Section G 3 CDRL.pdf

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ATTACHMENT G3

CONTRACTOR DOCUMENTS REQUIREMENT LISTINGS

Contractor’s Quality Control Program. See Contract Data Requirements List (CDRL) and Data Item Description, Number 0001.

Weight Tickets. See CDRL and Data Item Description, Number 0002.

Household Goods Descriptive Inventory. See CDRL and Data Item Description, Number 0003.

Exception Sheet. See CDRL and Data Item Description, Number 0004.

Report of Government Owned Containers. See CDRL and Data Item Description, Number 0005.

Joint Statement of Loss and Damage at Delivery. See CDRL and Data Item Description, Number 0006.

Claims Correspondence. See CDRL and Data Item Description, Number 0007.

Bill of Lading. See CDRL and Data Item Description, Number 0008.

Contractor's Weekly Report. See CDRL and Data Item Description, Number 0009.

Report of Shipments On-Hand. See CDRL and Data Item Description, Number 0010.

Outsized Air Cargo Report. See CDRL and Data Item Description, Number 0011.

Monthly SDS Metrics Report. See CDRL and Data Item Description, Number 0012.

The following abbreviations and their meanings are used in the CDRL and Data Item Description.

ASREQ - As Required

COR - Contracting Officer

DAC - Day after contract start

DS - Destination

EAS - Each shipment

MTHLY Monthly

N/A Not applicable

ONE/R - One time with revisions

PPSO - Personal Property Shipping Office

QTRLY - Quarterly

WKLY - Weekly

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CONTRACT DATA REQUIREMENTS LIST 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 collecting 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 must 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.

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 17. Price 0001 Contractor's Quality Control Program Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 3, Para.5.a COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required One/R b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final N/A Reg Rep

16. Remarks Basic version submitted at preaward survey conference. Updated version submitted on contract start date. Schedule I, II, and III.

15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0002 Weight Tickets Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.2.b. COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required EAS b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final N/A Reg Rep

16. Remarks Weight tickets not required on inbound shipments unless reweigh is ordered. Schedule I, II, and III.

15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0003 Household Goods Descriptive Inventory Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.5.i COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required EAS b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final N/A Reg Rep

16. Remarks Inventories not required on inbound shipments. Schedule I and III.

15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0004 Exception Sheet Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.5.l COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required See 16 b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final See 16 Reg Rep

16. Remarks Exception sheets are made on shipments from NTS when contractor's representative and storage contractor's representative disagree on condition of goods. Maintained in contractor's file and made available to claims office. 15. Total

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

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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 collecting 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 must 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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0005 Report of Government Owned Containers Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.7.g.(2) COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required See 16 b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final See 16 Reg Rep

16. Remarks Initial report due 15 days after contract start date. Subsequent reports are due the first workday of each month. Schedule I and III.

15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0006 Joint Statement of Loss & Damage at Delivery Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.12.c.(1) COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required See 16 b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final See 16 Reg Rep

16. Remarks DD Form 1840. Schedule II and III.

15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0007 Claims Correspondence Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.13. COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required See 16 b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final N/A Reg Rep

16. Remarks Each time any correspondence regarding a claim is received from anyone other than the local TO, the contractor must furnish the TO an information copy. Schedule I, II, and III.

15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0008 Bill of Lading Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.8.d COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required See 16 b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final N/A Reg Rep

16. Remarks Original and copies 2, 3, and 4 are given to the carrier. Copies 5, 6, and 7 to the TO and copy 8 maintained by the contractor. In instances where computer generated PPGBL/BLs are used, enough copies must be made to ensure the right number of copies will be submitted.

15. Total

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The public reporting burden for this collection of information is estimated to average 440 hours per response, including t he 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 collecting 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 must 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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0009 Contractor's Weekly Report Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.8.j COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required WKLY b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final See 16 Reg Rep

16. Remarks Block 11 - Day of submission Block 12 - First Monday after contract start date Schedule I 15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0010 Report of Shipments on Hand Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.9.h COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required See 16 b. Copies

8. App Co de 11. As of Date 13. Subsequent Submit a. Addressee Final See 16 Reg Rep

16. Remarks Blocks 10 & 11 - Determined by the TO Negative reports are required. Should identify when reports are submitted to TO Schedule II 15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0011 Outsized Air Cargo Report Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 1, Para A.8.g COR 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required See 16 b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final See 16 Reg Rep

16. Remarks Schedule I

15. Total

1. Data Item No. 2. Title of Data Item 3. Subtitle 17. Price 0012 Monthly SDS Metrics Report Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office Part 3, Para 5.b 18. Est.

