A005-Monthly_Status_Report_(MSR).pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

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

The report shall contain the following information:

• Task order number, Contractor name, period covered by report.

• Summary description of activities and accomplishments during the report period, description of problems and issues encountered during the report period, and status of open problems or issues identified in previous report(s).

• Metrics accomplishment report. This report shall contain the performance metrics included in PWS Section 5, Services Delivery Summary.

• Maintain phone roster to be used as an emergency notification contact/escalation list of all Contractor employees for this effort and distribute to the Contracting Officer’s Representative (COR) five days after task order award. Verify for accuracy and currency with the Monthly Status Report (MSR). Updates shall be submitted via email to the COR within three work days after employee change.

Blk 9: C - Administrative or Operational Use

Blk 10, 12, and 13: The report shall be submitted via e-mail and is due by the 10th calendar day of each month, for the month previous.