A018 - DOT Exemption Usage Report.pdf
PDF 163 KB Posted
- Solicitation number
- SP3300-20-R-5001
- Issued by
-
Defense Logistics Agency Distribution
About this file
This document contains a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines reporting requirements for a contractor to submit a DOT Exemption Usage Report on a quarterly basis. It specifies the data elements to be included in the report and details distribution to the Contracting Officer's Representative and Contract Specialist. The related federal contract opportunity is a solicitation from the Defense Logistics Agency Distribution seeking warehouse and distribution support services at its facility in San Diego, California. The solicitation seeks services including warehousing, material handling, and transportation of depot-level repairables, electronics, industrial goods, medical supplies, and other items. The incumbent contractor performs services at Naval Base San Diego, Naval Air Station North Island, and Naval Base Coronado, with additional support provided at Naval Base Point Loma.
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Text version
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
| 1_DATA_ITEM_NO: A018 |
| 2_TITLE_OF_DATA_ITEM: DOT Exemption Usage Report |
| 3_SUBTITLE: |
| 4_AUTHORITY_Data_Acquisit: |
| 5_CONTRACT_REFERENCE: Attachment J.1, Paragraph C-5.5.2.C.17 |
| 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: J7 Contract Spec |
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| 16_REMARKS: Tailored to permit contractor's format. Submit electronically |
Submit NLT 10th working day of each quarter (January; April; July and October of each year) covering the previous quarter.
Spreadsheet that includes the following data elements:
1) DOT-SP/Packaging CAA number
2) Number of shipments made under the DOT-SP/packaging CAA
3) Facts pertaining to any accident or incident involving a shipment made using the DOT-SP/packaging CAA
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.
| 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: | |
| B_EXHIBIT: Attachment J.11 | |
| TDP: | |
| TM: | |
| OTHER: | |
| DSYSTEMITEM: | |
| E_CONTRACTPR_NO: | |
| FCONTRACTOR: | |
| of_pages: 1 | |
| Reset: | |
| 2018-11-02T11:59:20-0400 | |
| CRUSEY.SHANE.M.1287981151 |
| 2019-02-13T14:38:05-0500 | |
| POWERS.CULLEN.MARTIN.1093893227 |
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