N4215818RE003_Exhibits_A-F_CDRLs.docx

Solicitation N4215818RE003 – CDRLs – Exhibits A – F

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.

0003-4003

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

Corporate Recycling Volume Reduction

E. CONTRACT/PR NO.

N4215873199100

F. CONTRACTOR

COMPLETED WASTE MANIFEST

3. SUBTITLE

COMPLETED WASTE MANIFEST

4. AUTHORITY (Data Acquisition Doc. No)

OT-18-20055

5. CONTRACT REFERENCE

SOW PARAGRAPH 3.39.1

6. REQUIRING OFFICE

NNSY, Code 106.4 (LSMM)

7. DD 250 REQ

N/A

9. DIST STATEMENT REQUIRED

A*

10. FREQUENCY

ASGEN (SEE BLK 16)

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

BLK 9: Distribution Statement “A”. Approved for public release; distribution unlimited.

BLKS 10, 12 & 13: Manifests must be received within ten (10) days of arrival at the treatment facility; And an additional copy to the Contracting Officer's Representative (COR) upon request.

BLK 14: Distribution shall be to the COR and the generating Naval Nuclear Propulsion Program (NNPP) Site Technical Personnel as set forth in each individual task order, and to the Generating NNPP Site's State Point of Contact (POC) as required. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.

POCs:

NNSY, C106.4 CORs: Davis Wells (davis.wells@navy.mil), Nathaniel Shields (nathaniel.shields@navy.mil) State POCs:

PA: PA DEP, Manifest Section, P.O. Box 8550, Harrisburg, PA 17105-8550 NY: NYS DEC, Division of Environmental Remediation, 625 Broadway, Albany, NY 12233-7252 ME: Hazardous Waste Manifest, Bureau of Remediation & Waste Management Maine Department of Environmental Protection, 17 State House Station, Augusta, ME 04333 CA: DTSC Facility Manifests, P.O. Box 3000, Sacramento, CA 95812

SEE BLK 16

G. PREPARED BY

DAVIS WELLS

H. DATE

04/27/2018

I. APPROVED BY

SUSANA M SUBER

J. DATE

04/27/2018

(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.

0003-4003

B. EXHIBIT

B

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

Corporate Recycling Volume Reduction

E. CONTRACT/PR NO.

F. CONTRACTOR

PRE- AND POST-SHIPMENT NOTIFICATION

3. SUBTITLE

PRE- AND POST-SHIPMENT NOTIFICATION

4. AUTHORITY (Data Acquisition Doc. No)

OT-18-20056

5. CONTRACT REFERENCE

SOW PARAGRAPH 3.39.2

6. REQUIRING OFFICE

NNSY, Code 106.4 (LSMM)

7. DD 250 REQ

N/A

9. DIST STATEMENT REQUIRED

A*

10. FREQUENCY

ASGEN (SEE BLK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

BLK 9: Distribution Statement “A”. Approved for public release; distribution unlimited.

BLKS 10, 12 & 13: Contractor shall submit the shipment manifest to the NNPP site via the Contracting Officer's Representative (COR) for review at least forty-five (45) working days prior to the expected shipment date of the material. The contractor may request review in less than forty-five (45) days; however, the COR may not be able to provide authorization dependent upon the availability of obligated funding. Following shipment, the contractor shall make appropriate distribution of the completed copy of the Uniform Hazardous Waste Manifest (as applicable) within ten (10) days of arrival at the disposal site. The contractor shall provide signed copies of all waste manifests to the COR upon request.

BLK 14: Distribution shall be to the COR and the Generating Naval Nuclear Propulsion Program (NNPP) Site Technical Personnel as set forth in each individual task order, as well as the Generating NNPP Site's State POC as required. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.

POCs: NNSY, C106.4 CORs: Davis Wells (davis.wells@navy.mil), Nathaniel Shields (nathaniel.shields@navy.mil) State POCs: PA: PA DEP, Manifest Section, P.O. Box 8550, Harrisburg, PA 17105-8550 NY: NYS DEC, Division of Environmental Remediation, 625 Broadway, Albany, NY 12233-7252 ME: Hazardous Waste Manifest, Bureau of Remediation & Waste Management Maine Department of Environmental Protection, 17 State House Station, Augusta, ME 04333 CA: DTSC Facility Manifests, P.O. Box 3000, Sacramento, CA 95812

SEE BLK 16

G. PREPARED BY

H. DATE

I. APPROVED BY

J. 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.

0003-4003

B. EXHIBIT

C

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

Corporate Recycling Volume Reduction

E. CONTRACT/PR NO.

F. CONTRACTOR

ASBESTOS WASTE

3. SUBTITLE

ASBESTOS WASTE

4. AUTHORITY (Data Acquisition Doc. No)

OT-18-20057

5. CONTRACT REFERENCE

SOW PARAGRAPH 3.39.3

6. REQUIRING OFFICE

NNSY, Code 106.4 (LSMM)

7. DD 250 REQ

N/A

9. DIST STATEMENT REQUIRED

A*

10. FREQUENCY

ASGEN (SEE BLK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

BLK 9: Distribution Statement “A”. Approved for public release; distribution unlimited.

BLKS 10, 12 & 13: Upon receipt at the disposal site, the contractor shall provide copies of all signed applicable waste shipment manifests and records within ten (10) days of shipment receipt at the disposal facility.