7. DD 250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Total DS Required MTHLY b. Copies

8. App Code 11. As of Date 13. Subsequent Submit a. Addressee Final N/A Reg Rep

16. Remarks Schedule I, II, and III.

15. Total

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DATA ITEM DESCRIPTION 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 competing 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 will 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.

1. TITLE

CONTRACTOR’S QUALITY CONTROL PROGRAM

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

The contractor must provide a quality control program that includes an inspection system for services listed in the required services chart (RSC), specifying the areas to be inspected, when and by whom. It must also identify questionable services before performance becomes unsatisfactory. It must describe the method used in recording the quality control inspection results and disposition of these inspection records.

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

The quality control program indicates procedures are available to provide quality performance to the Government.

Schedules I, II and III.

8. APPROVAL LIMITATION 9a. APPLICABLE FORMS 9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

Basic version outlining a general approach must be available at the preaward survey conference. Updated version must be submitted by the contract start date.

The quality control plan must contain, as a minimum:

1. Areas to be inspected

2. Inspection schedule

3. Names and titles of individuals performing inspections

11. DISTRIBUTION STATEMENT

Contracting Officer

DD FORM 1664, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page ___ of ___ Pages Designed using Perform Pro WHS/DIOR, Aug 96

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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 competing 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 will 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.

1. TITLE

WEIGHT TICKETS

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Weight tickets, properly certified, IAW, State, Commonwealth, or District Regulations are required to support billings for payment.

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Verification of weight of shipments. Weight tickets are not required on inbound shipments unless a reweigh is ordered.

Weight tickets must be certified and prepared in duplicate and must contain the following:

1. Name and address of the weighing station

2. Date of weighing

3. Contractor’s name

4. Van or trailer number

5. Name of property member/employee

6. Signature of weighmaster

7. Order number

TO

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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 competing and reviewing the collectio n 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 will 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.

1. TITLE

HOUSEHOLD GOODS DESCRIPTIVE INVENTORY

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To provide an accurate, legible inventory of shipment contents. Identify quantities, cartons, conditions of articles and other information concerning the items shipped. (Part IV, Attachment G1, Figure G-1)

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Listing of articles shipped.

Schedules I and III.

Schedule I: TO – Original; Member/Employee – 1 Copy; Contractor – 1 Copy Shipment: 1 Copy attached to Number One container; 1 Copy placed inside Number One container Schedule III: TO – Original; Member/Employee – 1 Copy; Contractor – 1 Copy

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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 competing 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 will 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.

1. TITLE

EXCEPTION SHEET

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To record the difference in the condition of items being removed from nontemporary storage.

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Schedules I and II.

Prepare only when different conditions are noted from the nontemporary storage inventory. When contractor’'s representative and storage contractor’s representative differ, enter both opinions, separately identifying source. Both parties must sign and date the exception sheet. The exception sheets are maintained in the contractor’'s files. A copy will be furnished to the claims office, upon request.

As Required

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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 competing 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 will 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.

1. TITLE

Report of Government Owned Containers

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Report how many Government-owned containers are available at the contractor’s facility.

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

To determine accountability and location of Government-owned containers.

Schedules I and II.

Report is submitted to the TO fifteen days after the contract start date and the first workday of each month thereafter. The report will reflect the following information but not limited to:

1. Number received during reporting period with member’s name for each container.

2. Number of containers disposed of during the period of report (showing specific disposition).

3. Total number of containers on hand as of the end of the reporting period to include:

a. Number of serviceable containers, by type

b. Number of unserviceable containers, by type

NOTE: Initial report of containers received from previous contractor need not show member’s name.

