FA8903-16-Q-0005_-_Exhibit_B_Amendment_1.PDF

(COMPUTER GENERATED)

CONTRACT DATA REQUIREMENTS LIST

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B ADMN

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B001 CONFERENCE MINUTES N/A

DI-ADMN-81250A PWS PARA - 4.1, 4.2, 5.4 AFCEC/CZRX

LT

A A

ASREQ

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

AFCEC/CZRX 1 0 1

772 ESS/PKS 0 0 1

JBSA-LACKLAND POC 1 0 1

SEE BLOCK 16

NSP

BLOCK 16

N/AN/A

2 0 3

Block 4: Para 10.1a(2) - Include Government Project number, Contract number, Task Order number, and date of meeting.

Block 12 & 13: Submit draft 5 calendar days after any meeting or conference. The government will require 5 calendar days to review minutes. Submit final meeting minutes 3 calendar days after receipt of government comments.

Block 14: All deliverables shall be submitted by e-mail. Final electronic deliverable shall be in PDF format and native file (i.e., MS Word, Excel, AutoCad, etc.). For AFCEE (EXHPA and ACV) and 611 CES provide each one final CD-ROM copy of all final project document completed under this contract.

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

Exhibit: B t ---- - DATA REM OESCRIPtlON w e -@- = - o f i f a8

5.1 C o n f e m minu- piir'vidr a 6 c l l m m T u i p T u i P ~ ~ ~ Lalirmrrton provided. &d d f f i r ~ o n ~ md m - 4 m, a mpctlugr. . .

7.1 ?hi8 Da@ ltan Dcoeriptbn p(D)conWniLho forms md conkat prepvutoa hrlruclionr for tk be p m d w g a m e d hy the cpccific and discre& tnsk ra~u~romeat U-de1incPrd.h the ~ n ~ a c ~

7.2 Thlr DID mpaledtr DMDMN4125Q.

a. A LLI. p;lpc cwdoIng Ibc fobwing:

1) l l t l a - i y p oCmwtLq rsd dnta ) I&uuiC&n of h e rquldtlm (r ( tkn. qutpmen~ umt# numbor) b; which L a mkun w u held.

1) ISp- I b r ~ p u n . o r b ~ . d rcp-tukaofchn o n m a o r ~8wldtiat d&. P

(4) T h w mumo of tbdcbdwak-r mhd riklicrr m whlch the uquhklon rorivlty nhaldachourlcdga m d p r oirrrmmau.

c. A Urn nf rucndac by n r m ~ rank, m', gnQ or porldm, d v i t y roprstcrYed. d v i t y coda, lad phone n u m b u vpt-vn*.

I. Acliua L~anr w l t i n g h r n h e d c m c e .

18. OlfllUWTBN 6TATOvlCNF

D m l B U n O N STAllMBNT A. Approved 6 r public n b : didrlbulbn k unlimllcd.

FA8903-16-Q-0005

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B ADMN

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B002 CONFERENCE AGENDA N/A

DI-ADMN-81249A PWS PARA - 4.1, 4.2, 5.4 AFCEC/CZRX

LT

A A

ASREQ

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

AFCEC/CZRX 1 1 1

772 ESS/PKS 0 0 LT

JBSA-LACKLAND POC 1 1 1

SEE BLOCK 16

NSP

BLOCK 16

BLOCK 16N/A

2 2 2

Blocks 12 & 13: Within 15 days prior to scheduled meeting. The government will require 5 day review of draft. The contractor shall incorporate government comments and submit final within 2 days prior to scheduled meeting.

Block 14: All deliverables shall be submitted by e-mail or on CD-ROM, as necessary. The government uses Microsoft Office Suite. E-mail addresses shall be provided by the COR.

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

DATA ITEM DESCRIPTION

I 3.1 The conference agenda provides information conuMlinp purpose, Wnn, and schedule of conferences required to m a g e the acquisiition of system equipmenl, related items. and services. I

I

P ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ , ~ ~ - ~ . ~ ~ I ~ ~ ~ ~ ~ I O M L - . P Y ) ~ ~ ~ I D I ~ N ~ L L I ( I I I YMIN.F-.OYLI

-ad--- narw.",,a - w ~ m - 1 D l l l l l C D l - - ~ . ~ ~ u . I l b . Y I * ~ - d ~ V I S ~ - ' D I -, b . 1 ~ -m ~ A ~ ~ . ~ ~ D L ~ ~ ~ - ~ O ~ ~ P . D I I R . ~ P ~ ~ ~ I D X Y Q ~ Y I W Y * ~ Q I I I ~ -d I 112

Conlerence Agenda

-- 7.1 This Data Item Description (DID) mntains the format and m e n f preparation instructions lor the data produd I Qenerated by the Specific and dime task requirement as delmeaed in me contract.

