A01_-_ExhibitB_CDRL_FNCL.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

0004 B

FNCL

Persistent Surveillance Systems - Tethered TBD TBD

B001 Funds and Man-Hours Expenditure Report

DI-FNCL-80331A PWS Para 3.1.4, 3.1.5 SFAE-IEW-TA

LT

N/A D

MTHLY

30DAC

MTHLY

See Block 6 1

CCAP-CCC 1

DCMA 1

WAWF 1

0 4 0

BLOCK 4: Deliverables shall provide information required by Block 5 PWS reference and shall be submitted electronically in editable Microsoft Word/Excel/Powerpoint/Project file format. Contractor format is acceptable. The requiring office in Block 6 may specify alternate or additional formats. The Contractor shall segregate costs to the lowest level of performance, either task or subtask, rather than on a total task order basis. Supporting documentation shall include summaries of work charged during the period covered as well as overall cumulative summaries by individual labor categories, rates and hours (both straight time and overtime); as well as a cost breakdown of ODC’s (materials and travel) by line item task or subtask.

BLOCK 8: The Government will have the opportunity to review and provide comments within 30 days of receipt of the deliverable.

BLOCK 10, 12 & 13: The Contractor will deliver this report within the first 30 days after contract award and then each subsequent delivery will be made on a monthly basis, due no later than the fifth day of every month. Each report will capture funds and manpower data for the entire month prior.

29May2015 29May2015FRANK.THOMAS.M.1370138814 Digitally signed by FRANK.THOMAS.M.1370138814 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=FRANK.THOMAS.M.1370138814 Date: 2015.05.29 11:10:12 -04'00'

CHELLIN.MATTHEW.D.1266374

Digitally signed by CHELLIN.MATTHEW.D.1266374131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=CHELLIN.MATTHEW.D.1266374131 Date: 2015.05.29 16:42:57 -04'00'