Attachment 2 Contract Data Requirements List 20230607.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: A007 title: Phase-Out Plan sub:

auth: NA ref: A11.2.1 req_ofc: ACO/CORs dd250:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: The Phase-Out Plan shall fully describe, at a minimum, the incumbent KTR’s approach to the following: (1) Incumbent KTR employee notification; (2) Retention of incumbent KTR key personnel; (3) Turn-over of work-in-progress to the successor KTR for the successor KTR to complete; (4) Inventory of the following: all residual materials, parts and supplies, GFE/GFP, Government provided facilities, publications, and records; and (5) Transfer of Government data/information to the successor KTR; (6) Clean-up of incumbent KTR work areas; (7) Removal of incumbent KTR property from the installation (See A11.2.3. below for specifics); (8) Joint (Government, incumbent KTR, and successor KTR) inventory and reconciliation of all property accounts (examples CA-CRLs, GFE/GFP, ADPE etc.) and requisitions; (9) Turn-in of excess property; (10) Provision for training of the successor’s KTR personnel on Government-furnished software for automated information systems (AIS) used in performance of this contract and specific base specialized equipment and utilities systems;; and (12) Security debriefings IAW DAFI 31-101, Integrated Defense, for incumbent KTR personnel holding security clearances.

*KTR shall submit an updated Phase-Out Plan no later than sixty (60) calendar days prior to end of base period, no later than sixty (60) calendar days prior to end of each option period and no later than sixty (60) calendar days prior to end of Extension of Services period, if exercised. The CO shall notify the KTR of acceptance or required revisions within ten (10) calendar days of receipt. The KTR shall submit the finalized plan to the CO ten (10) calendar days after receipt of notification of the required revisions.

group:

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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: F004 title: AF Form 103 Work Clearance Request sub:

auth:

ref: F3.10 req_ofc: MSG/CE/BCE dd250:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: The KTR shall retain the original copy of the AF Form 103 and provide a copy within 5 calendar days of completion of the AF Form 103 requirement.

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DD FORM 1423-2, AUG 96

(2 Data Items)

The public reporting burden for this collection of information is estimated to average 220 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

TDP ________ TM _______ OTHER _________________________

11. AS OF DATE 13. DATE OF SUBSEQUENT

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

Page ____ of ____ Pages

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 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 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 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.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort

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 required to perform additional work to conform to Government without conforming to Government requirements, and the

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 otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

DD FORM 1423-2 (BACK), AUG 96

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

data_item1: A008 title1: Disaster Response Procedures & Checklists sub1:

auth1: NA ref1: A6.4.1.2 req_ofc1: ACO/CORs dd250_1:

appcode1:

dist1:

freq1: As Req asof1:

firstsub1: See Remarks subsub1: See Remarks addr1_1: ACO draft1_1:

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totaldraft1: 0 totalreg1: 2 totalrepro1: 0 rmks1: Submit disaster response procedures and checklists IAW Installation Emergency Management Plan (IEMP 10-2). * NLT fifteen (15) calendar days after contract start date and annually thereafter, NLT ten (10) calendar days after new option start date.

group1:

totalprice1:

data_item2: A009 title2: Quality Control Plan - Monthly Report sub2:

auth2: NA ref2: A3.2.1.4 req_ofc2: ACO/CORs dd250_2:

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freq2: As Req asof2:

firstsub2: See Remarks subsub2: See Remarks addr2_1: ACO draft2_1:

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totaldraft2: 0 totalreg2: 2 totalrepro2: 0 rmks2: The first and subsequent (electronic) submissions of the Qualify Control Plan Monthly Report due NLT 1st business day of each month following the month being reported. The Multi-Functional Team (MFT) will review the QCP within five (5) calendar days of receipt and return with any discrepancies. KTR shall correct discrepancies and return within seven (7) calendar days of receipt of identified discrepancies. Monthly inspection reports shall be provided to the CO and COR addressing all performance metrics included in the Services Summary.

