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Attachment 2.III Contractor Documents Requirement Listings and Data Item Description

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ATTACHMENT G3

CONTRACTOR DOCUMENTS REQUIREMENT LISTINGS

Contractor’s Quality Control Program. See Contract Data Requirements List (CDRL) and Data Item Description, Number 0001.

Weight Tickets. See CDRL and Data Item Description, Number 0002.

Household Goods Descriptive Inventory. See CDRL and Data Item Description, Number 0003.

Exception Sheet. See CDRL and Data Item Description, Number 0004.

Report of Government Owned Containers. See CDRL and Data Item Description, Number 0005.

Joint Statement of Loss and Damage at Delivery. See CDRL and Data Item Description, Number 0006.

Claims Correspondence. See CDRL and Data Item Description, Number 0007.

Bill of Lading. See CDRL and Data Item Description, Number 0008.

Contractor's Weekly Report. See CDRL and Data Item Description, Number 0009.

Report of Shipments On-Hand. See CDRL and Data Item Description, Number 0010.

Outsized Air Cargo Report. See CDRL and Data Item Description, Number 0011.

Monthly SDS Metrics Report. See CDRL and Data Item Description, Number 0012.

The following abbreviations and their meanings are used in the CDRL and Data Item Description.

ASREQ
- As Required
COR
- Contracting Officer
DAC
- Day after contract start
DS
- Destination
EAS
- Each shipment
MTHLY
- Monthly
N/A
- Not Applicable
ONE/R
- One time with revisions
PPSO
- Personal Property Shipping Office
QTRLY
- Quarterly
WKLY
- Weekly
CONTRACT DATA REQUIREMENTS LIST
Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of collecting of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202 -4302. Respondents should be aware that notwithstanding any other provision of law, no person must 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

D. SYSTEM/ITEM
E. CONTRACTOR/PR NO.
F. CONTRACTOR
1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0001
Contractor’s Quality Control Program
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 3, Para 5.a.
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
One/R
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

N/A

Reg
Rep

16. Remarks

Basic version submitted at preaward survey conference. Updated version submitted on contract start date. Schedule I, II, and III

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0002
Weight Tickets
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para. A.2.b.
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
EASR
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

N/A

Reg
Rep

16. Remarks

Weight tickets not required on inbound shipment unless a reweigh is ordered. Schedule I, II, and III

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0003
Household Goods Descriptive Inventory
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para A.5.i.
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
EAS
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

N/A

Reg
Rep

16. Remarks

Inventories are required on inbound shipments, if original inventory is not available. Schedule I, II and III.

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0004
Exception Sheet
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para A.5.l.
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
See 16
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

See 16

Reg
Rep

16. Remarks

Exception sheets are made on shipments from NTS when contractor’s representative and storage contractor’s representative disagree on condition of goods. Maintained in contractor’s file and made available to claims office & PPSO upon request.

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
CONTRACT DATA REQUIREMENTS LIST
Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of collecting of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202 -4302. Respondents should be aware that notwithstanding any other provision of law, no person must 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

D. SYSTEM/ITEM
E. CONTRACTOR/PR NO.
F. CONTRACTOR
1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0005
Report of Government Owned Containers
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para A.7.g.(2)
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
See 16
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

See 16

Reg
Rep

16. Remarks

Initial report due 15 days after contract start date. Subsequent reports are due the first workday of each month and the 15th of each month. Schedule I and III

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0006
Joint Statement of Loss & Damage at Delivery
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para. A.12.c.(1).
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
See 16
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

See 16

Reg
Rep

16. Remarks

The contractor will furnish the origin a completed copy of the DD Form 1840 within seven workdays after delivery. Schedule II and III

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0007
Claims Correspondence
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para A.13.
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
See 16
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

N/A

Reg
Rep

16. Remarks

The contractor will also furnish the contracting officer a monthly list of all claims that have not been resolved within the preceding 120-day period. Schedule I, II, and III.

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0008
Bill of Lading
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para A.8.d.
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
See 16
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

N/A

Reg
Rep

16. Remarks

Original and 3 copies are given to the carrier. 1 Copy returned to the TO and 1 copy maintained by the contractor. In instances where computer generated PPGBL/BLs are used, enough copies must be made to ensure the right number of copies will be submitted.

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
CONTRACT DATA REQUIREMENTS LIST
Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of collecting of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202 -4302. Respondents should be aware that notwithstanding any other provision of law, no person must 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

D. SYSTEM/ITEM
E. CONTRACTOR/PR NO.
F. CONTRACTOR
1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0009
Contractor’s Weekly Report
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para A.8.j.
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
Weekly
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

See 16

Reg
Rep

16. Remarks

Contractor will submit a weekly report on the first workday of each week showing outbound shipments on-hand which where picked up prior to the previous Wednesday.

