Exhibit_A.pdf
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- Program Management Services (H-60 Program Office PMA299) Federal contract opportunity
- Solicitation number
- N00421-15-R-0034
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Exhibit A
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB 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 form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.
A. CONTRACT LINE ITEM NO.
9X50
B. EXHIBIT
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
PMA-299 CSS PM/Eng/Fin
E. CONTRACT/PR NO.
N00024-14-R-????
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Contractors Progress, Status and Management Report
3. SUBTITLE
Monthly Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80227
5. CONTRACT REFERENCE
SOW Para 8.0
6. REQUIRING OFFICE
PMA-299
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
45 DAC
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
10 DA EOM
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Delivery shall be provided electronically in Microsoft Word or compatible.
Focus report on significant achievements and/or problems.
Block 14: Deliver electronic copies to the COR Catherine Pulliam or the current COR.
See Block 16
15. TOTAL
G. PREPARED BY
Catherine Pulliam
H. DATE I. APPROVED BY
Catherine Pulliam
J. DATE
catherine.pulliam Cross-Out catherine.pulliam Cross-Out catherine.pulliam Typewritten Text 09/08/2014 catherine.pulliam Typewritten Text
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB 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 form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.
A. CONTRACT LINE ITEM NO.
9X50
B. EXHIBIT
A
C. CATEGORY
FNCL
D. SYSTEM/ITEM
PMA-299 CSS PM/Eng/Fin
E. CONTRACT/PR NO.
N00024-14-R-????
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Funds and Man-Hour Expenditure Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-FNCL-80331 (See Block 16)
5. CONTRACT REFERENCE
SOW para 8.0
6. REQUIRING OFFICE
PMA-299
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
45 DAC
8. APP CODE
N/A E (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
10 DA EOM
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Delivery shall be provided electronically in Microsoft Excel or compatible. See Block 16
Provide expenditures by employee and funding type. Provide detailed cost curves depicting ceiling, actual (funded) costs and planned or predicted expenditures for Labor for the current PoP.
NMCI and ODCs do not require cost curves, however they shall be presented in the data table supporting the cost curves.
Block 14: Deliver electronic copies to the COR Catherine Pulliam or the current COR.
The following information shall be reported for NMCI:
(a).Inventory of all NMCI Services purchased including NMCI/CoSC
CLIN number, NMCI/CoSC CLIN description, quantity, location of services, purchase order numbers, date purchased, and date terminated.
(b).Proof of disposal for hard drives provided in the form of scanned or faxed copies of the itemized Classified Material Conversion (CMC) receipts that are returned from the National Security Agency (NSA) at time of destruction.
catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text G.
catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text Prepared by catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text H. Date catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text I.
catherine.pulliam Typewritten Text Approved By catherine.pulliam Typewritten Text Date catherine.pulliam Cross-Out kathleen.wallace Typewritten Text kathleen.wallace Typewritten Text kathleen.wallace Typewritten Text kathleen.wallace Typewritten Text Catherine Pulliam kathleen.wallace Typewritten Text Catherine Pulliam catherine.pulliam Typewritten Text catherine.pulliam
09/08/2014
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB 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 form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.
A. CONTRACT LINE ITEM NO.
9X50
B. EXHIBIT C. CATEGORY
OTHER
D. SYSTEM/ITEM
PMA-299 CSS PM/Eng/Fin
E. CONTRACT/PR NO.
N00024-14-R-????
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Incurred Cost and Progress Reporting Services
3. SUBTITLE
Invoice Support Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81864
5. CONTRACT REFERENCE
SOW Para 8.0
6. REQUIRING OFFICE
PMA-299
7. DD 250
REQ
LT
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A E 11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Tailored Content Requirements (DID Requirements paragraph 1): Reports shall be submitted electronically. Data Tables shall be consistent with contract attachment (X) and submitted in MS Excel format.
(DID Requirements paragraph 3): The report shall be in accordance with the references included in Block 5.
