Exhibit_A_CDRLS_Acq_Program_Management_2015_12_17.pdf

ACWS Exhibit A Acq Pgm Mgt Version 1.0 17 December 2015

Exhibit A

Contract Data Requirements List Acquisition Program

Management

A001 – A016

Army Contract Writing System

Solicitation Number: W52P1J-16-R-0058

Army Contracting Command – Rock Island

(ACC-RI)

Information Technology Division Attn: Mr. Jonathan J. Anderson, Contracting Officer Rock Island Arsenal

3055 Rodman Avenue Rock Island, IL 61299-8000

17 December 2015

ACWS Exhibit A Acq Pgm Mgt Version 1.0 17 December 2015 i

All Exhibit CDRL item files are embedded in this document as attachments and may be accessed by clicking on the paperclip icon in the pane on the left side of this document.

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

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

1_DATA_ITEM_NO: A010

2_TITLE_OF_DATA_ITEM: Earned Value Management (EVM) Report

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: SEE BLK 16

5_CONTRACT_REFERENCE: SOO 6.1 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: MTHLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLOCK 4: Contractor developed, Government approved, format is acceptable.

The EVM Plan will identify a set of operating procedures for planning, directing, monitoring, and measuring work products in accordance with DFAR Clause 252.234-7001 and 252,234-7002.

BLOCK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors, Reason: Administrative and Operational Use, 29 Oct 2014. All other requests shall be referred to PdM ACWS, 200 Stovall St, Hoffman Bldg 2 Alexandria VA 22332

BLOCK 11: By the 10th of the current month for the previous month

BLOCK 12: The second month after Build Task Order Award that includes a Cost Plus Incentive Fee Contract Line Item Number (CLIN) IAW DFAR Clause 252.234-7001

BLOCK 13: As necessary to detail all changes / modifications to the EV baseline during the reporting period

BLOCK 14: Electronically delivered - reproducible in Microsoft Office formats unless otherwise approved by PdM ACWS. The Government shall have up to 7 calendar days to review for each submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Donald Burris, Acquisition Mgt. Specialist

H_DATE: 12/16/2015

1_APPROVED_BY: Kim Reid, Deputy PdM ACWS

J_DATE: 12/16/2015

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 001

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: Army Contract Writing System (ACWS)

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

16_REMARKS_Continued:

Page2: 2 of_pages: 3

Reset:

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 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

1_DATA_ITEM_NO: A011

2_TITLE_OF_DATA_ITEM: Contract Funds Status Report (CFSR)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-81468

5_CONTRACT_REFERENCE: SOO 6.1 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: MTHLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLOCK 4: Contractor developed, Government approved format is acceptable.

BLOCK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors, Reason: Administrative and Operational Use, 29 Oct 2014. All other requests shall be referred to PdM ACWS, 200 Stovall St, Hoffman Bldg II Alexandria VA 22332

BLOCK 11: As of the last day of the month.

BLOCK 12: First Submission reports on data from the end of 4th calendar month after contract award, submission is No Later Than 10 Government Working Days after the end of the month reported on (4th month).

BLOCK 13: Submit subsequent submissions No Later Than 10 Government Working Days after the end of the month reported on.

Revise and correct any errors in response to PdM ACWS comment in the previous monthly report

BLOCK 14: Electronically delivered - reproducible in Microsoft Office formats unless otherwise approved by PdM ACWS. The Government shall have up to 7 calendar days to review for each submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Donald Burris, Acquisition Mgt. Specialist

H_DATE: 12/16/2015

1_APPROVED_BY: Kim Reid, Deputy PdM ACWS

J_DATE: 12/16/2015

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 001

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: Army Contract Writing System (ACWS)

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

16_REMARKS_Continued:

Page2: 2 of_pages: 3

Reset:

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 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

1_DATA_ITEM_NO: A012

2_TITLE_OF_DATA_ITEM: Phase-Out Transition Plan

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-81945

5_CONTRACT_REFERENCE: SOO 6.10 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLOCK 4: Contractor developed, Government approved format is acceptable.

