Exhibit_A_-_CDRLs_-_10_May_16.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

The public 1eporting burdon for thj• collection of information io estimated to average 110 hours per response, including the tome for reviewing instruction•, searching ••isting da!a sources, gathering and maimaining the data needed, and comploting and reviewing lhe collection of information, Send comments rogording this burdon estimate or any other aspect of this collection of inlo!motion, including suggestions for reducing tho burden, to the Clepartment of Defense, Executive Services Directorate 10704-0188). Respondents should be aware that notw.,hotand1ng any other provision of law, no person shall bo subject to any p~nalty for failing to comply with a collection of inlormation if it does not display a currently valid OMB control number. Please do not return your form to Iha above organiza!ion. Send compleied form to the Government Issuing Contracting Officer fo1 the Con!fOc!IPR No. listed in Block E.

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

Technical Exhibit l "' '" OTHER x

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

STTS Red Viking Group/ CAGE: 6YYP3 .. DATA ITEM NO. Z. TITLE OF DATA ITEM " SUBTITLE

AOOI Quality Systcn1 Plan Contractor Quality Control Program Plan

'· AUTHORITY !Dara Acquisition Document No.} 15. CONTRACT REFERENCE '· REQUIRING OFFICE

DJ-QCIC-81379 PWSC.1.3 AM CC-PE

'· DD 250 REQ ' DIST STATEMENT "· FREQUENCY "· DATE OF FIRST SUBMISSION "· D!5TRIBUTION

NIA

REQUIRED

l TIME 30 DACA • COPIES

'· APP CODE "· AS OF DATE " DATE OF SUBSEQUENT a. AOORE55EE Final

B SUBMISSION

A NIA NIA

" REMARKS

Block 6: Requiring Office: AMCC-PE

Department ofthc Army

Corpus Christi Arn1y Depot Attn: AMCC-RME COR: Gregg DcCe\v

5th St Stop 160. Bldg 37 Corpus Christi. Tc;>.:a~ 78419-521 l

Block 8: The Government \Viii approve/disapprove \vithin 15 days aller receipt. If disapproved. the contractor shall resubmit \Vithin 15 days after receipt of Govcrnn1e11t comments.

Block 9: Distribution Statement B: Distribution to U.S. Government agencies only.

Administrative and Operation. Date of Detennination. Administrative or Operational Use.

Date of Determination 09/15/1999. Other requests for this docurnent shall be referred to:

Department of the Army

Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DeCc\v 5th St. Stop 160. Bldg37

Corpus Christi. Texas 78419-5211

Block 14: Submit one ( 1) hard copy and one (I) electronic editable Microsoft Word or PDF on CD/DVD to COR.

In addition to the requiring office. submit one (I) final copy of all reports to the primary email address or alternate n1ailing address listed bclo\v (not to both).

- Primary cn1all: usarmy.rcdstonc.acc.mcsg.acc-rsa-ccam-dpd(("!)mail.mil

- Alternate mail to:

U.S. Arn1y Contracting Comn1and - Redstone

5303 Martin Road A'l¥!'N; CCJ\M-DPD

Redstone Arsenal. AL 35898-5000

G. PREPARED BY H.DATE I. APPROVED BY

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

AMCC-RME

CCAM-DPD

15.TOTAL

Draft

'"' Ropro

I I 0 I

I 2 0

J.DATE

Page __ I _ of_2_ Pages Adobe Professional 6.0

17. PRICE GROUP

18. ESTIMATED

TOT At PRICE

The publ<c 1eporling burden for this collection of information io estimated to average 110 hours por rospons~, including the time for reviewing instructions, soarching existrng data sources, gathering and maintaining tho data noodod, and completing and reviewing the collection of information. Send comment; regarding this burden estimate or any other aspect ot this colloction of information, including suggestions for reducing the burden, to tho Department of Defense, Executovo Services Direc\ornte {0704·0188), Rospondonts should be aware that notwithstanding any other provi•ion ot law, no person shall be subject to any. penalty for farling to comply with a collection of information if it doos not display a ouuently valld OMB control number. Please do not •~Wtn yout fotm to the above otganiza?ion. Sond completed form to the Government Issuing Contracting Officet fot the Conttaot/PR No. listed in Block E.

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

Technical Exhibit 2 '"' '" OTHER x

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

STTS Red Viking Group I CAGE: 6YYP3

' DATA ITEM NO. 2. TITLE OF DATA ITEM '· SUBTITLE 17. PRICE GROUP

A002 System Safety Progran1 Plan Sal'ety Progran1 Plan

'· AUTHORITY /Data Acquisition Document No.} '· CONTRACT REFERENCE '· REQUIRING OFFICE " ESTIMATEO

Dl-SAFT-81626 PWS C.1.5.1; C.l.7.3.3: C.5.2.4 AM CC-PE TOTAL PRICE

' DO 250 REQ '· O!ST STATEMENT "· FREQUENCY "· OATE OF FIRST SUBMISSION "· OISTRIBUTION

NIA

REOUIREO 1 TIME 15 DACA • COPIES

'· APP CODE n. AS OF DATE "· OATE OF SUBSEQUENT a. ADDRESSEE Frnal

A B SUBMISSION Or aft NIA NIA ••• Repio

"· REMARKS AMCC-RME I I

Block 6: Requiring Office: AM CC-PE CCAM-DPD 0 I Department of the Army

Corpus Christi Army Depot

Attn: AMCC-RME COR: Gregg DcCe\v

. 5th St. Stop 160. Bldg 37

Corpus Christi. Texas 78419-5211

Block 8: The Govcmmcnt \viii approve/disapprove \Vithin 15 days after receipt. If disapproved, the contractor shall resubmit \Vithin 15 days alter receipt of Govemn1cnt comn1cnts.

Block 9: Distribution Statement B: Distribution to U.S. Government agencies only.

Administrative and Operation. Date of Determination. Administrative or l)perational Use.

Date of Determination 09/1511999. Other requests for this doeun1ent shall be referred to:

Dcpartn1cnt of the Army

Corpus Christi Army Depot

Attn: AMCC-RME COR: Gregg DcCc\v

5th St. Stop 160. Bldg 37

Corpus Christi. Texas 78419-5211

Block 14: Submit one ( 1) hard copy and one ( ! ) electronic editable Microsoft Word or

PDF on CD/DVD to COR.

In addition to the requiring office. submit one (I) final copy of all reports to the primary email address or alternate mailing address listed bclo\v (not to both).

