Amendment_0001_-_Updated_J.2_-_CDRLs.pdf

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Attached to
Work in Process Control Area Labor Support Services
Solicitation number
SP3300-19-R-5004
Issued by

About this file

This document outlines nine contract data requirements (CDRLs) for a federal contract supporting work in process control area labor services at a Defense Logistics Agency distribution center. The CDRLs require the contractor to submit reports including a monthly Common Access Card report, safety and occupational health plans and data, training records and plans, quality control plans and inspection results, empty pallet and production logs, ASRS transaction records, daily backlog information, and monthly cost reports. Submission due dates and distribution instructions are provided for each required report or plan.

Updated J.2 - CDRLs

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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

Attachment J.2

A001 Monthly Contractor Employee Common Access Card (CAC) Report

Monthly Contractor Employee CAC Report

N/A PWS Paragraph 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 A001.

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: 2018.11.29 11:34:29 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.11.29 11:41:59 -05'00'

RFP SP3300-19-R-5004

Attachment J.2

(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 J.2

A002 Safety and Occupational Health (SOH) Plan and Reporting

SOH Plan and Reporting

N/A PWS Paragraph 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 and HAZ/COM IAW DoD 6050.5.

4. Conforming to the SOH standards consistent with the most stringent of applicable Federal, State, local regulations 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: 2018.11.26 11:44:10 -05'00'

SNAVELY-HOWE.ROSE.M.1228965037 Digitally signed by SNAVELY-HOWE.ROSE.M.1228965037 Date: 2018.11.26 13:26:05 -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

Attachment J.2

A003 Training Report

N/A PWS Paragraph 3.1 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 Attachment 1 - LMS Data Requirements NLT 60 working days after start of full performance. During the transition period and the first 60 days of full performance, provide on a bi-weekly basis to manage the workload to input employee information into LMS. During the remainder of the contract performance period, provide updates to Attachment 1 within 15 calendar days thereafter for changes (i.e., when employees change job roles, when employees are no longer employed under the contract and when new personnel are hired, etc.).

Submit the information identified in Attachment 2 NLT the 10th of each month, that identifies dates training completed by training course and employee.

Submit the information identified in Attachment 3 NLT the 10th of each quarter on the following dates (January 10th, April 10h, July 10th, and October 10th).

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 3

NEWBORN.ROBERT.E.III.1160847

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.11.28 12:18:17 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.11.29 09:53:01 -05'00'

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(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

X007 Attachment J.2

A004 Quality Control Plan (QCP)

Attachment J.1, Paragraph 5.3 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 transition that details the Contractor's process for a quality system that is a pre-vention based outlook and an approach to customer satisfaction that is proactive to meeting the objectives through all areas of performance IAW C-5.3. 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 require-ments of the contract. Subsequent submission shall be submitted with the Contractor updates or revised the QCP within 30 calendar days of the change.

See page two for QCP requirements.

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

1. Scheduled vs Completed QC Inspections and explanations for QC Inspections not completed that were scheduled

2. Conforming vs Non-conforming QC Inspection Results

3. A copy of all QC Corrective Action Plans and status of implementation and maintenance to mitigate future occurrences of same non-conformance

Items #1 and #2 above shall be submitted on Contractor letterhead (see Attachment 1). Item #3 shall be submitted using the attached Corrective and Preventive Action Request (CPAR) Form (see Attachment 2).

Additionally, copies of all completed non-conforming QC inspection reports shall be submitted within 24 hours to the addressees in Block 14.

Block 7 - Inspection and acceptance requirements:

The KO will review and accept the QCP and updated after coordination with the COR and J-3 Depot Operations. The accepted plan and subsequent revisions will be incorporated into the contact by modification. The COR will review and accept the monthly QC Report.

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

1 2

NEWBORN.ROBERT.E.

