Exhibit_A_CDRLs.xlsx
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- Attached to
- 4. 11. 3 Ship and Air Integrated Warfare (SAIW) Division Program Management Support Services
- Solicitation number
- N00421-16-R-0049
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Exhibit A - CDRLs
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Input Sheet
| ITEM | VALUE |
| A. Contract Line Item Number | 0001, 0002, 0003, 0004, 0005 |
| B. Exhibit | A |
| D. System/Item | SAIW Management Support |
| E. Contract/PR No. | TBD |
| F. Contractor | TBD |
| G. Prepared By | B. Dombrosky |
| I. Approved By: | N. Downs |
| 6. Requiring Office | NAWCAD 4.11.3 |
| H. Date Prepared | 4/20/16 |
| J. Date Approved | 4/20/16 |
| Total Number of Pages | 11 |
| Notes: | |
| Renumbering of CDRLs | Just rename the Tabs and the CDRL numbers will adjust. |
| You may also have to change the number of pages above. |
A001
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MISC) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A001 | Contractor's Progress, Status, and Management Report | Monthly Progress Status Report | ||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-MGMT-80227 | SOW Para 3.3.1, 3.3.3., 3.3.6, 3.3.7, 3.3.8, 3.3.9, 3.3.10, 3.3.11, 4.1 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| LT | REQUIRED | MTHLY | See Block 16 | b. COPIES | ||||||
| C | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| N/A | See Block 16 | See Block 16 | Reg | Repro | ||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Blocks 12 and 13: Report shall be delivered by the 10th of the month following the first full month of the contract. Subsequent reports shall be submitted by the 10th of the month. |
Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government.
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009 Mark for: Contracts Deliverable Manager (insert contract number)
Contract Level Data. The contractor shall include the following items and data in the monthly status report. Monthly contract level summary report by fiscal year reporting contract ceiling per line item, cumulative expenses per line items, balance of line items, percentage of line items obligated, elapsed time of contract (percentage), incremental funding and modification number, and voucher amount. The report shall also detail present fiscal year contract labor category staff hour ceilings, cumulative proposed staff hours, and cumulative expended staff hours.
Items and Data. The monthly progress report shall include the following items and data:
a. Cover sheet.
b. Monthly and cumulative labor hours bid and expended per contract labor categories, names of employees charged to each labor category, and total labor cost.
c. Dollar amounts and listing of materials expended including outstanding commitments, monthly and cumulative.
d. A list of travel and per diem charges per trip, monthly and cumulative.
e. Total costs per Contract Line Item Number, monthly and cumulative.
f. Program summary.
g. Major milestone summary.
h. Data requirements status.
i. Action items.
j. Identification of new problem areas.
k. Status of previously identified problems.
l. Effort to be completed during next reporting period.
m. Justification for cost increases or schedule slippage, if any, which may differ from previous reports to the original estimate to complete specific efforts.
n. Estimated total cost to complete.
o. Data calendar. The contractor shall provide a data calendar showing all overdue data items required under the contract. Provide an explanation of why the deliverables are late and when they will be delivered. The calendar shall be updated monthly and provided with the progress report.
Format. The contractor shall identify the report by contract number, contractor’s name, CDRL number and title, period covered and date of preparation. Reports shall include charts, curves, and other graphics needed to define clearly the status of the contract. The contractor shall provide clear, brief, and concise data; which shall minimize the number of pages.
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 7/15/14 | N. Downs | 7/15/14 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 1 | of | 11 |
| 1007/183 |
A002
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MISC) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A002 | Report, Record of Meeting/Minutes | Conference Minutes/Agendas | ||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-ADMN-81505 | SOW Paras 3.1.2, 3.1.4, 3.1.6, 3.3.2, 3.3.4, 3.3.5, 3.3.12, 3.7.7 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| LT | REQUIRED | ASREQ | ASREQ | b. COPIES | ||||||
| C | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| ASREQ | ASREQ | Reg | Repro | |||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government. |
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009 Mark for: Contracts Deliverable Manager (insert contract number)
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 2 | of | 11 |
| 1007/183 |
A003
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MGMT) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A003 | Contract Funds Status Report | Financial Progress Report | ||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-MGMT-81468 | SOW Para 4.2 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| LT | REQUIRED | 2/MTH | 45 DAC | b. COPIES | ||||||
| C | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| See Block 16 | See Block 16 | Reg | Repro | |||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Blocks 11 and 13: Financial progress reports shall be prepared and submitted once every two weeks. In order to reduce the administrative burden presented by creating a unique reporting requirement and to allow these reports to piggyback on the contractor’s timesheet/payroll system, the actual periodicity of these reports shall be determined by the contractor’s existing accounting system. Financial progress reports shall be delivered electronically to ICIS within seven (7) working days of each pay period’s ending data. The report shall include data which is valid and current through the most recent pay period’s closing date. |
Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government.
