CDRL_A028_-_Floor_to_Book_Report.pdf
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- Attached to
- Distribution and Warehouse Services Federal contract opportunity
- Solicitation number
- SP3300-18-R-5004
- Issued by
- Defense Logistics Agency Distribution
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CDRL A028
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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
Totall F2B Counts Required
(Generated by DLA Distribution J3-OC)
Number of F2B Counts Completed
Total # F2B Counts Matching QBL Balance
Total # F2B Counts w/ Discrepancy Resulting in
(TPIC M)
Total # Adjustments resulting from (TPIC
M)
Dollar Value of Adjustments
January
Februray
March
April
May
June
July
August
September
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Nobember
December
Attachment 1
DD__ Monthly Floor to Book Status Report Month: ________________
Count Adjustment Date NSN Quantity Adjusted Adjustment Total $
| 1_DATA_ITEM_NO: A028 |
| 2_TITLE_OF_DATA_ITEM: Floor to Book Report |
| 3_SUBTITLE: |
| 4_AUTHORITY_Data_Acquisit: N/A |
| 5_CONTRACT_REFERENCE: Attachment J.1 Paragraph 5.4.1 |
| 6_REQUIRING_OFFICE: DLA Distribution J-7 |
| 7_DID_250_REQ: See Block 16 |
| 8_APP_CODE: |
| DIST_STATEMENT: B |
| 10_FREQUENCY: See Block 16 |
| 11_AS_OF_DATE: N/A |
| 12_DATE_OF_FIRST_SUBMISSI: See Block 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: See Block 16 |
| addressee1: J-7 Contract Spec |
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| 16_REMARKS: Submit electronically. |
Submit the information identified in the Attachments 1 and 2 on a monthly basis by the 5th calendar day 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.
| 17_PRICE_GROUP: | |
| ESTIMATED_TOTAL_PRICE: | |
| G_PREPARED_BY: | |
| H_DATE: | |
| 1_APPROVED_BY: | |
| J_DATE: | |
| Page: 1 | |
| reg38t: 1 | |
| A_CONTRACT_LINE_ITEM_NO: X007 | |
| B_EXHIBIT: Attachment J.11 | |
| TDP: | |
| TM: | |
| OTHER: | |
| DSYSTEMITEM: | |
| E_CONTRACTPR_NO: | |
| FCONTRACTOR: | |
| of_pages: 1 | |
| Reset: | |
| 2017-12-01T15:44:11-0500 | |
| CRUSEY.SHANE.M.1287981151 |
| 2017-12-04T13:33:04-0500 | |
| FLICK.CLIFFORD.C.1032268311 |
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