J-ExhibitA-CDRLSA001thruA009(2).doc
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- FA4600-07-R-0005
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Final RFP Section J Exhibit A CDRLS
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: |
X008
| A |
| TDP |
TM
OTHER
| D. SYSTEM|ITEM |
| E. CONTRACT|PR NO. |
| F. CONTRACTOR |
| USAMS II |
| FA4600-07-R-0005 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Program/Progress Report |
Program Progress Report and Quarterly Management Review
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80555 |
| PWS Paras 1.5.4.1 and 1.5.4.2 |
| USSTRATCOM Program Office |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| F |
| As Req |
| As Req |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| DRAFT |
| FINAL |
N/A
As Req
| Reg |
| Repro |
| 16. REMARKS |
| * |
Block 4: Contractor format is acceptable as approved by Government.
Block 9: Distribution authorized to US Government only as contract manager. Other requests for this report shall be referred to USSTRATCOM Program Office.
Block 14: *To be determined on individual Task Orders.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JOANN MURTHA
Program Manager, USAMS II
| 23 Jan 08 |
| WILLIAM A. CAFFARO |
Contracting Officer 23 Jan 08
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 1 |
| of |
| 2 |
| Pages |
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
| FOR GOVERNMENT PERSONNEL |
| FOR THE CONTRACTOR |
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as “Provisioning”, “Configuration Management”, etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use of additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administration and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s right to use the data shall be governed by the pertinent provisions of the contract.
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 2 |
| of |
| 2 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: |
X008
| A |
| TDP |
TM
OTHER
| D. SYSTEM|ITEM |
| E. CONTRACT|PR NO. |
| F. CONTRACTOR |
| USAMS II |
| FA4600-07-R-0005 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| Conference Minutes |
Meeting Minutes and Trip Reports
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-A-7089 |
| See Block 16 |
| USSTRATCOM Program Office |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| F |
| As Req |
| As Req |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| As Req |
| As Req |
| Reg |
| Repro |
| 16. REMARKS |
| Appropriate QAP |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable as approved by Government.
Block 5: PWS Paras 1.5.3.1, 1.5.4.2, and 1.5.4.4
Block 9: Distribution authorized to US Government only as contract manager. Other requests for this report shall be referred to USSTRATCOM Program Office.
Blocks 10, 11, 12, and 13: As Req means technical reports shall be produced and delivered IAW the requirements of the appropriate task order.
Block 10: Meetings occur on frequent, unscheduled intervals.
Block 12: Five working days post-meeting or –trip.
Block 14: *To be determined on individual Task Orders.
Block 15: Up to 50 copies, with distribution as directed by the Government, shall be necessary for some of the meeting minutes.
NTE
| 0 |
| 0 |
| 50 |
| 15. Total |
| 0 |
| 1 |
| 50 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JOANN MURTHA
Program Manager, USAMS II
| 23 Jan 08 |
| WILLIAM A. CAFFARO |
Contracting Officer
23 Jan 08
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 1 |
| of |
| 2 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: |
X008
| A |
| TDP |
TM
OTHER
| D. SYSTEM|ITEM |
| E. CONTRACT|PR NO. |
| F. CONTRACTOR |
| USAMS II |
| FA4600-07-R-0005 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A003 |
| Service Engineering Reports |
Technical Reports
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80508A |
| See Block 16 |
| USSTRATCOM Program Office |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| F |
| As Req |
| As Req |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| As Req |
| As Req |
| Reg |
| Repro |
| 16. REMARKS |
| Appropriate QAP |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable as approved by Government.
Block 5: PWS Paras 1.5.2.1-8, 1.5.2.10-11, 1.5.2.14-20, 1.5.2.23-24, 1.5.3.1, 1.5.3.4, 1.5.3.6-7, 1.5.3.13-15, 1.5.3.26-27, 1.5.3.31, 1.5.3.35 and 1.5.4.5-6.
Block 9: Distribution authorized to US Government only as contract manager. Other requests for this report shall be referred to USSTRATCOM Program Office.
Blocks 10, 11, 12, and 13: As Req means technical reports shall be produced and delivered IAW the requirements of the appropriate task order.
Block 14a: *To be determined on individual Task Orders.
Block 15: Up to 50 copies, with distribution as directed by the Government, shall be necessary for some of the meeting minutes.
NTE
| 0 |
| 0 |
| 50 |
| 15. Total |
| 0 |
| 1 |
| 50 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JOANN MURTHA
Program Manager, USAMS II
WILLIAM A. CAFFARO
Contracting Officer
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 1 |
| of |
| 2 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: |
X008
| A |
| TDP |
TM
OTHER
| D. SYSTEM|ITEM |
| E. CONTRACT|PR NO. |
| F. CONTRACTOR |
| USAMS II |
| FA4600-07-R-0005 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A004 |
| Standard Change Form (SCF) |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| See Block 16 |
| USSTRATCOM Program Office |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| F |
| As Req |
| As Req |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| As Req |
| As Req |
| Reg |
| Repro |
| 16. REMARKS |
| Appropriate QAP |
| 0 |
| 1 |
| 0 |
Block 5: PWS Paras 1.5.3.24 and 1.5.4.5.
Block 9: Distribution authorized to US Government only as contract manager. Other requests for this report shall be referred to USSTRATCOM Program Office.
Blocks 10, 11, 12, and 13: As Req means technical reports shall be produced and delivered IAW the requirements of the appropriate task order.
Block 14a: *For addressees, refer to deliverable identified in applicable task order.
| 15. Total |
| 0 |
| 1 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JOANN MURTHA
Program Manager, USAMS II
| 23 Jan 08 |
| WILLIAM A. CAFFARO |
Contracting Officer
23 Jan 08
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 1 |
| of |
| 2 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: |
X008
| A |
| TDP |
TM
OTHER
| D. SYSTEM|ITEM |
| E. CONTRACT|PR NO. |
| F. CONTRACTOR |
| USAMS II |
| FA4600-07-R-0005 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A005 |
| Presentation Material |
Briefing Material
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-A-3024A |
| See Block 16 |
| USSTRATCOM Program Office |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| F |
| As Req |
| As Req |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| As Req |
| As Req |
| Reg |
| Repro |
| 16. REMARKS |
| *Appropriate QAP |
| 0 |
| 1 |
| 0 |
Block 5: PWS Paras 1.5.3.1, 1.5.4.1, 1.5.4.4, and 1.7.5.
Block 9: Distribution authorized to US Government only as contract manager. Other requests for this report shall be referred to USSTRATCOM Program Office.
Blocks 10, 11, 12, and 13: As Req means technical reports shall be produced and delivered IAW the requirements of the appropriate task order.
Blocks 10, 11, 12, and 13: Briefings occur at irregular intervals.
Block 15: Up to 50 copies, with distribution as directed by the government, shall be necessary for some of the required presentation material as specified in the applicable task order.
NTE
| 0 |
| 0 |
| 50 |
| 15. Total |
| 0 |
| 1 |
| 50 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JOANN MURTHA
Program Manager, USAMS II
| 23 Jan 08 |
| WILLIAM A. CAFFARO |
Contracting Officer
23 Jan 08
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 1 |
| of |
| 2 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: |
X008
| A |
| TDP |
TM
OTHER
| D. SYSTEM|ITEM |
| E. CONTRACT|PR NO. |
| F. CONTRACTOR |
| USAMS II |
| FA4600-07-R-0005 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A007 |
| RESERVED |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
USSTRATCOM Program Office
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| Reg |
| Repro |
16. REMARKS
(Reserved for specific task order requirements that need additional CDRL information – to be updated by customer.)
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JOANN MURTHA
Program Manager, USAMS II
| 23 Jan 08 |
| WILLIAM A. CAFFARO |
Contracting Officer
23 Jan 08
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 1 |
| of |
| 2 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: |
X008
| A |
| TDP |
TM
OTHER
| D. SYSTEM|ITEM |
| E. CONTRACT|PR NO. |
| F. CONTRACTOR |
| USAMS II |
| FA4600-07-R-0005 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A008 |
| Technical Report |
USAMS Socio-Economic Report
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
DI-MISC-80508
PWS Paras 1.5.4.1-2. 1.7.1
USSTRATCOM Program Office
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| N/A |
| N/A |
| Every 6 Mo |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| EOM |
| See Block 16 |
| Reg |
| Repro |
| 16. REMARKS |
| PM |
| 0 |
| 1 |
| 0 |
Blocks 12, 13: Six months after IDIQ established, and every six months thereafter through the life of the IDIQ, contractor shall submit the following report. This requirement shall commence immediately after award of contract.
Reporting Period__________________
Task Order Numbers Included____________________
For All Open Task Orders: Total Dollar Amount Executed in the Task ________________
CATEGORY TOTAL DOLLARS EXECUTED % OF TOTAL
Small Business ________________ ________________ Service-Disabled Veteran-Owned ________________ ________________ Small Disadvantaged ________________ ________________ Women-Owned ________________ ________________
HUBZone ________________ ________________
| QAP |
| 0 |
| 1 |
| 0 |
| 55 CONS |
| 0 |
| 1 |
| 0 |
| 15. Total |
| 0 |
| 3 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JOANN MURTHA
Program Manager, USAMS II
| 23 Jan 08 |
| WILLIAM A. CAFFARO |
Contracting Officer
23 Jan 08
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 1 |
| of |
| 2 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: |
X008
| A |
| TDP |
TM
OTHER
| D. SYSTEM|ITEM |
| E. CONTRACT|PR NO. |
| F. CONTRACTOR |
| USAMS II |
| FA4600-07-R-0005 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A009 |
| Funds and Man-hour Expenditure Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
DI-FNCL-80331/T
PWS Paras 1.5.4.1 & 1.5.4.2
USSTRATCOM Program Office
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| C |
| Monthly |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| EOM |
| See Block 16 |
| Reg |
| Repro |
| 16. REMARKS |
| PM |
| 0 |
| 1 |
| 0 |
Block 4: Government format is mandatory (see spreadsheet link below).