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 3 | of | 11 |
| 1007/183 |
A004
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MISC) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A004 | Status Report | Program/Project/Contract Management/Acquisition Status Report | ||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-MGMT-80368A | SOW Para 3.1, 3.1.1, 3.1.3, 3.1.5, 3.1.7, 3.1.8, 3.1.9, 3.1.10, 3.1.11, 3.2.1, 3.2.2, 3.2.3, 3.2.4, 3.2.5, 3.2.6, 3.2.7, 3.2.8, 3.2.9, 3.4.1, 3.4.2, 3.4.3, 3.4.4, 3.4.5, 3.4.6, 3.4.7, 3.5.1, 3.5.2, 3.5.3 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| LT | REQUIRED | ASREQ | ASREQ | b. COPIES | ||||||
| C | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| ASREQ | Reg | Repro | ||||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government. |
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 4 | of | 11 |
| 1007/183 |
A005
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MISC) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A005 | Technical Report - Study/Services | System Design/Impact/Feasibility Studies | ||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-MISC-80508B | SOW Paras 3.6.1, 3.6.2, 3.6.3, 3.6.4, 3.6.5, 3.6.6, 3.6.7, 3.6.8, 3.6.9, 3.6.10, 3.6.11, 3.6.12, 3.7.1, 3.7.2, 3.7.3, 3.7.4, 3.7.5, 3.7.6, 3.7.8 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| LT | REQUIRED | ASREQ | ASREQ | b. COPIES | ||||||
| C | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| ASREQ | Reg | Repro | ||||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government. |
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 5 | of | 11 |
| 1007/183 |
A006
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MISC) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A006 | Task Order Closeout Report | |||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-MISC-80652 | SOW Para 6.1 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| DD | REQUIRED | See Block 16 | See Block 16 | b. COPIES | ||||||
| C | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| N/A | See Block 16 | See Block 16 | Reg | Repro | ||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Blocks 10, 11, 12, and 13: Within 90 days after completion of each task, contractor shall provide a |
closeout report. The report shall include financial data, deliverable status, disposition of contractorfurnished materials, outside services, and a list of Government-furnished materials, as a minimum. The closeout report then shall be signed by the contractor project manager and forwarded to NAWCAD 4.11.3.
Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government.
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 6 | of | 11 |
| 1007/183 |
A007
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MISC) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A007 | Operations Security (OPSEC) Plan | |||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-MGMT-80934C, and Blk 16 | SOW Para 7.0 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| LT | REQUIRED | See Block 16 | See Block 16 | b. COPIES | ||||||
| C | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| A | See Block 16 | See Block 16 | Reg | Repro | ||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Block 4: Contractor format. Use the definition of sensitive information given in Public Law 100.235. Use National Security Decision Directive (NSDD) 298 for the concept of Operations Security. |
Block 9: Apply and use distribution statements in accordance with the Distribution Statement shown in Block 13 of DD Form 254 and the guidance of SECNAVINST 5510.36
Blocks 10, 11, 12, and 13: Draft OPSEC Plan due 90 DAC. Final due 45 days after Government approval of draft. Revisions required after approval of final plan only to comply with the Government Data Protection Policy Documents revisions.
Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government.
