Exhibit A CDRLS_15R0005.pdf
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- N65236-15-R-0005
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DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A001 Program Management Report, General
DI-MGMT-80227 (guidance) PWS Para 3.1.1 SPAWARSYSCEN Atlantic
LT
N/A N/A
ASREQ
N/A
See BLK 16
See BLK 16
COR 1
0 1 0
BLK 12 and 13: Schedule for submission, subsequent submission, and changes to distribution shall be specified at DO/TO level.
BLK 14: COR will perform inspection and acceptance.
Unless otherwise directed by TO, contractor shall provide CDRL document to govt as an editable, electronic transmission.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:12:08 -04'00'
LISTON.KIMBERLY.A.11
24044576
Digitally signed by
LISTON.KIMBERLY.A.1124044576
Date: 2016.06.15 11:46:09 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
TTL Equipment and Services N65236-15-R-0005 TBD
A002 Inventory Tracking Report
PWS Para 3.1.3.2, 3.1.3.3, 3.1.5.1 SPAWARSYSCEN Atlantic
NO
N/A N/A
See BLK 16
N/A
See BLK 16
See BLK 16
COR 1
0 1 0
BLK 10, 12, and 13: Frequency and schedule for first/subsequent submission shall be specified at DO/TO level.
Unless otherwise directed by DO/TO, Contractor shall provide CDRL electronically.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:12:59 -04'00'
LISTON.KIMBERLY.A.112
4044576
Digitally signed by
Date: 2016.06.15 11:43:51 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
TTL Equipment and Services N65236-15-R-0005 TBD
A003 Warranty Tracking and Administration for Serialized Items
See BLK 16 PWS Para 3.1.4, 3.1.4.1, 3.1.4.2, 3.1.5, 3 SPAWARSYSCEN Atlantic
LT
N/A N/A
ASREQ
N/A
See BLK 16
See BLK 16 COR or WAWF 1
0 1 0
BLK 4: See CDRL Attachment 1: Contract Attachment # -- Instructions for Electronic Submission of Warranty Tracking and Administration Information for Serialized Items
CDRL Attachment cites DPAP links to download the Warranty Tracking Information (WTI) and Warranty Source of Repair Instruction (WSRI) forms.
BLK 12 and 13: First/subsequent submission dependent if warranty is government or contractor specified.
For Government-specified warranty terms:
WTI and WSRI shall be submitted at DO/TO award.
For Contractor/vendor specified warranty terms:
WTI shall be submitted at DO/TO award and WSRI shall be submitted at time delivery of warranted serialized item(s).
When submitting warranty data at delivery of item via Wide Area Workflow (WAWF), the contractor shall follow the format and contents of the Contract Attachment cited in BLK 4.
BLK 14: COR will perform inspection and acceptance.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:14:29 -04'00'
LISTON.KIMBERLY.
A.1124044576
Digitally signed by
Date: 2016.06.15 11:41:19 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A005 Delivery/Task Order Closeout Report
PWS Para 4.2.1.2, 10.5 SPAWARSYSCEN Atlantic
LT
N/A N/A
ONCE
EOTO (See BLK 16)
See BLK 16
N/A
KO 1
COR 1
Govt Property -- 1 copy of Final Inventory list e-mailed to Property Admin, DCMA (e-mail provided by KO)
0 3 0
BLK 11: Reporting period ends at DO/TO completion date.
BLK 12: NLT 30 days after DO/TO completion date BLK 14: COR will perform inspection of report for any discrepancies prior to acceptance.
Unless otherwise directed by DO/TO, the contractor shall e-mail addressee(s) an editable, electronic document. The report shall include, as a minimum, the following data items:
(a) Financial data – Breakdown of all costs (labor, travel, material, fee) per invoice, all key personnel that were utilized/charged on the job, specify all work yet to be charged, all remaining funds, and balances available, if any, for return (de-obligation), etc.
(b) Deliverable status -- Percentage job complete, any outstanding issues, CDRL status, list of any items/services under workmanship/manufacturer warranty, etc.
(c) Government Property – All Contractor-acquired Property (CAP) and Government-furnished Property (GFP) provided on DO/TO shall be accountable at the completion of each DO/TO. Property shall be consumed, transferred to an active DO/TO, disposed, or returned to the government. A final DO/TO Inventory list shall be submitted accounting for all DO/TO government property. Contractor shall incorporate information and receipts obtained from the initial disposition inventory list. For property being returned, the contractor shall include on the inventory list the following minimum information: part numbers, National Stock Number (NSN) (if applicable), quantity, and condition of each item (i.e., Condition A, F, etc.). Paperwork validating official receipt by government is required for returned items. Note: this update list shall additionally be distributed to the contract designated SSC Atlantic Property Administrator
NSP
LISTON.KIMBERLY.A.1
124044576
Digitally signed by
LISTON.KIMBERLY.A.1124044576
Date: 2016.06.15 11:44:17 -04'00'
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:19:02 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A006 Contractor Manpower Quarterly Status Report (QSR)
DI-MGMT-80227 (guidance) PWS Para 4.2.1.3 SPAWARSYSCEN Atlantic
LT
N/A N/A
QRTLY
See BLK 16
See BLK 16
See BLK 16
COR 1
E-mail to address 1 listed in BLK 16
0 2 0
NOTE: This CDRL includes Attachment 2 -- Manpower QSR Template The template is a working document that contains the minimum data fields to be collected and tracked -- for the latest version, contractors shall contact the contract KO. The validity of the information reported to the govt. is ultimately the contractor's responsibility.
