2.04l Attachment
133 KB Posted
- Attached to
- DPM Schedule I Outbound Services
- Solicitation number
- N0060417R3004
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Attachment (12) - Data Item Description (DIDs)
Text of this file
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
CONTRACTOR’S QUALITY CONTROL PROGRAM
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
The contractor must provide a quality control program that includes an inspection system for services listed in the required services chart (RSC), specifying the areas to be inspected, when and by whom. It must also identify questionable services before performance becomes unsatisfactory. It shall describe the method used in recording the quality control inspection results and disposition of these inspection records.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
The quality control program indicates procedures are available to provide quality performance to the Government.
Schedules I, Outbound services.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
Basic version outlining a general approach must be submitted with proposal. Updated version must be submitted by the contract start date.
The quality control plan must contain, as a minimum:
1. Areas to be inspected
2. Inspection schedule
3. Names and titles of individuals performing inspections
11. DISTRIBUTION STATEMENT
Contracting Officer
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
WEIGHT TICKETS
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
Weight tickets, properly certified, in accordance with ICC, state, Commonwealth, or District regulations are required to support billings for payment.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Verification of weight of shipments. Weight tickets are not required on inbound shipments unless a reweigh is ordered.
Schedules I, Outbound services.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
Weight tickets shall be certified and prepared in duplicate and shall contain the following:
1. Name and address of the weighing station
2. Date of weighing
3. Contractor’s name
4. Van or trailer number
5. Name of property owner
6. Signature of weigh master
7. Order number
11. DISTRIBUTION STATEMENT
TO
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
HOUSEHOLD GOODS DESCRIPTIVE INVENTORY
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
To provide an accurate, legible inventory of shipment contents. Identify quantifies, cartons, conditions of articles and other information concerning the items shipped. (Attachment G-1, Figure G1-1)
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Listing of articles shipped. Not required on inbound shipments.
Schedules I and III.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
11. DISTRIBUTION STATEMENT
Schedule I: TO-Original; Owner-1 copy; Contractor-1copy.
Shipment: 1 copy attached to number one container; 1 copy placed inside number one container
Schedule III: TO-Original; Owner-1 copy; Contractor-1 copy
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
EXCEPTION SHEETS
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
To record a difference in the condition of items being removed from nontemporary storage.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Used in settlement of claims.
Schedule I.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
Prepare only when different conditions are noted from the nontemporary storage inventory. When contractor’s representative and storage contractor’s representative differ, enter both opinions, separately identifying source. Both parties shall sign and date the exception sheet. The exception sheets are maintained in the contractor’s file. A copy will be furnished to the claims office, upon request.
11. DISTRIBUTION STATEMENT
As required
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
REPORT OF GOVERNMENT OWNED CONTAINERS
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
Account for government-owned containers.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
To determine accountability, usage, and location of government-owned containers.
Schedules I and II.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
Prepare monthly Government-Owned Container Program Summary report, and weekly supplemental reports.
Initial report due 15 days after contract start date.
Weekly reports are due on the 2nd workday of each week for the previous week Monthly reports are due five workdays after the end of the previous month.
QA Division will furnish the forms for the contractor’s use.
11. DISTRIBUTION STATEMENT
QA Division
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
JOINT STATEMENT OF LOSS AND DAMAGE AT DELIVERY (DD FORM 1840)
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
To record loss and/or damage at the time of delivery to the member. (Attachment G-1, Figure G1-9)
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Used as proof of delivery and as supporting documentation for a claim.
Schedules II and III.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
A DD Form 1840 will be prepared to indicate the loss and/or damage revealed during unloading/unpacking. The contractor and owner must jointly sign the form upon completion. If available, the owner’s copy of the inventory prepared at origin or the copy from the number one container shall be used to check count and condition.
11. DISTRIBUTION STATEMENT
Contracting Officer
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
CLAIMS CORRESPONDENCE
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
A copy of any correspondence concerning a claim that is received by the contractor from anyone other than the local TO.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Informs the PPSO of a pending claim.
Schedules I, II and III.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
At the time a claim is received by the contractor, the contractor records the date of receipt on the claim and furnishes a copy of all correspondence regarding the claim to the TO within ten workdays.
11. DISTRIBUTION STATEMENT
TO
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
GOVERNMENT BILL OF LADING (SF FORM 1203)
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
A document issued by the government to procure transportation and related shipment services.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Used for linehaul freight movement of personal property.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
The following information will be typed by the contrctor in the blocks indicated below:
1. Block 26 – Enter the number and kind of containers, such as 1 F/L, 2 CINS, etc.
2. Block 2 – Enter the aggregate weight and cube of the total number of each different type of containers shows in Block 26.
3. Block 28 – Enter the total gross weight of the shipment and when available, total tare and net weight.
11. DISTRIBUTION STATEMENT
Contractor surrenders the original and copies 2, 3 and 4 to the carrier.
Contractor returns copies 5, 6 and 7, signed by the carrier, to the TO.
Contractor maintains copy 8.
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
CONTRACTOR’S WEEKLY REPORT
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
Report advises the TO of outbound shipments on hand which were picked up prior to the previous Wednesday.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Report is prepared each Monday or next working day if Monday is a holiday.
Negative reports are required.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
Report must contain:
1. Member’s name, rank and SSN
2. Number of days on hand
3. Order number
11. DISTRIBUTION STATEMENT
Original to TO
Copy maintained by contractor
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
REPORT OF SHIPMENTS ON HAND
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
Report of all inbound shipments at the contractor’s facility. The “as of” date is determined by the TO.
This is a complete inventory.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Provides the TO a listing of shipments in storage and/or waiting to be delivered.
Negative reports are required.
Schedule II.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
Report must contain:
1. Member’s name, rank and SSN
2. Date of receipt
3. Pieces, weight and cube
4. Order number
11. DISTRIBUTION STATEMENT
Original copy forwarded to TO.
One copy maintained by contractor.
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
OUTSIZED AIR CARGO REPORT
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
Provides the TO the dimensions of outsize air cargo containers for shipments entering the military airlift system.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Report is prepared on an as required basis.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
Prepared only on shipments entering the military airlift system that has any containers with an outside measurement greater than 72 inches in any dimension.
11. DISTRIBUTION STATEMENT
Original forwarded to TO.
One copy maintained by contractor.
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
DATA ITEM DESCRIPTION
Form Approved
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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 ADDRESS.
1. TITLE
REPORT OF STRICKES, PORT CONGESTION, FIRES, PILFERAGE, VANDALISM, AND SIMILAR INCIDENTS
2. IDENTIFICATION NUMBER
3. DESCRIPTION/PURPOSE
To notify JPPSO-Hawaii in the event incidents of major significance that produce loss, damage, or delay to personal property shipments while under their control occur.
4. APPROVAL DATE (YYMMDD)
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
| 6a. DTIC APPLICABLE |
| 6b. GIDEP APPLICABLE |
7. APPLICATION/INTERRELATIONSHIP
Enable JPPSO-Hawaii to initiate action and/or pass information to parties concerned, i.e., service member, SDDC, claims offices, origin or destination transportation office.
Schedules I, II and III.
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
Notify JPPSO-Hawaii in writing of the incident not later than the first working day after discovery. Provide the following information for each shipment involved.:
1. Last name, first name, MI; grade; service; and social security number of member.
2. PPGBL number or TCN
3. Origin and destination transportation offices
4. Type, date, time and location of incident or discovery thereof
5. Amount of loss and extent of dame, if applicable
6. Current status of shipment
11. DISTRIBUTION STATEMENT
Original to TO
Copy in contractor’s files
DD FORM 1664, AUG 1996 (EG) PREVIOUS EDITION MAY BE USED. Page_____ of ____Pages
Other files
| File | Type | Posted |
|---|---|---|
| 2.12_Amendment_0001.pdf | ||
| 2.12_Conform_copy.pdf | ||
| 2.04j Attachment | — | |
| 2.04d Attachment | — | |
| 2.04r Attachment | — | |
| 2.04f Attachment | — | |
| 2.04g Attachment | — | |
| 2.04a Attachment | — | |
| 2.04o Attachment | — | |
| 2.04k Attachment | — | |
| 2.04h Attachment | — | |
| 2.04 N00604-17-R-3004 Final.pdf | ||
| 2.04q Attachment | — | |
| 2.04m Attachment | — | |
| 2.04i Attachment | — | |
| 2.04c Attachment | — | |
| 2.04p Attachment | — | |
| 2.04e Attachment | — | |
| 2.04s Attachment | — | |
| 2.04b Attachment | — | |
| 2.08 QASP Sept 2016.doc | DOC document | |
| N0060417R3004_DRAFT_PWS.pdf |
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