A010 - Cost Report for CLIN X001.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

Attachment 1 Current Month, Cumulative Performance Period Labor Costs and Staffing Data

Contractor: DLA Distribution Performance Period:

Month: - Current Period Costs

CLIN

Cost Category Monthly Target Price Monthly Actual Cost Variance (Target - Actual) % Variance (Target - Actual) Personnel on Board

Hours Dollars Hours Dollars Hours Dollars Hours Dollars Full-Time Part-Time

PRIME LABOR

SUBCONTRACTOR LABOR

SUBTOTAL

OVERHEAD & G&A

SUBTOTAL

FEE

CLIN TOTAL

Contractor: DLA Distribution Performance Period:

As of Month: - Cumulative Costs for Performance Period to Date

CLIN _____

Cost Category

Total Contract Target Price

Total Actual Cost to Date Variance (Target - Actual)

(Cumulative) % Variance (Target - Actual)

(Cumulative) % Variance Personnel on

Board (Cumulative)

Hours Dollars Hours Dollars Hours Dollars Hours Dollars Full-Time Part-Time

PRIME LABOR

SUBCONTRACTOR LABOR

SUBTOTAL

OVERHEAD & G&A

SUBTOTAL

FEE

CLIN TOTAL

Actual Target

DLA DISTRIBUTION _______________

TARGET VERSES ACTUAL COST PERFORMED

CLIN _________

SAMPLE

Dec

C O

ST

REPORT MONTH/YEAR

Hours Costs Hours Costs Hours Costs Hours Costs Hours Costs Hours Cost Hours Cost Hours Costs October November December January February March April May June July August September Yearly Total

Attachment 2

Current Fiscal Year Contractor Workload Reporting DLA Distribution Guam, Marianas

MPC: Moving material from the MPC to shipside in a manner and configuration that reduces to the greatest extent possible the level of effort needed by the shipboard personnel to finish the stow action.

Equipment Maintenance: Functions include preventive and unscheduled maintenance of Government Equipment and other Government owned equipment.

Exempt: Includes exempt labor such as site manager, alternate site manager, safety manager, etc. except for supervisors whose sole role is in direct support of wholesale or retail mission. Contractor to annotate positions which are considered Exempt below:

Business Segments:

MPC

Wholesale: Direct Mission, Receipt and Stow Operations, Issue, Pack for Shipment.

PPP&M: ICP or customer directed actions to meet preservation and packaging specifications or contract requirements. Includes Pre-Packing, Preservation, Remarking, and Repacking of items for storage.

MTIS: Receive and process MTIS material from Navy sites.

Equipment Maintenance

Air Pallet Breakdown: 463L air pallet break down TCSP: Performs Air Theater Consolidation and Shipping Point Requirements - Inbound seavan containers processing IAW the J-2 Site Specific Requiremetns

ExemptAir Pallet Breakdown

Storage: Storage and Physical Inventory. Includes: Stock Readiness Inspections / Care of Stock in Storage (non -reimbursable) / Rewarehousing / Physical Inventory Operations. Actions with IONs are to be reported on CDRL A005.

Storage MTIS TCSP

IAW Section G-4 - Invoicing Instructions - submitted not later than the twenty-fifth (25th) day of each month covering the previous month's charges inclusive of all final subcontractor billings for the prior month.

For CLIN FPIF - Complete the following attachments:

Attachment 1 - Current Month and Cumulative Performance Period Labor Costs and Staffing Data with graphical representation of Cumulative Performance Period Target Costs and Actual Costs Attachment 2 - Contractor Labor Hour/Cost Reporting by Business Segment

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A010.

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.