BLOCK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors, Reason: Administrative and Operational Use, 29 Oct 2014. All other requests shall be referred to PdM ACWS, 200 Stovall St, Hoffman Bldg II Alexandria VA 22332

BLOCK 12: Initial delivery 30 Day Prior to the end of the period of performance of the Risk Reduction phase

BLOCK 13: Subsequent Updates delivered 30 days prior to end of the follow-on Build Task Orders

BLOCK 14: Electronically delivered - reproducible in Microsoft Office formats unless otherwise approved by PdM ACWS. The Government shall have up to 7 calendar days to review for each submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Donald Burris, Acquisition Mgt. Specialist

H_DATE: 12/16/2015

1_APPROVED_BY: Kim Reid, Deputy PdM ACWS

J_DATE: 12/16/2015

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 010

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: Army Contract Writing System (ACWS)

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

16_REMARKS_Continued:

Page2: 2 of_pages: 3

Reset:

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

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 xtm: Off

1_DATA_ITEM_NO: A013

2_TITLE_OF_DATA_ITEM: Cost Data Summary Report (CDSR) (DD Form 1921)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-FNCL-81565C

5_CONTRACT_REFERENCE: SOO 6.1 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: ANNLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS:

BLOCK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors, Reason: Administrative and Operational Use, 29 Oct 2014. All other requests shall be referred to PdM ACWS, 200 Stovall St, Hoffman Bldg II Alexandria VA 22332

BLOCK 11: The last day of the 12th month following contract award.

BLOCK 12: 60 days following the as of date.

BLOCK 13: Final report is due 60 days following the date of final product acceptance (e.g., as evidenced by completed DD 250) after 95% or more of total contract costs have been incurred.

BLOCK 14: Electronically delivered to the PdM ACWS and the Defense Cost and Resource Center (DCARC) website at http://dcarc.cape.osd.mil. Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC website and obtain an External Certification Authority (ECA) certificate from a third party vendor. Submissions must be in a DCARC approved Extensible Markup Language (XML). PDF format is not acceptable. Reproducible in Microsoft Office formats unless otherwise approved by PdM ACWS.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Donald Burris, Acquisition Mgt. Specialist

H_DATE: 12/16/2015

1_APPROVED_BY: Kim Reid, Deputy PdM ACWS

J_DATE: 12/16/2015

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 001

B_EXHIBIT: A

xTDP: Off

OTHER: x

DSYSTEMITEM: Army Contract Writing System (ACWS)

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

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 xtm: Off

1_DATA_ITEM_NO: A014

2_TITLE_OF_DATA_ITEM: Software Resource Data Report (SRDR)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: SEE BLK 16

5_CONTRACT_REFERENCE: SOO 6.1 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: DCARC draft1:

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16_REMARKS:

BLOCK 4:

1. DID-MGMT-81739B Applies to the SRDR Initial Developer Report and Dictionary

2. DI-MGMT-81740A Applies to the SRDR Final Developer Report and Data Dictionary

BLOCK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors, Reason: Administrative and Operational Use, 29 Oct 2014. All other requests shall be referred to PdM ACWS, 200 Stovall St, Hoffman Bldg II Alexandria VA 22332

BLOCK 12 and BLOCK 13:

1.Submission of the SRDR Initial Developer Report and Dictionary is due 30 calender days prior to every Task Order Build Critical Design Review (CDR) 2.Submission of the SRDR Final Developer Report and Dictionary is due within 60 calender days after every Task Order Build Limited Deployment Decision

(LDD)

BLOCK 14: Electronically delivered to the PdM ACWS and the Defense Cost and Resource Center (DCARC) website at http://dcarc.cape.osd.mil. Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC website and obtain an External Certification Authority (ECA) certificate from a third party vendor. Submissions must be in a DCARC approved Extensible Markup Language (XML). PDF format is not acceptable. Reproducible in Microsoft Office formats unless otherwise approved by PdM ACWS.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Donald Burris, Acquisition Mgt. Specialist

H_DATE: 12/16/2015

1_APPROVED_BY: Kim Reid, Deputy PdM ACWS

J_DATE: 12/16/2015

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: 001

B_EXHIBIT: A

xTDP: Off

OTHER: x

DSYSTEMITEM: Army Contract Writing System (ACWS)

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

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 xtm: Off

1_DATA_ITEM_NO: A015

2_TITLE_OF_DATA_ITEM: Functional Cost Hour Report (DD Form 1921-1)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-FNCL-81566C

5_CONTRACT_REFERENCE: SOO 6.1 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: ANNLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: DCARC draft1:

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16_REMARKS:

BLOCK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors, Reason: Administrative and Operational Use, 29 Oct 2014. All other requests shall be referred to PdM ACWS, 200 Stovall St, Hoffman Bldg II Alexandria VA 22332

BLOCK 11: The last day of the 12th month following contract award.

