Exhibit_A_CDRL_A001_through_A006.doc
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CONTRACT DATA REQUIREMENTS LIST (CDRL)
(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 |
| C. CATEGORY: |
| XX00 |
| A |
ASK \* MERGEFORMAT
| TDP ____ |
| TM _____ |
| OTHER MGMT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| AIR-4.3 / AIR VEHICLE DEPT |
| N00421-15-R-0042 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| PROGRAM PROGRESS REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MGMT-80555A |
| SOW para 9.1 |
| AIR-4.3.2.3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| DD |
| REQUIRED |
| MONTHLY |
| 30 DAYS ADC |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
| Draft |
| Final |
N/A
| N/A |
| 30 days |
| Reg |
| Repro |
| 16. REMARKS |
| AIR-4.3.2.3 |
| 1 |
| PROGRESS REPORT WILL PROVIDE MONTHLY LISTING OF STATUS OF WORK ACCOMPLISHED/OBJECTIVES FOR EACH PROJECT OR TECHNICAL DIRECTION LETTER. SUBMIT REPORTS ELECTRONICALLY TO THE DESIGNATED GOVERNMENT POC AT ALEXANDER.KOKOLIOS@NAVY.MIL. |
| 15. TOTAL ▬▬▬▬► |
| 1 |
| 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
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item) Form Approved
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: |
| XX00 |
| A |
ASK \* MERGEFORMAT
| TDP ____ |
| TM _____ |
| OTHER FNCL |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| AIR-4.3 / AIR VEHICLE DEPT |
| N00421-15-R-0042 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| PERFORMANCE AND COST REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-FNCL-80912 |
| SOW para 9.2 |
| AIR-4.3.2.3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| DD |
| REQUIRED |
| MONTHLY |
| SEE BLOCK 16 |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
| Draft |
| Final |
N/A
| N/A |
| N/A |
| Reg |
| Repro |
| 16. REMARKS |
| AIR-4.3.2.3 |
| 1 |
TO BE SUBMITTED BY THE 10TH DAY OF EACH MONTH. REPORT WILL INCLUDE THE PROJECT STATUS, MAN HOURS EXPENDED, LABOR, MATERIAL, TRAVEL, AND OTHER COSTS. THE REPORTING PERIOD WILL BE IN CONJUNCTION WITH BILLING PERIOD OF EACH INVOICE. THE REPORT WILL BE SUBDIVIDED BY EACH ASSIGNED PROJECT NUMBER, DELIVERY ORDER, OR TECHNICAL DIRECTION LETTER AND WILL LIST THE TOTAL COST OF THE SPECIFIC PROJECT, THE AMOUNT FUNDED (BY CLIN), THE AMOUNT EXPENDED (BY CLIN AND LABOR CATEGORY), AND THE TOTAL AMOUNT REMAINING TO BE EXPENDED. THE REPORT WILL DETAIL THE MONTHLY LABOR HOURS AND CHARGES PER EACH INDIVIDUAL ON THAT PROJECT, AND THE TOTAL MATERIAL ITEMS (AND THEIR COST) WILL BE LISTED.
SUBMIT REPORT ELECTRONICALLY TO THE DESIGNATED GOVERNMENT POC AT ALEXANDER.KOKOLIOS@NAVY.MIL.
15. TOTAL ▬▬▬▬►
| 1 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page 2 of 6 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item) Form Approved
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: |
| XX00 |
| A |
ASK \* MERGEFORMAT
| TDP ____ |
| TM _____ |
| OTHER TECHNICAL REPORT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| AIR-4.3 / AIR VEHICLE DEPT |
| N00421-15-R-0042 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A003 |
| Scientific and Technical Report (Engineering Data Report) |
As Required
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| Contractor Format Acceptable |
| SOW para 9.3 |
| AIR-4.3.2.3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| REQUIRED |
| As Required |
| As Required |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| As Required |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
| Draft |
| Final |
A
| N/A |
| As Required |
| Reg |
| Repro |
| 16. REMARKS |
| AIR-4.3.2.3 |
| 1 |
SUBMIT REPORTS ELECTRONICALLY TO THE DESIGNATED GOVERNMENT POC AT
ALEXANDER.KOKOLIOS@NAVY.MIL.
15. TOTAL ▬▬▬▬►
| 1 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page 3 of 6 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item) Form Approved
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: |
| XX00 |
| A |
ASK \* MERGEFORMAT
| TDP ____ |
| TM _____ |
| OTHER MGMT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| AIR-4.3 / AIR VEHICLE DEPT |
| N00421-15-R-0042 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A004 |
| OPERATIONS SECURITY (OPSEC) PLAN |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MGMT-80934 |
| SOW para 9.4 |
| AIR-4.3.2.3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| DD |
| REQUIRED |
| OT |
| 90 DACA |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
| Draft |
| Final |
N/A
| N/A |
| SEE BLOCK 16 |
| Reg |
| Repro |
| 16. REMARKS |
| AIR-4.3.2.3 |
| 1 |
| BLOCK 12 AND 13: SUBMIT DRAFT PLAN FOR GOVERNMENT REVIEW. SUBMIT FINAL PLAN 30 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS. SUBMIT REPORT ELECTRONICALLY TO THE DESIGNATED GOVERNMENT POC AT ALEXANDER.KOKOLIOS@NAVY.MIL. |
15. TOTAL ▬▬▬▬►
| 1 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page 4 of 6 Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
CMB 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 222202-2302, 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.
