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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

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Transition Plan and Weekly Reports

3_SUBTITLE: Transition

4_AUTHORITY_Data_Acquisit: N/A

5_CONTRACT_REFERENCE: Attachment 1, Paragraph 1.8

6_REQUIRING_OFFICE: DLA Distribution J-7

7_DID_250_REQ: See Block 16

8_APP_CODE:

DIST_STATEMENT: C

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 draft1:

reg1: 1 repro1:

addressee2: COR draft2:

reg2:

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16_REMARKS: Tailored to permit Contractor's format IAW Instructions to Offerors - Commercial Products and Commercial Services. Submit electronically.

Transition Plan prepared IAW Attachment 1, Paragraph 1.8, Transition and Instructions to Offerors, Transition Evaluation Factor, and submitted with proposal.

The Plan of Action and Milestones (POAM) of the Transition Plan shall be updated to provide the actual dates of transition and submitted to the KO NLT 5 working days after Contract Award.

Weekly Reports: Submit a written report on the status of the tasks outlined in the Transition Plan and POAM updated to show progress and completion of tasks. Reports must clearly report the number of FTEs hired, submitted for security, and submitted for CACs/with CACs each week. Weekly Report due every Monday at 1200 for the preceding week. If tasks not completed by due date, the Contractor will provide its completed and corrective actions to ensure future due dates are met.

Final Transition Report: Submit a final written report that addresses completion of all tasks required under the Transition Plan, 5 working days prior to the conclusion of the transition period. Any due dates not met must be explained in the submission with all completed, pending, and future correction actions. Contractor will outline how they plan to meet or exceed contract requirements.

Block 7 - Inspection and acceptance requirements:

1. Transition Plan evaluated during source selection and is incorporated into the contract upon award.

2. POAM updates and weekly reports throughout the transition period and reviewed and accepted by the Contract Specialist.

3. Final Transition report reviewed and accepted by the KO.

Block 14 - Distribution - Contractor to submit original to Contract Specialist and copy to 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 11

TDP:

TM:

OTHER:

DSYSTEMITEM: DDDC

E_CONTRACTPR_NO: SP3300-25-R-5002

FCONTRACTOR:

of_pages: 1

Reset:

2023-12-12T12:56:11-0500

SHEAFFER.CYNTHIA.M.1229082554

2024-01-04T15:22:12-0500

EISENHOUR.JENNIFER.L.1364950400

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

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Safety and Occupational Health (SOH) and Reporting

3_SUBTITLE: SOH Plan and Reporting

4_AUTHORITY_Data_Acquisit: N/A

5_CONTRACT_REFERENCE: Attachment 1 - PWS 1.5

6_REQUIRING_OFFICE: DLA Distribution J-7

7_DID_250_REQ: See Block 16

8_APP_CODE:

DIST_STATEMENT: C

10_FREQUENCY: XTime

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 draft1:

reg1: 1 repro1:

addressee2: COR draft2:

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16_REMARKS: 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 for:

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 it's 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 any applicable local or installation regulations.

5. To use ESAMS IAW J.1, C-1.5, to document mishaps/near misses occurring during the performance of the contract.

B. The Contractor shall provide, on a FY quarterly basis, the following data for the previous three (3) month period (due NLT the 5th day of the month following) :

1. Copy of OSHA 300 Log and date 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 by the Contractor w/ Interim Controls+ Block 7 - Inspection and acceptance requirements:

The Contract Specialist will provide the SOH plans and updates to the COR, Distribution HQ Safety Office, and the local Distribution Center Safety Office. The COR will provide the quarterly information to the Distribution HQ and local Distribution Center Safety Offices. The KO will review and accept the SOH plan after coordination with COR.

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

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

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A_CONTRACT_LINE_ITEM_NO: X007

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TDP:

TM:

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E_CONTRACTPR_NO: SP3300-25-R-5002

FCONTRACTOR:

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Reset:

2023-12-12T12:58:38-0500

SHEAFFER.CYNTHIA.M.1229082554

2024-01-04T15:23:26-0500

EISENHOUR.JENNIFER.L.1364950400

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

DKJ0011

Cross-Out

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Electrostatic Discharge (ESD) Control Program

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: Attachment 1 Paragraph 1.7

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 Spce draft1:

reg1: 1 repro1:

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16_REMARKS: Tailored to permit Contractor's format. Submit electronically.

