Exhibit_A_CDRLS.pdf

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

H92222-14-R-0019 Exhibit A

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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:

0001 A TDP TM OTHER MGMT

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

SWMS-Group C

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A001 SWMS Monthly Status Report Monthly Status Reporting

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80368A/T SOW Paragraph 6.1 PEO-SV

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

LT Monthly BLK 16 b. COPIES

8. APP CODE

16. REMARKS

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

BLK 16

a. ADDRESSEE

Draft

Final

Reg Repro

BLK 4 DID: Contractor format.

The Group C Monthly Status Report shall contain the following:

1. A brief summary of the progress and accomplishments made toward achieving the requirements.

2. Projected major events/activities/deliverables for the next month.

3. Anticipated difficulties in upcoming tasks and any issues on current tasks.

4. Recommended improvements or solution options to any noted difficulties or issues.

5. Funding expended individually for each task order, by month, a cumulative total, and if applicable, separate by subtask

6. Report of the individual task order labor hours, by task order, by labor category

7. Travel broken out, by task order, into the following categories: budgeted, executed

(during the reporting month), cumulative total obligated, and remaining obligated balance.

In accordance with 5652.242-9002, provide a listing of contractor employees who departed during the previous month and the date their CACs were returned. Using an Excel

Spreadsheet report:

Company Name

Employee Name

Contract Number

TO Number

Trusted Agent (TA) Name

Termination Date

Date CAC returned to RAPIDS Site

Remarks

BLK 7: Letter of Transmittal only

BLK 9: Distribution authorized to US Government Agencies only (Proprietary

Information). Other requests for this document shall be referred to the SWMS Contracting

Officer.

BLKS 11, 12 & 13: Monthly status report shall be delivered no later than the 10 of the following month of performance.

BLK 14: E-mail to the SWMS Contracting Officer and the appointed SWMS Primary

Contracting Officer's Representative (PCOR).

15. TOTAL

0 0 0

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

Digitally signed by geoffry.gauger@socom.mil geoffry.gauger@socom.mil DN: cn=geoffry.gauger@socom.mil Date: 2014.07.10 12:30:36 -04'00'

7/10/2014 geoffry.gauger@socom.mil

DN: cn=geoffry.gauger@socom.mil

Date: 2014.07.10 12:33:40 -04'00'

7/10/2014

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

Adobe Professional 8.0

B mailto:geoffry.gauger@socom.mil mailto:geoffry.gauger@socom.mil mailto:cn%3Dgeoffry.gauger@socom.mil mailto:geoffry.gauger@socom.mil mailto:geoffry.gauger@socom.mil mailto:cn%3Dgeoffry.gauger@socom.mil

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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:

0002 A TDP TM OTHER ADMN

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

SWMS Group C

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 SWMS Task Order Assessment

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ADMN-80447A SOW Paragraph 6.2 PEO-SV

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

LT QRTLY BLK 16 b. COPIES

8. APP CODE

16. REMARKS

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

Reg Repro

BLK 4 DID: The format of the Contractor Self-Assessment Report is IAW "SWMS

Task Order Assessment" attached to this CDRL. Note: Submit one report for each active task order during the reporting period.

BLK 7: Letter of Transmittal only

BLK 9: Distribution authorized to US Government Agencies only (Proprietary

Information). Other requests for this document shall be referred to the SWMS Contracting

Officer.

BLK 12: 20 April 2015

BLK 13: Submissions are due on quarterly cycle. The assessments are due the 20th day of

April, July, October, and January. If the the 20th day of the month falls on a federal holiday or weekend, the assessment is due the next government work day.

BLK 14: E-mail to the SWMS Contracting Officer and the appointed SWMS Primary

Contracting Officer's Representative (PCOR).

15. TOTAL 0 0 0

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

Date: 2014.07.10 12:46:27 -04'00'

Date: 2014.07.10 12:46:30 -04'00'

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

Adobe Professional 8.0

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

B mailto:geoffry.gauger@socom.mil mailto:geoffry.gauger@socom.mil mailto:cn%3Dgeoffry.gauger@socom.mil mailto:geoffry.gauger@socom.mil mailto:geoffry.gauger@socom.mil mailto:cn%3Dgeoffry.gauger@socom.mil

CDRL A002 Attachment – Contractor Self-Assessment Report

SOCOM Wide Mission Support (SWMS) Quarterly Surveillance/Assessment Report

Note: QASP will be developed based on awardees QCP

INSTRUCTIONS:

1. PER THE SWMS QASP, PLEASE USE THE RATINGS AND DEFINITIONS DEFINED

BELOW TO COMPLETE THIS ASSESSMENT.

2. ALL COMMENT BOXES MAY BE EXPANDED IN ORDER TO CAPTURE RELEVANT

COMMENTS.

PERFORMANCE RATING DEFINITIONS:

Exceptional

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an

Exceptional rating. Also, there should have been NO significant weaknesses identified.

Very Good

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor was effective. To justify a Very

Good rating, identify a significant event and state how it was a benefit to the Government. There should have been NO significant weaknesses identified.

Satisfactory

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory. To justify a Satisfactory rating, there should have been only minor problems, or major problems the Contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DoD policy, a fundamental principle of assigning ratings is that Contractor will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

Marginal

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor’s proposed actions appear only marginally effective or were not fully implemented.

To justify Marginal performance, identify a significant event in each category that the Contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the Contractor of the contractual deficiency

(e.g., management, quality, safety, or environmental deficiency report or letter).

Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

To justify an Unsatisfactory rating, identify multiple significant events in each category that the

Contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An

Unsatisfactory rating should be supported by referencing the management tools used to notify the

Contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental)

1. Contractor Name To Be Determined

2. Contract IDIQ Number To Be Determined

3. Current Surveillance/Assessment Period

4. PCOR Name: Office Symbol: Date:

5. PCOR-Validated Complaints (this reporting period)? YES NO

If yes, how many?

If yes, provide details:

6. Performance Assessment: Place an “X” in the appropriate Low/High rating box

A. Quality of

Service

Exceptional

Narrative:

Government Assessment Rating

Concur with Contractor

Assessment

Non-concur with Contractor Assessment

(please select new rating)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

Government Comments (required if non-concur/new rating is selected):

B. Business

Relations

Assessment

Non-concur with Contractor Assessment

(please select new rating)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

C. Management of Key Personnel

Assessment

Non-concur with Contractor Assessment

(please select new rating)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

D. Utilization of

Small Business

Assessment

Non-concur with Contractor Assessment

(please select new rating)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

Task Order Quarterly Assessment (Complete for each active TO during the assessment period)

1. Task Order Number

2. Task Order Period of Performance (PoP)

3. Current Surveillance/Assessment Period

4. COR Name: Office Symbol: Date:

5. COR-Validated Complaints (this reporting period)? YES NO

If yes, how many?

If yes, provide details:

6. Performance Assessment: Place an “X” in the appropriate Low/High rating box

A. Quality of

Service

Concur with Contractor Non-concur with Contractor Assessment

Assessment (please select new rating)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

B. Schedule Exceptional

Assessment

Non-concur with Contractor Assessment

(please select new rating)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

C. Cost Control Exceptional

Assessment

Non-concur with Contractor Assessment

(please select new rating)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

D. Management of TO Personnel

Assessment

Non-concur with Contractor Assessment

(please select new rating)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal