W56JSR-18-R-0016_Exhibit_A_CDRLs.pdf

W56JSR-18-R-0016

Exhibit A - CDRLS

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:

A001 A TDP TM OTHER

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

SYSTEM AND SOFTWARE

ENGINEERING SUPPORT

W56JSR-18-R-0016 TBD

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

A001 PERFORMANCE AND COST REPORT

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

TOTAL PRICE

DI-FNCL-80912 SEE BLK 16 AMSEL-SEC-CM INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD MTHLY 45DAC 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 5:

T.O. PWS REF: 6.1.1, 6.1.2, 6.2.2

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). If TO is Cost Plus, valued at over $20M and EVMS is required then report earned value. If TO is Time & Material (T&M) or Cost Plus Fixed Fee (CPFF), then 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-SEC-CM.

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

BLOCK 14: Reports shall be disseminated via electronic mail to the designated COR(s) and Government Project Lead.

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.

AMSEL-SEC-CM

D-2

Contract/Task Order Number:

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

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

Period of Performance by Base, by Options: The task order period of performance identified by the base period and any subsequent option periods.

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):

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 of 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.

D-3

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 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), 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.

D-4

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.

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

X

H. DATE

8/24/2018

I. APPROVED BY

J. DATE

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

D-5

(1 Data Item)

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:

A002 A TDP TM OTHER

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

SYSTEM AND SOFTWARE

ENGINEERING SUPPORT

W56JSR-18-R-0016 TBD

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

A002 STATUS REPORT WEEKLY STATUS REPORT

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

TOTAL PRICE

DI-MGMT-80368A SEE BLK 16 AMSEL-SEC-CM INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD WEKLY 30DAC b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

5DARC

Block 5:

T.O. PWS REF: 4.5, 6.1.1, 6.1.12, 6.2.3

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-CSS

BLOCK 12: Agenda shall be submitted one (1) business day prior to the scheduled meeting start date.

BLOCK 14: Agendas shall be disseminated via electronic mail to a government provided distribution list.

Content:

Agenda shall includeMS powerpoint briefing slides which detail the following:

- overall status of all accomplishments, on going work, issues and events for the software project.

- integration and test status

- configuration management status

- software release schedule w/ gfe need date

- facility accreditation status

- software releases roadmap

- travel activities status

- software change request status by category and software version

- manpower and cost report summary (monthly update)

- configuration control boards status Agenda shall also include a project schedule gantt chart in ms project and pdf format.

BLOCK 14: Reports shall be disseminated via electronic mail to cor, and government project lead

15. TOTAL 0 1 0

5/30/2018

D-6

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:

A003 C TDP TM OTHER

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

SYSTEM AND SOFTWARE

ENGINEERING SUPPORT

W56JSR-18-R-0016 TBD

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

A003 FUNDS & MANHOUR EXPENDITURE

REPORT

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

TOTAL PRICE

DI-FNCL-80331A SEE BLK16 AMSEL-SEC-CM INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MTHLY SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

Block 5:

T.O. PWS REF: 3, 5, 6.1.1

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-CM

BLOCK 12: 10 days after the first billing cycle after contract award.

BLOCK 13: 10 days after each subsequent billing cycle

BLOCK 7 & 14: Deliverables shall be uploaded in electronic format and emailed to the points of contacts listed below. The deliverable will be per instructions below and will be furnished in an excel spread sheet per task order attachment entitled “NAME OF OFFEROR DL AND INDIRECT COST REPORTING SAMPLE” and the instructions contained therein. Your email shall include a Letter of Transmittal via e-mail to the following:

-Contracting Officer Matthew Marx at: matthew.r.marx.civ@mail.mil -Contracting Officer's Representative

- Project Lead

SEE TASK ORDER

SECTION F

D-7

- Contract Specialist Sylvia Grimsley at:

sylvia.s.grimsley.civ@mail.mil

The e-mailed Letter of Transmittal shall include:

-Contract Identification -Date of Delivery -Deliverable Identification and Description -Uploaded File Name(s) included or -Content management system path or URL where files can be uploaded files

COST REPORT DATA: The following data is required with each Monthly Cost Report. It shall be provided in the format using DL and Indirect Cost Reporting format in task order attachment 005.