XX00
B. EXHIBIT
A
C. CATEGORY
TDP
TM
OTHER XXXX
D. SYSTEM/ITEM
AIR 4.3 / AIR VEHICLE DEPT
E. CONTRACT/PID NO.
N00421-15-R-0042
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM:
Non-Disclosure Agreement (Company)
3. SUBTITLE:
N/A
4. AUTHORITY (Data Acquisition Document No.)
See Block 16
5. CONTRACT REFERENCE
SOW Para: 9.5, 9.5.1.1
6. REQUIRING OFFICE
AIR 4.3.2.3
7. DD 250 REQ
| 9. DIST STATEMENT REQUIRED |
| 10. Frequency |
12. DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
LT
| See Block 16 |
| See Block 16 |
b. COPIES
| 8. APP CODE |
| FOUO |
| 11. As of Date |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
See Block 16
| N/A |
| See Block 16 |
| See Block 16 |
| Draft |
| Reg. |
| Repro. |
16. REMARKS
The format required for Company level Non-Disclosure Agreements is provided as an attachment to this CDRL. The areas highlighted in yellow are to be filled in by the Company. Signed original copies shall be provided to the COR/TPOC.
Block 8: Criteria for approval shall be the correct content. The information provided shall be fully consistent with the SOW and applicable appropriate Government Directives, Policies and Instructions.
Blocks 10, 12 &13: Provide Company Non-Disclosure Agreements within fifteen days after the effective date of the contract/subcontract and as required by COR/TPOC.
Deliverables shall be provided to:
4.3.2.3
Copies are to be sent to the associated task order sponsor.
The COR’s address is: Mr. Kokolios, AIR 4.3.2.3
B2035, 48110 Shaw Road, Patuxent River, MD 20670 e-mail: alexander.kokolios@navy.mil
AIR 4.3.2.3
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Page 5 of 6 Pages N00421-15-R-0042
Attachment to CDRL A005
NON-DISCLOSURE AGREEMENT
1. Contract # -
(Company) In the course of performing under Contract xxxxxx-xxxx-xxxx-xxxx, Company Name (hereinafter “Contractor”) and its employees will have access to system performance, Naval force structure, program / business sensitive, pre-decisional material, and/or data marked or considered “proprietary” (e.g., restrictive legend per FAR 52.215-1) which the Contractor shall not use for purposes other than performance under this contract; nor shall the Contractor release, reproduce, distribute, or publish any data or analysis that is provided as Government Furnished Information (GFI) or data or analysis that is produced as a result of performing under this contract; nor shall the Contractor authorize others to do so without written permission of the Contracting Officer. Data includes all data, information and software regardless of the medium (e.g., electronic, paper, etc.) and/or format in which the data exists, and includes data that is derived from, based on, incorporates, includes or refers to such program/business sensitive, pre-decisional material, and/or proprietary data (collectively referred to herein as “the data”).
The undersigned employee of said Contractor is a duly appointed representative with authority to bind the Contractor. (Employee Name) is a (contract labor category) with (Company Name) and is assigned to support the NAVAIR 4.3 Air Vehicle Engineering Department for Engineering & Technical Support. As a condition to receiving access to data as defined above, the Contractor, through its duly appointed representative below, hereby agrees to: (1) Not disclose either the data or resulting analytic product(s) to any entity, government or otherwise, outside of the Air Vehicle Engineering Department unless specifically authorized to do so in the language contained in the task order or authorized in writing by the Contracting Officer; (2) Use the data solely for the purpose of performing the requirements as set forth in relative COR under this contract; (3) Not discuss with, disclose, release, reproduce or otherwise provide or make available the data, or any portion thereof, or the analytic product resulting from use of the data to any other of the Contractor’s customers or personnel unless specifically authorized to do so in the language contained in the task order or authorized in writing by the Contracting Officer; (4) Ensure appropriate restrictive legends are included on any documents created, copied, and reproduced that uses all or any part of the data; and (5) Establish safeguards to protect data from unauthorized use or disclosure. Further, the Contractor, through its duly appointed representative below, hereby acknowledges by signing this non-disclosure agreement that any other use, disclosure, release or reproduction is unauthorized and may result in substantial criminal, civil and/or administrative penalties to both the Contractor and the individual employee of the Contractor who violates this agreement, contract and applicable laws and regulations. Also, the undersigned fully recognizes that the obligation not to discuss, disclose, release, reproduce, or otherwise provide or make available such data, or any portion thereof, shall continue, even after completion of the contract. Any actual or suspected unauthorized use, disclosure, release, or reproduction of such data or violation of this agreement will be reported to the Contracting Officer within one business day by (Corporate Employee Name, Operations Manager).
