Exh A ANNEX CDRL 0012 _0006 RPRT FORMAT 28 Mar 2011.xls

XLS spreadsheet 171 KB Posted

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Contractor Maintenance Support Services for FRCMA
Solicitation number
N6134011R0039
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Exhibit A CDRLs

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File Type Posted
N61340-11-R-0039.doc DOC document
N61340-11-R-0039 Amendment 0004.doc DOC document
Exh A CDRL A012 MO CMSS PERF MAN PWR RPRT 28 MAR 2011.doc DOC document
Exh A CDRL A003 QA PLAN 28 Mar 2011.doc DOC document
Exh A CDRL A011 CFSR 28 Mar 2011.doc DOC document
N61340-11-R-0039 Amendment 03.doc DOC document
Exh A CDRL A005 IT 28 Mar 2011.doc DOC document
EXH A CDRL A001 Annex IMRL Inventory 28 Mar 2011.rtf RTF text file
Exh A CDRL A010 Maint Act Summary Rprt 28 Mar 2011.doc DOC document
Exh A CDRL A002 NonIMRL PProp Ctrx Inv 28 Mar 2011.doc DOC document
Exh A CDRL A007 Mo Maint Plan 28 Mar 2011.doc DOC document
Att 13 CDRL Distr Addr List .doc DOC document
Pax CBA modified 01-18-2011.pdf PDF
Exh A CDRL A001 IMRL Inv 28 Mar 2011.doc DOC document
N61340-11-R-0039 .doc DOC document
Att 1- FRCMAPAX SOW 21 Apr 11.doc DOC document
Exh A DI-ADMIN-81250A Conf Min 28 Mar 2011.pdf PDF
Exh A Annex CDRL 0006 SOW 4 3 1 2 Std Form sf85p Trusted Posit CAC 28 Mar 2011.pdf PDF
Exh A CDRL A004 SAFETY PLAN 28 Mar 2011.doc DOC document
Exh A CDRL A013 CONF MIN- 28 MAR 2011.doc DOC document
Exh A CDRL A009 Daily Bench Stat Rprt 28 Mar 2011.doc DOC document
Exh A DI-MISC-80508B Tech Rprt Serv 28 Mar 2011.pdf PDF
Exh A CDRL A006 CVS TA_CAC REPORT 28 Mar 2011.doc DOC document
Exh A DI-MGMT-80227 Prog Stat Mgmt Rprt 28 Mar 2011.pdf PDF
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Pt 1 CDRL Cover

PART 1:COVER SHEETVer 15 Feb 11
Title:FRCMA-PAX Monthly Measurement ReportContractor Maintenance Support Hours Measurement and Manning Report
Contract #:N61340-11-C-xxxx
Report Period:1-31 May 2010
CDRL #:A010NOTE: GOVT ONLY/FOUO RELATIVE TO THE FRCMA-PAX CONTRACT.
Contractor:ABC Inc[ ]CONTAINS PRIVACY ACT STATEMENT DATA - SAFEGAURD RQRD
Contractor Signature:Date:Email:Phone:
John Contractor, Site Mgrddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks:
COR Signature:Date:Email:Phone:
Bill COR, FRCMA-Paxddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks (note any attachments):
Contractor Summary of Contractor Milestones/ Accomplishments/ Comments:
CHECK APPLICABLE CONTENTS OF THIS REPORT:
[ ]PART 1 COVER SHEET*
[ ]PART 2 MSF MEASUREMENT*
[ ]PART 3 QA MEASUREMENT*
[ ]PART 4 MANNING REPORT*
[ ]PART 5 CVS STATUS* AND **
[ ]PART 6 PREMIUM TIME REPORT
[ ]Other_____________
NOTE * :NOTE: PRIVACY ACT INFORMATION statement SAFEGAURDS . If transmitted
electronically. It must be encrypted using WINZIP AES 256-BIT encryption
NOTE ** :ALL REPORT DATA WILL AND SHALL BE STORED IN A SECURE MANNER.
ALL REPORT DATA IS FOUO AND NOT FOR DISTRIBUTION OUTSIDE CDRL DISTRIBUTION LIST. ALL OUTSIDE REQUESTS MUST GO
THROUGH NAWCTSD ORL FREEDOM OF INFORMATION ACT PROCESS.

xxx@ctxtcom xxx@ctxtcom

Pt 2 MSF Measurement

PART 2: MSH REPORT
Title:FRCMA-PAX Monthly Measurement ReportVer 15 Feb 11
Contract #/Name:N61340-11-C-xxxx / ABC, IncContractor Maintenance Support Factor Measurement Report
Report Period:1-31 May 2010
CDRL #:A010NOTE: GOVT ONLY/FOUO RELATIVE TO THE FRCMA-PAX CONTRACT.
Contractor Signature:Date:Email:Phone:
John Contractor, Site Mgrddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks:
COR Signature:Date:Email:Phone:
Bill COR, FRCMA-Paxddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks (note any attachments):
LOT MSF ARCHIVE:
Summary:OctNovDecJanFebMarAprMayJunJulAugSep
MSH =
Cumulative MSF =
Workdays in Report Perod (days):21
Monthly MAINTENANCE SUPPORT FACTOR (MSF):Std Sched. MSH for Report Period (Hrs)=168
NAMEWork Ctr:Position/Qual/ Certif TitleOn-site Maint Hrs:Training Hrs:Vacation / Sick Lv Hrs:Other Hrs:MSHF (Failure/ No show) Hrs:Premium Time HrsRprt Period Total MSH Hrs:MSF (%)Remarks: (Notecompleted vacation/sick times)
SAMPLE, Fed0F8AMI100.034.024.08.02.01.016998.8%8 hrs off CO authorized closure
10.0N/A
20.0N/A
30.0N/A
4S0.0N/A
50.0N/A
60.0N/A
70.0N/A
80.0N/A
90.0N/A
100.0N/A
110.0N/A
120.0N/A
130.0N/A
140.0N/A
150.0N/A
160.0N/A
170.0N/A
180.0N/A
190.0N/A
200.0N/A
210.0N/A
220.0N/A
230.0N/A
240.0N/A
250.0N/A
260.0N/A
270.0N/A
280.0N/A
290.0N/A
300.0N/A
310.0N/A
320.0N/A
330.0N/A
340.0N/A
350.0N/A
360.0N/A
370.0N/A
380.0N/A
390.0N/A
400.0N/A
410.0N/A
420.0N/A
430.0N/A
440.0N/A
450.0N/A
460.0N/A
470.0N/A
480.0N/A
490.0N/A
500.0N/A
510.0N/A
520.0N/A
530.0N/A
540.0N/A
550.0N/A
560.0N/A
570.0N/A
580.0N/A
590.0N/A
600.0N/A
610.0N/A
620.0N/A
630.0N/A
640.0N/A
650.0N/A
660.0N/A
670.0N/A
680.0N/A
690.0N/A
700.0N/A
710.0N/A
720.0N/A
730.0N/A
740.0N/A
750.0N/A
760.0N/A
770.0N/A
780.0N/A
0.0N/A
SUMMARY:Contractor Maintenance Support Factor Measurement Report
TOTALS =0.00.00.00.00.00.00.0N/A
On-site Maint Hrs:Training Hrs:Vacation / Sick Lv Hrs:Other Hrs:MSHF (Failure/ No show) Hrs:Premium Time HrsTotal SMSH Hrs:MSHF (Failure) Hrs:
REPORT PERIOD MAINTENANCE SUPPORT FACTOR (MSF) =N/A

EXPLAIN IN REMARKS COLUMN

SAMPLE

SAMPLE

xxx@ctxtcom xxx@ctxtcom

Pt 3 QA Measurement

PART 3: FQAF and NFQAF REPORTVer 15 Feb 11
Title:FRCMA-PAX Monthly Measurement Report
Contract #/ Name:N61340-11-C-xxxx / ABC, IncQuality Assurance Factor Report
Report Period:1-31 May 2010NOTE: GOVT ONLY/FOUO RELATIVE TO THE FRCMA-PAX CONTRACT.
CDRL #:A010
Contractor Signature:Date:Email:Phone:
John Contractor, Site Mgrddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks:
COR Signature:Date:Email:Phone:
Bill COR, FRCMA-Pax CORddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks (Note any attachments):
Monthly SAFETY OF FLIGHT QAFLOT FQAF ARCHIVE:
Work Center:FCNFCUFCDReport Period Work Ctr FQAFCumulative FQAF to DateOctNovDecJanFebMarAprMayJunJulAugSep
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Monthly NON-SAFETY OF FLIGHT QAF:LOT NFQAF ARCHIVE:
Work Center:NFCNNFCUNFCDReport Period Work Ctr NFQAFCumulative NFQAF to DateOctNovDecJanFebMarAprMayJunJulAugSep
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

