Exhibit A - CDRLs DD Form 1423.pdf
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- Attached to
- Support services for existing Evaluation efforts of Electromagnetic Environmental Effects (E3) Command, Control, Communications, Computers, Intelligence, Surveillance, and Reconnaissance(C4ISR) systems. Federal contract opportunity
- Solicitation number
- N65236-16-R-0005
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Employees&Labor
Type (Per) michelle.deforest: govt:
Personnel Type:
N = New addition C = Currently working R = Released Employee Name (Last, First) Company Name Task Order # Name of Pgrm/Proj Supporting Task Order COR PWS Para # Total Proposed Labor Hrs michelle.deforest: govt:
Proposed Labor Hrs = estimated hours that were proposed prior contract/TO award; may only be adjusted during contract/TO modification.
Number should correspond to hours reported in CSR-TOSR CDRL Attachment 2 Monthly Actual Labor Hrs worked michelle.deforest: govt:
Number should correspond to hours reported in CSR-TOSR CDRL Attachment 2 Cummulative Actual Labor Hrs worked % Hours Used to date
N LastA, First1 ABCDwarf Co. 0021 Green River ISEA Brown 3.5 700 90 380 54%
C LastB, First2 ABCDwarf Co. 0021 Green River Sys Smith 5.1 300 20 120 40%
R LastC, First3 PoisonApple Inc 0021 XYZ Project Brown 3.2 1080 150 660 61%
C LastB, First2 ABCDwarf Co. 0004 ABC Pgrm Allen 5.1 200 12 50 25%
N65236-##-D-####/ TO ####
Period of Performance: mm/dd/yy to mm/dd/yy
| TO Completion Date: mm/dd/yy | Staffing Plan -- Employees and Labor |
| COR: John Doe Engineer |
COR contact phone #: ###-###-#### File Name: &F
* FOR OFFICIAL USE ONLY -- Privacy sensitive.
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. Page &P of &N
Key Personnel
Employee Name (Last, First) Company Name Task Order # Key Pesonnel Labor Category (Y) Resume Approval Date (mm/dd/yy) Release Date (mm/dd/yy)
LastA, First1 ABCDwarf Co. 0 Y 06/20/96
LastB, First2 ABCDwarf Co. 0 Y 06/20/96
LastC, First3 PoisonApple Inc 0 09/05/97 02/21/99
LastB, First2 ABCDwarf Co. 0 Y 06/20/96
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| N65236-##-D-####/ TO #### | Key Personnel |
| &D |
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N
Security
Employee Name (Last, First) Company Name Task Order # Security Clearance Required (Y/N) Investigation Type (NACI, SBI) NACI Equiv (Y/N) Date (mm/dd/yy) COR Approval
LastA, First1 ABCDwarf Co. 0 Y NACI Y 02/22/99 Y
LastB, First2 ABCDwarf Co. 0 Y SBI Y Y
LastC, First3 PoisonApple Inc 0 N
LastB, First2 ABCDwarf Co. 0 Y SBI Y Y
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N65236-##-D-####/ TO #### Security Personnel Tracking &D
&10* FOR OFFICIAL USE ONLY -- Privacy sensitive.
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N
ERP-CAC-SPAWAR BADGE
Employee Name (Last, First) Company Name Task Order # ERP ACCESS (Y/N) Type I= Initial R= Renewal T=Terminated O=Other Date CAC Issued (mm/dd/yy) Date CAC Expired (mm/dd/yy) CAC Returned (Y/N) Site Badge Date Issued (mm/dd/yy) Date Expried (mm/dd/yy) Badge returned (Y/N) Escort Priviledge (Y/N)
LastA, First1 ABCDwarf Co. 0 N I 06/20/96 02/21/99 Y
LastB, First2 ABCDwarf Co. 0 N I 06/20/96
LastC, First3 PoisonApple Inc 0 N T Y
LastB, First2 ABCDwarf Co. 0 N I 06/20/96 03/31/66 10/31/02
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N65236-##-D-####/ TO #### ERP, CAC, and SSC LANT Badge Tracking &D
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N
Training
Employee Name (Last, First) Company Name Task Order # IA Awarness Training Required (Y/N) Date Due (mm/dd/yy) Date Completed (mm/dd/yy) Date SAAR Form Submitted (mm/dd/yy) Approved Access (Y/N) Privacy and PII Awarness Training Required (Y/N) Date Due (mm/dd/yy) Date Completed (mm/dd/yy)
LastA, First1 ABCDwarf Co. 0 Y 03/11/08 03/22/08 03/04/04 Y Y 03/11/08 03/22/08
LastB, First2 ABCDwarf Co. 0 Y
LastC, First3 PoisonApple Inc 0 N
LastB, First2 ABCDwarf Co. 0 Y
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N65236-##-D-####/ TO #### Personnel Mandatory Training - IA, SAAR, and Privacy Act &D
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N
Sheet1
Employee Code (123… or ABC...)
