Attachment 2 - GARB CDRLs - 20231205.pdf

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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 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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

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 for 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.

FOR THE CONTRACTOR

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 administrative 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

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 (BACK), FEB 2001

data_item: F063 title: Vertical Transportation Equipment Inspection Report sub:

auth:

ref: F5.3.2.13 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Per Inspection asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Report shall include date VTE inspected and certificates posted in the elevators within 5 days of the annual inspection. Report format to be provided by Government.

group:

total_price:

prep_name:

line_item:

exhibit:

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ctr_no:

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remarksb:

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prep_date:

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app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F064 title: Fire Protection and Mass Notification Systems sub:

auth:

ref: F5.3.3.1 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: As Req by UFC asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: The KTR shall provide all inspection and test reports IAW the required frequencies in UFC 3-601-02 Operations and Maintenance: Inspection, Testing, and Maintenance of Fire Protection Systems and UFC 4-021-01, Design and O&M: Mass Notification Systems. An electronic copy of the written report of inspection and test findings shall be submitted to the BCE and the Base Fire Chief within five work days after inspection. Report shall include inspection and test results, discrepancies and required repairs with information on work order and estimated time for repair. All reports shall include craftsperson’s state license number. Report format shall be based on appropriate NFPA Testing Inspection forms.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

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prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F065 title: RESERVED sub:

auth:

ref:

req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: As Required asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: RESERVED group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

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prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F066 title: Grounds and Lightning Arrestor Testing Report sub:

auth:

ref: F5.3.3.2 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Semi-annual asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

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draft2:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Report covers all Grounding Surge Suppression, and Lightning Arrestor systems, tested at all facilities, IAW AFMAN 32-1065 Grounding and Electrical Systems, and MIL-HDBK 419A. Report due within 5 workdays after completing tests. Report to be maintained by the KTR and be made available to the BCE, COR, CA, and CO for the duration of the contract. Report shall also be maintained in electronic format using Excel spreadsheet.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

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prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F001 title: Designation of RPM Manager and Alternate sub:

auth:

ref: F2.1 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Award/As Required asof:

firstsub:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Submit names of RPM Manager and alternate to the CO 15 days prior to base period of performance and CO and COR upon change of personnel.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F002 title: Craftsman Qualifications sub:

auth:

ref: F2.2 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: As Required asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

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addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: For employees performing tasks requiring specific licenses and certifications, the KTR shall ensure licenses and certifications are current, and available for review upon request by the government.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F067 title: Engine Hourly Run Report sub:

auth:

ref: F5.3.3.3 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Monthly asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Monthly engine run hours on all generators, fire pumps, etc shall be recorded on Generator Operating Log (AF Form 487) IAW UFC 3-540-07 Operation and Maintenance (O&M): Generators for all standby/emergency generators/fire pumps. Report is due NLT the 1st workday of each month. In addition, KTR shall record all generator runtimes in APIMS Power Module. Readings for Item 17: Reading Continuation, on the AF Form 487 will be taken at start-up, every 30 minutes during testing, and prior to shut down on monthly tests. During emergency operations, readings will be taken upon arrival and prior to the end of the duty day. Subsequent days will be recorded at the beginning and end of the duty day. Send electronic notification to COR and CEV when APIMS has been updated.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F068 title: Inventory of Emergency Generators sub:

auth:

ref: F5.3.3.3 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Annual asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

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addressee38:

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reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: The KTR shall perform an annual inventory and validation of existing RPIE generators IAW UFC 3-540-07 Operation and Maintenance (O&M): Generators and submit the report NLT 01 Aug of each year.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F003 title: Unscheduled Utility Outage Report sub:

auth:

ref: F3.6 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Per Occurrence asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

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reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: Within 72 hours, the KTR shall document all utility outages and report specifics on the excel document supplied by the BCE.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F069 title: GeneratorEngine Inspections and Maintenance sub:

auth:

ref: F5.3.3.3.1.2 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Per Occurrence asof:

firstsub: