Attch 1C - Revised Contract Data Requirements List CDRL 8 Jun 2010.docx
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- Launch Operations Support Contract (LOSC)
- Solicitation number
- FA4610-08-R-0016
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ATTACHMENT 1C
CONTRACT DATA REQUIREMENT LIST (CDRL)
FOR
LAUNCH OPERATIONS SUPPORT CONTRACT
(LOSC)
30TH SPACE WING - VANDENBERG AFB
DATED: 08 June 2010
THIS ATTACHMENT INCLUDING THE
TITLE PAGE CONSISTS OF 30 PAGES
Solicitation FA4610-08-R-0016 Page 1 of 30 Attachment 1C
CONTRACT DATA REQUIREMENTS LIST
TABLE OF CONTENTS
| SEQUENCE | SOW PARA | ||
| NUMBER | DID NUMBER | TITLE/SUBTITLE | NUMBER |
| A001 |
| DI-MFFP-81403 |
| Corrosion Prevention and Control Report |
| 2.2.4.3 |
| A002 |
| DI-MISC-81381 |
| Facility and Equipment Inspection Report |
| 2.2.4.1.1, 2.2.6 & 3.1.1.2 |
| A003 |
| DI-NDTI-80809B |
| Testing & Certification Report |
| 2.2.4.6, 2.2.6.1, 2.2.6.6.4, 2.2.6.7.1, 2.2.6.7.2, |
2.2.6.7.3, 2.2.6.8.1
| A004 |
| DI-MISC-80519A |
| Power Plant and Generator Status Report |
| 2.3.1.4 |
| A005 |
| DI-MISC-80508B |
| Fugitive Hydrocarbon Report |
| 2.3.1.4 |
| A006 |
| DI-MISC-80508B |
| Waste Water Discharge Monitoring Report |
| 2.3.1.4 |
| A007 |
| DI-MISC-81423 |
| Contractor Computerized Management System Data |
| 2.6.4.1 |
| A008 |
| DI-MISC-81423 |
| Property/Equipment Responsibility List |
| 2.6.5.5 |
| A009 |
| DI-MGMT-80227 |
| Program Management Review Report |
| 2.6.6.3 |
| A010 |
| DI-MISC-80508B |
| Preventive Maintenance Inspection Schedule and Procedure |
| 2.6.8.1 |
| A011 |
| DI-MGMT-80004A |
| Management Plan |
| 2.6.8.5, 5.4, 5.5.3 |
| A012 |
| DI-MISC-80208 |
| Requisition Summary Report |
| 2.6.8.6 |
| A013 |
| DI-MGMT-80592A |
| Cross Connection Control Management Plan |
| 2.6.8.7 |
| A014 |
| DI-MISC-80508B |
| Cathodic Protection Annual Performance Booklet |
| 2.6.8.7 |
| A015 |
| DI-MGMT-81398A |
| Environmental Protection Plan |
| 5.2 |
| A016 |
| DI-MGMT-80899 |
| Solid Waste Diversion Quantities |
| 5.2 |
| A017 |
| DI-MISC-81397A |
| Hazardous Material Business Plan/Disclaimer |
| 5.2 |
| A018 |
| DI-ENVR-81377 |
| Lead-Based Paint Abatement Plan |
| 5.2 |
| A019 |
| DI-MGMT-81334C |
| Contract Work Breakdown Structure |
| 5.3.1 |
| A020 |
| DI-MGMT-81466A |
| Cost Performance Report |
| 5.3.2 |
| A021 |
| DI-MGMT-81468 |
| Contract Funds Status Report |
| 5.3.2 |
| A022 |
| OT-2002-RMS01 |
| Job Order Number Cost Estimate |
| 5.3.3 |
| A023 |
| OT-2002-RMS02 |
| JOCAS II |
| 5.3.4 |
| A024 |
| DI-SAFT-81563 |
| Accident/Incident Report |
| 5.5.4 |
| A025 |
| DI-MGMT-80004 |
| RCM Plan |
| 2.2.4.1.1 & 2.2.4.11.7 |
| A026 |
| DI-MISC-81381 |
| Work Order Status Report |
| 2.2.4.10.11, 2.2.4.10.13, 2.2.4.10.15.1 |
| A027 |
| DI-ILSS-81165A |
| LSA-065 Manpower Requirments Criteria |
| 2.6.8.8 |
GENERAL NOTES FOR
CONTRACT DATA REQUIREMENTS LIST (CDRL)
1. The CDRL contained in the following DD Form 1423 pages has been developed in accordance with the requirements of the following document and all references therein:
DoD 5010.12-M, Procedures for the Acquisition and Management of Technical Data
2. Approval of data. When Code “A” is shown in Block 8 of the DD Form 1423, Air Force response in letter form is anticipated within 30 days of receipt of the data unless otherwise noted in the CDRL. The data may be submitted in final form unless specified otherwise. If the Air Force disapproves the data, the Contractor shall submit a revised document within 10 days after receipt of the response unless otherwise indicated.