michelle.deforest: govt:
Contractor can protect Employee identity within this report by providing an Employee Code. If utilized, a separate email (Employee Key List) is required to the COR/OO specifiying Employee Name and corresponding code. Labor Category (IAW Basic Contract) Proposed B_Labor Hourly Rate michelle.deforest: govt:
B_Labor = Fully Burdened Labor
Proposed B_Labor = estimated hourly rate that was proposed prior contract/TO award; maybe adjusted during contract/TO modification. Total Proposed Labor Hrs michelle.deforest: govt:
Proposed Labor Hrs = estimated hours that were proposed prior contract/TO award; maybe adjusted during contract/TO modification.
Number should correspond to hours reported in CSR-TOSR CDRL Attachment 1 Monthly Actual B_Labor Cost Monthly Actual Labor Hrs worked michelle.deforest: govt:
Number should correspond to hours reported in CSR-TOSR CDRL Attachment 1 Actual B_Labor Hourly Rate michelle.deforest: govt:
B_Labor = Fully Burdened Labor
Actual B_Labor Rate = actual B_labor cost/actual B_labor hrs worked
NOTE TO CONTRACTORS:
Highlight employee row (selected row and fill color) if an actual B_labor hourly rate exceeds the specified labor rate threshold in the PWS (see Labor Rate Limitation Notification requirement). Current Month's Actual-to-Proposed Variation michelle.deforest: govt:
Contractor shall monitor monthly average actual labor rates (total actual fully burdened labor costs/total number of hours worked) compared to average negiotiated labor rates (total proposed fully burdened labor costs/total number of hours proposed)
Variation, hourly rate = (actual-proposed)/proposed
Variances greater than 15% in any reporting month are reported to COR through Limitation Notification CDRL.
Variances greater than 15% for 3 consecutive months are reported to COR through Limitation Notification CDRL. Previous Month's Actual-to-Proposed Variation Previous 2 Month's Actual-to-Proposed Variation
0001 Engineer 5 $ 98 700 $ 9,910 90 $ 110 12% 11% 14%
0002 Program Manager $ 110 300 $ 2,282 20 $ 114 4% 5% 7%
0003 Com Sys Analyst 3 $ 100 1080 $ 14,701 150 $ 98 -2% 0% 1%
0004 Program Manager $ 110 200 $ 1,368 12 $ 114 4% 5% 7%
TO Completion Date: mm/dd/yy Personnel Listing COR: John Doe Engineer
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. Page &P of &N
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 michelle.deforest
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A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: Test & Evaluation Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: TBD
1_DATA_ITEM_NO: A001
2_TITLE_OF_DATA_ITEM: Program Management Report, General
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-MGMT-80227 (guidance)
5_CONTRACT_REFERENCE: PWS Para 3.2
6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: N/A
10_FREQUENCY: ASREQ
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:
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16_REMARKS: BLK 12 and 13: Schedule for submission, subsequent submission, and changes to distribution shall be specified at 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.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page:
of_pages:
Reset:
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2017-05-30T08:33:35-0400
ZIRKLE.WILLIAM.IRVIN.JR.1203115292
2017-05-30T11:02:30-0400
LUTZEN.WAYNE.LOUIS.1145689607
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
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER:
DSYSTEMITEM: Test & Evaluation Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: [TBD]
1_DATA_ITEM_NO: A002
2_TITLE_OF_DATA_ITEM: Inventory Tracking Report
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit:
5_CONTRACT_REFERENCE: PWS Para 3.3.8.2, 3.3.8.3, 3.3.10.1
6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic
7_DID_250_REQ: NO
8_APP_CODE: N/A
DIST_STATEMENT: N/A
10_FREQUENCY: See BLK 16
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:
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16_REMARKS: BLK 10, 12, and 13: Frequency and Schedule for first/subsequent submission shall be specified at TO level.