- Primary email: usarmy.rcdstonc.acc.n1csg.acc-rsa-ccan1-dpd@mail.mil

- Alternate mail to:

U.S. Army Contracting Command - Redstone

5303 Martin Road

ATTN: CCAM-DPD

Redstone Arsenal. AL 35898-5000

15. TOTAl I 2 0

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page __ I _ of 2 Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item/

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of info1mation is es1;matod to average 110 hours per response, including the time for reviewing instructions, searching exioting data sourcos, gatherjng and maintaining the data needed, and completing and reviewing the collection of ir>formation. Send oommonts regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to tho Dopartment of Defense, Executive Se1vices Directorate {0704·0188). Respondento should be aware that notwithotand1ng any other provision of law, no person shall be subject to any penalty for failing to comply with• collection of informotion if it does not display• currently volid OMB control number. Pie••• do not return your fotm 'o the above otgonilation. Send completed form to the Government Issuing Contracting Office• far the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

STTS

1. DATA ITEM NO. Z. TITLE OF DATA ITEM

B. EXHIBIT C. CATEGORY:

Technical Exhibit 3 TDP TM

I

E._CONTRACT/PR NO.

W58RGZ-16-R-0035

OTl'!ER x

F.CONTRACTOR

Red Viking Group I CAGE: 6YYP3

A003 Accident/Incident Report

J. SUBTJTLE

Accident/Illness Rcporl

4. AUTHORITY !Data Acquisition Document No.)

DI-SAFT-81563

7. DD 25D REQ .. DIST STATEMENT

REQUIRED

NIA

'· APP CODE

B

5. CONTRACT REFERENCE

PWS C.1.5.2, C.5.3.6.1.3

10. FREQUENCY

SEE 16

"· AS OF DATE

12. DATE OF FIRST SUBMISSION

SEE 16

1J. DATE OF SUBSEQUENT

SUBMISSION

6. REQUIRING OFFICE

AM CC-PE

"· DISTRIBUTION

b. COPIES

a. ADDRESSEE Final Draft A NIA As Required Reg Re pro

16. REMARKS

Block 6: Requiring Office: AMCC-PE Department ofthc Army Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DeCe\v 5th St. Stop 160. Bldg37 Corpus Christi. Texas 78419-521 I

Block 8: The Government \vill approve/disapprove submitted Accident Report for completeness and accuracy \Vithin 5 days after receipt. If disapproved. the contractor shall resubmit \~·ithin 5 days a!ier receipt of Government con1mcn!s.

Block 9: Distribution Statement B: Distribution to U.S. Govcrnn1cnt agencies only.

Administrative and Operation. Date of Determination. Administrative or Operational Use.

Date of Determination 09/22/20 I 5. Other requests for this document shall be referred lo:

Department ofthe Army Corpus Christi Arn1y Depot Altn: Ai\1CC-RME COR: Gregg DcCc\\' 5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

Block I 0: Frequency of Sub1nission is dictated by nun1ber of accidents that arc reportable during the Period of Pcrforn1ancc. A subn1ission is required for each accident occurrence.

Block 12: Submit no later than 24 hours of accident occurrence.

Block 14: Subntit one (I) hard copy and one (I) electronic PDF on CD/DVD to COR.

In addition to the requiring office. submit 1 final copy of all reports to the bclo\v listed primary address or alternate mailing address (not lo both).

Primary email: us army .rcdstonc.acc.mcsg.acc-rsa-ccam-dpd@mai I .n1 il

Alternate mail to:

U.S. Arn1y Contracting Comn1and ·Redstone 5303 Martin Rd.

ATTN: CCAM-DPD

Redstone Arsenal. AL 35898-5000

G. PREPARED BY

HOGG GARY LYNN JR 1290JJJ6 :~~·:.~.~~:::,:.;:·,::~'::~~'::;";·: ..

20 ::.:•,::::~',~~~~~.:'.:'"N•

DD FORM 1423-1, FEB 2001

H.DATE I. APPROVED BY

912212015

PREVIOUS EDITION MAY BE USED.

AMCC-RMF.

CCAM-DPD

15. TOTAL

0 2 0

J.DATE

Page __ I _ of_. _I_ Pages Adobe Professional 8 O

17. PRICE GROUP

1B. ESTIMATED

TDTALPRICE

(1 Data Item) OMS No. 0704-0188

The public 1eporling burden for this collect;on of information is eotimat~d to average 110 hou<> per reoponse, including the time for 1eviewing instructions, searching existing data sources, gathering and maintaining tho dMa noodod, and completing and reviewing the collection of information, Send comments regarding this btm!en estimate or any other aspect of thjs collection of information, includmg suggootions for reducing the burden, to the Departmont of Defense, Execlllive Servicos Oirnctora!e (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 ii it doe; not d1Splay a currently valid OMS control number. Pie••• do not relurn your form lo the above organizalion. Send completed form to th~ Government Issuing Contrecting Officer for the Contract/PR No. listed in Block E.

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

Technical Exhibit 4 "' '" OlliER x

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

STTS W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

' OATA ITEM NO. 2. TITLE OF OATA ITEM '· SUBTITLE

A004 Hurricane/Severe \\1eather Preparedness and Recovery Plan

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

OT-16-10002 PWS C.l.5.3 AM CC-PE

'· DO 250 REQ '· DIST STATEMENT "· FREQUENCY "· OATE OF FIRST SUBMISSION ,. O!STRIBUTION

REQU!REO

One Time 30 DACA NIA " COPIES .. APP CODE "· AS OF DATE " DATE OF SUBSEQUENT a. ADDRESSEE Final B

A NIA

SUBMISSION

As Required

" REMARKS

The plan should delineate the processes and procedures the contractor shall follo\v in the event of severe \\leather. hurricane. hurricane cvaCuation. and recovery efforts.

Block 6: Requiring Office: AMCC-PE

Department of the Anny

Corpus Christi Arn1y Depot

Attn: AMCC-RME COR: Gregg DcCc\v

5th St. Stop 160. Bldg37 Corpus Christi. Texas 78419-5211

Block 8: The Govcrnn1cnt \Vill approve/disapprove \Vithin 15 days after rcci.:ipl. II disapproved. the contractor shall resubmit \Vithin 15 days after receipt of Governrncnt comments.

Block 9: Distribution Statctncnt B: Distribution to U.S. Government agencies only.

Administrative and Operation. Date ofDetennination. Administrativi.: or Opi.:rational Use.

Date of Determination 09122/2015. Other requests for this document shall be referred lo:

Dcpartn1cnt of the Army Corpus Christi Army Depot

Attn: AMCC-RME COit Gri.:gg DcCc\v

5th St. Stop 160, Bldg 37 Corpus Christi. Texas 78419-5211

Block 14: Submit one ( 1) hard copy and one (I) editable electronic PDF on CD/DVD to

COR.

In addition to the requiring otlicc. subn1it l final copy of all reports to the belo'v listed primal)' address or altcrnatc n1ailing address (not to both).

