Exhibit A - Draft CDRLs.pdf
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- W519TC-25-S-HWAD
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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 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
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
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: H003 title: Fire Inspection Frequency sub:
auth:
ref: Para 3.3 req_ofc: HQ JMC dd250: XX appcode: N/A dist: N/A freq: Annually asof: N/A firstsub: See Remarks subsub: Annually addressee1: HWAD PCO draft1:
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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Submit inspection frequency report within 30 days of operational control.
Report shall be reviewed and submitted by 30 January each year.
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: E013 title: Installation Status Report sub: Contractor detailed approach to meeting Maintenance PWS requirements auth:
ref: Para 7.1.5 req_ofc: xxx dd250: No appcode: N/A dist: N/A freq: Quarterly asof:
firstsub:
subsub: As required addressee1: HWAD ACO draft1:
reg1: 1 repro1:
addressee2: HWAD PCO draft2:
reg2: 1 repro2:
addressee3:
draft3:
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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Shall have Plans Report in the system before ISR report can be completed. First ISR Infrastructure Report shall be due on 15 Sept 2022, updated quarterly thereafter.
Allow 30 days for Government review. Submit with Government revisions within 30 calendar days after Government review.
group:
total_price:
prep_name:
line_item:
exhibit:
xtdp: Off xtm: Off othercat:
system:
ctr_no:
contr:
remarksb:
Page2:
Reset:
prep_date:
app_by:
app_date:
Page:
of_pages:
app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: C011 title: Dam Inspections sub:
auth:
ref: Maintenance PWS, para 4.1.2 req_ofc: XXXXXXXXXX dd250: LT appcode: N/A dist: B freq: SEE BLK 16 asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: HWAD ACO draft1:
reg1: 1 repro1:
addressee2: HWAD PCO draft2:
reg2: 1 repro2:
addressee3:
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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 9: Distribution B: Distribution authorized to U.S. Government Agencies;
Proprietary Information; 4 February 2021. Other requests for this document shall be referred to to the Joint Munitions Command.
BLK 10/12/13: 5.1.2. Inspections. The three (3) required inspection types include: a Periodic Technical Inspection of each dam or reservoir every five (5) years, not to exceed sixty (60) month intervals; an annual maintenance inspection; and regular operational inspections and observations made by qualified water operators. The contractor shall maintain all inspection reports and findings in the CMMS and report to the HWAD Government Staff as completed. The Periodic Technical Inspection must meet the requirement of the Army Dams, Transportation and Infrastructure Program (ADTIP) and include spillways, outlets, earth embankments, and concrete structures, looking for seepage, cracking, scour, the presence of burrowing animals, and tree growth on embankments. Annual and Periodic Inspection reports shall include findings and estimated costs of repairs from any defects noted.
group:
total_price:
prep_name:
line_item:
exhibit:
xtdp: Off xtm: Off othercat:
system:
ctr_no:
contr:
remarksb:
Page2:
Reset:
prep_date:
app_by:
app_date:
Page:
of_pages:
app: Adobe Professional 8.0
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DD FORM 1423, FEB 2024
Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft
Final
Reg
Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
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 (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
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 rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785
DD Form 1423, "Contract Data Requirements List"
CurrentPage:
PageCount:
Select Classification from drop-down list.: 1
CUI Indicator Information:
Click on this button to attach a file(s).:
A. CONTRACT LINE ITEM NUMBER:
exhibit:
C. CATEGORY: Select for "TDP.": 0
C. CATEGORY: Select for "TM.": 0
C. CATEGORY: Select for "OTHER.": 0
C. CATEGORY: Enter specification for "Other.":
System:
ContractNum:
Contractor:
1. DATA ITEM NUMBER: J003
titleDataItem: Management Plan subtitle: Storm Water Pollution Plan (SWPP)
4. AUTHORITY (Data Acquisition Document Number): DI-MGMT-80004A contractRef: PWS ENV PARA 2.1.2.1 reqOffice: HQ JMC
7. DD 250 REQUIREMENT: NO
8. APPROVAL CODE : NA
9. DISTRIBUTION STATEMENT REQUIRED: NA
freq: ANNLY asOfDate: NA dateFirstSub: 120 DAC dateSubseqSub: ANNLY
16. REMARKS: Submit plan no later than 120 days after contract award.
Subsequent submissions shall be provided by 31 December each year.