Submit NLT the start of full performance, an ESD Control Program document that details the Contractor's process to ensure all regulatory requirements are followed; ensure all personnel who handle and process ESDS material are fully trained; and coordination of any audits that may be performed by other government agencies, manufacturers and users of ESDS material.

The ESD Program shall address the Contractor’s approach to conform to MIL-STD 1686, Electrostatic Discharge Control Program for Protection of Electrical and Electronic Parts, Assemblies and Equipment (Excluding Electrically Initiated Explosive Devices) and requirements addressed in 1.7.

Updates or revisions to the Contractor's plan that address the process for ensuring all regulatory requirements are followed shall be submitted within 30 calendar days of the change.

Block 7 - Inspection and acceptance requirements:

The KO will review and accept the ESD Program and updates after coordination with J-4 Policy & Procedures and J-3 Depot Operations review and comments.

Block 14 - Distribution - Contractor to submit original to Contract Specialist and copy to 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 11

TDP:

TM:

OTHER:

DSYSTEMITEM: DDDC

E_CONTRACTPR_NO: SP3300-25-R-5002

FCONTRACTOR:

of_pages: 1

Reset:

2023-12-12T13:00:11-0500

SHEAFFER.CYNTHIA.M.1229082554

2024-01-04T15:24:18-0500

EISENHOUR.JENNIFER.L.1364950400

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

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

The Contractor’s MECSP shall address at a minimum the following:

1. Potential impacts caused by each type of adverse situation.

2. Primary issues.

3. Strategy for response.

4. Primary and alternate points of contact.

5. Communication and coordination with the Government.

6. Process to achieve recovery and resumption of full service.

7. Approach to recruitment and hiring of personnel (i.e., temporary labor) on short notice.

8. Assessment of the local labor market and the Contractor’s ability to hire qualified personnel.

9. Process to be used to hire personnel to include timing of offers, length the offer remains open, any contingencies and start dates. Critical skills and transactional systems knowledge required to maintain performance and contingency for immediate loss of skills and knowledge.

10. Development of a contingent workforce (both management and labor) that has the requisite knowledge, skills, abilities, and applicable licenses and qualifications to perform the workload.

11. Strategy for maintaining a trained workforce in Distribution Operations, WMS and all other transactional data systems required for contingency operations.

12. Strategy for ensuring the contingent workforce is familiar and shall address the Contractor's methodology and processes for assessing the situation, determining the appropriate response, achieving recovery, and meeting performance standards when there is a disruption in normal workload IAW

Attachment 1, Paragraph 1.9

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Mission Essential Contract Services Plan (MECSP)

3_SUBTITLE: Continuation Of Essential Contractor Services

4_AUTHORITY_Data_Acquisit: N/A

5_CONTRACT_REFERENCE: Attachment 1, Paragraph 1.9

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 draft1:

reg1: 1 repro1:

addressee2: COR draft2:

reg2:

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16_REMARKS: Tailored to permit Contractor's format. Submit electronically.

The MECSP shall be submitted NLT 45 days prior start of full performance if required and be complimentary to the distribution sites Continuity of Operations (COOP) and Emergency Action (EAP) Plans IAW Attachment 1, Section 1.9.

Submit the information identified in the table on Page 2 as changes occur to the COOP and EAP or at minimum on an annual basis.

Subsequent submissions shall be submitted when the Contractor updates or revises the MECSP within 30 calendar days of the change.

Block 7 - Inspection and acceptance requirements:

The KO will review and accept the MECSP updates after coordination with COR and J-3 Depot Operations review and comments.