Prime/ Subcontractor/Other Direct Costs: Select from the drop down indicating which category this line indicates.

Location - Onsite or Offsite: Select location from the drop down.

Regular Labor Hours Expended: Hours billed at or under 80 hours per biweekly period.

Overtime Labor Hours Expended: Hours billed above 80 hours per biweekly period.

SSES NexGen LCAT/Skill Level: Select from the drop down the labor category of the employee.

Employee Name or Employee ID # required for each separate employee.

Minimum, Maximum and Weighted Proposed Direct Labor (DL) Rates within each LCAT and skill level: Awardee is required to include the Minimum, Maximum and Weighted Average DL rate(s) for each DL rate proposed for the corresponding Contractor Fiscal Year. For instance, if the current billing cycle is occurring during year 4 of the subject contract, the year 4 DL rates (Minimum, Maximum and Weighted Average) that were originally proposed shall be included in columns S, T, and U, respectively..

The Weighted Average DL rates are to be determined by utilizing the corresponding Labor Hours that relate to the specific labor rates within that LCAT/Skill Level. If there are 10 different rates proposed for say, 10 “Budget Analyst Entry”, the Weighted Average must be computed by utilizing the corresponding labor hours reported for each of the 10 different labor rates and reported in column U.

Maximum Proposed Direct Labor Rate within LCAT: See above description.

Weighted Average (Hours) of Direct Labor Rate within LCAT:

See above description.

D-8

Employee Name or Employee ID# (column R) and DL Rate (column V): Contractor/Awardee is required to provide either the name or employee ID # (or both) in order to identify the employee. Additionally, Contractor/Awardee is required to provide a SEPARATE Payroll submission that includes Employee Name/or Employee ID #, LCAT/Skill Level, # of Hours and the Extended Labor Dollars. The payroll per LCAT/Skill Level and Total needs to reconcile with the Total Direct Labor Dollars billed on the spreadsheet.

Contractor/Awardee has the option of:

1) Make multiple entries for each, say, "Budget Analyst Entry" and utilize column P "Employee Name/Employee ID#" or;

2) Sum all Budget Analyst Entry labor dollars and divide by the number of billable hours to arrive at the average labor rate billed for that LCAT/Skill Level (column V). If the Contractor/Awardee chooses this methodology for the spreadsheet, the detail, for each employee will be required on the separate payroll submission with each LCAT/Skill level to include the hourly billable rate for each employee, the # of billable hours as well as the extended billable DL dollars and billable hours for each employee and subtotal(s) for that LCAT/Skill level (DL dollars and hours).

Either options will require a SEPARATE Payroll submission as described above.

Note: Contractor/Awardee is offered maximum flexibility to properly compute and report each respective indirect and fee dollars and respective rates reported. Either use existing formulas provided or reformulate to meet the Contractor/Awardee’s accounting practices/disclosures. If hard dollars are reported, the adjacent columns will automatically compute the “actual” or effective rates.

Fringe Dollars: Formula, Fringe rate * direct dollars (see instructions above).

Overhead {O/H rate*(DL + Fringe)}: The contractor/Awardee is encouraged to modify this formula/column as necessary to remain in compliance with your financial disclosure and accounting practices.

Other Indirect 1

Other Indirect 2

Other Indirect 3

G&A: Formula (see instructions above)

Fee: (see instructions above)

D-9

FCCOM: Contractor/Awardee is reminded that Facilities Capital Cost Of Money (FCCOM) cannot be billed if FCCOM was not proposed in the Base Contract/IDIQ.

Total ODC, Material, Travel (column AS): Summation of the total ODCs, Material, and Travel costs billed. These ODC choices are to be selected from the drop down menu included in column K, “Prime/Subcontractor/Other Direct Costs.” Make a selection for appropriate category on its own separate row, i.e., Travel, row 19, Material, row 20, etc.

Total $ Billed: Summation of the total costs billed.

