J25_Contract Data Requirements List (CDRL).pdf
PDF 1 MB Posted
- Attached to
- Competitive 8(a) SATOC JOC (DRAFT RFP)
- Solicitation number
- W9124P
About this file
This document is a Contract Data Requirements List (CDRL) that details the various data items the contractor must provide for Contract #W9124P-20-D-0002 for Utility and Construction Services. Key requirements include submitting:
- Certificates of completion for OPSEC and DoD Information Assurance Awareness training for contractor and subcontractor personnel
- A listing of issued identification cards for contractor and subcontractor personnel
- Project schedules and progress charts for projects over $100,000
- Daily quality control reports
- A quality control plan and safety plan
- As-built drawings upon task order completion
- Certificates of insurance and bonding documentation
The contract is a 100% 8(a) small business set-aside for the U.S. Army Garrison-Redstone to provide new construction, alterations, maintenance, repair, and modernization services. The CDRL specifies the submission requirements and due dates for these contractual data deliverables.
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Text version
CCI - Utility and Construction Services
Contract #: W9124P-20-D-0002
ATTACHMENT J25
CDRL's
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB 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 lnfonnation 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 fonn to either of these addresses. Send comoleted form to the Government Issuing Contractina Officer for ContracUPR No. listed in Block E.
A CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TOP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO.
PANRSA-17-P-0000
055217
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
A002 Technical Report-Study/Services
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE
D1-MISC-805088 C.3.7.2
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST
REQUIRED SUBMISSION
NO SEE BLK SEE BLK 16
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
N/A SEE BLK 16
16. REMARKS:
All contractor employees, to include subcontractor employees shall complete Level I OPSEC Awareness Training within 30 calendar days of their reporting for duty. This requirement is only applicable to employees and subcontractors working physically on Redstone Arsenal proper. All subcontractors shall take the Level 1 OPSEC Awareness Training located at the below website and print the certificates demonstrating completion. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR, within 10 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website:
https://jkodirect.jten.mil.
G. PREPARED BY H. DATE I. APPROVED BY
F. CONTRACTOR
3. SUBTITLE
Level 1 OPSEC Awareness Training
6. REQUIRING OFFICE
IMRE-PW, IMRE-PWF,
IMRE-HR
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
SAME AS BLK 6 0 1 0
15. TOTAL - 0 1 0
/ DATE
�CU\R.,t-� 2{2-d1& c��~✓ 2 fa1/1, DD Form 1423-1, 1 Jun 90
J25-2
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 11 0 hours per response, including the lime 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 lnformation, 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 fonn to either of these addresses. Send comoleted fonn to the Government lssuino Contractinq Officer for ContracVPR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
PANRSA-17-P-0000
055217
1. DATA ITEM NO. 2 TITLE OF DATA ITEM 3. SUBTITLE
A003 Contractor Roster Identification of Contractor
Employees
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-81596 C.3.7.4 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST
14. DISTRIBUTION
REQUIRED SUBMISSION
NO AS REQ SEE BLK 16
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
N/A N/A SEE BLK 16
16. REMARKS: SAME AS BLK 6
A listing of issued identification cards shall be furnished to the Contracting Officer prior to the contract performance date and updated as needed to reflect Contractor and Subcontractor personnel changes.
15. TOTAL -
G. PREPARED BY H. DATE I. APPROVED BY
�2. )l� �2llt 8 i?i ;,, I rl .11
/ 1 /) / / . W/_if✓"l�V /., / V. yi f j'
DD Form 1423-1, 1 Jun 90
J25-3
b. COPIES
Final
Draft
Reg Repro
0 1 0
0 1 0
J. DATE
'-;)�1/; J
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 11 0 hours per response, including the lime for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of infonnation. Send comments regarding this burden estimate or any other aspect of this colleclion of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Seivices, 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 comoleted form to the Government lssuina Contraclina Officer for ContracVPR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TOP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
2. TITLE OF DATA ITEM 3. SUBTITLE
A004 Technical Report-Study/Services iWATCH Training
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-805088 C.3.7.5 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION
REQUIRED SUBMISSION
NO SEE BLK SEE BLK 16 b. COPIES
8. APP CODE
A 11 AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
SUBMISSION Draft
N/A SEE BLK 16 Reg Repro
16. REMARKS: SAME AS BLK 6 0 1 0
Provide employee training (including subcontractors) within 30 days after contract start date and submit certificates of completion to the COR within 10 days after completion of training. Provide new employees this training within 15 calendar days commencing with first start date of hiring and submit certificate of completion to the COR within 10 days after completion of training.
