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Other files attached to CVN-73 High Speed Fleet Broadcast (HSFB) Communications Technical Support - INTENDED SOLE SOURCE, newest first.
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3 CDRL A006.pdf PDF
3 PWS REVISED 1.30.18.docx DOCX document
3 CDRL A003.pdf PDF
3 CDRL A005.pdf PDF
3 CDRL A004.pdf PDF
3 CDRL A002.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

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

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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

0 0 0

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

0 0 0

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0 0 0

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

0 0 0

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

GFP Template

COR or Govt. POC Email Joe Doe Engineer/ joseph.engineer@navy.mil

Contract Number N65236-16-D-1234

TO/DO Number N65236-17-F-5678

Contractor Name ABC Company, LLC

Location Unit Acquisition Cost National Stock Number (NSN) Model Number Part Number Mfr CAGE Code Quantity Unit of Measure Serial No. Item Name Item Description Unique Item Number (UII) Acquisition Method Government Furnished Type Contractor Asset ID# Asset Review Date Inventory Cited By

Instructions

Column Name Mandatory, Required or Conditional Instructions

COR or Govt. POC email Required Can use COR email address from PWS, POC listed in GFP Attachment, or block 20 in SF26

Contract Number Required Example: N6523616D4334

Task/Delivery Order Number Conditional Enter old format (e;g; 0002) or new FY16+ format (e.g. N6523617F0002) as appropriate and when the item is assigned at the Delivery Order level.

Contractor Name Required Enter name of prime contractor

Location Required A company, building, storage area, stockroom, warehouse, or storage yard where material and equipment is held and recorded in an accountable system.

Unit Acquisition Cost Required Enter exactly as cited on the GFP Attachment

National Stock Number (NSN) Conditional 13 digits without dashes. Only enter it if it is specified on the GFP Attachment.

Model Number Conditional Only enter it if it is specified on the GFP Attachment.

Part or Identifying Number Conditional Only enter it if it is specified on the GFP Attachment. This field does not exist on the new Consolidated GFP Attachment form but did exist on the old SGFP and RGFP forms.

Part Number Conditional Only enter it if it is specified on the GFP Attachment.

Manufacturer CAGE Conditional Enter only if populated on the GFP Attachment. A 5 digit alphanumeric unique identifier assigned to suppliers to various government or defense agencies, as well as to government agencies themselves and also various organizations.

Quantity Required Enter the actual quantity on-hand for items listed in the Non-Serially Managed Items section of the new Consolidated GFP Attachment form or in the Serialized Items Section of the old SGFP or RGFP Attachnment forms. For items listed in the Serially-Managed Items Section of the new Consolidated GFP Attachment form or in the Serilized Items Section of the old SGFP or RGFP Attachment forms, the quantity must be "1" for all items on-hand since the serial number field must be populated and the UII may be populated.

Unit of Measure Required Enter as shown on the GFP Attachment.

Serial Number Conditional Required if the GFP Attachment identifies the item in the Serialized Items Section of the new Consolidated GFP Attachment form or the Serialized Items Section of the old SGFP or RGFP forms, even if the serial number is not listed on the GFP Attachment (it is an optional field on GFP Attachments. Do not enter a serial number for an item listed in the Non-Serially Managed Items section of the new Consolidated GFP Attachment form or in the Non-Serialized Items section of the old SGFP or RGFP Attachment form, even if there is a serial number on the item.

Item Name Conditional Enter if the field is populated on the GFP Attachment. On the new Consolidated GFP Attachment form, this is a required field. On the old SGFP or RGFP Attachment forms, there was no such field.

Item Description Required Enter exactly as shown on the GFP Attachment.

Unique Item Identifier (UII) Conditional Enter if the item is listed in the Serially-Managed Items section of the new Consolidated GFP Attachment form or in the Serialized Items Section of the old SGFP or RGFP Attachment form and the item has an IUID label with a UII. If a UII exists, it must be specified even if the UII (which is an optional field on the GFP Attachment) is not listed on GFP Attachment.

Government Furnished Type Required Enter GFE (for Government Furnished Equipment), GFM (for Government Furnished Material), ST (for Special Tooling) or STE (for Special Test Equipment). See Definitions tab for definition of these terms, and please ensure items are properly classified even if not properly classified in the PWS.

Contractor Asset ID Number Conditional Enter if assigned. This is the contractor number assigned to the asset while in your custody.

Asset Review Date Conditional Enter date last inventoried if applicable

Inventory Cited By Required Contractor name responsible for the inventory at the contract site.