Block 14 - Distribution - Contractor to submit original to Contract Specialist and copy to 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 11

TDP:

TM:

OTHER:

DSYSTEMITEM: DDDC

E_CONTRACTPR_NO: SP3300-25-R-5002

FCONTRACTOR:

of_pages: 2

Reset:

2025-08-27T14:28:09-0400

PLANK.COURTNEY.S.1365268890

2025-09-05T10:52:30-0400

EISENHOUR.JENNIFER.L.1364950400

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

Customer MIPR Number Work Description ION HRS Material Cost HRS Material Cost HRS Material Cost HRS Material Cost HRS Material Cost HRS Material Cost

Customer MIPR Number Work Description ION HRS Material Cost HRS Material Cost HRS Material Cost HRS Material Cost HRS Material Cost HRS Material Cost HRS Material Cost

Attachment 1

Jul __ Aug __ Sep __ Yearly TotalApr __ May __ Jun __Customer

Feb __ Mar __Customer Oct __ Nov __ Dec __ Jan __

ION HRS Customer Work Description Materials Cost MIPR Number

TOTAL 0 0 0.00

ION HRS NOMENCLATURE Minutes Customer

FY23 DLA Distribution Jacksonville Florida

FY23 DLA Distribution Jacksonville Florida Special Inspections

MAR 23

1_DATA_ITEM_NO: A005

2_TITLE_OF_DATA_ITEM: Internal Order Number (ION) Reporting

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: Att.1 - 5.3.3.1 & 5.6.1; Att.2 - 5.6.6.1N

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 draft1:

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16_REMARKS: Submit electronically.

IAW 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.

Complete the following attachment:

Attachment 1 - Contractor Labor and Material Costs by Internal Order Number

(ION)

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A005.

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: X007

B_EXHIBIT: Attachment 11

TDP:

TM:

OTHER:

DSYSTEMITEM: DDDC

E_CONTRACTPR_NO: SP3300-25-R-5001

FCONTRACTOR:

of_pages: 1

Reset:

2023-12-12T13:03:33-0500

SHEAFFER.CYNTHIA.M.1229082554

2024-01-08T11:29:41-0500

EISENHOUR.JENNIFER.L.1364950400

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

DD Form 1423-1, FEB 2001 Page 2 of 6 Quality Control Program

Block 7 - Inspection and acceptance requirements: The KO will review and accept the QCP and update after coordination with the COR, J-3, J-4, and J7 Quality Management Program Office. The accepted plan and subsequent revisions will be incorporated into the contract by modification. The COR will review and accept the Monthly Quality Control Summary Report and Quality Control Inspection Checklist.

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

DD Form 1423-1, FEB 2001 Page 3 of 6

The Contractor’s quality control plan shall outline the tasks performed by the Contractor to sustain or improve quality of work and ensure work meets contract requirements.

The Contractor shall, at a minimum, include a comprehensive explanation of the following:

A. Quality Control Plan:

1) Corporate Quality overview and commitment to performance Quality.

2) Quality organization components and structure.

3) Roles and responsibilities of the Quality Organization members; Lines of Authority.

4) Quality Control processes and procedures.

5) Quality Check frequency determination.

6) Methods to be used to conduct Quality Checks.

7) Lot and Sample Size determination.

8) Quality Check documentation and reporting requirements.

9) How and when the Quality Control Inspection Checklist will be revised to include updates as required to capture specific requirements that may require more frequent checks or are the result of a completed nonconforming Quality Assurance Process Adherence Check (PAC)

10) Process that will be used to incorporate QA findings into the Quality Control Inspection Checklists to become part of the Contractor’s overall performance quality responsibility.

11) Where the Quality Control Inspection Checklist will be available for COR and Evaluator’s research and review. An option available to the Contractor is to upload the Quality Control Inspection Checklist into the QMT. The Quality Control Inspection Checklist shall be made available for Government review and inspection at any time and shall include the identified results of each Quality Control Inspection Check whether Conforming or Nonconforming.

12) Criteria for determining Conforming versus Nonconforming Quality Checks.

13) An explanation of how reviews and revisions to the QCP and Quality Control

Inspection Checklist will be addressed.

