Exh A CDRL A011 CFSR 28 Mar 2011.doc

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.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. BLK 4: ONLY DID PARAGRAPH 3. (C).(2) APPLIES. SEE ANNEX A FOR SAMPLE REPORT CONTENTS.

2. BLK 12: REPORTS SHALL BE SIMULTANEOUSLY SUBMITTED TO THE NAWCTSD PCO AND DISTRIBUTED NO LATER THAN THE 5TH WORKING DAY AFTER EACH REPORTING PERIOD. THE FIRST REPORTING PERIOD SHALL BE DUE the 5th WORKING DAY AFTER CONTRACT SUPPORT DATE (CSD) FOR THE MOBILIZATION PERIOD.

3. BLK 13: SUBSEQUENT MONTHLY REPORTS SHALL BE DUE AT THE BEGINNING OF THE CONTRACTOR SUPPORT DATE (CSD) THROUGH THE END OF THE CONTRACT OR UNTIL ALL BALANCES ARE ZERO (0), AND NO MORE ACTIONS ARE PENDING (I.E. DOL, CLAIM ETC.)

4. THE GOVERNMENT WILL HAVE 15 WORKING DAYS FOR REVIEW AND ACCEPTANCE/REJECTION OF EACH SUBMISSION.

5. BLK 14: SUBMISSIONS SHALL BE SENT VIA EMAIL. SUBMISSIONS SHALL BE AN EMAIL ATTACHMENT IN MS-WORD 2003 OR LATER COMPATIBLE FORMAT AND SHALL INCLUDE IN THE SUBJECT LINE: CONTRACT NUMBER, CDRL DATA ITEM NUMBER, TITLE, AND PERIOD (E.G. N61340-11-C-xxxx-A011-CFSR- 1-31 May 11). EMAIL ADDRESSES ARE PROVIDED IN THE CONTRACT SCHEDULE.

6. BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED ON THE DELIVERABLE:

DISTRIBUTION E: DISTRIBUTION AUTHORIZED TO DOD COMPONENTS ONLY, (FOUO-ADMINISTRATIVE OR OPERATIONAL USE), (10 NOV 2009). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO THE COMMANDING OFFICER, NAVAL AIR WARFARE CENTER, TRAINING SYSTEMS DIVISION, (NAWCTSD ORL PCO, CODE 25332), 12350 RESEARCH PARKWAY, ORLANDO, FL 32826-3275.

NAWCTSD PJM

NAWCTSD LOG MGR

TYCOM FRCMA

FRCMA PAX COR

FRCMA-PAX ACOR

G. PREPARED BY

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED

Page 1 of 3 Pages

ANNEX TO CDRL A011

TECHNICAL REPORT - STUDY / SERVICES

CONTRACT FUNDS STATUS REPORT (CFSR)

FTSS N61340-11-C-00XX CDRL REQUIREMENT

1. Summary contents:

1.1 HEADER INFORMATION. Data elements to be provided as header information are as follows, in the order shown.

a. Contract. Enter appropriate contract number.

b. Task Order. Enter appropriate task order number.

c. Contractor. Enter name of contractor's firm.

d. Reporting Period. Enter month and year for which report is being prepared.

1.2 REPORT BODY. The main body of the report shall be completed in accordance with the attached sample format.

Entry of actual data is to be made in the appropriate column for the period covered by the report.

Data element titles to be included are as follows:

a. CLIN / SLIN. Enter contract line item number / sub-line item number (CLIN / SLIN) which are being performed or have been performed (has funding obligated), as shown in Section B of the task order. (The report is to be cumulative, showing all CLIN / SLIN which are currently active or have been active from start of contract to end date of reporting month.)

b. ACR. Enter appropriate Accounting Classification Requirements (ACR) number for the CLIN / SLIN.

c. Description of Supplies / Services. Enter CLIN / SLIN description as shown in Section B.

d. Total CLIN / SLIN Amount. Enter total CLIN / SLIN amount as shown in Section B.

e. CLIN / SLIN Funded Amount. Enter CLIN / SLIN funded amount as shown in Section B.

f. Invoiced / Expended Amount to Date. Enter cumulative amount invoiced for CLIN / SLIN.

g. CLIN / SLIN Funds Remaining. Enter difference between CLIN / SLIN funded and invoiced amounts.

h. Percent Invoiced of Funded Amount. Enter invoiced amount as a percentage of funded amount.

i. Deductions for Period. Enter amount of any performance deduction taken against the CLIN / SLIN during the reporting period. Enter deduction amount or “N / A” (not applicable), as appropriate.

j. Cumulative Deductions. Enter cumulative total of all deductions taken to date against the CLIN/SLIN.

Enter cumulative total or “N / A” as appropriate.

k. Amount Paid to Date. Enter amount which Contractor has received payment against the CLIN/SLIN.

l. Total Amount. Enter columnar sums.

1.3 FORMAT:

1.3.1 Magnetic Media: Where applicable, individual area files shall be placed on Compact Disc Recordable/Re-Writable (CD-R/CD-RW; 1x-4x drive capable media) optical disc. Magnetic files shall be compatible to MICROSOFT@ Office 2000 formats as specified in block 16 of the CDRL.

1.3.2 E-Mail: Reports shall be attached files to Internet Electronic Mail that are compatible to MICROSOFT Office 2003 formats as specified in block 16 of the CDRL.

1.4 CONTENT: Any CLIN/SLIN that has been funded (has funds obligated to it) shall be on this report and remain there until for the duration of the contract. This report shall be used as a basis for closing out the contract upon its end.

1.4.1 SAMPLE: See attached Sample Contract Funds Status Report:

Sample CFSR for CDRL A011Annex Page 3 of 3 CDRL: A011 CONTRACT FUNDS STATUS REPORT Contract: N61340-11-C-xxxx__

TITLE: FRCMA-PAX CMSS Task Order: _N/A _____________

Reporting Period: Month:________ Year: _______ Contractor: __________________

(1)

CLIN/SLIN

(2)

ACR

(3)

DESCRIPTION

OF SUPPLIES/

SERVICES

(4)

TOTAL

CLIN/SLIN

AMOUNT

(5)

CLIN/SLIN

FUNDING

AMOUNT

(6)

INVOICED /

EXPENDED

AMOUNT

TO DATE

(7)

CLIN/SLIN

FUNDS

REMAINING

(5) – (6) (8)

PERCENT

INVOICED

OF FUNDED

AMOUNT (6)/(5)

(9)

DEDUCTIONS

FOR PERIOD

(10)

CUMULATIVE

DEDUCTIONS

(11)

AMOUNT

PAID TO

DATE

Example:

0002AA

NAS PAX Riverndo

TOTAL AMT:t