ENTER FOR EACH WORK CENTER WHERE APPLICABLE

ENTER FOR EACH WORK CENTER WHERE APPLICABLE

xxx@ctxtcom xxx@ctxtcom

Pt 4 Manning Report

PART 4: MANNING STATUS REPORTVer 15 Feb 11
Title:FRCMA-PAX Monthly Measurement ReportFRCMA-PAX MANNING STATUS REPORT
Contract #/ Name:N61340-11-C-xxxx/ ABC, Inc
Report Period:1-31 May 2010NOTE: PRIVACY ACT INFORMATION / PERSONAL IDENTITY INFO SAFEGAURDS MARKINGS REQRD.
CDRL #:A010If transmitted electronically. It must be encrypted using WINZIP AES 256-BIT encryption
Contractor Signature:Date:Email:Phone:
John Contractor, Site Mgrddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks:
COR Signature:Date:Email:Phone:
Bill COR, FRCMA-Paxddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks (note any attachments):
Submit in order of Work Centers:
FY-__ CLIN/ SLIN:NAME (* New Hire/ ** Terminated)Work Ctr:Hire Aniv Date:On-Site Date:Qual/ Certif TitlePlanned Vacation/ LeaveLicense and Certifictions w/Exp DatesCAC Card Exp DateSecurity Clearance (Y or N) /Exp date)Employment Termination Date: (ddmmmyy)Remarks: (Note vacation times; employment terminations dates; destruction/turn-in of CAC card)
1SAMPLE, FredX5OSM
2X5OSMC
3X5OSQI
4X5OQI-AP
5X5OQI-ALSS
6X5OQI-AV
7X5MST-IMRL
8X5MST-IMRL
9X5MST-IMRL
10X5MST-IMRL
11X5MST-IMRL EXP
12X5H/ X5SHMWS
13X5HST-H
14X5HST-H
15X5SASW
16X5L /X5EEWS-56
17X5LAM-T56
18X5LAM-T56
19X5LAM-T56
20X5LAM-T56
21X5LAM-T56
22X5LAM-T56
23X5LAM-T56
24X5LAM-T56
25X5LAM-T56
26X5LAM-T56
27X5LAM-T56
28X5LPCC-T56
29X5EETTC
30X5B/ X5A/ X5CAVWS
31X5BETBS
32X5BETBS
33X5BETBS
34X5AETATE
35X5AETATE
36X5CETCAL
37X5CETCAL
38X58/ X5D/ X5F/ X5PALSSWS
39X58ST-ALSS
40X58PCC-ALSS
41X58PCC-ALSS
42X5DAM-ALSS
43X5DAM-ALSS
44X5DAM-ALSS
45X5FAM-ALSS
46X5FAM-ALSS
47X5FAM-ALSS
48X5FAM-ALSS
49X5FAM-ALSS
50X5FAM-ALSS
51X5PAM-ALSS
52X5PAM-ALSS
53X5PAM-ALSS
54X5T/ X55TPWS
55X5TAW
56X5TAW
57X5TAW
58X55PSWS2
59X55AP
60X55AP
61X55AP
62X55AP 2nd
63X55AP 2nd
64X59SEWS
65X59MVMSE
66X59MVMSE
67X59MVMSE
68X59MVMSE
69X59MVMSE
70X59MVMSE
71X59MVMSE
72X59MVMSE
73X59AWSE
74X59AWSE
75X59PCC-SE

