DD14231_A005_CSR.pdf

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Attached to
Program Support Services for DARPA's Tactical Technology Office (TTO) Federal contract opportunity
Solicitation number
N65236-16-R-0021
Issued by
Department of the Navy Information Warfare Systems Command

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Other files attached to Program Support Services for DARPA's Tactical Technology Office (TTO), newest first.
File Type Posted
Attachment 2 Capability Reference Matrix.doc DOC document
DD14231_A015_CandS Milestone.pdf PDF
DD14231_A006_TOSR.pdf PDF
DD14231_A010_Invoice Support Documentation.pdf PDF
Attachment 6 Small Business Subcontring Plan Matrix_AMD 0001.xls XLS spreadsheet
DD14231_A016_Contractor Badge List.pdf PDF
DD14231_A003_Inventory Tracking.pdf PDF
Solicitation QAs for Posting.docx DOCX document
Attachment 8 QUALITY ASSURANCE SURVEILLANCE PLAN.docx DOCX document
PRE-SOLICITATION DRAFT PWS.docx DOCX document
N65236-16-R-0021.pdf PDF
DD14231_A009_Manpower QSR.pdf PDF
Attachment 3 Past Performance Questionnaire.doc DOC document
DD14231_A004_Warranty Tracking Rpt.pdf PDF
DD14231_A002_Tech Rpt.pdf PDF
Attachment 10 SCLS Wage Determination 2015-4281 REV5.pdf PDF
N65236-16-R-0021-0001.pdf PDF
Attachment 1A Reference Information Sheet - Summary Data.doc DOC document
DD14231_A011_CFSR.pdf PDF
Attachment 1B Reference Information Sheet - Contract Specific Data.doc DOC document
Attachment 4 Small Business Participation.doc DOC document
Attachment 9 DD254_N65236-16-R-0021.pdf PDF
DD14231_A014_Quality Doc.pdf PDF
Attachment 5A Pricing Model_Prime_REV 20170607.xlsx XLSX spreadsheet
DD14231_A001_PM Rpt.pdf PDF
Attachment 1A Reference Information Sheet - Summary Data.doc DOC document
Attachment 5A Pricing Model_Prime.xlsx XLSX spreadsheet
Attachment 8 QUALITY ASSURANCE SURVEILLANCE PLAN.docx DOCX document
DD14231_A015_CandS Milestone.pdf PDF
Attachment 9 DD254_N65236-16-R-0021.pdf PDF
Solicitation Q&As for Posting.docx DOCX document
DD14231_A014_Quality Doc.pdf PDF
Attachment 7 Resume Format.doc DOC document
DD14231_A009_Manpower QSR.pdf PDF
DD14231_A004_Warranty Tracking Rpt.pdf PDF
Attachment 1B Reference Information Sheet - Contract Specific Data.doc DOC document
DD14231_A006_TOSR.pdf PDF
Attachment 5B Pricing Model_Sub.xlsx XLSX spreadsheet
DD14231_A007_TO Closeout.pdf PDF
Attachment 2 Capability Reference Matrix.doc DOC document
DD14231_A008_CSWF.pdf PDF
DD14231_A003_Inventory Tracking.pdf PDF
DD14231_A013_IPMR.pdf PDF
Attachment 6 Small Business Subcontring Plan Matrix_AMD 0001.xls XLS spreadsheet
AMD 0001 QAs for Posting.docx DOCX document
N65236-16-R-0021-0002.pdf PDF
Attachment 5B Pricing Model_Sub_REV 20170607.xlsx XLSX spreadsheet
Attachment 10 SCLS Wage Determination 2015-4281 REV5.pdf PDF
Solicitation QAs for Posting.docx DOCX document
N65236-16-R-0021-0001.pdf PDF
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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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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 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/yyStaffing 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

0 0 0

0 0 0

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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%

N65236-##-D-####/ TO ####

Period of Performance: mm/dd/yy to mm/dd/yy TO Completion Date: mm/dd/yy Personnel Listing COR: John Doe Engineer COR contact phone #: ###-###-#### File Name: &F

Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. Page &P of &N

Template Instructions - Example

Government Contractor Officer Representative e.g., DMR, GCCS-M 17 characters. No special characters. Enter 4 zero's when no task or delivery exists. Contract Modification Number that added item to contractor's stock as GFP. If was prime contract, enter zero. Contractor holding activity. Geographical location (address) and bldg/bin. Sample: San Diego, CA 92110; Old Town; Bldg 3, Bin 246A. Purchased, constructed, transferred in, loaned, etc. If item is a sub-category of GFE, enter "ST" or "STE" (Speccial Tooling or Special Test Equipment). If not, leave blank. Manufacturer's CAGE Code Part Number, usually found on the nameplate or receiving document. Serial Number, usally found on thenameplate or receiving document. Transaction Date for when item was received or shipped or when it was changed to 'on hand'. Sample: 01/10/2010 Quantity in (e.g., received) Quantitiy - Balance on hand. Quantity Out (e.g., shipped/issued/consumed/ disposed of) Original acquisition or historical cost. On Hand Subtotal $. Equals quantity on hand multiplied by $ value. Cognizance Code. 2-digit alphanumeric code prefixed to the NSN Part of the NSN, Federal Supply Class. Part of the NSN; National Item Identification Number. Noun Name, Description or Nomenclature. Accountable owner. Samples: SSC LANT 41354, PMW160, PMS485 e.g., DD1149, DD1348, receiving report number, purchase order, invoice number. Unit of Measure, Sample: EA For example: active or inactive (retired) staged, stored, in-transit, transferred, excess, awaiting disposal, disposed of. IUID Unique Item Identifier (UII)

COR email PGM Contract # and D.O. # Contract Mod # CTR Name Location ACQ Method ST/STE Mfr CAGE Code Part Number Serial No. Trans Date Qty Rcvd Qty O/H Qty Issued Value$ OH SBTL$ COG FSC NIIN DESCRIPTION SPONSOR Posting Ref UI Status UII john.henry@navy.mil ETVS FA877104D0004V726 0 Northrop Grumman 7040A Troy Hill Dr, Elkridge, MD 21075-7040 Purchased 25512 110023-023 Not Serialized 3/27/13 18 18 0 $1,240.84 $22,335.12 9T 5930 01-408-7577 FOOT SW ASSY, LINEMASTER 23 PMA213 DD1149 EA Active N/A john.henry@navy.mil ETVS FA877104D0004V726 0 Northrop Grumman 7040A Troy Hill Dr, Elkridge, MD 21075-7040 Loaned ST 25512 110666-001 Not Serialized 3/27/13 29 29 0 $3,951.48 $114,592.92 7E 5895 01-478-5179 POTS MODULE ASSY, NON-SPLIT PMA213 DD1149 EA Active N/A john.henry@navy.mil ETVS FA877104D0004V726 0 Northrop Grumman 7040A Troy Hill Dr, Elkridge, MD 21075-7040 Constructed STE 25512 110679-001 Not Serialized 3/27/13 41 41 0 $533.31 $21,865.71 5965 01-478-5202 SPEAKER MODULE ASSY, BEIGE PMA213 DD1149 EA Excess N/A

File name: Contract # and D.O. #_COR_YRMODA

GFP Report Template

COR email PGM Contract # and D.O. # Contract Mod # CTR Name Location ACQ Method ST/STE Mfr CAGE Code Part Number Serial No. Trans Date Qty Rcvd Qty O/H Qty Issued Value$ OH SBTL$ COG FSC NIIN DESCRIPTION SPONSOR Posting Ref UI Status UII

