13R1017_Attachment_J3_Contract_Data_List_Requirements_(updated_10_May).pdf

M67854-13-R-3017

Attachment J3

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB 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 Directorate (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 OMB 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

Attachment 2

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

TW and/or HW RAT Boot

E. CONTRACT/PR NO.

M67854-13-R-1017

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

CONFERENCE AGENDA

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81249A

5. CONTRACT REFERENCE

SOW para C.3.2.1

6. REQUIRING OFFICE

MARCORSYSCOM PdM ICE

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

Contract award

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16 Draft Final

Reg Repro

16. REMARKS

BLK 2

Format: Contractor format is acceptable.

Content: The agenda shall include the following, where applicable.

The purpose and objective of the conference.

The conference location, date, and duration.

A daily chronological listing of each major topic or subtopic to be discussed and the time to be devoted to each topic.

A list of activities to be represented and identification of the responsibilities.

A list of subcommittees to be established during the conference and the proposed representation for each subcommittee.

Reference to and brief description of the results of previous meetings, this will pertaining to all other meetings via phone or in person that take place throughout the contract.

Location, schedule, and purpose or subject area to be covered by each subcommittee.

Names of conference chair persons and co chair.

Information on billeting, messing, transportation, and administration services available to conference members.

Complete list of all documentation to be available for review.

Brief description of progress on actions or problems identified at previous meetings.

Other pertinent information such as forms to be used, identification of any deviations or waivers, security, classification, and clearance requirements.

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors;

Administrative or Operational Use, (date CDRL IS signed). Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (Attn: PdM ICE), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13

Submit 10 calendar days prior to each conference, meeting, audit, or review. The Government requires 5 calendar days to review. The contractor shall submit final 3 calendar days after receipt of Government comments.

BLK 14

Submit electronically in compatible Microsoft Office format

MCSC:

PdM-ICE

Peggy.L.Smith1@usmc.mil 1 1

Todd.Towles@usmc.mil

1 1

DCMA

ACO / TBD

15. TOTAL --------- 4 4 0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1_ of _6_ Pages mailto:Peggy.L.Smith1@usmc.mil mailto:Todd.Towles@usmc.mil

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 Directorate (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 OMB 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

Attachment 2

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

Permethrin Treatment

E. CONTRACT/PR NO.

A002

CONFERENCE MINUTES

5. CONTRACT REFERENCE

SOW

6. REQUIRING OFFICE

MARCORSYSCOM PdM ICE

7. DD 250 REQ

LT

AS REQ

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16 Draft

Final

STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use, (date CDRL IS signed). Other U.S.

requests for this document shall be referred to Commander, MARCORSYSCOM (Attn:

PdM ICE), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 – Submit 10 calendar days after each conference, meeting, audit or review. The Government requires 5 calendar days to review. The Contractor shall submit final 5 days after receipt of Government comments.

BLK 14 – Submit electronically in compatible Microsoft Office format to distribution list in BLK 14, plus include one copy to each conference attendee

The meetings generally are anticipated to be held only when production to meet delivery orders issued under the contract is in process. Issues such as ensuring compliance with contract requirements, problem identification and resolution, and actual versus expected manufacturing performance would be the types of issues that might necessitate face-to-face meetings. All pertinent information relating to the meeting shall be documented in writing.

The contractor shall provide meeting minutes for Government within 10 calendar days after meetings taken place.

MCSC:

PdM-ICE

Peggy.l.smith1@usmc.mil 1 1

Todd.towles@usmc.mil 1 1

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _2_ of _6_ Pages

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 Directorate (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 OMB 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

Attachment 2

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

TW and/or HW RAT Boot

E. CONTRACT/PR NO.

A003

STATUS WORK / MONTHLY

Status Report

DI-MGMT-80368A

DI-MGMT-80368A

5. CONTRACT REFERENCE

SOW para C.4.3

6. REQUIRING OFFICE

MARCORSYSCOM PdM ICE

7. DD 250 REQ

LT

ONE/R

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

SUBMISSION ASREQ Draft

Final

Format. The Status Report shall be in contractor format.

Identification. The data indicated below shall be contained on a title page or on the first page of the report.

Title/identification of the system/component/program/project.

Type of report (e.g., monthly, interim, final).

Period covered by the report.

Contract number.

Preparing activity or contractor’s title.

Security classification, when required.

Distribution Statement.

Content. The report shall contain the following:

Summary. The summary shall include a brief statement of the overall project status covering the accomplished technical activities and development, objectives of efforts, summary results of efforts, identification of major problems/deficiencies with impact, and recommended solutions.

Body of report. The Status Report shall contain the following items, where applicable:

Milestone/task status. The status of each milestone/task as defined by the statement of work or contract, as applicable:

A statement as to whether or not the program/project/task is on schedule;

if not, the effort planned to meet the schedule shall be indicated.

Include an overall status of each milestone, task, or unit of work. Include update schedule sheets, milestone charts, or task synopsis sheets identifying phase of task and percentage of completion of each task, technical instruction, or order.

Any other information which may cause significant changes in the program schedule. This information may include deliveries, production and any other data or information that can support the faith of the contract.

contractors; Administrative or Operational Use, (date CDRL IS signed). Other U.S.

requests for this document shall be referred to Commander, MARCORSYSCOM (Attn:

PdM ICE), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - Due 45 days after contract award. Government requires 15 days for review.

Contractor shall submit final 10 calendar days after receipt of Government comments.

BLK 13 – Any changes to approved will be submitted to the Government before implementation. Government has 15 days for review. Contractor shall submit final 10 calendar days after receipt of Government changes.

BLK 14 – Submit electronically in compatible Microsoft Office format

MCSC:

PdM-ICE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _3_ of _6_ Pages

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 Directorate (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 OMB 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

Attachment 2

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

TW and/or HW RAT Boot

E. CONTRACT/PR NO.

A004

Failure Summary and Analysis Report

Status Report

DI-RELI 80255A

DI-MGMT-80368A

5. CONTRACT REFERENCE

SOW para C.4.3

6. REQUIRING OFFICE

MARCORSYSCOM PdM ICE

7. DD 250 REQ

LT

ONE/R

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

SUBMISSION ASREQ Draft

Final

Format. The Status Report shall be in contractor format.

Identification. The data indicated below shall be contained on a title page or on the first page of the report.

This report presents a cumulative tabulation of failures that occure prior to and during this reporting period.

This report shall describe the results of the contractor Failure Reporting Analysis and Corrective Action.System.

The report may be prepared by the contractor’s format and comprise of three sections, (a) failure summary, (b) failure analysis, and (c) Failed Item Anaylisi Reports.

The failure summary shall consist of a cumulative tabulation of failure data obtained from individual failure reports. The tabulation shall include the following;

Failure Number

Date of Failure

Type of Failure

Location of Failure

Corrective Action

Replacement of Failure

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use, (date CDRL IS signed). Other U.S.

requests for this document shall be referred to Commander, MARCORSYSCOM (Attn:

PdM ICE), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - Due 45 days after contract award. Government requires 15 days for review.

Contractor shall submit final 10 calendar days after receipt of Government comments.

BLK 13 – Any changes to approved will be submitted to the Government before implementation. Government has 15 days for review. Contractor shall submit final 10 calendar days after receipt of Government changes.

BLK 14 – Submit electronically in compatible Microsoft Office format

MCSC:

PdM-ICE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _4_ of _6_ Pages

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 Directorate (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 OMB 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

Attachment 0002

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

TW and/or HW RAT Boot

E. CONTRACT/PR NO.

A005

ENGINEERING CHANGE PROPOSAL (ECP)

DI-CMAN-80639C

5. CONTRACT REFERENCE

SOW para C.6.4

6. REQUIRING OFFICE

MARCORSYSCOM PdM ICE

7. DD 250 REQ

LT

ASREQ

12. DATE OF 1ST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

Case needed

13. DATE OF SUBSEQUENT

SUBMISSION AS REQ Draft

Final

The Engineering Change Proposal (ECP) shall be prepared in contractor format. . The ECP content shall include, where applicable, the following information:

the change priority, change classification, and change justification a complete description of the change to be made and the need for that change complete listing of other configuration items impacted by the proposed change proposed changes to documents controlled by the government.

proposed serial (or lot) number effectivities of units to be produced in, or retrofitted to, the proposed configuration.

recommendation about the way a retrofit should be accomplished.

impacts to any logistics support elements (such as software, manuals, spares, tools, and similar) being utilized by government personnel in support of the product.

impacts to the operational use of the product complete estimated life-cycle cost impact of the proposed change milestones relating to the processing and implementation of the engineering change contractors; Administrative or Operational Use, (date CDRL IS signed). Other U.S.

requests for this document shall be referred to Commander, MARCORSYSCOM (Attn:

PdM ICE), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 – Upon submission of an ECP, Government has 15 days to respond.

BLK 14 – Copies shall be delivered electronically in compatible MS Office format

MCSC:

PdM-ICE

15. TOTAL --------- 0 4 0

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _5_ of _6 Pages

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 Directorate (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 OMB 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

Attachment 2

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

TW and/or HW RAT Boot

E. CONTRACT/PR NO.

A006

NOTICE OF REVISION (NOR)

DI-CMAN-80642C

5. CONTRACT REFERENCE

SOW para C.6.4

6. REQUIRING OFFICE

MARCORSYSCOM PdM ICE

7. DD 250 REQ

LT

ASREQ

12. DATE OF 1ST SUBMISSION

AS REQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

Case needed

13. DATE OF SUBSEQUENT

SUBMISSION AS REQ Draft

Final

The Notice of Revision (NOR) shall be prepared in contractor format. The NOR content shall include, where applicable, the following information:

a listing of the identifier, revision level, and title of the affected document.

the identifier of the ECP which proposed the change a complete description of the changes to be made to the affected document.

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use, (date CDRL IS signed). Other U.S.

requests for this document shall be referred to Commander, MARCORSYSCOM (Attn:

PdM ICE), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 – Upon submission of notice of revision concurrent with ECP, Government has 15 days to respond.

BLK 14 – Copies shall be delivered electronically in compatible MS Office format or Portable Document Format (PDF).

MCSC:

PdM-ICE

15. TOTAL --------- 0 4 0

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _6_ of _6 Pages