Schedule I

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0010
Report of Shipments on Hand
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para. A.9.h..
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
See 16
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

See 16

Reg
Rep

16. Remarks

Blocks 10 & 11 – Determined by the TO

Negative reports are required. Should identify when reports are to be submitted to TO

Schedule II

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0011
Outsize Air Cargo Report
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para A.8.g.
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
See 16
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

See 16

Reg
Rep

16. Remarks

The contractor is required to prepare an Outside Air Cargo Report for any container entering the DTS with a measurement greater than 72 inches. Schedule I

15. Total

1. Data Item No.
2. Title of Data Item
3. Subtitle
17. Price

Group

0012
Monthly SDS Metrics Report
4. Authority (Data Acquisition Document No.)
5. Contract Reference
6. Requiring Office
Part 1, Para 5.b..
COR
18. Est.

Total

7. DD 250 Req
9. Dist Statement
10. Frequency
12. Data of 1st Submission
14. Distribution
DS
Required
Monthly
a. Addressee
b. Copies

8. App Code

11. As of Date
13. Subsequent Submit

Final

N/A

Reg
Rep

16. Remarks

The contractor will provide monthly metrics measuring the Service Delivery Summary Performance Threshold. Schedule I, II, and III

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

CONTRACTOR’S QUALITY CONTROL PROGRAM

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

The contractor must provide a quality control program that includes an inspection system for services listed in the required services chart (RSC), specifying the areas to be inspected, when and by whom. It must also identify questionable services before performance becomes unsatisfactory. It must describe the method used in recording the quality control inspection results and disposition of these inspection records.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

The quality control program indicates procedures are available to provide quality performance to the Government.

Schedules I, II and III.

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

Basic version outlining a general approach must be available at the pre-award survey conference. Updated version must be submitted by the contract start date.

The quality control plan must contain, as a minimum:

1. Areas to be inspected

2. Inspection schedule

3. Names and titles of individuals performing inspections

11. DISTRIBUTION STATEMENT

Contracting Officer

DD FORM 1664, AUG 96 (EG)

PREVIOUS EDITION MAY BE USED.

Page ___ of ___ Pages Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

WEIGHT TICKET

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Weight ticket, properly certified, IAW, State, Commonwealth, or District Regulations are required to support billings for payment.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Verification of weight of shipments. Weight ticket is not required on inbound shipments unless a reweigh is ordered.

Schedules I, II and III.

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

Weight ticket must be certified and must contain the following:

1. Name and address of the weighing station

2. Date of weighing

3. Contractor’s name

4. Van or trailer number

5. Name of property member/employee

6. GBL Number (If applicable)

7. Signature of weigh master

8. DPM Order number

11. DISTRIBUTION STATEMENT

TO

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

HOUSEHOLD GOODS DESCRIPTIVE INVENTORY

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To provide an accurate, legible inventory of shipment contents. Identify quantities, cartons, conditions of articles and other information concerning the items shipped. (Part IV, Attachment G1, Figure G-1)

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILIT Y (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Listing of articles shipped.

Schedules I, II and III.

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

11. DISTRIBUTION STATEMENT

Schedule I: TO – Original; Member/Employee – 1 Copy; Contractor – 1 Copy Shipment: 1 Copy attached to Number One container; 1 Copy placed inside Number One container Schedule II & III: TO – Original; Member/Employee – 1 Copy; Contractor – 1 Copy

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

EXCEPTION SHEET

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To record the difference in the condition of items being removed from non-temporary storage.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Schedules I and II.

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

Prepare only when different conditions are noted from the non-temporary storage inventory. When contractor’s representative and storage contractor’s representative differ, enter both opinions, separately identifying source. Both parties must sign and date the exception sheet. The exception sheets are maintained in the contractor’s files. A copy will be furnished to the claims office, & PPSO upon request.

11. DISTRIBUTION STATEMENT

As Required

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

Report of Government Owned Containers

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Report how many Government-owned containers are available at the contractor’s facility.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

To determine accountability and location of Government-owned containers.

Schedules I and II.

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

Report is submitted to the TO fifteen days after the contract start date. Subsequent reports are due the first workday of each month and the 15th of each month thereafter. The report will reflect the following information but not limited to:

1. Number received during reporting period with member’s name for each container.

2. Number of containers disposed of during the period of report (showing specific disposition).

3. Total number of containers on hand as of the end of the reporting period to include:

a. Number of serviceable containers, by type

b. Number of unserviceable containers, by type NOTE: Initial report of containers received from previous contractor need not show member’s name.

