Attachment_J#7_DD1155.pdf

ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO. 2. DELIVERY ORDER/CALL NO. 3. DATE OF ORDER/CALL

(YYYYMMMDD)

PAGE 1 OF

4. REQUISITION/PURCH REQUEST NO. 5. PRIORITY

N61331-20-R-0005 Attachment J.7 TBD TBD

6. ISSUED BY CODE

NSWC Panama City (K. Shaw )

110 Vernon Avenue

Panama City, FL 32407-7001

N61331 7. ADMINISTERED BY (If other than 6) CODE

TBD

TBD 8. DELIVERY FOB

DESTINATION

OTHER

(See Schedule if other)

9. CONTRACTOR CODE

TBD

NAME

AND

ADDRESS

TBD FACILITY

10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD)

SEE SCHED

12. DISCOUNT TERMS

11. X IF BUSINESS IS

SMALL

SMALL DISAD-

VANTAGED

WOMEN-OWNED

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

SEE SECTION G

14. SHIP TO

NSWC Panama City c/o NSA PC - N61008

CODE N61331 15. PAYMENT WILL BE MADE BY CODE

TBD

TBD MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

101 Vernon Ave. Panama City, FL 32407-7001 NUMBERS IN

BLOCKS 1 AND 2.

16.

TYPE

OF

ORDER

DELIVERY/

CALL

PURCHASE

This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.

Reference your furnish the following on terms specified herein.

ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.

NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED

If this box is marked, supplier must sign Acceptance and return the following number of copies:

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

18. ITEM NO. 19. SCHEDULE OF SUPPLIES/SERVICES

20. QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22. UNIT PRICE 23. AMOUNT

0.00

*If quantity accepted by the Government is same as quantity ordered, indicate by X.

If different, enter actual quantity accepted below quantity ordered and encircle.

27a. QUANTITY IN COLUMN 20 HAS BEEN

24. UNITED STATES OF AMERICA 25. TOTAL

26.

DIFFERENCES

BY: CONTRACTING/ORDERING OFFICER

0.00

INSPECTED RECEIVED

ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE

(YYYYMMMDD)

d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP. NO. 29. D.O. VOUCHER NO. 30. INITIALS

f. TELEPHONE NUMBER g. E-MAIL ADDRESS

PARTIAL

FINAL

31. PAYMENT

32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR

34. CHECK NUMBER

36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT. COMPLETE

a. DATE

37. RECEIVED

AT

b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

38. RECEIVED BY (Print) 39. DATE RECEIVED

PARTIAL

FINAL

40. TOTAL CON-

TAINERS

41. S/R ACCOUNT NUMBER

35. BILL OF LADING NO.

42. S/R VOUCHER NO.

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE. Reset Adobe Professional 8.0

RFP N61331-20-R-0005

Attachment J.7 – DD1155

CORPORATE OPERATIONS DEPARTMENT

Clerical Support

Section B - Supplies or Services and Prices

ITEM

NO

SUPPLY/SERVICES

QUANTITY

PRICE

AMOUNT

0001 12 MO $ $

Direct Labor – Clerical Support Services IAW the Statement of

Work (SOW) in Section C. Firm Fixed Price (FFP).

FOB: Destination

ITEM NO

0002 12 MO $ $

OTHER DIRECT COSTS(ODC's)-(COST) Base Year - Material and

Travel in support of CLIN 0001 IAW Section C - Performance Work

Statement (SOW). See Section B Notes, See Section L - 3.3.2, FOB:

Destination

0003 LOT NSP NSP

CONTRACT DATA REQUIREMENTS LIST

(CDRL'S) – Base Year - Technical Information and Data in accordance with Section J, Exhibit A, Contract Data

Requirements List (CDRL) DD Form 1423-1

CORPORATE OPERATIONS DEPARTMENT

1001 12 MO $ $

1002 12 MO $ $

OTHER DIRECT COSTS(ODC's) Opt I - Material and Travel in support of CLIN 1001 IAW Section C - Performance Work Statement (SOW).

See Section B Notes, See Section L - 3.3.2, FOB: Destination

1003 LOT NSP NSP

CONTRACT DATA REQUIREMENTS LIST

(CDRL'S) – Opt I - Technical Information and Data in accordance with Section J, Exhibit A, Contract Data

2001 12 MO $ $

2002 12 MO $ $

OTHER DIRECT COSTS(ODC's)- Opt II - Material and Travel in support of CLIN 2001 IAW Section C - Performance Work Statement

(SOW). See Section B Notes, See Section L - 3.3.2, FOB: Destination

2003 LOT NSP NSP

CORPORATE OPERATIONS DEPARTMENT

CONTRACT DATA REQUIREMENTS LIST

(CDRL'S) – Opt II - Technical Information and Data in

3001 12 MO $ $

3002 12 MO $ $

OTHER DIRECT COSTS(ODC's) Opt III - Material and Travel in support of CLIN 3001 IAW Section C - Performance Work Statement

