Sec J Exh A CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 D irectorate (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 0MB 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 TOP - -- TM OTHER X-MISC

D. SYSTEM/ITEM

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E. CONTRACT/PR NO. F. CONTRACTOR

See CORL Cover Page HQ085820ROOO I TBD

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

AOOI Technical Report - Study/Services Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-805088 SOW Paragraph 5.1 MDAICS

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

REQUIRED

MTHLY See Blk 16 LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final B SUBMISSION Draft

NIA NIA See Blk 16 Reg Repro

MDA(PCO)

MDA(COR)

MDA(ACOR)

MDA (SB)

16. REMARKS

Block 4: Compose your Monthly Status Report as follows:

I). Submit the MSR on letter format on your company's letterhead.

2). Address the letter to your Missile Defense Agency (MDA) Contracting Officer.

3). Include in the subject line the full contract number, contract name (shortened if appropriate) and the month year of the report.

4). The electronic file name shall include the contract number, month and year.

Compose the body of the MSR in a format of their own choosing. It shall be clear and concise and address critical contract and performance issues requiring the Agency's attention. The main body may emphasize information found in the enclosures but should not repeat those items. The entire letter shall be limited to two pages, single spaced, I 2pt font, to include the signature and list of enclosures. The MSR shall be signed by a company official.

Include the following as separate enclosures:

a. Quarterly Accomplishment Report (QAR). Submit quarterly as instructed in Attachment

J-14. Include only actions/events that have occurred during the reporting period. Do not carry over items from past periods unless there have been new developments or progress.

The QAR due on the last quarter of the applicable contract year is due IO calendar days after the period of Performance has ended.

b. Subcontractor Report. Submit monthly. A list of all subcontracts by name and CAGE code. Note any actual or potential OCI issues and mitigations if necessary. The list shall annotate new additions and deletions. Deletions shall be dropped off from the list after the 2nd month. Use the provided Excel format and submit as an Excel file.

c. Departing Personnel. Submit monthly. List of all departing personnel along with a statement that access to all program systems has been terminated and all keys, access badges and similar items have been returned to the Contracting Officer Representative

(COR) or local security office as appropriate. Contractor format.

d. Small business participation or utilization submitted in accordance with the appropriate table in the contact. The report shall be submitted by March 31 and September 30 of each year for the life of the contract, and a final report shall be submitted 30 days prior to the end of the period of performance of the contract.

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15.TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

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