Primary en1ail: usanny .reds tone .ace .n1csg.acc-rsa-ccmn-dpd@lnai I .tnil

Alternate n1ail to:

U.S. Army Contracting Command - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

Redstone Arsenal. AL 35898-5000

G. PREPARED BY H.DATE I. APPROVED BY

HOGG GARY.LYNN IR 12?0JJ46 ,. .. ~ ·~""""""~' """'"'"- 9/22/2015 "'" , .. , . ,, __ -····-~'"'"'

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

AMCC-RME

CCAM-DPD

15. TOTAL

D1al1

'"" Ropro

0 I 0 I

0 2 0

J. DATE

Page _I_ of_I_ Pages Ado~<> Professio~al 8.0

17. PRICE GROUP

18. ESTIMATEO

TOTAL PRICE

(1 Data Item}

Form Approved OMB No. 0704-0188

The public reporting burden for this coll..cticn of information is estimated to average 110 hours per response, including tho time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of ir>lormation_ Sond comments regarding this burden estimate or any other aspect of this collection of information, including suggestions fer reducing the burden, to tho Department of Defense, Executive Serv;ces Directorate 10704-01881. Respondents should be aware that notwithstanding any other provision of law, no pe!>on shall be subject to any penalty for failing ro comply with a collection of information 11 it does not display a currently valid OMB control number. Please de net return your form to the above organi>aticn. Send completed form to the Government 1 .. uing Contracting Ollie er for the ContracUPR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

STTS

1. DATA ITEM NO. Z. TITLE OF DATA ITEM

B. EXHIBIT C. CATEGORY:

Technical Exhibit 5 TOP TM

' E. CONTRACT/PR NO.

W58RGZ-16-R-0035

OTHER x

F.CONTRACTOR

Red Viking Group I CAGE: 6YYP3

J. SUBTITLE

A005 Operating. Support. Health. and Safely (OSl·J&S) Hazard Anahsis Rcaort

Hazardous Material Handling Reports

4. AUTHOR!TY {Data Acquisition Document No.!

DI-SAFT-81841

'· OD 250 REQ '· DIST STATEMENT

NIA

REQUIRED

8. APP CODE

B

5. CONTRACT REFERENCE

. PWSC.l.7.3

10. FREQUENCY 12. DATE OF flRST SUBMISSION

SEE 16

"· AS OF DATE

SEE 16

13. DATE OF SUBSEQUENT

SUBMISSION

6. REQUIRING OFFICE

AM CC-PE

DISTRIBUTION

b. COPIES

a. ADDRESSEE Final Draft f---":;:.---1 A NIA As Required Reg R~pro

16. REMARKS

Block 6: Requiring Office: AM CC-PE Depart1nen1 ofthe Army Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DeCe\v 5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

Block 8: The Government \Viii approve/disapprove·\vilhin 2 days after receipt. If disapproved. the contractor shall rcsubn1it \Vithin 2 days all er receipt or Govemn1cnt cotnments.

AMCC-RME 0

CCAM-DPD 0

Block 9: Distribution Statement 13: Distribution to U.S. Government agencies only.

Adtninistrative and Operation. Date of Determination. Administrative or Operational Use.

Date of Determination 09/22/2015. Other requests for this document shall be referred to: f-----------l--+--+---<

Department of the Am1y Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DcCe\v 5th St. Stop 160. Bldg37 Corpus Christi. Texas 78419-521 I

Block I 0: Frequency ofSubn1ission is dictated by nunibcr of controlled n1atcrials to be delivered or used in completion of this effort. A single report of all hazardous 1natcrials is to be maintained and updated as any nc\v n1atcrial is added to inventory. Individual Matcrial'f-----------l--+--+---<

Safety Data Sheet (MSDS) arc to be submitted for each n1atcrial. and a copy of each arc to be niaintained on the shop floor for access by Government and contractor personnel.

Block 12: 48 hours prior to use of hazardous materials required in the pcrl"orn1ancc of the PWS. Updates shall be subn1ittcd no later than 48 hours prior to any material receipt requiring MSOS at \vork location.

Block 14: Submit one ( 1) hard copy and one (I) editable ch:clronic PDF on CD/DVD to

COR.

G. PREPARED BY H.DATE I. APPROVED BY

HOGG GARY LYNN JR 1~9DJJ46 ,;~·:~;~~~::.;;!~':.~;:·::;'~"':'., 9/22/20 !5

~o ;:..:'·,;;;·,~·~":~.-.~~.~·; """

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

15. TOTAL 0 2 0

J. DATE

Page_J_ of Pages Adobe Prof~••ional 6.0

17. PRICE GROUP

16. ESTIMATED

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

CONTRACT DATA REQUIREMENTS LIST

(1 Dara Item)

I B. EXHIBIT I c. CATEGORY:

Technical E_xhibit 5 TDP TM OTHER x

STTS I

E. CONTRACT/PR NO. IF. CONTRACTOR

W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

16. REMARKS (Continued/

In addition to the requiring office. submit I final copy of all reports to the below listed primary address or alternate mailing address (not to both).

Prilnary c1nail: usanny .redstonc.acc.1ncsg.acc-rsa-ccam-dpd@n1aiL mi I

Alternate mail 10:

U.S. Army Contracting Comn1and - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

Redstone ArscnaL AL 35898-5000

DD FORM 1423-1, FEB 2001 Page __ of __ l_Pages

{1 Dara fremJ OMB No. 0704-0188

The public reporting burden for this oolleetion of info1mation is estimotod to avorago 110 hours per respon•o. including the 1ime tor reviewing instructions, se•rch1ng exioting dot• sourcos, gathering and maintaining the data needed, and completing and reviewing the collection of ir>lormation. Send comments regarding this burden estimate or any other aspect of thio collection of information, including suggestions for reducing tho burden, to tho Oopartrnont of Oofonso, Execu\ivo Se1vices Directo<ate 10704-0188). Respondents should be aware that notwithotanding any other provision of law, no pmson shall bo subiect to any penalty for failing to comply with a collection of information ii it doos not display a ouuontly val1d OMB control number. Ple••e do not return your form to the above orgenlzation. Send cornpletod form to the Government l>suing Contracting Office• for the ContrectlPR No. listed in Block E.