BLK 11: Data collection cut-off dates occur at the end of the quarterly reporting periods (31 Dec, 31 Mar, 30 Jun, and 30 Sep)
BLK 12: 1st submission due 15 days after the 1st data collection cut-off date (15 Jan, 15 Apr, 15 Jul, and 15 Oct)
BLK 13: Subsequent submission occurs at 3 month intervals (15 Apr, 15 Jul, 15 Oct and 15 Jan) and shall continue throughout the life of the contract
BLK 14: COR will perform inspection of report for any discrepancies prior to acceptance.
BLK 14: Submission shall utilize the attached Excel spreadsheet and forwarded the completed Excel spreadsheet to the following e-mail address:
SSCLANT_KTR_REPORT@navy.mil
Notes:
1) If a contract/task order has an active period of performance but no direct labor charges, a report is still required and zeros should be entered in the labor/cost columns to affirm no cost/hours were incurred.
2) Prime contractors shall report all hours worked and expenditures for prime and all subcontractors, if applicable. Labor hour data shall be a combined roll-up of prime and subcontractor data, i.e. primes are not required to report subs separately nor indicate what portions of tasks have been subcontracted.
3) For Cost Reimbursement, Time and Material, and Fixed Price incentive contracts/task orders, hours reported shall best estimate of actual hours expended.
For Firm Fixed Price orders, hours reported shall be prorated planned hours from contractor’s task order proposal accepted for award. Data for "D" contracts (IDIQ) shall be reported at the Task Order level. Data for "C" type contracts shall be reported at the contract option year level.
4) Additional Instructions on data entry are included in the Excel spreadsheet attachment to this CDRL. Any questions should be directed to the applicable contracting officer.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:20:53 -04'00'
LISTON.KIMBERLY.
A.1124044576
Digitally signed by
Date: 2016.06.15 11:39:09 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A007 Invoice Support Documentation
PWS Para 4.2.1.4 SPAWARSYSCEN Atlantic
NO
N/A N/A
ASREQ
N/A
ASREQ (See BLK 16)
ASREQ
COR 1
0 1 0
BLK 12: Schedule for submission shall be specified at DO/TO level; supplemental supporting documentation is due to the COR within 24 hours from time of initial request.
Unless otherwise directed by DO/TO, contractor shall provide CDRL document as an electronic copy (.pdf file).
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:21:30 -04'00'
LISTON.KIMBERLY.A.1
124044576
Digitally signed by
Date: 2016.06.15 11:45:40 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A008 Limitation Notification & Rationale
PWS Para 4.2.1.5, 4.2.1.6 SPAWARSYSCEN Atlantic
NO
N/A N/A
ASREQ
N/A
See BLK 16
ASREQ
COR 1
0 1 0
Applicability:
For Labor Rate and performance -- required for cost-type, time and material (T&M), and Labor-Hour service contracts/TO (not applicable for SAP or 100% Firm Fixed-Price contracts/TOs) that exceed the threshold/performance limits (tripwire) as cited in the PWS.
For Other Direct Costs (ODCs) -- required for service contracts/TO (not applicable for SAP) that exceed the threshold limits (tripwire) as cited in the PWS.
BLK 12: due within 24 hrs from tripwire occurrence
BLK 14: COR will perform CDRL inspection and acceptance and report any discrepancies to the KO/Ordering Officer and the contractor. Additional recipients/addressees of CDRL may be identified at TO level.
CDRL has no specific format requirements. Unless otherwise directed by TO, contractor shall provide CDRL electronically.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:22:15 -04'00'
LISTON.KIMBERLY.A.1
124044576
Digitally signed by
Date: 2016.06.15 11:43:27 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A009 Contractor Census Report
PWS Para 4.2.1.7 SPAWARSYSCEN Atlantic
NO
N/A N/A
Monthly
See BLK 16
See BLK 16
See BLK 16 KO/Ordering Officer 1
0 1 0
BLK 11: Information shall be current as of the 25th of the each month.
BLK 12: Due NLT 1st day of month after first reporting period completed.
BLK 13: Subsequent Submission due NLT 1st of each month.
