Attachment_5_-_Conformed_Attachment_J.2_-_CDRLs_A002-A008.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

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

Page of Pages

X005 Attachment XX

SP3300-15-R-5006

A002 Monthly Cost Report for CLINs X002 Material Support Costs

N/A Section B and G DLA Distribution J-7

XX

B

Monthly

N/A

See Block 16

See Block 16 J-7 Contract Spec 1

COR 1

0 1 1

Tailored to permit contractor's format. Submit electronically

IAW Section G-5 - Invoicing Instructions - submitted not later than the seventh (7th) working day of each month covering the previous months charges inclusive of all final subcontractor billings for the prior month.

For CLIN X002 - Material Support Costs for CLINs X001 and X004:

Provide data for the following cost elements:

1) Item Description

2) Cost

3) Material handling or G&A Rate ____%

4) Total Material Costs

Block 7 - XX - Inspection and acceptance requirements The COR will be responsible to indicate the date received and the date accepted, and the process within five (5) working days

Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist

Block I - Approved By - Signature of Government official accepting the Contractor's reporting requirements of this CDRL will be the COR.

1 1

FLICK.CLIFFORD.C.1

032268311

Digitally signed by FLICK.CLIFFORD.C.1032268311 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=FLICK.CLIFFORD.C.1032268311 Date: 2015.05.07 14:35:41 -04'00'

POWERS.CULLEN.MA

RTIN.1093893227

Digitally signed by

POWERS.CULLEN.MARTIN.1093893227

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=POWERS.CULLEN.MARTIN.1093893227 Date: 2015.05.07 14:05:15 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

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

Page of Pages

X005 Attachment XX

SP3300-15-R-5006

A003 Monthly Cost Report for CLINs X003 Travel/Training Conferences

N/A Section B and G DLA Distribution J-7

XX

B

Monthly

N/A

See Block 16

See Block 16 J-7 Contract Spec 1

COR 1

0 1 1

Tailored to permit contractor's format. Submit electronically

IAW Section G-5 - Invoicing Instructions - submitted not later than the seventh (7th) working day of each month covering the previous months charges inclusive of all final subcontractor billings for the prior month previously approved attendance for travel, training and conferences by the KO.

For CLIN X006 - Travel/Training Conferences:

Provide data for the following cost elements:

1) Item Description

2) Cost

a) Per Diem Cost

b) Travel Cost

c) Registration or Conference Fees or Training Cost

3) Material handling or G&A Rate ____%

4) Total Travel?Training?conference Costs

Block 7 - XX - Inspection and acceptance requirements The COR will be responsible to indicate the date received and the date accepted, and the process within five (5) working days

Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist

Block I - Approved By - Signature of Government official accepting the Contractor's reporting requirements of this CDRL will be the COR.

1 1

FLICK.CLIFFORD.C.1

032268311

Digitally signed by FLICK.CLIFFORD.C.1032268311 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=FLICK.CLIFFORD.C.1032268311 Date: 2015.05.07 14:36:13 -04'00'

POWERS.CULLEN.MA

RTIN.1093893227

Digitally signed by

POWERS.CULLEN.MARTIN.1093893227

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.05.07 14:06:02 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

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

Page of Pages

X005 A

SP3300-15-R-5006

A004 Monthly Cost Report for CPFF CLIN Labor CLIN

N/A Section G, Paragraph G-4 DLA Distribution J-7

See Block 16

B

Monthly

N/A

See Block16

See Block 16 J-7 Contract Spec 1

COR 1

0 1 1

Tailored to permit contractor's format inclusive of all requirements below.

IAW Section G-4 - Invoicing Instructions - submitted not later than the fifth (5th) working day of each month covering the previous month's charges inclusive of all final subcontractor billings for the prior month.

For CLIN CPFF - Provide data for the following cost elements:

1) Labor; 2) Subcontracts; 3) All Overheads, including G&A ____%; 4) Profit/Fee

For the cost elements above, provide the following measurements on a monthly basis and on a cumulative basis:

1) Budget; 2) Actual Cost; 3) Incurred Cost; 4) Actual Cost of Work Performed (Actual + Incurred); 5) Variance (Budget – Actual)

For the cost elements above, provide the following measurements “At Completion”:

1) Revised Budget at Completion; 2) Revised Estimate at Completion; 3) Revised Variance

Compare Revised Estimate at Completion to Contract Value and provide Variance.

Provide a graphical representation of the above data.

For work the Government provided an Internal Order Number (ION) provide the following by ION:

1) UIC/RIC; 2) Total Labor Hours for the Month; 3) Total Labor Costs for the Month

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A004.

Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist.

6 Mar 13 3/6/2013

1 1

RAINFORD.JENNIFER.K.12

29019640

Digitally signed by RAINFORD.JENNIFER.K.1229019640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=RAINFORD.JENNIFER.K.1229019640 Date: 2013.03.06 11:24:17 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=SNAVELY-HOWE.ROSE.M.1228965037 Date: 2013.03.06 14:47:46 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X005 A

SP3300-15-R-5006

A005 Contractor Provided Equipment Report Equipment Utilization Report

N/A Attachment J1, Paragraph C-4 DLA Distribution J-7

See Block 16 See Block 16

N/A

See Block 16

See Block 16 J-7 Contract Spec 1

COR 1

0 1 1

Tailored to permit contractor's format. Submit electronically.