3. Public Law 96-511 – Compliances:
Standard Data Item Descriptions (DIDs) used in this CDRL were approved for use by the Acquisition Management System and Data Requirements Control List (AMSDL), DoD 5010.12-L, and the OMB Control No. 0704-0188 covers these DIDs.
4. List of abbreviations used throughout the CDRL:
| ANNLY | Annually |
| ASREQ | As required |
| DAC | Days after contract start date |
| DACM | Days after contract modification |
| DAR | Days after revised |
| DARC | Days after receipt of comments |
| DARP | Days after reporting period |
| DBC | Days before contract start date |
| EOC | End of contract |
| EOM | End of month |
| EOQ | End of quarter |
| MTHLY | Monthly |
| ONE/R | One time and revisions |
| OTIME | One time |
| QTRLY | Quarterly |
| R-ASR | Revisions as required |
| SEMIA | Every six (6) months |
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MFFP
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
FA4610-08-R-0016
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Corrosion Prevention and Control Plan
17. PRICE GROUP
$0.00
)3. SUBTITLE
Corrosion Prevention and Control Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MFFP-81403
5. CONTRACT REFERENCE
SOW Para 2.2.4.3
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
QRTLY
12. DATE OF FIRST SUBMISSION
30 DAC
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
10 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DID Para 7: Applicable for facility maintenance
DID Para 10.3: Replace "paragraph 5.1.1 of MIL-STD-1568" in the second line with "the contract". Replace "specific weapon system being acquired" starting in the third line with "performance of this contract".
DID Para 10.3.1: Delete
DID Para 10.3.2: Delete, starting in the second line to the end of the paragraph, "during design . . . .". Add the following information;
a. Facility number / location
b. Area requiring corrosion control
c. Recommendation
d. Estimated hours by labor category to correct corrosion
e. Estimated material quantity and cost
Blk 10: Contractor shall submit an updated annual Report quarterly reflecting the corrosion control inspections and work accomplished during that quarter.
Blk 12 & 13: Due on the tenth of the month or the next workday if the tenth is a weekend or federal holiday.
Submit data in an electronic Microsoft file or other file, readable by the addressees.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 LCSS |
| 0 |
| 1 |
| 0 |
| 30 SW/SEA |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 3 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Site Survey Report (SSR)
17. PRICE GROUP
$0.00
)3. SUBTITLE
Facility & Equipment Inspection Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81381
5. CONTRACT REFERENCE
SOW Para 2.2.6 and 3.1.1.2
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
QRTLY
12. DATE OF FIRST SUB
10 DAC
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
10 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DI-MISC-81381: Change all reference from “survey” to “inspection”
DID Para 7.2: Replace with “SSR applicable to sustainment of Government Property and Equipment”
DID Para 10.2.1.d: Replace with "Facility"
DID Para 10.2.4: Delete, starting with "finding" on third line to "users." on sixth line. At a minimum the report will include:
| Building number, Equipment Description, Condition Code, RCM tracking number, |
| Inspection frequency, Inspection procedure number, Predicted life cycle, |
| Manufacturer, Model Number, Craft, Estimated time, Annual hours to perform task. |
DID Para 10.2.5: Add, "If due to age, wear, condition, deterioration, or other condition it is recommended that the P&E be replaced within two year, provide estimated date and cost to replace P&E. ”
Blk 10: Contractor shall submit an updated annual Report quarterly reflecting the inspections accomplished during that quarter. After the initial submittal, the reporting periods for the subsequent submissions ends 31 Dec, 31 Mar, 30 Jun, and 30 Sep.
Blk 13: Due on the tenth of the month or the next workday if the tenth is a weekend or federal holiday.
Blk 14a: Submit to each Facility Manager their portion of the inspection report for the facility they are responsible for. Submit inspection report for 30 LCSS facilities to 30 LCSS. Submit to the appropriate CES office the inspection report for their area (e.g. backflow, grounding and lightning protection, fire alarm system, fire suppression (wet/dry), roof, pressure vessel).
