Attach 19c Section 11B Operations and Maintenance CDRL 18 Jan 2022.pdf
PDF 3 MB Posted
- Attached to
- Laughlin Air Force Base (LAFB) - Base Operations Support (BOS) Federal contract opportunity
- Solicitation number
- FA300222R0002
About this file
This Contract Data Requirements List (CDRL) outlines 1,200 reporting requirements for the Base Operations Support contract at Laughlin Air Force Base in Texas. Key deliverables include ad hoc reports, long-range facility plans, preventive maintenance programs, work order tracking, budget reports, signage and work clearance programs, backflow device inspections, and asset management documentation. The contractor must also develop programs for facility management, lock and key control, utility locating, and records management. Reporting frequencies vary from daily to annually and involve electronic submission to government stakeholders. The CDRL focuses on operations and maintenance of facilities, utilities, equipment, and infrastructure to support the Air Force mission at Laughlin AFB.
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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
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1149 Ad Hoc Reports Data Requested by Ext. or Int. Customers
PWS 11.1.2.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Requestor
0 0 0
Submit One-Time or a Recurring Request.
1150 Long range civil, elect., mech., and traffic mgmt plans
PWS 11.1.2.2.2.1.1-4; 11.1.2.2.2.1.9.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Requestor
ACO
0 0 0
Submit Government approved Word (PDF) document 90 days after contract start and then annually
1151 QC Self- Inspection Program
PWS 11.1.2.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop and Implement a QC Self-Inspection Program that Validates Compliance with HHQ/IG Inspection Guidance, IAW AFI 90- 201.
1152 CEO Records Management Plan
PWS 11.1.2.1.3.;11.1.2.4; 11.1.2.4.5 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop a Records Management Plan for CE Operations; Establish Listing of Required Documents, Establish a Maintenance Plan for each Record. Initially within 180 Business Days of First PoP, Annual Review (1 October).
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1153 Certification and Licenses Data Requested by Ext. or Int. Customers
PWS 11.1.1;11.1.2.1;11.1.2.2.14; 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
ACO
COR
0 0 0
Certifications and Licenses: All Certifications and Licenses as Stipulated in Appendix 11-I is provided for Review. Submit Initially During Pre- Performance Conference, and upon Personnel Changes.
1154 Customer Notification Process
PWS 11.1.2.2.3.9;11.1.2.2.6. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Lead CE COR
Designated Gov't Rep
Base Civil Engineer
0 0 0
Dev. and Impl. a Customer Notification Process; Outages or Equipment Failures. Send Initially within 30 Business Days of First PoP, Annual Review NLT (1 October).
1155 Work Management- Customer Service; After Hrs Report
PWS 11.1.2.2.15. 47 CONS/PKB
LT
A D
DAILY
N/A
After Award
Per PWS Base Civil Engineer
COR
0 0 0
Dev. an Electr. After Hrs Report Describing for example, Events that Occurred, Listing of Generated Work Tasks, Status Updates Systems of Events and WTs, and Keys Issued.
1156 CEO Quality Customer Satisfaction/Survey Program
PWS 11.1.2.2; 11.1.2.2.3.18. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Lead CE COR
0 0 0
Dev. and Impl. a CE Operations Quality Customer Satisfaction/Survey Program. Provide COR Access to All Surveys Provided by Customers/Facility Manager(FM). Implement Program within 90 Business Days of First PoP.
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1157 Weekly Scheduled Work Tasks
PWS 11.1.2.2.2.1.5; 11.1.2.2.3.3 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Lead CE COR
0 0 0
Provide in Electronic Format: Listing of Week Scheduled Events and Work Tasks; Current and Recurring Issues, PM Work, FOFP, Plant Ops, Facility Projects, Corrective Maint., Material Control processes NLT Last Duty/Work Day Prior to Scheduled.
1158 O&M Schedule
PWS 11.1.2.2.2.1.5; 11.1.2.2.3.16 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Lead CE COR
0 0 0
Provide a Forecasted Balanced Sched.; Preventive Maint.(PM) and Plant Ops (PO),Corrective Maint.(CM) and Enhancement Annual, Quarterly, Monthly, Weekly.