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009 Mark for: Contracts Deliverable Manager (insert contract number)
AIR 7.4.4 NAVAIR Security ATTN Madeline Gantt 47123 Buse Road Bldg 2272, R074 Patuxent, MD 20670 Madeline.gantt@navy.mil
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 7 | of | 11 |
| 1007/183 |
A008
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MGMT) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A008 | Contracting Officer's Management Report | Segregation of Costs and Invoice Requirements Report | ||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-MGMT-81864 | SOW Para 4.3 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| LT | REQUIRED | See Block 16 | See Block 16 | b. COPIES | ||||||
| C | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| N/A | See Block 16 | See Block 16 | Reg | Repro | ||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Blocks 10, 11, 12, and 13: Report shall be submitted concurrently with each invoice to the COR and shall be for the exact dollar amount and period of performance as the invoice. |
The contractor shall segregate costs incurred under this contract at the lowest level of performance, either by tasks or by subtask, rather than only on a Contract Line Item Number (CLIN) or total contract basis, and shall submit invoices reflecting costs incurred at that level. In addition, the contractor shall submit invoices containing summaries of work charged during the period covered, as well as overall cumulative summaries for all work invoiced to date.
When there is more than one line of accounting, the Government will describe each ACRN preceding the accounting citation in the contract or a particular CLIN. The Government will pay contractor invoices by charging only an ACRN corresponding to the CLIN invoiced. Accordingly, when there are many lines of accounting, the Government will fund each CLIN separately and it will summarize the funding level for each CLIN, The contractor's invoices shall state separate incremental and cumulative amounts for each CLIN with further segregation by task and subtask showing each element of cost.
Invoices shall contain the following cost elements by schedule and include supporting detail. Invoices shall be submitted with two attachments. The first attachment shall contain Schedules A through D, F and G and shall be provided as fully burdened. The second attachment shall contain Schedule E.
Invoice summary for current billing period and cumulative.
(Schedule A) Direct Labor $ (Schedule B) Material $.
(Schedule C) Travel $ (Schedule D) Other Direct Charges $ (Schedule E) Indirect Charges $ (Schedule F) Adjustments $
TOTAL $__________
Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government.
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 8 | of | 11 |
| 1007/183 |
A009
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||
| (1 Data Item) | 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 Highway, | ||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MGMT) | ||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||
| SAIW Management Support | TBD | TBD | ||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||
| A009 | Status Report | Information Technology Personnel Security Report for NAVAIR |
Security
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||
| DI-MGMT-80368A (See Block 16) | 5252.232-9529 and SOW Para 8.0 | NAWCAD 4.11.3 | ||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||
| DD | REQUIRED | See Block 16 | See Block 16 | b. COPIES | ||||
| D | ||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||
| A | See Block 16 | Reg | Repro | |||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | |||||
| Block 4: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2007 unless otherwise approved by the government. |
Contractor to submit IT Personnel Security Report for all employees requiring access to Government IT systems. Ensure that only the following information is included:
User's Last Name; First Name; MI; Suffix; Exact Sigma User Name (if none - leave blank); Employee Type: Civ/Mil/CSS/FN; Contract No.; Customer AIR/PMA/PEO Code; Org: Hddqtrs/NAWC/NATEC, etc.; Duty Location; Work Email Address; IA Training Date (Verified by Transcript); Date of User Signature (SAAR-N Blk 13); Type of Investigation (SAAR-N Blk 33); Date Investigation Finalized (SAAR-N Blk 33a); Date Interim IT Level Designation (Stamp) Granted (SAAR-N Blk 33c) - do not put pending; Highest IT Level (SAAR-N Blk 33c); Date Security Verified Clearance/Investigation (SAAR-N Blk 37); Date COR Signature (SAAR Blk 18b); COR Name (SAAR-N Blk 18); COR Email; Date Rec'd Sigma Customer Support Ctr.; Date System Access Granted & COR Notified; Date System Access No Longer Required; N-ERP IT System (if applic., put N-ERP); Other IT System/s (separate by comma's); Company Name, SS# (last four only)
Block 10: Updated report required within (30) days of gain or loss of employee(s) that have or will access Government IT systems.
Block 12: First report is required (30) days after contract award.
Block 13: Subsequent reports due (365) days after first report.
Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government. Electronic Encrypted Copy shall be provided.
