Attachment_J.5_-_CDRLs.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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0001 A

SP3300-18-R-5000

A001 Transition Period Plan and Weekly Reports

N/A J1 - PWS C-1.7 DLA Distribution J-7

See Block 16

C

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 IAW Section L. Submit electronically.

Transition Plan prepared IAW PWS C-1.7, Transition plan and Section L- Section 2 Management, Operations, and Staffing and Organizational Approach. Transition Plan submitted with proposal by proposal submission due date IAW Section L, Communications Between the Government and Offerors.

The Plan of Action and Milestones (POAM) of the Transition Plan shall be updated to provide the actual dates of phase-in and submitted to the KO NLT 5 working days after Contract Award.

Weekly Reports: Submit a written report on the status of the requirements outlined in the Transition Plan and POAM updated to show progress and completions of tasks. Weekly Report due every Monday at 1200 for the preceding week.

Final Transition Report: Submit a final written report that addresses completion of all tasks required under the Transition Plan 5 working days prior to the conclusion of the Transition period.

Block 7 - Inspection and acceptance requirements:

1. Transition Plan evaluated during source selection and is incorporated into the contract upon award.

2. POAM updates and weekly reports throughout the Transition period and reviewed and accepted by the Contract Specialist.

3. Final Phase-In report reviewed and accepted by the KO.

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

1 1

NEWBORN.ROBER

T.E.III.1160847944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.13 15:42:16 -04'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.04.16 09:32:37 -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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X004 A

SP3300-18-R-5000

A002 Safety and Occupational Health (SOH) and Reporting SOH Plan and Reporting

J1 - PWS C-1.5 DLA Distribution J-7

See Block 16

C

XTime

N/A

See block 16

See block 16 J-7 1

COR 1

0 1 1

Tailored to permit contractor's format. Submit electronically.

A. SOH program plan shall be submitted NLT 30 days prior to the start of full performance for the first submission. Changes to the SOH Plan that address the Contractor’s approach to conform to applicable Safety and Occupational Health Standards shall be submitted within 30 calendar days of the change. The SOH Plan shall address the Contractor’s approach:

1. Developing and implementing systems to effectively identify, evaluate, prevent, and control occupational hazards to prevent employee injuries and illnesses through: management leadership and employee involvement; worksite analysis;

hazard prevention and control; and safety and health training.

2. For the Safety and Occupational Health Representative(s) to perform safety and occupational health management, surveillance, inspections, and safety program enforcement and how integrated into the Contractor's Quality Control Plan (QCP)

3. To establish a Hazard Reporting Program

4. Conforming to the SOH standards consistent with the most stringent of applicable Federal, State, local regulations, Navy, and the DLA Distribution Occupational Safety and Health Instruction.

5. To use ESAMS

B. On a quarterly basis (date to be provided by the COR), the contractor shall provide the following data for the previous three (3) month period:

1. Date OSHA 300 Log Posted

2. Date the Abatement log was last reviewed

3. Date of Last Annual Self Assessment

4. Date of Last Quarterly Council Meeting

5. Date of Last Quarterly Supervisor Inspection

6. TCIR

7. DART

8. Percent of Hazards identified in ESAMs by the Contractor w/ Interim Controls

Block 7 - Inspection and acceptance requirements:

The Contract Specialist will review and accept the SOH plans and updates after coordination with the COR and Installation Support Safety Office review and comments. The COR will review and accept the quarterly information.

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

1 1

NEWBORN.ROBERT.

E.III.1160847944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.13 15:43:01 -04'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

Date: 2018.04.16 09:33:33 -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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X004 A

SP3300-18-R-5000

A003 Electrostatic Discharge (ESD) Control Program

J.1 Paragraph C-1.6 DLA Distribution J-7

See Block 16

B

See Block 16

N/A

See Block 16

See Block 16 J7 Contract Spce 1

COR 1

0 1 1

Tailored to permit contractor's format. Submit electronically

Submit NLT 30 days prior to the start of full performance, an ESD Control Program document that details the Contractor's process to ensure all regulatory requirements are followed; ensure all personnel who handle and process ESDS material are fully trained; and coordination of any audits that may be performed by other government agencies, manufacturers and users of ESDS material.

