B002_Financial_Reports_-_RHRP-3.pdf

PDF 106 KB Posted

Attached to
Special Notice-Amendment 0009 Federal contract opportunity
Solicitation number
W15QKN-17-R-1042
Issued by
Department of the Army Materiel Command Contracting Command Picatinny Arsenal

About this file

This document contains a contract data requirements list and related federal contract opportunity. The contract data requirements list outlines reporting requirements for a contractor providing financial, progress, and management reports on a weekly, monthly, quarterly, and annual basis under an indefinite delivery, indefinite quantity contract awarded by the U.S. Army Contracting Command - New Jersey on behalf of the Defense Health Agency. The reports will support health readiness services provided to reserve components of the military services throughout the U.S., Germany, and at group events. The related federal contract opportunity provides additional details on Solicitation Number W15QKN-17-R-1042 for Reserve Health Readiness Program III services, including immunizations, physicals, and dental services. The single-award, five-year contract will be awarded on a firm-fixed-price and cost-reimbursement basis, with a notice of anticipated solicitation release on September 30, 2017.

CDRL B002

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Other files for this federal contract opportunity

Other files attached to Special Notice-Amendment 0009, newest first.
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RHRP-3_Attachment_0007_Technical_Scenarios_Rev_2_May_2018.pdf PDF
W15QKN-18-R-1000_Conformed_V05-29-18.pdf PDF
RHRP-3_Attachment_0007_Technical_Scenario_Locations_2_May_2018.xlsx XLSX spreadsheet
Attch_0011_Quality_Assurance_Surveillance_Plan_1-24-18.pdf PDF
Industry_Questions_2-15-2018.pdf PDF
Conform_-_W15QKN-18-R-1000.docx DOCX document
Attachment_0007_Technical_Scenarios_24_Jan_2018.pdf PDF
RHRP-3_Amend_0004_Exhibits_7-11.zip ZIP file
RHRP-3_Amend_0004_Exhibits_14.zip ZIP file
RHRP-3_Amend_0004_Attachments.zip ZIP file
W15QKN-18-R-1000-0004_(Released).pdf PDF
RHRP-3_PWS_-_7_Dec_clean.pdf PDF
RHRP-3_Preproposal_Conference_Attendee_List.pdf PDF
Exhibit_14d_RHRP-3_Post_Event_Report_4.4.2.3.xls XLS spreadsheet
B001_Weekly_and_Monthly_and_Quarterly_-_RHRP-3.pdf PDF
Exhibit_14n_CSS_Poor_Rating_Monthly_Resolution_Completed__Detail_4.4.4.5.xlsx XLSX spreadsheet
Attachment_-0004_Price_Matrix_Cost-Price_Vol_III-9-30-17-dl.xlsx XLSX spreadsheet
Exhibit_14o_USAR_Monthly_Dental_Summary_4.4.4.23.xlsx XLSX spreadsheet
Exhibit_14q_Dental_Report_Card_4.4.5.1.xls XLS spreadsheet
Attachment_0006_basis_of_award-9-30-17-draft.docx DOCX document
Exhibit_3_NDA_contractor.docx DOCX document
Exhibit_14l_HIV_Specimen_Stats__4.4.4.6.xlsx XLSX spreadsheet
Attch_0011_Quality_Assurance_Surveillance_Plan.doc DOC document
Attachment_9-SFFL_4_Short_Term_EAL_Form_2017.pdf PDF
Exhibit_13_Checklist_and_Certification_for_Safeguarding_Unclassified_DoD_Info_Nov_2014.docx DOCX document
Attachment_0005_Proposal_Submission.docx DOCX document
Exhibit_14_-_Report__Matrix.xlsx XLSX spreadsheet
Exhibit_14i_Speed_of_Data_Entry_into_SC_Database_4.4.4.3.xlsx XLSX spreadsheet
Exhibit_14p_Detail_Report_with_Dental_Event_Reclassification_4.4.4.25.xlsx XLSX spreadsheet
Exhibit_2c_DD_Form_3024_OFFICIAL_LOCKED.pdf PDF
Exhibit_14s_Group_Event_POC_Survey_Results_4.4.4.15.xlsx XLSX spreadsheet
Exhibit_14f_Avoidable_Costs_YTD__4.4.4.20.xlsx XLSX spreadsheet
PWS_-_22_Nov_2017.pdf PDF
B002 Financial Reports.pdf PDF
W15QKN-18-R-1000_Draft.docx DOCX document
Exhibit 14i Speed of Data Entry into SC Database 4_4_4_3.xlsx XLSX spreadsheet
B005 Group Events.pdf PDF
Attachment 0010 Pre Award Survey of Prospective Contractor Accounting Systems Checklist.pdf PDF
D003 Transition Plan Phase Out.pdf PDF
Attachment 0008 Preproposal Conference Intent to Participate Form R1.pdf PDF
Attachment 0009 SFFL5.pdf PDF
Attachment 0004 Price Matrix Cost-Price Vol III 9-30-17-dl.xlsx XLSX spreadsheet
Exhibit 14g PDHRA and MHA Monthly Activity Management Report 4_4_4_22.xlsx XLSX spreadsheet
Exhibit 14h RHRP_Event Planning and Forecast 4.4.3.4.xlsx XLSX spreadsheet
Exhibit 14b Invoice Reports 4_4_4_2.xlsx XLSX spreadsheet
Attachment 0007 Technical Scenarios.docx DOCX document
Exhibit 13 Checklist and Certification for Safeguarding Unclassified DoD.docx DOCX document
D001 Quality Assurance Plan.pdf PDF
Exhibit 14e InClinic Services By Service Date 4_4_4_18.xlsx XLSX spreadsheet
Attachment 0001 PWS List of Exhibits 09-20-17.doc DOC document
Show all 50

