RFP Exhibit A - CDRLS - DD FORM 1423 A001-A014 & A018-A022.pdf

PDF 2 MB Posted Sep 13, 2019

Attached to: 8(a) Incubator - Programmatic, Engineering and Logistics Support
Solicitation number: N65236-17-R-0002
Issued by: Department of the Navy Information Warfare Systems Command

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Other files

File	Type	Posted
RFP Attachment 3 - Past Performance Questionnaire.pdf	PDF	Sep 13, 2019
8(a) Incubator N65236-17-R-0002 Pre-Solicitation Q&As dtd 3 Dec 2018.pdf	PDF	Sep 13, 2019
RFP N65236-17-R-0002_Final_12_SEP_2019.pdf	PDF	Sep 13, 2019
RFP Attachment 6 - Warranty Tracking Information (WTI) Form.pdf	PDF	Sep 13, 2019
N65236-17-R-0002 Pre-Solicitation Q&A-25 Jan 2019.pdf	PDF	Sep 13, 2019
RFP Attachment 2 - Reference Information Sheet - Summary Data.pdf	PDF	Sep 13, 2019
RFP Attachment 8 - DD-254.pdf	PDF	Sep 13, 2019
RFP Attachment 4 - Prime Pricing Model.xlsx	XLSX spreadsheet	Sep 13, 2019
RFP Attachment 1 - Resume Format.pdf	PDF	Sep 13, 2019
N65236-17-R-0002 Pre-Solicitation Q&A-26 Oct 2018.docx	DOCX document	Sep 13, 2019
RFP Attachment 5 - QASP (Signed).pdf	PDF	Sep 13, 2019
RFP Attachment 9 - Wage Determination (Charleston).pdf	PDF	Sep 13, 2019
RFP Attachment 7 - Warranty Source of Repair Instructions (WSRI) Form.pdf	PDF	Sep 13, 2019
PCO Rev Pre-solicitation notice 17-R-0002.docx	DOCX document	Oct 23, 2018
N65236-17-R-0002 8(a) Incubator Industry Day Slides 26 June 2018.pdf	PDF	Oct 23, 2018
N65236-17-R-0002_8(a)_Incubator_Draft_PWS_dtd_14_June_2018.pdf	PDF	Oct 23, 2018
N65236-17-R-0002 Industry Day Question & Answer Results Revised 18 July 2018.pdf	PDF	Oct 23, 2018
PCO Pre-solicitation notice 17-R-0002 Revision 01.docx	DOCX document	Oct 23, 2018
N65236-17-R-0002 Industry Day Question & Answer Results.pdf	PDF	Oct 23, 2018

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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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A001 Program Management Report, General

DI-MGMT-80227 (guidance) PWS Para 3.1.2, 3.5.1 NIWC Atlantic

N/A N/A

ASREQ

N/A

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 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

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.103341458

Date: 2017.08.31 12:35:17 -04'00'

1 1

CLARK.GARY.BARNES.

1086925156

Digitally signed by

CLARK.GARY.BARNES.1086925156

Date: 2017.07.28 15:26:35 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

ENGR

8(a) Incubator MAC N65236-17-R-0002 TBD

A002 Technical/Analysis Report, General

PWS Para 3.5.2.4, 3.9.1 NIWC Atlantic

N/A N/A

ASREQ

N/A

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 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

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:37:07 -04'00'

1 1

CLARK.GARY.BARNES.

1086925156

Digitally signed by

Date: 2017.07.28 16:57:26 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

ENGR

8(a) Incubator MAC N65236-17-R-0002 TBD

A003 Training Documentation

PWS Para 3.12 NIWC Atlantic

N/A N/A

ASREQ

N/A

See BLK 16

COR 1

0 1 0

Training Documentation includes but not limited to following types of documents:

Training Plans/Procedures, Training Manuals, Training Presentation/Aids, Training Path Systems, Personnel Performance Profiles, training curricula, Training Data Products, etc.

Any formatting requirements shall be specified within the PWS.

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.

NSP

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:35:57 -04'00'

1 1

CLARK.GARY.BARNES.

1086925156

Digitally signed by

Date: 2017.07.28 16:32:06 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A004 Task Order (TO) Status Reports

DI-MGMT-80227/80347 (guidance) See BLK 16

N/A E

See BLK 16

COR 1

Ordering Officer 1

As reqd, GFP list 1 shall be emailed to functional mailbox (address provided in BLK 16 (i))

0 3 0

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 5.3.1.1(a) is Monthly TOSR If specified in PWS, Para 5.3.1.1(b) is Weekly TOSR If specified in PWS, Para 5.3.1.1(c) is Data Calls

BLK 10: As specified in PWS -- 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;

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;

BLK 13: (a) MTHLY, due NLT 10th of each month;

(b) WKLY, due COB Friday of each week;

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 in PWS.

