B08 Exhibit A CDRL REV 1 12-16-21.pdf

PDF 1 MB Posted Dec 20, 2021

Attached to: Environmental Stack Testing and Consulting Services
Solicitation number: W52P1J-22-R-0003
Issued by: Department of the Army Materiel Command Joint Munitions Command

View the file

Other files

File	Type	Posted
B08 W52P1J22R0003-0003.pdf	PDF	Jan 20, 2022
B08 W52P1J22R0003-0002.pdf	PDF	Jan 11, 2022
B08 ATTACHMENT 0010 Environmental Stack Contractor Questions 1-10-2022.pdf	PDF	Jan 11, 2022
B08 Attachment 0005 Price Evaluation Spreadsheet Stack Testing Rev 1 20DEC2021.xlsx	XLSX spreadsheet	Dec 21, 2021
Attachment 0001 - Environmental PWS - REV 1 17DEC2021.pdf	PDF	Dec 21, 2021
Attachment 0009 W52P1J-22-R-0003 Environmental Stack Contractor Questions FINAL.pdf	PDF	Dec 20, 2021
B08 Attachment 0005 Price Evaluation Spreadsheet Stack Testing Rev 1 20DEC2021.xlsx	XLSX spreadsheet	Dec 20, 2021
Attachment 0001 - Environmental PWS - REV 1 17DEC2021.pdf	PDF	Dec 20, 2021
B08 W52P1J22R0003-0001.pdf	PDF	Dec 20, 2021
B08 Attachment 0003 iWatch Training Slides.pdf	PDF	Nov 24, 2021
B08 Exhibit A CDRL 10-12-21.pdf	PDF	Nov 24, 2021
B08 Attachment 0007 List of Addresses for CDRLS.pdf	PDF	Nov 24, 2021
B08 Attachment 0004 OPSEC ACQUISITIONS PLAN.pdf	PDF	Nov 24, 2021
B08 Attachment 0005 Price Evaluation Spreadsheet Stack Testing FINAL 26 Oct 2021.xlsx	XLSX spreadsheet	Nov 24, 2021
W52P1J22R0003.pdf	PDF	Nov 24, 2021
B08 Attachment 0002 Depart of Labor Wage Determinations 9-20-2021.pdf	PDF	Nov 24, 2021
B08 Attachment 0006 Past Performance Questionnaire 10-15-21.pdf	PDF	Nov 24, 2021
B08 Attachment 0008 Guidance on Documentation of CDRLs.pdf	PDF	Nov 24, 2021
B08 Attachment 0001 Environmental PWS - 12 OCT 2021 FINAL.pdf	PDF	Nov 24, 2021

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17. PRICE GROUP

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 (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 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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Maximum Achievable Control Technology (MACT) Support

3. SUBTITLE

Position Papers

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

PWS para 2.1

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

BLOCK 16

12. DATE OF FIRST SUBMISSION

BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

Reg Repro

16. REMARKS

The contractor will provide position papers and other related documentation as necessary for MACT support and forward to COR and Contracting Officer within

10 days of completion. Position papers and other documentation shall be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

jose.m.hernandez258.civ@mail.mil

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY H. DATE I.

E A P P P P E R R O

L V Y E D

Y ABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:05:35 -05'00'

J. DATE

mailto:bridget.l.kramer.civ@mail.mil mailto:elizabeth.j.shepherd3.civ@mail.mil mailto:jose.m.hernandez258.civ@mail.mil

Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A002

Environmental Planning, Testing and Reporting

Permits and Documentation

PWS para 2.2

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will prepare and provide permit applications and modifications for submission to, and review and approval by Army organizations, State and Federal environmental regulatory agencies. Contractor shall revise and update permit applications and documentation based on reviews and coordination with key stakeholders including PD Demil, JMC, JMC depots, and CCDC-AC. Document formating should be in contractor format and forwarded to COR and Contracting

Office within 10 days of completion. Documentation shall be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

jose.m.hernandez258.civ@mail.mil

G. PREPARED BY H. DATE I. APPROVED BY

EPPERLY.ELIZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:06:31 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A003

