Appx_B - CDRL List.pdf

PDF 2 MB Posted May 6, 2022

Attached to: Base Operations Support at the Forward Op Location in Curacao (FOL BOS) Federal contract opportunity
Solicitation number: FA4890-22-R-CN02
Issued by: Department of the Air Force Air Combat Command

About this file

Written by GovTribe AI · Dec 28, 2023

This is a Contract Data Requirements List (CDRL) for the Base Operations Support (BOS) contract at the Forward Operating Location (FOL) in Curacao. The CDRL outlines 26 data items required from the contractor to support contract management and oversight. Required reports include maintenance plans, environmental plans, safety plans, financial reports, facility condition assessments, and program status updates. Distribution of reports is restricted to U.S. government agencies for administrative and operational use. Report formats, submission deadlines, and points of contact are specified for each data item. The CDRL provides visibility into the performance metrics and oversight tools required by the U.S. Air Force to manage BOS operations at the FOL in Curacao.

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Other files for this federal contract opportunity

Other files attached to Base Operations Support at the Forward Op Location in Curacao (FOL BOS), newest first.
File	Type	Posted
Q and A Template FA4890-22-R-CN02 FOL BOS.xlsx	XLSX spreadsheet	May 13, 2022
Draft Section L - FA4890-22-R-CN02 FOL BOS.pdf	PDF	May 10, 2022
Appx_A - Definitions.pdf	PDF	May 6, 2022
Appx_J - Real Property.pdf	PDF	May 6, 2022
DRAFT FOL-BOS Bidders Visit Itinerary - 24 May 22.pdf	PDF	May 6, 2022
Appx_L - Contractor Furnished Equipment.pdf	PDF	May 6, 2022
Appx_Q - Privately Owned Vehicle (POV) Shipments.pdf	PDF	May 6, 2022
Appx_M - Key Personnel and Qualifications.pdf	PDF	May 6, 2022
Appx_C - Publications and Forms.xlsx	XLSX spreadsheet	May 6, 2022
1. Curacao FOL-BOS PWS FY23 05 May 2022.docx	DOCX document	May 6, 2022
CAP APPLICATION FORM TEMPLATE.pdf	PDF	May 6, 2022
Section I and K-Provisions and Clauses FA4890-22-R-CN02.pdf	PDF	May 6, 2022
Appx_G - Workload Data.pdf	PDF	May 6, 2022
Appx_K - Government Furnished Property.pdf	PDF	May 6, 2022
Appx_F - Incentive Plan.pdf	PDF	May 6, 2022
Appx_D - QMS.pdf	PDF	May 6, 2022
Sections E and F FA4890-22-R-CN02 FOL BOS.pdf	PDF	May 6, 2022
Section B-Pricing Sheet FA4890-22-R-CN02 FOL BOS.xlsx	XLSX spreadsheet	May 6, 2022
Section A - Solicitation FA489022RCN02.pdf	PDF	May 6, 2022
Draft Section L FA4890-22-R-CN02 FOL BOS.pdf	PDF	May 6, 2022
Appx_E - Support Agreements.pdf	PDF	May 6, 2022
Draft Section M FA4890-22-R-CN02 FOL BOS.pdf	PDF	May 6, 2022

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FA4890-22-R-CN02

FOL BOS CDRL LIST

CDRL TITLE PWS Reference

A001 Maintenance Control Plan 2.11 / 4.2.1.13 / 4.2.1.13.1 / 4.3.2.1 / 6.2.2

A002 Ancillary Report 2.12.2 A003 Environmental Protection Plan 2.22.1 A004 Annual Environmental Program Status 2.22.1 A005 Spill Report 2.22.1.1 A006 Safety & Health Plan 2.22.2.1 / 2.22.2.3 A007 Accident/Incident Report 2.22.2.4 / 2.22.2.5 / 4.1.2.4 A008 Progress, Status, and Management Report 2.23 A009 Airfield Management Plan 3.1.1.1 A010 BASH Monthly Status Report 3.1.2 A011 Customer Service Notification Center (CSNC) SOP 3.2 A012 Logistics OI Manual 4.1 A013 Fuel Report 4.1.1.1, 6.3.6 A014 Equipment Life Cycle Report 4.1.6.4 A015 Property Control Plan 4.1.7.3 A016 Metric of Cargo Movement Report 4.1.9.1 A017 Vegetation Ground Maintenance Plan 4.2.1.15 A018 Monthly Work Status Report 2.22.1.2 / 4.2.1.5 / 4.2.1.20.1 A019 Annual Facility Survey and Inspection Report 4.2.1.20.2 / 4.2.2.1.3 A020 Real Property Report 4.2.1.20.3 A021 CE Project Completion Report 4.2.2.1.3 A022 Communications and Information Systems

Installation Records (CSIRs) (Option B) 6.2.2

A023 C4I Monthly Systems Report (Option B) 6.2.14.1 A024 Financial Management Report 2.12.1 A025 REPOL Report (Option C) 6.3.6 A026 AGE Report 3.1.3.5

**CDRLs A004, A011, A014, A019, A021, A025, A026 are located in the paperclip icon.

**Please enable all features prior to clicking on the paper clip.

17. PRICE GROUP

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

18. ESTIMATED

TOTAL PRICE

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 the Department of Defense, Executive Services and Communications Directorate (0704- 0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Maintenance Support Plan

3. SUBTITLE

Maintenance Control Plan

4. AUTHORITY (Data Acquisition Document No.)

N/A

5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

ACC AMIC/PCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

45 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) PWS Paragraphs 2.11 / 4.2.1.13 / 4.2.1.13.1 / 4.3.2.1 / 6.2.2.

The contractor shall develop and implement a MCP IAW technical orders, commercial standards, applicable manuals, and FOL operational guidelines. The contractor shall administer MCP policies/procedures, instructions and implement the plan at all operating locations. The MCP shall identify the procedures used to document, schedule, and execute maintenance actions and logistics tasks to ensure all facilities and equipment are operated and maintained IAW the Performance Work Statement (PWS), Sections A & B. The MCP shall include procedures for scheduling, performing, and documenting Emergency, Urgent and Routine corrective maintenance (CM), Time Compliance Technical Order (TCTO), corrosion control program, and government-approved modifications.

The MCP shall include a master listing of all PM tasks with task references for all C4I, CE, RP, RPIE, RPSE, AGE and vehicles, as well as an annual PM schedule.

PM tasks in the annual schedule shall be categorized by site, vehicle, facility, system, equipment, and frequency of inspection. The contractor shall extend and comply with the maintenance schedule in place from the previous contract until the initial submittal and approval of the MCP.

Contractor is responsible for providing listing of all organizational fuel tanks (Portable, Support, Issue), appointing and ensuring all fuel tank custodians are properly trained, maintain a valid/current training program, inspections are documented and maintained for life of contract IAW UFC 3-460-03, appendix E.

Issue tanks will be documented on IMT500 and electronic copies of supporting documentation (Fuel Logs/VIL Key Print Out) on the contractor MIS.

8) The document will be accepted/rejected by the Government within 30 calendar days after receipt. Contractor shall revise and resubmit the document within 10 calendar days after receipt unless otherwise directed by the CO.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

10, 11, 12, and 13) The projected annual PM schedule shall be based on fiscal year and submitted annually by 15 August for CO approval. The contractor shall review and update their plans IAW with the approved QMS. Coordinate at site level and obtain local concurrence prior to submitting for acceptance. All proposed revisions and/or amendments to the MCP shall be approved by the CO prior to implementation. Submit to the CO for approval NLT 10 calendar days after revisions and/or amendments.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCE 1

ACC AMIC/DRQC 1

ACC AMIC/PLG 1

ACC AMIC/PCY 1

AFSOUTH A6 1

15. TOTAL 0 7 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Ancillary Report

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-81208

5. CONTRACT REFERENCE

PWS Para 2.12.2

6. REQUIRING OFFICE

AMIC PMT

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

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

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) This CDRL combines all deployed unit costs for unit support and services cost, shipments, and ES&H Cost - SEE EXAMPLE

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to AMIC PKD.

13) CDRL shall be submitted NLT 10 calendar days after end of the reporting period

AMIC PKD 1

AMIC PMT 1

15. TOTAL 0 2 0

Ancillary Support and Service Costs Curacao

EXAMPLE

Unit Name Unit Address Billing Address Point of Contact Email Address DSN & FAX No.

