Attachment_6_-_Quarterly_Reporting_CDRL.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 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

RFQ FA8003-18-R-0004

Attachment 6 - Quarterly Reporting CDRL

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

RFQ FA8003-18-R-0004

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 delivering such data item to the Government.

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

RFQ FA8003-18-R-0004

Attachment 6 - Quarterly Reporting CDRL

1027245044C Inserted Text

Step 1: Fill out header at top:

1. Enter Supplier Name

2. Enter Quarterly Reporting period

Step 2: Fill out columns appropriately with the below definitions

Ordering

Office

DODAAC

Ship to

DODAAC

Ship From

CAGE Code

Contract Number (no dashes) Order Number Order Date

Method of procurement PSC/FSC*

Line Item

Number Product Description

Quantity

Ordered Unit Price Extended Price

BPA Price w/

Volume

Discounts

Total Fees per unit in $

Total Price

WITH FEES Savings

Total

Percentage

Savings Comments

(1.0) (2.0) (3.0) (4.0) (4a) (5.0) (8.0) (9.0) (9a) (14.0) (15.0) (16.0) (17.0) (18.0) (18a) (18b) (19.0) (20.0) (24.0)

- $0.00 $0.00 $0.00 #DIV/0! 0

- $0.00 $0.00 $0.00 #DIV/0! 0

- $0.00 $0.00 $0.00 #DIV/0! 0

- $0.00 $0.00 $0.00 #DIV/0! 0

Item Serial

Number

(9b)

Delivery Date

(20a)

Total Number of Days For

Delivery

(20b)

BPA NTE Value

(17a)

Information Requirements Quarterly Report Matrix

Column Description

1.0 Ordering Office DODAAC

The Department of Defense Activity Address Code (DoDAAC) is a six position code that uniquely identifies a unit, activity, or organization that has the authority to requisition and/or receive material. The supplier shall report the ordering location DODAAC of the installation/base/organization placing the order. This information can be found on

2.0 Ship to DODAAC/Service Performed at DODAAC

The Department of Defense Activity Address Code (DoDAAC) is a six position code that uniquely identifies a unit, activity, or organization that has the authority to requisition and/or receive material. The supplier shall report the shipping location DODAAC of the installation/base/organization placing the order. This information can be found on

3.0 Ship from CAGE Code/Service Performed at CAGE Code The location of the manufacturer’s facility will be reported by CAGE Code. This information can be found in Block 17a of

4.0 Contract Number This information can be found in Block 2 of the SF 1449 or Blocks 10a and 2 of the SF 30. For modifications, include both

4a Order Number This is the vendor assigned number unique to the specific reported order

5.0 Order Date The order date shall be reported as the date that the individual RFQ order is awarded to vendor within AFAdvantage!

8.0 Contract Vehicle The vendor shall select the applicable contract vehicle: BPA or GPC

9.0 Product Service Code (PSC)/Federal Supply Code (FSC) The Government shall pre-populate this information.

9a Line Item Number Drop down list of seating category identified on customer ordering form

9b Item Serial number This is the vendor assigned unit number unique to the specific chair and identified options

14.0 Product Description/Description of Services The vendor shall describe in detail the product or services provided.

15.0 Quantity Ordered/Total Units

For commodities, Quantity Ordered shall be reported as number of whole units ordered, relative to the reporting (e.g.

number of chairs or number of beds delivered, NOT number of parts and pieces making up the chair or bed). For services, Total Units is the total amount of the units needed to provide service (e.g. labor hours or square feet).16.0 Unit Price The vendor shall input the unit price of the specific purchase to include all fees (except delivery), prior to BPA

17.0 Extended Price Auto calculated

17a BPA NTE Value This is the Not To Exceed price set at BPA award for the current reporting period for specific item procured

18.0 GSA Price with Volume Discounts

If contractor holds a GSA schedule, the GSA Price shall be reported relative to field 9.0. Price will be listed per individual item, in US Dollar currency only and must take into account any volume discounts offered off the GSA

18a Total Fees per unit in $ This field shall include all fees associated with purchase except for delivery fees

18b Total Price WITH FEES Auto calculated

19.0 Savings Auto calculated

20.0 Total Percentage Savings Auto calculated

20a Delivery Date Date customer received requirement DD/MM/YY

20b Total Number of Days For Delivery Auto calculated

24.0 Comments

Comments shall be a short description of any miscellaneous charges listed. Please provide as specific information as possible within the limitations of the cell. If the Government requires any additional information, they may use this

RFQ FA8003-18-R-0004

BLK A: Quarterly Reporting

BLK 5: Attachment 5, Section 3, Extent of Obligation

BLK 7: LT (Letter Transmission) requirement is met by following the e-mail submission requirement above.

BLK 9: Distribution authorized to US Government agencies only to protect information in management reviews, records of contractor performance evaluation, or other advisory documents evaluation programs of contractors. Refer other requests for this document to AFICA 771 ESS/EGC.

BLK 11: Report data compiled as of the end of each government fiscal quarter.

BLK 12: The first submission will be due not later than the first calendar date in block 13 which occurs first after BPA award.

BLK 13: Subsequent status reports shall be due no later than the 15th day in the month following the end of each fiscal year (FY) quarter except for the 4th quarter which will be due by the 30th (January 15, April 15, July 15, and October 30) of each fiscal year throughout the life of the BPA.