Human Health and Ecological Risk Assessments (HHERAs)

HHERAs

PWS para 2.3

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will provide a revised and updated HHERA documents based on review and coordination with key stakeholders including PD Demil, JMC, JMC depots, CCDC-AC, Federal and State regulatory agencies, and the Government's contractors. Documentation shall be in contractor format and shall be forwarded to COR and Contracting Officer within 10 days of completion. Documentation shall be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

jose.m.hernandez258.civ@mail.mil

E A

P R E O R V

.EL

B I Y ZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:07:26 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A004

Educational Consultation

Training Material

PWS para 2.4

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will prepare and provide training material suitable for ongoing reference after completion of the training. Training material will be in contractors format and will be forwarded to COR and Contracting Officer. All documents will be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

jose.m.hernandez258.civ@mail.mil

EPPERLY.ELIZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:14:18 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A005

Design Support & Operational Reviews

Design Documentation

PWS para 2.6

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will provide design support to include preparation of process flows, mass and energy balances, and process modeling documents. All documents to be submitted in contractors format and forwarded to COR and

Contracting Officers. Documents shall be submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

AMJM-DDE: jose.m.hernandez258.civ@mail.mil

E A P P P P E R R O

L V Y E D

ABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:15:09 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A006

Mini-Burn Test Plan

Test Plan Documents

PWS para 2.8

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will prepare mini-burn test plans to conduct testing and sampling is adequate to confirm readiness for a Comprehensive Performance Test (CPT) or other test that determines compliance with air and solid waste environmental requirements for thermal treatment. The mini-burn test plan shall demonstrate performance goals, complies with regulation, provides a test and compliance strategy that can be effectively and efficiently executed. Mini-burn test plan shall be in contractor's format and will be forwarded to COR and Contracting Officers within 10 days of completion. All documents shall be submitted electronically to

CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE: jose.m.hernandez258.civ@mail.mil

E A P P P P E R R O L V Y E .E D L B

Y ABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:15:57 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 co mments 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 (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 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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A007

Mini-Burn Test

Result Documentation

PWS para 2.9

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will provide documented results of the test and laboratory analysis in the form of a Mini-Burn Test Technical Report. Modifications and updates to the report shall be based on comments received from the Government after review. All documentation shall be forwarded to COR and Contracting Officer within 10 days of completion. Documentation shall be submitted electronically to

CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE: jose.m.hernandez258.civ@mail.mil

G. PREPARED BY H. DATE I. A

E P P P P R E O

R V

L E Y D .E B L Y IZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:17:52 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A008

Comprehensive Performance Test Plans (CPTPs)

CPTP Document

PWS para 2.10

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will submit Comprehensive Performance Test Plans (CPTP) for all

JMC depots referenced within this contract. Contractor shall ensure CPTPs demonstrate performance goals, complies with regulation, provide a test and compliance strategy for effective and efficient execution. This shall include pollutant limits, flexibility in munitions processing, operating conditions, evaluation and selection of feed/spike, and test schedule. The format for the

CPTPs shall be in accordance with (IAW) 40 CFR part 63 subpart EEEE and shall be to the Government for review and comment no later than (NLT) 60 days prior to the regulatory deadline of the CPTP. Test Plans must be finalized and submitted to the Government NLT 13 months prior to the planned

Comprehensive Performance Test date. All documents shall be forwarded to

COR and Contracting Officers and submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

AMJM-DDE: jose.m.hernandez258.civ@mail.mil

E A P P P P E R

R O

L V Y E D

B I Y ZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:18:48 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A009

Comprehensive Performance Test (CPT)

CPT Documents

PWS para 2.11

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will provide collected operating data from the furnace and emissions collected during stack testing. The contractor shall provide a CPT report that summarizes the unit operating conditions, presents the stack test results, and specifies the new Operating Parameter Limits (OPLs) for the furnace.

