SW_Code_Assessment_PWS_Appendix_C_CDRLs_Exhibit_A.pdf

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SUPPORT- PROFESSIONAL: ENGINEERING/TECHNICAL
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W56JSR17R0004
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W56JSR-17-R-0004 Appendix C

D-1

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 A TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 CONFERENCE, Working Groups & Trip Reports

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81308A PWS REF: 3.1.6 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

SEE BLK 16 Reg Repro

16. Remarks:

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER.

BLOCK 12 & 13: Reports shall be submitted within 5 business days of meeting or conference attendance completion. The Contractor shall address any Government comments/questions within 3 days of receipt.

BLOCK 14: The Conference Report shall be uploaded in electronic format to the government identified content management system. After upload is complete, the contractor shall provide e-mail notification to the identified KO, COR, Government Effort Lead, and Government Supervisors that the Conference Report has been uploaded and available for review.

AMSEL-SE-SER 1

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DAVID ARTY

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

001Public 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 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.

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

6101 A TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 BRIEFING/DEMONSTRATION Material

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81373 PWS REF: 3.2.1.7 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE A 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. Remarks:

BLOCK 8 - Contractor shall ensure materials are approved for public release by the CECOM Public Information Office prior to final submission.

BLOCK 9 -The following information shall be included on the deliverable: DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.

BLOCK 12 & 13: 90%, submission of all demonstration/briefing material within 3 business days; 100%, submission of all remaining demonstration/briefing material within 5 business days.

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format to the government identified content management system. After upload is complete the contractor shall provide a Letter of Transmittal via e-mail to the following:

-Contracting Officer -Contracting Officer's Representative -Government Project Lead

The e-mailed Letter of Transmittal shall include:

-Task Order Identification -Date of Delivery -Deliverable Identification and Description -Uploaded File Name(s) -Content management system path or URL for uploaded files

AMSEL-SE-SER 1

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 A TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 MEETING MINUTES

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81505 PWS REF 3.2.1.1; 3.2.1.4 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A Reg Repro

16. Remarks:

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER

BLOCK 12: 80%, submission of all meeting minutes within 2 business days; 100%, submission of all remaining meeting minutes within 1 business day.

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format to the government identified content management system. After upload is complete the contractor shall provide a Letter of Transmittal via e-mail to the following:

-Contracting Officer -Contracting Officer's Representative -Government Effort Lead

The e-mailed Letter of Transmittal shall include:

-Task Order Identification -Date of Delivery -Deliverable Identification and Description -Uploaded File Name(s) -Content management system path or URL for uploaded files

The Meeting Minutes will be provided in accordance with the Government-specified format.

AMSEL-SE-SER 1

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 B TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

B001 PERFORMANCE AND Cost Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-FNCL-80912 PWS REF: 3.1.5 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MTHLY 30DAC b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

SEE BLK 16 Reg Repro

16. Remarks:

BLOCK 4: Report shall be provided for all Tasks Order (TO) awarded under this contract. It shall include a projected, by month, funding profile/spend plan for the fiscal year for each TO.

Where applicable, this profile will be based on the supported program’s master program schedule as provided by the SEC. Cost data shall be identified according to source of funding (e.g. Direct, Supplemental, Reimbursable (OMA, OPA, R&D, et cetera). Cost Plus Fixed Fee (CPFF), provide the status of expiring funds (fund type in their last year of availability (e.g. three year Other Procurement Army (OPA) funds in the third year), and separately report on the status of Operational and Maintenance, Army - OMA (Base and Overseas Contingency Operations - OCO) funds.

BLOCK 9: Distribution Statement D. Distribution authorized to the Department of Defense (DoD) and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER.

BLOCK 13: Ten (10) working days after the end of the month.

BLOCK 14: Reports shall be disseminated via electronic mail to individuals identified in individual TO.

COST REPORT DATA: The following data is required with each Monthly Cost Report. It shall be provided in the format using Cost Report spread sheet format.

COST REPORTING META DATA (Provided by the Government):

The following information is to be provided with each Monthly Cost Report. This information will be provided by the Government at the beginning of the period of performance. The Contractor shall incorporate this information in to the Monthly Cost Report.