The ESD Program shall address the Contractor’s approach to conform to MIL-STD 1686, Electrostatic Discharge Control Program for Protection of Electrical and Electronic Parts, Assemblies and Equipment (Excluding Electrically Initiated Explosive Devices) and requirements addressed in C-1.6.

Updates or revisions to the contractors plan that address the process for ensuring all regulatory requirements are followed shall be submitted within 30 calendar days of the change.

Block 7 - Inspection and acceptance requirements:

The KO will review and accept the ESD Program and updates after coordination with J-4 Policy & Procedures and J-3 Depot Operations review and comments.

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

1 1

NEWBORN.ROBERT.E

.III.1160847944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.13 15:44:02 -04'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

Date: 2018.04.16 09:34:17 -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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X004 J.1

SP3300-18-R-5000

A004 Quality Control Plan (QCP)

Attachment J.1, Paragraph 5.1.4 DLA Distribution J-7

See Block 16

B

See Block 16

N/A

See Block 16

See Block 16 QCP & Revisions:

J-7 Contract Spec 1

COR 1

Monthly QC Report:

J-7 Contract Spec 1

COR 1

Nonconfoming QC Inspection Results:

J-7 Contract Spec 1

COR 1

0 3

Submit electronically.

Submit a final site specific QCP not later than 45 calendar days prior to the end of phase-in that details the Contractor's process for a quality system that is prevention based outlook and an approach to customer satisfaction that is proactive to meeting the objectives through all areas of performance IAW C-5.1.4. The Contractor's QCP shall be maintained through the life of the contract and shall include the Contractor's processes to routinely evaluate the effectiveness of the plan to ensure the Contractor is meeting the performance standards and requirements of the contract. Subsequent submission shall be submitted with the Contractor updates or revised QCP within 30 calendar days of the change.

See page two for QCP requirements.

Submit Monthly NLT 5 working days after the end of the month a QC Report detailing:

1. Conforming vs Non-conforming QC Inspection Results (see Attachment 2)

2. A copy of all QC Corrective Action Plans and status of implementation and maintenance to mitigate future occurrences of same non-conforming (See Attachment 2).

Additionally, copies of all completed non-conforming QC inspections reports with QC Corrective Action Plans using the format at Attachment 2 are to be submitted within 2 working days for critical significance level and 7 working days for major significance level to the addressees in Block 14.

Block 7 - Inspection and acceptance requirements:

The KO will review and accept the QCP and updates after coordination with the COR and Contract Specialist. The accepted plan and subsequent revisions will be incorporated into the contract by modification. The COR will review and accept the monthly QC Report.

1 1

NEWBORN.ROBERT.E.III.116

0847944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.17 09:50:59 -04'00'

FLICK.CLIFFORD.C.1032268

Digitally signed by

FLICK.CLIFFORD.C.1032268311

Date: 2018.05.21 12:41:01 -04'00'

Attachment 2

Contractor Letterhead

DATE

MEMORANDUM FOR CONTRACT SPECIALIST

FROM:

SUBJECT: CDRL A004 QC Report (Month Year)

1. IAW CDRL A004, Quality Control Plan, the following data elements are provided for Month Year.

a. Scheduled vs Completed QC Inspections:

Scheduled QC Inspections:

Completed Inspections:

Explanation for QC Inspections Not Completed:

b. Conforming vs Non-Conforming QC Inspections:

Number of Conforming QC Inspections:

Number Non-Conforming QC Inspections:

c. Corrective and Preventive Action Request (CPAR)

List CPARs attached (Functional Area/Significance) and attach as to cover letter

2. Contact information.

Signature cc: COR

Attachments:

CPARs

Attachment

DD Form 1423-1, FEB 2001 Page 2 of 2

CDRL A004, Quality Control Plan (QCP)

The Contractor’s quality control plan shall outline the tasks performed by the Contractor to sustain or improve quality or work and ensure work meets contract requirements.

The Contractor shall include in the plan:

A. Quality Control:

1) Details of surveillance methods to be used.

2) Assigned significance levels for each QC inspection.

3) Identification of the frequency of QC inspections and the process used to determine the most appropriate frequency.

4) Lot and sample size determinations.

5) Criteria for determining conforming vs. non-conforming results.

6) Documentation requirements.

