Attach_3,_CDRLs.pdf
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- Attached to
- JPPSO Request for Proposal Federal contract opportunity
- Solicitation number
- FA2517-18-R-6000
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CDRLs
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| JPPSO_FA251718R6000_AMD_01.docx | DOCX document | |
| Exhibit_A_Pricing_Schedule.xls | XLS spreadsheet | |
| Attach_2,_Basic_Insurance_Compliance.doc | DOC document | |
| FA251718R6000_FINAL.docx | DOCX document | |
| Attach_1,_Performance_Work_Statement_11_Jan_18.docx | DOCX document | |
| Attach_4,_Scenario.docx | DOCX document | |
| DRAFT_Attach_1,_Performance_Work_Statement.pdf | ||
| DRAFT_Exhibit_A_Pricing_Schedule.xls | XLS spreadsheet | |
| DRAFT_Attach_3,_CDRLs.pdf | ||
| DRAFT_Attach_2,_Basic_Insurance_Compliance.doc | DOC document | |
| DRAFT_Request_for_Proposals.docx | DOCX document | |
| DRAFT_Attach_4,_Scenario.docx | DOCX document |
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Text version
Attachment 3 - Contract Data Requirements Lists (CDRL)
JPPSO-NC
Solicitation #: FA2517-18-R-6000
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref.
DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13;
Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423 (BACK), AUG 96
DD FORM 1423, AUG 96
CONTRACT DATA REQUIREMENTS LIST
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 440 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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page ____ of ____ Pages
0001 A
0001 CONTRACTOR'S QUALITY CONTROL PROGRAM
PWS, PART III PARA 5.a. COR
YES
ONE/R
N/A
COR 1
0 1 0
16. REMARKS
BASIC VERSION SUBMITTED PRIOR TO CONTRACT START DATE.
REVISED VERSIONS SUBMITTED TO COR WITHIN 3 BUSINESS DAYS OF
REVISION. SCHEDULES I, II AND III
0002 WEIGHT TICKETS
PWS, PART I PARA 2.b. JPPSO
YES
EAS
N/A
JPPSO 1
0 1 0
TURN IN WEIGHT TICKETS AS FOLLOWS: HHG-4 WORKDAYS, UB-3
WORKDAYS FROM PICK UP DATE. WEIGHT TICKETS NO REQUIRED ON
INBOUND (SCHEDULE II) UNLESS REWEIGH IS ORDERED.
0003 HOUSEHOLDS GOODS DESCRIPTIVE INVENTORY
PWS, PART I PARA 5.i. JPPSO
YES
EAS
N/A
JPPSO 1
MEMBER 1
CARRIER 3
0 5 0
INVENTORY NOT REQUIRED ON SCHEDULE II. SCHEDULE I AND III TURN IN
HOUSEHOLDS GOODS DESCRIPTIVE INVENTORY AS FOLLOWS: HHG-4
WORKDAYS, UB-3 WORKDAYS FROM PICK UP DATE.
0004 EXCEPTION SHEET REMOVAL FROM NTS
PWS, PART I PARA A.5.i.
ASREQ
NO
EAS
N/A
CONTRACTOR 1
NTS FACILITY 1
0 2 0
Exception Sheet will remain an internal industry document.
Adobe Professional 8.0
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 440 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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page ____ of ____ Pages
0001 A
0005 REPORT OF GOVERNMENT OWNED CONTAINERS
DID PWS, PART I PARA 8.k.2. JPPSO
YES
MTHLY
SEE 16
JPPSO 1
COR 1
0 2 0
INITIAL REPORT DUED 15 DAYS AFTER START OF CONTRACT. SUBSEQUENT
REPORTS ARE DUE THE 5TH OF EACH MONTH. SCHEDULE I AND III
0006 JOINT STATEMENT OF LOSS & DAMAGE
PWS, APPENDIX 5 PARAs 4 b,c JPPSO
YES
EAS
N/A
JPPSO 1
CONTRACTOR 1
MEMBER 3
0 5 0
DD 1840 SCHEDULE II AND III
THE DD 1840 WILL BE PREPARED IN FIVE (5) COPIES BY CONTRACTOR
0007 CLAIMS CORRESPONDENCE
DID PWS, APPENDIX 5 PARA 4
YES
EAS
N/A
JPPSO 1
0 1 0
Each time any correspondence regarding a claim is received from anyone other than the JPPSO, the contractor must furnish JPPSO an information copy
0008 GOVERNMENT BILL OF LADING SF 1203
DID PWS, PART I PARA 9 d JPPSO
YES
EAS
N/A
CARRIER 4
JPPSO 1
MEMBER 1
0 6 0
Original and copies 2, 3, and 4 of the PPGBL/BL to carrier when the shipment is picked up.
