Exhibit_A_CDRL_A001_through_A006.doc

DOC document 537 KB Posted

Attached to
AIR-4. 3 Engineering and Technical Support, AVTSS
Solicitation number
N00421-15-R-0042
Issued by

About this file

Exhibit A CDRLs

View the file

Other files

Show all 16

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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

File details come from the government source that posted it. Updated .