Unless otherwise directed by TO, Contractor shall provide CDRL electronically.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
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2017-05-30T08:35:16-0400
ZIRKLE.WILLIAM.IRVIN.JR.1203115292
2017-05-30T11:00:27-0400
LUTZEN.WAYNE.LOUIS.1145689607
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 zirklew
Highlight
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER:
DSYSTEMITEM: Test & Evaluation Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: TBD
1_DATA_ITEM_NO: A003
2_TITLE_OF_DATA_ITEM: Warranty Tracking and Administration for Serialized Items
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: See BLK 16
5_CONTRACT_REFERENCE: PWS Para 3.3.9, 3.3.10
6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: N/A
10_FREQUENCY: ASREQ
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR or WAWF draft1:
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16_REMARKS: BLK 4: See CDRL Attachment 1: Contract Attachment #3 -- Instructions for Electronic Submission of Warranty Tracking and Administration Information for Serialized Items
Contract 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 dependant if warranty is government or contractor specified --
For Government-specified warranty terms:
WTI and WSRI shall be submitted at contract/TO award.
For Contractor/vendor specified warranty terms:
WTI shall be submitted at contract/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.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
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Reset:
reg38t: 1
2017-05-30T08:36:42-0400
ZIRKLE.WILLIAM.IRVIN.JR.1203115292
2017-05-30T10:58:35-0400
LUTZEN.WAYNE.LOUIS.1145689607
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
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER:
DSYSTEMITEM: Test & Evaluation Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: [TBD]
1_DATA_ITEM_NO: A004
2_TITLE_OF_DATA_ITEM: Failure Status Report
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit:
5_CONTRACT_REFERENCE: PWS Para 3.3.10.2
6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: N/A
10_FREQUENCY: See BLK 16
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:
reg1: 1 repro1:
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16_REMARKS: BLK 10, 12, and 13: Frequency and Schedule for first/subsequent submission shall be specified at TO level.
BLK 14: COR will perform inspection and acceptance.
Unless otherwise directed by TO, Contractor shall provide CDRL electronically.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
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reg38t: 1
2017-05-30T08:37:28-0400
ZIRKLE.WILLIAM.IRVIN.JR.1203115292
2017-05-30T10:57:07-0400
LUTZEN.WAYNE.LOUIS.1145689607
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
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
Employees&Labor
Type (Per) michelle.deforest: govt:
Personnel Type:
N = New addition C = Currently working R = Released Employee Name (Last, First) Company Name Task Order # Name of Pgrm/Proj Supporting Task Order COR PWS Para # Total Proposed Labor Hrs
Proposed Labor Hrs = estimated hours that were proposed prior contract/TO award; may only be adjusted during contract/TO modification.