Reimbursement Methods/MIPR Number MIPR Not Received From: TO:

Services Unit of Issue/Cost per unit Estimated Quantity/Cost Actual Quantity

Used/Cost

Billeting Service - Over flow - Marriott Hotel (Paid by the Unit with GTC)

Billeting Service - Over flow - Hilton Hotel (Paid by the Unit with GTC)

Billeting Service - Over flow - Clarion Hotel (Paid by the Unit with GTC)

Transportation - Rented Van (9 Pax) if U-drives unavailable - Paid with GTC

Transportation - Rented Cars if U-drives unavailable - Paid with GTC

Bottled Water

LOX

GOX

Gas Nitrogen

U-Drive Vehicles

Ground Fuel (Diesel) - U-Drive Vehicles

Ground Fuel (SUPER) U Drive Vehicles

Cellular Phone - Calling Cards

Damaged/Lost Cell Phone or Pager

Cellular phone - Post Paid

Commercial Line - Post Paid

Lost Badge

Lavatory Services/AGE Support

Supply

Subtotal $0.00

MH $0.00

Total $0.00 Signature, Unit Rep (Reciever of Goods) Printed Name/Title Date FOL-BOS Site Manager Date

EXAMPLE

Shipped By Shipping Number TCN Type Shipment Origin Destination On Site Organization Shipping Organization Ship To Goods Description Priority Weight (lbs) Volume (ft3)

Arrived Freight Forwarder

Actual Delivery Date

In-Transit Time (Days) Total Cost

Material Handling Fee

Total Cost

FOL Curacao

Unit Name:

Unit Address:

Billing Address:

Operator:

Point of Contact: GMV #:

DSN & FAX No.: Make:

Date of Mishap: Year:

Date of AIB:

Mishap Report #:

Reimbursement Methods/MIPR Number:

Mishap Cost Actual Cost

TOTAL COST $0.00

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Environmental Protection Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

N/A

5. CONTRACT REFERENCE

PWS Para. 2.22.1

6. REQUIRING OFFICE

ACC AMIC/PCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

90 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) Plans shall include, but not limited to: Environmental, Safety and Occupational Health Compliance Assessment and Management Program (ESOHCAMP), Drinking Water and Waste Water System Management, Hazardous Waste Program, Hazardous Waste Collection and Disposal, Pollution Prevention Program, HAZMAT Program, POL, Air Quality Ozone Depleting Chemicals (ODCs), Pesticides and Herbicides Management, Special Health Considerations, Spill Prevention and Response, Environmental Impact Analysis Process, Training, and Environmental Protection Committee. The plan also will include the Hazardous Waste Storage Area (HWSA) Closure Plan IAW the OEBGD.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data, 1 Jun 2017). Other requests for this document shall be referred to

ACC AMIC/PKD.

10, 11, 13) The contractor shall review and update their plans IAW with the accepted QMS. When a plan is revised it shall be submitted to the CO for approval NLT 10 calendar days after revision.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCE 1

ACC AMIC/DRQC 1

15. TOTAL 0 4 0

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Annual Environmental Program Status

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

N/A

5. CONTRACT REFERENCE

PWS Para 2.22.1

6. REQUIRING OFFICE

ACC AMIC/PCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Annually

12. DATE OF FIRST SUBMISSION

15 Sep

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

1 Sep

13. DATE OF SUBSEQUENT

SUBMISSION

14 Sep Draft

Final

Reg Repro

16. REMARKS

5) Report shall be submitted in both electronic format. The report shall include the information to answer the SOUTHCOM data call which will be provided O/A 1 June of each FY in the attached document:

a. Facilities: Provide photos and description of what is on site and also any additions/changes in the past year. For the photos, low resolution pictures such as those used in the A020 Annual Facility Survey and Inspection Report will be sufficient. For meeting this requirement, use of other CDRLs such as the monthly Integrated Pest Management spreadsheet is permissible.

b. Environmental Protection Operations: Provide a synopsis of your Environmental Protection Plan to include waste disposed throughout the year and use of controlled substances such as pesticides and herbicides. Include a discussion on your training program to maintain proficiency.

c. Provide additional information as required by the referenced document. It is not necessary to create separate files for each data set.