Block 9: Distribution authorized to DoD components only; contractor proprietary information included.
Block 10, 12 and 13: At a minimum, submit jointly with the invoice.
Submit by e-mail to: COR Catherine Pulliam or current COR.~
15. TOTAL
G. PREPARED BY
Thomas Walsh Thomas Walsh
H. DATE
I. APPROVED BY DATE
catherine.pulliam catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Cross-Out catherine.pulliam Cross-Out catherine.pulliam Typewritten Text Prepared by: Date: Approved By: Date:
Catherine Pulliam Catherine Pulliam catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam Typewritten Text catherine.pulliam
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB 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 form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.
A. CONTRACT LINE ITEM NO.
9X50
B. EXHIBIT C. CATEGORY
OTHER
D. SYSTEM/ITEM
PMA-299 CSS PM/Eng/Fin
E. CONTRACT/PR NO.
N00024-14-R-????
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Operations Security (OPSEC) Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80934A
5. CONTRACT REFERENCE
SOW Para 8.0
6. REQUIRING OFFICE
PMA-299
7. DD 250
REQ
LT
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
See Block 16
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
A FOUO (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
BLOCK 4: Delete references in DI-MGMT-80934. Instead use the definition of sensitive information given in Title 15, US Code, Section 278g-3(d)(4). Security policy, procedures and requirements for classified information (as defined in FAR 4-401), are provided in DOD Manual 5220.00-M, National Industrial Security Program Operating Manual (NISPOM),. Use OPNAVINST 3432.1 and National Security Decision Directive 298 of 22 January 1988 for the concept of Operations Security, and apply the framework for telecommunications security in DFARS clause 252.239-7016, as appropriate. Delete the last two sentences of Paragraph 10.3.4, and add TEMPEST requirements, if applicable, are addressed separately in the DD Form 254 incorporated into this contract.
BLOCK 9: The words, FOR OFFICIAL USE ONLY shall be conspicuously marked at the bottom of each page, and on the bottom of the outside back cover (if any). The front cover (if any) or the first page of the document shall also be conspicuously marked withthe following statement: This document contains information EXEMPT FROM MANDATORY PUBLIC DISCLOSURE under the Freedom of Information Ac. Exemption b(2) applies. These markings shall also be applied in an appropriate manner to any data provided in electronic media or transmision. Electronic transmission of such data must be via Federal Information Processing Standard (FIPS) 140-1 compliant means.
EXEMPTIONS: b(2) shall be used on documents which concern internal working processes or procedures (e.g., OPSEC Plans or Program Protection Implementation Plans).
BLOCKS 7:, 8:, 12:, and 13: Preliminary draft plan in MS Office format due 90 DAC. The Government has 45 days to review the deliverable for approval or rejection. The Contractor's final plan is due 45 days after receipt of Government comments. Revisions are required after approval of plan only to comply with Government Data Protection Policy document revisions.
BLOCK 14: Submit report in digital format using Microsoft Word format. The deliverable shall be placed on the PMA-299 server at:
https://pma299.navair.navy.mil/deliverables/company-name/Contract-no/Basic/A004/in sub-folder.
The Contractor shall provide e-mail notification to PMA- 299OPS@navy.mil when the deliverable product has been submitted to the server
15. TOTAL
G. PREPARED BY
Catherine Pulliam Catherine Pulliam
T
H. DATE I. APPROVED BY J. DATE
catherine.pulliam Cross-Out catherine.pulliam Cross-Out catherine.pulliam Typewritten Text catherine.pulliam
| 2014-09-08T09:17:28-0400 | |
| PULLIAM.CATHERINE.A.1272577400 |
| 2014-09-08T09:17:54-0400 | |
| PULLIAM.CATHERINE.A.1272577400 |
| 2014-09-08T09:18:14-0400 | |
| PULLIAM.CATHERINE.A.1272577400 |
| 2014-09-08T09:18:32-0400 | |
| PULLIAM.CATHERINE.A.1272577400 |
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