Exhibit_A_-_STTS_CDRLS_26_APR_16.pdf

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

The pdilic reponing burden for this collection of 'information is estlm•ted to avmage 110 hours per response, inclu<fmg tho time for 1eviewing ins!ructions, searching oxbring data sources, gathering and maintaining the data needed, and completing and reviewmg the collecrion of 1nforma1ion. Send comments regarding this burden estimate or any other a,poct of this collection of information, including suggestions for reducing tho bu1den, to tho Depat\ment of Dolonso, Executive Services Di<ectorate !0704-0188). Roopondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for laihng to comply with a collectmn ol 1nformation if jt does not display a currontly valid OMS control number. Pleese do not return your form to the above orgenizerion. Send completed lotm to the GovNnment !souing Contracting OUicer for the ContrecllPR No. lioted in Block E.

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

Technical Exhibit I "' '" OTHER x

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

STTS Red Viking Group J CAGE: 6YYP3

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

AOOI Quality System Plan Contractor Quality Control Program Plan

'· AUTHORITY (Dara Acquisition Document No.) 15. CONTRACT REFERENCE .. REQUIRING OFFICE " ESTIMATED

DI-QCIC-81379 PWS C.1.3 AM CC-PE TOTAL PRICE

'· OD 250 RED '· DIST STATEMENT "· FREQUENCY "· DATE OF FIRST SUBMISSION ,. DISTRIBUTION

NIA

REQUIRED

I TIME 30 DACA , COPIES

' APP CODE 11. AS OF DATE n. DATE OF SUBSEQUENT a. ADDRESSEE Final

A B SUBMISSION Draft NIA NIA '" Re pro

"· REMARKS AMCC-RME I I

Block 6: Requiring Office: AMCC-PE CCAM-DPD 0 I Department ofthe Arn1y

Corpus Christi Anny Depot

Attn: AMCC-RME COR: Gregg DcCe\v

5th St. Stop 160. Bldg 37

Corpus Christi. Texas 78419-521 l

Block 8: The Govcrnn1ent \~·ill approve/disapprove \Vithin 15 days after receipt. II disapproved. the contrdc!or shall resubmit \Vithin 15 days after receipt oflrovernmcnt con1mcnts.

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

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

Date of Detern1ination 09/\ 5/1999. Other requests !Or this document shall be rc!Crrcd to:

Departznent ofthc Army Corpus Christi Anny Depot

Aun: AMCC-RME COR: Gregg DeCc\v

5th St. Stop 160. Bldg37 Corpus Christi. Texas 78419-521 l

Block 14: Submit one (I) hard copy and one (I) electronic editable Microsoft \Vo rd or

PDF on CD/IJVD to COR.

In addition to the requiring office. subn1il one (I) final copy of all reports lo the primary cn1ail address or alternate n1ailing address listed bclo\v (not to both).

- Primary email: usar111y.redstone.acc.mcsg.acc-rsa-ccam-dpd@maiL1nil

-Alternate mail lo:

U.S. Army Contracting Con1mand - 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 Proressoooal 8 O

(1 Data Item) OMB No. 0704-0188

The public reporting burden for this collocticn of information is estimated to avarago 110 hours per rosponse, mdud1ng the time for reviewing instructions, searching existing data sources, gathering and maintaining tho data needed, and completing and reviewing the collec11on of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggootions for reducing the burden, to tho Department of Defense, Executive Services Oirnctorate (0704·0188). Respondents should be aware that notwithstanding any o\her provision ol law, no pernon sh,.11 be subject to any. penalty for failing to comply with a collection of information if it does not d"play a currently valid OMS control numbor. Please do not return your form to th~ above organization. Send compl~ted form to the Government l••ulng Contracting Officer fot the Contract/PR No. listed in Block E.

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

Technical Exhibit 2 me '" OTHER x

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

STTS Red Viking Group I CAGE: 6YYP3 , DATA ITEM NO. 2. TITLE OF DATA ITEM '· SUBTlTLE

A002 System Safety Program Plan Safety Program Plan

'· AUTHORITY (Data Acquisition Document No.) I' CONTRACT REFERENCE '· REQUIRING OFFICE

DI-SAFT-81626 PWS C.l .5.1; C.1.7.3.3: C.5.2.4 AM CC-PE

'· DD 250 REQ .. DIST STATEMENT "· FREQUENCY "· DATE OF FIRST SUBMISSION ... O!STRIBUTION

NIA

REQUIRED

I TIME 15 DACA ' COPIES

'· APP CODE 11. AS OF DATE n. DATE OF SUBSEQUENT a. ADDRESSEE Final B SUBMISSION Draft A NIA NIA '" Repro

16. REMARKS AMCC-RME I I

Block 6: Requiring Office: AMCC-PE CCAM-DPD 0 I Department ofthc Army

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

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

Block 8: The Govern1nent \viii approve/disapprove \~·ithin 15 days after receipt. II disapproved. the contractor shall resubmit \vithin 15 days after receipt of Government con1ments.

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

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

Date of Determination 09/15/J 999. Other requests for this docun1cnt shall be referred to:

Department of 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 14: Submit one (I) hard copy and one (I) clcclronic editable Microsoft \Vord or

PDF on CD/DVD to COR.

In addition to the requiring office. sub1nil one (I) final copy of all reports to the primary email address or alternate mailing address listed bclo\v (not to both).

- Primary en1ail; usarn1y .rcdstonc.acc.mesg.acc-rsa-ccam-dpd(!!}n1ail.1n ii

·Alternate mail to:

U.S. Anny Contracting Con1mand - 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--1_ Pages Adobe Profe•••onal 8 O

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

(1 Dara Item) OMB No. 0704-0188

The publ1c repoiting burden for this oolle<;tion of information is estimated to avorogo 110 hou1s per response. indud1ng tho time for reviewing instrn_ctions. searching existing doto sourcos, gathe11ng and maintaining the data needed, ond completing and reviewing the colle<;tion of infmmation. Send comments regarding thos burden estimate or any othe1 aspect of this collection of information, including suggestions for roducing the burden, to the Department of Defense, Executive Services Directmato 10704·01BBI. Respondonts should be aware that notwithstanding any other provision of law, no person oh<>ll bo subject to any ponalty for failing to cmnply with a oollec11on of information ii it doos not display a cu1rontly valod OMB control number. Please do not return your form to the obove organi>•lion. Send completod form to tho Government loouing Contracting Olfico, for the Conuoct/P!l No. listed in Block E.

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

Technical Exhibit 3 me '" OTHER x

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

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

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

A003 Accident/Incident Report Accident/Illness Report

'· AUTHORITY !Dara Acquisition Docum~nt No.I 15. CONTRACT REFERENCE '· REQUIRING OFFICE

DI-SAFT-81563 PWS C.1.5.2 , C.5.3.6. \ J, AMCC-PE

'· OD 250 REQ '· DIST STATEMENT tO. FREQUENCY " DATE OF FIRST SUBMISSION "· DISTRIBUTION

NIA

REQUIRED

SEE16 SEE !6 ' COPIES

' APP CODE "· AS OF DATE

,,. DATE OF SUBSEQUENT a. ADDRESSEE Fmal

B A

SUBMISSION

NIA As Required

"· REMARKS

Block 6: Requiring Office: AMCC-PE

Dcpart1ncnt of the Army Corpus Christi Arn1y Depot Attn: AMCC-RME COR: Gregg DcCc\v 5th St. Stop 160. Bldg 37 Corpus Christi. Texas 78419-5211

Block 8: The Government \Viii approve/disapprove submitted Accident Report for completeness and accuracy \vithin 5 days after receipt. If disapproved. the contractor shall resubmit \vithin 5 days after receipt of Government comments.

Block 9: Distribution Statement B: Distribution to U.S. Govcrn1ncnt agencies only.

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

Date of Determination 09/22/2015. Other requests !Or this document shall be referred to:

Department ofthe Army Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DeCe1v 5th St. Stop 160. Bldg 37 Corpus Christi. ·rexas 78419-5211

Block I 0: Frequency of Submission is dictated by nun1bcr or accidents that are reportable during the Period of Performance. A sub1nission is required for each accident occurrence.

Block 12: Sub1nit no later than 24 hours or accident occurrence.

Block 14: Submit one (1) hard copy and one(!) electronic PDF on CD/DVD to COR.

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

Primary cmai I: usarmy .rcdstonc.acc.mcsg.acc-rsa-ccam-dpd@n1ail .rn i l

Alternate mail to:

U.S. Arn1y Contracting Conunand - Redstone 5303 Martin Rd.

ATTN: CCAM-DPD

Redstone Arsenal, AL 35898-5000

G. PREPARED BY H.DATE I. APPROVED BY

HOGG GAKY LYNN JR J>9<JJJ46 , .. ,-.,..,.,, ..... ~,,,~,.,~·"·•· 9/22/2015

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

AMCC-RME

CCAM-DPD

15, TOTAL

Or oft ,., Repm

0 I 0 I

0 2 0

J.DATE

Page __ I _ of_. _I_ Pages

Adot>e Profe•sional 8.0

17. PRICE GROUP

The public re potting burden for this collection of information is estima~ed to average _11 0 hours per. responso, including the limo for ieviewing _inotructions, searching exjsting data sources, gathering and maintaining tho data needed, and complonng and tev1ew1ng the collectron of 1nformauon. Send comments regarding this burden eotim•te ct any other aspect of this collection of information, including suggeotions lot reducing tho burden, to the Department of Delon••. Executive Sorvices Directorate 10704·0188). Respondento should be aware that notwithstand;ng any other p1ovision of law, no petson shall bo subieot to any penalty tor failing to comply with a collect,on of information if it does not display a currently valid OMB control numbor. Please do not return your form fo the above organization. Send completed form to the Government Issuing Contracting Officer fo• the Conttacl/PR No. li.ied in Block E.

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

Technical Exhibit 4 "' '" OTHER x

D. SYSTEM/ITEM F.CONTRACTOR

STTS

J E. CONTRACT/PR NO.

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

" DATA ITEM NO. 2. TITLE OF DATA ITEM '· SUBTITLE

A004 Hurricane/Severe Weather Preparedness and Recovery Plan

o. AUTHORITY /Dara Acquisition Document No.! l 5. CONTRACT REFERENCE

OT-16-10002 PWS C.1.5.3

'· DD 250 REQ • DIST STATEMENT "· FREQUENCY "· DATE OF FIRST SUBMISSION

REQUIRED

One Time 30 DACA NIA

'· APP CODE "· AS OF DATE "· DATE OF SUBSEQUENT

A B SUBMISSION

NIA As Required

"· REMARKS

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

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

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

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

Block 8: The Government \vii! approve/disapprove \vithin l 5 days alter receipt. If disapproved, the contractor shall resubmit 1vithin 15 days all er receipt of Government comments.

Block 9: Distribution Statement B: Distribution to U.S. Governn1enl agencies only.

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

Date of Determination 0912212015. Other requests for this docun1cnt shall be referred to:

Department of the Army

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

Corpus Christi, Texas 78419-521 I

Block 14: Submit one (I) hard copy and one ( l) editable electronic PIJF on CD/DVIJ lo

COR.

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

Priinary emai [: usarrny. redstonc.acc. rnesg.acc-rsa-ccan1-dpd@rnail.m i I

Alternate niail to:

U.S. Arn1y Contracting Com1nand - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

Redstone Arsenal. AL 35898-5000

G. PREPARED BY H.DATE J. APPROVED BY

HOG(l GARV L \"NN JR l~'>DJJ46 :::';';,-;1';::;:;;.';:''..':C,~'!,';:;;~'., 9/22/2015

'-''"'""''"'"''rn

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

'· REQUIRING OFFICE

AM CC-PE

,,. DISTRIBUTION

' COPIES

a, ADDRESSEE Final

AMCC-RME

CCAM-DPD

15. TOTAL

Draft ,,, Repro

0 I 0 I

0 ? 0

J. DATE

Page __ I _ of_I_ Pages Adobe Professional a.o

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data ftem)

Form Approved OMB No. 0704-0188

The publoc reporting burden for this colloction of information is estimated to average 110 hours per response, including tho time fot rev1owing instructions, searching oxisting data sources, gathe11ng and mainta1n1ng the data noodod, and completing and reviewing the collectlon of information. Send comman!S regarding this burden eotimate or any orher aspect ol this collec!ion of information, including suggo>tions for rnducing the burdon, to the Department of Defense, E•ecutive Services Dtrec!orato 10704-01881. Respondents should be aware that notwithstanding any other provision of law, no per.on sh~ll bo subiect to ony penalty for fajljng to comply wi1h a oolloction of information if it does not display a currently volid OMB control number. Pfense do no! return your form to tho obove organi,ation. Send completed form to t~e Government Issuing Contracting Oflieer for the Contracl/PR No. listed in Bicek E.

A. CONTRACT LINE ITEM NO,

D, SYSTEM/ITEM

STTS

1.DATAITEMNO. 2.TITLEOFDATAITEM

B. EXHIBIT C. CATEGORY:

Technical Exhibit 5 TOP TM

IE. CONTRACT/PR NO.

W58RGZ-16-R-0035

OTHER x

F,CONTRACTOR

Red Viking Group I CAGE; 6YYP3

3. SUBTITLE

A005 Operating, Support. Health. and Safety (OSH&S) Hazard

Analvsis Renort

Hazardous Material Handling Reports

4. AUTHORITY (Dara Acquisition Document No.)

DI-SAFT-81841

7. 00 250 REQ '· OIST STATEMENT "·

NIA

REQUIRED

.. APP CODE

B n.

5. CONTRACT REFERENCE

. PWSC.1.7.3

FREQUENCY

SEE 16

AS OF DATE

12. DATE OF FIRST SUBMISSION

SEE 16

13. DATE OF SUBSEQUENT

SUBMISSION

6. REQUIRING OFFICE

AM CC-PE

DISTRIBUTION

b. COPIES

•- AODRESSEE Frn•I Draft A NIA As Required Reg Repro

16. REMARKS

Block 6: Requiring Office: AMCC-PE

Departn1cnt of the Army

Corpus Christi /\rn1y Depot

Attn: AMCC-RME COR: Gregg DeCe\v

5th St. Stop !60. Bldg 37

Corpus Christi. Texas 78419-5211

Block 8: The Government \viii approve/disapprovc·\vithin 2 days afier receipt. Jf disapproved. the contractor shall resubn1it \vithin 2 days after receipt of Government com1ncnts.

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

Administrative and Operation. Dale of Dctcrntinalion. Administrative or Operational Use.

Date of Dcterminil!ion 09/22/2015. Other requests for this document shall be referred !o:

Department of the Army

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

5th St, Stop 160, Bldg37

Corpus Christi. Texas 78419-52 ! I

Block I 0: Frequency of Submission is dictated by number of controlled n1aterials to be delivered or used in co1nplction of this effort. A single report of all hazardous n1ateria!s is

AMCC-RME 0

CCAM-DPD 0

to be maintained and updated as any nc\v material is added to inventory. Individual Materialf---------+--+--f---l

Snfcty Data Sheet (MSDS) arc to be subn1ittcd for each n1atcrial. and a copy of each arc to be maintained on the shop floor for access by Governn1cnt and contractor personnel.

Block 12: 48 hours prior to use of haznrdous materials required in the performance of the

PWS. Updates shall be submincd no later than 48 hours prior to any nialerh1l receipt requiring MSDS at \Vork location.

Block 14: Sub1nit one (I) hard copy and one (I) editable electronic PDF on CD/DVD to

COR.

G. PREPARED BY H.DATE I. APPROVED BY

9/22/2015

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

15. TOTAL 0 2 0

J.DATE

Page __ I _ of_[_ Pages

Adobe Professional B Q

17. PRICE GROUP

TOTAL PR!CE

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

CONTRACT DATA REQUIREMENTS LIST

(1 Data !rem)

I

B. EXHIBIT I c. CATEGORY;

Technical E_xhibit 5 roP TM OTHER X

STTS IE. CONTRACT/PR NO. I F. CONTRACTOR

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

16. REMARKS (Continued!

Jn addition to the requiring office. submit l final copy of all reports to the bclo\v listed primary address or allcmatc mailing address (not to both).

Prin1ary cmai I: usarn1y .rcdstone .ace .me~ g.acc-rsa-ccan1-d pd@n1ail .m ii

Alternate mail to:

U.S. Arn1y Contracting Con1mand - Redstone 5303 Martin Rd.

ATlN: CCAM-DPD Redstone Arsenal. AL 35898-5000

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

CONTRACT DATA REQUIREMENTS LIST

(1 Dara Item)

Form Approved OMB No. 0704-0188

The public re potting _burdon lo! _1h;s_ collection o1 information ;, estimat_ed to aver~ge 11 0 hours per reoponse, including the time for reviewing instru_otions, searching existing data sources, gathering and ma1ntammg the data needed, and completing and reviewing the collection of onlormat1on. Send comments regarding this burden estimate or any othe1 aspect of this collect1on of information, mcluding suggestions for reducing tho burden, to the Department of Defense, Executive Services Oirectora!e (0704-01881. Respondents should be aware that notwithstanding any other provision of law, no person sh,.11 be subject to any penalty for fa1l1ng to comply with a collect1on of information 'if lt does not Oosplay a currently valid OMB control number. Please do not return yout form lo tho above organi•allon. Send completed form to the Government Issuing Contracting Officer fo1 the Conllact/PR No. lisfed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

STTS

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

A006 Contractor Roster

4. AUTHORITY {Data Acquisition Documonl No.)

Ol-MGMT-81834A

7. 00 250 REQ '· DIST STATEMENT

REQUIRED

NIA

" APP CODE

B

B. EXHIBIT C. CATEGORY:

Technical Exhibit 6 TOP TM

E. CONTRACT/PR NO.

WSSRGZ-16-R-0035

5. CONTRACT REFERENCE

See BLOCK 16

OTHER x

F. CONTRACTOR

Red Viking Group I CAGE: 6YYP3

3. SUBTITLE

Designation of Personnel/ Alternate Personnel

6. REQUIRING OFFICE

AM CC-PE

10. FREQUENCY " DATE OF FIRST SUBMISSION "· DISTRIBUTION

SEE BL9CK 16 10 DACA b. COPIES

"· AS OF DATE "· DATE OF SUBSEQUENT

SUBMISSION

Frnal Droll

a. ADDRESSEE

A NIA SEE BLOCK16 Reg Rapro

16. REMARKS

The report shall consist of the fo!lO\Ving for each cn1ployee:

a. First Name

b. Middle Nan1e

c. Last Name

d. Suffix

c. Position Title l'. Email Address

g. Work Phone Number

h. Contact Phone Number

Block 5. PWS C.1.10. L C.5. I. I. C.5. 1.2: C.5.1.3: C.5. !.4: C.5.1.5: C.5.1.6; C.5.1.7:

C.5. 1.8: C.5.3.1.1.4

Block 6: Requiring Office: AM CC-PE Department ofthe Arn1y Corpus Christi Arn1y Depot

Attn: AMCC-RME COR: Gregg DeCe\v 5th St. Stop 160, Bldg37 Corpus Christi. Texas 78419-52 I I

Block 8: The Governn1cnt \Vi!l approve/disapprove \Vithin 5 days after receipt. Jr disapproved, the contractor shall resubn1it \Vithin 5 days after receipt of (Jovernn1ent comments.

Block 9: Distribution Statcn1cnt B: Distribution to U.S. Government agencies on!y.

Administrative and Operation. f)atc of Determination. Administrative or Operational Use.

Date of Determination 09122120 I 5. Other requests for this document ~hall be referred to:

Department of the Army Corpus Christi Army Depot Attn: AMCC-RME COR: Gregg DcCc\v 5th SL Stop 160, Bldg 37 Corpus Christi. Texas 78419-521 l

AMCC-RME 0

CCAM-DPD 0

Block 10: A Designation ofl'ersonncl/Altematc Personnel shall be submitted on a quartcrly·l---------j--+--1---j basis. by the 15th day ofthc month.

G. PREPARED BY H.DATE I. APPROVED BY

llOGG G,\KY LYNJ\" JR IZ90JJ.J6 ::r:•r;·:~~ ~.:.:.;;~::;~:·;.::·~;~, 11/10/15 20 ::.:··;,:;:~.~-,:~:-:-:.~·::""""''

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

15. TOTAL 0 2 0

J.DATE

Page __ I _ of_I_ Pages Adob-e Professional 8 O

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item}

I

B. EXHIBIT IC. CATEGORY:

Technical Exhibit 6 Top TM OTHER X

STTS l_E. CONTRACT/PR NO.

W58RGZ-16-R-0035 I

F. CONTRACTOR

Red Viking Group I CAGE: 6YYP3

16. REMARKS (Continued)

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

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

In addition to the requiring office, sub1nit I final copy of all reports to the bclo\v listed prin1ary address or alternate mailing address (not to both).

Primary email: usarm y .redstonc.acc .mcsg.acc-rsa-cca1n-d pd(~?mail .mi!

Alternate mail to:

U.S. Anny Contracting Con1mand - Redstone

5303 Martin Rd.

A'r!"N: CCAM-DPD

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

(1 Dara !rem) OMB No. 0704-0188

The public roporting burden for this collection of informa1ion io ostimated to average 110 hours per response, including the time for reviewing instructions, soa1ching existing data sourcos, 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 informotion, including suggestions for reducing the burd~n, to the Department of Defense, Executive Se•vices DfroCtorate {0704-0188), Rospondents should be aware that notwithstanding any other provision of law, no porson shall be subject to any penally for failing to comply with a oollect1on of info1mat1on if it does not display a cunenUy valid OMB control number. Please do not return your form to the above organization. Send completed form to the Govemment Issuing Conuacting Officer for the Con!<act/PR No. fisted in Block E.

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

Technical Exhibit 7 '" '" OTHER x

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

STTS Red Viking Group I CAGE: 6YYP3 ,. DATA ITEM NO. 2. TITLE OF DATA ITEM '· SUBTITLE

A007 Contractor ]-[ours Report

'· AUTHORITY /Data Aaq,,i5ilion Doa,,mont No.) \ 5. CONTRACT REFERENCE '· REQUIRING OFFICE

OT-16-10001 PWS C.1.52.l;C.5.3.l.l.5 AMCC-PE , OD 25D REQ .. DIST STATEMENT "· FREQUENCY 12. DATE OF FIRST SUBMISSION "· DISTRIBUTION

REQUIRED

Monthly See BLK 16 No ' COPIES

'· APP CODE 11. AS OF DATE "· DATE OF SUBSEQUENT a. ADDRESSEE Final

8 SUBMISSION

A NIA See BLK 16

16. REMARKS

The contractor shall n1aintain records of all illnesses and injuries experienced by contractor and subcontractor employees in the course performing \vork at the Govcrn1ncnt installation/facility under this contract. At a minimun1 this shall include maintaining an up-to-date OSHA Form 300 or equivalent log in accordance \Vith 29 CFR !904.

The contractor shall 1naintain records of all on-duty paid hours \Vorkcd at the Government installation/facility by c1nployees of the contractor and each subcontractor.

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

a. Last Name

b. First Name

'· Middle Name

d. Suffix

e. Position Title

f. Work Phone Nun1ber

g. Numberofhours 1vorkcd during the previous month

h. Physical Work Location - Building Number

i. Physical Work Location - Room Nun1ber

Block 6: Requiring Office: AMCC-PE

Department of the Anny

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

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

Block 8: The Government 1vill approve/disapprove \Vithin 5 days after receipt. If disapproved. the contractor shall resubmit \Vilhin 5 days after receipt ofGovernmcnt comn1cnts.

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

Administrative and Operation. Date of Dctcrn1ina1ion. Administrative or Operational Use.

Date of Determination 09/22/2015. Other requests !Or this document shall be referred to:

Department of the Army

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

5th St. Stop 160. Bldg37 Corpus Christi. Texas 78419-52 I I

G. PREPARED BY H.DATE I. APPROVED BY

HOGG GARY LYNN JR 1'901346 '-"-""''"·~'"""""""·' 912212015

'° ' - . ~:7.:'.:~:,;~~':?:",,','.;:""'"'"

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 Professional 8 0

17. PRICE GROUP

"· ESTIMATED

0. SYSTEM/ITEM

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

TB. EXHIBIT I C. CATEGORY:

Technical Exhibit 7 rop TM OTHER X

SITS IE. CONTRACT/PR NO. IF. CONTRACTOR

Red Viking Group J CAGE: 6YYP3

16. REMARKS {Continued)

Block I 0: Frequency of Submission is monthly by the 5th \vorkday of each rnonth. Report is to account for 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 l 4(b): Submit one ( 1) hard copy and one ( 1) editable electronic PDF on CD/DVD to COR. Jn addition to the requiring office. submit 1 final copy of all reports to the be!O\V listed primary address or alternate mailing address (not to both).

Prin1ary email: us army .redstone.acc.mcsg.acc-rsa-ccam-dpd@mai I .m ii

Alternate tnail to:

U.S. Army Contracting Cotnmand- Redstone

5303 Martin Rd.

ATI'N: CCAM-Dl'D

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

(1 Dara Item} OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to ave1age 110 hours per response, including the time for reviewing onstructions, searching existing data sources, gathermg and maintaining the data nooded, and completing and reviewing the collection of mfo1mation, 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 Directorate 10704-0188). Respondents should bo aware that notwithstanding qny other provi,ion of low, no person shall be subject to any penalty for failing to comply with a colloc\lon of inf<irm•tion ii it does not display a currently valid OMB control number. Ple•>e do not <otum your form to ttie •hove orgon1,.1ion. Send completed form to t~e Government !souing Conttacting Officer for the ControctlPR No. listed In Block E.

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

Technical Exhibit 8 '°' '" OTHER x

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

SITS W58RGZ- l 6-R-0035 Red Viking Group! CAGE: 6YYP3

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

A008 Status Report Systems Status Report

'· AUTHORITY !Data Acquisition Document No./ l 5. CONTRACT REFERENCE ' REQUIRING OFFICE

DI-MGMT-80368A PWS C.5.3.1.1.6 AM CC-PE

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

REQUIRED

SEEJ6 SEE 16 NO ' COPIES .. APP CODE "· AS OF DATE "· DATE OF SUBSEQUENT •·ADDRESSEE Final

B SUBMISSION

NIA As Required

16. REMARKS

Block 6: Requiring Office: AMCC-PE l)cpartmcnt ofthe Anny

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

5th St. Stop I 60. Bldg 37

Corpus Christi. Texas 78419-521 I

Block 9: Distribution Statement B: Distribution to U.S. Govemn1cnt agencies only.

Ad1ninistn1tive and Operation. Date of Dctern1ination. Administrative or Operational Use.

Date of Determination 09/22/2015. Other requests !Or this docun1cnt shall be referred to:

Department of the Anny Corpus Christi Army Depot

Attn: AMCC-RME COR: Gregg DeCc\v

5th St. Stop ! 60. Bldg 37

Corpus Christi. Texas 78419-5211

Block 10: Frequency of Submission is monthly by the 5th ofeaeh month. Report is to account for all contract activities. to include an executive sumn1ary highlighting significant completions. technical challenges. obstacles. f3ilurcs. issues of concern. identification of necessary maintenance repair parts and cn1crgcncy repairs.

Block 12: To be submitted \vithin 5 days allcr contplction of first \\'hole month of contracted effort.

Block 14: Sub1nit one (I) hard copy and one (1) editable electronic PDF on CD/DVD to

COR. !n addition to the requiring onicc. submit I Jinn] copy of all reports to the bclo\V listed primary address or alternate mailing address (not to both).

Primary cmai !: usarn1y. redstone.ace. n1esg.acc-rsa-ccam-dpd@n1ail. 111 i I

Alternate n1ail to:

U.S. Army Contracting Con1mand - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

Redstone Arsenal, AL 35898-5000

G. PREPARED BY H.DATE I. APPROVED BY

HOGG GARY LYNN JR.1290JJ46 '""'"~-'"""'' '~'"'"""'"N• 912212015 "'" .,., ''"--"'""-"'-'"'

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

AMCC-RME

CCAM-DPD

15. TOTAL

Draft

'" Ro pro

0 I 0 I

0 2 0

J. DATE

Page __ I _ of_I_ Pages Adob~ Professional 8 0

17. PRICE GROUP

(1 Dara Item) OMB No. 0704-0188

The public reponing burden for this colle<:tion of information is o•timated to average 110 hours p~r response, including the 1jmo for teviewing instructions, soa1ohing exioting data sources, gathering and maintaining the data noodod, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other ospect of this collection of information, including suggestions for reducing tho bu1den, to the Department of Defense, Executive Services Directorate 10704-01661. Rospondents should be aware that notwithotanding any other provision of law, no poroon sh~ll be subjoct to any penalty for failing to comply with a collection of informorion if it does nor dosploy a curran!ly v•lid OMB control number. Plea•o do not return your form to tho above organization. Send completed form 10 the Government 1 .. uing Conttacting Officer fot !he ContracllPR No. lioted in Block E.

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

Technical Exhibit 9 "' ,. OTHER x

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

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

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

A009 Program and Technical Rcvic,v/Briefing

' AUTHORITY !Data Acquisition Documont No.I ! 5. CONTRACT REFERENCE .. REQUIRING OFFICE

OT-16-10003 PWS C.5.3 l.!.7 AM CC-PE

'· OD 250 REQ '· DIST STATEMENT 10. FREQUENCY "· OATE Of FIRST SUBMISSION "· DISTRIBUTION

NIA

REQUIRED

SEEl6 120 DACA " COPIES

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

B SUBMISSION

A NIA As Required

"· REMARKS

The contractor shall prepare a Po,vcr Point briefing to account for all 1najor activities in support of contract objectives that have occurred since the last Progrmn and Technical rcvic,v. This in-person briefing should center on highlighting significant completions.

technical challenges. obstacles. failures. issues of concern. identi!ication of necessary maintenance repair parts and occurrences or n1ajor and/or en1crgcncy repairs. and include a rcvic\v of the state of all FT Ms. technical issues ot difficulties. proposed modifications or changes to systen1 components. and financial and time performance against the contract requirements.

Block 6: Requiring Office: AMCC-PE

Department ofthc Army Corpus Christi Arniy Depot Attn: AMCC-RME COR: Gregg DeCc\v 5th St. Stop I 60. llldg 37

Corpus Christi. Texas 78419-521 I

Block 9: Distribution Statement B: Distribution Lo U.S. Governnicnt agencies only.

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

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

Departnicnt ofthe Army

Corpus Christi Anny Depot

Attn: AMCC-RME COR: Gregg DeCe\v

5th St. Stop !60. Bldg 37

Corpus Christi. Texas 78419-52 I 1

Block 1 O: For the remainder of the base year. brie!ings \VIII be conducted quarterly, and for the out-years. briefings \Vill be conducted semiannually.

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

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

Pri1nary emall: us army .redstonc.acc.n1csg .. acc-rsa-ccam-dpd@mail. 111 i I

Alternate mail 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 L YN:-1 JR ]!9{)))46 :~·:~~~·.'::;;;;;_":'C)":;:~.';;:;''.','~'., l l/10/15

'" '"'" ::~~i::::i,~.''7''~"

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

AMCC-RME

CCAM-DPD

15. TOTAt

Page

Draft

'"' Repro

0 I 0 I

0 2 0

J.DATE

of_I_ Pages Adobe ProfeS•ional Bo

17. PRICE GROUP

"· ESTIMATEO

CONTRACT DATA REQUIREMENTS LIST

{1 Data Item)

I

B. EXHIBIT IC. CATEGORY:

Technical Exhibit 9 TDP TM OTH~R X

STTS I

E .. CONTRACTIPR NO. If. CONTRACTOR

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

16. REMARKS (Continued)

In addition to the requiring office. submil I Jina] copy of all rcpo11s to the bi:lo\v listed primary address or alternate mailing address (not to both).

Pri m·ary c111ail: usarmy .red stonc.acc.n1esg.acc-rsa-ccam-dpd@n1ai I .nti 1

Alternate mail to:

U.S. Arn1y Contracting Con1mand - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

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

The public reporting burden for this collection of information i• estimated to average 110 hours per respon~e, including the time for reviowing instructions, searching e>isting data sourc.,, gathering and maintaining !he data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any othor aspect of this collection of information, including suggestions for reducing the burden, to the Oeparlment of Defense, Executivo Services Diroctorate [0704·0188). Respondents should be aware that notwithstanding any other provision of law, no person sh"ll be subject to any penalty for failing to comply wnh a collection of information if it does not display a currently valid OMB control number, Please do not return you1 form to the above organization. Send completed 1o,m to the Governtnent l•suing Con!lacting Office• for tho Con!loc!IPR No. lisied in Block E.

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

Technical Exhibit 10 "' '" OTHER x

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

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM '· SUBTITLE

AOIO Test Cells Operations Availability. Maintenance & Repair Log

4. AUTHORITY /Dara Acquisition Document No.! \ 5. CONTRACT REFERENCE '· REQUIRING OFFICE

OT-16-10004 See Block 16 AM CC-PE

'· DD 250 REQ '· DIST STATEMENT "· FREQUENCY "· DATE OF FIRST SUBMISSION "· DISTRIBUTION

REQUIRED

Monthly 15 DACA NIA " COPIES .. APP CODE n. AS OF DATE "· OATE OF SUBSEQUENT a. ADDRESSEE Flnal

8 SUBMISSION

A NIA As Required

16. REMARKS

Contractor is to create and maintain a Microsofi Excel Spreadsheet for Jogs for each of the seven FTMs independently. The logs arc to capture the daily operations. preventative maintenance and repair activities. emergency shutdowns or incomplete run stoppage for each cell. Log must carry at least time and date stamp, operator identirication. 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 damugcd or replaced in the systcin. End ofY car compiled log is to include a sumn1ary of statistics of test cell availability and do\vn time. and histograms for fre"qucney of like failures ror each cell.

Block 5: PWS C.5J.2. I. I: C.5.3.2. !.3: C5.3.3. l. I: C.5.3.3.1.3: C.5.3.4.1.3: C.5.3.5.J J:

C.5.5.7

Block 6: Requiring Omce: AMCC-PE Department ofthe Army Corpus Christi Arn1y Depot Attn: AMCC-RME COR: Gregg DcCe\~' 5th St. Stop 160. B!dg 37 Corpus Christi. Texas 78419-5211

Block 8: The Govcrnn1ent will revic\v/approve IOrn1at/content for the first t\vo sub1nission~ after receipt. If disapproved. the contractor shall resubmit within 5 days afier receipt or Government co1nments.

Block 9: Distribution Statement B: Distribution lo U.S. Govemn1ent agencies only.

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

Dale or Dctcnnination 09/22/2015. Other requests !Or this docun1ent shall be referred to:

Department of the Anny Corpus Christi Army Depot Alln: 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 month.

Block 12: Submit the First Jog JOr each FTM to the COR \Vithin 15 days alter contract a\vard.

G. PREPARED BY H.DATE I. APPROVED BY

HOGG GARY.L \'NN JR J!9{]Jl~O :~·.·~;-;:~':;:;:;;:::'..'i:,"!,';;:,';','~;, 11/10/15

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

AMCC-RME

CCAM-DPD

15. TOTAL

Draft

••• Repro

0 7 0 7

0 14 0

J.DATE

Page __ I _ of_!_ Pages Adobe Profess1onal 8 O

17. PRICE GROUP

TOT At PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data ftem) l

a. EXHIBIT le. CATEGORY:

Technical Exhibit 1 O TOP TM OTHEa X

SITS I

E.-CONTRACT/PR NO. IF. CONTRACTOR

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

16. REMARKS (Continued)

Block 14: Submit one (I) editable electronic Excel l'i!c for each (7) FT Ms by en1ail to COR. A (I) coinplete Jog for each PTM for the Contract Y car \\·i!I be compiled and presented lo the COR at contract end in Microsoft Excel editable format.

In addition to the requiring ollicc. submit I nnal copy of all reports to the below listed prin1ary address or alternate 1nailing address (not to both).