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

Technical Exhibit 6 "' OM OTHER x

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

STTS W58RGZ-l 6-R-0035 Red Viking Group I CAGE: 6YYP3

L DATA ITEM NO. 2. TITLE OF DATA ITEM ' SUBTITLE

A006 Contractor Roster Designation of Personnel/ /\ltcrnatc Personnel

' AUTHORITY !Dma Acquisition Document No.) T 5. CONTRACT REFERENCE '· REQUIRING OFFICE

Dl-MGMT-8 I 834A See BLOCK 16 AM CC-PE

7. DO 250 REQ .. DIST STATEMENT 10. FREQUENCY "· DATE OF FIRST SUBMISSION "· DISTRIBUTION

REQUIRED

SEE BLOCK 16 10 DACA NIA " COPIES

'· APP CODE "· AS OF DATE "· DATE OF SUBSEQUENT a. ADDRESSEE Final

A B SUBMISSION Draft NIA SEE BLOCKl6 '" Re pro

"· REMARKS AMCC-RME 0 I

The report shall consist of the follo\ving for each employee: CCAM-DPD 0 I

a. First Name

b. Middle Nmnc

c. Last Name

d. Suffix

'· Position Title f En1ail Address

g. \Vork Phone Number

h. Contact Phone Nun1bcr

Block 5. PWS C. !. !0.1. C.5. l. l. C.5.1.2; C.5.1.3: C.5.1.4; C.5.1.5: C.5. l.6: C.5.1.7;

C.5.1.8: C.5.3.1.1.4

Block 6: Requiring Office: AMCC-PE Department of the Arn1y

Corpus Christi Army J)epot Attn: AMCC-RME COR: Gregg DcCe\v

5th St, Stop 160. 81dg37

Corpus Christi. Texas 78419-521 I

Block 8: The Government \Viii approve/disapprove \Vithin 5 days after receipt. If disapproved. the contractor shall resub1nit \Vithin 5 days after receipt of Govcrn1ncnt comments.

Block 9: J)istribution Statement B: Distribution to U.S. Govcrnn1cnt agencies only.

Ad1ninistrative and Operation. Date of Detenninalion. /\dn1inistrativc or Operational Use.

Date of Dctcnnination 09/22/2015. Other requests for this docun1cnt shall be referred to:

Departn1ent ofthe Arn1y

Corpus Christi Army Depot

Attn: AMCC-RME COR: Greg.g DcCc'v 5th St. Stop 160. Bldg 37

Corpus Christi. Texas 78419-5211

A lock l 0: /\ Designation of Personnel/Alternate Personnel shall be subn1iHcd on a quarterly basis. by the 15th day oftbe montb.

15. TOTAL 0 2 0

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

JJOGG GAR\" LYNN JR 1'90)1·16 """_,.,. ..... ~""'"""'""'' l l/10/15 w ' '' - . ~::·,:~;6:,;~,~~2~,:;.c:··"''"'"

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page __ I _ of Pages Adobe Professional 8.0

17. PRICE GROUP

lB. ESTIMATED TOT At PRICE

(1 Data Item) .

A. CONTRACT LINE ITEM NO.

I B. EXHIBIT I c. CATEGORY;

Technical Exhibit 6 TOP TM OTHER x

D. SYSTEM/ITEM

STTS I

E. CONTRACT/PR NO. IF. CONTRACTOR

W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

16. REMARKS !Continued)

Block 13: Subsequent submissions shall be quarterly. Additionally, updates shall be submitted no later than 48 hours prior to any personnel change.

Block 14: Sub1nit one (I) hard copy and one {I) editable electronic PJ)F on CD/DVD to COR.

In addition to the requiring office. submit [ final copy of all reports lo the belo\v listed prin1ary address or alternate mailing address (not to both).

Primary emai !: usarn1y .redstonc.acc.mesg.11cc-rsa-ccan1-dpd@n1ail.n1 i I

Alternate mail to:

U.S. Anny Contracting Command - Redstone 5303 M"Mlin Rd.

ATTN: CCAM-DPD

Redstone ArscnaL AL 35898-5000

DD FORM 1423-1, FEB 2001 Page __ of __ ]_Pages

Tho public roporting burdon for this collection of informalion is estimated to average 110 hours per response, including the time for roviewing instructions, searching exioting data sources, gathering and maintaining the data needed, and completing and roviowing the collection of 1nformation. Send comment> regarding this bu1den, estimate or any othor aspocr of thi' collec\ion of inform .. tion, including suggeotions tor reducing tho burdon, to the Department of Defense, Executive Sorvioos Diractornte (0704-0188). Respondents should be aware that notwithstanding ony othor provi01on of law, no person shall be subject to any ponolty for failing to comply with a collection ol 1nformation if it doo• not di•play a ou.,ently valid OMB oontfol number. Please do not return your form 'o the above organization. SeOO completod form to the Government Issuing Contracting Ofli<er for the Contract/PR N<>. listed in Block E.

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

Technical Exhibit 7 "' '" OTMER x

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

SITS Red Viking Group I CAGE: 6YYP3

1. OATA ITEM NO. " TITLE OF DATA ITEM '· SUBTITLE

A007 Contractor Hours Report

'· AUTHORITY /Data Acquisition Document No.I 5. CONTRACT REFERENCE '· REQUIRING OFHCE

OT-16-10001 PWS C. l .5.2.1; C.5.3. l. l .5 AMCC-PE

'· DD 250 REQ '· OIST STATEMENT "· FREQUENCY 12. DATE OF FIRST SUBMISSION i4. DISTRIBUTION

REQUIRED

Monthly See BLK 16 No " COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final B

A NIA

SUBMISSION

SeeBLK16

16. REMARKS

The contractor shall inaintain records of all illnesses and injuries experienced by contractor and subcontractor employees in the course performing \Vork at the Government installation/facility under this contract. At a minimun1 this shall include n1aintaining an up-to-date OSHA Form 300 or equivalent log in accordance \Vith 29 CFR 1904.

The contractor shall maintain records of all on-duty paid hours \Vorkcd at the Government installation/facility by employees of the contractor and each subcontractor.

The report shall consist of the follo\ving for each employee:

a. Last Name

b. First Nmnc

'· Middle Name

d. Suffix

c. Position Title

f. Work Phone Nu1nbcr

g. Number of hours \Vorkcd during the previous month

h. Physical Work Location - Building Number

i. Physical Work Location - Roon1 Number

Block 6: Requiring Office: AMCC-PE

Department of the Army Corpus Christi Army J)epot

Attn: AMCC-RME COR: Gregg DeCe\v

5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

Block 8: The Government \Viii approve/disapprove \Vithin 5 days after receipt. I[ disapproved. the contractor shall resubmit \Vithin 5 days after receipt or Government comments.

Block 9: Distribution State1nent B: Distribution to U.S. C1overnn1ent agencies only.

Administrative and Operation. Date of J)etermination. Administrative or Operational Use.

Date of Dt.:termination 09/22/2015. Other requests for this docun1ent shall be rc!Crrcd to:

J)epartment ofthe Army

Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DcCe1v

5th St. Stop 160. Bldg37 Corpus Christi. Texas 78419-5211

G. PREPARED BY H.DATE I. APPROVED BY

HOGG GARY.LYNN JR 12903346 ~·::;'.."7~·:~;;;::.•~:~~'~',~:~·~~. 912212015

w """''~""-"'·""""' ,_,., .... ,,.,, DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

AMCC-RME

CCAM-DPD

15.TOTAL

Draft ,., Repro

0 I 0 I

0 2 0

J.DATE

Page __ I _ of_I_ Pages Adobe Profe,.;onal 8.0

17. PRICE GROUP

"· ESTIMATED

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

IB. EXHIBIT I c. CATEGORY:

Technical Exhibit 7 Tor ™ OTHER x

STTS I

E .. CONTRACT/PR NO. IF. CONTRACTOR

Red Viking Group I CAGE: 6YYP3

16. REMARKS {Conrinued)

Block I 0: Frequency or Submission is monthly by the 5th \\'orkday of cm.:h 1nonth. Report is to account ror all hours of on-site personnel by each name and position title.