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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: F005 title: Annual PM Schedule for Equipment ITM actions sub:

auth:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Submit initial PM schedule to the BCE for approval within fifteen (15) days of the beginning of the first operational performance period. The schedule shall indicate the area/building number, equipment/asset identifier, item description, PM description/frequency, and the proposed date the work is scheduled for accomplishment. Subsequent annual PM schedule due same date of initial submission each year. Revised schedules shall be submitted for acceptance within three calendar days of any changes. Revised schedules must include complete explanation/justification for the changes. Report shall be in Excel format.

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app: Adobe Professional 8.0

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

data_item1: A010 title1: Driver Qualifications sub1:

auth1: NA ref1: A13.1.1 req_ofc1: ACO/CORs dd250_1:

appcode1:

dist1:

freq1: As Req asof1:

firstsub1: See Remarks subsub1: See Remarks addr1_1: ACO draft1_1:

reg1_1: 1 repro1_1:

addr1_2: CORs draft1_2:

reg1_2: 1 repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

addr1_4:

draft1_4:

reg1_4:

repro1_4:

addr1_5:

draft1_5:

reg1_5:

repro1_5:

addr1_6:

draft1_6:

reg1_6:

repro1_6:

addr1_7:

draft1_7:

reg1_7:

repro1_7:

addr1_8:

draft1_8:

reg1_8:

repro1_8:

addr1_9:

draft1_9:

reg1_9:

repro1_9:

addr1_10:

draft1_10:

reg1_10:

repro1_10:

addr1_11:

draft1_11:

reg1_11:

repro1_11:

addr1_12:

draft1_12:

reg1_12:

repro1_12:

addr1_13:

draft1_13:

reg1_13:

repro1_13:

addr1_14:

draft1_14:

reg1_14:

repro1_14:

totaldraft1: 0 totalreg1: 2 totalrepro1: 0 rmks1: * Submit a personnel list within ten (10) calendar days prior to PoP start date, containing the employee’s name, driver’s license Class and vehicles(s) qualified/trained to operate. Updates will be provided to the CO and OR&L as changes occur.

group1:

totalprice1:

data_item2: A011 title2: Environmental Site Survey/Assessment sub2:

auth2: NA ref2: A17.1 req_ofc2: ACO/CORs dd250_2:

appcode2:

dist2:

freq2: As Req asof2:

firstsub2: See Remarks subsub2: See Remarks addr2_1: ACO draft2_1:

reg2_1: 1 repro2_1:

addr2_2: CORs draft2_2:

reg2_2: 1 repro2_2:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr2_4:

draft2_4:

reg2_4:

repro2_4:

addr2_5:

draft2_5:

reg2_5:

repro2_5:

addr2_6:

draft2_6:

reg2_6:

repro2_6:

addr2_7:

draft2_7:

reg2_7:

repro2_7:

addr2_8:

draft2_8:

reg2_8:

repro2_8:

addr2_9:

draft2_9:

reg2_9:

repro2_9:

addr2_10:

draft2_10:

reg2_10:

repro2_10:

addr2_11:

draft2_11:

reg2_11:

repro2_11:

addr2_12:

draft2_12:

reg2_12:

repro2_12:

addr2_13:

draft2_13:

reg2_13:

repro2_13:

addr2_14:

draft2_14:

reg2_14:

repro2_14:

totaldraft2: 0 totalreg2: 2 totalrepro2: 0 rmks2: * Submit an Environmental Site Survey/Assessment ten (10) calendar days prior to base period of performance using KTR format. Use DAFI 32-7020 Environmental Restoration Program; 42 U.S.C., Section 9601; and ASTM, Standard Practice for Environmental Sites Assessments for guidance.

group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page: 2 of_pages:

app: Adobe Professional 8.0

Reset:

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: F006 title: KTR’s Monthly PM ITM Work Schedule sub:

auth:

ref: F4.1.1.3 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:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: First submission due NLT contract start date; updates for the following month due NLT the 25th calendar day of each month. Revised schedules shall be submitted for acceptance within three calendar days of any changes. Revised schedules must include complete explanation/ justification for the changes. The schedule shall indicate the area/building number, equipment/asset identifier, item description, PM description/frequency, and the proposed date the work is scheduled for accomplishment. The schedule will be prepared to conform to the format in paragraph F4.1.1, and shall be in excel format.