Block 12: Fifteen (15) work days after end of first calendar month.
Block 13: Monthly thereafter. For last submission or final report, closeout shall be submitted ninety (90) calendar days after completion of period of performance as specified in Section F of the basic contract.
Block 14: Unless otherwise specified, submission will be provided electronically (soft copy) in Microsoft Excel format. The submission will be emailed. Addresses will be provided by the USAMS II program manager.
| QAP |
| 0 |
| 1 |
| 0 |
| 55 CONS |
| 0 |
| 1 |
| 0 |
| 15. Total |
| 0 |
| 3 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JOANN MURTHA
Program Manager, USAMS II
| 23 Jan 08 |
| WILLIAM A. CAFFARO |
Contracting Officer
23 Jan 08
| DD FORM 1423-1, FEB 2001) |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| 1 |
| of |
| 2 |
| Pages |
_1264414654.xls General Instr.
GENERAL INSTRUCTIONS FOR THE FUNDS AND MAN-HOUR EXPENDITURE REPORT (DI-FNCL-80331/T)
The Funds and Man-Hour Expenditure Report (DI-FNCL-80331/T) is the mandatory CDRL for USAMS II for both Labor Hour (LH) and Firm Fixed Price (FFP) task orders.
Other CDRL items may be added if required by individual task orders.
This file contains the mandatory format for the Funds and Man-Hour Expenditure Report. It also includes instructional comments for completion of the report. Please remove these comments prior to monthly submission. Reports submitted in any other format will be rejected.
This format may not be altered for individual Program Office needs. If a Program Office wishes to alter this format, they must include another CDRL in their task order and have that information submitted as a separate report.
Admin Data
USAMS II Funds & Man-Hour Expenditure Report
Company:
IDIQ Number Customer:
QAP
Task Order Number Task Leader
Reporting Period
| CLIN | Hours Expended This Month | Dollars Expended This Month | Cumulative Task | ||||
| Order Hours | Cumulative Task Order Dollars | Active No. People | No. |
Collocated
Total
The number in Block 2 of DD Form 1155, Order For Supplies or Services (i.e. F19628-01-F-8000).
All areas on this report are mandatory. This report may not be altered.
Government Ordering Office
If this is a directed order, enter the BPA number of the Team Lead.
Government Quality Assurance Personnel
Company Point of Contact for the task order.
Month for which this report is submitted.
Company who was awarded the task order.
Enter the hours and dollars expended during the reporting month by CLIN
Enter the cumulative task order hours and dollars expended from task order award to date by CLIN. When task order options are exercised, they shall be included in these totals.
The total number of bodies supporting the task order by Functional Group Code (include bodies providing direct support off-site or at corporate locations and those collocated at Government facilities).
The number of bodies supporting the task order by Functional Group Code providing direct support at Government facilities.
Detail Data
MONTHLY EXPENDITURE REPORT
TASK ORDER: Previous Cumulative Hours/Dollars Expended Hours/Dollars Expended This Month Current Cumulative Hours/Dollars Expended
A. O&M (3400) FROM BY TO
Labor Hours 0.00 0.00 0.00
LABOR TOTAL $0.00 $0.00 $0.00
TRAVEL TOTAL $0.00 $0.00 $0.00
ODC TOTAL $0.00 $0.00 $0.00
FUNDING TOTAL $0.00 $0.00 $0.00
B. RDT&E FUNDS (3600) FROM BY TO
Labor Hours 0.00 0.00 0.00
LABOR TOTAL $0.00 $0.00 $0.00
TRAVEL TOTAL $0.00 $0.00 $0.00
ODC TOTAL $0.00 $0.00 $0.00
FUNDING TOTAL $0.00 $0.00 $0.00
FUNDING TOTAL $0.00 $0.00 $0.00
All areas on this report are mandatory. This report may not be altered.
Funds are obligated on task orders by appropriation (O&M-3400 and RDT&E-3600) via CLINs. This report must track expenditures by appropriation. Your expended amounts on this report may never exceed the amounts obligated on the correlating CLINs.
Labor Hours expended must be reported by appropriation. This data is necessary to meet reporting requirements of Higher Headquarters.
File details come from the government source that posted it. Updated .