1159 O&M Work History Schedule
PWS 11.1.2.2.2.1.8. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Provide and track work history schedule for Emergency, PM, PO, CM. COMs, FPs, and Enhancement to include; craftsmen hours, availability rate, and work hour balance. Provide A Data Report; Annual, Quarterly, Monthly, Weekly.
1160 Corrective Maintenance Report
PWS 11.1.2.2.3.17. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
ACO
0 0 0
Report providing at a minimum, but not limit to; date CM submitted, date processed, commitment date and current status. Last duty day of the month, but no later than second duty day of the following month, or upon request.
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1161 Facility Projects (FP) Scheduling
PWS 11.1.2.2.10; 11.1.2.2.11. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop Presentation and FP Listings for WRWG /WRRB/ FUB (Facility Utilization Board). Provide for Monthly Meetings, or as Requested.
1162 Preventive Maintenance Program (PMP)
PWS 11.1.2.2.11 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop and Implement a Preventive Maintenance Job Plan and Program. Implement within Contract First PoP.
1163 Preventive Maintenance Program (PMP)
PWS 11.1.2.2.2.1.7.; 11.1.2.2.1.7.1 47 CONS/PKB
LT
A D
ANNLY
N/A
After Award
Per PWS
COR
0 0 0
Annual PMP Review Report; Perform Cont. Improv. Process, Validate PMP Requirements, all PM Tasks Sched. in the CEO O&M Database Program (NexGen IT); Perform annual PM vs. Breakdown Maint. Analysis. Submit Annual Review NLT 1 October.
1164 Preventive Maintenance Program (PMP)
PWS 11.1.2.2.2.1.7; 11.1.2.2.2.1.7.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop PMP matrix that monitors, tracks, evaluate goals, defines a balanced PMP, and evaluates/measures contract performance thresholds. Provide Weekly Matrix for Scheduled
PMP.
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1165 Preventive Maintenance Program (PMP)
PWS 11.1.2.2.2.1.7; 11.1.2.2.2.1.7.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Review PM matrix (scheduled vs. completed) for AMP and sub-AMP programs. PM Matrix Reports are part of Records Management Program for Life of Contract. Submit Quarterly Based Upon Fiscal Year (1 October- New Fiscal Year).
1166 Preventive Maintenance Program (PMP)
PWS 11.1.2.2.2.1.7; 11.1.2.2.2.1.7.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
PM Insp.Rpts; Provide in Electronic- Database Format, PM record info, Stating System Condition/Status, and listing corrective maintenance WTs. Compile Report Upon Completion of Each Scheduled PM Task; As Requested.
1167 Working Group Meeting Minutes
PWS 11.1.2.2.2; 11.1.2.2.2.1.5; 11.1.2. 47 CONS/PKB
LT
A D
QRTLY
N/A
After Award
Per PWS
COR
0 0 0
AMP and Sub-AMP Working Group Meeting Minutes. Submit Quarterly Based Upon Fiscal Year (1 October- New Fiscal Year).
1168 Facility Manager Program
PWS 11.1.2.2.12.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Appoint CE Facility Manager Program Manager (FMPM) and Alternate; Develop a locally derived FM program; BCE Facility Manager Handbook (FMH). Submit Within 60 Business Days of First PoP, Review Annually NLT 1 October.
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1169 Facility Manager Program (Contact Info)
PWS 11.1.2.2.12.1. 47 CONS/PKB
LT
A D
MTHLY
N/A
After Award
Per PWS
COR
0 0 0
Provide Current Listing of Facility Managers with contact information Monthly (By 3rd Business Day ).
1170 Key Lock Program
PWS 11.1.2.3.2; 11.1.2.2.12.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop a Locksmith Key and Lock Program; and Establish a BCE Local Policy for Reimbursement from Customers Due to Key Mismanagement. Submit Initially within 180 Business Days of First PoP, Review Annually NLT 1 October.
1171 Mechanical Rooms Security/Inspections: Operations Instr
PWS 11.1.2.1.3. 47 CONS/PKB
LT
A D
QRTLY
N/A
After Award
Per PWS
COR
0 0 0
Develop an O.I. for Mechanical Room Security and Inspection Requirement for BOS Personnel. Submit Initially within 180 Business Days of First PoP, Review Annual NLT 1 October.