Submit data in an electronic Microsoft database type file or other file, readable by the addressees.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| Facility Manager |
| 0 |
| 1 |
| 0 |
| 30 LCSS |
| 0 |
| 1 |
| 0 |
| 30 SW/SEA |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 NDTI
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Test/Inspection Report
17. PRICE GROUP
$0.00
)3. SUBTITLE
Testing and Certification Report
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
SOW Para 2.2.4.6, 2.2.6.1, 2.2.6.6.4, 2.2.6.7.1, 2.2.6.7.2, 2.2.6.7.3, 2.2.6.8.1
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUB
See Blk 16
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
See Blk 16
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DID Para 10.2.2: Only if greater than 6 pages
DID Para 10.2.3.2: Add “i. facility number” and “ j. Government identification number”
DID Para 10.2.6.1 through 10.2.6.2: Optional
DID Para 10.2.6.6: Add “i. Work performed during testing period”, “j. Work needed”, and “ k. Overall condition”
Blk 10: For property or equipment requiring testing and or certification.
Blk 12 & 13: Submit report within seven workdays after completion of testing or certification or the next workday if a federal holiday.
Blk 14a: Submit report to the Facility Manager responsible for the tested and certified property and or equipment. Submit report for 30 LCSS facilities to 30 LCSS.
Submit data in an electronic Microsoft file or other file, readable by the addressees.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| Facility Manager |
| 0 |
| 1 |
| 0 |
| 30 LCSS |
| 0 |
| 1 |
| 0 |
| 30 SW/SEA |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Power Plant Operation and Maintenance Report
17. PRICE GROUP
$0.00
)3. SUBTITLE
Power Plant and Generator Status Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80519A
5. CONTRACT REFERENCE
SOW Para 2.3.1.4
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
MTHLY
12. DATE OF FIRST SUB
40 DAC
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
10 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DID Para 10.3: Preparation Instructions, Delete “Formatted Example” Add
Blk 12 & 13: Due on the tenth of the month or the next workday if the tenth is a weekend or federal holiday.
Submit data in an electronic Microsoft file or other file, readable by the addressees.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 LCSS |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 2 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Technical Report – Study/Services
17. PRICE GROUP
$0.00
)3. SUBTITLE
Fugitive Hydrocarbons Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B
5. CONTRACT REFERENCE
SOW Para 2.3.1.4
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
QRTLY
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
10 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 10: In addition to quarterly reports, an annual report is required and due within ten days following the end of the reporting year. After the initial submittal, the reporting periods for the subsequent submissions ends 31 Dec, 31 Mar, 30 Jun, and 30 Sep.
Blk 12 & 13: Due on the tenth of the month or the next workday if the tenth is a weekend or federal holiday.
Format shall meet the requirements of the Santa Barbara Air Pollution Control District (SBAPCD) VAFB Permit To Operate 6117.
Submit data in an electronic Microsoft file or other file, readable by the addressees.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 CES/CEV |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 2 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Technical Report – Study/Services
17. PRICE GROUP
$0.00
)3. SUBTITLE
Waste Water Discharge Monitoring Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B
5. CONTRACT REFERENCE
SOW Para 2.3.1.4
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
SEMIA
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
10 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 12 & 13: Due on the tenth of the month or the next workday if the tenth is a weekend or federal holiday. After the initial submittal, the reporting periods for the subsequent submissions ends 30 Jun and 31 Dec.
Format shall meet the requirements of the California Regional Water Quality Control Board waste discharge requirement 86-04 (30SW Plan 32-7041-A, Waste Water Management Plan)
Submit data in an electronic Microsoft file or other file, readable by the addressees.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 CES/CEV |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 2 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Facilities Maintenance Report
17. PRICE GROUP
$0.00
)3. SUBTITLE
Contractor Computerized Management System
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81423
5. CONTRACT REFERENCE
SOW Para 2.6.4.1
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
ANNLY
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
30 Sep
13. DATE OF SUBSEQUENT SUBMISSION
15 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DID Para 10.2: In addition to items a through e, the submittal will include all other data collected and inputted into the Contractor Computerized Management System database, RCM Equipment Plan information, including trades required and descriptions of probable failure and repair action.
Blk 13: Due on the fifteenth of the month or the next workday if the fifteenth is a weekend or federal holiday.