Contract/Task Order Number:

Description of work: Summary description of the work to be performed under the task order.

AMSEL-SE-SER 3

D-2

Total Negotiated Value: The value of the task order as awarded (and amended via modifications).

Period of Performance : The task order period of performance shall be identified.

Program/System Supported (as represented in the associated Task Order Request (TOR)):

General Fund Enterprise Business System (GFEBS) Work Breakdown Structure (WBS) Number (DoD financial tracking system):

Project Registry Number (SEC system tracking system):

Line Directorate:

Task Order Leader:

COR:

COST REPORT FINANCIAL DATA

(Provided by the Contractor as applicable): The following data is required with each Monthly Cost Report. It shall be provided in the format using Cost Report spread sheet format.

Estimated Carry-In: When the Task Order has a continuing requirement and crosses fiscal years, identify the amount of funds estimated that will be remaining at the end of the current reporting fiscal year. These are funds which have been obligated through award of the task order or modification to the task order, but have not been expensed or estimated to be expensed for labor or Other Direct Cost (ODCs) by the end of the reporting fiscal year. These carry-over funds will then be available for utilization on the task order in the subsequent fiscal year Note: the actual funds remaining at the end of the fiscal year will be reported as 'Carry-In' for the continued requirement at the beginning of next fiscal year.

Carry-In: When the Task Order has a continuing requirement and crosses fiscal years, at the beginning of the fiscal year, identify funds that were obligated through award of the task order or modification to the task order in any previous fiscal year, but not actually expensed/ burned by the contractor by the end of the previous fiscal year. Note:

there is no Carry-In at the time of award of the task order.

Funds obligated by Sub-Contract Line Item Number (SLIN): Total funds obligated on a specific task order reported by SLIN (with SLINs for each type of money), and with modifications identified for funds obligated after the base award.

Prime/Subcontractor status: Identification as to whether they are a large business, Small Disadvantaged Business (SDB), Small 8(a), Small Veteran Owned, etc.

Labor Rate by Person, by Labor Category: Negotiated labor rate per negotiated labor category.

PPSS Priorities categories: The following categories are to be reported in each Monthly Cost Report as required below. Note that the PPSS

D-3

Priorities Category definitions are identified in theCost Report spread sheet.

- Commercial-Off-The-Shelf (OTS) Software License

- Category 1 & 2 Software fixes

- COTS Software Maintenance Agreements

- Information Assurance Vulnerability Alert (IAVAs)

- Security Certification & Accreditations (C&A)

- Critical In-Theater Field Support Engineering

- Category 3, 4, 5, Software fixes

- Interoperability Testing

- Non-Critical Field Support

Labor Hours and Labor Dollars: by person, labor category/rate, location, funding SLIN(s), proposed monthly cost versus actual monthly cost and cumulative proposed total cost and cumulative actual total cost, month expenses that were expended with a cumulative total (CUM) for the respective base/option period of performance, system on which the labor hours were performed, WBS element and Post Production Software Support (PPSS) Priority Category associated with the labor effort, performed by Prime or specific Subcontractor, and the type of funds (e.g. direct, supplemental, reimbursable). The associated WBS representing the contractor’s methodology for executing the task order requirements shall also be mapped to the respective PWS section, the PPSS Priority Category, the associates system, and if performed by the Prime or Subcontractor.

ODC Materials/Hardware by Subcontractor, by SLIN, by hardware purchased by the Prime contractor or a subcontractor in the performance of the task order as authorized by the task order.

ODC Software by Subcontractor, by SLIN, by Month, by CUM, to include 'burn rate': Software purchased by the Prime contractor or a subcontractor in the performance of the task order as authorized by the task order.

ODC Travel by Prime/Subcontractor, by SLIN, by Month, by CUM, to include 'burn rate': Travel completed by the Prime contractor or a subcontractor in the performance of the task order as authorized by the task order.

ODC Estimated Outstanding: Amount of ODC cost of subcontractors, which is known by the Prime contractor to be completed by the Subcontractor; but, it has not invoiced by the Subcontractor at the time of the report.

Funds Available: Funds obligated minus total Labor Dollars expended and total ODC expended, and are available to be utilized on the task order.