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: F007 title: Completed Monthly PM ITM Schedule sub:

auth:

ref: F4.1.1.4 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:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

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draft6:

reg6:

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draft7:

reg7:

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draft8:

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draft9:

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addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

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addressee15:

draft15:

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draft16:

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draft21:

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draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

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draft26:

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addressee27:

draft27:

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draft29:

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addressee30:

draft30:

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addressee31:

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addressee32:

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draft35:

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addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: Report due concurrently with the monthly invoice, current as of the end of previous month. The monthly report shall include, but not limited to, area/building number, equipment/asset identifier, item description, PM description/frequency, completion date, actual hours, certification of the items accomplished, and list of deficiencies identified with work order number and brief description. The report shall also include a table that shows the number of PM actions scheduled, completed, and not completed. Report format to be provided by the BCE. PM items not complete shall be identified, with justification, include a copy of BCE approved deferment(s), and a revised monthly schedule (current month), highlighting these PMs.

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 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

data_item1: A012 title1: Requests for Information * sub1:

auth1: NA ref1: B4, C11 req_ofc1: AO/ACO/CORs dd250_1:

appcode1:

dist1:

freq1: As Req asof1:

firstsub1: See Remarks subsub1: See Remarks addr1_1: ACO draft1_1:

reg1_1: 1 repro1_1:

addr1_2: CORs draft1_2:

reg1_2: 1 repro1_2:

addr1_3: AO draft1_3:

reg1_3: 1 repro1_3:

addr1_4:

draft1_4:

reg1_4:

repro1_4:

addr1_5:

draft1_5:

reg1_5:

repro1_5:

addr1_6:

draft1_6:

reg1_6:

repro1_6:

addr1_7:

draft1_7:

reg1_7:

repro1_7:

addr1_8:

draft1_8:

reg1_8:

repro1_8:

addr1_9:

draft1_9:

reg1_9:

repro1_9:

addr1_10:

draft1_10:

reg1_10:

repro1_10:

addr1_11:

draft1_11:

reg1_11:

repro1_11:

addr1_12:

draft1_12:

reg1_12:

repro1_12:

addr1_13:

draft1_13:

reg1_13:

repro1_13:

addr1_14:

draft1_14:

reg1_14:

repro1_14:

totaldraft1: 0 totalreg1: 3 totalrepro1: 0 rmks1: *This data deliverable item shall be used to provide technical advice, recommendations, suggestions, technical assistance, participatory writings, and like technical written documentation as requested by the CO, AO, COR, BCE, or other designated Government representative, and not otherwise covered by another data deliverable elsewhere in the PWS.

group1:

totalprice1:

data_item2: A013 title2: Workload Data sub2:

auth2: NA ref2: B011, C021, D001, G017 req_ofc2: ACO/CORs dd250_2:

appcode2:

dist2:

freq2: As Req asof2:

firstsub2: See Remarks subsub2: See Remarks addr2_1: ACO draft2_1:

reg2_1: 1 repro2_1:

addr2_2: CORs draft2_2:

reg2_2: 1 repro2_2:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr2_4:

draft2_4:

reg2_4:

repro2_4:

addr2_5:

draft2_5:

reg2_5:

repro2_5:

addr2_6:

draft2_6:

reg2_6:

repro2_6:

addr2_7:

draft2_7:

reg2_7:

repro2_7:

addr2_8:

draft2_8:

reg2_8:

repro2_8:

addr2_9:

draft2_9:

reg2_9:

repro2_9:

addr2_10:

draft2_10:

reg2_10:

repro2_10:

addr2_11:

draft2_11:

reg2_11:

repro2_11:

addr2_12:

draft2_12:

reg2_12:

repro2_12:

addr2_13:

draft2_13:

reg2_13:

repro2_13:

addr2_14:

draft2_14:

reg2_14:

repro2_14:

totaldraft2: 0 totalreg2: 2 totalrepro2: 0 rmks2: * The KTR shall provide workload data in the format and time requested by the CO.

group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page: 2 of_pages:

app: Adobe Professional 8.0

Reset:

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: F008 title: Key Performance Indicators sub:

auth:

ref: F4.1.1.4 & F4.3 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Monthly/MFT asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

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draft13:

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reg20:

repro20:

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reg21:

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draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

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addressee24:

draft24:

reg24:

repro24:

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draft25:

reg25:

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draft26:

reg26:

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draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

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addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

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draft34:

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draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: Report due and delivered at the Monthly MFT meetings or delivered to the COR. Format is KTR’s preference but must include the Reporting Month and Contract Year to Date for: 1. Craft Hours per CLIN, 2. Total Hours per CLIN, 3. Material Cost per CLIN, 4. Subcontract Cost per CLIN, and 5. Total Costs per CLIN, 6. Customer complaints, 7. WT completed, 8. WT Received, 9. Number of PMs scheduled, 10. Number of PMs completed, and 11. Number of PMs not completed.

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 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

data_item1: A014 title1: Tool and Equipment Accountability Control Plan sub1:

auth1: NA ref1: A4.8/A17.5 req_ofc1: AO/CORs dd250_1:

appcode1:

dist1:

freq1: As Req asof1:

firstsub1: See Remarks subsub1: See Remarks addr1_1: AO draft1_1:

reg1_1: 1 repro1_1:

addr1_2: CORs draft1_2:

reg1_2: 1 repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

addr1_4:

draft1_4:

reg1_4:

repro1_4:

addr1_5:

draft1_5:

reg1_5:

repro1_5:

addr1_6:

draft1_6:

reg1_6:

repro1_6:

addr1_7:

draft1_7:

reg1_7:

repro1_7:

addr1_8:

draft1_8:

reg1_8:

repro1_8:

addr1_9:

draft1_9:

reg1_9:

repro1_9:

addr1_10:

draft1_10:

reg1_10:

repro1_10:

addr1_11:

draft1_11:

reg1_11:

repro1_11:

addr1_12:

draft1_12:

reg1_12:

repro1_12:

addr1_13:

draft1_13:

reg1_13:

repro1_13:

addr1_14:

draft1_14:

reg1_14:

repro1_14:

totaldraft1: 0 totalreg1: 2 totalrepro1: 0 rmks1: • Submit an initial draft of a written tool and equipment control plan NLT fifteen (15) calendar days prior to base period of performance. The plan shall include how the KTR shall ensure employees maintain positive control of tools and equipment to prevent them from creating a FOD hazard. The CO shall notify the KTR within fifteen (15) calendar days of acceptance or required revisions. The KTR shall submit the finalized plan to the CO fifteen (15) calendar days after receipt of notification of the required revisions.

group1:

totalprice1:

data_item2: A015 title2: Equipment Custodians sub2:

auth2: NA ref2: A17.5 req_ofc2: AO/CORs dd250_2:

appcode2:

dist2:

freq2: As Req asof2:

firstsub2: See Remarks subsub2: See Remarks addr2_1: AO draft2_1:

reg2_1: 1 repro2_1:

addr2_2: CORs draft2_2:

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totaldraft2: 0 totalreg2: 2 totalrepro2: 0 rmks2: The KTR shall designate all KTR assigned Equipment Custodians (ECs) and alternates, in writing, to the CO NLT ten (10) calendar days after contract start date. The roster shall be kept current at all times and changes shall be forwarded to the CO within ten (10) calendar days.

group2:

totalprice2:

prep_by:

prep_date:

app_by:

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Page: 2 of_pages:

app: Adobe Professional 8.0

Reset:

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: F009 title: Equipment Failure Report sub:

auth:

ref: F4.1.2 req_ofc: MSG/CE/BCE dd250:

appcode:

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freq: As Required 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: At the direction of the BCE, the KTR shall provide an equipment failure report to the government on equipment failure within 2-calendar days IAW paragraph F4.1.2.

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: A016 title: Maintenance Calibration Program sub:

auth: NA ref: A19 req_ofc: ACO/CORs dd250:

appcode:

dist:

freq: As Req asof:

firstsub: See Remarks subsub: See Remarks addressee1: ACO draft1:

reg1: 1 repro1:

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