Submit data in an electronic Microsoft database type file, readable by the addressee.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 SW/SEA |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 2 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Facilities Maintenance Report
17. PRICE GROUP
$0.00
)3. SUBTITLE
Property/Equipment Responsibility List
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81423
5. CONTRACT REFERENCE
SOW Para 2.6.5.5
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
ANNLY
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
30 Jun
13. DATE OF SUBSEQUENT SUBMISSION
10 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DID Para 10.2: Delete paragraph c.
Blk 12 & 13: Due on the tenth of the month or the next workday if the tenth is a weekend or federal holiday.
Blk 14a: Submit list for 30 LCSS facilities to 30 LCSS.
Submit data in an electronic Microsoft database type file, readable by the addressee.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 LCSS |
| 0 |
| 1 |
| 0 |
| 30 SW/SE |
| 0 |
| 1 |
| 0 |
| 4 SLS |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 3 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
Contractor’s Progress, Status, and Management Report
17. PRICE GROUP
$0.00
)3. SUBTITLE
Program Management Review Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80227
5. CONTRACT REFERENCE
SOW Para 2.6.6.3
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
QRTLY
12. DATE OF FIRST SUB
15 May
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
15 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DID Para 10.3.m: Add "to include significant maintenance and repair projects, Task Assignments, Contract Work Requests, and data deliveries" Blk 10: The reporting periods end 31 Jan, 30 Apr, 31 Jul, and Oct 31.
Blk 13: Due on the fifteenth of the month or the next workday if the fifteenth is a weekend or federal holiday.
Submit data in an electronic Microsoft file, readable by the addressee.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 SW/SEA |
| 0 |
| 1 |
| 0 |
| 30 CONS/LGCZ |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 3 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
Technical Report – Study/Services
17. PRICE GROUP
$0.00
)3. SUBTITLE
Technical Procedures, Instructions, and Guidebooks
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B
5. CONTRACT REFERENCE
SOW Para 2.6.8.1
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
See Blk 16
12. DATE OF FIRST SUB
1 DAC
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
30 Sep
13. DATE OF SUBSEQUENT SUBMISSION
5 DARP
| Draft |
| Final |
| Reg |
| Repro |
Do we include a six month schedule??????
)16. REMARKS
Blk 4: Tailor DID as follows
DID Para 2: Contractor format is acceptable
Blk 10: Every six months and when revised.
Blk 12 & 13: Due on the fifth of the month or the next workday if the fifth is a weekend or federal holiday.
Blk 14a: Submit schedule and procedure for 30 LCSS facilities to 30 LCSS.
Submit data in an electronic Microsoft database type file, readable by the addressee.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 RMS/RMQS |
| 0 |
| 1 |
| 0 |
| 30 LCSS |
| 0 |
| 1 |
| 0 |
| 4 SLS |
| 0 |
| 1 |
| 0 |
| 30 SW/SEA |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A011
2. TITLE OF DATA ITEM
Management Plan
17. PRICE GROUP
$0.00
)3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80004A
5. CONTRACT REFERENCE
SOW Para 2.6.8.5, 5.4, 5.5.3
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
See Blk 16
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
30 Sep
13. DATE OF SUBSEQUENT SUBMISSION
10 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 8: The Government has 30 days to review initial draft, and 15 days for revisions. The Contractor has 10 days, after receipt of Government comments, to prepare and deliver the final data. Criteria for approval shall be correct content and format.
Blk 10: Annually and when revised.
Blk 12: Due the day contract start, except for the Quality Management Plan which is due 60 calendar days after contract start or the next workday if the sixtieth day is a weekend or federal holiday.
Blk 13: Due on the tenth of the month or the next workday if the tenth is a weekend or federal holiday.
Blk 14a: Submit copy of Corrosion Prevention and Control Plan for 30 LCSS facilities to 30 LCSS. Submit copy of Quality Management Plan to 30 RMS/RMQS
Submit data in an electronic Microsoft file or other file, readable by the addressee
| 30 CES/CEOR |
| 1 |
| 1 |
| 0 |
| 30 RMS/RMQS |
| 1 |
| 1 |
| 0 |
| 30 LCSS |
| 0 |
| 1 |
| 0 |
| 30 SW/SEA |
| 0 |
| 1 |
| 0 |
| 30 CONS/LGCZ |
| 1 |
| 1 |
| 0 |
| 15. TOTAL |
| 3 |
| 5 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A012
2. TITLE OF DATA ITEM
Requisition Summary Report
17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80208
5. CONTRACT REFERENCE
SOW Para 2.6.8.6
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
QRTLY
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
10 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk lk 4: Tailor DID as follows
DID Para 10.2: Replace with “Contractor format is acceptable”.