Click to add continuation field for Remarks:
14. DISTRIBUTION - a. ADDRESSEE, new line: PCO
14. DISTRIBUTION - a. ADDRESSEE, new line: ACO
15.TOTAL - Total draft copies is automatically calculated.: 0
15.TOTAL - Total draft copies is automatically calculated.: 0
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 2
15.TOTAL - Total final reproducible copies is automatically calculated.: 0
15.TOTAL - Total final reproducible copies is automatically calculated.: 0 priceGrp:
estTotalPrice:
remarks:
preparedBy:
J. SIGNATURE: H. SIGNATURE
J. SIGNATURE: J. SIGNATURE
J. SIGNATURE:
approvedBy:
Click to add additional data items.:
Click to delete additional data items.:
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: E014 title: Property Control Report sub: Real Property Physical Inventory Report auth:
ref: Para 7.1.7.12 req_ofc: xxx dd250: No appcode: N/A dist: A freq: As required asof: Block 16 firstsub:
subsub: Block 16 addressee1: HWAD ACO draft1:
reg1: 1 repro1:
addressee2: HWAD PCO draft2:
reg2: 1 repro2:
addressee3: HWAD GPA/RPAO draft3:
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total_draft: 0 total_reg: 3 total_repro: 0 remarks: Contractor must provide status to RPAO/GPA on progress of the cyclic physical inventory on a quarterly basis in excel format including all data elements, including any updates made to the Government's Accountable Property System of Record (APSR) (currently the General Fund Enterprise Business System (GFEBS)) in comments tab, and will provide a listing annually of all RP assets inventoried each year that indicates results; i.e., no change/changes needed to asset data elements, and date records/APSR updates were completed. A separate listing of significant changes (acquisitions/capital improvements/disposals) will be submitted each year as part of the annual report which will include a draft memorandum for Commander's/Commander's Rep signature. Documentation must be available in each asset file to support data element recorded in GFEBS.
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: C012 title: RAIL INSPECTION REPORT sub:
auth:
ref: Maintenance PWS, para 4.2.2 req_ofc: XXXXXXXXXX dd250: LT appcode: N/A dist: D freq: SEE BLK 16 asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: HWAD ACO draft1:
reg1: 1 repro1:
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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 9: Distribution Statement D. Distribution authorized to Department of Defense and U.S. DoD Contractors only; Administrative or Operational Use. Other requests for this document shall be referred to the Joint Munitions Command.
BLKs 10/12/13: The required inspection intervals are defined in UFC 4-860-03 and AR 420-1. Inspections shall start once the contractor has operational control. The qualified rail inspector shall submit an inspection report using appropriate templates called out in UFC 4-860-03 for each Rail Inspection required in UFC 4-860-03 and AR 420-1, which classifies the deficiencies and makes recommendations for repair/upgrade which shall be submitted to the HWAD Government staff for review and forwarding to ERDC POCs within 90 days of the inspection completion date. The inspection reports shall include findings and estimated costs of repairs for any defects noted.
group:
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: H004 title: Commander's Critical Information Request (CCIR) sub: N/A auth:
ref: Para 4.2 req_ofc: HQ JMC dd250: XX appcode: N/A dist: N/A freq: As required asof: N/A firstsub: As required subsub: N/A addressee1: HWAD PCO draft1:
reg1: 1 repro1:
addressee2: HWAD ACO draft2:
reg2: 1 repro2:
addressee3:
draft3:
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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Submit DA Form 7621 within 24 hours of any fire or incident involving injury, fatality, equipment, or real property damage exceeding $100,000.