Block 12: First Submission shall be on the fifth \vorkday of the first month after contract a\vard.

Block 14(b): Sub1nit one (I) hard copy and one(\) editable electronic PDF on CD/DVD to COR. In addition to the requiring ollicc. submit I final copy of all reports to the belo\v listed primary address or alternate ntailing address (no! to both).

Primary email: us army .rcdstonc.acc.1nesg.aee-rsa-ccam-dpd@mai I .m ii

Alternate mail to:

U.S. Army Contracting Command - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

Redstone Arsenal. AL 35898-5000

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to aver ago 11 0 hours per response, including the time for rnviowing insuuctions, searching ••isting do!a sourcos, gathering ond maimaining tho data needed, and completjng and reviewing the collection ol 1n-formotion. Send comments regarding this burden estimate or any 01her aspect of this colloction of information, includong suggestions for reducing the burden, to tho Oepartment of Defense, Executive Services Directorate (0704·0188). flosponden<o should be aware that notw"hstanding any other provision of low, no poroon shall be •ub1ect to any penalty for failing to comply with a collection of inform•tion ii It doeo not dj,plav a currently valid OMB control number. Please do not return your form 10 the above organization. Send completed form t<> the Govetnment Issuing Contracting Officer for tile Contract/PR No. lis?ed in Block E.

A. CONTRACT LINE ITEM NO.

D.SYSTEM/ITEM

B. EXHIBIT

Technical Exhibit 8

C. CATEGORY:

"' '" OTHER x

F. CONTRACTOR

SITS I

E. CONTRACT/PR NO.

. W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

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

A008 Status Report Systcn1s Status Report

4. AUTHORITY /DaM Acquisiticn Document No.}

Dl-MGMT-80368A

5. CONTRACT REFERENCE

PWS C.5.3. l. I .6

'· DD 250 REQ '· DIST STATEMENT rn.

REQUIRED

NO

• APP CODE

B "·

16. REMARKS

Block 6: Requiring OlTice: AMCC-PE Department of the Arn1y Corpus Chri~ti Arn1y Depot

FREQUENCY

SEE 16

AS OF DATE

NIA

Attn: AMCC-RME COR: Gregg DcCc\v 5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

12. DATE OF FIRST SUBMISSION

SEE 16

13. OATE OF SUBSEQUENT

SUBMISSION

As Required

Block 9: Distribution Statcn1cnt B: Distribution to U.S. Government agencies only.

Administrative and Operation, Date of Determination. Adn1inistrative or Operational Use.

Date of Determination 09/22/2015. Other requests for this docun1cnt shall be referred to;

Departn1cnt of the Army Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DeCe\v 5th St. Stop 160. Bldg37 Corpus Christi. Texas 78419-521 I

Block IO: Frequency of Subn1ission is monthly by the 5th of each inonth. Report is lo

6. REQUIRING OFFICE

AM CC-PE

"· DISTRIBUTION

b. COPIES

a. ADDRESSEE Fin•I Draft

Reg R~pro

AMCC-RME 0

CCAM-DPD 0

account for all contract activities. to include an executive summary highlighting significant J-----------1----1---+---t completions. technical challenges. obstacles. failures. issues of concern. identification of necessary maintenance repair parts and emergency repairs.

Block 12: To be sub1ni!ted \Vithin 5 days afler con1pletion of first \vholc month of contracted effort.

Block 14: Submit one (1) hard copy and one (I) editable electronic PDF on CD/DVD to COR. In addition to the requiring oftice. submit I final copy of all reports to the bclo\v listed primary address or alternate mailing address (not to both).

Primary email: usanny .redstone.aec.mesg.acc-rsa-ccam-dpd@mai 1.m ii

Alternate mail to:

U.S. Army Contracting Command - Redstone 5303 Martin Rd.

ATTN: CCAM-DPD

Redstone Arsenal, AL 35898-5000

G. PREPARED BY

l!OGG.GARY.tYNN JR 129QJJ46 :::•,"';:-;~'::·~·;;;:'~':.~~:·::;'~i ..

20 ::.!"~::·,~-~'.::~;':.'.~'""''

DD FORM 1423-1, FEB 2001

H.DATE

912212015

I. APPROVED BY

PREVIOUS EDITION MAY BE USED.

15. TOTAL 0 2 0

J. DATE

Page __ I _ of_I_ Pages Adobe Professional 8.0

17. PRICE GROUP

The public reporting bu1den for this collection of inlorma1ion is estimated to average 11 0 hoU!S per response, including the time for rnviowing ins1ruotions, searching exioting data sources, gathering and maintaining the data noodod, and comploting and rcviowing the colleetion of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to tho Department of Defense, Sxeoutive Services Directorate 10704·01881. Roopondents should be aware that notwith•tanding any other provision of law, no person shall be subject to any ponolty for failing to comply with a collection of information if it doeo not dioplay a currently valid OMB control number. Please do not tetum your form to tile above organization. Send completed form to tho Government Issuing Contracting Officer lot tho Contt•c!IPR No. li.ied in Block E.

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

Technical Exhibit 9 "' '" OTHER x

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

STTS W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

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

A009 Program and Technical Rcvic\'1/I3ricfing

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

OT-16-10003 PWS C.5.3. 1.1.7 AM CC-PE

7. DO 25(1 REQ '· DIST STATEMENT 1CI. FREQUENCY 12. DATE OF FIRST SUBMISSION "· DISTRIBUTION

REQUIRED

SEEl6 120 DACA NIA b. COPIES

•• APP CODE 11. AS OF DATE "· DATE OF SUBSEQUENT a. ADDRESSEE Final 8 SUBMISSION A NIA As Required

16. REMARKS

The contractor shall prepare a Po\ver Point briefing to account for all major activities in support of contract objectives that have occurred since the la~t Program and Technical rcvic\v. This in-person briefing should center on highlighting significant con1plctions.

technical challenges. obstacles. failures. issues of concern. identification of necessary maintenance repair parts and occurrences of major and/or emergency repairs. and include a rcvic\v of the state of all FTMs. technical issues or difficulties. proposed modifications or changes to systetn components. and financial and time performance against the contract requirements.

