Exhibit_5-Contract_Data_Requirements_Lists_(CDRLs)_A0001-A0010.xls

XLS spreadsheet 238 KB Posted Nov 17, 2016

Attached to: Video Teleconferencing (VTC) Hardware and Ancillary Equipment
Solicitation number: N00421-17-R-0010
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

About this file

From the source

Exhibit 5-Contract Data Requirements Lists (CDRLs) A0001-A0010

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Other files

File	Type	Posted
Redacted_J&A_N00421-17-R-0010.pdf	PDF	Feb 21, 2017
N00421-17-R-0010_VTC_RFP_Amendment_4.docx	DOCX document	Feb 16, 2017
Attachment_1-Pricing_Tables_1-3_updated_02-16-2017.xls	XLS spreadsheet	Feb 16, 2017
N00421-17-R-0010_VTC_RFP_revised_02-08-2017.docx	DOCX document	Feb 8, 2017
Attachment_1-Pricing_Tables_1-3_updated_02-08-2017.xls	XLS spreadsheet	Feb 8, 2017
Attachment_1-Pricing_Tables_1-3_updated.xls	XLS spreadsheet	Dec 22, 2016
N00421-17-R-0010_VTC_Solicitation-Amendment_2.docx	DOCX document	Dec 13, 2016
Attachment_1-Pricing_Tables_1-3_updated.xls	XLS spreadsheet	Dec 8, 2016
N00421-17-R-0010_VTC_Solicitation-Amendment_1.docx	DOCX document	Dec 8, 2016
Attachment_2-DoD_Contract_Security_Classification_Specification-DD_254.pdf	PDF	Nov 17, 2016
Attachment_1-Pricing_Tables_1-3.xls	XLS spreadsheet	Nov 17, 2016
Attachment_4-DataItem_Transmittal_Acceptance_Rejection_Form.doc	DOC document	Nov 17, 2016
Attachment_3-Material_Inspection_and_Receiving_Report.pdf	PDF	Nov 17, 2016
N00421-17-R-0010_VTC_RFP.docx	DOCX document	Nov 17, 2016

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A001-Label

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

xxxx

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A001

Labeling/ Equipment ID Report

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

Contractor Format

PWS: 2.2, 2.2.1, 2.2.2

7.2 IT/CS Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

See Block 16

See block 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

ACOR

Frequency: Report to be delivered with each order.

TPOC

Provide report detailing Labeling/ Equipment ID and Wiring on Delivery and/or Installation of Equipment/ Wiring per PWS section 2.2.

ATPOC

Contractor format is acceptable upon Government approval.

Delivery shall be provided electronically in a format approved by the Government.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 12 of 16

1059/183

S/N 0102-LF-010-5600

A002-STIG

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

xxxx

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A002

STIG Compliance and Mitigation Report

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

Contractor Format

PWS: 2.4.1, 2.4.2, 2.4.3, 3.8

7.2 IT/CS Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ, See Blk 16

ASREQ

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

ACOR

Frequency: Required within 15 after installation of VTC equipment or infrastructure.

TPOC

Provides STIG compliance and Mitigation documentation following Installation or Changes of Equipment/ Wiring per PWS section 2.4.1, 2.4.2, 2.4.3, and 3.8

ATPOC

Contractor format is acceptable upon Government approval.

Delivery shall be provided electronically in a format approved by the Government.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 12 of 16

1059/183

S/N 0102-LF-010-5600

A003-NewTech

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

xxxx

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A003

New Technology Substitutions

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

Contractor Format

PWS: 2.5.1 thru 2.5.8

7.2 IT/CS Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

ACOR

TPOC

Report shall provide information detailing the proposed equipment meets requirements of New Technology Substitutions per PWS section 2.5.1 thru 2.5.8

ATPOC

Contractor format is acceptable upon Government approval.

Delivery shall be provided electronically in a format approved by the Government.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 12 of 16

1059/183

S/N 0102-LF-010-5600

A004-MnthlyStats

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

xxxx

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A004

Monthly Status Report

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

Government provided format

PWS 2.6.2

7.2 IT/CS Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

MNTHLY

45DACA

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

NLT5th Business Day

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

ACOR

Delivery metrics per PWS section 2.6.2

TPOC

ATPOC

Delivery shall be provided electronically in an excel format approved by the Government.

Block 13: NLT the 15th of each month.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 2 of 16

1059/183

S/N 0102-LF-010-5600

A005-PrePostInstall

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

xxxx

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A005

Pre/Post Installation Requirements Report

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

Contractor Format

PWS 3.2.1 thru 3.2.8, 3.4.1 thru 3.4.3, 3.7.1 thru 3.7.3

7.2 IT/CS Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

Pre/Post Installation Requirements, Function/Technical Design, and Architecture Documentation as described in PWS section 3.2.1 thru 3.2.8, 3.4.1 thru 3.4.3, 3.7.1 thru 3.7.3. Should be provided within 15 business days of award of each delivery order

ACOR

TPOC

ATPOC

Contractor format is acceptable upon Government approval.

Delivery shall be provided electronically in a format approved by the Government.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 6 of 16

1059/183

S/N 0102-LF-010-5600

A006-UserTrainGuide

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

xxxx

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A006

User Training & Guide

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

Contractor Format

PWS: 3.5.1, 3.5.1.1

7.2 IT/CS Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

TPOC

Provides User Training per PWS section 3.5.1 and 3.5.1.1 and User Guide. The User Guide shall at a minimum include a description of the basic functions of the VTC and the control system interface if applicable as well as pictures and diagrams describing their use. A one-page tri- fold with "Quick Start" instructions shall be included.