For Air Force installations AF Form 384, Government-Owned Container Control Record, should be used.

The TO will furnish the form for the contractor’s use.

11. DISTRIBUTION STATEMENT

TO

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 bur den, to Department of Defense Washington Headquarters Services, Directorate for Information Operations and Reports (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

JOINT STATEMENT OF LOSS AND DAMAGE AT DELIVERY

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To record loss and/or damage at the time of delivery to the member. (Part IV, Attachment G1, Figure G-8)

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBI LITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Used as proof of delivery and as supporting documentation for a claim.

Schedules II and III.

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMS C NUMBER

10. PREPARATION INSTRUCTIONS

Schedule I and III:

A DD Form 1840 will be prepared to indicate the loss and/or damage revealed during unloading/unpacking. The contractor and member/employee must jointly sign the form upon completion. If available, the member/employee’s copy of the inventory prepared at origin or the copy from the number one container must be used to check count and condition. The contractor will furnish the origin TO a completed copy of the DD Form 1840 within seven workdays after delivery

11. DISTRIBUTION STATEMENT

Property Member/Employee – 3 Copies Ordering Officer – 1 Copy Contractor – 1 Copy

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

CLAIMS CORRESPONDENCE

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

The contractor will also furnish the contracting officer a monthly list of all claims that have not been resolved within the preceding 120-day period.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Informs the Contracting Officer of pending claims.

Schedules I, II and III.

8. APP ROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

At the time a claim is received by the contractor, the contractor records the date of receipt on the claim and furnishes a copy of all correspondence regarding the claim to Contracting Officer monthly for all claims that have not been resolved within the preceding 120 day period.

11. DISTRIBUTION STATEMENT

Contracting Officer

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

BILL OF LADING

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

A document issued by the Government to procure transportation and related shipment services.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Used for linehaul freight movement of personal property.

Schedule I & II.

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

The following information will be typed by the contractor in the blocks as indicated below:

1. Block 26 – Enter the number and kind of containers, such as 1 F/L or 2 CTNS.

2. Block 2 – Enter the aggregate weight and cube of the total number of each different type of container shown in Block 26.

3. Block 28 – Enter the total gross weight of the shipment and when available, total tare and net weight.

11. DISTRIBUTION STATEMENT

Contractor surrenders the original and 3 copies to the carrier. Contractor returns 1 copy signed by the carrier with carrier’s Pro Number, to the TO. The contractor maintains 1 copy. In instances where computer generated documents are used, enough copies must be made to ensure the right number of copies will be submitted.

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DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

CONTRACTOR’S WEEKLY REPORT

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Report advises the TO of outbound shipments on hand which were picked up prior to the previous Wednesday.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Report is prepared each Monday or next working day if Monday is a holiday.

Negative reports are required.

Schedule I

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

Report must contain:

1. Member’s name, rank/grade, SSN

2. GBL number

3. Number of days on hand

4. DPM Order number

11. DISTRIBUTION STATEMENT

Original to TO

Copy maintained by contractor

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

REPORT OF SHIPMENTS ON HAND

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Report advises the TO of inbound shipments on hand at the contractor’s facility.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Report is prepared each Monday or next working day if Monday is a holiday.

Negative reports are required.

Schedule II

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

Report must contain:

1. Member’s name, rank/grade, SSN

2. GBL number

3. Date of receipt

4. Pieces, weight and cube

5. DPM Order number

11. DISTRI BUTION STATEMENT

One copy forwarded to TO

One copy maintained by contractor

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

OUTSIZED AIR CARGO REPORT

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Provides the PPSO the dimensions of outsize air cargo containers for shipments entering the military airlift system.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Report is prepared on an as required basis.

Schedule I

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

Prepared only on shipments entering the military airlift system that has any containers with an outside measurement greater than 72 inches in any dimension.

11. DISTRIBUTION STATEMENT

One copy forwarded to PPSO

Page ___ of ___ Pages

Designed using Perform Pro WHS/DIOR, Aug 96

DATA ITEM DESCRIPTION
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 competing 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 (0704 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person will 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.

1. TITLE

MONTHLY SDS METRICS REPORT

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

Provides the PPSO a monthly metrics measuring the Service Delivery Summary (SDS) Performance Threshold. These statistics will be used in the monthly evaluation of the contractor and also as a part of the annual performance report.

4. APPROVAL DATE (YYYYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

Report is prepared on a monthly basis.

Schedule I, II, and III.

8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

11. DISTRIBUTION STATEMENT

One copy forwarded to PPSO

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Designed using Perform Pro WHS/DIOR, Aug 96

IV-G3-10

File details come from the government source that posted it. Updated .