1172 Work Clearance Program
PWS 11.1.2.2; 11.1.2.2.18.; 11.1.2.2.3. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop Work Clearance Permit Automated Tracking Database and Utility Locating/Marking Program. Submit Database and Program Required within 60 Business days of contract First PoP; Review Annually NLT 1 October.
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1173 U-Fix-It Program
PWS11.1.2.2;11.1.2.2.3.5.;11.1.2.2.12. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
CE COR
0 0 0
Dev. and Impl. BCE program for SP personnel, FM customers, and material control services; Itemized material listing with consumptions rates/cost each quarter. Dev/ Impl within 180 Bus Days of First PoP; Annual Review: 1 October. and quarterly.
1174 Warranty Program
PWS 11.1.2.2; 11.1.2.2.2.1; 11.1.2.2.2. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Submit Initially NLT 30 September of First PoP of Contract, Annual Review (1 October).
1175 Asbestos/Lead- Operations & Maintenance Plan
PWS11.1.2.2; 11.1.2.2.12.1;11.1.2.2.14 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop an O&M Plan specifically for BOS to fulfill objectives of facility O&M services for asbestos/lead. Submit Initially within 180 Business Days of First PoP, Annual Review.
1176 Plant Operations Analysis and Programming
PWS 11.1.2.2; 11.1.2.2.2.1.8; 11.2.2.2. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
CE COR
0 0 0
Analyze Plant Operations Program for Compliance and Validity of Sustainment Practices and Policies. Submit Initially NLT 30 September of First PoP of Contract, Annual Review (1 October).
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1177 Plant Operations
PWS 11.1.2.2;11.1.2.2.2.1.8;11.1.2.2 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Lead CE COR
0 0 0
Develop local operations and maintenance instructions for each workgroup, identify steps and procedures to properly sustain systems, incorporate maps, drawing, inspection logs and maintenance records, IAW AFI32-1067; AFI. Within 180 Bus Days of First PoP (1 Oct).
1178 Plant Operations: Water & Waste Water
PWS 11.1.2.2;11.1.2.2.2.1.8;11.1.2.4 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Lead CE COR
0 0 0
Local operating instr sampling and test procedures, emergency ops, maint, and reg compliance rqmts. IAW AFI32-1067; AFI AFI 48-114; UFC 3-230-02; within 180 Business Days of First PoP, Annual Review NLT (1 October).
1179 Water Pollution Control Utility Operating Log General, PWS 11.1.2.4; 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Computer Database; Electronic AF Form 1462; (IAW AFI 32-1067; TPDES Permit Number WQ0012651001 (CDX.EPA.GOV). Monthly on Seventh for previous months data
1180 Daily Well Acty Record & Daily Pump Station Acty
PWS 11.1.2.4.2.3. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
0 0 0
Computer Database; Electronic AF Form (s) 996, 997, 998, and DD Form 2680, IAW AFI 32-1067. According to Agency Instructions send to Federal, State, and Local Regulatory Agencies That Require Monitoring Reports.
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1181 Backflow (BF) Device/Cross Conn Prev Pro
PWS 11.1.2.4.2.1; 11.1.2.4.2.2. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Appoint a Base Backflow Program Manager and Alternate. Develop the BF and Cross Connection Program; IAW AFI 32- 1067; Uniform Plumbing Code (UPC) Section 603.
Initially within 30 Business Days of First PoP; Within 30 Business Days of Vacancy.
1182 Signage Plan
PWS 11.1.2.2;11.1.2.3.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop and Implement a Signage Inspection and Maintenance Plan Initially within 180 Business Days of First PoP, Annual Review NLT (1 October).
1183 Change of Occupancy Maintenance (COM)
PWS 11.1.2.5.1; 11.1.2.5.1.1. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop a material tracking program for COMs; establish commonly used/readily found;
determine sustained level of operating stock (on-the- shelf) items. NLT 180 Business Days within Contract First PoP.
