0001AL_Invoicing_Other_Direct_Costs.pdf

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM

NO. 0001AL

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X Technical

D. SYSTEM/ITEM

SUBSAFE MARINE MECHANICS

E. CONTRACT/PR NO.

N4523A-15-R-0003

F. CONTRACTOR

TBD

1. DATA ITEM NO.

0001AL

2. TITLE OF DATA ITEM

Invoicing Other Direct Costs

3. SUBTITLE

N/A

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

See Block 16

5. CONTRACT REFERENCE

SOW Para’s 3.8.9 & 10.2

6. REQUIRING OFFICE

PSNS&IMF Code 413

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Submit with Invoice Submit with Invoice

a. ADDRESSEE

b. COPIES

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

SUBMISSION

Submit with Invoice Draft

Final

N/A N/A Reg Repro

16. REMARKS COR

Travel: Contractor shall provide the name and title of traveler, place of travel, and travel dates. If the travel claim is based on the actual costs expended, show the amount for the mode of travel (i.e., airline, private auto, taxi, etc.), lodging, meals, and other incidental expenses separately, and any other items not covered in labor and indirect costs, on a daily basis.

This information shall be provided to the Contracting Officer

Representative (COR) and by attaching this report with the invoice in

Wide Area Workflow (WAWF)

Shipping Costs: Contractor shall provide the item being shipped, and the cost for shipping as backup information to invoices.

Other Direct Costs for Personal Protective Equipment in accordance with

Section C, Statement of Work, paragraph 10.2.

15. TOTAL

G. PREPARED BY

Bart Franklin

H. DATE

01 April 2015

I. APPROVED BY

J. DATE

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1_ of __1__ Pages