Two printed bound copies of user guides and one editable electronic version of the user guide.Upon request provide TPOC documentation and training material in accessible formats; i.e., special electronic version and/or large print. Data shall be provided in Microsoft Word or approved format.

ATPOC

Contractor format is acceptable upon Government approval.

Delivery shall be provided electronically in a format approved by the Government.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 12 of 16

1059/183

S/N 0102-LF-010-5600

A007-Install

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

TBD

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A007

Levels of Service Installation/Integration

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

Contractor Format

PWS: 3.8.1

7.2 IT/IM Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

ACOR

TPOC

Shall be completed within 15 business days upon contract award for new projects. Shall be updated to reflect changes in customer requirements and technologies as necessary. Per PWS section 3.8.1 and subsections of 3.8.1

ATPOC

Contractor format is acceptable upon Government approval.

Delivery shall be provided electronically in a format approved by the Government.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 14 of 16

1059/183

S/N 0102-LF-010-5600

A008-AfterActionRpt

CONTRACT DATA REQUIREMENTS LIST					Form Approved
					OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 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.		B. EXHIBIT		C. CATEGORY
xxxx		A		TDP_____ TM_____ OTHER_x_ FNCL_______________
D. SYSTEM / ITEM			E. CONTRACT / PR NO.		F. CONTRACTOR
7.2 IT Support Services			TBD		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A008	After Action Report- Maintenance
4. AUTHORITY (Data Acquisition Doc. No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
Contractor Format			PWS 4.0			7.2 IT/CS Dept
7. DD250 REQ	9. DIST STATEMENT		10. FREQUENCY	12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
N			MTHLY	45DACA			b. COPIES
8. APP CODE		D	11. AS OF DATE	13. DATE OF SUBSEQUENT SUBMISSION				Final
N/A				NLT5th Business Day		a. ADDRESSEE	Draft	Reg	Repro
16. REMARKS						COR	0	1
Submissions shall include a narrative of the system analysis and diagnosis

and steps required to correct the failure/issue.Should provide an aggregated list of changes by date, including an associated list of

equipment (make/model/serial number) affected by Location then by SiteID. Per PWS Section 4.0 and all subsections under 4.0.						TPOC		0	1
							ATPOC		0	1
	Contractor format is acceptable upon Government approval.
	Delivery shall be provided electronically in a format approved by the Government.
		* The Office of the COR is NOT to receive any CLASSIFIED material. **					15. TOTAL		0	3
	G. PREPARED BY		H. DATE		I. APPROVED BY				J. DATE
	Melissa Harclerode		26-Oct-2016		Melissa Harclerode				26-Oct-16
	DD Form 1423-2, JUN 90			Previous editions are obsolete				Page 6 of 16
	1059/183	S/N 0102-LF-010-5600

A009-TP PM

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

0004, 1004, 2004, 3004, 4004

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A009

Touch Panel Preventative Maintenance Checklist

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

PWS 4.5.3

7.2 IT/IM Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ANNUAL

60 DACA

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

ANNUAL NLT FEBRUARY 28

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

ACOR

TPOC

Contractor format report to be used to verify and validate proper touch panel system operations. To also include other activities as required by the Government such as upgrades, patches etc. Shall be complete for each locally administered system, annually.

ATPOC

Contractor format is acceptable upon Government approval.

Delivery shall be provided electronically in a format approved by the Government.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 13 of 16

1059/183

S/N 0102-LF-010-5600

A010-OEM SW UPG

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

xxxx

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

7.2 IT Support Services

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A010

OEM Software Upgrades

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

Contractor Format

PWS: 4.7

7.2 IT/CS Dept

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

N/A

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

ACOR

TPOC

Provides OEM Software Upgrades per PWS Section 4.7

ATPOC

Contractor format is acceptable upon Government approval.

Delivery shall be provided electronically in a format approved by the Government.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Melissa Harclerode

26-Oct-2016

Melissa Harclerode

26-Oct-16

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 12 of 16

1059/183

S/N 0102-LF-010-5600

A017

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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.

B. EXHIBIT

C. CATEGORY

TDP_____ TM_____ OTHER_x_ FNCL_______________

D. SYSTEM / ITEM

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A017

Incurred Cost and Progress Reporting for Services

Invoice Support Report

4. AUTHORITY (Data Acquisition Doc. No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

5252.232-9529 and SOW Par 5.6

7. DD250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

See BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Final

See BLK 16

a. ADDRESSEE

Draft

Reg

Repro

16. REMARKS

COR

PCO

Block 4 - Tailored Content Requirements

(DID requirements Paragraph 1(.Reports shall be submitted electronically. Data Tables shall be consistent with contract atatchment 5 and submitted in MS Excel format.

(DID Requirements Paragraph 3): This report content shall be in accordance with the references included in Block 5.

Block 9 - Disriubtion authorized to DoD components only; contractor proprietary information included.

Blcoks 10, 12, and 13 - At a minimum, submit jointly with the invoice.

* The Office of the COR is NOT to receive any CLASSIFIED material. **

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Kevin Smith

13-Nov-2012

Melissa Furbee

DD Form 1423-2, JUN 90

Previous editions are obsolete

Page 16 of 16

1059/183

S/N 0102-LF-010-5600

File details come from the government source that posted it. Updated Nov 14, 2017.