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DD FORM 1423, FEB 2024
Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft
Final
Reg
Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
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 (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
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 rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785
DD Form 1423, "Contract Data Requirements List"
CurrentPage:
PageCount:
Select Classification from drop-down list.: 1
CUI Indicator Information:
Click on this button to attach a file(s).:
A. CONTRACT LINE ITEM NUMBER:
exhibit:
C. CATEGORY: Select for "TDP.": 0
C. CATEGORY: Select for "TM.": 0
C. CATEGORY: Select for "OTHER.": 0
C. CATEGORY: Enter specification for "Other.":
System:
ContractNum:
Contractor:
1. DATA ITEM NUMBER: J004
titleDataItem: Non-Standard Environmental Event subtitle: Spill Prevention, Control and Countermeasure Plan
4. AUTHORITY (Data Acquisition Document Number): DI-MGMT-80004A contractRef: PWS ENV PARA 1.1 reqOffice: HQ JMC
7. DD 250 REQUIREMENT: NO
8. APPROVAL CODE : NA
9. DISTRIBUTION STATEMENT REQUIRED: NA
freq: ANNLY asOfDate: NA dateFirstSub: 120 DAC dateSubseqSub: ANNLY
16. REMARKS: Submit plan within 120 days after contract award.
Subsequent plans shall be provided by 31 December each year.
Click to add continuation field for Remarks:
14. DISTRIBUTION - a. ADDRESSEE, new line: PCO
14. DISTRIBUTION - a. ADDRESSEE, new line: ACO
15.TOTAL - Total draft copies is automatically calculated.: 0
15.TOTAL - Total draft copies is automatically calculated.: 0
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 1
15.TOTAL - Total final regular copies is automatically calculated.: 2
15.TOTAL - Total final reproducible copies is automatically calculated.: 0
15.TOTAL - Total final reproducible copies is automatically calculated.: 0 priceGrp:
estTotalPrice:
remarks:
preparedBy:
J. SIGNATURE: H. SIGNATURE
J. SIGNATURE: J. SIGNATURE
J. SIGNATURE:
approvedBy:
Click to add additional data items.:
Click to delete additional data items.:
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: H005 title: F&ES Response Time Requirements sub:
auth:
ref: Para 4.3 req_ofc: HQ JMC dd250: XX appcode: N/A dist: N/A freq: Monthly asof:
firstsub: See Remarks subsub: Monthly addressee1: HWAD PCO draft1:
reg1: 1 repro1:
addressee2: HWAD ACO draft2:
reg2: 1 repro2:
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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Submit report to include alarm handling time, turnout time, travel time and total response time for each apparatus responding and for each type of incident (fire, EMS, technical rescue, hazardous materials, and wild land) within 30 days of operational control.
Subsequent submissions shall be submitted by the 5th of every month.
group:
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line_item:
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xtdp: Off xtm: Off othercat:
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ctr_no:
contr:
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Page2:
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prep_date:
app_by:
app_date:
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app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: C013 title: Monthly Rail Equipment Utilization, Movements, and Maintenance Reports sub:
auth:
ref: Maintenance PWS, para 4.2.3 req_ofc: XXXXXXXXXX dd250: LT appcode: N/A dist: D freq: MTHLY asof: N/A firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: HWAD ACO draft1:
reg1: 1 repro1:
addressee2: HWAD PCO draft2:
reg2: 1 repro2:
addressee3:
draft3:
reg3:
repro3:
addressee4:
draft4:
reg4:
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addressee6:
draft6:
reg6:
repro6:
addressee7:
draft7:
reg7:
repro7:
addressee8:
draft8:
reg8:
repro8:
addressee9:
draft9:
reg9:
repro9:
addressee10:
draft10:
reg10:
repro10:
addressee11:
draft11:
reg11:
repro11:
addressee12:
draft12:
reg12:
repro12:
addressee13:
draft13:
reg13:
repro13:
addressee14:
draft14:
reg14:
repro14:
addressee15:
draft15:
reg15:
repro15:
addressee16:
draft16:
reg16:
repro16:
addressee17:
draft17:
reg17:
repro17:
addressee18:
draft18:
reg18:
repro18:
addressee19:
draft19:
reg19:
repro19:
addressee20:
draft20:
reg20:
repro20:
addressee21:
draft21:
reg21:
repro21:
ad
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