2 I D E N ? Y a T I O H W E R

DI-ADMK-8 1249A

7.2 Th~s DID supersedes Dl-ADMN-81249.

& . G l D E P * P P L w .

r

7. APPULXTlOr t NERRELATDNSHIP

&DTCAPPLY;ABLE 4. APPROVAL DATE

V ~ O ) 931001

I 10.2 m. The agenda shall indude the Wowmg, where applitable: I

5. OFFICE OF P W R Y RESPWIBlim (OPR)

F/ESC/ENd

8. Af'f'RWKUIRIATION r

I a The plrpae am objective OI me cantereme. I I b. The wnlerertce location. date. and &ration. I

10. Pwwuncw H~RUCTYHS

10.1 F_brmat. Contractor tormat is scceptabk.

O AP- FOrPlhi

I c. A h i l y chmnolDpul liainp of each mpr topic or subtopic to be dscussed and the time to be devoted to each topic. I

a. Ab6C M I s E R

F6968

I d. A list of activiiies lo be representad and i d e n t i f i n of their respanslbiiai.

I e. A CIst 01 subcommittees to be establshcd dmbg the eantersnce and the pnqmed adiviy rqnesentabn lor each submmmmee. I I i. Refereme to and brif desu@tm of the resub of previous meetings, when relevant. I

(Cuatinud rn Page 2)

11 DISTRILIUTON

I DISTRIBUTION STATEMENT A. Apptoved tor plMic rdease: diiribulion is unlimited.

L DD Form 1664, APR 89 (EF) J

~ r & l m . n c l g d . e .

I m T J -1d2-0-

FA8903-16-Q-0005

g. Locallon, sheduk, and purpose or subject area to be covered by each su!xommmee, when appkcable.

h. Names of the conference chairperron, =hair, and subcornmiltee chairs, when applicable.

i . Inlormation on billeting, messing, transportation, and administrative services available to conference anend-.

j. Complete list at all documentation to be available for reuiew.

k. Brief description of pmgress on actions or problems identified m previous meetings, when applicable.

I. Other pertinent intormation arch as tom to be used, identification of any deviatians or waivers. security classification, and clearance requirements.

Page 2 ot 2 Pages

FA8903-16-Q-0005

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B ADMN

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B003 PRESENTATION MATERIALS N/A

DI-ADMN-81373 PWS PARA - 4.1, 4.2, 4.3, 5.4 AFCEC/CZRX

LT

A A

ASREQ

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

AFCEC/CZRX 1 1 1

772 ESS/PKS 0 0 LT

JBSA-LACKLAND POC 1 1 1

SEE BLOCK 16

NSP

BLOCK 16

BLOCK 16N/A

2 2 2

Blocks 12 & 13: Submit drafts 15 days prior to presentation, publications or mailings. The government will require 5 days for review of drafts. Contractor shall make all required changes and have final available 2 days prior to presentation, publications or mailings.

Block 14: All deliverables shall be submitted by e-mail or on CD-ROM, as necessary. The government uses Microsoft Office Suite. E-mail addresses shall be provided by the COR.

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

I DATA ITEM DESCRIPTION

Preremlon Material I OX-ADMN-81373

CI '

S. D E W I P T M 1 PURPOEE

(3.1 Resenlalion materials are iu&vIsual old& mh us viewgraphs, photographs, slides or deUmlc equivdam. They are US Pd LO present informution during mh, brkfhgs. and similar activities involving more than one PErHm.