By the 20th day of each month for the previous month, submit a utilization report for all leased equipment that includes:

1. Type of Equipment

2. Serial Number or VIN of Equipment

3. Meter or Odometer Reading (Note: equipment without meters or odometer readings are exempt from reporting).

4. Rationale for being under the utilization goal.

5. Location of Equipment

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A005.

Block 14 - Distribution - Contractor to submit electronically to the COR and copy to the Contract Specialist.

1 1

POWERS.CULLEN.MA

RTIN.1093893227

Digitally signed by

POWERS.CULLEN.MARTIN.1093893227

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=POWERS.CULLEN.MARTIN.1093893227 Date: 2015.05.07 14:07:10 -04'00'

FLICK.CLIFFORD.C.10322

68311

Digitally signed by FLICK.CLIFFORD.C.1032268311 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=FLICK.CLIFFORD.C.1032268311 Date: 2015.05.07 14:37:45 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

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

Page of Pages

X005 Attachment

SP3300-15-R-5006

A006 Monthly Shelf Life Action Report

N/A PWS Paragraph 5.3 DLA Distribution

See Block 16

B

See Block 16

N/A

See Block 16

See Block 16 J-7 Contract Spec 1

COR 1

0 1 1

Tailored to permit contractor's format. Submit electronically

1) Workload will be provided by the Government via a monthly shelf life action report. The report will provide specific direction regarding disposal, shelf-life extension (Type II), or (when applicable) or transporting the HM to NNSY laboratory located in building 184 for testing for potential extension.

2) The Contractor shall complete and annotate actions taken on the report within 15 calendar days of receipt.

Block 7 - XX - Inspection and acceptance requirements The COR will be responsible to indicate the date received and the date accepted, and the process within five (5) working days

Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist

Block I - Approved By - Signature of Government official accepting the Contractor's reporting requirements of this CDRL will be the COR.

1 1

FLICK.CLIFFORD.C.1

032268311

Digitally signed by FLICK.CLIFFORD.C.1032268311 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=FLICK.CLIFFORD.C.1032268311 Date: 2015.05.07 14:38:16 -04'00'

POWERS.CULLEN.M

ARTIN.1093893227

Digitally signed by

POWERS.CULLEN.MARTIN.1093893227

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.05.07 14:08:22 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

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

Page of Pages

X005 Attachmnet XX

SP3300-15-R-5006

A007 Quality Control Plan

N/A PWS Paragraph 5.1.6

See Block 16 See Block 16 See Block 16

See Block 16 J-7 Contract Spec

COR

0 0 0

Tailored to permit Contractor's format. Submit electronically.

Submit a final site specific QCP not later than 30 calendar days after the start of full performance that details the Contractor's process for a quality system that is a prevention-based outlook and an approach to customer satisfaction that is proactive to meeting the objectives throughout all areas performance IAW paragraph 5.1.6.

The Contractor's QCP shall be maintained throughout the life of the contract and shall include the Contractor's procedures to routinely evaluate the effectiveness of the plan to ensure the Contractor is meeting the performance standards and requirements of the contract. Subsequent submissions shall be submitted when the Contractor updates or revises the QCP within 30 calendar days of the change.

Block 7 - Inspection and acceptance requirements:

The KO will review and accept the QCP and updates after coordination with the COR review and comments. The accepted plan and subsequent revisions will be incorporated into the contract by modifications.

Block 14 - Distribution - Contractor to submit original to Contract Specialist and copy to the COR.

See C-5.3 Quality Control Plan for required tasks.

1 1

POWERS.CULLEN.M

ARTIN.1093893227

Digitally signed by

POWERS.CULLEN.MARTIN.1093893227

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=POWERS.CULLEN.MARTIN.1093893227 Date: 2015.05.07 14:09:00 -04'00'

FLICK.CLIFFORD.C.1

032268311

Digitally signed by FLICK.CLIFFORD.C.1032268311 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.05.07 14:38:41 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

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

Page of Pages

X005 Attachment

SP3300-15-R-5006

A008 Monthly Contractor Employee Common Access Card (CAC) Report

N/A DLA Distribution J-7

See Block 16 See Block 16 See Block 16

See Block 16 J-7 Contract Spec 1

COR 1

0 1 1

Tailored to permit contractor's format. Submit electronically.

The Contractor employee CAC report shall be submitted NLT the fifth (5th) working day of each month covering the previous month.

The report shall be prepared IAW TE 1.2 and shall include:

1.) Employee's name 2.) Date of CAC issuance 3.) Date of CAC expiration 4.) Verification of whether each listed employee still requires a CAC 5.) Changes that have occurred (additions or deletions) since the previous month 6.) Contractor employees who already have a CAC related to another DLA or DoD contract shall be included, noting the issuing organization and the CAC expiration date

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A029.

Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist.

1 1

POWERS.CULLEN.M

ARTIN.1093893227

Digitally signed by

POWERS.CULLEN.MARTIN.1093893227

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=POWERS.CULLEN.MARTIN.1093893227 Date: 2015.05.07 14:09:22 -04'00'

FLICK.CLIFFORD.C.1

032268311

Digitally signed by FLICK.CLIFFORD.C.1032268311 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.05.07 14:39:05 -04'00'