CDRLs.pdf

Exhibit “A”

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A TDP TM OTHER X

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Fitness Center 1300768889

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 TECHNICAL REPORT - STUDY/SERVICES

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.1.1.1, 4.1.2.1,

4.1.2.2,4.1.2.3, 4.2.3.3, 4.3.1.2, 4.3.1.3

NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED MTHLY See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A 0 See Block 16 Reg Repro

16. REMARKS COR 0 1 0

Block 3 Subtitles 4.3.1 and 4.3.2 USAGE and COMPARISON REPORTS 4.3.1 and 4.3.2 Maintenance and Repair Reports, Maintenance Issues Reports, and 4.1.7 Management Reports,

4.3.1.2 Fitness Assessment results, 4.3.1.3 Fitness program

charts

Block 9: See attached Block 16 Addendum

Blocks 10/11/12/13: 12 submissions for each subtitle.

Submit reports 5 days after end of each month.

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 TECHNICAL REPORT - STUDY/SERVICES See Block 16

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.3.4.2 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A

N/A See Block 16 Reg Repro

16. REMARKS COR 0 1 0

Block 3 – Lecture and Educational Seminar materials and NUWWDIVNPT Events handout materials.

Block 9: See attached Block 16 Addendum Block 10/12/13: Contractor shall submit draft seminar and event handouts 30 days prior to the event or seminar identified in GFI. Government will review and comment within 20 days. Final documents due at event.

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

MELINDA JORDAN

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 3 Pages

Public reporting burden for this collection of information is estimated to average 220 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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Fitness Center 1300768889

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 TECHNICAL REPORT - STUDY/SERVICES First Aid Emergency Responder

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.2.7.1 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

Block 9: See attached Block 16 Addendum

Blocks 10/12: Estimated 12 submissions. Submit via e-mail same day injury occurs (within one hour after phone call)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A004 TECHNICAL REPORT - STUDY/SERVICES See Block 16

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.1.2.5, 4.2.6.2 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A See Block 16 Reg Repro

16 REMARKS COR 0 1 0

Block 3 Subtitles

4.2.6 Posters and Motivational Material

4.1.2.5 Quarterly Newsletter

Block 9 – See Block 16 Addendum Block 10/12/13: Contractor shall submit draft for each subtitle 30 days prior to the beginning of each quarter.

Government will review and comment within 10 days, Contractor shall submit final within 20 days. (Quarter beginning) 15. TOTAL

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 3 Pages

Public reporting burden for this collection of information is estimated to average 220 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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Fitness Center 1300768889

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A005 TECHNICAL REPORT - STUDY/SERVICES GROUP EXERCISE SCHEDULE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.1.2.4, 4.3.2.2 NUWCDIVNPT Code 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A N/A See Block 16 Reg Repro

Block 9: See attached Block 16 Addendum Blocks 10/12/13: Estimated 12 submissions. Contractor shall submit draft schedules 30 days prior to first class.

Government will review and comment within 20 days, Contractor shall submit final within 5 days after Government review.

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

17. PRICE GROUP

A006 TECHNICAL REPORT – STUDY/SERVICES Recommendations to improve Open House function

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW 4.3.6.1 NUWCDIVNPT CODE 10 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED 1 TIME See Block 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16 REMARKS

COR 0 1 0

Block 9 – See Block 16 Addendum

Block 10/12 – Submit 30 days prior to Open House event

15. TOTAL

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 3 of 3 Pages

DD FORM 1423

BLOCK 16 ADDENDUM

PR 1300597575

BLOCK 9: The following information is specifically included in amplification of the Block 9 Distribution Statement shown on each DD FORM 1423.

CDRL A001 through A006

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

BLOCK 9:

Distribution Statement B: Distribution to US Government agencies only; Administrative and Operational Use (date data generated). Other requests for this document shall be referred to NUWCDIVNPT Code 10

The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION STATEMENTS identified in all CDRL Items.

WARNING - This document contains technical data whose export is Restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.