CDRL A003 - Contractors Personnel Roster.pdf

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:

0005, 1005, 2005, 3005, 4005 A TDP ____ TM _____ OTHER MGMT

D. SYSTEM/ITEM F. CONTRACTOR

SWRMC PRODUCT FAMILY PRIME

VENDOR SUPPORT

E. CONTRACT/PR NO.

N5523621R0002 TBD

1. DATA ITEM NO. 3. SUBTITLE 17. PRICE GROUP

A003

2. TITLE OF DATA ITEM

N/A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81834A SOW PARA 3.1.5 SWRMC COR DIVISION, CODE 1190

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

LT REQUIRED SEE BLK 16 SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D - SEE BLK 16

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

N/A 0 SEE BLK 16 Reg Repro

REORG OFFICE- C900 0 5 0

COR, ACOR, CODE 1190 0 2 0

15. TOTAL ▬▬▬▬► 0 7

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

MARC CANNIZZARO, SWRMC COR, CODE 1190

9 Jun 2021

CORT FURUOKA, SWRMC COR, CODE 1190

9 Jun 2021

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

Contractor’s Personnel Roster

16. REMARKS

BLOCK 7: METHOD OF TRANSMITTAL SHALL BE VIA HAND DELIVERY AND EMAIL.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE ANO 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 30 DAYS AFTER START OF

CONTRACT AND WEEKLY THERE AFTER. THE HARD-COPY REPORT SHALL BE PRESENTED

DURING CORRESPONDING WEEKLY MEETINGS, AS WELL AS EMAILED BY COB OF THE

PRECEDING D BLOCK

14: MEDIA REQUIREMENT. REPORTS SHALL BE PROVIDED VIA HARD-COPY, AS WELL

DELIVERED ELECTRONICALLY IN MICROSOFT EXCEL FORMAT {FOR DATA). ATTACHED TO

A EMAIL. SENT TO ALL ADDRESSEES.