BLK 14: Distribution shall be to the Contracting Officer's Representative (COR) and the generating Naval Nuclear Propulsion Program (NNPP) Site Technical Personnel as set forth in each individual task order. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.

POCs:

NNSY, C106.4 CORs: Davis Wells (davis.wells@navy.mil), Nathaniel Shields (nathaniel.shields@navy.mil)

SEE BLK 16

G. PREPARED BY

H. DATE

I. APPROVED BY

J. 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.

0003-4003

B. EXHIBIT

D

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

Corporate Recycling Volume Reduction

E. CONTRACT/PR NO.

F. CONTRACTOR

RADIOLOGICAL SURVEY RESULTS

3. SUBTITLE

RADIOLOGICAL SURVEY RESULTS

4. AUTHORITY (Data Acquisition Doc. No)

OT-18-20058

5. CONTRACT REFERENCE

SOW PARAGRAPH 3.39.4

6. REQUIRING OFFICE

NNSY, Code 106.4 (LSMM)

7. DD 250 REQ

N/A

9. DIST STATEMENT REQUIRED

B*

10. FREQUENCY

ASREQ (SEE BLK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

BLK 9: Distribution B. Distribution authorized to U.S. Government Agencies (For Official Use Only)(8 February 2018). Other requests for this document shall be referred to Lead Shipyard for Mixed Material, Code 106.4 M-22 RM 317, Norfolk Naval Shipyard, Portsmouth, VA 23709-1035.

BLKS 10, 12 & 13: Contractor shall provide Radiological Survey Results upon request from the Contracting Officer Representative (COR) or the generating Naval Nuclear Propulsion Program (NNPP) Site Technical Personnel.

BLK 14: Distribution shall be to the COR and the generating NNPP Site Technical Personnel as set forth in each individual task order. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.

POCs:

NNSY, C106.4 CORs: Davis Wells (davis.wells@navy.mil), Nathaniel Shields (nathaniel.shields@navy.mil)

SEE BLK 16

G. PREPARED BY

H. DATE

I. APPROVED BY

J. 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.

0003-4003

B. EXHIBIT

E

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

Corporate Recycling Volume Reduction

E. CONTRACT/PR NO.

F. CONTRACTOR

STATUS REPORTS

3. SUBTITLE

STATUS REPORTS

4. AUTHORITY (Data Acquisition Doc. No)

OT-18-20059

5. CONTRACT REFERENCE

SOW PARAGRAPH 3.39.5

6. REQUIRING OFFICE

NNSY, Code 106.4 (LSMM)

7. DD 250 REQ

N/A

9. DIST STATEMENT REQUIRED

B*

10. FREQUENCY

MTHLY & ANNLY (SEE BLK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

BLK 9: Distribution B. Distribution authorized to U.S. Government Agencies (For Official Use Only)(8 February 2018). Other requests for this document shall be referred to Lead Shipyard for Mixed Material, Code 106.4 M-22 RM 317, Norfolk Naval Shipyard, Portsmouth, VA 23709-1035.

BLKS 10, 12 & 13: Contractor shall provide monthly reports by the 10th day of each month. Contractor shall also provide both Calendar Year and Fiscal Year annual reports that identify the processing and disposal status of each generator's waste sent for processing and subsequent disposal. Contractor shall provide annual reports by January 5th and October 5th respectively of each year the contract is in effect.

BLK 14: Distribution shall be to the Contracting Officer's Representative (COR) set forth in contract, and to a list of personnel from the Naval Nuclear Propulsion Program (NNPP) sites provided to the contractor by the COR. The distribution list will be updated as needed throughout the contract. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.

POCs:

NNSY, C106.4 CORs: Davis Wells (davis.wells@navy.mil), Nathaniel Shields (nathaniel.shields@navy.mil)

SEE BLK 16

G. PREPARED BY

H. DATE

I. APPROVED BY

J. 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.

0003-4003

B. EXHIBIT

F

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

Corporate Recycling Volume Reduction

E. CONTRACT/PR NO.

F. CONTRACTOR

COMPLETED MANIFEST LETTER

3. SUBTITLE

COMPLETED MANIFEST LETTER

4. AUTHORITY (Data Acquisition Doc. No)

OT-18-20060

5. CONTRACT REFERENCE

SOW PARAGRAPH 3.39.6

6. REQUIRING OFFICE

NNSY, Code 106.4 (LSMM)

7. DD 250 REQ

N/A

9. DIST STATEMENT REQUIRED

B*

10. FREQUENCY

ASGEN (SEE BLK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

BLK 9: Distribution B. Distribution authorized to U.S. Government Agencies (For Official Use Only)(8 February 2018). Other requests for this document shall be referred to Lead Shipyard for Mixed Material, Code 106.4 M-22 RM 317, Norfolk Naval Shipyard, Portsmouth, VA 23709-1035.

BLKS 10, 12 & 13: When all services associated with a manifest are completed.

BLK 14: Distribution shall be to the Contracting Officer's Representative (COR) and the generating Naval Nuclear Propulsion Program (NNPP) Site Technical Personnel as set forth in each individual task order. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.

POCs:

NNSY, C106.4 CORs: Davis Wells (davis.wells@navy.mil), Nathaniel Shields (nathaniel.shields@navy.mil)

SEE BLK 16

G. PREPARED BY

DAVIS WELLS

H. DATE

04/27/2018

I. APPROVED BY

SUSANA M SUBER

J. DATE

04/27/2018

Rev 4 04/27/2018