4. APPRQYAL DATE - ~~"uFKX OT P R W RESPONSWUIY (WRI w PWAPPUEIBLE B*, 6@€.PA"PLImLE

V r r r Z Y )

,, 931001 . -, , . ,,, FIESCIEN-4

7. hPPutXTlON I W T E A R E U T ~ ~ ~ ~ S ~ I P

7.1 This Data Item Description (DID) comPine the fonnrt and ccrdenl ptvpmion instNdions for the data produ~t Qeneratd by the specib and zliscmle mk requimmed aa delinealed in the eorftrad.

7.2 Thib DID may be applied on any eepuisii.

7.3 This DID supmedes Old-30UA

10.1 h n a L CwrtnclPr format Is maptable, with the e~eeptkn that the ~ e m m e n t must approve the use of any contraor insignia, uade names or Bymbpls, Dmliiwy media tormar ahall be defined on h a OD F m 1423. Cmacl Data Requirements L i .

I 10.2 Contcnt. Presetnation material cWl i n e M 8 text d my mmmp8nyhg verbal material unless the verbal portion is included as part of an eleCtmnic pretsentatbn. In oilher m e !he text or audk shall W e the followirsp ctatemwrt:

. I 7 h e publlcalbn of thla material does not corrsti!ule a p m l by Ihe Oovernment of the findings or amlush herein. Wide d i s t w i or mnr ;sment at this mai~ia l shall nat be made withcat specific approval by the apanming governmerd activity.'

1 DISTRIBUTION STATEMENT A. Apprwed lor publi nleuse: distrikrlbn ie unlimited.

FA8903-16-Q-0005

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B MGMT

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B004 PROJECT PLANNING CHART N/A

DI-MGMT-80507C PWS PARA - 4.4 AFCEC/CZRX

LT

A A

ASREQ

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

AFCEC/CZRX 1 1 1

772 ESS/PKS 0 0 LT

JBSA-LACKLAND POC 1 1 1

SEE BLOCK 16

NSP

BLOCK 16

BLOCK 16BLOCK 16

2 2 2

Block 4: DID TAILORING: Paragraph 10.3.1: Delete reference to the computer software tasks.

Paragraphs 10.3.15, 10.3.16, and 10.4 do not apply.

Block 12 & 13: Not later than 20 calendar days after contract award. The government will have 5 calendar days for review of the draft. All commments/changes shall be incorporated by the contractor.

Subsequent submission shall be at the request of the COR or upon any changes to the schedule and shall be submitted within 10 days of the request and/or changes.

Block 14: All deliverables shall be submitted by e-mail or on CD-ROM, as necessary. The government uses Microsoft Office Suite. E-mail addresses shall be provided by the COR.

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

DATA ITEM DESCRIPTION

Title: Project Planning Chart

Number: DI-MGMT-80507C Approval Date: 14 Apr 2009 AMSC Number: 9061 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: NS/BA02 Applicable Forms: N/A

Use/relationship:

The Project Planning Chart graphically depicts the schedule and actual progress of work on a contract.

This Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

This DID is used as a attachment to a status or progress report to illustrate the amount of work accomplished relative to the work schedule.

For fixed prices contracts, tailor out 3.18 and 3.19.

This DID supersede DI-MGMT-80507B

Requirements:

1. Reference documents. None.

2. Format: The chart shall be in contractor’s format.

3. Content.

3.1 Project planning chart. It shall depict actual and schedules progress for each subdivision using horizontal lines and symbols. Actual progress will be noted by a percentage of the completion figure.

3.2 Progress of work. Subsequent additions to the work breakdown shall be made as they occur in contract work performance. Items shall not be deleted even though work may be cancelled or stopped before completion.

3.3 Description. Description entry on the chart will be by task. Tasks are divided into

Source: https://assist.dla.mil -- Downloaded: 2015-05-08T19:17Z

Check the source to verify that this is the current version before use.

FA8903-16-Q-0005

DI-MGMT-80507C

subdivisions. For computer software task, the subdivisions shall be Design, Coding, Debugging, Acceptance Testing, and Management. Entries shall be complete and reflect all contract effort.

3.4 Milestone symbol. The triangle symbol will be white if the task has not be achieved. It shall be shaded if the task has been achieved.

