Attachment 5 CDRL-QASP 5-28.doc

CONTRACT DATA REQUIREMENTS LIST (CDRL)

A. Contract line Item No.

B. Exhibit

A C. Category (Check appropriate one)

TDP FORMCHECKBOX

TM FORMCHECKBOX

Other FORMCHECKBOX

D. System/Item

QUALITY ASSURANCE PLAN

E. Contract/PR No.

F. Contractor

1. Data Item No.

A002

2. Title of Data Item

Quality Assurance Plan

3. Subtitle

4. Authority

-PM-0002

5. Contact Reference

HSTS03-09-R-SEC070

6. Requiring Office

TSA

12. Date of First

Submission

Submission

See Block 14

Block 8 Quality Review Reports (Adjudicators) will be conducted 20 days after an adjudicator position has been filed. The report will be submitted to the Team Lead and COTR.

Monthly Performance Report & Checklist. The first draft will be submitted 10 days after contract award and the final 30 days after contract award/post award conference and monthly thereafter.

Strength Report. The first report will be provided after the first work day upon award of the contract. Afterwards it is due only upon changes to the strength levels.

Block 10

Review of Completed Work (Adjudicators) will be conducted each week. The number of cases to be reviewed is located within the SOW. The report will be submitted to the Team Lead and the COTR.

Quality Review (Security Assistants) will be provided if requested by the Team lead and/or COTR.

Block 12

Quality Review Reports (Adjudicators) will be submitted to the Team and COTR.

Monthly Performance Report & Checklist. The first draft will be submitted 10 days after contract award and the final 30 days after contract award/post award conference and monthly thereafter.

Block 15

The PMP shall be submitted in electronic form. The "Reg" electronic version shall be compatible with the Windows Office suite and a PDF version shall be provided as the "Repro" copy. A PDF version of the letter of transmittal (see Block 7 - LT) signed by the contractor's authorized approving official shall be provided.

Addressee COTR/Team Lead

COTR

COTR

COTR/Team Lead

COTR/Team Lead

COTR/Team Lead

COTR/Team Lead

COTR/Team Lead

INSTRUCTIONS FOR COMPLETING FAA Template No. 59 (6/98)

A. Contract Line Item No.. Contract Line Item Number (CLIN) associated with this Contract Data Requirements List (CDRL).

B. Exhibit. Exhibit identifier for this CDRL item.

C. Category. TDP, TM, or Other.

D. System/Item. System, item, project designator or name, or title of services being acquired that the data will support.

E. Contract/PR No. Procurement Instrument Identification Number (PIIN) (i.e., the contract number, the Purchase Request (PR) number, the screening Information Request (SIR) number, or other appropriate designator.

F. Contractor. Contractor’s name.

G. Prepared by. Preparer’s organization responsible for preparing the CDRL.

H. Date. Date the form was prepared.

I. Approved by. Office responsible for approving the CDRL. The approving official’s signature appears on the last page of exhibit.

J. Date. The date the CDRL was approved.

1. Data Item No. The 4-character Exhibit Line Item Number (ELIN). The first position consists of the exhibit identifier and the remaining positions are assigned sequentially.

2. Title of Data Item. The title of the Data Item Description (DID) cited in item 4.

3. Subtitle. Further identification of the data item to supplement the title, if required.

4. Authority (Data Acquisition Document No.) DID identification number where detailed preparation instructions are provided.

5. Contract Reference. The specific paragraph number of the applicable contractual document that contains the tasking that generates a requirement for the data item. Normally, this will be a Statement of Work (SOW) paragraph.

6. Requiring Office. The technical office having responsibility for ensuring the technical adequacy of the data.

7. DD 250 Required.

8. APP Code. Identification, by entry of an “A,” of a requirement for advance written approval prior to final distribution of an item of data. An “A” in this item indicates that one or more draft submittals are required. Item 14 will show length of turn-around time for the contractor to resubmit the data after Government approval/disapproval has been issued.

9. Distribution Statement Required.

10. Frequency. The frequency of data submittal. Entries in this item are explained in Table 1. If the data is of a recurring type, it is to be submitted at the end of the reporting period established in this item unless otherwise indicated in item 14.

Table 1. Data Submittal Frequency Codes

11. As of Date. Date for cutting off collection of the data. If the data is to be submitted multiple times, a numeral will be entered to indicate the number of calendar days prior to the end of the reporting period, established in item 10, that data collection will be cut off. For example, “15” would place the “as of date” for the data at 15 days before the end of the month, quarter, or year, depending upon the frequency established in item 10; a “0 or blank” would place the “as of” date at the end of each month, quarter, etc.

12. Date of First Submission. Due date for initial data submission. This is normally the postage date or date the data is delivered to the Contracting Officer or keyed to a specific event or milestone, using a code from Table 2.

Table 2. Data Submission Codes

The “N” is assigned a value indicating the number of days, e.g., 30 DAC

13. Date of Subsequent Submission. Due date(s) for subsequent data submission(s), if data is to be submitted more than once. If submittal is constrained by a specific event or milestone, the constraint will be given using a code from Table 2.

14. Remarks. Contains all pertinent information not specified elsewhere and any amplification of other items on this format (e.g., DID tailoring, approva criteria and authority, inspection and acceptance clarification, distributions statements, specific submission instructions, explanation of reproducible copy and delivery requirements, alternative medium for delivery of the data item, etc.)

15. Distribution. Addressees and the number of draft and final copies (regular or reproducible) to be provided to each. FAA facility designator and/or office symbols/codes may be used; however, an explanation of these will be provided in the Addressee Listing. When reproducible copies (e.g., magnetic diskettes/tape, vellum, negative, etc.) are required, an explanation will be provided in item 14. If deferred delivery is required, amplification will be given in item 14.

16. Total. Total number of draft and final (regular/reproducible) copies required.

17. Price Group. Not used.

18. Estimated Total Price. Not used.

OMB Control No. 2120-0595

(DD Form 1423-1) FAA Template No. 59 (6/98 OMB Control No. 2120-0595 (DD Form 1423-1) FAA Template No. 59 (reverse) (6/98)