HDTRA1-16-R-0027_CTRC_III_Task-Order_CDRL-A001_EXHIBIT_A_DRAFT.pdf

Cooperative Threat Reduction Integrating Contract (CTRIC) III Contract Data Requirements List (CDRL)

Bid Report 26 October 2016 2016

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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 (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

[INSERT CLIN] TDP TM OTHER

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

[Insert Contract or Task Order Title] [INSERT CONTRACT/PR #]

[Insert Contractor’s Name]

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

A001 Proposal Submission Report N/A

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

DI-FNCL-81765B [Insert Statement of Work Reference] [INSERT REQUIRING OFFICE]

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

N/A F QUARTERLY 5 DAYS FOLLOWING END OF 1ST

QUARTERLY

b. COPIES

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

SUBMISSION

a. ADDRESSEE

Draft

Final

N/A CTRIC III ID/IQ

AWARD

QUARTERLY Reg Repro

16. REMARKS:

Reporting requirements for DI-FNCL-81765B are consolidated in the attached Cooperative Threat Reduction Integrating Contract (CTRIC) III Contractor Business Data Report template.

Tailor DI-FNCL-81765B to as follows:

1. General Instructions.

a. These instruction apply to this DID. Report all currency throughout this form in U.S.

Dollars.

b. Remove

c. Remove

d. Remove (See Blocks 10 through 13 for submission requirements)

e. Remove

f. No Change

g. Remove

2. Specific Instructions:

a. No Change

b. Remove

c. Item 3 (Template Item 3). Implementing Contract Number. Enter the number of the contract.

d. Item 4. Data Period (Template Date and Item 4). Enter date of report submission (See

Blocks 10 through 13 for submission requirements)

e. Remove

DTRA/J4C 1

DTRA/COR 1

f. Items 7 through 11 (Template Item 2). Enter the following information for the person to contact for answers to any questions about entries: Last Name, First Name, and Middle Initial; Department; Telephone Number, including Area Code; and Email Address

3. Specific Instructions: Reported Data

a. Section A.

i. Column a. Program Name (Template Item 5 and 11). Enter the name of the Program

1. Lines 1 – 10. Program/Project. List all programs/projects being reported.

2. Remove

ii. Column b. Contract Number (Template Item 6 and 12). Enter all contract numbers with clear reference to the corresponding program name.

iii. Remove

iv. Remove

v. Column e-n. Cost (Template Item 13, 15, and 16). Enter the appropriate Dollars.

vi. Remove

vii. Remove

b. Section B. Remove

c. Section C. Remove

d. Section D. Remove

e. Section E. Remove

f. Section F. Remove

g. Remarks.

i. (Template Item 7) Fiscal Year Quarter in which the Task Order (TO) was released

ii. (Template Item 8) Prime contractor submitted proposal (Y/N)

iii. (Template Item 14) If contractor was a successful TO awardee, what is the TO period of performance

4. Indirect Labor. Remove

Block 9: Distribution authorized to the controlling Department of Defense (DoD) controlling offices identified in Block 14(a), unless otherwise directed by the COR. Information of Administrative or Operational Use dated 28 September 2009.

Block 14: Electronic submission is required. In addition, the USG may request a paper copy.

Upon contract closeout, the contractor shall provide a compact disc (CD) including all deliverables.

15. TOTAL 2

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

DTRA POC Name TBD

COOPERATIVE THREAT REDUCTION INTEGRATING CONTRACT (CTRIC) III CONTRACTOR BUSINESS

DATA REPORT

DATE:

The public reporting burden for this collection of information is estimated to average eight (8) 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.

1. CONTRACTOR NAME (Name, address, and zip code)

2. CONTRACTOR POINT

OF CONTACT

3. INDEFINITE

DELIVERY/INDEFINI

TE QUANTITY

CONTRACT NUMBER

4. INDEFINITE

DELIVERY/INDEFINI

TE QUANTITY

AWARD DATE

5. PREVIOUS REPORT

DATE

CONTRACT TASK ORDERS

6. ORDERING PROGRAM NAME 7. TASK ORDER CONTRACT NUMBER 8. TASK ORDER

RELEASE DATE

9. CONTRACTOR SUBMITTED

PROPOSAL (Y/N)

IF CONTRACTOR WAS SUCCESSFUL TASK ORDER AWARDEE, FILL OUT THE FOLLOWING INFORMATION

10. ORDERING

PROGRAM

NAME

11. TASK ORDER

CONTRACT

NUMBER

12. CONTRACT

AWARD DATE

13. CONTRACT

AWARD

AMOUNT

14. PERIOD OF

PERFORMANCE

15. PAYMENT

RECEIVED TO

DATE

16. REMAINING

CONTRACT VALUE TO

BE PAID

START END