Number should correspond to hours reported in CSR-TOSR CDRL Attachment 2 Monthly Actual Labor Hrs worked
Number should correspond to hours reported in CSR-TOSR CDRL Attachment 2 Cummulative Actual Labor Hrs worked % Hours Used to date
N LastA, First1 ABCDwarf Co. 0021 Green River ISEA Brown 3.5 700 90 380 54%
C LastB, First2 ABCDwarf Co. 0021 Green River Sys Smith 5.1 300 20 120 40%
R LastC, First3 PoisonApple Inc 0021 XYZ Project Brown 3.2 1080 150 660 61%
C LastB, First2 ABCDwarf Co. 0004 ABC Pgrm Allen 5.1 200 12 50 25%
| TO Completion Date: mm/dd/yy | Staffing Plan -- Employees and Labor |
| COR: John Doe Engineer |
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. Page &P of &N
Key Personnel
Employee Name (Last, First) Company Name Task Order # Key Pesonnel Labor Category (Y) Resume Approval Date (mm/dd/yy) Release Date (mm/dd/yy)
LastA, First1 ABCDwarf Co. 0 Y 06/20/96
LastB, First2 ABCDwarf Co. 0 Y 06/20/96
LastC, First3 PoisonApple Inc 0 09/05/97 02/21/99
LastB, First2 ABCDwarf Co. 0 Y 06/20/96
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| N65236-##-D-####/ TO #### | Key Personnel |
| &D |
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N
Security
Employee Name (Last, First) Company Name Task Order # Security Clearance Required (Y/N) Investigation Type (NACI, SBI) NACI Equiv (Y/N) Date (mm/dd/yy) COR Approval
LastA, First1 ABCDwarf Co. 0 Y NACI Y 02/22/99 Y
LastB, First2 ABCDwarf Co. 0 Y SBI Y Y
LastC, First3 PoisonApple Inc 0 N
LastB, First2 ABCDwarf Co. 0 Y SBI Y Y
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N65236-##-D-####/ TO #### Security Personnel Tracking &D
&10* FOR OFFICIAL USE ONLY -- Privacy sensitive.
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N
ERP-CAC-SPAWAR BADGE
Employee Name (Last, First) Company Name Task Order # ERP ACCESS (Y/N) Type I= Initial R= Renewal T=Terminated O=Other Date CAC Issued (mm/dd/yy) Date CAC Expired (mm/dd/yy) CAC Returned (Y/N) Site Badge Date Issued (mm/dd/yy) Date Expried (mm/dd/yy) Badge returned (Y/N) Escort Priviledge (Y/N)
LastA, First1 ABCDwarf Co. 0 N I 06/20/96 02/21/99 Y
LastB, First2 ABCDwarf Co. 0 N I 06/20/96
LastC, First3 PoisonApple Inc 0 N T Y
LastB, First2 ABCDwarf Co. 0 N I 06/20/96 03/31/66 10/31/02
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N65236-##-D-####/ TO #### ERP, CAC, and SSC LANT Badge Tracking &D
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N
Training
Employee Name (Last, First) Company Name Task Order # IA Awarness Training Required (Y/N) Date Due (mm/dd/yy) Date Completed (mm/dd/yy) Date SAAR Form Submitted (mm/dd/yy) Approved Access (Y/N) Privacy and PII Awarness Training Required (Y/N) Date Due (mm/dd/yy) Date Completed (mm/dd/yy)
LastA, First1 ABCDwarf Co. 0 Y 03/11/08 03/22/08 03/04/04 Y Y 03/11/08 03/22/08
LastB, First2 ABCDwarf Co. 0 Y
LastC, First3 PoisonApple Inc 0 N
LastB, First2 ABCDwarf Co. 0 Y
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N65236-##-D-####/ TO #### Personnel Mandatory Training - IA, SAAR, and Privacy Act &D
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N
Sheet1
Employee Code (123… or ABC...)
Contractor can protect Employee identity within this report by providing an Employee Code. If utilized, a separate email (Employee Key List) is required to the COR/OO specifiying Employee Name and corresponding code. Labor Category (IAW Basic Contract) Proposed B_Labor Hourly Rate
B_Labor = Fully Burdened Labor
Proposed B_Labor = estimated hourly rate that was proposed prior contract/TO award; maybe adjusted during contract/TO modification. Total Proposed Labor Hrs
Proposed Labor Hrs = estimated hours that were proposed prior contract/TO award; maybe adjusted during contract/TO modification.