8) The report will be accepted or rejected by the Government within 30 calendar days after receipt. If rejected, the contractor shall revise and resubmit within 10 calendar days after receipt unless otherwise directed by the Contracting Officer.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

11) Since this report provides a projection of the annual status of the site at the end of the fiscal year, but is due two weeks prior to the end, note any inspections or projected status that would be done in that two-week period.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCE 1

ACC AMIC/DRQC 1

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Pollution Incident Report

3. SUBTITLE

Spill Report

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-80494A

5. CONTRACT REFERENCE

PWS Para 2.22.1.1

6. REQUIRING OFFICE

ACC AMIC/PCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) The contractor will report any spills or releases of hazardous substances listed in 40 Code of Federal Regulations 302 that meet any of the conditions in Chapter 18 of the Overseas Environmental Baseline Guidance Document, DODI 4715.5-5. In addition, the contractor shall report any contained releases that require the use of spill kits which would trigger a resupply action. The pollution spill report, with the addition of categories "actual damage/potential threat, findings and causes, casualties or injuries including personnel information, and assistance required," will constitute submission in IAW the OEBGD.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data, 1 Jun 2017). Other requests for this document shall be referred to

ACC AMIC/PKD.

10-13) CDRL shall be submitted NLT COB the next business day and updates shall be provided as an addendum to the CDRL.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCE 1

ACC AMIC/DRQC 1

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Environmental Health and Safety Plant

3. SUBTITLE

Safety & Health Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-ENVR-81375

5. CONTRACT REFERENCE

PWS Para 2.22.2.1

6. REQUIRING OFFICE

ACC AMIC/PCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

90 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) S&HP shall include, but not be limited to the following programs and procedures: Confined Space Management, Lock/Out-Tag/Out, Hazardous Communication (HAZCOM), Bird Air-Strike Hazard (BASH), Weapons Safety, Aircraft Parking programs/plans, Job Safety Training, Safety Inspections, Mishap Notification, Investigation & Reporting Procedures, Hazard Abatement Procedures, and Hazard Prevention & Control Procedures, Safety Supplies and Equipment, Safety Reviews, Mishap Prevention as applicable.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

10, 11, 13) The contractor shall review and update their plans IAW with the accepted QMS. When a plan is revised it shall be submitted to the CO for approval NLT 10 calendar days after revision.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCE 1

ACC AMIC/DRQC 1

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

N/A

5. CONTRACT REFERENCE

PWS Para 2.22.2.4 / 2.22.2.5 / 4.1.2.4

6. REQUIRING OFFICE

ACC AMIC/PCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) Submit accident/incident information IAW DAFI 91-204, Chapter 1. Report all events leading to lost duty time of personnel and/or any government vehicle damage that leads to a repair action. Use AF Form 978 Supervisor Mishap Report for all ground accidents and incidents. Use AF Form 853 Air Force Wildlife Strike Report for BASH related reporting. Other incident types shall be submitted on an advisory form identified in Appendix C (example: AF Form 651 (HATR)) or a contractor developed local form.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this report shall be referred to the CO, ACC

AMIC/PKD.

10-13) Reports shall be submitted NLT COB next business day and updates shall be provided as an addendum to the initial report.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCE 1

ACC AMIC/DRQC 1

ACC AMIC/PLG 1

12AF/SE 1

15. TOTAL 0 6 0

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Contractor's Progress, Status, and Management Report

3. SUBTITLE

Progress, Status, and Management Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

PWS Para 2.23

6. REQUIRING OFFICE

ACC AMIC/PMT

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

45 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) Provide the overall program status, work progress and assigned tasks status.

This report will address all functional areas and focus on the monthly reporting period accomplishments, challenges, and inform the government of existing or potential problem areas and possible solutions.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data) Other requests for this document shall be referred to AMIC/PKD.

13) CDRL shall be submitted NLT 10 calendar days after the end of the reporting period.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/DRQC 1

AFSOUTH A6 1

612 SPTS 1

429 EOS/CC 1

ACC AMIC/PCE 1

15. TOTAL 0 6 0

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Technical Report Study/Services

3. SUBTITLE

Airfield Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508A

5. CONTRACT REFERENCE

PWS Para 3.1.1.1

6. REQUIRING OFFICE

ACC AMIC/PMT

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

60 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

(5) Airfield Management Plan/Operating Instruction shall include, but not be limited to: Roles and Responsibilities, Facilitation of Airfield Operations Board, ATC Function, ATC Position Qualification, Airfield Lighting System Management, Foreign Object Damage (FOD) Function, Bird Air-Strike Hazard (BASH), Hazardous Air Traffic Reporting (HATR), Mid-Air Collision Avoidance (MACA), Runway Rubber Removal/Painting Plan, Flight Line Driving Certification Functions, Aircraft Parking Plan, Tracking of Flights, Mission Planning Support, and NOTAM/FLIP Functions. Reference AFI 13-204v3, Attachment 2.