Block 6: Requiring Office: AM CC-PE Department of the Army

Corpus Christi Army Depot Attn: AMCC-llME COR: Gregg DcCc\v

5th St. Stop 160, Bldg 37 Corpus Christi. Texas 78419-52 l I

Block 9: Distribution Statement B: Distribution to U.S. Government agencies only.

/\dn1inistrativc and Operation. Date of Determination. Administrative or Operational Use.

Date of Determination 09/22/20 I 5. Other requests for this document shall be rcl'errcd to:

Department ofthe Anny Corpus Christi Army Depot

Attn: AMCC-RME COi{: Gregg DeCc\v 5th St, Stop 160. Bldg 37

Corpus Christi, Texas 78419-5211

Block ! 0: For the remainder of the base year. briefings \vill he 1.:onducted quarterly, and for the out-years, briefings \Viii be conducted semiannually.

Block 14: Submit one (I) hard copy and one (I) editable electronic PDF on CD/DVD to

COR. In addition to the requiring office. submit I final copy of all reports to the bclo\v listed primary address or alternate tnailing address (not to both).

Prinuny email: usarmy.redstone.acc.mcsg .. acc-rsa-ccam-dpd@n1ail.n1i!

Alternate mail to:

U.S. Army Contracting Command - Redstone 5303 Martin Rd.

ATTN: CCAM-Dl'D Redstone Arsenal. AL 35898-5000

G. PREPARED BY H.DATE I. APPROVED BY

HOGG GARY L\"1'N JR 129tllJ46 , ...... ·~"'"'"';''"' """'"'"~' 11/10/15 "•· ,,. ' ... ___ ""- ""-'"'

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

AMCC-RME

CCAM-DPD

15. TOTAL

Draft

'" Re pro

0 I 0 I

0 ' 0

J.DATE

Page __ I _ of_I_ Pages Adobe Professional 8.0

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

I

B. EXHIBIT IC. CATEGORY:

Technical Exhibit 9 TOP TM __ OTHER x

STTS I

E. 'coNTRACTIPR NO. IF. CONTRACTOR

W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

16. REMARKS (Continued)

In addition to the requiring office. submit l final copy of all reports to the below listed primary address or alternate mailing address (not to both).

Primary emai I: usarn1y. rcdstonc.acc.mcsg.acc-rsa-ccain-dpd@maiLm i I

Alternate mail to:

U.S. Anny Contracting Command - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

DD FORM 1423-1. FEB 2001 Page __ of __ [_Pages

The public repor1ing burden for this collection of information;, estimated to avorago 110 hour• per rosponso, including the time for reviewing instructions, searching existing data sources, galhoring and maimaining the data needed, and completing and reVJewing tho collocllon of iflformation. Send comments regarding this burden estimate or any other 3'poct of this collection of information, including •uggostions lor reducing the burden, to the Department of Defense, Executive Services Directorate 10704-01881. Respondents should be aware that notwithstanding any other provision of law, no peroon shall be subject to any penalty for failing to comply with a collect1on of information 11 it does not display a culfently valid OMS control number. Please do not return you1 form lo the above 01ganization.

Govetnlnent 1 .. uing Conuaoting O!fioet lot the Conttaot/PR No. li•ted in Block E.

Send completed form to tho

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

Technical Exhibit 10 '°' '" OTHER x

D. SYSTEM/ITEM F. CONTRACTOR

STTS

IE. CONTRACT/PR NO.

W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

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

AOIO Test Cells Operations Availability. Maintenance & Repair Log

4. AUTHORITY !Data Acquisition Documant No.! I s. CONTRACT REFERENCE OT-16-10004 See Block 16

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY "· DATE OF FIRST SUBMISSION

NIA

REQUIRED

Monthly 15 DACA

8. APP CODE 11.ASOFDATE "· DA TE OF SUBSEQUENT

B SUBMISSION

A NIA As Required

16. REMARKS

Contractor is to create and maintain a Microsoft Excel Spreadsheet for logs l'or each of the seven FTMs independently. The Jogs arc to capture the daily operations, preventative maintenance and repair activities. cn1crgcncy shutdo\vns or incomplete run stoppage for each cell. Log must carry at least time and date stan1p. operdtor identification. an identification for the specific UUT that \Vas being run. notations of successful or failed runs.

and specific diagnostic code(s) descriptions for all failed runs, maintenance and repair activities developed \Vith Government personnel. as \veil as any part da111agcd or replaced in the system. End of Y car compiled log is to include a summary of statistics or test cc 11 availability and do\vn time. and histogra1ns for frCquency oflike failun:s !Or each cell.

Block 5: P\\IS C.5.3.2.1.1: C.5.3.2.1.3: C5.3.3.1.1: C.5.3.3.1.3: C.5.3.4.1.3; C.5.3.5. 1.3:

C.5.5.7

Block 6: Requiring O!Ttce: AM CC-PE Dcpartn1cnt of the Anny Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DcCc\v 5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

Block 8; The Government \viii rcvic\v/approvc fonpat/contcnt for the !lrst l\vO submissions after receipt. If disapproved. the contractor shall resubmit \vithin 5 days after receipt of Govemn1cnt con1ments.

Block 9: Distribution Stateinent B: Distribution to U.S. Government agencies only.

Adn1inistrativc and Operation. Date of Detennina~ion. Administrative or Operational Use.

Date ofDetennination 09/22/2015. Other requests !Or this docu1ncnt shall be referred to:

Department ofthc Anny Corpus Christi Anny Depot Attn: AMCC-RME COR: Gregg DeCe'v 5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

Block 10: Submit logs no later the 15th day of each 111onth.

Block 12: Sub111it the First log for each FTM to the COR \Vithin 15 days after contract a'vard.

G. PREPARED BY H. DATE I. APPROVED BY

HOGG GAR\".1.YNN JR 1290JJ46 ::~',"~,~~;.:.:::.;:~·:~~~':::";·~., 11/10/15

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

6. REQUIRING OFFICE

AM CC-PE

"· DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

AMCC-RME

CCAM-DPD

15. TOTAL

Or ah

''" Re pro

0 7 0 7

0 14 0

J. DATE

Page __ I _ of_I_ Pages AdoOO Professional 6.0

17. PRICE GROUP

TOTAL PRTeE

CONTRACT DATA REQUIREMENTS LIST

(1 Data ftem)

I B. EXHIBIT I c. CATEGORY:

Technical Exhibit I 0 TOP TM OTHER x

STTS I

E. ·CONTRACT/PR NO. I F. CONTRACTOR

W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

16. REMARKS /Conlinued)

Block 14: Sub1nit one (I) editable electronic Excel file for each (7) FT Ms by email lo COR. A (I) complete log for each FTl\1 for the Contract Year \viii be compiled and presented to the COR at contract end in Microsoft Excel editable format.

In addition to the requiring o!Tiee, subn1it I final copy of all reports to the belo\v listed primary address or alternate 1nailing address {not to both).