Number should correspond to hours reported in CSR-TOSR CDRL Attachment 1 Monthly Actual B_Labor Cost Monthly Actual Labor Hrs worked
Number should correspond to hours reported in CSR-TOSR CDRL Attachment 1 Actual B_Labor Hourly Rate
B_Labor = Fully Burdened Labor
Actual B_Labor Rate = actual B_labor cost/actual B_labor hrs worked
NOTE TO CONTRACTORS:
Highlight employee row (selected row and fill color) if an actual B_labor hourly rate exceeds the specified labor rate threshold in the PWS (see Labor Rate Limitation Notification requirement). Current Month's Actual-to-Proposed Variation
Contractor shall monitor monthly average actual labor rates (total actual fully burdened labor costs/total number of hours worked) compared to average negiotiated labor rates (total proposed fully burdened labor costs/total number of hours proposed)
Variation, hourly rate = (actual-proposed)/proposed
Variances greater than 15% in any reporting month are reported to COR through Limitation Notification CDRL.
Variances greater than 15% for 3 consecutive months are reported to COR through Limitation Notification CDRL. Previous Month's Actual-to-Proposed Variation Previous 2 Month's Actual-to-Proposed Variation
0001 Engineer 5 $ 98 700 $ 9,910 90 $ 110 12% 11% 14%
0002 Program Manager $ 110 300 $ 2,282 20 $ 114 4% 5% 7%
0003 Com Sys Analyst 3 $ 100 1080 $ 14,701 150 $ 98 -2% 0% 1%
0004 Program Manager $ 110 200 $ 1,368 12 $ 114 4% 5% 7%
TO Completion Date: mm/dd/yy Personnel Listing COR: John Doe Engineer
Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. Page &P of &N
1_DATA_ITEM_NO: A005
2_TITLE_OF_DATA_ITEM: Task Order (TO) Status Reports
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-MGMT-80227/80347 (guidance)
5_CONTRACT_REFERENCE: PWS para 8.1.2, 11.2.5.1, 11.2.5.2
6_REQUIRING_OFFICE:
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: N./A
10_FREQUENCY: See BLK 16
11_AS_OF_DATE: See BLK 16
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:
reg1: 1 repro1:
addressee2: Ordering Officer draft2:
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16_REMARKS: NOTE: The CDRL includes Attachment 1 -- Staffing Plan, Attachment 2 -- Personnel Listing Template which are templates that contain the minimum data fields to be collected at the TO level as applicable. Latest version of all Attachments will be provided by the Ordering Officer (OO). Although there may be some pre-set cell configuration, formulas, and/or links established within the templates, the validity of the information reported to the govt is ultimately the contractor's responsibility.
BLK 5: PWS Para 5.2.1.1(a) is Monthly TOSR PWS Para 5.2.1.1(b) is Weekly TOSR PWS Para 5.2.1.1(c) is Data Calls
BLK 10: As specified by TO -- MTHLY, WKLY, and/or ASREQ
BLK 11: (a) MTHLY, reporting period ends at end of each month;
(b) WKLY, reporting period ends at end of each week;
(c) ASREQ, as specified by TO
BLK 12: (a) MTHLY, due at least 30 days after TO award date (10th of month);
(b) WKLY, due first Friday following first full week after TO award;
(c) ASREQ, as specified by TO
BLK 13: (a) MTHLY, due NLT 10th of each month;
(b) WKLY, due COB Friday of each week;
(c) ASREQ, as specified by TO
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.
The TOSR CDRL shall be e-mailed to the addressee(s) identified in BLK 14. The document file name and e-mail subject line shall conform to the following format: [contract number-TO number]_[contractor name]_TOSR_[yyyymmdd (end date of reporting period)].
Example: N6523613D2000-TO 0065_ABC Acme Inc_TOSR_20130430
Any deviations to the information collected, distribution, frequency, and due dates of reporting shall be specified by TO. If a TO is funded with multiple funding CLINs, contractor shall be prepared to present data based on funding CLIN. The following sheet lists the required data to be delivered for (a) monthly TOSR.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page:
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A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: Test & Evaluation Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: TBD
16_REMARKS_Continued: (i). Performance [NOTE: If applicable, reporting shall be specific to appropriate funding CLIN.]
• Contract Number & Title; Contract Period of Performance
• TO Number & Title
• TO Period of performance & Current Month Reporting period dates
• list all TO level Modifications, date of modification, sentence summary for each modification
• list total labor hours expended (current and cumulative) per company
• identify and itemize specifics if travel, other direct cost (ODC), equipment/material (CAP), and subcontracting were required
• Summary of work performed during reporting period, problems noted, status of previously identified problems from last reporting period; and effort to be completed during next reported period
(ii). Schedule [NOTE: If applicable, reporting shall be specific to appropriate funding CLIN.]