Primary emai I: usarn1y .rcdstone.acc.mcsg.acc-rsa-ccam-dpd@mai l.n1il

Alternate mail to:

U.S. Army Contracting Command· Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

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

(1 Dara freTnJ OMB No. 0704-0188

The public reporting burden for thio colloction of information is estimated to average 110 hours per response, inoluding the timo for reviewing insttuotions, soarching e•isting data sources, gathering and maintaining the dala needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any 01her aspect of this collection of information, including suggestions for reducing the burden, to the Dop•nment of Dofonse, Executivo Services Diroctorate (0704-0188). Respondents should be aware thot notwithstanding any other provision of law, no person shall be subjoc! to any penalty for lail1ng to comply with a collect1on of information if it doos not display a curromly valid OMB control number. Please do not return your form to the above organization, Send comploted form to the Government Issuing Contracting Officer for the Contract/PR No, listed in Block E.

A. CONTRACT LINE ITEM NO. 8. EXHIBIT C. CATEGORY:

Technical Exhibit 11 m• '" OTHl:R 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 ' SUIHITLE

AOl I Test Management Systent Architecture Documentation and

DiaP-rams

4. AUTHORITY /Dal a Acquisirian Document No.) ! 5. CONTRACT REFERENCE .. REQUIRING OFFICE

OT-16-10005 PWS5.5.13 AMCC-PE

'· DD 250 REQ '· DIST STATEMENT rn. FREQUENCY "· DATE OF FIRST SUBMISSION "· DISTRIBUTION

NIA

REQUIRED

I Time See BLK 16 o. COPIES

B. APP CODE "· AS OF DATE "· DATE OF SUBSEQUENT

~.ADDRESSEE Final

B SUBMISSION

A NIA As Required

"· REMARKS

Contractor is to provide hard\varc systems architecture dra\vings and technical specifications for the full scope of the Test Manage1ncnt System (TMS) as di.:livcrcd and configured \vhen system reaches full test capability. This is also to include a soft,vare schema. and nehvork and logic diagram(s) for all components in the contractor furnished soft\varc and hard1vare systcm(s) to include TMS. VMWarc. and any other contractor furnished ncl\vork or computing equipn1c11t that are part of the sofhvarc system.

Documentation is also to be appended 1vith notations as to ho1v and where additional inputs and nel\Vork storage devices can be appended and.accessed through the TMS.

Block 6: Requiring Olftcc: AM CC-PE Department of the Army Corpus Christi Arn1y Depot Attn: AMCC-RME COR; Gregg DeCc\v

5th St. Stop 160. Bldg 37

Corpus Christi. Texas 78419-5211

Block 8: The Government \vill approve/disapprove \\•ithin 5 days after receipt. If disapproved, the contractor shall resubmit \vithin 5 days after receipt of Government com1ncnts.

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

Administrative and Operation. J)ate of Determination. Administrative or Operational Use.

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

Department of the Anny

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

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

Block I 2: Sixty (60) Days after Completion and Integration Test Managernent Systc1n

(TMS) as described in PWS Paragraph C.5.2. 7

Block 14; Submit one ( ! ) hard copy and one (I) editable electronic PDF file for each

Diagram required to the COR. File fonnat can be as agreed to by Govern1nent permission as given by the COR.

G. PREPARED BY H. DATE L APPROVED BY

HOGG GAR\',l VNN JR i29tlll46 :::·;:;-;~'1:::::.:.'!:"'.~:;"~~.';:,'~','~!, l l/\0/15

.,,, ..... .,.,-.,~·""' ,_,,,,,.,,"""'"H

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

AMCC-RME

CCAM-DPD

15. TOTAL

Page

Draft

'"" Repro

0 7 0 I

0 8 0

J. DATE

of_I_ Pages A~ot>e Professional 6 O

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item}

I

B. EXHIBIT IC. CATEGORY:

Technical Exhibit 11 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 fConlinuedJ

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

Primary email'. usurmy. rcdstone.acc. mcsg.acc-rsa-ccam-dpd@mai I .m ii

Alternate mail to:

U.S. Army Contracting Coinmand - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

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

(1 Dara ftem) OMB No. 0704-0188

The public reporting burden for thio colle<:tion of information io os1imat.ed to avera_go _1 1 0 hours per. responso, incl~ding tho time fo1 reviewing _instru.ctions, searching existing d<>ta sources, gathering and maintaining the data needed, and completrng and rev_Jewrng the collection of rnformatron. Send comments reg_ard1ng th1s burden estimate or any other aspoct of this collection of inlormat1on, including suggestions for reducing the burden, to tho Depar!ment of Dolonse, ExecLil1ve Sorv1ces Directornte 10704-01881. Respondonts should be awarn that notwithstanding any other prevision of law, no person shall bo subject lo any pe~alty fot failing to comply with a collection of informat;on it it doos not display a currontly valid OMB control number. Please do not return your form to the above organi••toon. Send comple!ed form to 1ho Govornmenl Issuing Contracting Office• for the ContractlP!l No. listed in Black E.

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

Technical Exhibit 12 "" '" OTHER x

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

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

,. DATA ITEM NO. 2. TITLE OF DATA ITEM '· SUBTITLE

A012 Adn1inistrative Docun1cnts

'· AUTHORITY fD~M Acquisition Docum1'nt No.I I' CONTRACT REFERENCE ' REQUIRING OFFICE

OT-16-10007 PWS C.1.102 AM CC-PE

7. DO 250 REQ '· DIST STATEMl:NT "· FREQUENCY " DATE OF FIRST SUBMISSION "· DISTRIBUTION

REQUIRED

As Required NIA NO •• COPIES

'· APP CODE n. AS OF DATE "· DATE OF SUBSEQUENT a. ADDRESSEE Final B SUBMISSION Draft NIA NIA As Required ,., Ro pro

" REMARKS AMCC-RME 0 I

The ContrJctor shall prepare all correspondence and maintain all functional files on a CCAM-DPD 0 0 Government central repository. The Contractor shall annotate the date received on all incoming documents. correspondence. and shall en Sure that all Contractor-generated technical records. reports, files, and other documentation arc maintained in the Government central repository as \veil. The Contractor shall obtain KO approval before releasing information that has been stored. generated. or archived related to this contract.

Block 6: Requiring Office: AMCC-PE Department ofthc Anny

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 Statement B: Distribution to U.S. Govcrnn1ent agencies only.