Primary email: usarmy .redstone.acc.mesg.acc-rsa-ccam-dpd@n1aiLn1i1

Alternate mail to:

U.S. Army Contracting Con1mand - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

DD FORM 1423-1, FEB 2001 Page __ of __ ]_Pages

(1 Data lte"mJ OMB No. 0704-0188

The public reporttng burden lot this collect1on of informo\1on IS estimated to overage 110 houts per response, including the time for reviewing instructions, searching ••isting data sources, gathering and mainlaining tho data noodod, and completing and reviewing tho collection of information. Sond comments 1ega!ding this butden estimate or any othot aspect of this collection of information, includjng suggestions for reducing the burden, to the Department of Defense, Executive Services Diiectorato (0704·0189). Rospondento should be aware that notw<thotand1ng any other provision of law, no person shall bo subject to any penalty for foiling to comply with a collection of info1mation if it does not display a currently valid OMS control number. Please do not return your fcrrn to the above organization. Send completed form to tha Government ls>Uing Contracting Office• for the Con\raotlPR No. li>ted in Block E.

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

Technical Exhibit l l me '" OTHER x

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

STTS W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

L DATA ITEM NO. 2. TITLE OF DAT A ITEM '· SUBTITLE

AOll Test Managcn1cnt Systcn1 Architecture Documentation and Dia11_ra1ns

4. AUTHORITY (Dnta Acquisition Documant No.! 15. CONTRACT REFERENCE '· REQUIRING OFFICE

OT-16-10005 PWS 5.5.13 AM CC-PE

'· DD 250 RED ' DIST STATEMENT 10. FREQUENCY "· DATE OF FIRST SUBMISSION "· DISTRIBUTION

NIA

REQUIRED

I Time See BLK 16 .. COPIES

B. APP CODE "· AS OF DATE n. DATE OF SUBSEQUENT a. ADDRESSEE Final B SUBMISSION A NIA As Required

"· REMARKS

Contractor is to provide hard\vare systems architecture dra\vings and technical specifications for the full scope of the Test Management Systen1 (TMS) a~ delivered and configured \vhen system reaches !Ull test capability. This is also to include a sofi\vare sche1na. and nct\vork and logic diagram(s) ror all components in the contractor furnished sol't\vare and hard\varc systcm(s) to Include TMS. VMWarc. and any other contractor furnished net\\'Ork or computing equipn1ent that arc part orthe soll\varc systcn1.

Documentation is also to be appended \Vith notations as to ho\v and \Vhere additional inputs and nct\vork storage devices can be appended and. acccs~cd through the TMS.

Block 6: Requiring Office: AMCC-PE Department of the Army Corpus Christi Anny Depot Attn: AMCC-RME COR: Gregg DcCe\v 5th St. Stop 160. Bldg37 Corpus Christi. Texas 78419-5211

Block 8: The Government \Viii approve/disapprove \vithin 5 days after receipt. If disapproved. the contractor shall resubmit \Vithin 5 days after receipt or Government comments.

Block 9: Distribution Statcn1cnt B: Distribution to U.S. Govcrnn1en1 agencies only.

Administrative and Operation. Date of Determination. Administralivc or Operational Use.

J)ate or Determination 09/22/2015. Other requests for this document shall he referred to:

Department or the Army

Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DeCc\v 5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

Block 12: Sixty (60) Days after Completion and Integration Test Manage1nent System (TMS) as described in P\1/S Paragraph C.5.2. 7

Block 14: Submit one (I) hard copy and one (I) editable electronic PDF file for eacl1 Diagram required to the COR. File format can be hs agreed to by Government permission a~ given by the COR.

G. PREPARED BY H. DATE I. APPROVED BY

HOGG.GAR\" LYNN JR 1290334£ ,.....,._,.,, "·"'~"'-~'·""''"' ! 1/10/15 '"' ... , ••'-·-···-'·'"-"' .. , '" - ""'·'·~'''"&"-·~· '"" , •• ,M,,,,,_, ...

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

AMCC-RME

CCAM-DPO

15. TOTAL

Draft

'" Re pro

0 7 0 I

0 8 0

J.DATE

Page __ I _ of_I_ Pages Adobe Professional 8.0

17. PRICE GROUP

D.SYSTEM/ITEM

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

IB. EXHIBIT I c. CATEGORY:

Technical Exhibit 11 TDP __ TM OTHER X

STTS I

E. ·CONTRACT/PR NO. I F. CONTRACTOR

W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

16. REMARKS (Continued}

In addition to the requiring office. submit 1 final copy of all reports to the bclo\v listed primary address or alternate n1ailing address (not to both).

Primary en1ail: us army .rcdstonc.acc.mcsg.acc-rsa-ccan1-dpd@mai I .111 ii

Alternate 1nail to:

U.S. Army Contracting Con1mand - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

Form Approved OMB No. 0704-0188

The publLc reporting burden for this collect;on of inlormat;on ;s estimated to average 110 hours per response, including tho time for reviewing instructions, searching exioting data sources, galhering and maintaining the data needed, and comploting and reviewing the collection of information. Send comments regarding this burden ostimate or any other aspect of this collection of information, including suggestions for rodudng the burden, to the Department of Defense, Executive Son11cos Directorate (0704-0188). Respondento should be aware that notwith'1anding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of jnformation ii it does not display a currently valid OMB control number. Please do not return your form to !ho above organizaiion. Send comple!ed form to !he Government lsouing Contracting Officer 101 !he Contract/PR No. listed in Block E.

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

Technical Exhibit 12 TDP TM OTHER x

D. SYSTEM/ITEM F. CONTRACTOR

STTS I

E. CONTRACT/PR NO.

W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

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

A012 Administrative Documents

4. AUTHORITY /Data Acquisition Document No.}

OT-16-10007

'· DD 250 REQ '· D!ST STATEMENT

NO

REQUIRED

• APP CODE

B NIA

'' REMARKS

5. CONTRACT REFERENCE

PWSC.!.10.2

"· FREQUENCY

As Required

11. AS OF DATE

NIA

12. DATE OF FIRST SUBMISSION

NIA

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

The Contractor shall prepare all correspondence and 1naintain all functional tiles on a

Government central repository. The Contractor shall annotate the date received on all incon1ing docu1nents. correspondence. and shall ensure that all Contractor-generated

6. REQUIRING OFFICE

AMCC-PE

'" DISTRIBUTION

' COPIES

a. ADDRESSEE Final Draft

'"" Repro

AMCC-RME 0 1

CCAM-DPD 0 0

technical records. reports. files. and other documentation are maintained in the Govcrnn1cnt f--~~~~~~+-~-t-~-+~--t central repository as \Vell. The Contractor shall obtain KO approval before releasing information that has been stored. generated. or archived related to this contract.