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 in PWS. 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.

NSP

SALLEE.DONALD.WAY

NE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:36:17 -04'00'

1 2

CLARK.GARY.BARN

ES.1086925156

Digitally signed by

CLARK.GARY.BARNES.1086925156

Date: 2017.07.28 16:42:49 -04'00'

NIWC Atlantic

(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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

(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 any specifics items (current and cumulative): travel, other direct cost (ODC), equip/matl (CAP/CFP), and subcontracting

• 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 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 cost (current and cumulative) itemized by company

• list total Travel cost expended (current and cumulative) per company

• list total Material cost 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, type business firm (LB, SB/HBCU/MI, 8 (a), SDB, HUBZONE, WOSB, VOSB, or SDVOSB), and explanation for meeting/not meeting SB participation goals

(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.

2 2

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 [TBD]

A005 Inventory Tracking Report

PWS Para 3.18.1, 10.3.6 NIWC Atlantic

N/A N/A

See BLK 16

N/A

See BLK 16

COR 1

0 1 0

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.

NSP

SALLEE.DONALD.WAY

NE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:40:44 -04'00'

1 1

CLARK.GARY.BARNES.1

086925156

Digitally signed by

Date: 2017.07.31 12:21:35 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A006 Warranty Tracking and Administration for Serialized Items

See BLK 16 PWS Para 3.18.2.1, 3.18.2.2 NIWC Atlantic

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

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.

NSP

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:40:18 -04'00'

1 1

CLARK.GARY.BARN

ES.1086925156

Digitally signed by

Date: 2017.07.31 12:04:22 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 [TBD]

A007 Failure Status Report

PWS Para 3.18.2.2 NIWC Atlantic

N/A N/A

See BLK 16

N/A

See BLK 16

COR 1

0 1 0

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.

NSP

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:40:32 -04'00'

1 1

CLARK.GARY.BARNES.1

086925156

Digitally signed by

Date: 2017.07.31 12:10:42 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A008 Cyber Security Workforce (CSWF) Report

DFAR Clause 252.239-7001 PWS Para 3.23.1, 4.4.3, 8.1.2, 8.2.3.1 NIWC Atlantic

N/A N/A

MTHLY

O -- See BLK 16

See BLK 16

COR 1

CSWF List -- 1 e-mailed to functional mailbox address in BLK 16

0 2 0

NOTE: This CDRL includes Attachment 1 -- CSWF Report, which is a document maintained and delivered monthly that tracks individuals working on contract who are IA/cyber security trained and certified. For the latest version of Attachment 1, contractor shall contact the COR. Although there may be some pre-set cell configuration and/or data lists established within the template, 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/TO award date and on the 10th of the following month.

BLK 13: Due NLT 10th of each month following the end of each reporting period.

BLK 14: COR will perform inspection and acceptance and report any discrepancies to KO, SSC Atlantic CSWF Program Lead, and contractor.

Additional recipients/addressees of CDRL may be identified at TO level.

The CSWF CDRL shall be e-mailed to the following SSC Atlantic functional e-mail box: SSCLANT_CSWF@navy.mil.

The document file name and e-mail subject line shall conform to the following format: [contract number-TO number]_[contractor name]_CSWF_[yyyymmdd (end date of reporting period)].

Example: N6523613D2000-TO 0065_ABC Acme Inc_CSWF_20130430 or

N6523613C1966_XYZ LLC_CSWF_20130430

** During the life of the contract, if the functional e-mail box address changes or is no longer valid, the contractor shall contact SSC Atlantic IAM Office (phone 843.218.6152) for updated report delivery instructions.

Any deviations to the information collected, distribution, frequency and due dates of reporting shall be specified by TO, if applicable.

NSP

SALLEE.DONALD.WAYN

E.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:35:39 -04'00'

1 1

CLARK.GARY.BARNES.

1086925156

Digitally signed by

Date: 2017.07.28 16:25:08 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A009 Contract/Task Order Closeout Report

PWS Para 5.3.1.2, 10.3.9 NIWC Atlantic

N/A N/A

1TIME

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 should reflect conditions at CTR/TO completion date BLK 12: NLT 15 days before CTR/TO completion date BLK 14: COR will perform inspection of report for any discrepancies prior to acceptance. Unless otherwise directed by the PWS, 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) Contract/TO Property – When applicable, all Government Furnished Information (GFI), Government Furnished Property (GFP), and Contractor Acquired Property (CAP) provided on CTR/TO shall be accountable at the completion of each CTR/TO. Property shall be consumed, transferred to an active CTR/TO, disposed, or returned to the government. A final Inventory list shall be submitted accounting for all contract property. For GP, 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 (DCMA)

(d) Cost Analysis Report –A Cost Analysis shall be required for all CPIF CTR/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].