15. TOTAL - 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DA •t:
�t-� � 2-t( [8 (¼41"· [,.✓ .z:��1/ 1/1;
J25-4
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 11 0 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 infonnation. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, lo 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 comoleted form to the Government lssuinq ContractinQ Officer for ContracUPR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
D. SYSTEM/ITEM
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
J25
TOP TM OTHER
E. CONTRACT/PR NO.
PANRSA-17-P-0000
055217
F. CONTRACTOR
3. SUBTITLE
AOOS Technical Report-Study/Services DoD Information Assurance Awareness Training
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE
DI-MISC-805088
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
NO
8. APP CODE
A
10. FREQUENCY
SEE BLK
11. AS OF DATE
C.3.7.11
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
6. REQUIRING OFFICE
IMRE-PW, IMRE-PWF,
IMRE-HR
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft
N/A SEE BLK 16 Reg Repro
16. REMARKS:
All contractor employees, to include associated sub-contractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the Contracting Officer, if a COR is not assigned, within 10 calendar days after completion of training by all employees and subcontractor personnel.
Sl\ME AS BLK 6
15. TOTAL
G. PREPARED BY H DATE I. APPROVED BY VJ. DATE
1 0
1 0
� 2 � '-\2-1\rn ():/4{)� f}h!/;8 I/
J25-5
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB 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 infonnation. 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, Papeiwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your fonn to either of these addresses. Send completed fonn to the Government lssuina Contractina Officer for ContracVPR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TOP TM OTHER
D SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
2. TITLE OF DATA ITEM 3. SUBTITLE
A006 Technical Report-Study/Services Contract Manpower Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-805088 C.3.8 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION REQUIRED SUBMISSION
NO SEE BLK SEE BLK 16 b. COPIES
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
SUBMISSION Draft
YES SEE BLK 16 Reg Repro
16. REMARKS: SAME llS BLK 6 0 1 0
Submission to https://cmra.army.mil for 12-month period of performance ending 30 September of each government fiscal year and reported by 31 October of each calendar year.
15. TOTAL 0 .. 1 0
G. PREPARED BY H. DATE L APPROVED BY J. DATE
�cma_c-� 2(21(18
JI
(�./I 6 / �- :J/;;1/;;
J25-6
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB 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 fonn to either of these addresses. Send completed fonn to the Government lssuino Contractina Officer for ContracVPR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
2. TITLE OF DATA ITEM 3. SUBTITLE
A007 Technical Report-Study/Services Project Schedules
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B C.15.1 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION REQUIRED SUBMISSION
NO SEE BLK SEE BLK 16 b. COPIES
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
SUBMISSION Draft
NO SEE BLK 16 Reg Repro
16. REMARKS: Sl'lMEl\SBLK6 0 1 0
After receipt of the task order, the Contractor shall prepare and submit a project schedule for all projects that are more than $100,000 and submit to the COR prior to the preconstruction conference.
15. TOTAL - 0 1 0
G. PREPARED BY H. DATE
'"'"°'"iµ
/ DATE
�f- 0 zl 2-t( 18 2/J;/;f
J25-7
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 11 0 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 fonn to either of these addresses. Send comcleted fonn to the Government lssuina Contractina Officer for ContracVPR No. listed in Block E.
A CONTRACT LINE ITEM NO. 8. ATTACHMENT C. CATEGORY:
J25
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
P ANRSA-17-P-0000
055217
1. DATA ITEM NO.
2. TITLE OF DATA ITEM 3. SUBTITLE
A00B Technical Report-Study/Services Progress Charts
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B C.15.2 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION REQUIRED SUBMISSION
NO SEE BLK SEE BLK 16 b. COPIES
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
SUBMISSION Draft
NO SEE BLK 16 Reg Repro
16. REMARKS: SAME! AS BLK 6 0 1 0
Monthly progress charts shall be submitted for projects that are larger than $150,000. For projects that are greater than $100,000 and smaller than or equal to $150,000, progress charts shall be submitted at 25%, 50%, and 100% completion.
15. TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J DATE
�. J/l� zl 2\, \8 t/J OJl"' n,:;,/
V
J25-8
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the lime for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of infonnalion. 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 comoleted form to the Government lssuino Contractino Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
2. TITLE OF DATA ITEM 3. SUBTITLE
A009 Technical Report-Study/Services Quality Control Reports
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-805088 C.17.1 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION REQUIRED SUBMISSION
NO DAILY SEE BLK 16 b. COPIES
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final SUBMISSION Draft
NO SEE BLK 16 Reg Repro
16. REMARKS: SAME AS BLK 6 0 1 0
A quality control report (QCR) shall be completed for each task order covering each day work was performed. A QCR is not required for days on which no work was performed. Daily QCRs shall be placed in chronological order and submitted with the final payment request for each task order.
15. TOTAL - 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY ;/DATE
�orlCL [� 2 \z.,t \ I 8
/{/ ��1/J;/;t I i
·- -t, J25-9
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of infonnation 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 infonnation. Send comments regarding this burden estimate or any other aspect of this collection of infonnation, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for lnfonnation 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 fonn to either of these addresses. Send completed fonn to the Government lssuino Contractina Officer for ContracVPR No. listed in Block E.
A CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TOP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO.
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
A010 Technical Report-Study/Services
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE
DI-MISC-805088 C.17.3
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12 DATE OF FIRST
REQUIRED SUBMISSION
NO ONE/R 30 DACA
8. APP CODE
A
11 AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
YES N/A
16. REMARKS:
Copies shall be submitted in electronic format.
G. PREPARED BY
�c�
H. DATE
2-\ 2-1\ [8
I. APPROVED BY
If/
J25-10
F. CONTRACTOR
3. SUBTITLE
Quality Control Plan
6. REQUIRING OFFICE
IMRE-PW, IMRE-PWF,
IMRE-HR
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
SAME AS BLK 6 0 1 0
15. TOTAL - 01 1 0
J. })ATE
ii
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of infonnation 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 comoleled fonn to the Government lssuina Contraclina Officer for ContracVPR No. listed in Block E.
A CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TOP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO.
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
A011
2. TITLE OF DATA ITEM
Technical Report-Study/Services
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE
DI-MISC-805088 C.18.1
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST
REQUIRED SUBMISSION
NO ONE/R 30 DACA
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
YES N/A
16. REMARKS:
Copies shall be submitted in electronic format.
G. PREPARED BY H. DATE I. APPROVED BY
F. CONTRACTOR
3. SUBTITLE
Safety Plan
6. REQUIRING OFFICE
IMRE-PW, IMRE-PWF,
IMRE-HR
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
SAME AS BLK 6 0 1 0
15. TOTAL - o, 1 0
V
ATE
(5};{(}L-c,J �t- � 2l2-t\\8 }/J1/1f
J25-11
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the lime 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 co!!ection 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 fonn to either of these addresses. Send comi::leted fonn to the Government lssuina Con!ractina Officer for Con!racVPR No. listed in Block E.
A CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
2. TITLE OF DATA ITEM 3. SUBTITLE
A012 Technical Report-Study/Services As-built Drawings
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-805088 C.19.3 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION REQUIRED SUBMISSION
NO SEE BLK SEE BLK 16 b. COPIES
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
SUBMISSION Draft
YES SEE BLK 16 Reg Repro
16. REMARKS: S.l\MEASBLK6 0 1 0
Upon completion of a task order, the Contractor shall furnish one set of completed as-built drawings to the COR in the form of CAD-CAM disks using the latest release software compatible with Government systems.
15. TOTAL - .9 1 0
G. PREPARED BY H. DATE I. APPROVED BY '? DATE
� f.)Jl� 2\2.-t(1 � ' {Ci� / j);/1f V
J25-12
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of infonnation is estimated to average 11 0 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 infonnation. 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 lo either of these addresses. Send comoleted fonn to the Government !ssuina Contractina Officer for ContracVPR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TOP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
2. TITLE OF DATA ITEM 3. SUBTITLE
A013 Technical Report-Study/Services Insurance Certificate
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B H.1.1 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION REQUIRED SUBMISSION
NO SEE BLK SEE BLK 16 b. COPIES
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
SUBMISSION Draft
NO SEE BLK 16 Reg Repro
16. REMARKS: SAME AS BLK 6 0 1 0
Submission for each type of insurance required due upon execution of the contract. Subsequent submissions due not less than 15 days prior to the expiration date of each policy furnished.
15. TOTAL - ,0 1 0
G. PREPARED BY
.KCVVLE. �
H DATE
� z,d \8 �iJ�J
J DATE
J/::>1/�
J25-13
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved 0MB No. 0704-0188
Public reporting burden for this collection of information ls 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, 12-15 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 fonn to either of these addresses. Send completed fonn to the Government lssllina Contractina Officer for Con!racVPR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. ATTACHMENT C. CATEGORY:
J25
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
PANRSA-17-P-0000
055217
1. DATA ITEM NO.
2 TITLE OF DATA ITEM 3. SUBTITLE
A014 Technical Report-Study/Services Bonding
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B H.23 IMRE-PW, IMRE-PWF,
IMRE-HR
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION REQUIRED SUBMISSION
NO Bl- SEE BLK 16 b. COPIES
MONTHLY
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
SUBMISSION Draft
NO SEE BLK 16 Reg Repro
16. REMARKS: Sl\ME AS BLK 6 0 1 0
Bi-monthly documentation shall be provided, from the surety company, supporting that bonding has been obtained for all on-going, uncompleted task orders.
15. TOTAL - 0 1 0
G. PREPARED BY H. DATE L APPROVED BY j DATE
J<'W\CLE-� ii 2-t( 18 CYt0;,{�vz�/I cJ/:J;/15
J25-14
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSERT
IN
SECT.
B
CCI - Utility and Construction
File details come from the government source that posted it. Updated .