For Air Force installations AF Form 384, Government-Owned Container Control Record, should be used.

The TO will furnish the form for the contractor’s use.

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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 competing 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 will 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.

1. TITLE

JOINT STATEMENT OF LOSS AND DAMAGE AT DELIVERY

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To record loss and/or damage at the time of delivery to the member. (Part IV, Attachment G1, Figure G-8)

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Used as proof of delivery and as supporting documentation for a claim.

Schedules II and III.

8. APPROVAL LIMITATION 9a. APPLICABLE FORMS 9b. AMS C NUMBER

Schedule I and III:

A DD Form 1840 will be prepared to indicate the loss and/or damage revealed during unloading/unpacking. The contractor and member/employee must jointly sign the form upon completion. If available, the member/employee’s copy of the inventory prepared at origin or the copy from the number one container must be used to check count and condition.

Property Member/Employee – 3 Copies Ordering Officer – 1 Copy Contractor – 1 Copy

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OMB No. 0704-0188

The public reporting burden for this collection of information is estimat ed to average 110 hours per response including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and competing 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 will 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.

1. TITLE

CLAIMS CORRESPONDENCE

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

A copy of any correspondence concerning a claim, that is received by the contractor from anyone other than the local TO.

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Informs the PPSO of a pending claim.

At the time a claim is received by the contractor, the contractor records the date of receipt on the claim and furnishes a copy of all correspondence regarding the claim to the PPSO within ten workdays.

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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 competing 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 will be subject to any penalty for failin g 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.

1. TITLE

BILL OF LADING

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

A document issued by the Government to procure transportation and related shipment services.

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Used for linehaul freight movement of personal property.

Schedule I.

The following information will be typed by the contractor in the blocks as indicated below:

1. Block 26 – Enter the number and kind of containers, such as 1 F/L or 2 CTNS.

2. Block 2 – Enter the aggregate weight and cube of the total number of each different type of container shown in Block 26.

3. Block 28 – Enter the total gross weight of the shipment and when available, total tare and net weight.

Contractor surrenders the original and copies 2, 3, and 4 to the carrier. Contractor returns copies 5, 6, and 7, signed by the carrier, to the TO. The contractor maintains copy 8. In instances where computer generated documents are used, enough copies must be made to ensure the right number of copies will be submitted.

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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 competing 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 will 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.

1. TITLE

CONTRACTOR’S WEEKLY REPORT

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Report advises the TO of outbound shipments on hand which were picked up prior to the previous Wednesday .

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Report is prepared each Monday or next working day if Monday is a holiday.

Negative reports are required.

Schedule I

Report must contain:

1. Member’s name, rank/grade and SSN

2. Number of days on hand

3. Order number

Original to TO

Copy maintained by contractor

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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 competing 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 will 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.

1. TITLE

REPORT OF SHIPMENTS ON HAND

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Report advises the TO of outbound shipments on hand which were picked up prior to the previous Wednesday .

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Report is prepared each Monday or next working day if Monday is a holiday.

Negative reports are required.

Schedule II

Report must contain:

1. Member’s name, rank/grade and SSN

2. Date of receipt

3. Pieces, weight and cube

4. Order number

One copy forwarded to TO

One copy maintained by contractor

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DATA ITEM DESCRIPTION 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 competin g 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 will 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.

1. TITLE

OUTSIZED AIR CARGO REPORT

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Provides the PPSO the dimensions of outsize air cargo containers for shipments entering the military airlift system.

4. APPROVAL DATE

(YYYYMMDD)

Report is prepared on an as required basis.

Schedule I

Prepared only on shipments entering the military airlift system that have any containers with an outside measurement greater than 72 inches in any dimension.

One copy forwarded to PPSO

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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 competing 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 will 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.

1. TITLE

MONTHLY SDS METRICS REPORT

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Provides the PPSO a monthly metrics measuring the Service Delivery Summary (SDS) Performance Threshold. These statistics will be used in the monthly evaluation of the contractor and also as a part of the annual performance report .

4. APPROVAL DATE

(YYYYMMDD)

Report is prepared on a monthly basis.

Schedule I, II, and III.