7) How corrective action will be developed, implemented

8) and monitored to correct non-conformances and mitigate future non-conforming outcomes for all QC checklist questions assigned a significance level of critical or major.

9) Preventive action plans to reduce future nonconformance.

10) Lines of communication with QC results will be provided to the

11) Government within 24 hours of completing a QC inspection.

12) Methodology for monitoring and determining trends that may impact

13) APL performance.

14) Roles and Responsibilities and Lines of Authority for the QC Program.

Attachments:

Attachment 1: Monthly QC Report Format Attachment 2: Sample Corrective and Preventive Action Request (CPAR)

Defense Distribution Center…………………….

Corrective and Preventive Action Request (CPAR) Form

Corrective Action Preventive Action

Surveillance Report No.

Quality Control Evaluator Surveillance Date Significance

Requested as a result of Scheduled QC Check Management Request External Audit Finding

Prior Nonconformance Internal Audit Finding Customer Advisor

Problem Description:

Identified Root Cause:

Corrective/ Preventive Actions:

Supervisor Signature Implementation Date:

QC Follow up Date:

All Corrective/Preventive Actions IMPLEMETED: Yes No If NO, please explain below:

All Corrective/Preventive Actions EFFECTIVE: Yes No If NO, please explain below:

QC Signature: Date:

Surveillance Report No.

DLA Distribution Corrective Action Plan (CAP) Form

For Official Use Only (FOUO)

Surveillance Data

Problem Definition, Analysis, & Corrective/Preventive Actions

Surveillance Date

Quality Specialist Significance Level

Corrective Action Preventive Action

Requested as a result of:

Test/Problem Description:

Root Cause Analysis:

Corrective/ Preventive

Actions/ECD:

Functional Area

Corrective Action Plan Form (March 2014)DLA Distribution

Key/Internal Control #: (if applicable)

Re-Test

PCM or Process Area

Roles & Responsibilities:

Dependencies - List any dependencies for achieving compliance (i.e. DSS change, project approval, etc.)

Site

Follow-Up/Re-Test All Corrective/Preventative Actions IMPLEMENTED ?

All Corrective/Preventative Actions EFFECTIVE ?

Date

No - Explain BelowYes

Yes No - Explain Below

Corrective Action Plan Form (March 2014)DLA Distribution

Supervisor / Action Officer Implementation Date

Problem Definition, Analysis, & Corrective/Preventive Actions (Continued)

Evidential Matter (EM) to Substantiate Closure: (Attach all EM to the e-mail when sending this form)

(For Internal Government Use Only)

Reviewed By J3

Comments

CAP ID #

Quality Specialist

Accepted by COR

(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

X004 A

SP3300-18-R-5000

A005 Monthly Contractor Employee Common Access Card (CAC) Report

N/A J.1 PWS C-1.4.2 DLA Distribution J-7

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.

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 A005.

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

1 1

NEWBORN.ROBERT.

E.III.1160847944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.13 15:45:14 -04'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

Date: 2018.04.16 09:39:31 -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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X004 A

SP3300-18-R-5000

A006 Wood Packaging Material

N/A Attachment J.1, Paragraph C-5.4.3 DLA Distribution J-7

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

Submit electronically tailored to contractor's format. Reference DoD 4140.65-M Issue, Use, and Disposal of Wood Packaging Material (WPM).

The following data elements required for the WPM verification:

1) Lumber receipts

2) Lumber used

3) Lumber NSN

4) Date of fabrication

Block 7 - Inspection and acceptance requirements:

The COR will review and provide acceptance after review and comments.

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

1 1

NEWBORN.ROBERT.E.II

I.1160847944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.13 15:48:39 -04'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

Date: 2018.04.16 09:41:13 -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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X004 A

SP3300-18-R-5000

A007 Training Report

N/A Attachment J.1, PWS DLA Distribution J-7

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.

Submit the information identified in the table on page 2 on a monthly basis.

Notify the KO or designee within 15 working days when employees change job roles, when employees are no longer employed under the contract and when new personnel are hired.

Submit the data in Attachment 1 for all employees NLT 30 days prior to the end of Phase-In and within 15 days after Phase-In for changes, additions or deletions.

Block 7: Inspection and acceptance requirements:

The COR will review and provide acceptance after review and comments.