CPT report shall include a Notification of Compliance, which the depots will review, sign, and submit to applicable state environmental office. The final CPT report must be provided to the government for submittal no later than 90 days following the completion of on site testing activities. Format will be IAW 40 CFR part 63 subpart EEEE and will be forwarded to COR and Contracting Officer. All documents shall be submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

AMJM-DDE: jose.m.hernandez258.civ@mail.mil

EPPERLY.ELIZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:19:53 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A010

Confirmatory Performance Test Plan

CfPTP Documents

PWS para 2.12

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will provide CfPTPs that demonstrate performance goals, complies with regulation,and provides a test and compliance strategy that can be executed effectively and efficiently. The format shall be IAW 40 CFR part 63 subpart EEEE and shall be submitted to the Government for review and comments NLT 60 Days prior to the regulatory deadline. Contractor will perform comment resolution during the Government's review process and will submit a finalized test plan to the Government NLT 75 days prior to planned CfPT date.

All documents shall be submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

AMJM-DDE: jose.m.hernandez258.civ@mail.mil

G. PREPARED BY H. DATE I. AEPPPPREORVLEYD.EBLYIZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:21:01 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A011

Confirmatory Performance Test

CfPT Documents

PWS para 2.13

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will provide documented results of Confirmatory Performance

Test (CfPT) in the form of a CfPT Technical Report. The format will be in contractor's format and shall be submitted within 90 days following CfPT completion. Reports and documents shall be forwarded to COR and Contracting

Officer and submitted electronically to CCRI-AR: briget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3@mail.mil and AMJM-DDE:

jose.m.hernandez258.civ@mail.mil

EPPERLY.ELIZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:22:27 -05'00' mailto:briget.l.kramer.civ@mail.mil mailto:elizabeth.j.shepherd3@mail.mil

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A012

Continuous Emissions Monitoring Systems (CEMS)

CEMS and RATA

PWS para 2.16

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor will provide documented results from the HWC Relative Accuracy

Test Audit (RATA) testing. Documented results shall be submitted to the

Government for review NLT 60 days following completion of the RATA. The

Contractor shall update the report based on the comments received. The format shall be IAW 40 CFR part 63 subpart EEE. All documents shall be forwarded to

COR and Contracting Officers and submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

AMJM-DDE: jose.m.hernandez258.civ@mail.mil

EPPERLY.ELIZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:23:28 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A013

Regulatory Plans

Plans

PWS para 2.17

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

BLOCK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

BLOCK 16

13. DATE OF SUBSEQUENT

The contractor shall prepare and provide regulatory plans in support of the HWC

MACT Rule. Plans will be submitted in order to be compliant with 40 CFR part

63 subpart EEE. Under this regulation, the plans required are:

Operation and Maintenance Plan

Startup, Shutdown, and Malfunction Plan

Feedstream Analysis Plan

Continuous Monitoring System Performance and Evaluation Test Plan

Continuous Monitoring System Performance and Evaluation Plan

The plans shall be forwarded to COR and Contracting Officer and submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

jose.m.hernandez258.civ@mail.mil

G. PREPARED BY H. DATE I. EAPPPPERORVLYE.DELBIYZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:24:40 -05'00'

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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

Emissions Stack Testing Support

E. CONTRACT/PR NO.

W52P1J-22-R-0003

F. CONTRACTOR

A014

Status Report

3. SUBTITLE

Monthly Demil Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

PWS para 2.25

6. REQUIRING OFFICE

CCRI- AR

7. DD 250 REQ

Monthly

12. DATE OF FIRST SUBMISSION

AS REQ

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Monthly

Contractor format is acceptable. Monthly Demil Status Reports shall be emailed to: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil, and

DCMA ACO. Monthly Demil Status Reports are to be submitted electronically each month by the 5th day of the following month.

DCMA ACO 0 1 0

G. PREPARED BY

Elizabeth J Shepherd

H. DATE

10/12/21

I. AEPPPRPOEVRELDY.BEYLIZABE Digitally signed by

TH.JANE.15341445

EPPERLY.ELIZABETH.JANE.15

34144543

43 Date: 2021.10.12 13:27:14 -05'00'

DD FORM 1423-1 (BACK), FEB 2001

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.

File details come from the government source that posted it. Updated Dec 20, 2021.