3003 LOT NSP NSP

CONTRACT DATA REQUIREMENTS LIST

(CDRL'S) – Opt III - Technical Information and Data in

4001 12 MO $ $

4002 12 MO $ $

CORPORATE OPERATIONS DEPARTMENT

OTHER DIRECT COSTS (ODC's) Opt IV - Material and Travel in support of CLIN 4001 IAW Section C - Performance Work Statement

4003 LOT NSP NSP

CONTRACT DATA REQUIREMENTS LIST

(CDRL'S) – Opt IV - Technical Information and Data in

CORPORATE OPERATIONS DEPARTMENT

Statement of Work (SOW)

FOR

NAVAL SURFACE WARFARE CENTER, PANAMA CITY (NSWC PCD)

OFFICE SUPPORT SERVICES

1.0 SCOPE

This Statement of Work (SOW) defines the overarching requirements for providing office support services, The

Government estimates ten (10) Full Time Employees (FTE’s) to fulfill this requirement. Nothing in this SOW is intended to or will be used to procure any services that are personal services or that are inherently governmental services. The

Contractor shall, in response to this SOW, provide those non-personal office support services as specified herein. This requirement is for office support services only. This requirement and SOW shall not contain any work that would be reasonably construed to mean an employee of the Contractor is acting as a Government employee’s personal assistant

(e.g., executive assistant, administrative assistant or secretary for a Government employee). Such work is prohibited under this contract or for an office or organization.

2.0 APPLICABLE DOCUMENTS

The following documents, of the exact issue shown, form a part of this SOW to the extent specified herein. In the event there is a conflict between the documents referenced herein and the contents of this SOW, the contents of this SOW shall take precedence. The second tier and lower reference documents (i.e., documents referenced in the primary references) shall be for guidance only. Additional documents may be specified in individual task orders to be issued under the contract.

2.1 Military Specifications: None.

2.2 Military Standards: None.

2.3 Other Documents:

(a) SECNAV M-5216.5, Department of the Navy Correspondence Manual dated 30 Jun 2015

(b) M-5210.1 CH-1, Records Management Manual dated August 2017

3.0 REQUIREMENTS

It is anticipated that up to five (5) A Department Offices, four (4) E Department Offices, and one (1) X Department Office will require support on a full time basis. The Contractor shall support the following functions office support functions.

3.1 Clerical Support (CDRL A001, A002)

This requirement includes numerous office support functions as outlined in the BASIC/IDIQ – Section C - Statement of

Work (SOW) 3.3 Office Support – 3.3.2 Clerical Support. Support in this area may include the performance of clerical support tasks. The Contractor shall provide tasks as listed under the BASIC IDIQ Section C (SOW) - 3.3.2 Clerical

Support (a) thru (s).

3.2 Travel

There are no known travel requirements associated with this SOW at this time.

3.3 Safety and Quality

The Safety and Quality requirements of the basic contract Statement of Work paragraphs 3.7 and 3.8 respectively apply to this task order.

CORPORATE OPERATIONS DEPARTMENT

3.4 Progress Reporting

The Contractor shall report progress in accordance with basic contract Statement of Work paragraph 3.6.

4.0 GOVERNMENT FURNISHED PROPERTY (GFP)

The Contractor shall refer to the Basic IDIQ for further details.

5.0 DATA DELIVERABLES

All data deliverables shall be delivered in accordance with the schedule as specified in the attached Contract Data

Requirements List (CDRL), DD Form 1423.

6.0 PERIOD OF PERFORMANCE

The total period of performance will be one base year of twelve (12) months and Four –Options Periods of twelve (12) months each for a total of five (5) years.

7.0 SECURITY

See BASIC/IDIQ Statement of Work for further details.

8.0 PERFORMANCE BASED REQUIREMENTS

The task order service requirements are summarized below into Performance Objectives, Performance Standards and

Acceptable Quality Levels (AQLs) that relate directly to mission essential items. The performance thresholds describe the minimally acceptable levels of service required for each requirement and are considered critical to mission success.

Procedures as set forth in the FAR 52.246-4, Inspection of Services – Firm Fixed Price shall be utilized to remedy all deficiencies.

Work Area Performance Objective

Performance Standard

Acceptable

Quality Level

(AQL)

Quality Assurance

Surveillance Plan

(QASP) Surveillance

Method

SOW paragraph 3.1 Provides typed correspondence documentation, data and reports

100% of products are provided by due dates

Documents are complete, timely, and require no more than 2 review cycles to complete.

In accordance with

52.246-5 Inspection of Services – Cost

Reimbursement

Maintains files 100% of files are maintained up to date and organized each week.