Labor Dollars Burn Rate by SLIN, by Month, by CUM: The monthly average of all dollars expended (total labor dollars plus total ODC dollars) represented by the average of the total CUM of dollars divided by the total periods (months), which is used to set the expectation for future expenditures and estimates.

Labor Hours Burn Rate by SLIN, by Month, by CUM: The trend of all hours expended (total labor dollars plus total ODC dollars for Prime contractor and all subcontractors) represented by the average of the CUM of hours divided by the total periods (months), which is used to set the expectation for the future expenditures and estimates.

D-4

Labor Dollars and Labor Hours Project Burn Rate to End-Of-Fiscal- Year (EOFY) by Labor Cost and ODCs: The burn rate that the contractor expects to incur from the point of the report to the end of the fiscal year.

Estimated cost to complete: The amount of cost (total labor dollars and total ODC dollars) anticipated by the Prime contractor to be incurred in the completion of the task order requirements, in addition to the funds currently obligated.

Hours and Labor Dollars Certified, by Invoice, by SLIN: The COR's certification of invoice as authorized under the task order, as submitted by the Prime contractor.

15. TOTAL 0 3 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 C TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

C001 STATUS OF GFE Reports

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80269 PWS REF 3.1.1;3.1.5 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT QRTLY 90DAC b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

EOQ Reg Repro

16. Remarks:

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format to the government identified content management system. After upload is complete the contractor shall provide a Letter of Transmittal via e-mail to the following:

-Contracting Officer -Contracting Officer's Representative

AMSEL-SE-SER 1

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 C TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

C002 STATUS REPORT Critical Personnel Change

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80269 PWS REF: 3.1.7 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ ASREQ b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

ASREQ Reg Repro

16. Remarks:

BLOCK 4: ALL CRITICAL PERSONNEL CHANGE REPORTS

SHALL INCLUDE THE FOLLOWING:

-NAME OF INDIVIDUAL(S) VACATING CRICITAL POSITION(S)

-CRITICAL POSITION(S)/LABOR CATEGORY(S) IMPACTED

-EFFECTIVE DATE(S) OF CHANGE(S) AND VACANCY(S)

-JUSTIFICATION FOR CHANGE(S) AND VACANCY(S)

-MITIGATION PLAN FOR PERFORMANCE RISK TO FILL

VACANCY(S) WITHIN 30 CALENDAR DAYS OR UNTIL

POSITION IS FILLED.

BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION

AUTHORIZED TO THE DOD AND DOD CONTRACTORS ONLY.

REASON: TO PROTECT TECHNICAL/OPERATIONAL DATA OR

INFORMATION. OTHER REQUESTS SHALL BE REFERRED TO

AMSEL-SE-SER

BLOCK 14: REPORTS SHALL BE DISSEMINATED VIA

ELECTRONIC MAIL TO KO, COR, GOVERNMENT EFFORT

LEAD. KO, COR, AND GOVERNMENT EFFORT LEAD POC

INFORMATION TO BE PROVIDED TO CONTRACTOR AT TASK

ORDER KICK OFF MEETING

AMSEL-SE-SER 1

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 C TDP TM OTHER

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

SOFTWARE CODE Analysis W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

C003 MONTHLY STATUS Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80368A PWS REF 3.1.5 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MTHLY 10DARP b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

10DARP Reg Repro

16. Remarks:

BLOCK 4: Monthly report shall include at a minimum:

-SECTION 1: system name, system POC, Government Effort Lead POC, and contractor POC, and milestone status for:

-ongoing efforts -efforts completed during the reporting period -efforts identifed for the upcoming reporting period -proposed hours and dollars -actual hours and dollars spent

-SECTION 2: issues or concerns encountered during the reporting period BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER

BLOCK 7 & 14: Reports shall be disseminated via email to the following:

-Contracting Officer -Contracting Officer's Representative -Government Effort Lead

AMSEL-SE-SER 1

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 C TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

C004 TRAINING MATERIALS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-81605 PWS REF 3.2.1.8 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD QRTLY SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

SEE BLK 16 Reg Repro

16. Remarks:

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER

BLOCK 12 & 13: 90%, submission of all attendee training material within 5 business days; 100%, submission of all remaining attendee training material within 7 business days.