One copy forwarded to PPSO

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ESTIMATED QUANTITIES

The quantities shown by area of performance for each item in this Solicitation are the Government’s estimates of requirements, which may be ordered during the period of the contract.

The Government’s estimated maximum daily requirements, excluding Saturday, Sunday; National, State, and local holidays are listed below by area of performance within each schedule. Bidders must complete the “Bidder's Guaranteed Daily Capability”, which must equal or exceed the Government’s minimum acceptable daily capability, for all items within an area of performance for which they submit bids.

Failure to do so will render the bid non responsive.

Government’s Estimated

Maximum Daily Requirement

Government’s Minimum

Acceptable Daily

Capability

Bidder’s Guaranteed

Daily Capability

OUTBOUND

(Schedule I) Area

NCWT NCWT NCWT

INBOUND

(Schedule II) Area

NCWT NCWT NCWT

INTRA-CITY AREA

(Schedule III) Area

NCWT NCWT NCWT

(Repeat for each area listed)

IV-G3-18

SCHEDULE I

OUTBOUND SERVICES

Item 0001. Complete Service - Outbound (HHG). Services must include premove survey, servicing of appliances, disassembly of furniture, packaging, inventorying, tagging, wrapping, padding, packing and bracing of HHG in Government-owned and furnished shipping containers (Shipping Container Commercial Spec ASTM-D4169-01, MTMC Pamphlet 55-12) at member’s/employee’s residence, or at contractor’s facility when ordered by the contracting officer, properly securing and sealing for shipment, weighing, obliterating old markings, marking, strapping, and drayage of the container within an area of performance. Service must also include loading of shipments on linehaul carrier’s equipment at the contractor’s facility. When containers will not accommodate all articles of any one lot, loose articles must be packed in the said containers before any over-packed articles are placed therein. Overflow, oversize, and other shipments must be paid for under Item 0003.

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. At member/employee residence:

Container, Commercial Spec ASTM-D4169-01, or MTMC Pamphlet 55-12

_____ NCWT _____ _____

AB. At contractor’s facility:

Container, Commercial Spec ASTM-D4169-01, or MTMC Pamphlet 55-12

_____ NCWT _____ _____

Item 0002. Outbound (HHG From Nontemporary Storage). Service must be the same as Item 0001 above except that: (a) HHG must be picked up at a nontemporary storage facility and transported to contractor’s facility; or (b) HHG must be delivered to contractor’s facility; and (c) premove survey, servicing of appliances, preliminary packing and accessorial services must not be provided. Overflow articles requiring containerization will be paid for under Item 0003.

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. Pickup by contractor:

Container, Commercial Spec ASTM-D4169-01, or MTMC Pamphlet 55-12

_____ NCWT _____ _____

AB. Delivered to contractor:

Container, Commercial Spec ASTM-D4169-01, or MTMC Pamphlet 55-12

_____ NCWT _____ _____

IV-G3-19

Item 0003. Complete Service-Outbound (HHG-Overflow Articles and HHG Shipments requiring other than ASTM-D4169-01 or MTMC Pamphlet 55-12). Service must be the same as Item 0001 or Item 0002 except that the loose articles are drayed to contractor’s facility when ordered by the contracting officer for containerization in Government-furnished or contractor-furnished containers. Overflow, other shipments, and oversize containers must be constructed IAW ASTM-D6251. Each container must be caulked during assembly. Overflow boxes and other shipments must be limited to one per shipment. Other shipments are small HHG shipments that normally require a lesser size box than specified in Commercial Spec ASTM-D4169-01 or MTMC Pamphlet 55-12. Overflow containers are of a lesser size than specified in Commercial Spec ASTM-D4169-01 or MTMC Pamphlet 55-12 and oversized containers are always of a greater size than specified in Commercial Spec ASTM-D4169-01 or MTMC Pamphlet 55-12. One or more of these containers may be required per shipment. Price bid for Item 0003 includes container plus weight of its contents.

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. Government-Furnished Containers:

Overseas Pack Overflow Articles

_____ NCWT _____ _____

AB. Government-Furnished Containers:

Overseas Pack Oversize Articles

_____ NCWT _____ _____

AC. Government-Furnished Containers:

Overseas Pack Other Shipments

_____ NCWT _____ _____

AD. Government-Furnished Containers:

Domestic Pack: Overflow Articles

_____ NCWT _____ _____

AE. Government-Furnished Containers:

Domestic Pack: Oversize Articles

_____ NCWT _____ _____

AF. Government-Furnished Containers:

Domestic Pack: Other Shipments

_____ NCWT _____ _____

AG. Contractor-Furnished Containers:

Overseas Pack: Overflow Articles

_____ NCWT _____ _____

AH. Contractor-Furnished Containers:

Overseas Pack: Oversize Articles

_____ NCWT _____ _____

AI. Contractor-Furnished Containers:

Overseas Pack: Other Shipments

_____ NCWT _____ _____

AK. Domestic Pack: Overflow Articles _____ NCWT _____ _____

AL. Domestic Pack: Oversize Articles _____ NCWT _____ _____

AM. Domestic Pack: Other Shipments _____ NCWT _____ _____

IV-G3-20

Item 0004. Complete Service-Outbound (Unaccompanied Baggage). Service includes packaging, inventorying, packing in Government approved containers, weighing, strapping, obliteration of old markings, marking, and loading shipments on the linehaul carrier’s equipment. Service must be performed at member’s/employee’s residence. (Service may be performed at contractor’s facility when ordered by the Ordering Officer.)

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. Government-Furnished Containers:

Drayage Included _____ NCWT _____ _____

AB. Government-Furnished Containers:

Drayage Not Included

_____ NCWT _____ _____

AC. Contractor-Furnished Containers:

Drayage Included

_____ NCWT _____ _____

AD. Contractor-Furnished Containers:

Drayage Not Included

Item 0005. Complete Service-Outbound (Unaccompanied Baggage from Nontemporary Storage).

Service must be the same as Item 0004 except that (a) unaccompanied baggage must be picked up at a nontemporary storage facility and transported to contractor’s facility; or (b) unaccompanied baggage must be delivered to contractor’s facility; and (c) servicing of appliances, preliminary packing and accessorial services must not be provided.

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. Government-Furnished Containers:

Drayage Included _____ NCWT _____ _____

AB. Government-Furnished Containers:

Drayage Not Included _____ NCWT _____ _____

AC. Contractor-Furnished Containers:

Drayage Included _____ NCWT _____ _____

AD. Contractor-Furnished Containers:

Drayage Not Included _____ NCWT _____ _____

IV-G3-21

Item 0006. Outbound Service-Unaccompanied Baggage Packed by Member/Employee. Service must include weighing, strapping, banding, obliterating old markings, and marking. Service may include containerization in outer shipping containers as ordered by the contracting officer.

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. Containerization Not Required:

Drayage Included _____ GCWT _____ _____

AB. Containerization Not Required:

Drayage Not Included _____ GCWT _____ _____

AC. Containerization Required:

Drayage Included _____ NCWT _____ _____

AD. Containerization Required:

Drayage Not Included _____ NCWT _____ _____

Item 0007. Outbound Service-Unaccompanied Baggage Packed By Member/Employee-Consolidated Shipments/Government Facility. Service must be the same as Item 0006 above except that service must include two or more shipments picked up from a Government office, warehouse, or facility.

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. Containerization Not Required:

Drayage Included _____ GCWT _____ _____

AB. Containerization Required:

Drayage Included _____ NCWT _____ _____

Item 0008. Expensive and Valuable Items. Service must include inventorying each item, packing in Government-approved, contractor-furnished container(s), marking, banding, and cubing at member’s/employee’s residence. Drayage will be ordered by the contracting officer. If drayage is required, weighing must be done on properly certified scales and a certified weight ticket must be furnished. If drayage is not required, weighing must be done at member’s/employee’s residence on portable or bathroom scales. In jurisdictions where local law prohibits the certification of portable scales, a weight certificate will not be required. However, upon the written authority of the contracting officer, the contractor may apply a constructive weight of 11 pounds per gross cubic foot of the container.

