A001-A007_CDRLs_Final.pdf

DD FORM 1423-1, FEB 2001 CONTRACT DATA REQUIREMENTS LIST (1 Data Item) PREVIOUS EDITION MAY BE USED.

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY:

TDP TM OTHER Program Management

D. SYSTEM/ITEM

WINN TS Services

E. CONTRACT/PR NO.

N0042122R0164

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contract Financial Summary Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81651 (See Block 16)

5. CONTRACT REFERENCE

SOW 3.4.1

6. REQUIRING OFFICE

DAiTA WED

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

Block 16

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

Block 16

11. AS OF DATE

Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

The reporting period per month shall be from the first day of the reporting month to the last day of the reporting month.

Block 4: The report shall also include, but is not limited to: graphical representation, itemized man-hours and cost expenditure incurred for the reporting period by task order, total contractual expenditures, and funds remaining as of the reporting date.

Block 8: Criteria for approval shall be the correct content.

Block 9: To be defined at the order level.

Blocks 10, 12 and 13: Provide status reports to the COR no later than fifteen (15) days following the last day of the previous reporting month.

Delivery Instructions:

Electronic Copies of the Letter of Transmittal shall be delivered to the appropriate AIR-2.5 team.

Electronic Copies of the Letter of Transmittal shall be delivered to the COR.

Electronic Copies will be delivered to the TPOC as designated under each individual Task Order

COR 1

Block 16 2

15. TOTAL 0 3 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

(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

A

C. CATEGORY:

TDP TM OTHER Program Managment

D. SYSTEM/ITEM

WINN TS Services

E. CONTRACT/PR NO.

N0042122R0164

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Monthly Status Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See Block 16)

5. CONTRACT REFERENCE

SOW 3.4.2

6. REQUIRING OFFICE

DAiTA WED

7. DD 250 REQ

No

9. DIST STATEMENT

REQUIRED

Block 16

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

Block 16

11. AS OF DATE

Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

Block 16 Draft

Final

Reg Repro

16. REMARKS

Block 4: The reporting period per month shall be from the first day of the reporting month to the last day of the reporting month.

Block 8: Criteria for approval shall be the correct content. The information provided in status reports shall be fully consistent with the SOW and applicable and appropriate government Directives, Policies, and Instructions.

Block 9: To be defined at the order level.

Blocks 10, 12 and 13: Provide status reports to the COR no later than fifteen (15) days following the last day of the previous reporting month.

Delivery Instructions:

Electronic Copies of the Letter of Transmittal shall be delivered to the appropriate AIR-2.5 team.

Electronic Copies of the Letter of Transmittal shall be delivered to the COR.

Electronic Copies will be delivered to the TPOC as designated under each individual Task Order.

Block 16 1

15. TOTAL 0 1 0

(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

A

C. CATEGORY:

TDP TM OTHER Program Managment

D. SYSTEM/ITEM

WINN TS Services

E. CONTRACT/PR NO.

N0042122R0164

F. CONTRACTOR

A003

Contractor Personnel Locator Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81834A (See Block 16)

5. CONTRACT REFERENCE

SOW 3.4.3

6. REQUIRING OFFICE

DAiTA WED

7. DD 250 REQ

No

9. DIST STATEMENT

N/A

Block 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

Block 16

11. AS OF DATE

Block 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: The reporting period per month shall be from the first day of the reporting month to the last day of the reporting month.

Blocks 10, 12 and 13: Provide report to the COR no later than fifth (5) day of the month.

team.

Electronic Copies shall be delivered to the COR.

Block 16 1

(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

A

C. CATEGORY:

TDP TM OTHER Program Managment

D. SYSTEM/ITEM

WINN TS Services

E. CONTRACT/PR NO.

N0042122R0164

F. CONTRACTOR

A004

Operations Security (OPSEC) PLAN

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81999A (See Block 16)

5. CONTRACT REFERENCE

SOW 3.4.4

6. REQUIRING OFFICE

DAiTA WED

7. DD 250 REQ

No

Block 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

Block 16

11. AS OF DATE

Block 16

13. DATE OF SUBSEQUENT

Block 4: See DD254 for further information; contractor recommended formats are acceptable upon approval by the government.

Block 9: Apply and use distribution statements in accordance with the Distribution Statement Attachment to DD254. See SECNAVINST 5510.36, Chapter 8 for guidance.

Blocks 10, 11, 12 & 13: Preliminary draft plan 90 days DAC. Final due 45 days after government approval of draft. Revisions are required after approval of final plan only to comply with Government Data Protection Policy Documents revision.

team.

(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

A

C. CATEGORY:

TDP TM OTHER Program Managment

D. SYSTEM/ITEM

WINN TS Services

E. CONTRACT/PR NO.

N0042122R0164

F. CONTRACTOR

A005

Transition Out Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81945 (See Block 16)

5. CONTRACT REFERENCE

SOW 3.4.5

6. REQUIRING OFFICE

DAiTA WED

7. DD 250 REQ

No

Annual

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

Block 16

13. DATE OF SUBSEQUENT

Block 4: DID Content under 2.a will be for thirty (30) vice the (60) calendar day transition period. Content waived for DID Content requirement 2. d.

