Attch 11 - CDRL A002 Contract Information4.28.2021.pdf

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 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 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

Yellow Ribbon Program Contracted Information Form

Task Order # Basic Contract #

Event Size / General Hotel Rooms & Space

Ccare Services/ Ccare Rms/ Teen Rms

In-Person / Hybrid Break-Out Room(s)

In-Person / Hybrid General Session Room(s)

Participants per Meal/ Refreshment

Resort Fee

Function Set Max

CONTRACT INFORMATION

ADDITIONAL HOTEL AND AREA INFORMATION (Location, Amenities, ect.)

SPACE ALLOCATION (Floorplan and Capacity Chart Attached)

Space Name Important Notes

Submission Date Planned Event # / Type / Date / Region Date of Contract with Venue

Individual Loding Room Rate / Night

Location Event Dates

Attachment 1 to CDRL A002 of the Basic Contract

Venue (Hotel) Name:

Street, City, State, Zip Hotel URL Hotel Phone # /

For Childcare or Teen Rooms note Sq Ft and Max kids or teens

Sq. Ft.

Max Kids:

Sq. Ft.

Max Teens:

Nearest Major Airport Airport Name Distance Estimated Taxi Cost Shuttle Availability/Cost

Parking cost Self:

Valet:

Hotel amenities and activities In Room

Phone#

Link

Wednesday

Thursday

Friday

Saturday

Sunday

Link

Wednesday

Thursday

Friday

Saturday

Sunday

Cancellation

Deposit

Occupancy

ADDITIONAL NOTES

Hotel Policies

Tax Exemption Policy (if applicable, form attached)

Attendee Room Block

RESERVATION INFORMATION

Cutoff Date

Staff Room Block

HOTEL SHIPPING INFORMATION

Shipping Information

Hotel amenities and activities On-site Activities

On-site Dining

Area Attractions Walking Distance

Other Nearby Attractions

Yellow Ribbon Program Contracted Information Form

Task Order # Basic Contract #

CONTRACTOR’S PROGRESS AND STATUS REPORT

Para 1.4.1.2 Venue Recommendation Selection Process for Projected Events apply.

1. Contractor shall submit contracted venue information IAW ATCH 1, Yellow Ribbon Program Contracted Information Form, NLT ten (10) calendar days after approved venue is secured and contracted by Contractor.

2. The Contractor shall submit documents electronically to afrc.yellowribbon@us.af.mil to the attention of Government Yellow Ribbon Program Manager (GYRPM), Operations Officer (OIC), Event Managers (EMs) and CORs.