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

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

1 1

NEWBORN.ROBERT.E.III.1160847

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.17 10:07:51 -04'00'

FLICK.CLIFFORD.C.1032268

Digitally signed by

Date: 2018.05.21 12:42:46 -04'00'

Attachment 1 of CDRL A007 Learning Management System (LMS) Data Requirement

EDIPI

Last Name

First Name

MI

Empl

Status

Empl Type ID

Domain

Job Location

Job Title

LMS Org

First Line Supervisor

Change Codes Leaving – L

New Employee - N Changed Role – C

E CONTRACTOR CTR-DSS

DD FORM 1423‐1, FEB 2001

CDRL A007, Training Report

*Projected personnel to attend training during the quarter.

NOTE: % of “T” equals number to T divided by the total sum of T, P and U.

Trained (T) – Employees who successfully completed (70% or above passing score) Distribution Operations training identified for that individual by the Contractor AND/OR the Contractor Supervisor or Manager for each employee certifies that the employee has received on‐the‐job training and validated proficient IAW the DLA SOPs in the applicable functional area tasks and can perform the functional area tasks to standard, and sustain proficiency.

Progressing (P) – Employees who did not successfully complete or have not taken the Distribution Operations training identified for that individual by the Contractor, but has received on‐ the‐job training using the DLA Distribution SOPs in the applicable functional area tasks and the Contractor Supervisor or Manager for each employee certifies that the employee has received on‐the‐job training and validated as progressing IAW the DLA SOPs in the applicable functional area tasks to work independently.

Untrained (U) – Has not completed the Distribution Operations training identified for that individual by the Contractor and has not received on‐the‐job training for 45 days using the DLA Distribution SOPs in the applicable functional area tasks with significant oversight by an assessed trained employee or by the supervisor. Employees in a U status may not work independently for a minimum of 15 working days and until the employee is validated in a P status.

The Contractor shall maintain documentation that supports the Contractor employee’s assessment, such as Encl 2 of the SOP annotated with employee name, date and assessment that employee followed each step and understands and performs the controls and provide to the KO or designee upon request.

Distribution Operations Proficiency and Training Plan Reporting Rollup

Functional Area

Current Quarter

Assessed Capability % of “T”

Projected Training Plan for Government Training Fiscal Year Months

T P U Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Enterprise Resource Planning (ERP)

Supply Small Arms Database (SUSA)

Transportation/Distribution Branch Internal Packaging & Preservation Database

Crane Set/DLA Preservation & Packaging Database

Inventory

Safety & Health Training

Hazard Prevention Training

PPP&M

Packaging Training Pack – 1A (Phase I) Packaging Training Pack – 1B (Phase 2) Total

The Contractor shall report individual contractor personnel training proficiency in Attachment 2 of this CDRL

MHE Training & Licensing – The Contractor shall add rows for any other equipment requiring licensing, certification or specialized training.

Site # of MHE Operators Assigned

# Trained IAW

OSHA

% Trained IAW

OSHA

# Licensed IAW

OSHA

% Licensed IAW

OSHA

DDNV ‐ Crane

Additionally, the Contractor shall maintain the following information for each employee requiring an operator’s permit and provide to the KO or designee upon request:

(a) Employee name and proof of license or certification.

(b) Vehicle or equipment to be operated.

(c) Capacity of vehicle or equipment to be operated.

(d) Nature of operation as part of duties (e.g., basic requirement for the job, incidental to the job).

(e) Special endorsements that need to be added to an operator's license (i.e. HAZMAT, Air Brakes, Commercial Driver's License, etc.).

The Contractor shall report MHE training and licensing in Attachment 3 of this CDRL

Attachment 3 MHE Training Licensing

Site # of MHE Operators Assigned # Trained IAW OSHA % Trained IAW OSHA #Licensed IAW OSHA % Licensed IAW OSHA

DDNV‐Crane

The Contractor shall add rows for any other equipment requiring licensing, certification or specialized training.

Additionally, the Contractor shall maintain the following information for each employee requiring an operator’s permit and provide to the KO or designee upon request:

(e) Special endorsements that need to be added to an operator's license (i.e. HAZMAT, Air Brakes, Commercial Driver's License, etc.).

(d) Nature of operation as part of duties (e.g., basic requirement for the job, incidental to the job).

