CDRLs_Proposed_v4_072015.docx

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Attached to
Instrumentation Test Support Federal contract opportunity
Solicitation number
HDTRA2-15-R-0005
Issued by
Defense Threat Reduction Agency

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Contract Data Requirements List (CDRLs)

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CONTRACT DATA REQUIREMENTS LIST

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A001
Management Plan
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MGMT-80096

DTRA/J9CXTD

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

NA

See Block 16
See Block 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
See Block 16
See Block 16
Reg
Repro
16. REMARKS
DTRA/J9CXTD

BLOCK 4: This DID is for reference only. The report shall be prepared according to the remarks below.

BLOCK 10: After any change BLOCK 11: Award of Task Order BLOCK 12: 30 calendar days after Award of Task Order BLOCK 13: 10 calendar days after any change to plan

Format: The Management Plan shall be in contractor’s format and approved by Government, unless otherwise specified. Plan shall be in electronic/digital format (Microsoft Word, Microsoft Excel, and/or Adobe PDF).

Remarks: The contractor shall, upon any changes in contract support, submit an updated Management Plan. The first submission of Management Plan shall include the following: a. Organizational structure, b. Work Breakdown structure (personnel assigned to tasks, time allocation of personnel, and task responsibilities), c. Points of contact for all personnel (email addresses and telephone numbers), and d. Quality Assurance (QA) Plan. Subsequent submissions shall only document areas that are changes to initial Management Plan.

DTRA/J4COQ

15. Total

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

John J. Green, DTRA/J9CXTD

15 Jul 2015

DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

EXHIBIT A

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A002
Weekly Progress Report
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MGMT-80555A

DTRA/J9CXTD

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
See Block 16
See Block 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
See Block 16
See Block 16
Reg
Repro
16. REMARKS
DTRA/J9CXTD

BLOCK 4: This DID is for reference only. The report shall be prepared according to the remarks below.

BLOCK 10: Weekly BLOCK 11: Award of Task Order BLOCK 12: 30 calendar days after Award of Task Order BLOCK 13: Tuesday of each week for previous week

Format: The Weekly Progress Report shall be in contractor’s format and approved by Government, unless otherwise specified. Plan shall be in electronic/digital format (Microsoft Word, Microsoft Excel, and/or Adobe PDF).

Remarks: The contractor shall provide a summary Weekly Status Report providing a summary of activities for each active Task Order. The areas to be addressed shall include, at a minimum, the following: a. Programs/project/tests supported (instrumentation and optics), b. Current actions/progress, c. Planned work, d. Issues/problems encountered and anticipated, e. Range blocks, f. Equipment and gage calibrations completed, and g. Other issues that need to be documented.

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A003
Cost Performance Report (CPR)
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-FNCL-81208

DTRA/J9CXTD

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
See Block 16
See Block 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
See Block 16
See Block 16
Reg
Repro
16. REMARKS
DTRA/J9CXTD

BLOCK 4: This DID is for reference only. The report shall be prepared according to the remarks below.

BLOCK 10: Monthly BLOCK 11: Award of Task Order BLOCK 12: 5 calendar days after close of monthly invoicing period BLOCK 13: 5 calendar days after close of subsequent monthly invoicing periods

Format: The Cost Performance Report (CPR) shall be in contractor’s format and approved by Government, unless otherwise specified. Plan shall be in electronic/digital format (Microsoft Excel or Adobe PDF).

Remarks: The contractor shall provide a summary Cost Performance Report (CPR) providing a summary of each active Task Order, subdivided by CLIN/ACRN/Project number/Project name. The areas to be addressed shall include, at a minimum, the following: a. Labor hours worked by each employee to nearest ¼ hour (maximum) for invoicing period, b. Total labor hours for invoicing period and cumulative, c. Total labor cost for invoicing period and cumulative, d. Total non-labor cost for invoicing period and cumulative, d. Total travel costs for invoicing period and cumulative, e. Indirect costs for invoicing period and cumulative, f. Fee cost for invoicing period and cumulative, g. Total of all costs for invoicing period and cumulative, g. Project funded/received amount cumulative to date, h. Current invoice amount, i. Committed/fenced funds, j. Remaining funds, k. Percent of funds expended to date, and l. Estimated cost to complete.