(9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

(10, 11, 12, 13) The contractor shall review and update their plans IAW the accepted QMS. Coordinate at site level and obtain local concurrence prior to submitting for acceptance. When a plan is revised, it shall be submitted to the CO for approval NLT 10 calendar days after revision.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCY 1

ACC AMIC/DRQC 1

ACC AMIC/PCE 1

429th EOS/DO 1

15. TOTAL 0 5 0

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Bird/Wildlife Aircraft Strike Hazard (BASH) Report

3. SUBTITLE

BASH Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81489

5. CONTRACT REFERENCE

PWS Para 3.1.2

6. REQUIRING OFFICE

ACC AMIC/PCY

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft

Final

Reg Repro

16. REMARKS

The following topics will be covered:

Airfield inspections conducted, aircraft movements, number of NOTAMS processed, BASH and Vegetation issues, Bird Watch Condition Code, Airfield Projects, Overall Aerodrome Conditions, Airfield Driving Program, HATR Reports, Plans Review Status, and waiver program status.

5) Provide the overall program status, work progress, and assigned tasks status in accordance with 429th Expeditionary Operations Squadron Curacao Bird/Wildlife Aircraft Strike Hazard (BASH) Plan, AFI 91-202 paragraph 7.2.2 through 7.2.2.2 and inform the government of existing or potential problem areas and possible solutions.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

12, 13) Coordinate at site level and obtain local concurrence prior to submitting for acceptance. CDRL shall be submitted NLT 10 calendar days after end of the reporting period.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCY 1

ACC AMIC/DRQC 1

ACC AMIC/PCE 1

429th EOS/DO 1

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Technical Report Study/Services

3. SUBTITLE

Customer Service Notification Center SOP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508A

5. CONTRACT REFERENCE

PWS Para 3.2

6. REQUIRING OFFICE

ACC AMIC/PCY

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Bloc 16

12. DATE OF FIRST SUBMISSION

60 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) Customer Service Notification Center (CSNC) SOP shall include, but not be limited to: Roles and responsibilities; processing classified messages/materials;

processing ATOs, Daily Intention Messages, FPCON, FSTR, and SITREPs;

execution of checklists/ emergency actions; operation of available communications equipment which includes but not limited to: NIPR, SIPR (US Only), LMR, UHF/VHF radios, and phone systems; activities/significant events log; processing country/theater clearances; personnel in/out processing; reports preparation; entry authorization lists/access list coordination; line badge/security badge processing; alternate operating location; personnel recall; aircrew requirements coordination. Plan shall be IAW applicable section(s) of AFI 10-207, AFI 10-206, AFI 10-245, AFI 10- 2501, and AFMAN 32-4004.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

10, 11, 12, 13) The contractor shall review and update their plans IAW the accepted QMS. Coordinate at site level and obtain local concurrence prior to submitting for acceptance. When a plan is revised, it shall be submitted to the CO for approval NLT 10 calendar days after revision.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCY 1

ACC AMIC/DRQC 1

ACC AMIC/PCE 1

ACC AMIC/PLG 1

AFSOUTH A6 1

429th EOS/DO 1

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

A012

Operating Instructions

3. SUBTITLE

Logistics OI Manual

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80392

5. CONTRACT REFERENCE

PWS Para 4.1

6. REQUIRING OFFICE

ACC AMIC/PLG

7. DD 250 REQ

See Bloc 16

12. DATE OF FIRST SUBMISSION

60 DAC

8. APP CODE

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

5) Logistics OI shall include, but not be limited to Logistics Support Systems, Stock Management System, Issues & Requisitions, Purchasing System, Repair Cycle Support System, Vehicle Operations, Vehicle Maintenance, Traffic Management, AGE Maintenance, Fuel Management, Property Control & Administration, Quality Records, and Reference Documents.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

10, 11, 13) The contractor shall review and update their plans IAW the accepted QMS. When a plan is revised it shall be submitted to the Contracting Officer for approval NLT 10 calendar days after revision.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCY 1

ACC AMIC/DRQC 1

ACC AMIC/PCE 1

ACC AMIC/PLG 1

AFSOUTH A6 1

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

A013

Technical Report Study/Services

3. SUBTITLE

Fuel Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508A

5. CONTRACT REFERENCE

PWS Para 4.1.1.1, 6.3.6

6. REQUIRING OFFICE

ACC AMIC/PLG

7. DD 250 REQ

Monthly

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

(5) The fuels report shall include, at a minimum; total quantity of aviation fuel, ground fuel, and liquid oxygen provided per month, broken out by user. The report shall also be accompanied by the corresponding DD 1348-8.