Exhibit A – CDRLS

ONTRACT DATA REQUIREMENTS LIST

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:

M001 A TDP TM OTHER

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

SYSTEM AND SOFTWARE

ENGINEERING SUPPORT

W56JSR-18-R-0016 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

M001 STATUS REPORT CRITICAL PERSONNEL CHANGE

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

DI-MGMT-80269

SEE BLOCK 16 AMSEL-SE-CM

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

A SEE BLK 16

Block 5:

T.O. PWS REF: 6

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-cm

BLOCK 12 & 13: At least 30 days prior to diverting any of the specified individuals to other programs or contracts (or as soon as possible, if an individual must be replaced, for example, as a result of leaving the employment of the Contractor).

BLOCK 14: Reports shall be disseminated via electronic mail to cor and government project lead

AMSEL-SE-CM

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:

M002 A TDP TM OTHER

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

SYSTEM AND SOFTWARE

ENGINEERING SUPPORT

W56JSR-18-R-0016 TBD

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

M002 CONFERENCE, WORKING GROUPS & TRIP

REPORTS

CONFERENCE, WORKING GROUPS

& TRIP REPORTS

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

TOTAL PRICE

DI-ADMN-81308A SEE BLK 16 AMSEL-SEC-CM INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD ASREQ SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

Block 5:

T.O. PWS REF: 4.11

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-CM.

BLOCK 12& 13: Trip reports, conference, and working groups shall be delivered no more than 5 business days after the trip is completed.

BLOCK 14: Reports shall be disseminated via electronic mail to the designated COR(s) and Government Project Lead.

Content: The Trip Report shall include the following as appropiate:

-Contractor #, Task Order #, Contractor Name

- Traveler Name

- Travel Destination -POCs at Destination -Trip Information/Objective

- Summary of Accomplishments

- Unresolved Issues

- Follow-Up Actions

- Conclusions and Recommendations

D-2

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:

E001 A TDP TM OTHER

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

SYSTEM AND SOFTWARE

ENGINEERING SUPPORT

W56JSR-18-R-0016 TBD

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

E001 STATUS REPORT Status of GFE Reports

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

TOTAL PRICE

DI-MGMT-80269 SEE BLK 16 AMSEL-SEC-CM INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT QTRLY 45 DAC b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

5DARC

Block 5:

T.O. PWS REF: 4.5

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-CM.

BLOCK 12& 13: 5 BUSINESS DAYS AFTER THE END OF THE

QUARTER.. Final submission addressing government comments shall be delivered no more the 5 business days after comments are received.

1ST QUARTER = OCTOBER, NOVEMBER, DECEMBER

2ND QUARTER = JANUARY, FEBRUARY, MARCH

3RD QUARTER = APRIL, MAY, JUNE

4TH QUARTER = JULY, AUGUST, SEPTEMBER

BLOCK 14: Reports shall be disseminated via electronic mail to the designated COR(s) and Government Project Lead.

BLOCK 16: Reports shall contain the following:

Item Number Item Description Model # Serial # Cost

POC

Phone # Location

D-3

Issue Date Contract # Company Name

Any loss or damage to GFM/GFE/Contractor Acquired Property (CAP) shall be reported to the PCO and COR within three (3) days of the discovery. A statement explaining the circumstances of the loss/damage shall be submitted on a DA Form 4697, Report of Survey. Inspection Reports shall contain the following:

Inspection results Maintenance actions Losses and damage to the Government

D-4

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:

F001 A TDP TM OTHER

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

SYSTEM AND SOFTWARE

ENGINEERING SUPPORT

W56JSR-18-R-0016 TBD

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

F001 TECHNICAL REPORT-STUDY/SERVICES PHASE OUT PLAN

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

TOTAL PRICE

DI-MISC-80508B SEE BLK 16 AMSEL-SEC-CM INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD ONE/R 90 DAYS PRIOR

EOC

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

14DARC

BLOCK 5:

TO PWS REF: 3.8.3.5

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-CM.

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 to the designated COR(s) and Government Project Lead

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. The plan shall cover the transition of all furnishings, hardware, software, licenses, and documentation. Note that software shall address all cots and gots products used to develop and deploy the system as well as all system source code. Similarly documentation shall address all administrative and end user documentation, training plans, test plans and workflows, and engineering documentation to include the requirements backlog and outstanding open issues. The plan shall also

AMSEL-SE-CM

D-5 include a proposed schedule, potential risks and remediation efforts, identified issues with potential resolutions, and critical poc information for those personnel involved directly with the transition.