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A004
Equipment Status Report and Gage Summary
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DTRA/J9CXTD

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
See Block 16
See Block 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
See Block 16
See Block 16
Reg
Repro
16. REMARKS
DTRA/J9CXTD

BLOCK 10: Monthly BLOCK 11: Award of Contract BLOCK 12: 45 calendar days after Contract Award BLOCK 13: 5th calendar day of month for previous month

Format: The Equipment Status Report and Gage Summary shall be in contractor’s format and approved by Government, unless otherwise specified. Plan shall be in electronic/digital format (Microsoft Word, Microsoft Excel, and/or Adobe PDF).

Remarks: The contractor shall provide the report in two sections or separate reports, at contractor’s discretion.

First section or report: The contractor shall provide a summary of the equipment status. The areas to be addressed shall include, at a minimum, the following: a. Data Acquisition System (DAS) equipment inventory (DAS inventory totals by: RRS chassis, ICS cards, ICS2 cards, ICUs, B&B PES-2002, Pacific 6160 Racks, Pacific 6160 amps, Pacific 8656 amps), b. DAS inventory status (by end item categories listed under a. subdivided by: in use, available, for calibration, for repair, total), c. Equipment status (quantity items added and value, quantity items excessed and value), d. Material status (quantity items orders and value, quantity items received and value, quantity items excessed and value), e. Critical connectors (Manufacturer (Mfgr), PN, description, minimum/on-hand/maximum stock levels), f. Critical cable and fiber optic cable (cable type, minimum/on-hand/maximum stock levels), g. High definition cameras (Barcode, Mfgr, model#, description, status, location), and h. Trailers (Barcode, Mfgr, model#, description, status, location, license plate, hitch type, length/GVWR)

Second section or report: The contractor shall provide a gage summary. The areas to be addressed shall include, but not limited to the following: a. Gage summary by major classification type listing quantity (accelerometers, differential, displacement, dual, load cell, position, pressure, stagnation, thermocouple, velocity), and b. Expanded list of gages by classification type (Mfgr, PN, quantity on hand, quantity on order).

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A005
Master Government Property List
GFP, GFE, GFM, and Contractor Acquired Property
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MGMT-80269

DTRA/J4LMM

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
SEE BLOCK 16
SEE BLOCK 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
SEE BLOCK 16
SEE BLOCK 16
Reg
Repro
16. REMARKS
DTRA/J4LMM

BLOCK 4: This DID is for reference only. The report shall be prepared according to the remarks below.

BLOCK 10: Monthly BLOCK 11: Award of Contract BLOCK 12: 45th calendar day following Contract Award BLOCK 13: Tenth calendar day of each month

Remarks: During performance of the Contract, the Contractor may purchase material or equipment using government Funds [Contractor Acquired Property (CAP)] if approved by Contract Officer. The Contractor shall provide a Master Government Property List (MGPL), inclusive of all CAP, on the 45th calendar day following Contract/Task Order award and the tenth calendar day of each subsequent month.

The Master Government Property List shall include all equipment/property provided to the contract, including equipment transferred between projects, broken and obsolete equipment, and items purchased outside the United States. The Master Government Property List shall consist of the following data elements at a minimum: Accountable Contract/Task Order Number, Original Manufacturer’s Name Noun Name Description/Commercial Use, Original Manufacturer’s Part Number, Model Number, Serial Number, DTRA Asset ID #, Equipment Identification Number Quantity, Task Order to which equipment is assigned, Work Breakdown Schedule (WBS) Project Number, Item Unique Identifier or equivalent, Project Descriptor, Equipment Location, Date Placed in Service, Condition of Property, Status (active, stored, in-transit or waiting disposal), Government Property Type [Government Furnished Equipment (GFE), Government Furnished Material (GFM), Government Furnished Property (GFP), Contractor Acquired Property (CAP)], Unit Acquisition Cost (From Accounting System) and Remarks.

The Master Government Property List shall be delivered electronically in a spreadsheet using Microsoft Office Excel. Abbreviations are not allowed.

Ninety (90) days prior to Contract expiration, the Contractor shall submit a final Master Government Equipment List suitable for close-out purposes containing use/disposition recommendations.

