1.1.8_Attachment_II_-_CDRLs.doc

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

A

C. CATEGORY:

TDP _«TDP» IF = "True" "X" " "

_ TM _ «TM» IF = "True" "X" " "

_ OTHER _MISC_«OTHER» IF = "True" "X" " "

D. SYSTEM/ITEM

OSP Survey Jim Creek

E. CONTRACT/PR NO.

N00406-18-x-xxxx

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contractor’s Status and Management Report

3. SUBTITLE

Weekly Status Report (WSR)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

PWS Para 11.1

6. REQUIRING OFFICE

NCTAMS PAC DET BCO OFFICE

7. DD 250 REQ

LT

9. DIST

STATEMENT

Distribution limited to DOD and

DOD Contractors only

10. FREQUENCY

Weekly

12. DATE OF 1ST SUBMISSION

See BLK 16

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See BLK 16

16. REMARKS

The WSR in Word or Excel format shall be submitted electronically via email with the following minimum information.

a. Performance Status – Identify significant accomplishments, progress, challenges, and risks encountered during the affected reporting period by SOW/PWS paragraph. Provide detailed description of challenges/risks that may impact successful delivery of required services. In particular provide:

1. Progress Summary

2. Major Milestone Summary

3. Status of Deliverables

4. Action Items

5. Identification of problem areas including technical issues or schedule slippages

6. Status of previously identified problems

7. Effort to be completed during the next reporting period.

8. Percentage of work completed

9. Updates to POA&M

b. Schedule Status – Identify schedule for and status of all deliverables. If the efforts are not on schedule, indicate the reason for the delay and provide a revised completion /delivery date.

c. Personnel Status/Staffing Plan – Identify by name, labor category, proposed labor hours, proposed amount, current paid hours, current paid amount, cumulative hours, and cumulative amount by SOW/PWS paragraph. This requirement applies to both the prime contractor and all subcontractors supporting this effort. Subcontractors can provide their information directly to the Contracting Officer and COR.

BLOCK 12 & 13: The Contractor shall deliver the initial weekly report one week after start date of survey. Subsequent submissions are due no later than each Friday at 1600. No Government response to the Report within 30 days of submission constitutes approval.

BLK 14: Provide Weekly report email copy to COR and Local Subject Matter Expert (SME) Indian Island.

NCTAMS PAC DET PS N5 COR: Russell.g.Smith1@navy.mil Jim Creek SME: @navy.mil

SEE BLK 16

15. TOTAL ---------(

G. PREPARED BY

Sammy Morris

H. DATE

26 February 2018

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

C. CATEGORY:

TDP _«TDP» IF = "True" "X" " "

_ TM _ «TM» IF = "True" "X" " "

_ OTHER _MISC_«OTHER» IF = "True" "X" " "

D. SYSTEM/ITEM

OSP Survey Jim Creek

E. CONTRACT/PR NO.

N00406-18-x-xxxx

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Site Requirements Package

3. SUBTITLE

Redlines Drawing Package

4. AUTHORITY (Data Acquisition Document No.)

DI-DRPR-80651

5. CONTRACT REFERENCE

PWS Para 7.0; 11.1

6. REQUIRING OFFICE

NCTAMS PAC DET BCO OFFICE

7. DD 250 REQ

LT

9. DIST

STATEMENT

Distribution limited

10. FREQUENCY

ONE / R

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS

Site Requirements package should include information from the Site Survey in accordance with PES 6.0 (a-h)

Block 4: Provide using AutoCAD application compatible with AutoCAD 2007.

Blocks 10/12/13: Deliver one Draft copy for NCTAMS PAC DET PS for review NLT Site Requirement due date per Clause 52.211-9.

Deliver Final copies, with incorporated changes, NLT 10 days after receipt of NCTAMS PAC DET PS and SME review comments.

Blk 14: Provide 1 hard copy of “As Built” Redlines of the drawings. Provide 1 CD to the Command POC upon task completion and 1 CD to the on-site GOVT representative within 5 working days after completion of the update.

NCTAMS PAC DET PS N5 COR: Russell.g.Smith1@navy.mil

15. TOTAL ---------(

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

C. CATEGORY:

TDP _«TDP» IF = "True" "X" " "

_ TM _ «TM» IF = "True" "X" " "

_ OTHER _MISC_«OTHER» IF = "True" "X" " "

D. SYSTEM/ITEM

OSP Survey Jim Creek

E. CONTRACT/PR NO.

N00406-18-x-xxxx

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Telecommunications System Installation Plan

3. SUBTITLE

Budgetary Cost Estimate

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81118

5. CONTRACT REFERENCE

PWS Para 8.0; 10.3

6. REQUIRING OFFICE

NCTAMS PAC DET BCO OFFICE

7. DD 250 REQ

LT

9. DIST

STATEMENT

Distribution limited

10. FREQUENCY

ONE / R

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS

Block 4: Provide using Microsoft Office Format.

Blocks 10/12/13: Deliver two Draft copy for NCTAMS PAC DET PS for review NLT Budgetary Cost Estimate due date per Clause 52.211-9.

Deliver Final copies, with incorporated changes, NLT 10 days after receipt of NCTAMS PAC DET PS and SME review comments.

Blk 14: Provide 1 hard copy of Budgetary Cost Estimate. Provide 1 CD to the Command POC upon task completion and 1 CD to the on-site GOVT representative within 5 working days after completion of the update.

NCTAMS PAC DET PS N5 COR: Russell.g.Smith1@navy.mil

15. TOTAL ---------(

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE