Attachment 5 - CDRL.doc

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.

All Data Items

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER _X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

N66001-19-Q-0083

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contractor's Progress, Status and Management Report

3. SUBTITLE

Monthly Status Report (MSR)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

PWS Para 3.0

6. REQUIRING OFFICE

NIWC Pacific 83320

7. DD 250 REQ

9. DIST

STATEMENT

N/A

10. FREQUENCY

Monthly

12. DATE OF 1ST SUBMISSION

See Block 11

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

15th day of following period

13. DATE OF SUBSEQUENT SUBMISSION

See Block 11

16. REMARKS

BLOCK 4: The MSR shall be submitted electronically and consist of three parts. The first two parts shall be provided in the Excel format of CDRL Attachment 1 and 2 with all cells filled in. The third 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 and by SOW/PWS paragraph the total amount planned by appropriation, total amount received to date by appropriation, planned vs actual burn rate by appropriation and Estimate At Completion (EAC). In addition to the reporting requirements identified in Attachment 1, identify any travel accomplished with sufficient detail to support costs and provide a detailed description of the ODC’s authorized at time of award and ODC costs incurred to date. This description does not waive the requirement for formal Limitation of Funds/Cost notifications, when warranted.

d. Personnel Status/Staffing Plan – Identify labor hours planned for each employee charging to the contract by SOW/PWS paragraph, the actual cumulative total to date, CAC and training status per Attachment 1. Identify by Employee Code, labor category, fully burdened labor rate per Attachment 2. This requirement applies to the Prime and any sub- contractors supporting this effort. Subcontractors may provide the information directly to the Contracting Officer and COR.

BLOCK 12 & 13: The Contractor shall deliver the initial monthly report 45 DACA. Subsequent submissions due no later than 15 days after the end of the prior month. No Government response to the Report within 30 days of submission constitutes approval.

BLOCK 14: Data shall be submitted in electronic format (e.g. .pdf) Code 83520: TBD Code 22710: TBD Code 22710: TBD

COR CODE 83520

Contracting Officer

Contract Specialist

G. PREPARED BY

Code 22710

H. DATE

07/03/2019

I. APPROVED BY

J. DATE

17. PRCE GROUP

18. ESTIMATED TOTAL PRICE