Block 12: 60 days prior to the end of the first year of the ordering period.

Block 13: 60 days prior to the end of each ordering period year.

team.

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

A

C. CATEGORY:

TDP TM OTHER Program Managment

D. SYSTEM/ITEM

WINN TS Services

E. CONTRACT/PR NO.

N0042122R0164

F. CONTRACTOR

A006

Non-Disclosure Agreement (Business)

3. SUBTITLE

As Designated

4. AUTHORITY (Data Acquisition Document No.)

See Block 16

5. CONTRACT REFERENCE

SOW 3.4.6

6. REQUIRING OFFICE

MEAD

7. DD 250 REQ

No

Block 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

Block 16

13. DATE OF SUBSEQUENT

Block 4: The format required for Business level Non-Disclosure Agreements is provided as an attachment to this CDRL. The areas highlighted in yellow are to be filled in by the Business. Signed original copies shall be provided to the COR.

Blocks 10, 12 and 13: Provide Business non-disclosure agreements within fifteen (15) days after the effective date as stated in block 3 of the contract or subcontract.

Block 14:

Electronic Copies of the Letter of Transmittal shall be delivered to the appropriate AIR-2.5 team.

Electronic Copies shall be delivered to the COR as identified on the contract.

USE and NON-DISCLOSURE AGREEMENT Business Name

Contract N00421-22-R-0164

In the course of performing under Contract N00421-22-R-0164, Business Name, herein referred to as “the contractor” 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 shall not be disclosed to any entity, government or otherwise, outside of Warfare Effectiveness Department (WED) unless specifically authorized in the language contained in the task order or authorized in writing by the Contracting Officer. 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 produced in the performance of 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 or paper) and/or format in which the data exists, and includes data that is derived from, based on, incorporates, includes or refers to such Business Sensitive and/or proprietary data (collectively referred to herein as “the data”).

Any data that is derived from, based on, incorporates, includes or refers to data shall be treated as Business Sensitive, or proprietary data and shall be subject to the terms of this special contract requirement. This special Contract requirement implements Defense FAR Supplement (DFARS) 252.204-7000, “DISCLOSURE OF INFORMATION.”

As a condition to receiving access to data as defined above, the Contractor shall: (1) use the data solely for the purpose of performing the requirements set forth under Contract N00421- 15-R-0014, (2) not discuss with, disclose, release, reproduce or otherwise provide or make available the data, or any portion thereof, to any non-Government person or entity (including, but not limited to any subcontractor, joint venture, affiliate, successor or assignee of the Contractor), unless the Contracting Officer provides prior written approval; (3) ensure appropriate restrictive legends are included on any documents created, copied, and/or reproduces that uses all or any part of the data; (4) establish safeguards to protect such data or software from unauthorized use or disclosure; and (5) provide to the COR original, signed individual NDAs with all contractor, subcontractor, and consulting personnel that perform work under this contract. Any other use, disclosure, release or reproduction is unauthorized and may result in substantial criminal, civil and/or administrative penalties to the Contractor or to the individual who violates this special contract requirement or non-disclosure agreement. 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, of which the business or any employee is or may become aware, will be reported promptly (within one business day) to the Contractor’s Program Manager, who will inform the Program Contracting Officer within five business days of receiving the report.

Signature: ______________________________________________ Representative Name Representative Title, Business Name, Date

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

A

C. CATEGORY:

TDP TM OTHER Program Managment

D. SYSTEM/ITEM

WINN TS Services

E. CONTRACT/PR NO.

N0042122R0164

F. CONTRACTOR

A007

Non-Disclosure Agreement (Individual)

3. SUBTITLE

As Designated

4. AUTHORITY (Data Acquisition Document No.)

See Block 16

5. CONTRACT REFERENCE

SOW 3.4.6

6. REQUIRING OFFICE

DAiTA WED

7. DD 250 REQ

No

Block 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

Block 16

13. DATE OF SUBSEQUENT

Block 4: The format required for Individual Non-Disclosure Agreements is provided as an attachment to this CDRL. The areas highlighted in yellow are to be filled in by the

Business. Signed original copies shall be provided to the COR.

Blocks 10, 12 and 13: Provide individual non-disclosure agreements prior to commencing work.

Block 14:

Electronic Copies of the Letter of Transmittal shall be delivered to the appropriate AIR-2.5 team.

Electronic Copies shall be delivered to the COR as identified on the contract.

USE and NON-DISCLOSURE AGREEMENT

Contract N00421-22-R-0164

In the course of performing under Contract N00421-22-R-0164, Business 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 or paper) 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 business name and assigned to support the DAiTA Warfare Effectiveness Department (WED) in the performance of Warfare Modeling, Simulation & Analysis. 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 WED 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 task orders 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. 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 Name & Title of Business Authorized Representative.

Authorized Representative Date Representative’s Typed Name Representative’s Title Business Name

Employee Signature Date