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. Drayage Included _____ NCWT _____ _____

AB. Drayage Not Included _____ NCWT _____ _____

IV-G3-22

Item 0009. Storage. Storage of containerized articles must be furnished when ordered by the contracting officer. Charges must not commence earlier than the sixth workday following date of transportation officer’s receipt of notification of completion of containerization service. Storage charges apply for each 30-day period or fraction thereof. Date of release from storage must not be considered in computation of storage charges.

Area

Estimated Annual

Quantity Unit Unit Price Total

Item 0010. Containers. Service must consist of the furnishing of the following types of new containers or specially constructed wooden crates. Containers furnished or specially constructed are to be assembled and ready for loading. When a specific container from the MTMC Pamphlet 55-12 is ordered, the order will indicate the MTMC approval number.

Area

Estimated Annual

Quantity Unit Unit Price Total

AA. Container (ASTM-D4169-01) _____ ea _____ _____

AB. Container (MTMC Pamphlet 55-12) _____ ea _____ _____

AC. Crate (ASTM-D6039/D6039M-02) cu ft or fraction thereof

Item 0011. Remarking, Coopering and Assembly/Disassembly Service.

AA. Remarking of Shipments for Reconsignment. Service must consist of obliteration of all old markings, stenciling of necessary information on loaded shipping containers scheduled for reconsignment, and loading on the hauling carrier’s vehicle.

Area

Estimated Annual

Quantity

Unit

Price Total

_____ ea _____ _____

IV-G3-23

AB. Coopering. Service must consist of repair of containers not to exceed 30 percent of total area of shipping container or cost of repairs will not exceed 50 percent of the container replacement cost. Minor repair, such as replacement of bolts, nails and bands must be accomplished at no expense to the Government.

Area

Estimated

Price Total

_____ ea _____ _____

AC. Assembly/Disassembly of Government-Owned Containers. Contractor will assemble Government-owned containers. Component parts will be furnished by the Government. Contractor will disassemble Government-owned containers. Component parts will be put into a cloth bag and attached to the container. Knocked down container sections will be banded.

Area

Estimated

Price Total

AD. Assembly _____ each _____ _____

AE. Disassembly _____ each _____ _____

Item 0012. Drayage Beyond the Contract Area of Performance. Service must consist of drayage of packed shipments beyond the contract area of performance, not to exceed ____ miles. Mileage must be computed on the shortest highway distance commencing with the point of pickup to the outer boundary of the contract area of performance.

Area

Estimated

Price Total

AA. Household goods loaded mile _____ per _____ _____

AB. Unaccompanied baggage _____ per _____ _____

IV-G3-24

Item 0013. Attempted Pickup. When the initial attempt to pickup a shipment at the member’s/employee’s residence is unsuccessful, charges apply provided the Contractor notified the contracting officer via telephone and provided that after contractor’s notification, the contracting officer

(a) cannot locate the member/employee within 30 minutes, (b) cannot have the member/employee at the residence within one hour after notification, and (c) the contractor left a notice of attempted pickup at the residence.

Area

Estimated

Price Total

AA. Household goods _____ _____ ea shpmt _____

AB. Unaccompanied baggage _____ _____ ea shpmt _____

NOTE: All Above Items are included in the evaluation of bids

Item 0014. Additional Services. The contractor must provide additional services not included in the schedule, but required for satisfactory completion of the services ordered under this contract, at a rate comparable to the rate for like services as contained in tenders on file with the state regulatory bodies or MTMC, in effect at the time of the order.

RECAPITULATION SCHEDULE I

Schedule Total - Area ............... $ (Repeat for each area listed.)

IV-G3-25

SCHEDULE II

INBOUND SERVICES

Item 0015. Complete Service-Inbound (HHG). Service must include drayage from contractor's facility to storage warehouses, air and surface transportation terminals, military installation shipping offices and ocean or river terminals/piers and return, unloading from the delivering carrier’s vehicle , handling into contractor’s facility, drayage to member’s/employee’s residence, decontainerization and unpacking of loaded containers of HHG and placing goods in rooms as directed by member/employee, unservicing appliances, assembly of any disassembled articles and removing shipping containers, barrels, boxes/crates, and debris from member’s/employee’s residence and drayage of empty containers to contractor’s or Government facility.

Area

Estimated

Price

Total

Item 0016. Complete Service - Inbound (HHG). Service must be same as Item 0015 above except that drayage of shipment to residence is not required.

Area

Estimated

Item 0017. Complete Service Inbound (HHG). Service must be the same as Item 0015 above except removal of items from outer container will be at the contractor’s facility and articles will be drayed to member’s/employee’s residence.

Area

Estimated

IV-G3-26

Item 0018. Inbound Service-Contractor Facility (HHG). Services must include drayage from storage warehouses, air and surface transportation terminals, military installation shipping offices, and ocean or river terminals/piers to contractor’s facility, unloading from the delivering carrier’s vehicle into the contractor’s facility and delivery of articles to property member/employee, motor van carrier, or NTS contractor at the contractor’s facility.

Area

Estimated

Item 0019. Complete Service-Expensive and Valuable Items. Services must include drayage from the storage warehouses, air and surface transportation terminals, military installation shipping offices, and ocean or river terminals/piers to contractor’s facility, unloading from the delivering carrier’s vehicle, handling into contractor’s facility, decontainerization and unpacking of containers at member’s/employee’s residence, and removal of shipping containers and debris from the residence.

Area

Estimated

AA. Drayage Included _____ NCWT _____ _____

AB. Drayage Not Included _____ NCWT _____ _____

Item 0020. Complete Service-Inbound (Unaccompanied Baggage). Service must include drayage from contractor’s facility to storage warehouses, air and surface transportation terminals, military installation shipping offices and ocean or river terminals/piers and return, unloading from the delivering carrier’s vehicle, handling into contractor’s facility, drayage of unaccompanied baggage containers to member’s/employee’s residence, unpacking of containers, reassembly of articles and removal of all shipping containers and debris from the residence.

Area

Estimated

Item 0021. Complete Service-Inbound (Unaccompanied Baggage). Service must be same as Item 0020 except that drayage to residence is not required.

Area

Estimated

IV-G3-27

Item 0022. Inbound Service - Contractor Facility (Unaccompanied Baggage). Service must be the same as Item 0020 except service must also include removal of unaccompanied baggage from outer shipping containers for pickup by the member/employee or release to a motor carrier or other contractor at the contractor’s facility.

Area

Estimated

Item 0023. Storage. Storage of containerized articles must be furnished when ordered. Charges under this item must not commence earlier than the sixth workday following date of contractor’s notification to the transportation officer of arrival of shipment. Storage charges apply for each 30-day period or fraction thereof. Date of release from storage must not be considered in computation of storage charges.

Area

Estimated

Item 0024. Remarking, Coopering, and Assembly/Disassembly Service.

AA. Remarking of Shipments for Reconsignment. Services must include drayage from storage warehouses, air and surface transportation terminals, military installation shipping offices, and ocean or river terminals/piers to contractor’s facility, unloading from the delivering carrier’s vehicle, handling into contractor’s facility, obliteration of all old markings, stenciling of necessary information on loaded shipping containers schedule for reconsignment loading on the hauling carrier’s vehicle.

Area

Estimated

_____ ea piece _____ _____

AB. Coopering. Service must consist of repair of containers not to exceed 30 percent of total area of shipping container or costs of repairs will not exceed 50 percent of the container replacement cost. Minor repair, such as replacement of bolts, renailing and rebanding must be accomplished at no expense to the Government.

Area

Estimated

_____ ea piece _____ _____

IV-G3-28

AC. Assembly/Disassembly of Government-Owned Containers. Contractor will assemble Government-owned containers. The Government will furnish component parts. Contractor will disassemble Government-owned containers. Component parts will be put into a cloth bag and attached to the container. Knocked down container sections will be banded.

Area

Estimated

AD. Assembly _____ each _____ _____

AE. Disassembly _____ each _____ _____

Item 0025. Attempted Delivery. When the initial attempt to deliver a shipment at the member’s/employee’s residence is unsuccessful, charges apply provided the contractor notified the…