Definitions

Government Furnished Type Definition and Comments

Government Furnished Material (GFM) GFM is OM&S furnished to a contractor. May be consumed or expended during the performance of the contract, component parts of a higher assembly, or items that lose their individual identity through incorporation into an end-item. Material does not include equipment, special tooling, special test equipment or real property. Note: The intended end user of GFM is the ultimate supported customer, normally the warfighter. An example would be a radio to be installed in a tactical vehicle for the Marine Corps. However, any item that is consumable in nature (such as paper or toner for example) would be GFM regardless of who the intended user is.

Government Furnished Equipment (GFE) GFE is Property, Plant & Equipment (PP&E) furnished to a contractor. A tangible item that is functionally complete for its intended purpose, durable, nonexpendable, and needed for the performance of a contract. Equipment is not intended for sale, and does not ordinarily lose its identity or become a component part of another article when put into use. It is normally returned to the Government in the same form. Equipment does not include material, real property, special test equipment or special tooling. Note: The intended end user of GFE is the contractor, in order to perform a contractual task. An example would be a drill press for performing repair or integration tasks. However, any item that is consumable in nature (such as paper or toner for example) would be GFM regardless of who the intended user is.

Special Tooling (ST) Jigs, dies, fixtures, molds, patterns, taps, gauges, and all components of these items including foundations and similar improvements necessary for installing special test equipment, and which are of such a specialized nature that without substantial modification or alteration their use is limited to the development or production of particular supplies or parts thereof or to the performance of particular services. Special tooling does not include material, special test equipment, real property, equipment, machine tools, or similar capital items. Note: The intended end user of ST is the Contractor in order to perform a contractual task. If the item is a tool but is does not meet the definition of Special Tooling, then it is merely GFE.

Special Test Equipment (STE) Either single or multipurpose integrated test units engineered, designed, fabricated, or modified to accomplish special purpose testing in performing a contract. It consists of items or assemblies of equipment including foundations and similar improvements necessary for installing special test equipment, and standard or general purpose items or components that are interconnected and interdependent so as to become a new functional entity for special testing purposes. Special test equipment does not include material, special tooling, real property, and equipment items used for general testing purposes or property that with relatively minor expense can be made suitable for general purpose use. Note: The intended end user of STE is the Contractor in order to perform a contractual task. If the item is a piece of test equipment but does not meet the definition of Special Test Equipment, then it is merely GFE.

1_DATA_ITEM_NO: A001
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 5.3.1.1 and 8.2.3.1
6_REQUIRING_OFFICE:
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: E
10_FREQUENCY: MTHLY
11_AS_OF_DATE: O -- 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: KO/OO
draft2:
reg2: 1
repro2:
addressee3:
draft3:
reg3:
repro3:
addressee4: As reqd, GFP list
draft4:
reg4: 1
repro4:
addressee5: shall be emailed
draft5:
reg5:
repro5:
addressee6: to functional
draft6:
reg6:
repro6:
addressee7: mailbox (address
draft7:
reg7:
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addressee8: provided in
draft8:
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addressee9: BLK 16 (i))
draft9:
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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/Ordering Officer (OO). 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 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 and contractor. Additional recipients/addressees of CDRL may be identified at contract level, if applicable.

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 (a) monthly CSR.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE: NSP
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page:
reg38t: 3
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: USS George Washington (CVN-73) HSFB Refurbishment Support
E_CONTRACTPR_NO: N65236-##-$-####
FCONTRACTOR: TBD
16_REMARKS_Continued: (a) Performance [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

• list total contract 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 (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.

• for IDIQ contracts, list all TO numbers containing GFP

• list brief summary on contract status – note any basic contract problems, status of previously identified problems from last reporting period; and effort to be completed during next reported period

• for IDIQ contracts, list TO status as pending, on-going (with or without problems), or completed

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

• IAW Cost and Schedule Milestone Plan CDRL, list total percentage of active tasks on schedule, ahead of schedule, and behind schedule; identify meeting milestones & action items; identify schedule slippage & problems areas affecting schedule

• for IDIQ contracts, list each active TO and if it is currently on schedule, ahead of schedule, or behind schedule.

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

• list the contract award amount (Not-to-exceed amount) and any adjustment to that amount by contract modification

• 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 contract ceiling amounts: labor hours, costs, fee, and total NTE

• list estimated total cost to complete; noting shortages or overages (should be explained in the Performance section)

• for IDIQ contracts, list all TO awarded and total NTE for each task and additional funds received by TO Modification number

• applicable for cost reimbursement type contracts only – 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 contract)

(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.]

• 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, 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 contracts (n/a for wholly FFP), utilize Personnel Listing document, CDRL Attachment 2 (Excel spreadsheet) - identify employees charging to the contract/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 threshold 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: For IDIQ contracts, 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 unless specifically required at TO level by COR.

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2017-11-30T13:24:51-0500
SENEY.CLIFTON.CHARLES.JR.1025773639
2018-01-18T19:58:09-0500
TAYLOR.KURT.ERIC.1013459149

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