Authorized Representative of Company Name
Date
Title/Position and Full Name.
CONTRACT DATA REQUIREMENTS LIST
Form Approved
CMB 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 222202-2302, 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.
XX00
B. EXHIBIT
A
C. CATEGORY
TDP
TM
OTHER XXXX
D. SYSTEM/ITEM
AIR 4.3 / AIR VEHICLE DEPT
E. CONTRACT/PID NO.
N00421-15-R-0042
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM:
Non-Disclosure Agreement (Individual)
3. SUBTITLE:
N/A
4. AUTHORITY (Data Acquisition Document No.)
See Block 16
5. CONTRACT REFERENCE
SOW Para: 9.5, 9.5.1.2
6. REQUIRING OFFICE
AIR 4.3.2.3
7. DD 250 REQ
| 9. DIST STATEMENT REQUIRED |
| 10. Frequency |
12. DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
LT
| See Block 16 |
| See Block 16 |
b. COPIES
| 8. APP CODE |
| FOUO |
| 11. As of Date |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
See Block 16
| N/A |
| See Block 16 |
| See Block 16 |
| Draft |
| Reg. |
| Repro. |
16. REMARKS
The format required for Individual level Non-Disclosure Agreements is provided as an attachment to this CDRL. The areas highlighted in yellow are to be filled in by the Individual. Signed original copies shall be provided to the COR/TPOC.
Block 8: Criteria for approval shall be the correct content. The information provided shall be fully consistent with the SOW and applicable appropriate Government Directives, Policies and Instructions.
Blocks 10, 12 &13: Provide Individual Non-Disclosure Agreements with in fifteen days after the effective date of the contract/subcontract and as required by COR/TPOC.
Deliverables shall be provided to:
4.3.2.3
Copies are to be sent to the associated task order sponsor.
The COR’s address is: Mr. Kokolios, AIR 4.3.2.3
B2035, 48110 Shaw Road, Patuxent River, MD 20670 e-mail: alexander.kokolios@navy.mil
AIR 4.3.2.3
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Page 6 of 6 Pages N00421-15-R-0042
Attachment to CDRL A006
NON-DISCLOSURE AGREEMENT
Contract # -
(Individual) In the course of performing under Contract xxxxxx-xxxx-xxxx-xxxx, Company Name personnel will have access to system performance, Naval force structure, program / business sensitive, pre-decisional material, and/or data marked or considered “proprietary” (e.g., restrictive legend per FAR 52.215-1) which the Contractor shall not use for purposes other than performance under this contract; nor shall the Contractor release, reproduce, distribute, or publish any data or analysis that is provided as Government Furnished Information (GFI) or data or analysis that is produced as a result of performing under this contract; nor shall the Contractor authorize others to do so without written permission of the Contracting Officer. Data includes all data, information and software regardless of the medium (e.g., electronic, paper, etc.) and/or format in which the data exists, and includes data that is derived from, based on, incorporates, includes or refers to such program/business sensitive, pre-decisional material, and/or proprietary data (collectively referred to herein as “the data”).
Specifically, Employee Name is a contract labor category with Company Name and assigned to support the NAVAIR 4.3 Air Vehicle Engineering Department for Engineering & Technical Support. As a condition to receiving access to data as defined above, Employee Name hereby agrees to: (1) Not disclose either the data or resulting analytic product(s) to any entity, government or otherwise, outside of the Air Vehicle Engineering Department unless specifically authorized to do so in the language contained in the task order or authorized in writing by the Contracting Officer; (2) Use the data solely for the purpose of performing the requirements as set forth in relative COR under this contract; (3) Not discuss with, disclose, release, reproduce or otherwise provide or make available the data, or any portion thereof, or the analytic product resulting from use of the data to any other Company Name customers or personnel unless specifically authorized to do so in the language contained in the task order or authorized in writing by the Contracting Officer; (4) Ensure appropriate restrictive legends are included on any documents created, copied, and reproduced that uses all or any part of the data; and (5) Establish safeguards to protect data from unauthorized use or disclosure. Further, Employee Name acknowledges by signing this non-disclosure agreement that any other use, disclosure, release or reproduction is unauthorized and may result in substantial criminal, civil and/or administrative penalties to both the Company and the individual who violates this special contract requirement. However, the obligation not to discuss, disclose, release, reproduce, or otherwise provide or make available such data, or any portion thereof, shall continue, even after completion of the contract or employment with Company Name. Any actual or suspected unauthorized use, disclosure, release, or reproduction of such data or violation of this agreement will be reported to the Contracting Officer within one business day by Corporate Employee Name, Operations Manager.
Employee Name
Date
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