Content: Training provides attendees the information necessary to perform installation and use of the data analytics capability. Training shall include hands on use of the data analytics capability.

AMSEL-SE-SER 1

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 D TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

D001 AGGREGATED REPORT of Potential Defects

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS REF 3.2.1.3 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A 3DARC Reg Repro

16. Remarks:

BLOCK 7: Electroinic Submission

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER.

BLOCK 12: 80%, submission of all reports within 5 business days;

100%, submission of all remaining reports within 4 business days.

There shall be no more than 20% rework required.

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format to the government identified content management system. After upload is complete the contractor shall provide a Letter of Transmittal via e-mail to the following:

-Contracting Officer -Contracting Officer's Representative -Government Effort Lead

Content:

The Tailored Aggregated Report of Potential Defects is a summary spreadsheet (in Microsoft Excel or CSV format) of the results of software code analysis performed on an application. The report shall include, at a minimum, the following data items for each potential defect identified:

-Tool(s) which identified the finding -Source file name -Line of code within source file -Category of finding -Subcategory of finding -Description of finding -STIG Severity -STIG Vulnerability ID

The report shall be marked in accordance with AR380-5 based on the classifications of the findings it contains. The classification shall be

AMSEL-SE-SER 1

based on the applicable system security classification guide(s), which will be provided by the government.

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 D TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

D002 DATA ACCESSION List

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS REF Appendix D AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ ASREQ b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A Reg Repro

16. Remarks:

BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION

AUTHORIZED TO THE DOD AND DOD CONTRACTORS ONLY.

REASON: TO PROTECT TECHNICAL/OPERATIONAL DATA OR

INFORMATION. OTHER REQUESTS SHALL BE REFERRED TO

AMSEL-SEC-SER

CONTENT: THE DAL SHALL SPECIFY INTERNALLY

GENERATED DATA AND COMPUTER SOFTWARE USED BY

THE CONTRACTOR TO DEVELOP, TEST, AND MANAGE THE

PROGRAM. THE FORMAT AND CONTENT OF THE DATA

LISTED ON THE DAL SHALL BE AS PREPARED BY THE

CONTRACTOR TO DOCUMENT COMPLIANCE WITH THE SOW

TASK REQUIREMENTS.

3.1. THE LIST SHALL INCLUDE THE IDENTIFICATION

NUMBER, TITLE WHICH SHALL DESCRIBE CONTENT,

SECURITY CLASSIFICATION, AND IN-HOUSE RELEASE DATE.

3.2. THE LIST SHALL ALSO IDENTIFY THE GOVERNMENT

RIGHTS TO THE DATA USING THE FOLLOWING CODES:

'GPR' = GOVERNMENT PURPOSE RIGHTS

'UR' = UNLIMITED RIGHTS

'LR' = LIMITED RIGHTS

'RR' = RESTRICTED RIGHTS (COMPUTER SOFTWARE ONLY)

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format to the government identified content management system. After upload is complete the contractor shall provide a Letter of Transmittal via e-mail to the following:

-Contracting Officer -Contracting Officer's Representative -Government Effort Lead

The e-mailed Letter of Transmittal shall include:

-Task Order Identification -Date of Delivery -Deliverable Identification and Description -Uploaded File Name(s)

-Content management system path or URL for uploaded files

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 D TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

D003 FINAL SOFTWARE assurance assessment report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS REF 3.2.1.9 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A SEE BLK 16 Reg Repro

16. Remarks:

BLOCK 7: Electroinic Submission

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER.

BLOCK 12 & 13: 90%, submission of all actionable assessment reports within 30 calendar days; 100%, submission of all remaining actionable assessment reports within 45 calendar days.

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format to the government identified content management system. After upload is complete the contractor shall provide a Letter of Transmittal via e-mail to the following:

-Contracting Officer -Contracting Officer's Representative -Government Effort Lead

Content:

The Final Software Assurance Assessment Report is a document (in Microsoft Word or PDF format) of the results of software code analysis performed on an application. The report shall include, at a minimum, the following data items for each true defect identified:

-Tool(s) which identified the finding -Source file name -Line of code within source file -Category of finding -Subcategory of finding -Description of finding -STIG Severity -STIG Vulnerability ID -Severity of finding, categorized based applicable standards such as the DISA Application and Security Development STIG and the DoD Risk Management Framework.

