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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: |
| 0004, 1004, 2004, 3004, 4004 |
| A |
| TDP |
| TM _____ |
| OTHER FNCL |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| BARGE I-LEVEL CLEANING |
| N55236-16-R-0008 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| PERFORMANCE AND COST REPORT |
| N/A |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-FNCL-80912 |
| PWS |
| CODE 1160, BUSINESS OPERATIONS |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT* |
| REQUIRED |
| MTHLY |
| 45DAC |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D* |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
N/A
| 16. REMARKS |
| COR, CODE 1160 |
| 0 |
| 1 |
| 0 |
BLOCK 7: METHOD OF TRANSMITTAL SHALL BE VIA EMAIL.
BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (OPERATIONAL USE) (22 AUG 2013). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, SOUTHWEST REGIONAL MAINTENANCE CENTER (SWRMC) CODE 400, NAVAL BASE SAN DIEGO, 3755 BRINSER STREET SUITE 1, SAN DIEGO, CA 92136.
BLOCKS 10, 11, 12, 13: THE FIRST SUBMISSION SHALL BE 45 DAYS AFTER START DATE OF CONTRACT, AND MONTHLY THEREAFTER. THE REPORT SHALL BE DELIVERED NO LATER THAN 5 DAYS AFTER THE END OF EACH MONTH.
BLOCK 14: MEDIA REQUIREMENT. REPORTS SHALL BE DELIVERED ELECTRONICALLY IN MICROSOFT OFFICE SUITE FORMAT, ATTACHED TO AN EMAIL, SENT TO ALL ADDRESSEES: GLORIA.SEMBACH@NAVY.MIL, THOMAS.MULLEN@NAVY.MIL, ASHLEY.WALSH@NAVY.MIL .
ACOR, CODE 1160
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DAWN REDMAN, CODE 410 |
| 11 Apr 2016 |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages