CDRL's.doc
DOC document 395 KB Posted
- Attached to
- Personnel Security (PERSEC) Medical Evaluations Federal contract opportunity
- Solicitation number
- N6893615R0031
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| File | Type | Posted |
|---|---|---|
| 15-R-0031_Award_Synopsis.doc | DOC document | |
| Attachment_2_-_Offer_Cost_Spreadsheet_.xls | XLS spreadsheet | |
| 15-R-0031_RFP_Amendment.docx | DOCX document | |
| 15-R-0031_RFP_Solicitation.docx | DOCX document | |
| Past_Performance_Questionnaire.doc | DOC document | |
| Offeror_Cost_Spreadsheet.xls | XLS spreadsheet | |
| QASP.doc | DOC document |
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Text version
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved
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 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 Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| a |
| TDP TM OTHER: MISC |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| PERSEC |
| N68936-15-R-0078 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A001 |
| TECHNICAL REPORT – STUDY/SERVICES |
| Medical Evaluations |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MISC-80508B |
| PWS Para. 3.3.1 |
| NAWCWD Code 740000D |
| 7. DD 250 REQ |
| 9.DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
lt
| see blk 16 |
| see blk 16 |
b. COPIES
| 8. APP CODE |
| see blk 16 |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| Draft |
| Final |
N/A
| N/A |
| see blk 16 |
| Reg |
| Repro |
16. Remarks
Block 4: Contractor format is acceptable as long as DID is used for guidance.
Block 9: Use Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 16 April 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division, Code 740000D, 1 Administration Circle, China Lake, CA 93555-6100.
Blocks 10, 12 & 13: Submit to the Government within two weeks after the employee has been tested Block 14: Submit in an electronic format agreed upon by both Government and Contractor prior to 1st submittal.
See Contract Clause 5252.247-9505, Technical Data and Information for distribution addresses.
| Code 740000D |
| 0 |
| 1 |
| 0 |
| Code 254300D |
| 0 |
| LTR |
| ONLY |
15. TOTAL
| 0 |
| 1 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100 |
| 150416 |
DRRB Chairperson 150416
DD Form 1423-1, 1 Jun 1990
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved
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 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 Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| a |
| TDP TM OTHER: MISC |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| PERSEC |
| N68936-15-R-0078 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A002 |
| TECHNICAL REPORT – STUDY/SERVICES |
| Personnel Roster |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MISC-80508B |
| PWS Para. 3.8 |
| NAWCWD Code 740000D |
| 7. DD 250 REQ |
| 9.DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
lt
| see blk 16 |
| 30 DAC |
b. COPIES
| 8. APP CODE |
| see blk 16 |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| Draft |
| Final |
N/A
| N/A |
| see blk 16 |
| Reg |
| Repro |
16. Remarks
Block 4: Contractor format is acceptable as long as DID is used for guidance.
Block 9: Use Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, 16 April 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division, Code 740000D, 1 Administration Circle, China Lake, CA 93555-6100.
Blocks 10, 12 & 13: Submit updates to the Government roster shall as changes occur and within 24 hours of changes of Key Personnel.
Block 14: Submit in an electronic format agreed upon by both Government and Contractor prior to 1st submittal.
See Contract Clause 5252.247-9505, Technical Data and Information for distribution addresses.
| Code 740000D |
| 0 |
| 1 |
| 0 |
| Code 254300D |
| 0 |
| LTR |
| ONLY |
15. TOTAL
| 0 |
| 1 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100 |
| 150416 |
DRRB Chairperson 150416
DD Form 1423-1, 1 Jun 1990
File details come from the government source that posted it. Updated .