The contractor will return copy 5 to the ordering officer not later than the close of business the next workday after the shipment is picked up. Copy 6 provided to member at pick-up.
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 440 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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page ____ of ____ Pages
0001 A
0009 CONTRACTORS WEEKLY REPORT
DID PWS, PART 1 PARA 9.j. JPPSO
YES
WKLY
SEE Box 16
JPPSO 1
COR 1
0 2 0
BLOCK 11 FIRST MONDAY
BLOCK 12 FIRST MONDAY AFTER CONTRACT START DATE
BLOCL 13 WEEKLY EVERY MONDAY THEREAFTER. SCHEDULE I
0010 REPORT OF SHIPMENT ON HAND
DID PWS, PART I PARA 10.h. JPPSO
MTHLY
N/A
JPPSO 1
COR 1
0 2 0
DUE THE 5TH OF EVERY MONTH. NEGATIVE REPORTS ARE REQUIRED
0011 OUTSIZED AIR CARGO REPORT
DID PWS, PART I PARA 9.g. JPPSO
YES
SEE Box 16
SEE Box 16
ASREQ
ASREQ
JPPSO 1
0 1 0
If any container being prepared to enter the DTS has an outside measurement greater than 84 inches, the contractor is required to prepare an Outsized Air Cargo Report.
0012 Service Delivery Summary Performance Threshold
PWS, PART III PARA 5.b. JPPSO
YES
MTHLY
N/A
JPPSO 1
COR 1
0 2 0
The contractor will provide monthly metrics measuring the Service Delivery Summary Performance Threshold
DATA ITEM DESCRIPTION
Title: Service Delivery Summary Performance Threshold
CDRL Number: 0012 Approval Date:
AMSC Number: Limitation:
DTIC Applicable: GIDEP Applicable:
Office of Primary Responsibility: JPPSO Applicable Forms:
Use/relationship:. The contractor will provide monthly metrics measuring the Service Delivery Summary Performance Threshold . These statistics will be used in the monthly evaluation of the contractor and also as a part of the annual performance report.
Requirements: The contractor will provide a report of each item contained in the table on page 21 of the Performance Work Statement, Part III, Service Delivery Summary, how many occurrences of each and number of failures to provide service properly.
Distribution:
1. One copy forwarded to JPPSO.
2. The contractor retains one copy.
DATA ITEM DESCRIPTION
Title: REPORT OF ACTUAL COST
CDRL Number: 0013 Approval Date:
AMSC Number: Limitation:
DTIC Applicable: GIDEP Applicable:
Office of Primary Responsibility: JPPSO Applicable Forms:
Use/relationship: Contractor will provide an electronic monthly report of actual costs identified by Zone and Schedule (I, II, III), invoiced during reporting month, to include cumulative total by Zone and Schedule (I, II, III) for year to date, and total contract costs to date. Report will be furnished to the JPPSO by the 5th of the next month. Report must contain the following:
Requirements: The report is must contain:
a. each Zone and Schedule (I, II, III) invoiced during month
b. invoiced date
c. actual sum total by Zone and Schedule (I, II, III) invoiced during report month
d. cumulative total by Zone and Schedule (I, II, III) for year to date
e. total contract costs for year to date
Distribution:
1. One copy forwarded to JPPSO.
2. The contractor retains one copy.
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 440 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 (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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page ____ of ____ Pages
0001 A
0013 REPORT OF ACTUAL COST
PWS, PART III PARA 4 JPPSO
YES
MTHLY
N/A
JPPSO 1
CONTRACTO 1
0 2 0
An electronic monthly report of actual costs, invoiced during reporting month, identified by Zone and Schedule I, II, III.
0 0 0
0 0 0
0 0 0
| CDRL Instrux page |
| CDRL1-4 redact |
| CDRL5-8 redact |
| CDRL 9-12 redact |
| CDRL12, 13 Instrux |
| CDRL13 redact |
| Blank Page |
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