1184 Comprehensive Corrosion Prevention & Control Pgm
PWS 11.1.2.3; 11.1.2.4; 11.1.2.4.1.3; 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop a program for 47 CES/CEO to Properly Sustain Facility and Infrastructure Systems IAW AFI 32-1001; AFI 32-1054; UFC 1-300-02; UFC 3-110-03; Initially within 180 Business Days of First PoP/ Annually Review.
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
CLIN X004 PWS
Base Operations Support (BOS) Laughlin
1185 ECS, EMCS, ICS
PWS 11.1.2.4.8.2 47 CONS/PKB
LT
A D
ANNLY
N/A
After Award
Per PWS
COR
0 0 0
Summary of System Configurations, Performance, Capabilities, Compatibilities, Shortfalls, and Vulnerabilities (Indicate Compliance/Non- Compliance) IAW AFGM 2021_32-02; AFI 16-1404. Report Provided Annually; NLT than 30 September.
1186 EMCS-PM Program and Optimization Plan
PWS 11.1.2.4.8.2 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop EMCS-PM Program and Optimization Plan. Plan Provided Within Contract’s First PoP, Reviewed Annually NLT 30 September.
1187 Financial Expenditure-Budget Report(s)
PWS 11.1.2.6; 11.1.2.6.3.3. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Lead CE COR
0 0 0
Government approved spreadsheet electronic spreadsheet. As Stipulated or Required.
1188 CEO Information Technology Systems
PWS 11.1.2.1.3.1; 11.1.2.2.17; 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Base CE Cdr
0 0 0
Provide Appointment Letters/ Point of Contacts: FSA for CE AIS IT and EC Spt personnel;
IAO for CE AIS, ISSM, IAM, and EITDR. IAW AFGM 2021_32-02; AFI 16- 1404. Initially within 30 Business Days of First PoP; Within 30 Business Days of Vacancy.
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1189 Disposition/ Disposal Plan
PWS 11.1.2.1.3; 11.1.2.2.18. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop a local operating instruction for SP to process and provide disposition actions for equipment and materials. Initially within 180 Business Days of First PoP, Annual Review (1 October).
1190 Local Purchase Plan (LLP)
PWS 11.1.2.1.3; 11.1.2.6.2. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS Lead CE COR
0 0 0
Develop a LLP for Acquiring Materials for O&M Services. Initially within 30 Business Days of First PoP, Annual Review NLT (1 October).
1191 Asset Management Plans
PWS 11.1.2.1; 11.1.2.1.3; 11.1.2.2.1.9. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Activity Management Plan (AMP), Comprehensive Asset Management Plan (CAMP), Base Activity Management Plan (BAMP), and Base Comprehensive Asset Management Plan (BCAMP). As Required.
1192 Life-Cycle Facility Sustainment Program (LCFSP)
PWS 11.1.2.2; 11.1.2.2.2.1.8.2; 11.1.2. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
Develop, Implement, and Provide a LCFSP. Provide A Data Report: Annual, Quarterly, Monthly, Weekly IAW Performance Maturity Models.
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
CLIN X007 PWS
Base Operations Support (BOS) Laughlin
1193 Asset Lifecycle Portfolio
PWS 11.1.2.2, 11.1.2.2.2.1.8.2; 11.1.2.2 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
G COR
0 0 0
Develop a recommended investment strategy for a portfolio of assets. As Required
1194 CM and Integrated Planning Document
PWS 11.1.2.2.2.1.8 47 CONS/PKB
LT
A D
MTHLY
N/A
After Award
Per PWS
COR
0 0 0
CM Plan for in-house and contracted work.
1195 CM Analysis and Planning
PWS 11.1.2.2.2.1.8. 47 CONS/PKB
LT
A D
ASREQ
N/A
After Award
Per PWS
COR
0 0 0
CM Plan for in-house and contracted work.
1196 CM and Integrated Planning Document
PWS 11.1.2.2.1.9.1. 47 CONS/PKB
LT
A D
ANNLY
N/A
After Award
Per PWS AFCEC via COR
0 0 0
Provide requirements identification and prioritization through standard repeatable Sub- AMP and AMP processes: Annually prioritize CM or replacement activities in an integrated planning document.
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.
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