3.5 Date released. Last date to which chart was posted.

3.6 Date revised. Date of subsequent contract modification.

3.7 Contractor name.

3.8 Contract title.

3.9 Contract number.

3.10 Purchase description number.

3.11 Security classification.

3.12 Delivery dates. Includes dates for all deliverable items.

3.13 Scheduled starting date. Date each subdivision of work is scheduled to start.

3.14 Actual starting date. Date each subdivision of work actually started.

3.15 Scheduled completion date. Date each subdivision of work is scheduled for completion.

3.16 Actual completion date. Date each subdivision of work actually was completed.

3.17 Manhours Expended. Total manhours expended per task for each reporting period.

Manhours defined as total number of direct labor hours regardless of type.

3.18 Funds expended. Contracts funds expended per task for each reporting period.

Costs defined as total direct cost plus burden, overhead, general and administrative (G&A), and any other load. Total of all items to equal the total target cost.

FA8903-16-Q-0005

DI-MGMT-80507C

3.19 Expenditures. Manhours expended figures and contract funds expended figures used on the chart will be developed on the same basis as the planned figures. Chart depicts these figures for each report period as cumulative totals, accurate to the as-of-date of the report.

4. END OF DI-MGMT-80507C

FA8903-16-Q-0005

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B MGMT

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B005 CONTRACTOR'S PROGRESS, STATUS AND MANAGEMENT

REPORT

STATUS REPORT

DI-MGMT-80227 PWS PARA - 4.5 AFCEC/CZRX

LT

N/A A

MTHLY

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

AFCEC/CZRX 0 0 1

772 ESS/PKS 0 0 LT

JBSA-LACKLAND POC 0 0 1

SEE BLOCK 16

NSP

BLOCK 16

BLOCK 16DAILY

0 0 2

Block 4: DID TAILORING: Paragraphs 10.3.g, 10.3h, and 10.3i do not apply.

Block 11: As of date shall be the end of the contractor's montly cost accounting period.

Blocks 12 & 13: Submissions shall be within 20 days after the end of the contractor's monthly cost accounting period.

Block 14: All deliverables shall be submitted by e-mail or on CD-ROM, as necessary. The government uses Microsoft Office Suite. E-mail addresses shall be provided by the COR.

For AFCEE/EXP provide each one final CD-ROM copy of all final project documents completed under this contract.

AFCEE/CDUT: https://afcee-eim.brooks.af.mil/Projects/PM/DZ/default.aspx

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

I ~ontroctor ' 6 Progreoc , S t a t u s and hbeha&ement Report I DT-HC?R-80217

DATA ITEM DESCRlPnON

3 DESCRIPTlONbUlPOSE

3.1 The C o n t r a e t e r ' r Progrr ss, S t a t u s and Management Repor t i n d i c a t e 6 the progrcas of work and t h e s t a t u s of the proprnm and of the a se igned task^, t e p o r t n costm. and inform6 ~f e x i s t i n g o r p o t e n t i a l problem a r o a r .

-m * W W

OMI NO, ~FWPIII

€dm O#ft, run 10. 1986

7 . 1 This Data I t em Description (DID) concains t h e format and c o n t e n t p r e p a r a t i o n i n s t r u c t i o n s f o r the data product genera ted by t h e s p e c i f i c and d i r c r e t e t a n k requi rement fo r t h i s data inc luded in t ho c o n t r a c t .

7 . 2 This D I D may b e app l i ed i n any c o n t r a c t m d d u r i n g any program phase.

7 . 3 This DID s u p e r o e d e r Dl-A-2090A. PI-A-3025A, UPI-A-220508, UDI-A-22052.4, UDI-A-23960, Dl-A-3DD24, mad Dl-A-3D6Db. ( c o n t . on page 2 )

1 I~TLE [ 3 . IDLNil#ICA?bON NuM&(R

I 10, r a f r r r U T ~ o r INSTRUCTIONS

10.1 Contrac t - Thir data i t e m i s gene ra t ed by t h e c o n t r a c t vfiich cantsinr a specif ic and d i o c r e t e work t a s k co develop t h i c d a t e product .

10.2 Format - Thio r c p o r t a h a l l be t y p e w r i t t e n on 8 tandard s i t e ( c . 0 . 8 1/2" by 11") 'whi te pape r , and e e c u r e l y s t a p l e d . Pages s h a l l be s c q u e n t f a l 3 y numbered. A l l e t tachments s h a l l be i d e n t i f i e d and r e f e r e n c e d i n t h e t e x t o f t h e r e p o r t . The r e p o r t s h a l l be prepared i n t h e c o n t r a c t o r ' s format and a h a l l be l e g i b l e and s u i t a b l e f o r r e p r o d u c t i o n .

