Exhibit_A_CDRLS.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item)

Form Approved OMB No. 0704-0188

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

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

0004 A TDP ____ TM _____ OTHER _____FNCL_______________

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

LSFMA Program W58RGZ-16-R-0070 TBD

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

A001 PERFORMANCE AND COST REPORT

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

TOTAL PRICE

NSP DI-FNCL-80912 PWS para 3.1 AMSAM-MLS

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED Monthly SEE BLOCK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

SEE BLOCK 16

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final N/A SEE BLK 16 30 DARR Reg Repro

16. REMARKS

See Blk #16 0 1 0

Information shall be in accordance with the LFAMA recommended fonnat and monthly thereafter throughout contract performance. Contractor is allowed to revise the format . Format to contain -Hours: Total Award hours by labor category, previous year actual hours by labor category, current year actual hours by labor category, current month actual hours by labor category, inception to date ·actual hours by labor category. Estimate to complete hours by Fiscal year by labor category and Estimate at Completion hours by labor category. Cost: Award cost, previous year actual cost, current year actual cost, current month actual cost, inception to date actual cost, Estimate to complete cost by fiscal year, and estimate at completion cost. Cost shall be reported by Direct Labor, Direct Labor Overtime, Temp Labor, Subcontract Cost, Material, Travel, Other Direct Cost, Indirect Cost, Fee, Total Cost, and percentage of funding spent/estimated on inception to date and Estimate to Complete.

Block 9: Use "B" for project of Limited Rights Data and "D"for remainder documents.

Export Control Act Warning: when directed by a Government Task Order -shall be IAW DoD 5230.24, paragraph E3. l.l.8 for the appropriate notice.

Block 12: Delivery shall be at 60 calendar days after delivery order award.

Block 14: Electronic (email) delivery shall be made to LSFMA:

Email address will be provided with the issuance of the formal RFP.

Data that cannot be delivered Electronically shall be delivered on CD-ROM to the following address.

Logistic Support Facility Management Activity (LSFMA)

AMSAM-MLS

Bldg 3777, Maintenance Rd. Redstone Arsenal, AL 35898

AMSAM=MLS 1 1 1

CCAM-AM-B 0 1 1

15. TOTAL ▬▬▬▬► 0 1 0

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

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

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

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

0004 A TDP ____ TM _____ OTHER _____FNCL_______________

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

LSFMA Program W58RGZ-16-R-0070 TBD

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

A002 LIMITATION ON SUBCONTRACT REPORT

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

TOTAL PRICE

NSP DI-FNCL-80912 PWS para 3.2 AMSAM-MLS

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

N/A REQUIRED SEE BLOCK 16 SEE BLOCK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

See Block 16

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final N/A SEE BLK 16 See BLK 16 Reg Repro

16. REMARKS See Blk #16 0 1 0

The contractor shall submit an annual report of compliance with FAR 52.219-14, Limitation on Subcontracting. The contractor shall provid e the total dollars incurred for Direct Labor hours. This shall include all appropriate indirect cost and Profit/Fee. The contractor shall provide total incurred for Subcontract Labor Hours,to include all appropriate indirect costs and Profit/Fe e. The contractor shall not include in these categories any dollars incurred for material items, or Other Direct Costs to include Travel.

Block 9: Use "B" for project of Limited Rights Data and "D" for remainder documents.

Export Control Act Warning: when directed by a Government Task Order

-shall be IAW DoD 5230.24, paragraph E3. I.I .8 for the appropriate notice.

Blocks 10, 11,and 13: The reporting period shall be I Oct thru 30 Sep each year and delivery of the report is required 45 days after the end of the period.

Block 14: Electronic (email) delivery shall be made to LSFMA:

Electronic email address will be provided by issue of formal RFP.

Data that cannot be delivered Electronically shall be delivered on CD-

ROM to the following address.

Logistic Support Facility Management Activity (LSFMA)

AMSAM-MLS

Bldg 3777, Maintenance Rd. Redstone Arsenal, AL 35898

CCAM-AM-B 0 1 1

AMSAM-MLS 1 1 1

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

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

0004 A TDP ____ TM _____ OTHER _____FNCL_______________

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

LSFMA Program W58RGZ-16-R-0070 TBD

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

A003 PERFORMANCE COST REPORT PRELIMINARY CLOSE OUT REPORT

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

TOTAL PRICE

NSP DI-FNCL-80912 PWS para 3.3 AMSAM-MLS

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED 1 SEE BLOCK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

B

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A SEE BLK 16 N/A Reg Repro

16. REMARKS

See Blk #16 0 1 0

The contractor shall submit a Preliminary Close Out Cost Report to the Government no later than 90 days after completion of the TO/DO. Information shall be in accordance with the Contractor standard format. The Government will review and approve or disapprove with comments within 15 days of submission. If disapproved the contractor shall revise IAW comments and resubmit within 15 days after receipt of disapproval.

Block 11 and 12: Delivery shall be at 90 days after completion of TO/DO.

Block 14: Electronic (email) delivery shall be made to

LSFMA Email address will be provided with formal RFP. Data that cannot be delivered

Electronically shall be delivered on CD-ROM to the following address.

Logistic Support Facility Management Activity

(LSFMA) AMSAM-MLS

Bldg 3777, Maintenance Rd.

Redstone Arsenal, AL 35898

Export - Control Act Warning - Not Required.

AMSAM=MLS 1 1 1

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

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

0004 A TDP ____ TM _____ OTHER _____FNCL_______________

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

LSFMA Program W58RGZ-16-R-0070 TBD

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

A004 Status Report List and Utilization of Proposed Small Business Subcontactors

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

TOTAL PRICE

NSP DI-FNCL-80368A PWS para 3.4 AMSAM-MLS

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION N/A REQUIRED Bi-annual 180 DADOA

a. ADDRESSEE

b. COPIES

8. APP CODE

See Block 16

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final N/A BLK 16 Reg Repro

16. REMARKS See Blk #16 0 1 0

Information shall be in accordance with the LSFMA standard format and bi-annually thereafter thoughout contract performance. Format to contain a Small

Business Status Report in order to demonstrate compliance with FAR 19.702. With each Delivery Order proposal the contractor shall list the name of each subcontractor and their associated business classification (i.e., large business, small business, etc…) and twice-a-year the contractor shall submit this CDRL in accordance with the authority if #4 above.

EXPORT- CONTROL ACT WARNING – when directed by a

Government Delivery Order – shall be IAW DoD 5230-24, paragraph

E3.1.1.8 for the appropriate norice

Block 12: Delivery shall be at 180 days after delivery order award.

Block 14: Electronic (email) delivery shall be made to

LSFMA: LSFMA@peoavn.anny.mil and LSF contracts:

Redstone-LSFContracts@con us.anny .mil. Data that cannot be delivered Electronically shall be delivered on CD-ROM to the following address.

Logistic Support Facility Management Activity

(LSFMA) AMSAM-MLS

Bldg 3777, Maintenance Rd.

Redstone Arsenal, AL 35898

CCAM-AM-A 0 1 1

AMSAM-MLS 1 1 1

AMCOM-OSBP 0 1 0

mailto:LSFMA@peoavn.anny.mil