B. Quality Control Inspection Checklists:

1) A comprehensive Quality Control Inspection Checklist details all inspections to be conducted utilizing the contract terms and conditions e.g., PWS, SOPs, Site Specific Requirements, CDRLs, Technical Exhibits, to include:

a. Frequency of Inspections

b. Detailed roll up of conforming and nonconforming performance to include:

i. What – Clearly explain the identified issue

ii. Why – Clearly explain why the corrective action plan is required

2) The Quality Control Inspection Checklist is expected to be revised on a routine basis and shall be updated as required to capture specific requirements that may need more frequent checks or as the result of a complete nonconforming Process Adherence Check. Working in partnership with the Government Quality Assurance team (i.e. COR, Evaluators), the Contractor shall incorporate QA findings into their QC checks, so they become part of the Contractor’s overall performance quality responsibility. The QC Inspection Checklist shall be submitted in its entirety, to include both Conforming and Nonconforming inspections, with the Monthly Quality Control Report.

DD Form 1423-1, FEB 2001 Page 4 of 6

C. Monthly Quality Control Summary Report

1) Number of QC Inspections Scheduled by functional area.

2) Number of QC Inspections Completed by functional area.

3) Explanation for QC Inspections that were not completed.

4) Number of QC Conforming Inspections by functional area.

5) Number of QC Non-Conforming Inspections by functional area.

6) Open QC Distribution Corrective Action Plans (QC D-CAP) listed by Task ID in QMT.

7) An analysis of the data that explains any quality related issues that may have impacted performance to include results from the QC inspection outcomes. Analysis includes any identified trends, why a QC D-CAP was not initiated and status of QC D-CAPs in place to correct any quality performance issues previously identified.

8) Anticipated changes being made to the overall QCP or QC Inspection Checklist in response to both internal QC inspections as well as any deficiencies identified by the Government (e.g., Quality Assurance;

Independent DLA Distribution Review; Independent Public Auditor (IPA) and Managers Internal Control Program/to ensure identified problem areas receive attention and closer monitoring.

D. Contract Data Requirements List A006

1) Additional Quality Requirements: The Quality Control Inspection Checklist shall contain a list of the self-identified areas that the SP will inspect each month within their own workforce. That document and the list contained therein, is a living document that shall be updated and adjusted as needed in response to the SP’s own findings, as well as the findings reported by the CGA’s Quality Assurance Team for their monthly inspections. In addition to the self-identified QC checks contained on the SP’s Quality Control Inspection Checklist, the government will assign Product Quality Checks (PQCs) within the QMT to both the SP and the Quality Assurance Team to be conducted each month. These PQCs are not intended to replace, alter, or minimize the SP’s QC checks but are to be conducted in addition to the SP’s QC checks.

Attachments Attachment 1: Monthly Quality Control Summary Report

DD Form 1423-1, FEB 2001 Page 6 of 6

Contractor Letterhead

DATE

MEMORANDUM FOR CONTRACT

SPECIALIST FROM:

SUBJECT: CDRL A006 QC Report (Month Year)

The Contractor is required to prepare and submit a Monthly Quality Control Summary Report.

The minimum required information is as follows:

1. Number of QC Inspections Scheduled by functional area.

2. Number of QC Inspections Completed by functional area.

3. Explanation for QC Inspections that were not completed.

4. Number of QC Conforming Inspections by functional area.

5. Number of QC Non-Conforming Inspections by functional area.

6. Open QC Distribution Corrective Action Plans (QC D-CAP) listed by Task ID in QMT.

7. An analysis of the data that explains any quality related issues that may have impacted performance to include results from the QC inspection outcomes.

Analysis includes any identified trends, why a QC D-CAP was not initiated and status of QC D-CAPs in place to correct any quality performance issues previously identified.

8. Anticipated changes being made to the overall QCP or QC Inspection Checklist in response to both internal QC inspections as well as any deficiencies identified by the Government (e.g., Quality Assurance; Independent DLA Distribution Review; Independent Public Auditor (IPA) and Managers Internal Control Program/to ensure identified problem areas receive attention and closer monitoring.