-Actionable recommendations to remediate or mitigate the finding.

The report shall be marked in accordance with AR380-5 based on the classifications of the findings it contains. The classification shall be based on the applicable system security classification guide(s), which will be provided by the government.

The report shall not contain any findings that are false positives or which do not impact the security, reliability, readiness, or performance of the code.

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 D TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

D004 PHASE OUT Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS REF:3.1.4 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD ONE/R SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

14DARC Reg Repro

16. Remarks:

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER.

BLOCK 12: The contractor shall submit the initial Phase Out Plan not later than ninety (90) calendar days prior the contract end date.

BLOCK 14: Reports shall be disseminated via electronic mail

Content: The Phase Out Plan shall detail disposition action for all furnishings, equipment, and documentation outlining the contractor's approach to fulfill the requirements of the TO and applying all relevant factors and information gathered throughout the performance of the contract.

AMSEL-SE-SER 1

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

6101 D TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

D005 PROCESS AND Procedures

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS REF 3.2.1.6 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A SEE BLK 16 Reg Repro

16. Remarks:

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER.

BLOCKS 12 & 13: 90%, submission of all processes and procedures within 6 business days; 100% submission of all remaining processes and procedures within 10 business days.

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format to the government identified content management system. After upload is complete the contractor shall provide a Letter of Transmittal via e-mail to the following:

-Contracting Officer -Contracting Officer's Representative -Government Effort Lead

The e-mailed Letter of Transmittal shall include:

-Task Order Identification -Date of Delivery -Deliverable Identification and Description -Uploaded File Name(s) -Content management system path or URL for uploaded files

Content:

The Process and Procedures documents the steps required to run a Software Code Assessment. The document shall include at a minimum:

-table of contents, -purpose statement, -explanation of abbreviations and terms, -objectives, -minimum and recommended hardware configurations for data aggregation tooling, -process to install and configure all tooling required for data aggregation -the process to generate reports as specified by CDRLs A1, A2, A3, and A4 based on the supported scan tools.

AMSEL-SE-SER 1 1

15. TOTAL 1 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

D TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

D006 SUMMARY VIEW of Potential Defects

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS REF 3.2.1.3 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A 3DARC Reg Repro

16. Remarks:

BLOCK 7: Electroinic Submission

BLOCK 9: Distribution Statement D. Distribution authorized to the DoD and DoD contractors only. Reason: To protect technical/operational data or information. Other requests shall be referred to AMSEL-SE-SER

BLOCK 12: 80%, submission of all reports within 5 business days;

100%, submission of all remaining reports within 4 business days.

There shall be no more than 20% rework required.

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format to the government identified content management system. After upload is complete the contractor shall provide a Letter of Transmittal via e-mail to the following:

-Contracting Officer -Contracting Officer's Representative -Government Effort Lead

Content:

The Summary View of Potential Defects is a high level overview of the results of the software code analysis performed on an application in a PDF format. The report shall include, at a minimum, the following:

-Coversheet identifying the customer's application name, date of scan, classification markings (per AR 380-5), report name identifying the report as identified in Block 2 -Report guide that explains report contents such as ratings, color scheme, etc.

-Dashboard view (red, yellow, green or similar) distinguish by subcategory of finding -Summary table including -Category of finding -Subcategory of finding -Description of finding -STIG Severity -STIG Vulnerability ID -Number of instances grouped by subcategory classifications of the findings it contains. The classification shall be based on the applicable system security classification guide(s), which will be provided by the government.

15. TOTAL 0 1 0

G. PREPARED BY H. DATE

19 Sept 2016

I. APPROVED BY J. DATE

19 Sept 2016

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 16

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 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.

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

D TDP TM OTHER

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

SOFTWARE CODE Assessment W56JSR-17-R-0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

D007 TAILORED AGGREGATED Report of Potential Defects

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS REF 3.2.1.3 AMSEL-SE-SER INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSIO…

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