1_DATA_ITEM_NO: A005
2_TITLE_OF_DATA_ITEM: Contract Status Reports (CSR)
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-MGMT-80227/80368 (guidance)
5_CONTRACT_REFERENCE: PWS Para #5.2.1.1
6_REQUIRING_OFFICE:
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: N./A
10_FREQUENCY: MTHLY
11_AS_OF_DATE: See BLK 16
12_DATE_OF_FIRST_SUBMISSI: See BLK 16
13_DATE_OF_SUBSEQUENT_SUB: See BLK 16
addressee1: CRM
draft1:
reg1: 1
repro1:
addressee2: TO COR's
draft2:
reg2: 1
repro2:
addressee3: TTO ADPM
draft3:
reg3: 1
repro3:
addressee4:
draft4:
reg4:
repro4:
addressee5: As reqd, GFP list
draft5:
reg5: 1
repro5:
addressee6: shall be emailed
draft6:
reg6:
repro6:
addressee7: to functional
draft7:
reg7:
repro7:
addressee8: mailbox (address
draft8:
reg8:
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addressee9: provided in
draft9:
reg9:
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addressee10: BLK 16 (a))
draft10:
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total_draft: 0
total_repro: 0
16_REMARKS: NOTE: This CDRL includes Attachment 1 - Staffing Plan and Attachment 2 - Personnel Listing, and Attachment 3 - GFP Template which are templates that contain the minimum data fields to be collected (as applicable) throughout the contract life and updated monthly. Latest version of all Attachments will be provided by the KO. Although there may be some pre-set cell configurations, formulas, and/or links established within the templates, the validity of the information reported to the govt. is ultimately the contractor's responsibility.

BLK 11: Reporting period ends at end of each month

BLK 12: Due at least 30 days after Contract award date and on the 15th of the following month.

BLK 13: Due NLT 15th of each month following the end of each reporting period.

BLK 14: CRM will perform inspection and acceptance and report any discrepancies to KO and contractor. Additional recipients/addressees of CDRL are all COR's identified at TO level and the DARPA/TTO ADPM.

The CSR 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]_[contractor name]_CSR_[yyyymmdd (end date of reporting period)].

Example: N6523613D2000_ABC Acme Inc_CSR_20130430

Any deviations to the information collected, distribution, frequency, and due dates of reporting shall be specified in the PWS. If a contract 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 the monthly CSR.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page: 1
reg38t: 4
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: DARPA/TTO Program Support
E_CONTRACTPR_NO: N65236-16-R-0021
FCONTRACTOR: TBD
16_REMARKS_Continued: (a) Description [NOTE: If applicable, reporting shall be specific to appropriate funding CLIN.]

• Contract Number and Title

• Contract Period of performance

• Current Month Reporting period dates

• List all contract Modifications, date of modification, summary sentence for each modification

• If GFP is applicable (at the basic contract level only), list GFP (use CDRL Attachment 3 - GFP Template) and include electronic copies of any new or revised paperwork (e.g., SGFP form, DD1149, snap shot of WAWF screen, etc.) validating official transfer and acceptance of GFP. Any NMCI assets assigned & used by the contractor outside govt spaces shall be separately listed. File name shall follow the following format: [contract number]_[COR name]_GFP_[yymmdd]. Unless otherwise directed, the GFP report shall also be sent to the following mailbox: SSCLANT_GFP_reporting.FCM@navy.mil NOTE: To avoid duplicate reporting -- for IDIQ contracts, GFP that is TO specific is specified in the TOSR CDRL; TO GFP should not be included in the CSR CDRL.

• List brief summary of contract status – note any basic contract problems and status of previously identified problems from last reporting period

(b) Schedule [NOTE: If applicable, reporting shall be specific to appropriate funding CLIN.]

• List each active TO, the associated PoP, and if it is currently on schedule, ahead of schedule, or behind schedule (with the projected "out of funds" date).

(c) Financial [NOTE: If applicable, reporting shall be specific to appropriate funding CLIN.]

• List all TO awarded, total NTE for each task order (by CLIN), funded amount, costs to date, and funds remaining.

(d) Business Relations

• list names of all subcontractors approved for use on contract, the effective date of approval, pending approval, and the type business firm (LB, SB/HBCU/MI, 8(a), SDB, HUBZONE, WOSB, VOSB, or SDVOSB)

(e) Staffing Plan/Key Personnel [NOTE: If applicable, reporting shall be specific to appropriate funding CLIN.]

• List all key personnel - include labor category, start date, and end date (if applicable). Note: The staffing plan/key personnel information is supplied in the TOSR CDRL; submittal of Attachment 1 and 2 is not required in the CSR CDRL.

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2016-08-04T16:33:22-0400
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2016-08-22T14:10:57-0400
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