Note: An electronic copy of the Monthly Quality Control Summary Report and Quality Control Inspection Checklist, with the required attachments, must be provided to the COR. The Monthly Quality Control Summary Report and Quality Control Inspection Checklist will be uploaded by the COR into the QMT to ensure visibility to the Government’s entire Quality Assurance Team.

Signature cc: COR

A006 - Quality Control Plan 7.8.25.pdf

A006 - Quality Control Plan Attachments.pdf

A_CONTRACT_LINE_ITEM_NO: X007

B_EXHIBIT: Attachment 11

TDP:

TM:

OTHER:

DSYSTEMITEM: DDDC

E_CONTRACTPR_NO: SP3300-25-R-5002

FCONTRACTOR:

1_DATA_ITEM_NO: A006

2_TITLE_OF_DATA_ITEM: Quality Control Program (QCP)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: N/A

5_CONTRACT_REFERENCE: Att.1, Para. 5.1.4, 5.4.2, 5.20.3

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: QCP & Revisions draft1:

reg1:

repro1:

addressee2: J-7 Contract Spec draft2:

reg2: 1 repro2:

addressee3: COR draft3:

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addressee5: Monthly QC Report draft5:

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addressee9: QC Inspection draft9:

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16_REMARKS: The Contractor’s Quality Control Program (QCP) is comprehensive and multifaceted. The overall Quality Control Program consists of the following components e.g., the Quality Control Plan, the Quality Control Inspection Checklist, and the Monthly QC Summary Report that are supplied by the Contractor as well as components provided by the Government for Contractor execution, as necessary.

Submit electronically. Submit a final site-specific Quality Control Plan and Quality Control Inspection Checklist not later than 45 calendar days prior to the end of transition that details the Contractor's process for a quality management system that provides a prevention-based outlook and approach to the control of quality that is proactive to meeting the terms and conditions of the contract. The Contractor's Quality Control Plan is considered a living document and shall be maintained throughout the life of the contract. Subsequent Quality Control Plans and Annual reviews shall be submitted with the Contractor’s updates to include all attachments within 10 calendar days of the change.

Monthly Quality Control Summary Report and Quality Control Inspection Checklist (Contractor provided): Submit electronically.

The Monthly Quality Control Report and Quality Control Inspection Checklist shall be completed and submitted NLT 5 working days after the end of the month.

Note: See pages 3 and 4 for Quality Control Inspection Checklist and Monthly Quality Control Summary Report requirements.

Joint Quality Meetings (chaired by the COR/ACOR or Director): The Contractor’s Quality Control Team and the Government’s Quality Assurance Team shall meet at a minimum of twice per month to share information regarding ongoing quality related outcomes and issues. More frequent meetings and discussions are highly encouraged. Discussion topics shall include, but is not limited to, identified nonconformances for quality control and quality assurance, distribution corrective action plan status for quality control and quality assurance, upcoming changes or revisions to the quality program, and other quality-related issues that can be shared to ensure both Contractor and Government are working towards the same goals to support quality performance.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

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Page: 1 of_pages: 1

Reset:

reg38t: 3

2025-07-08T13:01:27-0400

PLANK.COURTNEY.S.1365268890

2025-07-08T13:05:33-0400

HANISKO.BRYAN.THOMAS.1032127718

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

1_DATA_ITEM_NO: A007

2_TITLE_OF_DATA_ITEM: Customer Service Support Procedures/On-Call Response Roster

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: Attachment 1, Paragraph 5.1.5

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 draft1:

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16_REMARKS: Tailored to permit Contractor's format. Submit electronically.

Submit Customer Service Plan and Support Procedures not later than 30 calendar days prior to the end of the phase-in period that address at the minimum the following:

1. Customer service hours, location(s) and directions to customer service office(s) and contractor specific instructions to customers and an on-call response roster IAW Attachment 1, Paragraph 5.1.5.

2. Electronic System for communicating with customers and obtaining feedback.

3. Electronic System for tracking the receipt, progress, and resolution of customer complaints.

4. Methods for identifying customer needs and expectations and implementing them throughout the workforce.

5. Methods for measuring customer satisfaction.

6. Establishment of a customer satisfaction reporting system.

7. Samples of all documents that will be used for customer satisfaction actions.

8. Methods of direct and indirect, formal and informal communications with the Government regarding customer satisfaction.

Subsequent submissions shall be submitted when the Contractor updates or revises the customer service plan and support procedures or on-call response roster within 2 working days of the change.

Block 7 - Inspection and acceptance requirements:

The KO will review and accept the customer service plan, support procedures, and updates after coordination with the J-3 Depot Operations and Distribution Center's review and comments.

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

Once accepted by the KO, the Contractor shall make the procedures available to all customers in writing.

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 11

TDP:

TM:

OTHER:

DSYSTEMITEM: DDDC

E_CONTRACTPR_NO: SP3300-25-R-5002

FCONTRACTOR:

of_pages: 1

Reset:

2025-09-05T11:48:00-0400

EISENHOUR.JENNIFER.L.1364950400

2025-09-05T12:22:46-0400

PLANK.COURTNEY.S.1365268890

FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

Attachment J.11

C. CATEGORY:

TDP TM OTHER

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Audit Assertion Memo

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

Attachment 1, Paragraph 5.1

6. REQUIRING OFFICE

DLA Distribution J-7

See Block 16

B

8. APP CODE 11. AS OF DATE

N/A

See Block 16 Draft

Audit assertion reports are based on the Distribution Center’s [future] ability to pass audit for the upcoming month based on the consistent and repeatable processes in following the Enclosure 2 or the SOP's. For example, reports due prior to the end of September shall assert to the Contractor's ability to pass audit during the forthcoming month (October) for controls based audit, i.e., following Enclosure 2 of the SOP's.

The Contractor performing the Storage and Distribution requirements hold responsibility for ensuring the processes are being performed accurately in accordance with Enclosure 2 of the SOP's referenced in the Contract.

All Contractor required audit assertion reports are supported by existing monitoring and surveillance programs and systems identified in the Contractor's QCP to monitor performance, identify shortfalls and deficiencies, determine root causes, and develop and execute corrective action plans to mitigate risk and resolve deficiencies.

Contractor audit assertion reports provide a summary level assessment by the Contractor’s senior managers and subordinate managers and supervisors (a minimum of one for each of the nine functional areas) using data and information from the QCP and QA surveillance outcomes.

The Contractor's senior managers (Site and Alternate Site Manager) shall assert monthly that nine areas of responsibility are ready for audit (can assert) by having processes in place that ensure employees are following Enclosure 2 of the SOP's OR their areas of responsibility are not ready for audit (cannot assert or can only somewhat assert) using the report at attachment 1. For an area the senior manager reports that they are not ready for audit, the Contractor will be required to identify the audit shortfall and reference an existing Corrective Action Plan (CAP) in the Quality Management Tool (QMT) that is being executed to correct that deficiency. If there is not an existing CAP, the contractor will initiate a self-identified CAP in the QMT.

The Contractor’s senior managers will designate a minimum of one subordinate manager or supervisor responsible for each functional area to submit a manager/supervisor report using attachment 2. One manager/ supervisor may assert for multiple functional areas using one form. For those areas the manager or supervisor asserts they are not ready for audit, the manager or supervisor will identify the shortfall and any initial CAPs in the QMT. If the shortfall is documented on an existing CAP in the QMT, the subordinate manager or supervisor shall reference it.

In the event an area that was asserted to can pass audit and has a subsequent failure identified during an IPA or Distribution Headquarters J3 audit, will be documented as a non-conformance following the existing QA processes in the QMT for documentation and CAP development/implementation.

The audit assertion reports shall be signed by the assessing supervisor and manager and a consolidated package of the reports shall be provided to the COR NET seven (7) and NLT five (5) business days prior to the end of the month.

Block 7 - Inspection and acceptance requirements: The COR and Distribution Center Leadership will review and accept the monthly audit assertion memos and submit to DLA Distribution.