Unless otherwise directed by DO/TO, Contractor shall provide CDRL document to govt as an electronic transmission. See CENTCOM-JTSCC Clause 952.225-0005 (MAR 2009) for listing of information to be provided.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:24:53 -04'00'
LISTON.KIMBERLY.A
.1124044576
Digitally signed by
Date: 2016.06.15 11:42:00 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A010 Contract Funds Status Report (CFSR)
DID DI-MGMT-81468 PWS Para 4.3 SPAWARSYSCEN Atlantic
LT
N/A N/A
MTHLY
O -- See BLK 16
See BLK 16
See BLK 16
COR 1
0 1 0
Reporting requirements of this CDRL are dependant on each program and can be modified/tailored at the TO PWS level. Tailor DI-MGMT-81468 requirements for adequate monitoring and tracking of cost expenditures and efforts.
BLK 11: Reporting period ends at end of each month
BLK 12: Due no later than 12 working days after the contractor's monthly accounting period cutoff date. Actual date can be negotiated and specified at TO.
BLK 13: Subsequent submissions due every month on same date agreed upon at first submission throughout TO performance period.
BLK 14: CDRL shall be submitted electronic format. COR will perform inspection and acceptance.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:26:03 -04'00'
LISTON.KIMBERLY.A.
1124044576
Digitally signed by
Date: 2016.06.15 11:44:51 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A011 Quality Documentation
PWS Para 5.1, 5.4 SPAWARSYSCEN Atlantic
LT
N/A N/A
ASREQ (See BLK 16)
N/A
ASREQ (See BLK 16)
ASREQ (See BLK 16)
COR 1
Govt QA personnel, 1 if applicable
0 2 0
Typical types of Quality documentation includes (not limited to):
Quality Assurance Plan (QAP), Hardware Kitting Procedure, Metal Fabrication Procedure, Cable fabrication Procedure, Incoming receipt inspection records, First Article inspection records, Certificates of Conformance, Detailed sampling and inspection records, Accept and Reject criteria, Nonconformance tracking, Change Request Tracking, Corrective action Plan/procedure, various measurement and analysis metric reports, etc.
BLK 10: As required by DO/TO
BLK 12: As required by DO/TO
BLK: 13: As required by DO/TO - subsequent submission may be due
BLK 14: COR will perform inspection and acceptance.
Unless otherwise directed by DO/TO, contractor shall provide CDRL document as an electronic transmission.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:26:40 -04'00'
LISTON.KIMBERLY.A
.1124044576
Digitally signed by
Date: 2016.06.15 11:42:57 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A012 Cost and Schedule Milestone Plan
PWS Para 5.5 SPAWARSYSCEN Atlantic
LT
N/A N/A
1TIME
N/A
10DATO (See BLK 16)
N/A
COR 1
0 1 0
BLK 12: Due NLT 10 days after DO/TO award date
BLK 14: COR will perform inspection and acceptance and report any discrepancies (must align with government schedule) to contractor.
Cost must track directly to the schedule of events/tasks.
Unless otherwise directed by DO/TO, contractor shall provide CDRL document as an electronic transmission.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:27:35 -04'00'
LISTON.KIMBERLY.A
.1124044576
Digitally signed by
Date: 2016.06.15 11:45:12 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A013 Contractor CPARS Draft Approval Document (CDAD) Report
PWS Para 5.5 SPAWARSYSCEN Atlantic
LT
N/A N/A
MTHLY
O (See BLK 16)
See BLK 16
See BLK 16
COR 1
KO/Ordering Officer 1
0 2 0
BLK 11: Reporting period ends at end of each month BLK 12: Due at least 30 days after DO/TO award date and on the 10th of the following month BLK 13: Due NLT 10th day of the month following the end of each reporting period BLK 14: COR will perform inspection of report for any discrepancies prior to acceptance.
Unless otherwise directed by DO/TO, contractor shall provide CDRL document as an electronic transmission. Deviations to the information collected, distribution, frequency and due dates of reports can be specified at DO/TO level.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:28:52 -04'00'
LISTON.KIMBERLY.
A.1124044576
Digitally signed by
Date: 2016.06.15 11:42:28 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0001 - 0003 A
MGMT
TTL Equipment and Services N65236-15-R-0005 TBD
A014 OCONUS Deployment Documentation & Package
PWS Para 13.4 SPAWARSYSCEN Atlantic
NO
N/A N/A
1TIME
N/A
7DATO (See BLK 16)
N/A
COR 1
Deployment Coor 1
0 2 0
BLK 12: First submission due NLT 7 days after TO award date
Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an electronic transmission.
NSP
Digitally signed by
KASARDA.MICHAEL.A.1086618598
Date: 2016.06.15 06:29:31 -04'00'
LISTON.KIMBERLY.A.11
24044576
Digitally signed by
Date: 2016.06.15 11:46:40 -04'00'
File details come from the government source that posted it.