xxx@ctxtcom xxx@ctxtcom

Pt 5 CVS Status

PART 5: CVS SUMMARY REPORTVer 08 Oct 10
Title:FRCMA-PAX Monthly Measurement ReportNOTE: PRIVACY ACT INFORMATION / PERSONAL IDENTITY INFO SAFEGAURDS MARKINS REQRD.
Contract #:N61340-11-C-xxxxIf transmitted electronically. It must be encrypted using WINZIP AES 256-BIT encryption
Report Period:1-31 May 2010FRCMA-PAX CVS SUMMARY REPORT
CDRL #:A010
Contractor:ABC, IncNOTE: GOVT ONLY/FOUO RELATIVE TO THE FRCMA-PAX CONTRACT.
Contractor Signature:Date:Email:Phone:
John Contractor, Site Mgrddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks:
COR Signature:Date:Email:Phone:
Bill COR, FRCMA-Paxddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks (note any attachments):
CVS REGISTATION REQUEST FORM DATA:
SECTION I (Applicant Data)Section II: Elegibility RqrmtsSection III: Backgrd VettingSection IV: Sponsor Responsibility
Active Issued CAC? (A,D,I,T)PurposeLast Name (In Alphabetical Order))First NameMICadency NameSSN xxx-xx-xxxxBirth Date ddmmmyyEMAIL AddressPersonnel CategoryCard Exp Date ddmmmyyContract End Date ddmmmyyState Applicable Rqrmt:Favorable FBI Fingerprint Chk?NACI Submitted to OPM?Approved / In DEERS?Termination Date ddmmmyyCAC Expire Date: ddmmmyyySponsor Name / Email/PhoneType and Date of NACI (BI)CAC Confiscated and Destroyed ddmmmyyyDestruction Confirmation POC
1
2
3
4
5
6
7
8
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111
112
113
114
115
116
117
A = ACTIVE CAC
D = DESTROYED CAC
I = INPROCESS OF ACQUIRING CAC
T = TRANSFERRED CAC TO OTHER CVS TA

INITIAL, REISSUE, OR 6 MO REVERIFICATION

NAVY DOD CONTRACTOR, VOLUNTEER, Other FED AGENCY (specify) USE DARK GRAY BACKGROUND FOR INACTIVE; LIST ACTIVE AND INACTIVE TOGETHER SEPARATELY

A=ACTIVE CAC; D=DESTROYED CAC

I= INPROCESS OF ACQUIRING CAC

T=TRANSFERRED CAC

TO OTHER CVS TA

ALPHABETICAL ORDER

xxx@ctxtcom xxx@ctxtcom

PT 6 Premium Time Summary

Ver 15 Feb 11
PART 6: CONTRACTOR PREMIUM TIME SUMMARY
Title:FRCMA-PAX Monthly Measurement ReportCONTRACTOR PREMIUM TIME SUMMARY
Contract #/Name:N61340-11-C-xxxx / ABC, Inc
Report Period:1-31 May 2010
CDRL #:A010
Contractor Signature:Date:Email:Phone:
John Contractor, Site Mgrddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks:
COR Signature:Date:Email:Phone:
Bill COR, FRCMA-Paxddmmmyyxxx@ctxtcom(###)###-#####
Signature:Remarks (note any attachments):
Work Center:QualificationPremium Time this Report Period (Hrs))Cummulative Premium Time this LOT Period (hrs)
1X5OSM
2X5OSMC
3X5OSQI
4X5OQI-AP
5X5OQI-ALSS
6X5OQI-AV
7X5MST-IMRL
8X5MST-IMRL
9X5MST-IMRL
10X5MST-IMRL
11X5MST-IMRL EXP
12X5H/ X5SHMWS
13X5HST-H
14X5HST-H
15X5SASW
16X5L /X5EEWS-56
17X5LAM-T56
18X5LAM-T56
19X5LAM-T56
20X5LAM-T56
21X5LAM-T56
22X5LAM-T56
23X5LAM-T56
24X5LAM-T56
25X5LAM-T56
26X5LAM-T56
27X5LAM-T56
28X5LPCC-T56
29X5EETTC
30X5B/ X5A/ X5CAVWS
31X5BETBS
32X5BETBS
33X5BETBS
34X5AETATE
35X5AETATE
36X5CETCAL
37X5CETCAL
38X58/ X5D/ X5F/ X5PALSSWS
39X58ST-ALSS
40X58PCC-ALSS
41X58PCC-ALSS
42X5DAM-ALSS
43X5DAM-ALSS
44X5DAM-ALSS
45X5FAM-ALSS
46X5FAM-ALSS
47X5FAM-ALSS
48X5FAM-ALSS
49X5FAM-ALSS
50X5FAM-ALSS
51X5PAM-ALSS
52X5PAM-ALSS
53X5PAM-ALSS
54X5T/ X55TPWS
55X5TAW
56X5TAW
57X5TAW
58X55PSWS2
59X55AP
60X55AP
61X55AP
62X55AP 2nd
63X55AP 2nd
64X59SEWS
65X59MVMSE
66X59MVMSE
67X59MVMSE
68X59MVMSE
69X59MVMSE
70X59MVMSE
71X59MVMSE
72X59MVMSE
73X59AWSE
74X59AWSE
75X59PCC-SE

xxx@ctxtcom xxx@ctxtcom

Sheet1

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