DD14231_A006_TOSR.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_A005_CSR.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
DD14231_A007_TO Closeout.pdf PDF
AMD 0001 QAs for Posting.docx DOCX document
Attachment 5B Pricing Model_Sub_REV 20170607.xlsx XLSX spreadsheet
DD14231_A012_CWBS.pdf PDF
Attachment 7 Resume Format.doc DOC document
DD14231_A013_IPMR.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
Attachment 3 Past Performance Questionnaire.doc DOC document
DD14231_A016_Contractor Badge List.pdf PDF
DD14231_A012_CWBS.pdf PDF
DD14231_A011_CFSR.pdf PDF
N65236-16-R-0021.pdf PDF
Attachment 4 Small Business Participation.doc DOC document
DD14231_A010_Invoice Support Documentation.pdf PDF
DD14231_A002_Tech Rpt.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
DRAFT PWS.docx DOCX document
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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

0 0 0

0 0 0

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0 0 0

0 0 0

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

0 0 0

0 0 0

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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

0 0 0

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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

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: A006
2_TITLE_OF_DATA_ITEM: Task Order (TO) Status Reports
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-MGMT-80227/80347 (guidance)
5_CONTRACT_REFERENCE: See BLK 16
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: TTO ADPM
draft2:
reg2: 1
repro2:
addressee3: DARPA PM
draft3:
reg3: 1
repro3:
addressee4: As reqd, GFP list
draft4:
reg4: 1
repro4:
addressee5: shall be emailed
draft5:
reg5:
repro5:
addressee6: to functional
draft6:
reg6:
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addressee7: mailbox (address
draft7:
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total_draft: 0
total_repro: 0
16_REMARKS: NOTE: The CDRL includes Attachment 1 -- Staffing Plan, Attachment 2 -- Personnel Listing, and Attachment 3 -- GFP 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.#2(a) is Monthly TOSR; PWS Para 5.2.1.2(b) is Weekly TOSR; PWS Para 5.2.1.2(c) is Data Calls; PWS Para 8.1.2; 11.2.5.1

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 (15th 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 15th 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 the monthly TOSR.

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: (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

• If GFP is applicable, 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 contractors outside govt spaces shall be listed separately. File name shall follow the following format: [contract number-TO number]_[COR name]_GFP_[yymmdd]. Unless otherwise directed, the GFP report shall be sent to the following mailbox: SSCLANT_GFP_reporting.FCM@navy.mil

• 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 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

• Identify schedule slippage and problems areas that may affect schedule

• List all CDRL's 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

• List 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 the TO, 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 the Staffing Plan document, CDRL Attachment 1 (Excel workbook) - list all personnel charging to the TO, including subcontractors. Data subsets shall include the following but not limited to: Employee and labor hours, Key Personnel, Security clearance, 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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2016-08-04T16:34:05-0400
STARNES.PRIDE.KEATON.1268511977
2016-08-22T14:07:43-0400
LIVINGSTON.JASON.M.1229881368

File details come from the government source that posted it.