Production Support IDIQ FY 25 - CDRLs - APPROVED Revision 10-15-25.pdf

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Attached to
Production Support Touch Labor MAC IDIQ
Solicitation number
N4215825RS054
Issued by

About this file

This document is a Contract Data Requirements List (CDRL) for a Norfolk Naval Shipyard (NNSY) Production Support Indefinite Delivery/Indefinite Quantity (IDIQ) contract (Contract No. N4215825RCD0007). The CDRL outlines eight specific data items that the contractor must submit, including a Contractor's Personnel Roster, Certification Data Reports, Weekly Time Sheets, Funds and Man-Hours Expenditure Reports, Shipyard Mandatory Annual Training Records, Training Plan/Records, Personnel Resumes, and a Small Business Utilization Report.

Key submission requirements include weekly or as-required reporting on personnel tracking, qualifications, time tracking, expenditures, training records, and small business utilization. The contract is with an unspecified contractor (marked as TBD), and the designated government representatives will be determined at contract award. Specific reporting requirements include tracking employee names, badges, labor categories, qualifications, training records, and project details. The reports must be submitted electronically in Excel or PDF format to NNSY designated representatives, with initial and subsequent submission dates tied to contract milestones such as task order award and personnel onboarding.

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CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A MGMT

NNSY Production Support IDIQ N4215825RCD0007 TBD

A001 CONTRACTOR'S PERSONNEL

ROSTER

On-boarding and Training Tracker, Replacement Personnel

DI-MGMT-81834A PWS Para 3.4,3.4.1,3.12.1, 4.1,6.2.2,6.2.4 NNSY C900R and C452

LT

C

ANNLY ASREQ

N/A SEE BLK 16 SEE BLK 16

NNSY COR

NNSY TPOC 0

010NNSY C452

1 0

3/24/2025

1 8

SHUNK.JEFFREY.

LYNN.1079397900

Digitally signed by

SHUNK.JEFFREY.LYNN.10793979

Date: 2025.05.14 07:53:45 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.05.20 09:31:16 -04'00'

Block 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DoD office] [24 March 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLOCK 11: Last submission upon completion of Task Order.

BLOCK 12: First submission shall begin one week after award.

BLOCK 13: Subsequent submissions shall be delivered each week until 100% Manning is achieved and as required due to replacement of personnel.

BLOCK 14: Media requirement. The report shall be submitted electronically in EXCEL format to NNSY

COR/TPOC.

NNSY Designated Representative contact information:

NNSY COR: To Be Determined at Contract Award NNSY ACOR: To Be Determined at Contract Award NNSY CONTRACTING OFFICER: To Be Determined at Contract Award NNSY TPOC: To Be Determined at Contract Award

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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A MISC

NNSY Production Support IDIQ N4215825RCD0007 TBD

A002 CERTIFICATION DATA REPORT Qualifications/Training Records

DI-MISC-82386 PWS Para 3.5,3.5.1, 5.1, 6.2.3, 9.1.2

LT

C

WEEKLY SEE BLK 16

N/A SEE BLK 16 ASREQ

NNSY COR

NNSY TPOC 0

010NNSY C452

1 0

3/24/2025

2 8

SHUNK.JEFFREY.

LYNN.1079397900

Digitally signed by

SHUNK.JEFFREY.LYNN.10793979

Date: 2025.05.14 07:56:37 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.05.20 09:32:14 -04'00'

BLOCK 4: Statement of Work (SOW) Paragraph 3.5, 3.5.1, 5.1, 6.2.3, 9.1.12 only required.

Report shall be limited to the following information:

1. Employee name

2. Trade

3. Qualifications

4. Qualification expiration date Block 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DoD office] [24 March 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLOCK 10: As required due to personnel replacement.

BLOCK 11: Last submission upon completion of Task Order.

BLOCK 12: First submission shall begin two weeks prior to start of task order.

BLOCK 13: Subsequent submissions shall be delivered each week until 100% Manning is achieved and as required due to replacement of personnel.

BLOCK 14: Media requirement. The report shall be submitted electronically in PDF format to NNSY COR/TPOC.

NNSY Designated Representative contact information:

NNSY COR: To Be Determined at Award NNSY ACOR: To Be Determined at Award NNSY CONTRACTING OFFICER: To Be Determined at Award NNSY TPOC: To Be Determined at Award

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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A MGMT

NNSY Production Support IDIQ N4215825RCD0007 TBD

A003 WEEKLY TIME SHEET Attendance Report

DI-MGMT-81508B PWS Paragraph 3.7.3.4 and 6.2.5 NNSY C900R, C400, C452

LT

C

WEEKLY SEE BLK 16

N/A SEE BLK 16 ASREQ

NNSY COR

NNSY TPOC 0

010NNSY C452

1 0

3/24/2025

3 8

SHUNK.JEFFREY.