10 .3 Conrent - The r e p o r t u h a l l i nc lude :

a . A f r o n t c o v e r sheet vh ich i n c l u d e s the c o n t r a c t o r ' s name and addreoe , the c o n t r a c t number, t h e nomencla ture of the syctam o r program, the d a t e of the report, t he period covered by t h e r e p o r t , the t i t l e of the r e p o r t , t i t h e r t he a e r i a l number of the r e p o r t or t h e Contrac t Data Requirements L i s t (CDfU) atquence number, the mccur i ty c l a s s i f i c a t i o n , and t h e name o f t he i s s u i n g Covtrumctrt a c t i v i t y ;

b . D e s c r i p t i o n of rhe p rogres s made a g a i n s t m i l e s t o n e s d u r i n g the r e p o r t i n g pe r iod ;

c . R e s u l t s , p o s i t i v e or n e g a t i v e , ob ta ined r e l a t e d t o p r e v i o u o l y - i d e n t i f i e d problem araam, w i t h conclueion8 and recamnandat i o n s ;

d . Any o i g n i f i e a n t chmgen t o the contractor's o r g a n i z a t i o n o r method of qmra tLon , t o t h e p r o j e c t management ne twork, or t o t h e m i l e s t o n e c h a r t ;

e , Problcm a r c a s a f fec t ing t e c h n i c a l or scheduling e lemen t s , w i t h background and my recommtndationr f o r molutions beyond the s c o p t o f the c o n t r a c t ;

f . Problem a r e a s a f f ec t i ng coa t elements, w i t h background and any recomnendations fa solutions beyond t h e Bcope of t h e c o n t r a c t ;

g. Cost curves ahowing a c t u a l and projected c o n d i t i o n s throughout the cont r&et ;

h . Any c o s t i ncu r red f o r the repor t ing per iod and t o t a l c o n t r a c t u a l expendi ture6 a8 o f r e p o r t i n g date;

i . Perron-hours cxpcnded f a r the r e p o r t i n g pe r iod aad cumrr ls t ivr ly f o r t h e c o n t r e c t ;

j. Any t r i p e and s i g n i f i c a n t r c e u l t s ; ( con t . on page 2 )

I -- 00 Form 1664. FE9 PS CI*V~D~# wlrgn IS DIG^ 1 36 1 .rc51

FA8903-16-Q-0005

7 . 4 Paragrapha 10.3.f, 10.3.g, and 10.3.h herein should be t a i l o r e d on W Form 1423 when such cost d a t a i n a l r e a d y rubmi t t e d through s sophimtlcatcd coet report ing r y f t e a under the contract.

10. PREPARATION INSTRUCTIONS (Cont ' d

k. Urncord of all oigr.ificant telephone cal l8 and any cow~ihkents made by te lephone ;

1. Sumary o f Engineering Change Propoaal (ECP) r t a t u n , including i d e n t i f i c a t i o n of proposed ECPs , approved ECPa, and implemented E C P P ~

rn. Contract schedule stat UB ;

n. Plane for activities dur ing the following reporting period;

o . Name and telephone number of preparer of the report;

p , Appendixes for any necesbaty t a b l e s , r e f e r e n c e s , photographs, l l l u o t r a t i m s , and chart&.

FA8903-16-Q-0005

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B MISC

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B006 MASTER DOCUMENT LIST (MDL) N/A

DI-MISC-80393A PWS PARA - 5.3.1 AFCEC/CZRX

LT

A A

ONE/R

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

AFCEC/CZRX 0 0 1

772 ESS/PKS 0 0 LT

JBSA-LACKLAND POC 0 0 1

SEE BLOCK 16

NSP

BLOCK 16

BLOCK 16N/A

0 0 2

Blocks 12 & 13: Submit master document list within 30 calendar days of completion of all work on this contract. The contractor shall not finalize document without approval from the COR.

Block 14: All deliverables shall be submitted by e-mail or on CD-ROM, as necessary. The government uses Microsoft Office Suite. E-mail addresses shall be provided by the COR.

For AFCEE/EXP provide each one final CD-ROM copy of all final project documents completed under this contract.