(b) Vehicle or equipment to be operated.

(a) Employee name and proof of license or certification.

(c) Capacity of vehicle or equipment to be operated.

(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

X004 A

SP3300-18-R-5000

A008 Monthly Status Report

N/A Attachment J.1, PWS DLA Distribution J-7

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.

Submit the completed Report NLT 15th working day of the month.

The Contractor shall provide an assessment of quality control applied to the requirements; performance and progress against the acceptable performance levels (APL) specified in the PWS; workload transactions completed during the month, technical activities performed; accomplishments; problems, labor hours by labor category for the month. The report shall include by month-to-date and contract to-date.

The first Monthly Status Report will be required within 30 days after the beginning of full contract performance, and every monthly reporting period thereafter.

Block 7 - Inspection and Acceptance:

COR will review and the Contract Specialist will accept the report. The COR will review and validate the daily information.

Block 14 - Distribution - Contractor to submit original to COR and copies to TPOC and Contract Specialist.

1 1

NEWBORN.ROBERT.E.III.1160847

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.13 15:50:37 -04'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

Date: 2018.04.16 09:46:15 -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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X004 A

SP3300-18-R-5000

A009 Daily Status Report (Informal)

N/A Attachment J.1, PWS DLA Distribution J-7

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.

Submit the completed Report Each workday of the month.

Block 7: Inspection and acceptance requirements:

The COR will review and provide acceptance after review and comments.

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

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

1 1

NEWBORN.ROBERT.E.III.1160847

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.13 15:51:26 -04'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

Date: 2018.04.16 09:49:13 -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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X002 Attachment J.6

1. DATA ITEM NO.

A010 Monthly Cost Report for Material Support CLIN

Section G, Paragraph G-4 DLA Distribution J-7

See Block 16

B

See Block 16

N/A

See Block 16

See Block 16 J7 Contract Spec 1

COR 1

iRAPT 1

0 1 2

16. REMARKS

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

IAW Section G-4 - Invoicing Instructions - submitted not later than the tenth (10th) working day of each month covering the previous month's charges inclusive of all final subcontractor billings for the prior month.

For CLIN - Material Support Costs for FFP and Special Projects/Surge and Sustainment CLINs:

Provide data for the following cost elements:

1) Item Description

2) Cost

3) Material Handling OR G&A Rate ____%

4) Total Material Cost

5) Internal Job Orders (ION) as supplied by the Government

Block 7 - Inspection and acceptance requirements:

The COR will will review and accept CDRL A011.

Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist. Following approval of the CDRL submission, the Contractor shall upload the approved CDRL documents to iRAPT with invoice submission.

1 1

NEWBORN.ROBERT.E.III.11608

47944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.27 11:36:31 -04'00'

FLICK.CLIFFORD.C.10322683

Digitally signed by

Date: 2018.04.27 12:16:20 -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

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

X003 Attachment J.6

1. DATA ITEM NO.

A011 Monthly Cost Report for Special Projects/Surge & Sustainment CLIN

Section G, Paragraph G-4 DLA Distribution J-7

See Block 16

B

See Block 16

N/A

See Block 16

See Block 16 J7 Contract Spec 1

COR 1

iRAPT 1

0 1 2

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

IAW Section G-4 - Invoicing Instructions - submitted not later than the tenth (10th) working day of each month covering the previous month's charges inclusive of all final subcontractor billings for the prior month for work orders issued IAW H-11 and H-12.

For CLIN - Special Projects/Surge & Sustainment labor:

Provide data for the following cost elements:

1) Labor

a) Employee Number (where applicable)

b) Employee Name (where applicable)

c) Category (where applicable)

d) Position (where applicable)

e) Labor Hours

f) Indirect Base Labor Rates

g) Total Labor Costs

2) Subcontracts

3) Internal Order Number as supplied by the Government

4) All Overheads, including G&A _____%

5) Specific Technical Direction / Project Name

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A011.

Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist. Following approval of the CDRL submission, the Contractor shall upload the approved CDRL documents to iRAPT with invoice submission.

1 1

NEWBORN.ROBERT.E.III.11608479

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.04.27 11:27:11 -04'00'

FLICK.CLIFFORD.C.103226

Digitally signed by

Date: 2018.04.27 12:13:22 -04'00'