(9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

(13) CDRL shall be submitted NLT 10 calendar days after the end of the reporting period.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/DRQC 1

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

A014

Technical Report Study/Services

3. SUBTITLE

Equipment Life Cycle Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508A

5. CONTRACT REFERENCE

PWS Para. 4.1.6.4

6. REQUIRING OFFICE

ACC AMIC/PLG

7. DD 250 REQ

Annual

12. DATE OF FIRST SUBMISSION

31 Mar

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

5) The Equipment Life Cycle Report shall include at a minimum the information required in Para. 4.1.6.4, and also vehicle registration numbers and vehicle type, WO#, start/stop dates, stock number (if applicable), part number, nomenclature, quantity, source of supply, cost, repair cost, unit of issue, current life expectancy and the attached format.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

13) CDRL shall be submitted NLT 10 calendar days after end of the reporting period.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PLG 1

ACC AMIC/DRQC 1

ACC AMIC/PCY 1

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

A015

Operating Instructions

3. SUBTITLE

Property Control Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80392

5. CONTRACT REFERENCE

PWS Para. 4.1.7.3

6. REQUIRING OFFICE

ACC AMIC/PLG

7. DD 250 REQ

See Block 16

12. DATE OF FIRST SUBMISSION

60 DAC

8. APP CODE

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

5) The plan shall meet the requirements of FAR Part 45 at a minimum.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

10,11,13) The contractor shall review and update their plans IAW the accepted QMS. When a plan is revised it shall be submitted to the Contracting Officer for approval NLT 10 calendar days after revision.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PLG 1

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

A016

Technical Report Study/Services

3. SUBTITLE

Metric of Cargo Movement Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508A

5. CONTRACT REFERENCE

PWS Para 4.1.9.1

6. REQUIRING OFFICE

ACC AMIC/PLG

7. DD 250 REQ

Monthly

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

5) The report shall include as a minimum; Movement of cargo by tonnage, cost, and percentage on time delivery, and dates, frustrated cargo and in-transit time.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

13) CDRL shall be submitted NLT 10 calendar days after the end of the reporting period.

14) Metrics shall be in Bar Graphic Excel Spreadsheet format.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A017

2. TITLE OF DATA ITEM

Vegetation Ground Maintenance Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

N/A

5. CONTRACT REFERENCE

PWS Para. 4.2.1.15

6. REQUIRING OFFICE

ACC AMIC/PCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

90 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) The plan shall include procedures for effective vegetation management, proper use of resources, and scheduling to allow for any licensing, permits or other permissions to accomplish these tasks. Plan will include the overall schedule for this maintenance and will provide flexibility to respond to changing conditions.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AMIC/PKD.

10, 11, 13) The contractor shall review and update their plans IAW with the accepted QMS. When a plan is revised it shall be submitted to the CO for acceptance NLT 10 calendar days after revision.

ACC AMIC/PKD 1

ACC AMIC/PMT 1

ACC AMIC/PCE 1

ACC AMIC/DRQC 1

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP TM OTHER

D. SYSTEM/ITEM

FOL

E. CONTRACT/PR NO.

FA4890-22-R-CN02

F. CONTRACTOR

1. DATA ITEM NO.

A018

2. TITLE OF DATA ITEM

CE Monthly Work Status Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

N/A

5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

ACC AMIC/PCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

45 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

5) PWS Paragraphs 2.22.1.2 / 4.2.1.5 / 4.2.1.20.1

5) The report shall include: PM tasks not accomplished as per annual maintenance schedule, CM tasks accomplished, the status of all outstanding CM tasks, and the status of identified 332 project requirements. Report will be in MS Excel format with the following fields: Work Order, Job Description, Equipment and Facility being worked on, WO status (i.e. open, closed, etc.), Downtime status (i.e. AWM, AWP, etc.), WO start date, WO completion date (as applicable), ETRO (as applicable) and comments sufficient to describe the current situation of the WO.

5) This report shall also include any pesticide/herbicide usage as a CM task with appropriate data fields as found in the DD Form 1352. Alternatively, use a MS Excel work book with work sheet tabs showing each monthly use.

5) Include with report all utility consumption and cost invoice.

9) Distribution authorized to U.S. Government agencies only (administrative or operational data). Other requests for this document shall be referred to ACC

AM…

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