4._17-R-0005_CDRLs-UTPTask-65-161222-add2-signed2b.docx

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The Urban Tactical Planning (UTP) GEOSPATIAL DATA SET (UTP) 65-10
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W5J9CQ17R0005
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CONTRACT DATA REQUIREMENTS LIST Form Approved CMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 220 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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704- 0188), Washington, DC 20503. Please DO NOT RETURNS your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. Listed in Block E.

DD

Form

1423-2, JUN

Previous editions are obsolete

Page of

Pages A. Contract Line Item No. 4001 D. System/Item:

Urban Tactical Planner B.

Exhibit C. Category T DP E. Contract/PR NO. PR %62923085

F. Contractor

1. Data Item No. 2. Title of Data Item: Quality Control Plan 3. Subtitle A021

4. Authority (Data Acquisition Document No.)

DI-MGMT -80368 (See Block 16) 5.

Contract Reference PWS Paragraph 6.8 6.

Requiring Office AGC Warfighter Support Directorate

7. DD 250

Req: DD 9.

Dist Statement Required: NO 10.

Frequency Monthly

12. Date of First Submission: See BLK 16

14. Distribution

8. APP Code 11. As of Date 13. Date of Subsequent Submission See BLK 16

a. Addressee b.

Copies

Draft Final Reg Repro

16. REMARKS:

The Contractor shall deliver a government-approved quality control plan within 30 days after task order award. The contractor quality control plan must be initially submitted as a part of the technical proposal or as a stand-alone document. The final quality control plan, if required, shall be delivered via email in softcopy.

CEAGC-WS 1

15. TOTAL 1

G.PREPARED BY: John C. Jens H. DAT E:

I. APPROVED BY: Robert W. Corn J. DATE :

JENS.JOHN.C

)Digitally signed by JENS.JOHN.C.1141135968 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, 22December2016

CORN.ROBERT.W

Digitally signed by CORN.ROBERT.WELLS.1162301159 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, 22December2016

.1141135968 cn=JENS.JOHN.C.1141135968 Date: 2016.12.22 16:48:15 -05'00'

ELLS.1162301159 cn=CORN.ROBERT.WELLS.1162301159 Date: 2016.12.23 08:47:10 -05'00'

CONTRACT DATA REQUIREMENTS LIST Form Approved CMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 220 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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704- 0188), Washington, DC 20503. Please DO NOT RETURNS your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. Listed in Block E.

A. Contract Line Item No. 4001 D. System/Item:

Urban Tactical Planner B.

Exhibit C. Category T DP E. Contract/PR NO. PR %62923085

F. Contractor

1. Data Item No. 2. Title of Data Item: AT/OPSEC Training Certification 3. Subtitle:

A022

Memorandum

5. Authority (Data Acquisition Document No.)

DI-MISC-81382 (See Block 16) 5.

Contract Reference PWS Paragraph 6.10 & AT/OPSEC Clause Attachment 6.

Requiring Office AGC Warfighter Support Directorate

7. DD 250

Req: NO 9.

Dist Statement Required: NO 10.

Frequency ONE/R

12. Date of First Submission: See BLK 16

14. Distribution

8. APP Code11. As of Date 13. Date of Subsequent
Submissiona. Addressee

b. Copies

Draft Final Reg Repro

16. REMARKS:

The Contractor shall documentation per the AT/OPSEC STANDARD CONTRACT PROVISION AND CLAUSE TEXT attachment that all personnel have met the training requirements. The documentation shall be delivered via email in softcopy.

CEAGC-WS 1

15. TOTAL 1

G.PREPARED BY: John C. Jens H. DAT E:

I. APPROVED BY: Robert W. Corn J. DATE :

JENS.JOHN.C

)Digitally signed by JENS.JOHN.C.1141135968 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, 22December2016

CORN.ROBERT.W

Digitally signed by CORN.ROBERT.WELLS.1162301159 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, 22December2016

.1141135968 cn=JENS.JOHN.C.1141135968 Date: 2016.12.22 16:48:43 -05'00'

ELLS.1162301159 cn=CORN.ROBERT.WELLS.1162301159 Date: 2016.12.23 08:47:31 -05'00'

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