III.1160847944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.11.28 15:22:24 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.11.29 09:33:04 -05'00'

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

CDRL A00 , 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:

Attachments:

Attachment 1:

Attachment 2:

Contractor Letterhead

DATE

MEMORANDUM FOR CONTRACT SPECIALIST

FROM:

SUBJECT: CDRL A00 QC Report (Month Year)

IAW CDRL A00 , Quality Control Plan, the following data elements are provided for Month Year.

Scheduled vs Completed QC Inspections:

o Scheduled QC Inspections:

o Completed Inspections:

o Explanation for QC Inspections Not Completed:

Conforming vs Non-Conforming QC Inspections:

o Number of Conforming QC Inspections:

o Number Non-Conforming QC Inspections:

Corrective and Preventive Action Request (CPAR) o List CPARs attached (Functional Area/Significance) and attach as to cover letter

Contact information.

Signature cc: COR

Attachments:

CPARs

Attachment

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:

(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

X007 Attachment J.2

A005 Empty Pallet Log

Attachment J.1, Paragraph C-5.6 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

0 1 1

Submit the empty pallet quantity electronically (email is acceptable) NLT 0630 each Wednesday covering the previous week's information. Information shall include the empty quantity in the ASRS by the following pallet types:

B - Bravo Pallets C- Charlie Pallets D – Delta Pallets E- Echo Pallets

Block 7 - Inspection and acceptance requirements:

The COR will review and accept the report.

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: 2018.11.26 11:56:00 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.11.26 13:45:00 -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

X007 Attachment J.2

A006 BER Production Log

Attachment J.1, Paragraph C-5.9 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

0 1 1

Submit the attached electronically NLT 0630 each work day covering the previous business day information.

Block 7 - Inspection and acceptance requirements:

The COR will review and accept the report.

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: 2018.11.26 12:01:08 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.11.26 13:45:31 -05'00'

Date New pallets

Complete New pallets

Combined Completed pallets

Remaining New pallets

Completed crates

Shipped crates 1348's

(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

X007 Attachment J.2

A007 ASRS Daily Transaction Report Log

Attachment J.1, Paragraph C-5.10 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

0 1 1

Submit the attached electronically NLT 0630 each work day covering the previous business day information.

Block 7 - Inspection and acceptance requirements:

The COR will review and accept the report.

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

1 1

NEWBORN.ROBERT.E.I

II.1160847944

Digitally signed by

NEWBORN.ROBERT.E.III.1160847944

Date: 2018.11.26 12:07:07 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.11.26 13:46:01 -05'00'

Backlog

BBacklog Date As Of PITRAN PIPKTY PITRON PIPSTN

PPIDDST PIWBSN PISTKN PIREQQ PICONT PISDAT

PPIKSER PIIDAT

(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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

X007 Attachment J.2

A008 Monthly Cost Report for CLIN X001

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

Submit electronically.

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 FPIF - Complete the following attachments:

Attachment 1 - Current Month and Cumulative Performance Period Labor Costs and Staffing Data Attachment 2 - Graphical representation of Cumulative Performance Period

Target Costs and Actual Costs

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A008

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.ROBER

T.E.III.1160847944

Digitally signed by

NEWBORN.ROBERT.E.III.11608479

Date: 2018.11.26 12:12:00 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.11.26 13:46:44 -05'00' tta ch m en t 1

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(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

X007 Attachment J.2

A009 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

Submit electronically. 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 - Material Support Costs for FPIF CLIN:

Provide data for the following cost elements:

1) Item Description

2) Cost

3) Material Handling OR G&A Rate ____%

4) Total Material Cost

Block 7 - Inspection and acceptance requirements:

The COR will will review and accept CDRL A009.

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: 2018.11.26 12:10:15 -05'00'

SNAVELY-

HOWE.ROSE.M.1228965037

Digitally signed by SNAVELY-

HOWE.ROSE.M.1228965037

Date: 2018.11.26 13:47:15 -05'00'

File details come from the government source that posted it. Updated .