• IAW CDAD, contract/TO QASP, and/or CWBS, develop/update Plan of Action and Milestone (POA&M) that outlines and identifies schedule/dates for all major/critical tasks and sub-tasks
• Identify meeting specified milestones and action items
• identification of schedule slippage and problems areas that may affect schedule
• listing of all CDRL due and status of deliverables
(iii). Financial [NOTE: If applicable, reporting shall be specific to appropriate funding CLIN.]
• list the Not-to-Exceed (NTE) TO amount and the balance of funds received to date – list any increase of NTE and additional funds received by TO Modification number
• list total labor cost (current and cumulative) per company
• list total Other Direct Costs (ODCs) expended (current and cumulative) per company
• list total Subcontracting (current and cumulative) itemized by company
• list total Travel expended (current and cumulative) per company
• list total Material expended (current and cumulative) per company
• list total Fee expended (current and cumulative) per company
• list total remaining TO ceiling amounts: labor hours, costs, fee, and total NTE
• estimated total cost to complete; noting shortages or overages
• applicable for cost reimbursement type TOs – identify when obligated costs have exceeded 75% of the amount authorized (Note: Identifying cost overruns in the monthly status reports does not preclude a Contractor from the 75% notification requirement as applicable in accordance with FAR clause 52.232-20/22, Limitation of Cost/Funds or for immediate notification to the government when all funds have been expended prior to work being completed on a task order)
(iv). Business Relations
• list names of all subcontractors approved for use on contract, the effective date of approval, and the type business firm (LB, SB/HBCU/MI, 8(a), SDB, HUBZONE, WOSB, VOSB, or SDVOSB)
(v). Staffing Plan/Key Personnel [NOTE: If applicable, reporting shall be specific to appropriate funding CLIN.]
• utilize Staffing Plan document, CDRL Attachment 1 (Excel workbook) - list all personnel charging to the contract including subcontractors. Data subsets shall include the following but not limited to: Employee and labor hours, Key Personnel, Security clearance if applicable, CAC-SPAWAR facility Badge if applicable, and Training (Privacy Act, IA, etc.). For wholly cost-type, labor-hour service TOs (n/a for wholly FFP), utilize Personnel Listing document, CDRL Attachment 2 (Excel spreadsheet), identify employees charging to the TO by Name or Employee Code, labor category, proposed and actual burdened labor rate (highlight employee's name if actual burdened labor rate exceeds labor rate as specified in the PWS). If an employee coding system is utilized in Attachment 2, the contractor shall provide by separate encrypted e-mail, an Employee Key List that identifies the Employee by name and by employee code to the COR and KO. Note 1: Due to sensitivity of information between prime and subcontractor, subcontractor’s employee names and loaded hourly rates as specified in Attachment 2 can be e-mailed directly to COR and KO. The document file name and e-mail subject line shall conform to the following format: [contract number]_[subcontractor name]_Staffing Plan_[yyyymmdd (end date of reporting period)]. Note 2: Although the staffing plan & personnel listing are TO specific, the COR and OO have the right to review the comprehensive staffing plan and personnel listing for the whole contract at any time.
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2017-05-31T11:07:48-0400
ZIRKLE.WILLIAM.IRVIN.JR.1203115292
2017-05-31T13:16:55-0400
LUTZEN.WAYNE.LOUIS.1145689607
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
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: Test & Evaluation Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: TBD
1_DATA_ITEM_NO: A006
2_TITLE_OF_DATA_ITEM: Task Order Closeout Report
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit:
5_CONTRACT_REFERENCE: PWS Para 5.2.1.2, 11.5
6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: N/A
10_FREQUENCY: 1TIME
11_AS_OF_DATE: EOTO (See BLK 16)
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUENT_SUB: N/A
addressee1: KO draft1:
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16_REMARKS: BLK 11: Reporting period ends at TO completion date.
