 13, and 14: As required in each TO PWS.

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DATA ITEM NO5: A010
2 TITLE OF DATA ITEM_25: INSPECTION AND TEST PLAN
3 SUBTITLE_25: ASREQ
17 PRICE GROUP_25:
AUTHORITY a5: DI-QCIC-81110
5 CONTRACT REFERENCE_25: PWS Para 1.5.10.1
6 REQUIRING OFFICE_25: AFICA/765 SCONF
DD250REQ_25: LT
18 ESTIMATED TOTAL PRICE_25:
9 DIST STATEMENT REQUIRED_25: E
10 FREQUENCY_25: ASREQ
12 DATE OF FIRST SUBMISSION_25: ASREQ
APPCODE_25: A
11 AS OF DATE_25: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION_25: ASREQ
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ADDRESSEE5: ASREQ
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Remarks 25: Blk 3: Include Test Name, TO Title and Number.

Blk 4: Contractor format acceptable.

Blk 7: Inspection and Acceptance by using organization is automatic unless otherwise stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS. Government approval is automatic if disapproval is not provided within 30 calendar days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 10, 11, 12, 13, and 14: As required in each TO PWS.

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PREPARED BY5: KURT N. BUCHANAN
H DATE5:
I APPROVED BY5: MARTIN A. MUNIZ
DATE5:
Text205: 5
Text215: 9
Contract No6: 0005
B EXHIBIT6: A
TDP6:
TM6:
OTHER6: DoD 5010.12-L
System6: A011
E CONTRACTPR NO6:
F CONTRACTOR6: TBD
Data Item Number6: A011
2 TITLE OF DATA ITEM6: TEST/INSPECTION REPORTS
3 SUBTITLE6: ASREQ
17 PRICE GROUP6:
AUTHORITY6: DI-NDTI-80809B
5 CONTRACT REFERENCE6: PWS Para 1.5.10.1
6 REQUIRING OFFICE6: AFICA/765 SCONF
DD250REQ6: LT
18 ESTIMATED TOTAL PRICE6:
9 DIST STATEMENT REQUIRED6: E
10 FREQUENCY6: ASREQ
12 DATE OF FIRST SUBMISSION6: ASREQ
APP CODE6: A
11 AS OF DATE6: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION6: ASREQ
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REMARKS6: Blk 3: Include Test name, TO Title and Number.

Blk 4: Contractor format acceptable. Reports shall include a complete record of the work and analyses performed under terms of the task.

Blk 7: Inspection and Acceptance by using organization is automatic unless otherwise stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS. Government approval is automatic if disapproval is not provided within 30 calendar days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 10, 11, 12, 13, and 14: As required in each TO PWS.

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15 TOTAL6: 0
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DATA ITEM NO6: A012
2 TITLE OF DATA ITEM_26: PRESENTATION MATERIAL
3 SUBTITLE_26: ASREQ
17 PRICE GROUP_26:
AUTHORITY a6: DI-ADMIN-81373
5 CONTRACT REFERENCE_26: PWS Para 1.5.10.1, 1.5.10.2.6
6 REQUIRING OFFICE_26: AFICA/765 SCONF
DD250REQ_26: LT
18 ESTIMATED TOTAL PRICE_26:
9 DIST STATEMENT REQUIRED_26: E
10 FREQUENCY_26: ASREQ
12 DATE OF FIRST SUBMISSION_26: ASREQ
APPCODE_26: A
11 AS OF DATE_26: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION_26: ASREQ
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Remarks 26: Blk 3: Subtitle shall reflect TO Title and Number, or Program Management Report, as appropriate.

Blk 4: Contractor format acceptable; approval of contractor insignia, trade names or symbols, and delivery media format will be as indicated in TO PWS.

Blk 7: Inspection and Acceptance by using organization is automatic unless otherwise stated in TO PWS.