LYNN.1079397900

Digitally signed by

SHUNK.JEFFREY.LYNN.10793979

Date: 2025.05.14 07:58:21 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.05.20 09:32:56 -04'00'

BLOCK 4- The Attendance Report(s) information shall be limited to the following:

1. Contractor Employee's Name

2. Employee's Badge Number

3. Employee's ELIN / Labor Category

4. Job Order / Key Op worked

5. Project (vessel) and/or Shop working under

6. Daily Straight Time

7. Daily Overtime Block 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DoD office] [24 March 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLOCK 11: Last submission one week following completion of Task Order.

BLOCK 12 First submission shall occur the first normal business day after the Saturday of the week the contractor employee has worked. The week is from 0001 Sunday to 2359 Saturday.

BLOCK 13: Subsequent submissions shall be delivered as required due to replacement of personnel.

BLOCK 14: Media requirement. The report shall be submitted electronically in EXCEL format to NNSY

COR/TPOC.

NNSY Designated Representative contact information:

NNSY COR: To Be Determined at Award NNSY ACOR: To Be Determined at Award NNSY CONTRACTING OFFICER: To Be Determined at

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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A FNCL

NNSY Production Support IDIQ N4215825RCD0007 TBD

A004 FUNDS AND MAN-HOURS

EXPENDITURE REPORT

Man-Hour Status Report with Metrics

DI-FNCL-80331A PWS Paragraph 4.2 and 6.2.6 NNSY C900R, C400, C452

LT

C

MTHLY SEE BLK 16

N/A SEE BLK 16 SEE BLK 16

NNSY TPOC

NNSY COR 0

010NNSY C452

1 0

3/24/2025

4 8

SHUNK.JEFFREY.

LYNN.1079397900

Digitally signed by

SHUNK.JEFFREY.LYNN.10793979

Date: 2025.05.14 08:01:30 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.05.20 09:33:49 -04'00'

Block 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DoD office] [24 March 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLOCK 11: Last submission one week following completion of Task Order.

BLOCK 12: First submission shall occur the first week of the month following start of Task Order.

BLOCK 13: Subsequent submissions shall occur every thirty-five (35) calendar days or within seven days after end of each calendar month.

BLOCK 14: Media requirement. The report shall be submitted electronically in EXCEL format to NNSY

COR/TPOC.

NNSY Designated Representative contact information:

NNSY COR: To Be Determined at Award NNSY ACOR: To Be Determined at Award NNSY CONTRACTING OFFICER: To Be Determined at

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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A MISC

NNSY Production Support IDIQ N4215825RCD0007 TBD

A005 CERTIFICATION DATA REPORT Shipyard Mandatory Annual Training Records

DI-MISC-82386 PWS Paragraph 5.1.10 and 6.2.9 NNSY C900R, C400, C452

LT

c

ASREQ SEE BLK 16

N/A N/A SEE BLK 16

NNSY C400

NNSY C900R 0

010NNSY C452

1 0

3/24/2025

5 8

SHUNK.JEFFREY.

LYNN.1079397900

Digitally signed by

SHUNK.JEFFREY.LYNN.10793979

Date: 2025.05.14 08:04:29 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.05.20 09:34:47 -04'00'

Block 4: Section 10.1, 10.2,and 10.2.2 only required.

Block 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DoD office] [24 March 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLOCK 11: Last submission upon completion of Task Order.

BLOCK 12: First submission shall be by 12 noon on the Thursday prior to onboarding.

BLOCK 13: Subsequent submissions shall be delivered by 12 noon the Thursday prior to employee onboarding until 100% Manning is achieved and as required due to replacement of personnel.

BLOCK 14: Media requirement. The report shall be submitted electronically in EXCEL format to NNSY

COR/TPOC.

NNSY Designated Representative contact information:

NNSY COR: To Be Determined at Award NNSY ACOR: To Be Determined at Award NNSY CONTRACTING OFFICER: To Be Determined at

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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A MISC

NNSY Production Support IDIQ N4215825RCD0007 TBD

A006 SYLLABUS Training Plan/ Records

DI-MISC-81459 PWS Paragraphs 2.9.1.4.1, 6.2.1, 9.1.7 NNSY C900R, C400, C452

LT

C

WEEKLY SEE BLK 16

N/A SEE BLK 16 SEE BLK 16

NNSY C400

NNSY C900R 0

010NNSY C452

1 0

3/24/2025

6 8

SHUNK.JEFFREY.

LYNN.1079397900

Digitally signed by

SHUNK.JEFFREY.LYNN.10793979

Date: 2025.05.14 08:05:26 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.05.20 09:36:01 -04'00'

Block 4: Section 10.1, 10.2,and 10.2.2 only required.

Block 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DoD office] [24 March 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLOCK 11: Last submission upon completion of Task Order.

BLOCK 12: First submission shall be by 12 noon on the Thursday prior to onboarding.

BLOCK 13: Subsequent submissions shall be delivered by 12 noon the Thursday prior to employee onboarding until 100% Manning is achieved and as required due to replacement of personnel.