BLK 12: NLT 30 days after TO completion date BLK 14: COR will perform inspection of report for any discrepancies prior to acceptance.
Unless otherwise directed by 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 TO shall be accountable at the completion of each TO. Property shall be consumed, transferred to an active TO, disposed, or returned to the government. A final TO Inventory list shall be submitted accounting for all 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
(d) Cost Analysis Report –A Cost Analysis shall be required for all CPIF TOs (optional for others) when the final cost deviated (overrun or under run) from the budgeted [target] cost over five percent (5%). At a minimum, the report shall include the following issues:
1. When the final cost underruns the budgeted [target] cost, the report shall explains the innovations used to allow for the cost savings. If analysis reveals task order target cost overestimated and/or unsubstantiated, Contractor has option to request reduction in budgeted [target] cost/fee.
2. When the final cost overruns the budgeted [target] cost, the report shall explain failures leading to cost growth and recommended corrective actions for future similar situations. This report does not alleviate the responsibility of the contractor to notify the PCO and COR upon discovery of any potential situation where the cost will exceed the budgeted [target].
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page:
of_pages:
Reset:
reg38t: 3
2017-05-30T08:38:37-0400
ZIRKLE.WILLIAM.IRVIN.JR.1203115292
2017-05-30T11:00:00-0400
LUTZEN.WAYNE.LOUIS.1145689607
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
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: Test & Evaluation Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: TBD
1_DATA_ITEM_NO: A008
2_TITLE_OF_DATA_ITEM: Invoice Support Documentation
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit:
5_CONTRACT_REFERENCE: PWS Para 5.2.1.4
6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic
7_DID_250_REQ: NO
8_APP_CODE: N/A
DIST_STATEMENT: N/A
10_FREQUENCY: ASREQ
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: ASREQ (See BLK 16)
13_DATE_OF_SUBSEQUENT_SUB: ASREQ
addressee1: COR draft1:
reg1: 1 repro1:
addressee2:
draft2:
reg2:
repro2:
addressee3:
draft3:
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total_draft: 0 total_repro: 0
16_REMARKS: BLK 12: Schedule for submission shall be specified at TO level; supplemental supporting documentation is due to the COR within 24 hours from time of initial request.
Unless otherwise directed by TO, contractor shall provide CDRL document as an electronic copy (.pdf file).
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page:
of_pages:
Reset:
reg38t: 1
2017-05-30T08:39:40-0400
ZIRKLE.WILLIAM.IRVIN.JR.1203115292
2017-05-30T10:56:45-0400
LUTZEN.WAYNE.LOUIS.1145689607
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
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: Test & Evaluation Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: TBD
1_DATA_ITEM_NO: A009
2_TITLE_OF_DATA_ITEM: Limitation Notification & Rationale
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit:
5_CONTRACT_REFERENCE: PWS Para 5.2.1.5
6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic
7_DID_250_REQ: NO
8_APP_CODE: N/A
DIST_STATEMENT: N/A
10_FREQUENCY: ASREQ
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUENT_SUB: ASREQ
addressee1: COR draft1:
reg1: 1 repro1:
addressee2:
draft2:
reg2:
repro2:
addressee3:
draft3:
reg3:
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addressee38:
draft38:
reg38x:
repro38:
total_draft: 0 total_repro: 0
16_REMARKS: 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.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page:
of_pages:
Reset:
reg38t: 1
2017-05-30T08:40:11-0400
ZIRKLE.WILLIAM.IRVIN.JR.1203115292
2017-05-30T11:01:37-0400
LUTZEN.WAYNE.LOUIS.1145689607
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
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: Test & Evaluaiton Range Services
E_CONTRACTPR_NO: N65236-16-R-0005
FCONTRACTOR: TBD
1_DATA_ITEM_NO: A010
2_TITLE_OF_DATA_ITEM: Contract Funds Status Report (CFSR)
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DID DI-MGMT-81468
5_CONTRACT_REFERENCE: PWS Para 5.3
6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: N/A
10_FREQUENCY: MTHLY
11_AS_OF_DATE: O -- See BLK 16
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUEN…
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