Files are correctly organized and complete at the completion of each week

In accordance with

52.246-5 Inspection

CORPORATE OPERATIONS DEPARTMENT

Maintains databases 100% of databases are maintained up to each week

Databases are accurate and up to date at the completion of each week

In accordance with

52.246-5 Inspection

9.0 ENTERPRISE-WIDE CONTRACTOR MANPOWER REPORTING APPLICATION (ECMRA)

The Contractor shall make ECMRA reports in accordance with the basic contract Statement of Work requirements.

CORPORATE OPERATIONS DEPARTMENT

Section E – Inspection and Acceptance

CLIN/SLIN INSPECT AT/ACCEPT AT INSPECT BY/ACCEPT BY

0001 Destination Government

0002 N/A Government

0003 N/A N/A

1001 Destination Government

1002 N/A Government

1003 N/A N/A

2001 Destination Government

2002 N/A Government

2003 N/A N/A

3001 Destination Government

3002 N/A Government

3003 N/A N/A

4001 Destination Government

4002 N/A Government

4003 N/A N/A

Section F – Deliveries or Performance

CLINS Delivery Date Quantity Ship To Address DoDAAC

0001, 1001, 3001 and

See SOW para 6.0

1 MO N61331

NSWC Panama City

C/O NSA PC –

N61008

101 Vernon Avenue

Panama City Beach

FL 32407-7001

FOB: Destination

N61331

0002, 1002, 2002, 3002 and

Same As Above Same As Above Same As Above Same As Above

0003, 1003, 3003 and

See Exhibit A Contract Data Requirements List (CDRL’s)

N/A N/A N/A

CORPORATE OPERATIONS DEPARTMENT

Section G – Contract Administration ACCOUNTING AND APPROPRIATION DATA

Long Line of Accounting (LOA): TBD

Cost Code: TBD

Amount: TBD

ACRN CLIN CIN AMOUNT

TBD TBD TBD TBD

CLAUSES INCORPORATED BY FULL TEXT

See Basic IDIQ for further details.

CORPORATE OPERATIONS DEPARTMENT

Section J – List of Documents, Exhibits and Other Attachments

Document Type Description Pages Date

Exhibit C Contract Data Requirements

List (CDRL), DD Form

1423-1

2 19 November 2019

Attachment J.13 Price Summary Format 1 N/A

(1 Data Item)

Form Approved

OMB No. 0704-0188

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A TDP TM OTHER MISC

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

NSWC PCD Office Support

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

A001 Technical Report – Study Services Office Documentation, Correspondence, and

Reports (Various)

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

DI-MISC-80508B SOW Para 3.1 NSWC PCD Code A, E, X

18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

ASREQ SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16

Reg Rep

16. REMARKS

SEE BLK 16 1 1 0

Blk 4: Contractor format is acceptable unless otherwise specified by the Government –

DID is cited for guidance only as to content.

Blks 8,10,12,13: Provide initial submittal within 3 working days after receipt of GFI requiring generation of the data or identification of need to submit the data unless otherwise specified by the Government. The Government will review for approval of technical content and will provide review comments if required within 3 days after receipt. Government comments shall be incorporated and the data resubmitted as final within 2 days after receipt of comments.

Blk 9: Data shall be marked in accordance with SOW paragraph 8.0

Blk 14: MEDIA requirement: Copy shall be provided via e-mail in MS Office™ 2016 compatible files. E-mail addresses will be provided at the kick-off meeting. Provide copy to the specific Branch or Division being supported.

(LT ONLY)

NSWC PCD Code 022

NSWC PCD COR

15. TOTAL SEE BLOCK 16 1 1 0

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

NSWC PCD Code A, E, X3

11/19/2019

W.T. Sawyer, NSWC PC Code 0213

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 2 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A TDP TM OTHER ADMN

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

NSWC PCD Office Support

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

A002 Report, Record of Meeting/Minutes Meeting Minutes

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

DI-ADMN-81505 SOW Para 3.1 NSWC PCD Code A, E, X

18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

ASREQ SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16

Reg Rep

16. REMARKS

SEE BLK 16 1 1 0

Blk 4: Contractor format is acceptable unless otherwise specified by the Government –

DID is cited for guidance only as to content.

Blks 8,10,12,13: Provide initial submittal within 3 working days after attendance at any meeting required by the SOW unless otherwise specified by the Government. The

Government will review for approval of technical content and will provide review comments if required within 3 working days after receipt. Government comments shall be incorporated and the data resubmitted as final within 2 working days after receipt of comments.

Blks 9, 14: Same as A001

(LT ONLY)

NSWC PCD Code 022

NSWC PCD COR

15. TOTAL SEE BLOCK 16 1 1 0

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

NSWC PCD Code A, E, X3

W.T. Sawyer, NSWC PC Code 0213

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 2 Pages