Exhibit_A_-_CDRLS_A001-A006.pdf

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Attached to
PM MAS Support Services Federal contract opportunity
Solicitation number
W15QKN-18-R-0120
Issued by
Department of the Army Materiel Command Contracting Command Picatinny Arsenal

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Exhibit A - CDRLS A001-A006

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CONTRACT DATA REQUIREMENTS LIST Form Approved j (2 Data Items/ 0MB No. 0704-0188

Tho public roport,ng burden fat this collocMn of information is estimated to averago 220 hours per response, including the t,me !or rev,owing instructions, searching existing I data ,ourcos, gathering and maintaining the da1a noadod, and compleUng and revlewing tho collection oi information. Send comment, reg_a,ding \�is burden estimate or any othor aspect ot this collection of informa1ion, )nduding suggestions for reducing tho burdan, to tho Department of Defense, E><ecut,ve Services D1reotorate

I 10704•01881, Ro,pondonts should bo awote that notwithstanding any other provision of law, no po,son sholl bo ,ubjoct to any penalty for failing to comply wtth a oollection of tnlorrnatIon I! i1 does not display a cUrTently valid 0MB control number. Ple""e do not t<l!Utn your form to ths abovo orijani,ation. Send completed form to 1he Government ls•ulng Contracting Officer for the Contractll'R No. li�tcd in Block E.

I

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

TM OTHER

D. SYSTEM/ITEM

I E. CONTRACT/PR NO. F. CONTRACTOR IProgram Management Support l,"."o"•"•"•",=�=•,;,,,"o'.'","·'•"rr','•"o"•"o"•"•"•",",a,.cc-----'---------------f,,.c,c c,c,orr•,••-----------------l1,,,,a.,,a,s,cs,a,,,c0c0a,�

A00l Program Progress Report Weekly Status Report

�=�½-o-==�-�==�-�-�==�-----1 11===,.., 4. AUTHORITY /Oats Acquisition Document No./ 16• CONTRACT REFERENCE 6. REQUIRING OFFICE

18. ESTl�ATEO

DI-MGMT-80555A (Tailored) PWS paragraph 4.1 SFAE-AMO-MAS-SETI

N·IA R!,QU]REO

w kl 7 DAC , .

TOTAL PmCE lcc,-.o=o=,,,=,,,,,,0-,,,c.c0c,,a,,,,,,,,�aic,.,,,s,-,,,,c.c,,,=,0=,,,",·,",�---,,,c,".o••••"'c'c'c.,"a'c''�'"""'"�""'"'°"'�-t-,0,.=·==========o=,="='='=•o�,=,=o=,=============:

1ee y b ,COPIES fc,.,-•• ,�,=,,,c,.,=,�---.+,c,c .• ,c,,,.,,,,,,,.,,,,,.,,,,.,c.,c,=-,-j • ADDRESSEE Final 1 '-------' B. APP CODE D

SUBMISSION o,att Rog Rop,o

16. REMARKS

Tailoring - Contractor format acceptable.

Bl.K 14- Deliver reports electronica11y to:

thomas.m. brovm 14 5.civ@mail.mil dianc.m.wastclla.civ@mail.mil kristen.a.rounsaville.civ@mail.mil

Thomas Brown 1 j lco�;�=e"W�as=w�ll,--t--r�l +---i, rK_,;_s,_,_,_R_,_,_,_,_"_;_11_, _ _, __ +_1_+--1 I ,---------+--,---t---1!

t--------;---t--+--t!

t--------<--t---t--i' ,-- -------+--,---t---ii

,_ ________ .,_. __ ,_ _ _, __ _,I l,.====���======--------------�-��==!'�'�·�'°�'�.;,====�tiio=t:i3=t:ioL! [�====�

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SU!lTITLE 17. PRICE GROUP

A002 Contractor Roster Occupied Administrative Space I

1-c,-.,,,.,.,.,,,•rr•,�m•••,.",•�="'"'"""'""'""""'m"•"•'•N=,.•,- - -T l '"·"'''"'"'''"••c•,","'"""'"'''"cr�--- -��- -=,,,.",•s=o•o•m•m•c=o",s•,"cs�----------Jlf,c,c.,"''"'"•"••�=0��

TOTAL PRICE Dl-ADMIN-81596 (Tailored) PWS paragraph 4.2 SFAE-AMO-MAS-SETI I 1cc�===�-���=�"'��TCC=�"'�=---,c,c,c,,Acoc,c,c,c,,,•,s•,�so'a"M','SCsC,o,,�+,-,-.-----,-,-,,-,-,_-,-,-,,-,--------J i ' DD 2so HEU ,. D!ST STATEMEIIIT w.

NIA REQUIRED

,. APP CODE D "·

FREQUENCY

See Block 16

AS OFOATE

See Below lODAC

13. OATE OF SUBSEQUENT

SUBMISSION

• COPIES IL.-----�

•· ADDRESSEE Final

Oral\

16. REMARKS

"' Ropro

I ���-�-------�---------�-------------!cTchc,-m-M-B�m------j---f-c;'--!-"CC-J i

Tailoring - Contractor format acceptable

The contractor shall prepare and deliver to the Government within 10 days of contract award/modification the following:

(I) Name of Contractor (2) Contract Number (including order number, if applicable)

(3) Start date and end date of contract (4) Names of contractor personnel occupying administrative space at Pica tinny Arsenal (5) Building number the contractor occupies BLK14 - Deliver reports electronically to:

thoma,;.m.brown 146.civ@mail.mil;grcgory j.rodriqucz8 .civ@mail.mi!

diane.m. wastella.civ@mail.mil; fortunato.rubio,civ@mail.mil krlstcn.a.rounsaville.civ@mail.mil

I I

Gregory Rodriquez I =~�---t--+-�t----t I Diane Wastella

I

"'F",-rt-,-,-s<-o"R'o"b";-,---t----+-�+--< i rc�-= --�� --t-- -+�-,----Ji Kristcn'Rounsaville t-------+-+-+--11 f------+-+--1---11 1-----+--t -+--l< t--------f--1---+---I i 1--------+--1--+---11 i-------1---1--+--� I

L�===�=--f'---------��==---��=====�_t,�•=· '�'�'�';'====�tog;:!�s=tQoj

Y /4

�,?Z,,C:?,c_., H. DATE l��

VED BY J. DATE 1

rnaaeWastella Jo/1/fl;ff/{ , , ,<.,/ 17\ We I ,A ..J:Ji11'2,flf- i DD FORM 1423-2, AUG 96 Pty:vlOUS EDITION MAY BE USED. Page __ qS __ Pages

Adobe Professional 7,o

Revised CDRL A001
Revised Signed CDRLs for Amd 0001

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