CDRLs.doc

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) FORM APPRVD OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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

A C. Category: TDP ( ) TM( ) Other ( )

D. System/Item

PMD Support E. Contract/PR No.

N68335-15-R-0115

F. Contractor

1. Data Item No.

A001

2. Title of Data Item

Contractor's Report of Work Performed

3. Subtitle

4. Authority (Data ID No.)

DI-MGMT-80227

5. Contract Reference

LKE Requirement

6. Requiring Office

R. Cormack, PTMD, 4.8.8.1, x7475

7. DD 250 REQ

LTR

9. Dist. Statement Req.

10. Frequency

Monthly

12. Date of first submission

30 days after contract award

14. Distribution

8. APPCODE

11. As of Date

30 days ARO

13. Date of Subsequent Submission

1st of every month

16. Remarks

The report shall contain a narrative report of work performed during since the last report (i.e., the prior 30 day period). The report shall separately identify which contract task or CLIN for which the work was performed. In addition, the report shall identify which individual performed the work being reported. The report should be detailed as the purpose of this report is to demonstrate that the amount being charged represents a fair value for the work performed and the services provided.

All deliverables shall conform to Statement of Work requirements

TOTAL

G. Prepared By

/S/ Robert Cormack Robert Cormack H. Date

7/15/2015

I. Approved By

Robert Cormack

J. Date

DD FORM 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE PAGE ( ) OF ( )

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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

B C. Category: TDP ( ) TM( ) Other ( )

D. System/Item

PMD Support E. Contract/PR No.

N68335-15-R-0115 F. Contractor

1. Data Item No.

A002

2. Title of Data Item

Contract Execution Financial Status Report

3. Subtitle

4. Authority (Data ID No.)

DI-FNCL-81208

5. Contract Reference

LKE Requirement

6. Requiring Office

R. Cormack, PTMD, 4.8.8.1, x7475

7. DD 250 REQ

9. Dist. Statement Req.

10. Frequency

Monthly

12. Date of first submission

30 days after contract award

14. Distribution

8. APPCODE

11. As of Date

30 days ARO

13. Date of Subsequent Submission

1st of every month

16. Remarks

The report shall contain a detailed breakdown of the funds received, broken down by task and CLIN, with the total amount shown. This breakdown of shall include the amount being allocated for labor, travel, material, and NMCI costs.

The report shall contain a breakdown of the funds spent for the reporting period (i.e., the time since the last report which should be the prior 30 days). This breakdown of current funds spent shall include the amount being charged for labor, travel, material, and NMCI costs.

An estimate of the date at which the funds and hours will be expended shall be provided. As a minimum, the date at which labor funds will be expended shall be broken down for each task. In addition, if charges are being made for travel, material, and NMCI costs, then an estimated date for the consumption of those authorized funds shall be provided for each category.

The report shall also include a detailed breakdown of the total hours authorized, the hours expended during the current reporting period, the total hours expended, and the hours remaining. This data shall be broken down by task and CLIN. An estimate of the date at which all authorized hours will be expended shall be provided (if applicable).

The report shall include a summary of all funding received/authorized to date, with the date the funds were received/authorized.

G. Prepared By

Robert Cormack H. Date

I. Approved By

Robert Cormack

J. Date

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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 C. Category: TDP ( ) TM( ) Other ( )

D. System/Item

PMD Support E. Contract/PR No.

N68335-15-R-0115 F. Contractor

NDI

1. Data Item No.

A003

2. Title of Data Item

Contract Execution Financial Status Report

3. Subtitle

4. Authority (Data ID No.)

DI-FNCL-81537

5. Contract Reference

LKE Requirement

6. Requiring Office

R. Cormack, PTMD, 4.8.8.1, x7475

7. DD 250 REQ

9. Dist. Statement Req.

10. Frequency

Quarterly

12. Date of first submission

30 days after contract award

14. Distribution

8. APPCODE

11. As of Date

1st CY Quarter ARO

13. Date of Subsequent Submission

1st of every CY Quarter

16. Remarks

The report shall contain a detailed breakdown of the funds received, broken down by task and CLIN, with the total amount shown. This breakdown of shall include the amount being allocated for labor, travel, material, and NMCI costs.

The report shall contain a breakdown of the funds spent for the reporting period. This breakdown of current funds spent shall include the amount being charged for labor, travel, material, and NMCI costs.

An estimate of the date at which the funds and hours will be expended shall be provided. As a minimum, the date at which labor funds will be expended shall be broken down for each task. In addition, if charges are being made for travel, material, and NMCI costs, then an estimated date for the consumption of those authorized funds shall be provided for each category.

The report shall also include a detailed breakdown of the total hours authorized, the hours expended during the current reporting period, the total hours expended, and the hours remaining. This data shall be broken down by task and CLIN. An estimate of the date at which all authorized hours will be expended shall be provided (if applicable).

The report shall include a summary of all funding received/authorized to date, with the date the funds were received/authorized.

G. Prepared By

Robert Cormack H. Date

7/15/2015

I. Approved By

Robert Cormack

J. Date