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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 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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: B002
title: Contractor's Financial Progress, Status, and Management Report
sub: Weekly, Monthly, Quarterly, and Annual Progress, Status, and Management Reports
auth: DI-MGMT-81928
ref: SEE BLK 16
req_ofc: RHRP Management Office
dd250: see Block 16
appcode: N/A
dist: Government
freq: ASREQ
asof: 60 DACA
firstsub: SEE BLK 16
subsub: SEE BLK 16
addressee1: Contractor Portal
draft1:
reg1: 1
repro1:
addressee2: COR (electronically)
draft2:
reg2: 1
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total_draft: 0
total_reg: 2
total_repro: 0
remarks: Blocks 10 and 13: For the weekly reports, the Contractor shall provide to the COR or post to Contractor Portal on Monday morning identifying current financial status of task orders and projections for the near future. The Contractor shall provide monthly reports to the COR or post to the Contractor Portal by the 15th of every month identifying current status for deliverables produced under this contract for the month. The Contractor shall provide annual reports by the 15th of November each year.

Blocks 12: The Contractor shall submit the first reports on the dates outlined Block 16 upon initiation of RHRP services.

SUBMISSION: All submissions except those provided to the unit shall be by secure electronic means (email) in MS Office document compliant form.

CONTRACTOR PORTAL: The Contractor shall establish an access-controlled website on which they will post the reports for the applicable parties.

WEEKLY REPORTS

4.4.3.5 Status Reports

MONTHLY REPORTS:

4.4.4.2 Invoice Reports

4.4.4.7 Invoice support documentation

4.4.4.22 Avoidable Cost YTD Reports

ANNUAL REPORTS

4.4.6.2 Annual Summary

group:
total_price:
prep_name:
line_item: TBD
exhibit:
xtdp: Off
xtm: Off
othercat: MGMT
system: RHRP-3 Service Contract
ctr_no: W15QKN-17-R-1042
contr: TBD
remarksb: MONTHLY REPORTS:

4.4.4.2 Invoice Reports

4.4.4.7 Invoice support documentation

4.4.4.22 Avoidable Cost YTD Reports

QUARTERLY REPORTS

ANNUAL REPORTS

4.4.6.2 Annual Summary

Page2:
Reset:
prep_date:
app_by:
app_date:
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of_pages:
app: Adobe Professional 8.0

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