NSP

CLARK.GARY.BARNES.1086925156

Digitally signed by

CLARK.GARY.BARNES.1086925156

Date: 2017.07.31 09:33:05 -04'00'

1 1

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:37:26 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A010 Invoice Support Documentation

PWS Para 5.3.1.4 NIWC Atlantic

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 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).

NSP

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:37:46 -04'00'

1 1

CLARK.GARY.BARNES

.1086925156

Digitally signed by

Date: 2017.07.31 09:39:10 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A011 Limitation Notification & Rationale

PWS Para 5.3.1.5, 5.3.1.6 NIWC Atlantic

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

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:38:02 -04'00'

1 1

CLARK.GARY.BARNES

.1086925156

Digitally signed by

Date: 2017.07.31 09:43:24 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A012 Limitation of Subcontracting Report (LSR)

FAR 52.219-14 (Deviation 2019-O0003) PWS Para 5.3.1.7 NIWC Atlantic

N/A N/A

TRI-MTHLY

O (see BLK 16)

100 DATO

See BLK 16

COR 1

KO/Ordering Officer 1 (See BLK 16)

Office of SB Pgrm 1

(OSBP) SSC LANT

(email to address listed in BLK 16)

0 3 0

The LSR is applicable for contracts/task orders (TO) that have been set aside for small business. For reporting purposes, subcontracting percent is based on amounts paid to subcontractors that are not similarly situated entities. The prime contractor shall provide the following information:

(1) Identify all subcontractors by company name, CAGE code, date subcontractor was approved for use on the basic contract/TO, socioeconomic categories, prime vendor purchase order number for each subcontract, NAICS code assigned to each subcontract, level of subcontracting (i.e., Tier 1, Tier 2, etc.), total subcontract price (listed per sub) proposed at contract award, and, if IDIQ, total subcontract price (listed per sub) proposed at TO award.

(2) Provide the following cumulative costs: total subcontract values invoiced to date; total costs and profit/fee invoiced to date; Percent of Subcontracting = Total subcontract values invoiced “divided by” the total costs and profit/fee invoiced.

(3) For IDIQ contracts, provide the following cumulative costs: total subcontract values invoiced to date; total contract costs and profit/fee invoiced to date; Percent of Subcontracting = Total subcontract values invoiced “divided by” the total contract costs and profit/fee invoiced.

(4) Explanation if percent subcontracting is over 50% at either contract or TO level.

BLK 11: data collection ends last day of 3-month (avg. 90-day) cycle BLK 13: Subsequent submissions due NLT 10 days after the end of the next 3-month period and is an accumulation of the subcontracting efforts to date.

OSBP functional box e-mail address: SSCLANT.OSBP@navy.mil

No specific format requirements exist; the report may be submitted in MS Excel, MS Word, or .pdf. Report shall be submitted electronically to the addressees 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] _LSR_[yyyymmdd (end date of reporting period)].

Example: N6523613D2000-TO 0065_ABC Acme Inc_LSR_20130430

NSP

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.103341458

Date: 2017.08.31 12:38:25 -04'00'

1 1

CLARK.GARY.BAR

NES.1086925156

Digitally signed by

Date: 2017.07.31 09:49:19 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A013 Cost and Schedule Milestone Plan

PWS Para 5.4 NIWC Atlantic

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 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 TO, contractor shall provide CDRL document as an electronic transmission.

NSP

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.103341458

Date: 2017.08.31 12:38:41 -04'00'

1 1

CLARK.GARY.BARN

ES.1086925156

Digitally signed by

Date: 2017.07.31 09:52:59 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A014 Contractor CPARS Draft Approval Document (CDAD) Report

PWS Para 5.4 NIWC Atlantic

N/A N/A

MTHLY

O (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 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 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 TO level.

NSP

SALLEE.DONALD.WA

YNE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.103341458

Date: 2017.08.31 12:36:45 -04'00'

1 1

CLARK.GARY.BAR

NES.1086925156

Digitally signed by

Date: 2017.07.28 16:46:28 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

MGMT

8(a) Incubator MAC N65236-17-R-0002 TBD

A018 Quality Documentation

PWS Para 7.1, 7.4 NIWC Atlantic

N/A N/A

ASREQ (See BLK 16)

N/A

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 TO

BLK 12: As required by TO

BLK: 13: As required by TO - subsequent submission may be due

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, contractor shall provide CDRL document as an electronic transmission.

NSP

SALLEE.DONALD.WAY

NE.JR.1033414583

Digitally signed by

SALLEE.DONALD.WAYNE.JR.1033414583

Date: 2017.08.31 12:40:00 -04'00'

1 1

CLARK.GARY.BARN

ES.1086925156

Digitally signed by

Date: 2017.07.31 11:42:57 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE…

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