BLOCK 14: Media requirement. The report shall be submitted electronically in EXCEL format to NNSY

COR/TPOC.

NNSY Designated Representative contact information:

NNSY COR: To Be Determined at Award NNSY ACOR: To Be Determined at Award NNSY CONTRACTING OFFICER: To Be Determined at

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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A MGMT

NNSY Production Support IDIQ N4215825RCD0007 TBD

A007 PERSONNEL RESUMES Personnel Resume Report

DI-MGMT-81597 SEE PWS NNSY C900R, C400, C452

LT

C

ONE/R SEE BLK 16

N/A SEE BLK 16 SEE BLK 16

NNSY C400

NNSY C900R 0

010NNSY C452

1 0

3/24/2025

7 8

SHUNK.JEFFREY.

LYNN.1079397900

Digitally signed by

SHUNK.JEFFREY.LYNN.10793979

Date: 2025.05.14 08:07:53 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.05.20 09:36:45 -04'00'

BLOCK 4: Items a, d, e, f, and g only required.

Block 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DoD office] [24 March 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLOCK 10: Included with the contractor's Task Order proposal and as required due to replacement of personnel.

BLOCK 11: Last submission upon completion of Task Order.

BLOCK 12: First submission shall be included with the contractor's Task Order proposal.

BLOCK 13: Subsequent submissions shall be delivered each week until 100% Manning is achieved as new Key Personnel are proposed to this contract effort.

BLOCK 14: Media requirement. The report shall be submitted electronically in PDF format to NNSY COR/TPOC.

NNSY Designated Representative contact information:

NNSY COR: To Be Determined at Award NNSY ACOR: To Be Determined at Award NNSY CONTRACTING OFFICER: To Be Determined at

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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A MGMT

NNSY Production Support IDIQ N4215825RCD0007 TBD

A008 CONTRACTOR'S PERSONNEL

ROSTER

Manning Forecast

DI-MGMT-81834A PWS Paragraph 6.2.8 NNSY C900R, C400, C452

LT

A*

ASREQ*WEKLY SEE BLK 16

N/A N/A ASREQ*

NNSY C400

NNSY C900R 0

010NNSY C452

1 0

3/24/2025

8 8

SHUNK.JEFFREY.

LYNN.1079397900

Digitally signed by

SHUNK.JEFFREY.LYNN.10793979

Date: 2025.05.14 08:08:58 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.05.20 09:37:56 -04'00'

BLK 9: DISTRIBUTION STATEMENT A. Approved for public release: distribution is unlimited.

BLK 12: First submission no later than one week prior to badging event of each contractor employee. Visit request shall be summited electronically weekly.

BLK 14: The Manning Forecast shall be delivered electronically in Microsoft Excel 2016 or higher format to the

NNSY Designated Representative contact information:

NNSY COR: To Be Determined at Award NNSY ACOR: To Be Determined at Award NNSY CONTRACTING OFFICER: To Be Determined at

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 C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

CLIN 0001 - 0045 A MGMT

NNSY Production Support IDIQ N4215825RCD0007 TBD

A009 SMALL BUSINESS UTILIZATION REPORT SMALL BUSINESS UTILIZATION REPORT

DI-MGMT-82041B SEE PWS NNSY CODE 431A

LT

C

SEE BLK 16 SEE BLK 16

N/A SEE BLK 16 SEE BLK 16

NNSY C431

NNSY C400 0

1 0

10/15/2025

9 9

WEIBLE.JEREMY.R

USSELL.1034445822

Digitally signed by

WEIBLE.JEREMY.RUSSELL.10344

45822 Date: 2025.10.15 09:34:07 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2025.10.15 12:33:34 -04'00'

BLK 4: Tailor DID to do the following:

a. Delete requirements 3(a), 3(b), and 3(c) from the DID.

b. Format and Content: The contractor shall report actual subcontractor usage relative to their proposed subcontractor teaming. The contractor shall provide the report in contractor format. The contractor shall complete the Small Business Utilization Report addressing the following elements:

1. Business category total contract value (include totals for Prime contractor, Small Business (SB) and socio-economic categories (SDB, WOSB, HubZone, VOSB, and SDVOSB)

2. Dollar value for each business category

3. Percent of total contract value for each business category

4. Company name, UEI, Cage Code

5. Small Business socio-economic categories (SB, SDB, WOSB, HubZone, VOSB, SDVOSB)

6. North American Industry Classification System (NAICS) codes as applicable by subcontractor BLK 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DoD office] [23 May 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLKs 12 and 13: Submit the Small Business Utilization Report six

(6) months after task order award and every six (6) months thereafter.

BLK 14: Media Requirement. The report shall be delivered electronically in Microsoft Excel 2016 or higher format to the NNSY Designated Representative, COR and/or TPOC.

NNSY C431A POC:

Email: jeremy.r.weible.civ@us.navy.mil

NNSY DSB POC:

james.a.pettway.civ@us.navy.mil

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