AFCEE/CDUT: https://afcee-eim.brooks.af.mil/Projects/PM/DZ/default.aspx

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

I F'mi~c rspi.3 ng tvidon l r r l lhlr c* a:lKn nl inlorrnalmr i s ~ % l m l m d ) o aurrlac 110 h-1s pal fsiwnse, hclbang IM lms lor nwww nrlIucloW. FOlrChw*a41np d?Y SWrCa*.

;athering and mamlaining Ihr a1sn.tdm.i ard cmrrml.m rnd rtranim (rz Doil*a,~1 of nlQfmEllm. Send COtmImlC nperdng #%I$ buroen ~ t i m r ( r or #ny d h 4 r a w ~ I 0 r I h coltcc~~oo uf inlormr~,at. ~ ~ l u d i t b r.(ige,ro,rr tbf red~ctnp lnist~rnan IC wsanlnpm tiasMuans16 Sawica;. Di~eF(umle $I htormrliw C w r r ~ b a and Fiou~tr. 1215 JrR4rbbn Dd-6 naghrav. Sult~ :2W. *rlnglon. V A 22202.43U2. and to meOl(lre 01 Managtlmml am Budgel Paprwork RWUEIIO~ R0j.a (07044180\. Wahngwn. 0.C w.

DATA ITEM DESCRIPTION Fom Appqved

OM8 No. 07044188

1.TlTt.E

Master Document List (MDL)

1 1 50 SPACE WING-LG

P 7 0 1 - - 2 4

7 . APPLlCATIONlNTEFiRELhTlONS~lP

2. IOENTIFICATKIN NUMBFR

Dl-M ISC-80393A

4 APPROVAL DATE

( rvhr,ul/DD)

7.1 Th~s Data Item Description (DID) contains the format and content preparation instructions for the data prodllct generated by the specific and discrete task requirement as delineated in the contract.

7.2 This DID applicable lo O&M contracls requiring contractors to maintain contract libraries.

7.3 This DID supersedes Dl-MlSC-80393.

3. DESCiiIPTIOWWHPOSE

3.1 The MDL provides a master hsting of all documents maintained in libraries. The listing includes publications. operating instructions, drawings. and training material. The listing is used to ensure all required documents are being maintained.

Pb. AUSC NUMBER

F7230

5. OFFICE OF PRIMAAY AESPONSIBIUTY {OPR)

I

10. PREPARATION INSTRUCTIONS

10.1 Format. Contractor format is acceptable.

10.2 Comer& The MDL shall be categorized by type and agency and shall include document number. title, date and specific location of the document. The MDL shall list all revisions. changes.

supplsrnenls and amendments lo all documents. The portion of the MDL containing computer programs and computer prograrn docurnentation shall include the subject or keyword.

6.. DTlC APPLICABLE

1 1 . DISTRIDU'IION STATEMENT

DIST RiBUTION STATEIJENT A. Approved for public release: distribution is unlimited.

6b. WDEP APPLRABLE

DD Fbr~n 1864. APR 88 Plav~ous sdilionh ere ob861bIs PLal-Lot U W *

FA8903-16-Q-0005

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B MISC

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B007 DIGITAL IMAGING N/A

DI-MISC-81579 PWS PARA - 7.1 AFCEC/CZRX

LT

A A

BLK16

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

SEE BLOCK 16

NSP

BLOCK 16

BLOCK 16N/A

Blocks 12 & 13: Digital Imaging shall be submitted in support of appropriate Technical Reports and Plans. B/W photocopies acceptable for drafts, color for finals.

Block 14: The purpose of this CDRL is to present technical guidance for inserting digital images into relevant task order documents and is not intended to provide copy distribution data. Actual digital image distribution will be governed by their usage in the individual documents containing them.

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

Source: https://assist.dla.mil -- Downloaded: 2015-05-08T19:20Z

FA8903-16-Q-0005

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B MGMT

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B008 PROJECT PLANNING CHART ERPIMS SCHEDULE

DI-MGMT-80507C PWS PARA - 5.5 AFCEC/CZRX

LT

A B

ASREQ

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

AFCEC/CZRX 1 1 1

772 ESS/PKS 0 0 LT

AFCEC/ERPIMS TEAM 1 1 1

SEE BLOCK 16

NSP

BLOCK 16

BLOCK 16N/A

2 2 2

Block 3: Environmental Resources Program Information Management System (ERPIMS) Data Submission Schedule Block 4: DID tailoring: DID paragraphs 3.4, 3.11 and, 3.17 through 3.19 are not applicable. Change paragraph 3.9 to read: "Contract and Task Order Number". Change paragraph 3.10 to read: "Installation and Site Location".