BLOCK 12: 60 days following the as of date.

BLOCK 13: Final report is due 60 days following the date of final product acceptance (e.g., as evidenced by completed DD 250) after 95% or more of total contract costs have been incurred.

BLOCK 14: Electronically delivered to the PdM ACWS and the Defense Cost and Resource Center (DCARC) website at http://dcarc.cape.osd.mil. Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC website and obtain an External Certification Authority (ECA) certificate from a third party vendor. Submissions must be in a DCARC approved Extensible Markup Language (XML). PDF format is not acceptable. Reproducible in Microsoft Office formats unless otherwise approved by PdM ACWS.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Donald Burris, Acquisition Mgt. Specialist

H_DATE: 12/16/2015

1_APPROVED_BY: Kim Reid, Deputy PdM ACWS

J_DATE: 12/16/2015

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 001

B_EXHIBIT: A

xTDP: Off

OTHER: x

DSYSTEMITEM: Army Contract Writing System (ACWS)

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

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 xtm: Off

1_DATA_ITEM_NO: A016

2_TITLE_OF_DATA_ITEM: Contractor Business Data Report (DD Form 1921-3)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-FNCL-81765B

5_CONTRACT_REFERENCE: SOO 6.1 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: ANNLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS:

BLOCK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors, Reason: Administrative and Operational Use, 29 Oct 2014. All other requests shall be referred to PdM ACWS, 200 Stovall St, Hoffman Bldg II Alexandria VA 22332

BLOCK 10: Per contractor's fiscal year.

BLOCK 11: As of the last day of contractor's prior, current or future fiscal year as appropriate.

BLOCK 12 and BLOCK 13: Submit annually within sixty (60) days subsequent to the end of the contractor's fiscal year for the life of the contract.

BLOCK 14: Electronically delivered to the PdM ACWS and the Defense Cost and Resource Center (DCARC) website at http://dcarc.cape.osd.mil. Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC website and obtain an External Certification Authority (ECA) certificate from a third party vendor. Submissions must be in a DCARC approved Extensible Markup Language (XML). PDF format is not acceptable. Reproducible in Microsoft Office formats unless otherwise approved by PdM ACWS.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Donald Burris, Acquisition Mgt. Specialist

H_DATE: 12/16/2015

1_APPROVED_BY: Kim Reid, Deputy PdM ACWS

J_DATE: 12/16/2015

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 001

B_EXHIBIT:

xTDP: Off

OTHER: X

DSYSTEMITEM: Army Contract Writing System (ACWS)

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages: 1

Reset:

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 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

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Program Management Plan (PMP)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-81797

5_CONTRACT_REFERENCE: SOO 6.1 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: 60 DAC

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLOCK 4: Contractor developed, Government approved format is acceptable.

BLOCK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors, Reason: Administrative and Operational Use, 29 Oct 2014. All other requests shall be referred to PdM ACWS, 200 Stovall St, Hoffman Bldg II Alexandria VA 22332

BLOCK 13: 1st Subsequent Submission 30 Days After Preliminary Design Review (PDR), following subsequent submissions as required to document changes.

BLOCK 14: Electronically delivered - reproducible in Microsoft Office formats unless otherwise approved by PdM ACWS. The Government shall have up to 15 calendar days to review for each submission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Donald Burris, Acquisition Mgt. Specialist

H_DATE: 12/16/2015

1_APPROVED_BY: Kim Reid, Deputy PdM ACWS

J_DATE: 12/16/2015

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 001

B_EXHIBIT: A

TDP:

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DSYSTEMITEM: Army Contract Writing System (ACWS)

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

16_REMARKS_Continued:

Page2: 2 of_pages: 3

Reset:

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 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

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Contractor Work Breakdown Structure (CWBS)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: MIL-STD-881C

5_CONTRACT_REFERENCE: SOO 6.1 / PWS TBD

6_REQUIRING_OFFICE: PdM ACWS

7_DID_250_REQ: LT

8_APP_CODE: BLANK

DIST_STATEMENT: SEE BLK 16

10_FREQUENCY: ANNLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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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:

addressee22:

draft22:

reg22:

repro22:

addressee2