Block 14 - Distribution - Contractor to submit original to COR using the below attachments or updated/revised attachments provided by the Government. CDRL will not be modified for revised/updated forms.

Attachment 1 – Command Level DC Audit Assertion (v4.0) Attachment 2 – CTR Functional Area Manager Supervisor DC Audit Assertion (v4.0) Attachment 3 – CTR Site Manager Level DC Audit Assertion (v4.0) Attachment 4 – GOV Functional Area manager Supervisor DC Audit Assertion (v4.0)

J-7 Contract Spec 1

COR 1

15. TOTAL 0 1 1

Reset

DD

PLANK.COURTNEY.S.

1365268890

Digitally signed by

PLANK.COURTNEY.S.1365268890

Date: 2023.11.16 11:26:43 -05'00'

POWERS.CULLEN.M

ARTIN.1093893227

Digitally signed by

POWERS.CULLEN.MARTIN.10938932

Date: 2023.11.17 07:20:39 -05'00'

X007

DDDC SP3300-25-R-5002

yre3519

Highlight

DD Form 1423-1, Contract Data Requirements List (1 data item), February 2001.pdf

DLA Distribution HQ

DC AUDIT ASSERTION PROGRAM

CONTRACTOR Functional Area Manager and Supervisor

Functional Area Can Assert

Can Somewhat

Assert Cannot

Not Applicable

(Insert DC Acronym)Distribution Center Name:

Assertion Month: Name

Name of Person Signing Form:

Position Title / Role:

FUNCTIONAL AREA ASSERTIONS:

SECTION I: REVIEW the functional areas below and SELECT the level of assertion for that area to pass an upcoming audit using the definitions below. It is expected your assertion will be based, in part, on the inputs received from your direct reports.

SECTION II: For those functional areas asserts in Section I that are not ready for audit (Can Somewhat Assert and Cannot Assert), IDENTIFY the shortfall and any initial corrective actions. Be prepared to submit a Corrective Action Pan (CAP) if required by management. If the shortfall is documented on an existing CAP in the Quality Management Tool (QMT), the subordinate manager or supervisor shall reference it.

Submission Date:

Version 4.0 (as of 11/1/2022)

SECTION I

ASSERTION: As of this date, I am providing the following assertion(s) for the functional area(s) under my supervision to pass Financial Audit.

• (Can Assert) Unmodified/Unqualified – Reasonable Assurance that Internal Controls are adhered to /No issues noted/deficiencies noted

• (Can Somewhat Assert) Modified/Qualified - Some issues noted / Some assurance (dependent upon pervasiveness to each specific process and the individual and cumulative errors/ deficiencies noted)

• (Cannot Assert) Adverse – No assurance

OFFLOAD/TALLY

RECEIPT/INDUCTION

STOW/WAREHOUSING

REWAREHOUSING

STOCK SELECTION (PICK/PACK/PREP)

COSIS PROCESSES

PPP&M

PHYSICAL INVENTORY

TRANSPORTATION

RETAIL

SECTION II

CONTRACTOR Functional Area Manager and Supervisor Version 4.0 (as of 11/1/2022)

PHYSICAL INVENTORY- Identify issue(s) and corrective actions below:

Relevant Information Used To Make Your Determination on Assertion. IDENTIFY the shortfall and any initial corrective actions.

OFFLOAD/TALLY - Identify issue(s) and corrective actions below:

RECIPT/INDUCTION - Identify issue(s) and corrective actions below:

below

STOW/WAREHOUSING - Identify issue(s) and corrective actions below:

REWAREHOUSING - Identify issue(s) and corrective actions below:

STOCK SELECTION - Identify issue(s) and corrective actions below:

COSIS - Identify issue(s) and corrective actions below:

PPP&M - Identify issue(s) and corrective actions below:

X

ASSERTION SIGNATURE: I am asserting that I and all my subordinate levels of managers/supervisors/ employees are executing tasks IAW all Department of Defense (DoD), Defense Logistics Agency (DLA) Policies and Regulations and DLA Distribution Standard Operating Procedures (SOPs).