Attachment_019_SEMA_Appendix_O_PWS

W58RGZ-15-R-0045 APPENDIX O to SEMA PWS

APPENDIX O – Contractor Personnel Roster

Contractor Name

ARMY SEMA PROGRAM

HUNTSVILLE, AL.

Contract: Current Contract Number

For Week Ending:

YYYY/MM/DD (Current Period)

Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use; as of 18 June 2015.

Other requests shall be referred to the Fixed Wing Project Office at: United States Army Aviation and Missile Command; PEO AVN, SFAE-AV-FW; 650

Discovery Drive NW; Huntsville AL 35806

Cover Page

Contractor's Personnel Roster

CDRL A00X

W58RGZ-15-R-0045 APPENDIX O to SEMA PWS

Change Remove

Last Name First Name

Middle Name

US Citizen or Foreign National

Position Title Job Title

Rank Grade

Assigned Location (City and State)

SPOT

Submitted Departure Date

Expected Return date Purpose

Supporting Code System Supported

Country Deployed to City

Specif ic Location Within Iraq

In-Country contact Phone Number In-Country Contact E-Mail

In-Country COR Gov't POC

Jones Indiana Earl U.S Fixed Wing

Site Supervisor GS 12 Ft Hood, TX Y 2/2/2015 2/2/2016 Log MARSS Afghanistan Bagram (601) 607-6195 indiana.Jone@us.army.mil SSG Will Stand w ill.b.stand.army@mail.mil 601.677.1234

Ash Arthur James U.S.

Fixed Wing A&P Mech GS12 Ft Bliss, TX Y 12/1/2010 1/31/2016 Maint UC-35 Maint. Japan Atsugi 011-8146-763-6452 arthur.ash@us.army.mil

Wilbur Wright w ilbur.f.w right.civ@mail.mil 011.8146.766.1234

Presley Elvis Aaron U.S.

Fixed Wing

Avionic Tech GS12 Savannah, GA Y 10/30/2014 10/30/2015 Tech MARSS Afghanistan Bagram (601) 607-6189 elvis.presley@us.army.mil SSG Will Stand w ill.b.stand.army@mail.mil 601.677.1234

McGee Bobby Me U.S.

Fixed Wing

Trainer GS12 Savannah, GA Y 6/26/2015 6/26/2016 Tng MARSS Afghanistan Bagram (601) 607-6191 bobby.mcgee@us.army.mil SSG Will Stand w ill.b.stand.army@mail.mil 601.677.1234

Hide Bubba Will U.S Fixed Wing Business Support

GS12 Wiesbaden, GE Y 11/15/2014 11/15/16 Other C-12 Maint Germany Wiesbaden 011-049-711-123456 bubba.hide@us.army.mil Curtis Flyer curtis.b.f lyer.civ@mail.mil 011.049.711.234567

Change Indicates a change in information by highlighting changed cells Remove Indicates individual to be removed Column Name Instructions Last Name Self explanatory First Name Self explanatory Middle Name Self explanatory US Citizen or Foreign National Indicate US for US Citizen and Nationality for Foreign Nations (example AF = Afghanistan) Position Title / Job Title Fixed Wing / Job Title Rank/Grade Indicate rank or equivalency Assigned Location (City and State/Country) Self explanatory SPOT Submitted Has SPOT Been submitted for individual (Y = Yes and N = No) Departure Date OCONUS = Date departed CONUS) MM/DD/YYYY Expected Return Date Date expected to depart location. (Not more than 1 year from Departure Date)

Purpose

Select Purpose or Travel from list below.

New Equipment Fielding or Fielding Support = FLDG Logistical Support = LOG Direct Mission or Operational Support = MSN OPS Maintenance Support = MAINT Program Office Mission = PM OPS Technical Support = TECH Training and/or Training Support = TNG All Other Purposes = OTHER

Supporting Code / System Supported Supported Aircraft or Aircrafts Country deployed to Self explanatory City Self explanatory Specific Location within Iraq Self explanatory In-Country contact phone number Self explanatory In-Country contact e-mail Self explanatory In-Country COR/Gov'T POC In-Country COR/Gov'T POC Contact Info - Name, E-Mail address, Complete Phone number Contract COR Contact Information COR Contact info - Name, E-Mail address, Complete Phone number