Blocks 12, & 13: First submission date shall be within 30 days after receipt of contract, subsequent submissions shall be within 10 days of any updates/changes.

Blocks 14 & 15: Deliverables to AFCEC shall be submitted by Email or, CD as directed by the Government. Schedule shall list the project name and number, delineation of anticipated sampling events to include sampling frequency (e.g., monthly, quarterly, etc.), field sampling event projected begin and end dates, and the expected submission date for the associated ERPIMS data deliverable. E-mail addresses shall be provided by the COR.

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate forInformation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item) Form Approved OMB No. 0704-0188

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 10. FREQUENCY

11. AS OF DATE

12.DATE OF FIRST SUBMISSION

13.DATE OF SUBSEQUENT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final Reg Repro

16. REMARKS

15. TOTAL

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

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD Form 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page of Pages USAPPC V3.00

REQUIRED

SUBMISSION

0002 B CMAN

LTM, RA-O JBSA FA8903-16-Q-0005 TBD

B009 TECHNICAL DATA PACKAGE ENVIRONMENTAL RESOURCES PROGRAM INFO

MGMT SYSTEM (ERPIMS)

DI-CMAN-80776 PWS PARA - 5.5 AFCEC/CZRX

LT

A B

ASREQ

JOSE HURTADO, AFCEC/CZRX01-Jul-2016DAVID HOLGUIN

N/A

01-Jul-2016

AFCEC/CZRX LT LT

772 ESS/PKS LT LT

AFCEC/ERPIMS TEAM 1 1 1

SEE BLOCK 16

NSP

BLOCK 16

BLOCK 16N/A

1 1 1

Block 4: DID tailoring: The following paras are tailored as indicated:

Para 7.1 - This Data Item Description (DID) contains the format and content preparation instructions for the TDP resulting from the work task described in the Statement of Work.

Para 10.1 - Replace with the following: The latest versions of the ERPIMS Data Loading Handbook (DLH) and the applicable ERPTools or ERPTools Users Guide provide the guidance necessary for the Contractor to prepare ERPIMS Data Submissions timely and accurately.

Para 10.2 - Replace with the following: Content shall be in accordance with the latest version of the

ERPIMS DLH.

Block 11: As of Date shall be the date of the first analytical sample collection for each period sampled.

Blocks 12 & 13: ERPIMS data submissions shall be submitted no later than 90 days after collection of the first analytical sample collected for the applicable periodic data submission (unless written extension or waiver is approved by CO and AFCEC/CZR). If the ERPIMS system is down during the 90 day period, one additional day will be added to the 90 days for each day the system is down. For each 30 day period that the system is down, an additional five days will be added to account for backlogging purposes. Any data submitted by the Contractor in subsequent reports or other documents shall match the data submitted to ERPIMS. The ERPIMS data requirement will only be satisfied upon the data's insertion into the ERPIMS Production database and formal acceptance.

Blocks 14 & 15: Deliverables to AFCEC shall be submitted using the latest ERPIMS Data Loading Software (e.g. ERPToolsX, etc.) or by Email or, CD as directed by the Government.

NOTE 1: ERPIMS Data deliverables will not be accepted unless they are accompanied by a transmittal letter. Format and content of the transmittal letter will be as specified in the Statement of Work. Provide electronic copy of the transmittal letter to AFCEC ERPIMS DATA SUPPORT.

NOTE 2: E-mail addresses will be provided on a separate letter.

NOTE 3: Draft and Final will be evaluated by AFCEC ERPIMS DATA SUPPORT** for format compliance, data intergrity, and meets the requirements of the ERPIMS DLH. Final acceptance of ERPIMS deliverables will not occur until data has been validated and errors detected corrected.

1 1

FOR OFFICIAL USE ONLY

FA8903-16-Q-0005

FA8903-16-Q-0005