Blk 8: Reviewing activity as stated in TO PWS for TO level reporting, or AFICA/765 SCONF for contact level reporting. Government approval is automatic if disapproval is not provided within 30 calendar days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 10, 11, 12, 13, and 14: As required in each TO PWS for TO level reporting. For contract level reporting, frequency is semi-annual, as of the end of the 6-month reporting period, first submission due 195 DAC, and subsequent submissions due within 30 calendar days after end of each reporting period.

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PREPARED BY6: KURT N. BUCHANAN
H DATE6:
I APPROVED BY6: MARTIN A. MUNIZ
DATE6:
Text206: 6
Text2166: 9
Contract No7: 0005
B EXHIBIT7: A
TDP7:
TM7:
OTHER7: DoD 5010.12-L
System7: HQ AFSOC SETA V Contract
E CONTRACTPR NO7:
F CONTRACTOR7: TBD
Data Item Number7: A013
2 TITLE OF DATA ITEM7: SOFTWARE USER MANUAL (SUM)
3 SUBTITLE7: None
17 PRICE GROUP7:
AUTHORITY7: DI-IPSC-81443A
5 CONTRACT REFERENCE7: Identified in individual TO as required
6 REQUIRING OFFICE7: AFICA/765 SCONF
DD250REQ7: LT
18 ESTIMATED TOTAL PRICE7:
9 DIST STATEMENT REQUIRED7: E
10 FREQUENCY7: ASREQ
12 DATE OF FIRST SUBMISSION7: ASREQ
APP CODE7: A
11 AS OF DATE7: ASREQ
13 DATE OF SUBSEQUENT SUBMISSION7: ASREQ
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RegRow17:
REMARKS7: Blk 3: Include Software System Name and TO Title and Number

Blk 4: Contractor format acceptable; to be delivered in both paper and electronic media, as specified in TO PWS. Government approval is required for review of draft prior to submission of final when a final is required.

Blk 9: Distribution authorized DoD components only ADMINISTRATIVE-OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5407.

Blks 10, 11, 12, 13, and 14: As required in each TO PWS for TO level reporting

ADDRESSEE7: IDENTIFIED ON
ADDRESSEE17: INDIVIDUAL
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ADDRESSEE27: TASK ORDER
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15 TOTAL7: 0
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DATA ITEM NO7: A014
2 TITLE OF DATA ITEM_27: PERFORMANCE AND COST REPORT
3 SUBTITLE_27: MANPOWER MANAGEMENT REPORT
17 PRICE GROUP_27:
AUTHORITY a7: DI-FNCL-80912
5 CONTRACT REFERENCE_27: PWS Para 1.5.10.2.3
6 REQUIRING OFFICE_27: AFICA/765 SCONF
DD250REQ_27: NO
18 ESTIMATED TOTAL PRICE_27:
9 DIST STATEMENT REQUIRED_27: E
10 FREQUENCY_27: MTHLY
12 DATE OF FIRST SUBMISSION_27: ASREQ
APPCODE_27: A
11 AS OF DATE_27: EOM
13 DATE OF SUBSEQUENT SUBMISSION_27: ASREQ
DraftRow1_27:
ADDRESSEE47: ASREQ
RegRow1_27:
Remarks 27: Blk 4: Contractor format acceptable, in TO number order.

Blk 10.2.1 Amended: Use Microsoft Excel format similar to the example in Addendum #1 to CDRL A014, as long as the same information from the example is furnished.

Blk 10.2.2 is deleted as it is included in CDRL A014. Replace with 10.2.2. Revised: Mark report as Proprietary.

10.2.4 Added: Include a separate listing of personnel, by TO #, TO Title, Employee name, current as of date of report.

Blk 8: Verbal or E-mail by Government for initial submission only. Subsequent submissions may use same formate.

Blk 9: Distribution authorized DoD components only. PROPRIETARY INFORMATION. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blks 12 and 13: First submission shall be NLT the 15th of the month after the first full month of performance. Subsequent submissions shall be monthly NLT the 15th of each month.

