C1.5 Attachment 5 Mooring CDRLs.docx

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

SCI MOORING

E. CONTRACT/PR NO.

N66001-18-P-XXXX

F. CONTRACTOR

TBD17. PRICE GROUP

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

CONTRACTOR'S PROGRESS, STATUS, AND, MANAGEMENT REPORT

3. SUBTITLE

MONTHLY STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

PWS, para 4.0

6. REQUIRING OFFICE

SPAWARSYSCEN PAC 5642018. ESTIMATED TOTAL PRICE

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

SEE BLK 16

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 4: The MSR shall be submitted electronically and consist of two parts. The first part shall be provided in the Excel format of CDRL Attachment 1 with all cells filled in. The second part shall be provided in Word format and consist of a narrative addressing, at a minimum:

a. Performance Status - Identify significant accomplishments and progress made during the affected reporting period by SOW/PWS paragraph. Also identify significant challenges or risks encountered that impact the successful delivery of required services.

b. Schedule Status - Identify schedule for and status of all deliverables. If the efforts are not on schedule, indicate the reason for the delay and provide a revised completion /delivery date.

c. Financial Status - Identify at a summary level the total amount received to date, planned vs actual burn and Estimate At Completion (EAC) in addition to the reporting requirements identified in Attachment 1. This description does not waive the requirement for formal Limitation of Funds/Cost notifications, when warranted.

d. Personnel Status/Staffing Plan - Identify by name, labor category, labor hours planned for each employee charging to the contract/task order by SOW/PWS paragraph and the actual cumulative total to date per Attachment 1.

e. Travel/ODC Status - Identify any travel accomplished with sufficient detail to support costs listed in Attachment 1. Additionally, provide a detailed description of other direct costs incurred.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only. Other requests shall be referred to: COMMANDING OFFICER SPACE AND NAVAL WARFARE SYSTEMS CENTER PACIFIC CODE 56442 SAN DIEGO CA 92152-5001

BLK 10, 11, 12, and 13: MSR is due the 15th of each month and will include the previous month ending on the last day of the month. It submission should cover the same amount of time (ie 1-30/31 days).

BLK 14: Provide electronic copies via e-mail as follows:

TPOC

COR

CS

G. PREPARED BY

Lisa Constantini

H. DATE

6/5/18

I. APPROVED BY

Todd Pickering

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

SCI MOORING

E. CONTRACT/PR NO.

N66001-18-P-XXXX

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES REPORT

3. SUBTITLE

MOORING LOCATIONS AND DEPTHS LOG

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS, para 4.0

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

ASREQ

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 4: Shall be submitted electronically and created using MS Office applications.

BLK 9: STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only. Other requests shall be referred to: COMMANDING OFFICER SPACE AND NAVAL WARFARE SYSTEMS CENTER PACIFIC CODE 56442 SAN DIEGO CA 92152-5001

BLK 10: Government will notify contractor if presentation material is required. Due date will be established at that time.

TPOC

COR

G. PREPARED BY

Lisa Constantini

H. DATE

6/5/18

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

SCI MOORING

E. CONTRACT/PR NO.

N66001-18-P-XXXX

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES REPORT

3. SUBTITLE

MOORING INSTALLATION CONFIGURATION LOG

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS, para 4.0

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 4: Shall be submitted electronically and created using MS Office applications.

BLK 9: STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only. Other requests shall be referred to: COMMANDING OFFICER SPACE AND NAVAL WARFARE SYSTEMS CENTER PACIFIC CODE 56442 SAN DIEGO CA 92152-5001

BLK 10: Government will notify contractor if presentation material is required. Due date will be established at that time.

TPOC

COR

G. PREPARED BY

Lisa Constantini

H. DATE

6/5/18

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

SCI MOORING

E. CONTRACT/PR NO.

N66001-18-P-XXXX

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

CHAINS AND FITTINGS FOR FLEET MOORING

3. SUBTITLE

PULL TEST REPORT

4. AUTHORITY (Data Acquisition Document No.)

MIL-DTL-18295F

5. CONTRACT REFERENCE

PWS, para 4.0

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK2: Final completion report with summary of work, final locations of any installed hardware and type, video inspection of mooring legs, and pull test data.

BLK 4: Shall be submitted electronically and created using MS Office applications.

BLK 9: STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only. Other requests shall be referred to: COMMANDING OFFICER SPACE AND NAVAL WARFARE SYSTEMS CENTER PACIFIC CODE 56442 SAN DIEGO CA 92152-5001

BLK 10: Government will notify contractor if presentation material is required. Due date will be established at that time.

TPOC

COR

G. PREPARED BY

Lisa Constantini

H. DATE

6/5/18

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

SCI MOORING

E. CONTRACT/PR NO.

N66001-18-P-XXXX

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

CONTRACTOR’S SAFETY PLAN

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-82080

5. CONTRACT REFERENCE

PWS, para 4.0

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 4: Shall be submitted electronically and created using MS Office applications.

BLK 9: STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only. Other requests shall be referred to: COMMANDING OFFICER SPACE AND NAVAL WARFARE SYSTEMS CENTER PACIFIC CODE 56442 SAN DIEGO CA 92152-5001

BLK 10: Government will notify contractor if presentation material is required. Due date will be established at that time.

BLK 14: Provide electronic copies via e-mail as follows:

TPOC - todd.pickering@navy.mil COR - See Clause 5252.201-9201 for COR's e-mail address

TPOC

COR

G. PREPARED BY

Lisa Constantini

H. DATE

6/5/18

I. APPROVED BY

J. DATE