A027 - Monthly Contractor Employee CAC Report.pdf

PDF 164 KB Posted

Attached to
Warehousing Services at DLA Distribution San Diego, CA Federal contract opportunity
Solicitation number
SP3300-20-R-5001
Issued by
Defense Logistics Agency Distribution

About this file

This document outlines a contract data requirements list (CDRL) and related federal contract opportunity for warehousing services at DLA Distribution San Diego, California. The CDRL requires the contractor to submit a monthly report with details on employee Common Access Cards including names, issuance and expiration dates, and changes. The report is due by the fifth day of each month covering the previous month. The related federal contract opportunity is solicitation number SP3300-20-R-5001 for warehouse and distribution support services at DLA Distribution San Diego sites. Services are required at Naval Base San Diego, Naval Air Station North Island, and Naval Base Coronado, and include warehousing for a range of commodities from depot level repairables to packaged petroleum.

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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: A027
2_TITLE_OF_DATA_ITEM: Monthly Contractor Employee Common Access Card (CAC) Report
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: N/A
5_CONTRACT_REFERENCE: Attachment J.1, Paragraph C-1.4.2
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
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16_REMARKS: 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 A027.

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:
2018-11-02T13:03:28-0400
CRUSEY.SHANE.M.1287981151
2019-02-13T14:48:27-0500
POWERS.CULLEN.MARTIN.1093893227

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