Blk 14: One editable electronic copy of the entire document, one hard copy of the current month only.

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Text177:
PREPARED BY7: KURT N. BUCHANAN
H DATE7:
I APPROVED BY7: MARTIN A. MUNIZ
DATE7:
Text207: 7
Text217: 9
Contract No8: 0005
B EXHIBIT8: A
TDP8:
TM8:
OTHER8: DoD 5010.12-L
System8: HQ AFSOC SETA V Contract
E CONTRACTPR NO8:
F CONTRACTOR8: TBD
Data Item Number8: A015
2 TITLE OF DATA ITEM8: QUALITY SYSTEM PLAN
3 SUBTITLE8: QUALITY ASSURANCE PLAN
17 PRICE GROUP8:
AUTHORITY8: DI-QCIC-81379
5 CONTRACT REFERENCE8: PWS Para 1.5.10.2.4
6 REQUIRING OFFICE8: AFICA/765 SCONF
DD250REQ8: LT
18 ESTIMATED TOTAL PRICE8:
9 DIST STATEMENT REQUIRED8: E
10 FREQUENCY8: ONCE
12 DATE OF FIRST SUBMISSION8: 60DAC
APP CODE8: A
11 AS OF DATE8: N/A
13 DATE OF SUBSEQUENT SUBMISSION8: ASREQ
DraftRow18:
RegRow18:
REMARKS8: Blk 4: Contractor format acceptable.

Blk 7: Inspection and Acceptance by AFICA/765 SCONF.

Blk 8: Government will approve or disapprove the plan within 60 days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE / OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blk 13: Submission due 60 calendar days after contract award. No subsequent submissions required once approved, unless changes are required/made. Government-required changes shall be delivered within 30 calendar days of request. Change submissions will be approved or disapproved within 60 calendar days of receipt.

ADDRESSEE8: ASREQ
ADDRESSEE18:
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15 TOTAL8: 0
TOTAL8: 0
Text168: 0
DATA ITEM NO8: A016
2 TITLE OF DATA ITEM_28: PROGRAM PROGRESS REPORT
3 SUBTITLE_28: SEMI-ANNUAL PROGRAM

MANAGEMENT REPORT

17 PRICE GROUP_28:
AUTHORITY a8: DI-MGMT-80555A
5 CONTRACT REFERENCE_28: PWS Para 1.5.10.2.5
6 REQUIRING OFFICE_28: AFICA/765 SCONF
DD250REQ_28: LT
18 ESTIMATED TOTAL PRICE_28:
9 DIST STATEMENT REQUIRED_28: E
10 FREQUENCY_28: SEMIA
12 DATE OF FIRST SUBMISSION_28: 195DAC
APPCODE_28: A
11 AS OF DATE_28: 0
13 DATE OF SUBSEQUENT SUBMISSION_28: ASREQ
DraftRow1_28:
ADDRESSEE48: AFSOC/17KQ
RegRow1_28: 1
Remarks 28: Blk 4: Para 2 amended to add: Presentation Slides shall be in PowerPoint format. Para 3 replaced with: 3. Content. The report shall contain the following: 3.1 Brief description of tasks currently being worked. 3.2 Current Task status. 3.3 Expenditures to date. 3.4 Total TO value to date. 3.5 Accomplishments, innovations, performance initiative. 3.6 Problems / Difficulties / Issues, if any. Include Recommendations or Proposed Resolutions.

Blk 7: Inspection and Acceptance by AFICA/765 SCONF.

Blk 8: Government will approve or disapprove the presentation at time of presentation, which will be scheduled at a time mutually agreeable to both parties as long as it is within 30 days after end of reporting period.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE/OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blk 13: Subsequent submissions are due within 30 calendar days after end of each reporting period.