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

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

Dcparln1cnt of the Arn1y Corpus Christi Army Depot

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

Corpus Christi. Texas 78419-521 I

14b: Submit one {I) hard copy and one ( ! ) cditah_le electronic PDF lilc to COR only upon

\vritten request.

15_ TOTAL 0 I 0

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

JJOGG GARY LYNN.IR 129'0JJ46 ""'"'""""'"'"'~'' "'"'~·~·· 9/22/2015 .... '" ., . ·-~·- ...... ~, """' '" 0 ,,., ... " """'·""""·" ,_,,, .. .,.,,, ... -..

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

AdoOO Professional 8.0

17. PRICE GROUP

(1 Data Item) OMB No. 0704~0188

The public rnporting burden for thio collection of information is estimated to average 110 hours per responso, includmg 1ho time for reviowing instructions, searching 0•1sting data sources, ga1hering and mainlaining tho data needed, and completing and reviewing the collec1ion of information. Send comments !egarding this burden estimate or any 01her aspoct of this collection of information, including suggestions for reducing tho burden, to tho Department of Defense, E•ecuti.e Services Directorate {0704·018$). Respondents should be aware that notwithstanding any other provision of law, no porson 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 th~ above organiz~•ion. Send completed form to the Government l•suing Contracting Officer ror Iha Contract/PR No. r;sied in Block E.

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

Technical Exhibit 13 '" '" OTHER x

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

STTS W58RGZ- l6-R-0035 Red Viking Group I CAGE: 6YYP3

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

A013 Contractor Training Report

4. AUTHORITY (Data Acquisition Document No.) \ 5. CONTRACT REFERENCE '· REQUIRING OFFICE "· ESTIMATED

OT-16-10008 See Block 16 AM CC-PE TOTAL PRICE

'· DD 250 REQ • DIST STATEMENT rn. FREQUENCY "· DATE OF FIRST SUBMISSION "· DISTRIBUTION

REQUIRED

See Block 16 15 DACA NO .. COPIES

'· APP CODE ' ' AS OF DATE "· DATE OF SUBSEQUENT a. ADDRESSEE Final B SUBMISSION Draft NIA NIA As Required '"" Repto

" REMARKS AMCC-RME 0 2

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

'· Last Name

b. First Name

c. Middle Name

d. Sullix

e. Position Title

f. Work Phone Number

g. Class Title

h. Hours Completed

i. Date Completed

A letter signed by the contractor certifying the training shall be provided \\•ith the training report.

Training classes shall include:

General Orientation functional Arca Training

Physical Configuration ofthe Depot

Safety Training program IA VI' PWS paragraph C. l.5.1(5)

Environmental Rcquirctnents

Emergency Procedures Conduct and Standards

Regulations Prevention of Sexual Harassn1cnt Utility Conservation

Any other training o~jcctives as di.:tcrmined by the COR

Block 5: PV-..15 C. !.5.1 (5)( c): C.1.11. ! : C.5.3.6.1.1 I

Block 6: Requiring Ollicc: AMCC-PE Department of the Anny

Corpus Christi Army Depot

Attn: J\MCC-RME COR: Gregg DcCc\v 5th St. Stop 160. Bldg37

Corpus Christi. Texas 78419-52 I 1

15. TOTAL 0 3 0

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

HOGG.GARY LYNN JR 12901.146 '-"~~ ........... ,,_,. ,, .. ,,. .. I !/9/15 '" '" ' . ·-··-· - '"' -"" '., DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

A~obe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

I

B. EXHIBIT IC. CATEGORY:

Technical Exhibit 13 TOP TM OTHER X

SITS IE. CONTRACT/PR NO.

W58RGZ-l 6-R-0035 If.CONTRACTOR Red Viking Group I CAGE: 6YYP3

16. REMARKS (Continued)

Block 9: Distribution Statement B: Distribution to U.S. Government agencies only. Adntinistrativc and Operation. Dale of Determination.

Adn1inistrative or Operational Use. Date of Detcrn1ination 09/22/2015. Other requests for this docuinent shall be referred to:

Departn1ent ofthc Army Corpus Christi Army Depot

Attn: AMCC-RME COR: Gregg DcCc\v

5th St. Stop 160. Bldg 37

Corpus Christi. Texas 78419-521 l

Block I 0; Annually and \Vi thin 30 calendar days of TIC\'< employees com1ncncing performance.

Block 14:(b) Submit one (I) hard copy and one (I) electronic editable Microsoli Word or PDF on CD/DVD to COR. In addition to the requiring o!Tice. submit I final copy of ail reports to the bclo\v listed prin1ary address or alternate n1ailing address (not to both).

Pritnary email: usarmy. redstone.acc. mesg.acc-rsa-ccan1-dpd@rnail.m i I

Alternate n1all to:

U.S. Army Contracting Command - Redstone

5303 Martin Rd.

ATTN: CCAM-DPD

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

The public reporting burden for thlS collection of informo11on is estimated to average 110 hours per response, including the time for reviewing instructions, searching exiS1ing data sourcos, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regardmg this burden e5!imate or any othor aspect of this colloction ol information, including suggeotions for reducing tho burden, to the Department of Defense, Executive Services Directorate 10704-0188). Respondents should bo ow are that notwithstanding any other provision of law, no person shall be subject to any penalty for fa1l1ng to comply with a collection of informotion if it does not disploy a currently valid OMB control number, Please do not return your form to the above organii•tion. Send completed fo1m to •he Government lsouing Contracting Offioet for the Contract/PR No. nsted in Block E.

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

Technical Exhibit 14 "' '" OTHER x

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

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

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

A014 iW ATCH Training Progrmn

'· AUTHORITY (Dal a Acquisition Document No.} I' CONTRACT REFERENCE '· REQUIRING OFflCE HI. ESTIMATED

OT-16-10009 PWS C.1.11.1 GJO) AM CC-PE TOTAL PRICE

.. no 250 REO '· DIST STATEMENT m . FREQUENCY "· DATE OF FIRST SUBMISSION "· DISTRIBUTION

NO

REOUIRED

See Block 16 15 DACA ' COPIES

•• APP CODE "· AS OF DATE u.