DTRA/J4LFF

DTRA/J9CXTD

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A006
Master Government Property – Physical Inventory
GFP, GFE, GFM, and Contractor Acquired Property
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MGMT-80441

DTRA/J4LMM

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
SEE BLOCK 16
SEE BLOCK 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
SEE BLOCK 16
SEE BLOCK 16
Reg
Repro
16. REMARKS
DTRA/J4LMM

BLOCK 4: This DID is for reference only. The report shall be prepared according to the remarks below.

BLOCK 10: Annually BLOCK 11: Award of Contract BLOCK 12: 1 Month after Contract Award BLOCK 13: Annually

Remarks: The Contractor shall annually perform, record and disclose physical inventory results of all Contractor Acquired Property in the Contractor’s possession. This report shall include ALL Government Property/Contractor Acquired Property/Equipment/Material. A final coordinated physical inventory shall be performed upon contract completion or termination and approved by the DTRA Accountable Property Officer.

The physical inventory report shall identify the Contractor’s Point of Contact with telephone number and signature and the following data elements at a minimum: Accountable Contract/Task Order Number, Original Manufacturer’s Name, Description/Commercial Use, Original Manufacturer’s Part Number, Model Number, Serial Number, DTRA Asset ID #, Equipment Identification Number, Quantity, Task Order to which equipment is assigned, Work Breakdown Schedule (WBS) Project Number, Item Unique Identifier or equivalent, Project Descriptor, Equipment Location, Date Placed in Service, Condition of Property, Status (active, stored, in-transit or waiting disposal), Government Property Type [Government Furnished Equipment (GFE), Government Furnished Material (GFM), Government Furnished Property (GFP), Contractor Acquired Property (CAP)], Unit Acquisition Cost (From Accounting System), and Remarks.

The physical inventory report shall be documented in writing and validated/confirmed, via signature, by both the Contractor’s Property Administrator and the DTRA’s Government Representative. Inventory discrepancies must be reported immediately to the Contracting Officer, Contracting Officer Representative/Program Manager or DTRA Accountable Property Officer. The report shall contain original signatures with spreadsheet attachments and be delivered electronically in a spreadsheet using Microsoft Office Excel. Abbreviations are not allowed.

Ninety (90) days prior to Contract expiration, the Contractor shall submit a final property identification listing suitable for close-out purposes containing use/disposition recommendations. The report must be reviewed, approved and signed by the DTRA Accountable Property Officer prior to contract close out.

DTRA/J4LFF

DTRA/J9CXTD

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A007
Fielding Plan Report
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DTRA/J9CXTD

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
SEE BLOCK 16
SEE BLOCK 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
SEE BLOCK 16
SEE BLOCK 16
Reg
Repro
16. REMARKS
DTRA/J9CXTD

BLOCK 10: For each test project BLOCK 11: Award of Task Order BLOCK 12: Award of Task Order BLOCK 13: 1 calendar day following test execution

Format: The Fielding Plan Report shall be in contractor’s format and approved by Government, unless otherwise specified. Plan shall be in electronic/digital format (Microsoft Word or Adobe PDF).

Remarks: The contractor shall provide Fielding Plan Report documenting all critical technical tasks/processes in preparation for supporting each testing activity. The documents to be included/addressed shall include, at a minimum, the following: a. Title cover page, b. Document approval sheet, c. Gage calibration information, d. Completed checklists of processes used, e. Final configuration schematic/one-liners of systems (instrumentation, optical, and timing/firing), f. Executed schedule, and g. Any other supporting information categories deemed necessary for amplification of the process.

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A008
Safety Plan
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DTRA/J4ET

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
SEE BLOCK 16
SEE BLOCK 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
SEE BLOCK 16
SEE BLOCK 16
Reg
Repro
16. REMARKS
DTRA/J4ET

BLOCK 10: For each test project BLOCK 11: Award of Task Order BLOCK 12: Award of Task Order BLOCK 13: 10 calendar days after new requirement identified and before work is commenced

Format: The Safety Plans shall be in contractor’s format in accordance with (IAW) Occupational Safety and Health Administration (OSHA) standards, and approved by Government, unless otherwise specified. Plan shall be in electronic/digital format (Microsoft Word or Adobe PDF).

Remarks: The contractor shall provide comprehensive safety plans resulting from proper application of a Job Hazard Analysis and Hazard/Risk Assessment and Mitigation Plan IAW OSHA standards and state and local regulations for each project/program planned for support before support begins.