DID Para 10.3: Replace with “The report consist of all material, supplies, plant equipment, equipment, possessory tax, training, travel, and vehicles obtained in direct support of the contract (not what was obtained in an overhead pool). The report shall include the following data”.
DID Para 10.3.2: Replace with “Noun”
DID Para 10.3.5: Add “Purchase Order”
DID Para 10.3.6 through 10.3.10: Delete
DID Para 10.3.11: Add “Total dollar amount”
Blk 10: First reporting period is the complete phase-in period. An annual report is required and due ten days following the end of the reporting year (this includes reporting for the last year of the contract). After the initial submittal, the reporting periods for the subsequent submissions ends 31 Dec, 31 Mar, 30 Jul, and 30 Sep.
Blk 13: Due on the tenth of the month or the next workday if the tenth is a weekend or federal holiday.
Submit data in an electronic Microsoft database type file, readable by the addressee.
| 30 CES/CEOR |
| 1 |
| 1 |
| 0 |
| 30 CONS/LGCZ |
| 1 |
| 1 |
| 0 |
| 15. TOTAL |
| 3 |
| 5 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A013
2. TITLE OF DATA ITEM
Inventory of Cross-Connection Control and Backflow Prevention Systems Report
17. PRICE GROUP
$0.00
)3. SUBTITLE
Cross Connection Control Management Plan
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80592A
5. CONTRACT REFERENCE
SOW Para 2.6.8.7
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
See Blk 16
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
15 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DID para 10.2: Replace the paragraph with “The plan shall include a spreadsheet with AF Form 848 inventory information on one sheet and AF Form 843 or 844 test results on another sheet.”
Add DID para 10.3: The plan shall include the information as required in 30CES OI 32-1066.
Blk 10: After the initial submittal, the reporting periods for the subsequent submissions ends 31 Dec, 31 Mar, 30 Jun, and 30 Sep. The quarterly report would be a compilation of the forms of all back-flow preventer devices tested during that quarter. In addition to quarterly reports, an annual report is required and due within fifteen days following the end of the reporting year, 1Mar to 28Feb.
Blk 13: Due on the fifteenth of the month or the next workday if the fifteenth is a weekend or federal holiday.
Submit data in an electronic Microsoft file or other file, readable by the addressees.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 CES/CEV |
| 0 |
| 1 |
| 0 |
| 30 CES/CEOIU |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 3 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A014
2. TITLE OF DATA ITEM
Technical Report – Study/Services
17. PRICE GROUP
$0.00
)3. SUBTITLE
Cathodic Protection Annual Performance Booklet
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B
5. CONTRACT REFERENCE
SOW Para 2.6.8.7
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
ANNLY
12. DATE OF FIRST SUB
30 Jan
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
31 Dec
13. DATE OF SUBSEQUENT SUBMISSION
30 Jan
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 4: Tailor DID as follows
DID Para 2: Replace with “Contractor format comparable to the Cathodic Protection Annual Performance Booklet submittal is acceptable.”
Blk 13: Due on the thirtieth of the month or the next workday if the thirtieth is a weekend or federal holiday.
Submit data in an electronic Microsoft file or other file, readable by the addressees.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 SW/SEA |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 2 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A015
2. TITLE OF DATA ITEM
Hazardous Materials Management Program (HMMP) Plan
17. PRICE GROUP
$0.00
)3. SUBTITLE
Environmental Protection Plan
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81398A
5. CONTRACT REFERENCE
SOW Para 5.2
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
10 DAR
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 3: The Environmental Protection Plan shall address the Contractor's processes of how they are going to comply with environmental requirements.
Blk 4: Tailor DID as follows
DID Para 10.2: Delete and replace with "Recommended format in LOSC Vandenberg AFB Environmental Compliance Requirements Attachment 1D, Paragraph 1.03, Environmental Protection Plan."
Blk 8: The Government has fifteen days to review the preliminary draft Environmental Protection Plan. The Contractor has thirty days, after receipt of Government comments, to address comments prior to final review and approval for submittal of the Environmental Protection Plan. Suggest following format of LOSC Vandenberg AFB Environmental Compliance Requirements Attachment 1D, Paragraph 1.03, Environmental Protection Plan.