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PREPARED BY8: KURT N. BUCHANAN
H DATE8:
I APPROVED BY8: MARTIN A. MUNIZ
DATE8:
Text2088: 8
Text218: 9
Contract No9: 0005
B EXHIBIT9: A
TDP9:
TM9:
OTHER9: DoD 5010.12-L
System9: HQ AFSOC SETA V Contract
E CONTRACTPR NO9:
F CONTRACTOR9: TBD
Data Item Number9: A017
2 TITLE OF DATA ITEM9: PERFORMANCE AND COST REPORT
3 SUBTITLE9: MANAGEMENT EXPENDITURE REPORT
17 PRICE GROUP9:
AUTHORITY9: D1-FNCL-80912
5 CONTRACT REFERENCE9: PWS Para 1.5.10.2.5
6 REQUIRING OFFICE9: AFICA/765 SCONF
DD250REQ9: NO
18 ESTIMATED TOTAL PRICE9:
9 DIST STATEMENT REQUIRED9: E
10 FREQUENCY9: MTHLY
12 DATE OF FIRST SUBMISSION9: ASREQ
APP CODE9: A
11 AS OF DATE9: EOM
13 DATE OF SUBSEQUENT SUBMISSION9: ASREQ
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RegRow19:
REMARKS9: Blk 4: Para 1.5.10.2.5: Use Microsoft Excel format similar to the example in Addendum #1 to CDRL A017, as long as the same information from the example is furnished. Para 10.2.5 Added: Report will include tracking information on small business compliance, by TO and total contract effort, including team member or subcontractor performance information. Para 10.2.6 Added: Report shall be marked Proprietary.

Blk 8: Verbal or E-mail approval by Government for initial submission only. Subsequent submissions may use same format.

Blk 9: Distribution authorized DoD components only, PROPRIETARY INFORMATION. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL, 32544-5434.

Blks 12 and 13: First submission shall be NLT the 15th of the month after the first full month performance. Subsequent submissions shall be monthly NLT the 15th of each month.

Blk14: One editable electronic copy of the entire document, one hard copy of the current month only.

ADDRESSEE9: ASREQ
ADDRESSEE19:
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15 TOTAL9: 0
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Text169: 0
DATA ITEM NO9: A018
2 TITLE OF DATA ITEM_29: SAFETY AND HEALTH PLAN
3 SUBTITLE_29: SAFETY AND HEALTH PLAN
17 PRICE GROUP_29:
AUTHORITY a9:
5 CONTRACT REFERENCE_29: PWS 1.5.8.3
6 REQUIRING OFFICE_29: AFICA/765 SCONF
DD250REQ_29: NO
18 ESTIMATED TOTAL PRICE_29:
9 DIST STATEMENT REQUIRED_29: E
10 FREQUENCY_29: ONCE
12 DATE OF FIRST SUBMISSION_29: 30DAC
APPCODE_29: A
11 AS OF DATE_29:
13 DATE OF SUBSEQUENT SUBMISSION_29: ASREQ
DraftRow1_29:
ADDRESSEE49: ASREQ
RegRow1_29:
Remarks 29: Blk 4: Contractor format acceptable.

Blk 7: Inspection and Acceptance by AFICA/765 SCONF.

Blk 8: Government will approve or disapprove the plan within 60 days of receipt.

Blk 9: Distribution authorized DoD components only. ADMINISTRATIVE / OPERATIONAL USE. Any requests for this document shall be referred to the Contracting Officer, AFICA/765 SCONF, Hurlburt Field, FL 32544-5434.

Blk 13: Submission due 30 calendar days after contract award. No subsequent submissions required once approved, unless changes are required/made. Government-required changes shall be delivered within 30 calendar days of request. Change submissions will be approved or disapproved within 60 calendar days of receipt.

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Text179:
PREPARED BY9: KURT N. BUCHANAN
H DATE9:
I APPROVED BY9: MARTIN A. MUNIZ
DATE9:
Text209: 9
Text219: 9

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