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009
Deliver to: NAVAIR Security, ATTN Madeline Gantt, 47123 Buse Road, Bldg 2272, R074, Patuxent River, MD 20670, 301-757-2955, madeline.gantt@navy.mil AIR 7.4.1 1 1
| 15. TOTAL | 0 | 2 | 2 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 9 | of | 11 |
| 1007/183 |
A010
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MGMT) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A010 | Status Report | Information Technology Personnel Security Report for Contracting Officer Representative (COR) | ||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-MGMT-80368A (See Block 16) | 5252.232-9529 and SOW Para 8.0 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| DD | REQUIRED | See Block 16 | See Block 16 | b. COPIES | ||||||
| D | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| A | See Block 16 | Reg | Repro | |||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | |||||||
| Block 4: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2007 unless otherwise approved by the government. |
Contractor to submit IT Personnel Security Report for all employees requiring access to Government IT systems. Ensure that only the following information is included:
User's Last Name; First Name; MI; Suffix; Exact Sigma User Name (if none - leave blank); Employee Type: Civ/Mil/CSS/FN; Contract No.; Customer AIR/PMA/PEO Code; Org: Hddqtrs/NAWC/NATEC, etc.; Duty Location; Work Email Address; IA Training Date (Verified by Transcript); Date of User Signature (SAAR-N Blk 13); Type of Investigation (SAAR-N Blk 33); Date Investigation Finalized (SAAR-N Blk 33a); Date Interim IT Level Designation (Stamp) Granted (SAAR-N Blk 33c) - do not put pending; Highest IT Level (SAAR-N Blk 33c); Date Security Verified Clearance/Investigation (SAAR-N Blk 37); Date COR Signature (SAAR Blk 18b); COR Name (SAAR-N Blk 18); COR Email; Date Rec'd Sigma Customer Support Ctr.; Date System Access Granted & COR Notified; Date System Access No Longer Required; N-ERP IT System (if applic., put N-ERP); Other IT System/s (separate by comma's); Company Name, SS# (last four only)
Block 10: Updated report required within (30) days of gain or loss of employee(s) that have or will access Government IT systems.
Block 12: First report is required (30) days after contract award.
Block 13: Subsequent reports due (365) days after first report.
Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government. Electronic Encrypted Copy shall be provided.
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009
Deliver to: NAVAIR Security, ATTN Madeline Gantt, 47123 Buse Road, Bldg 2272, R074, Patuxent River, MD 20670, 301-757-2955, madeline.gantt@navy.mil AIR 7.4.1 1 1
| 15. TOTAL | 0 | 2 | 2 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 10 | of | 11 |
| 1007/183 |
A011
| CONTRACTS DATA REQUIREMENTS LIST | Form Approved | |||||||||
| (1 Data Item) | 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 Highway, | ||||||||||
| Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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. | B. EXHIBIT | C. CATEGORY: | ||||||||
| 0001, 0002, 0003, 0004, 0005 | A | TDP_________ | TM ________ | Other X (MISC) | ||||||
| D. SYSTEM/ITEM | E. CONTRACT/PR NO. | F. CONTRACTOR | ||||||||
| SAIW Management Support | TBD | TBD | ||||||||
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE | ||||||||
| A011 | Quality System Plan | Quality Management / Assurance Plan | ||||||||
| 4. AUTHORITY (Data Acquisition Document No.) | 5. CONTRACT REFERENCE | 6. REQUIRING OFFICE | ||||||||
| DI-QCIC-81379 | SOW Para 5.0 | NAWCAD 4.11.3 | ||||||||
| 7. DD 250 REQ | 9.DIST STATEMENT | 10. FREQUENCY | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | ||||||
| XX (Blk 16) | REQUIRED | ONE/R | See Block 16 | b. COPIES | ||||||
| D | ||||||||||
| 8. APP CODE | 11. AS OF DATE | 13. DATE OF SUBSEQUENT SUBMISSION | a. ADDRESSEE | Draft | Final | |||||
| A | See Block 16 | See Block 16 | Reg | Repro | ||||||
| 16. REMARKS | NAWCAD 4.11.3 | 1 | 1 | 1 | ||||||
| Block 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (Attachment 9). |
Blocks 11, 12 and 13 - Submit within 180 days after contract award.
Block 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the government.
Deliver to: Ship & Air Integrated Warfare, Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3), 17134 Webster Field Road, St. Inigoes, MD 20684-4009
| 15. TOTAL | 1 | 1 | 1 | |||
| G. PREPARED BY | H. DATE | I. APPROVED BY | J. DATE | |||
| B. Dombrosky | 4/20/16 | N. Downs | 4/20/16 |
| DD Form 1423-1, JUN 90 | Previous editions are obsolete | Page | 11 | of | 11 |
| 1007/183 |
File details come from the government source that posted it. Updated .