Blk 12 & 13: Due on the next workday if the tenth day is a weekend or federal holiday.
Blk 14a: Submit plan affecting 30 LCSS facilities to 30 LCSS.
Submit data in an electronic Microsoft file or other file, readable by the addressee.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 CES/CEVC |
| 1 |
| 1 |
| 0 |
| 30 LCSS |
| 0 |
| 1 |
| 0 |
| 30 CONS/LGCZ |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 1 |
| 4 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A016
2. TITLE OF DATA ITEM
Hazardous Waste (HW) Report
17. PRICE GROUP
$0.00
)3. SUBTITLE
Solid Waste Diversion Quantities
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80899
5. CONTRACT REFERENCE
SOW Para 5.2
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
MTHLY
12. DATE OF FIRST SUB
35 DAC
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
5 DARP
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 3: The Contractor shall submit solid waste diversion quantities that were diverted from the Vandenberg AFB landfill. See paragraph 14.2 in the LOSC-1 Vandenberg AFB Environmental Compliance Requirements Document and the VAFB Solid Waste Management Plan, 32-7042.
Blk 4: Tailor DID as follows
DID Para 3.1: Change “hazardous” to “solid” in both sentences.
DID Para 7.2: Change “hazardous” to “solid”.
DID Para 10.2: Delete and replace with "The Contractor shall report their weight and quantity of: 1. Solid Waste and 2. Construction & Demolition debris DISPOSED of off-base and the weight and quantity of: 1. Solid Waste and 2. Construction & Demolition debris DIVERTED (used as daily cover, reused, or recycled) from disposal at the VAFB landfill to 30 CES/CEV."
Blk 12: Due on the next workday if the fifth day is a weekend or federal holiday.
Submit data in an electronic Microsoft file or other file, readable by the addressee.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 CES/CEVC |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 2 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A017
2. TITLE OF DATA ITEM
Hazardous Materials Management Program (HMMP) Report
17. PRICE GROUP
$0.00
)3. SUBTITLE
Hazardous Material Business Plan/Disclaimer
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81397A
5. CONTRACT REFERENCE
SOW Para 5.2
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEO
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
30 DAR
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 3: A Hazardous Material Business Plan or Hazardous Material Disclaimer. Reference the 30 SW Plan, 32-7086, Hazardous Material Management Plan, for correct format and criteria.
Blk 4: Tailor DID as follows
DID Para 10.2: Delete and replace with “The format of the hazardous material business plan or disclaimer is referenced in the 30 SW Plan, 32-7086, Hazardous Material Management Plan.”
Blk 8: The Government has thirty days to review the preliminary draft Hazardous Material Business Plan or Hazardous Material Disclaimer. The Contractor has thirty days, after receipt of Government comments, to address comments prior to final review and approval for submittal of the Hazardous Material Business Plan or Hazardous Material Disclaimer.
Blk 12 & 13: Due on the next workday if the thirtieth day is a weekend or federal holiday.
Submit data in an electronic Microsoft file or other file, readable by the addressee.
| 30 CES/CEOR |
| 0 |
| 1 |
| 0 |
| 30 CES/CEVC |
| 1 |
| 1 |
| 0 |
| 30 CES/CEF |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 1 |
| 3 |
| 0 |
G. PREPARED BY
H. DATE
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 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 ENVR
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A018
2. TITLE OF DATA ITEM
Environmental Cleanup Plan
17. PRICE GROUP
$0.00
)3. SUBTITLE
Lead-Based Paint Abatement Plan
4. AUTHORITY (Data Acquisition Document No.)
DI-ENVR-81377
5. CONTRACT REFERENCE
SOW Para 5.2
18. ESTIMATED TOTAL PRICE
$0.00
)6. REQUIRING OFFICE
30 CES/CEOR
7. DD 250 REQ
No
9. DIST STATEMENT REQUIRED
F
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUB
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
ASREQ
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Blk 3: The contents of the Lead-Based Paint Abatement Plan are identified in Attachment 1D, Lead-Based Paint (LBP) Management requirements document.
Blk 8: The Government has fifteen days to review the preliminary draft Lead-Based Paint Abatement Plan. A Contractor's Lead-Based Paint Abatement Plan is required prior to any lead abatement activities with approval by 30 CES/CEVC and potential ten-day demolition notification to the local Santa Barbara Air Pollution Control District for related demolition activities.
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