Draft Attch 13 - CDRL A004 Childcare Services and Credentials 4.28.2021.pdf
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- HQ AFRC Yellow Ribbon Reintegration Program Event Planning Services Federal contract opportunity
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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 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
1138287579C Draft
| A_CONTRACT_LINE_ITEM_NO: |
| B_EXHIBIT: NA |
| TDP: |
| TM: |
| OTHER: NA |
| DSYSTEMITEM: HQ AFRC/A1R Yellow Ribbon |
| E_CONTRACTPR_NO: |
| FCONTRACTOR: |
| 1_DATA_ITEM_NO: A004 |
| 2_TITLE_OF_DATA_ITEM: Conference Report |
| 3_SUBTITLE: Childcare Services and Childcare Credentials |
| 4_AUTHORITY_Data_Acquisit: DI-MISC-81308A |
| 5_CONTRACT_REFERENCE: PWS 1.4.5,1.4.5.1 |
| 6_REQUIRING_OFFICE: AFRC Yellow Ribbon |
| 7_DID_250_REQ: |
| 8_APP_CODE: |
| DIST_STATEMENT: A |
| 10_FREQUENCY: per task order |
| 11_AS_OF_DATE: See Block 16 |
| 12_DATE_OF_FIRST_SUBMISSI: See Block 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: See Block 16 |
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| 16_REMARKS: |
Contractor format is acceptable. Requirements listed in DI-MISC-81308A shall be used, in addition the following is specifically tailored for this deliverable:
1. Contractor shall ensure childcare provider training IAW AFI 34-144, "Child and Youth Programs" paragraphs10.3 Teaching Staff and Providers, 10.14 Physicals, 10.15 Immunizations, and 11.2 Orientation on each individual listed as a child care provider per event.
2. Contractor shall ensure one (1) Childcare Provider, each day of the event, certified in pediatric CPR training IAW American Heart Association (AHA) certification.
3. Contractor shall conduct criminal background checks on all childcare providers for each event IAW 31-144, paragraph 10.6 Background Checks.
4. Contractor shall provide report of childcare provider's credentials to the Government seven calendar days prior to event. Submit report electronically to afrc.yellowribbon@us.af.mil to the attention of Government Yellow Ribbon Program Manager (GYRPM), Operations Officer (OIC) and Event Managers (EMs).The report shall contain:
a. Provider's First and Last Name
b. Dates of provider's training IAW 34-144
c. Provider's certification in pediatric CPR IAW AHA(if applicable)
d. Provider 'pass' criminal background check IAW 34-144
5. Contractor shall provide childcare accountability documentation for each child checked in at the event one (1) hour after event start time each day of the event with the following child's registration information:
a. First and last name of child
b. Age of child
c. Child's room assignment
d. First and last name and contact phone number of the child's parent(s) or guardian(s) in attendance at the event.
| 17_PRICE_GROUP: | |
| ESTIMATED_TOTAL_PRICE: | |
| G_PREPARED_BY: | |
| H_DATE: 4/28/2021 | |
| 1_APPROVED_BY: | |
| J_DATE: 28 April 2021 | |
| Page: 1 | |
| of_pages: 1 | |
| Reset: | |
| 2021-04-28T09:49:42-0400 | |
| BRETTHORST.LAZETTE.W.1087484110 |
| 2021-04-28T14:14:07-0400 | |
| HILL.MARY.Z.1068819560 |
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