TSS_CDRLs.pdf

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TAPO Support Services
Solicitation number
H92241-13-R-0012
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Exhibit A DD1423 CDRLS

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

TDP - ____________ TM - _____________ OTHER _X_

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

TSS Monthly Report H92241-13-R-0012 TBD

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

A001 TSS Monthly Report

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

AMSAM-TASO-T

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD REQUIRED Monthly 35 DAC b. Copies

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

A F SUBMISSION a. ADDRESSEE Draft Final

See Blk 16 Reg Repro

16. REMARKS AMSAT-D-TK* 1

Block 9: Further Dissemination only as directed by Technology Applications Program COR SIMO 1 Office (TAPO), ATTN: AMSAM-TASO-T, BLDG 401 Lee Blvd, Ft. Eustis, VA 23604 or higher authority.

Block 10: Monthly Report to be submitted 5 days after each month end will include

1) A financial section that will include travel costs.

2) Contractor issues and concerns.

Addresses are below

15. TOTAL 0 2 0

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

Bob Bean DD Form 1423-2, JUN 96 Previous editions are obsolete Page 1 of 1 Pages

Full Address List for TSS Monthly Reports

TAKO

ATTN: Ms. Valerie Arthur Bldg 401 Lee Blvd Ft. Eustis, VA 23604 valerie.k.arthur.civ@mail.mil

TAPO

ATTN: COR TBD

Public reporting burden for this collection of information is estimated to average 440 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 for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-01881), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed forms to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188 mailto:terri.tew@us.army.mil

TDP - ____________ TM - _____________ OTHER _X_

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

TSS H92241-13-R-0012 TBD

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

A002 TSS Annual Project Report

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

AMSAM-TASO-T

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD REQUIRED Annually b. Copies

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

A F SUBMISSION a. ADDRESSEE Draft Final

See Block 16 Reg Repro

16. REMARKS TAKO 1

Block 9: Further Dissemination only as directed by Technology Applications Program COR 1 Office (TAPO), ATTN: AMSAM-TASO-T, BLDG 401 Lee Blvd, Ft. Eustis, VA 23604 or higher authority.

Block 10: Annual report is due 30 days after each contract award anniversary and will document the contractors's assessment of its quality assurance plan performance.

Addresses are below

15. TOTAL 0 2 0

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

Bob Bean DD Form 1423-2, JUN 96 Previous editions are obsolete Page 1 of 1 Pages

Full Address List for TSS Annual Project Reports

TAKO

ATTN: Ms. Valerie Arthur Bldg 401 Lee Blvd Ft. Eustis, VA 23604 valerie.k.arthur.civ@mail.mil

TAPO

ATTN: COR TBD

See Block 16

Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching

TDP - ____________ TM - _____________ OTHER _X_

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

TSS H92241-13-R-0012 TBD

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

A003 TSS Quality Assurance Plan (QAP)

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

AMSAM-TASO-T

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD REQUIRED 20 days after award b. Copies

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

A F SUBMISSION a. ADDRESSEE Draft Final

As Required Reg Repro

16. REMARKS TAKO 1

Block 9: Further Dissemination only as directed by Technology Applications Program COR 1 Office (TAPO), ATTN: AMSAM-TASO-T, BLDG 401 Lee Blvd, Ft. Eustis, VA 23604 or higher authority.

Block 10: QAP required for overall contract within 20 days of award

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

Bob Bean DD Form 1423-2, JUN 96 Previous editions are obsolete Page 1 of 1 Pages

Full Address List for TSS QAP

TAKO

ATTN: Ms. Valerie Arthur Bldg 401 Lee Blvd Ft. Eustis, VA 23604 valerie.k.arthur.civ@mail.mil

TAPO

ATTN: COR TBD

Within twenty (20) business days

Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching

TDP - ____________ TM - _____________ OTHER _X_

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

TSS H92241-13-R-0012 TBD

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

A004 TSS Stand-Alone Task Report

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

AMSAM-TASO-T

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD REQUIRED Annually b. Copies

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

A F SUBMISSION a. ADDRESSEE Draft Final

As Required Reg Repro

16. REMARKS TAKO 1

Block 9: Further Dissemination only as directed by Technology Applications Program COR 1 Office (TAPO), ATTN: AMSAM-TASO-T, BLDG 401 Lee Blvd, Ft. Eustis, VA 23604 or higher authority.

Block 10: Final report is due at the completion of each short term task order

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

Bob Bean DD Form 1423-2, JUN 96 Previous editions are obsolete Page 1 of 1 Pages

Full Address List for TSS Task Reports

TAKO

ATTN: Ms. Valerie Arthur Bldg 401 Lee Blvd Ft. Eustis, VA 23604 valerie.k.arthur.civ@mail.mil

TAPO

ATTN: COR TBD

30 days after each task renewal

Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching

Sheet1

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