DD_1423.docx

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Professional, Administrative and Management Support Services Federal contract opportunity
Solicitation number
N0018918RZ017
Issued by
Department of the Navy Naval Supply Systems Command

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4/28/2017 10:37:20 AM

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 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, 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 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

Management Support Services

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

Monthly Project Status and Financial Report

3. SUBTITLE

17. PRICE GROUP

A001

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

Task Order PWS 4.3.1
DCNO N2/N6
7. DD 250 REQ
9.DIST STATEMENT

REQUIRED

10. FREQUENCY
12. DATE OF FIRST SUB
14.

DISTRIBUTION

MONTHLY
10th workday of month

B. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

AWARD
MONTHLY

Reg.

Repro

16. REMARKS:

1. A Monthly Project Status and Financial Report shall be provided to the Government no later than the tenth workday after the end of the calendar month. The report shall minimally include:

a. Summary of work accomplished in each of the areas during the reporting period.

b. Hours expended during the reporting period by individual.

c. Cumulative hours expended throughout the reporting period by labor category.

d. Contract funds expended during the reporting period by Labor, Travel and ODCs.

e. Issues or problems impacting project progress along with resolution or resolution plan(s).

f. Schedule of non-routine activities planned.

g. Contractor Staffing Plan for Task Order.

2. Report formats will be provided by the government.

3. The Monthly Project Status and Financial Report, including the public voucher, shall be provided via email to the COR/ACOR in MSWord / MS Excel with the exception of the public voucher in Adobe PDF.

-COR/ACOR

--CONTRACTING OFFICER

-IMMEDIATE GOV T-SUPERVISOR

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

17. PRICE GROUP

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

18. ESTIMATED

Task Order PWS 4.3.2

7. DD 250 REQ
9.DIST STATEMENT

REQUIRED

10. FREQUENCY

Once per trip

12. DATE OF FIRST SUB

TWO DAYS AFTER

RETURN

14.

b. COPIES

8. APP CODE
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Final

AWARD
N/A

16. REMARKS:

A trip report shall be provided to the Government no later than two days following return from a trip. The format shall be contractor determined and shall include, but is not confined or constrained to:

1. Purpose of the trip

2. Summary of work accomplished during the trip and any associated minutes.

3. Any actions required or follow-up items as a result of the trip

4. Any issues or problems impacting project progress along with their ultimate resolution or plans for resolution.

-COR / ACOR

-IMMEDIATE GOV T-SUPERVISOR

15. TOTAL

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

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

7. DD 250 REQ
9.DIST STATEMENT

REQUIRED

10. FREQUENCY
12. DATE OF FIRST SUB
14.

B. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Final

16. REMARKS:

15. TOTAL

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

DD FORM 1423, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 1 Pages image1.wmf

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