Block 6: Requiring Office: AM CC-PE

J)cpartn1cnt ofthc Arn1y

Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DeCe\v

5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

Block 9: Distribution Statcn1ent B: Distribution to U.S. Govcrnrncnt agencies only.

Administrative and Operation. Date of Determination. Administrative or Operational Use.

Date of Dctcrn1i11ation 09/22/2015. Other request's for this document shall be referred to:

Department of the Ar111y

Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DeCe\v

5th St Stop 160. Bldg37 Corpus Christi. Texas 78419-5211

14b: Submit one (I) hard copy and one ( l) cditab.lc electronic PDF file to COR only upon

\vriltcn request.

G. PREPARED BY

"'~"'''°'""A""~"

DD FORM 1423-1, FEB 2001

H.DATE

9/22/2015

I. APPROVED BY

PREVIOUS EDITION MAY BE USED.

15. TOfAL 0 0

J.DATE

Page of Pages Adobe Professional 8 0

17. PRICE GROUP

Form Approved OMB No. 0704-0188

Tho public reporting burden for this collection of information is estimated to avorngo 110 hours per rnsponso, including 1he time for reviewing instructions, so•rching existing data sources, gathering and maintaining tho data needed, and completing and reviewing the colloction of information. Send comments regard;ng this burden ost;mato er any othor aspect of this colloction of information, including suggestions 101 reducing the burden, to the Department of Defense, Exocutivo Services Directorate 10704-0188). Respondents should be aware that notwithstanding any other provision of law, no P"""" shall bo subject to any penalty for farling to comply with a collection of information ii it does not display a cunently valid OMB control number. Pleose do not return your form to the above organization. Sond comp!oted form to the Government lsouing Contracting Office• for the ConuactlPR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

STTS

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

B. EXHIBIT C. CATEGORY:

Technical Exhibit 13 TOP_. TM

I

E. CONTRACT/PR NO.

WSSRGZ-16-R-0035

OTHER x

F.CONTRACTOR

Red Viking Group I CAGE: 6YYP3

J. SUBTITLE

A013 Contractor Training Report

15. CONTRACT REFERENCE

See Block 16

4. AUTHORITY !Data Acquisition Documont No.)

OT-16-10008

6. REQUIRING OFFICE

AM CC-PE

'· DD 2.5D REQ '· DIST STATEMENT "· FREQUENCY 12. DATE OF FIRST SUBftl!ISS!ON DISTRIBUTION

15 DACA

REQUIRED

See Block 16 NO b. COPIES

'· APP CODE

B "· AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

NIA NIA As Required

16. REMARKS

The report shall consist of the follo\ving for each c1nployce:

a. Last Name

b. First Name

c. Middle Name

d. Suffix

e. Position Title I: Work Phone Nu1nbcr

g. Class Title

h. Hours Completed

i. Date Completed

A letter signed by the contractor certil)'lng the training shall be provided \Vith the training report.

Training classes shall include:

General Orientation

Functional Arca Training Physical Configuration of the Depot.

Safety Training program IA W PWS paragraph C. 1.5. 1(5) Environn1cnta! Requirements

Emergency Procedure~

Conduct and Standards Regulations

Prevention ofSexual Harassment Utility Conservation

Any other training objectives as determined by the COR

Block 5: PWS C.l.5.1(5)(c): C. !.11. I: C.5.3.6.1.11

Block 6: Requiring Office: AMCC-PE Department ofthe Army

Corpus Christi Anny Depot Attn: AMCC-RME COR: Gregg DcCc\v 5th St. Stop 160. Bldg37

Corpus Christi. Texas 78419-5211

G. PREPARED BY H.DATE

l l/9/15

I. APPROVED BY

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

Draft Rog Repro

AMCC-RME 0 '

CCAM-DPD 0

l!i. TOTAL 0 3 0

J. DATE

Page of Pages

Adobe Professional B.O

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data ftem)

I

B. EXHIBIT IC. CATEGORY:

Technical Exhibit 13 TOP ™ OTHER x

STTS I

E. CONTRACT/PR NO. IF. CONTRACTOR

WSSRGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3

16. REMARKS (Continued}

Block 9: Distribution Statement B: Distribution to U.S. Government agencies only. Administrative and Operation, Date of Determination.

Administrative or Operational Use. Date of Determination 09/22/20 l 5. Other requests for this document shall be referred to:

Department ofthc Army

Corpus Christi Arn1y Depot

Attn: AMCC-RME COR: Gregg OeCc\'1

5th St. Stop 160, Bldg 37

Corpus Christi. Texas 78419-5211

Block I 0: Annually and \Vithin 30 calendar days of ne\v employees comn1cncing pcrl'orn1ancc.

Block l4:(b) Submit one (I) hard copy and one (I) electronic editable Microso!I \\lord or PDF on CD/DVD to COR. In addition to the requiring office, submit I final copy of all reports to the belo\v listed primary address or alternate 1nailing address (not to both).

Primary emai I: usarmy. redstone.acc.111csg.acc-rsa-ccmn-dpd@n1ai l.n1i I

Alternate n1ail to:

U.S. Anny Contracting Command - Redstone

5303 Marlin Rd.

ATTN: CCAM-DP!)

DD FORM 1423-1, FEB 2001 Page __ of Pages

(1 Data /rem) OMB No. 0704-0188

The public reporting burden le! thjs collection of information is o•timatod to avorago 110 hours por rnsponso, including the time for 1eviewin9 instructions, searching existing data sources, gathering and maintainjng tho data noodod, and completing and reviewing tha collection of mformation, Send comments rega1ding this burden estimate or any other aspect cf this collection ol information, including suggestion• for reducing tho burden, to the Department of Defense, Executive Services D"ecwrate (0704-0188). R""pondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a colloc11on of ;nfo1mation if it does not display a currently valid OMB control number. Please do not tetutn your fotm to the above otganization. Send completed fo1m to the Government Issuing Contraoring Officer for !he Contract/PR No. listed in Block E.

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

Technical Exhibit 14 me '" OTHER x

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

STTS W58RGZ-16-R-0035 Red Viking Group I CAGE: 6YYP3 ,. DATA ITEM NO. '· TITLE OF DATA ITEM '· SUBTITLE

A0\4 iWATCI-1 Training Progrant

'· AUTHORITY /Data Acquisition Document No.} I' CONTRACT REfERENCE '· REQUIRING OFFICE

OT-16-10009 PWS C.1.11.1 Q)OJ AM CC-PE

'· 00 250 REQ '· DIST STATEMENT rn. FREQUENCY " DATE OF FIRST SUBMISSION "· OISTRIBIJTION

NO

REQUIRED

See Block 16 15 DACA .. COPIES

'· APP CODE "· AS OF DATE "· DATE OF SUBSEQUENT •.ADDRESSEE Final B SUBMISSION D1alt NIA N/A' As Required "" Repto

"· REMARKS AMCC-RME 0 2

The report shall…