DTRA/J9CXTD

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A009
Semiannual Contract Status Report
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DTRA/J9CXTD

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
SEE BLOCK 16
SEE BLOCK 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
SEE BLOCK 16
SEE BLOCK 16
Reg
Repro
16. REMARKS
DTRA/J9CXTD

BLOCK 10: Semiannual BLOCK 11: Award of Contract BLOCK 12: July 15th BLOCK 13: January 15th and July 15th

Format: The Semiannual Contract Status Report shall be in contractor’s format and approved by Government, unless otherwise specified. Review Report shall be in electronic/digital format (Microsoft PowerPoint).

Remarks: The contractor shall provide a Semiannual Contract Status Review highlighting the status of the overall contract and its Task Orders. The areas to be included/addressed shall include, but not limited to the following: a. Title page with date and reporting period, b. Contact list (local PM and supervisors, and corporate leadership in contract chain), c. Contract overview (sub-categories: contract number, contract award information, task order overview, local staffing levels, test operations, instrumentation development, logistics, equipment maintenance, and software development), d. Individual task order summaries quad-charts (sub-tasks/objectives, accomplishments, details, problem areas/risks), e. Contract financials (graphically: ceiling, total negotiated, total funded, total expended, estimated cost to complete, anticipated overrun/underrun), f. Logistics (categories: Government furnished equipment (GFE), Government furnished materials (GFM), GFE excess, GFM excess) indicating number of line items and total value, g. Overall contract risks, and h. Problems/Issues.

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A010
Technical Results Report
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MISC-80508B

DTRA/J9CXTD

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
SEE BLOCK 16
SEE BLOCK 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
SEE BLOCK 16
SEE BLOCK 16
Reg
Repro
16. REMARKS
DTRA/J9CXTD

BLOCK 4: This DID is for reference only. The report shall be prepared according to the remarks below.

BLOCK 10: Upon request by Contracting Officer Representative (COR) BLOCK 11: Award of Task Order BLOCK 12: Award of Task Order BLOCK 13: 21 calendar days after completion of effort requiring report

Format: The Technical Results Report shall be in contractor’s format and approved by Government, unless otherwise specified. Report shall be in electronic/digital format (Microsoft Word or Adobe PDF).

Remarks: The contractor shall provide Technical Report highlighting the procedures and results of such items as, at a minimum, the following: test data, optics data, equipment acceptance testing, instrumentation/optics plans, and others specified. The areas to be addressed in the reports shall include, but not limited to the following: a. Title page (report title, date, effort definition, and applicable distribution statement), b. Table of contents, c. Executive summary, d. Introduction, e. Process(s) overview, f. Procedure used/test set-up, g. Results/summary, h. Observations/Conclusions, and i. Any other pertinent information to clarify effort (to include: pictures, diagrams, figures, charts, tables, graphs).

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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 the Contract|PR No. listed in Block E.

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

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A011
Final Task Order Report
NA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DTRA/J9CXTD

7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
SEE BLOCK 16
SEE BLOCK 16

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
SEE BLOCK 16
NA
Reg
Repro
16. REMARKS
DTRA/J9CXTD

BLOCK 10: One time BLOCK 11: Upon completion of Task Order BLOCK 12: Upon completion of Task Order

Format: The Final Task Order Reports shall be in contractor’s format and approved by Government, unless otherwise specified. Report shall be in electronic/digital format (Microsoft Word or Adobe PDF).

Remarks: The contractor shall provide Final Report highlighting the activities of each Task Order. The areas to be addressed in the reports shall include, but not limited to the following: a. Contract and Task Order identification (number and title(s)), b. Basic information (Prepared by, CDLR#, Contract#, Task Order#, Period of Performance, Contract Type), c. Objectives, d. Summary, e. Highlights, f. Issues, g. Accomplishments, h. Deliverables, i. Summary of modifications to Task Order, j. Funding summary by CLIN, ACRN, and totals (Project #s, CLIN #s, ACRN #s, Cost, Fee, Total cost, Funding obligate/received, Unliquidated Obligation (ULO)).

DTRA/J4COQ

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page

of

Pages

File details come from the government source that posted it. Updated .