Exhibit_A.pdf

6. REQUIRING OFFICE

PWS 2.5.1 Financial Management

5. CONTRACT REFERENCE

DI-FNCL-80912

4. AUTHORITY (Data Acquisition Document No.)

3. SUBTITLE

Performance and Cost Report

2. TITLE OF THE DATA ITEM

A001

1. DATA ITEM NO.

F. CONTRACTOR

W900KK-18-R-0015

E. CONTRACT/PR NO.

NTCMS

D. SYSTEM/ITEM

TDP

C. CATEGORY

TM OTHER FNCLA

B. EXHIBITA. CONTRACT LINE ITEM NO.

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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.

Form Approved OMB No. 0704-0188

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

N/A

8. APP CODE

NO

7. DD 250 REQ

B

9. DIST STATEMENT

REQUIRED

13.DATE OF SUBSEQUENT

SUBMISSION

See Block 16

11. AS OF DATE

See Block 16

12.DATE OF FIRST

SUBMISSION

MNTHLY

10. FREQUENCY

ReproReg

Final

Draft

b. COPIES

a. ADDRESSEE

14. DISTRIBUTION

J. DATEI. APPROVED BYH. DATEG. PREPARED BY

Jerome, Jason

1. Block 4: Contractor format is acceptable.

2. Block 9: DISTRIBUTION B. Distribution authorized to U.S. Government Agencies only - ADMINISTRATIVE OR OPERATIONAL USE. Other requests for this document shall be referred to Army Contracting Command Orlando, ACC-OPD, 12211 Science Drive, Orlando, FL 32826-3224.

3. Block 12: Shall be due 30 days after contract award.

4. Block 13: Shall continue monthly through the life of the contract, or until all balances are zero (0) and there are no actions pending. The submission date shall be no later than the fifth working day after each reporting period.

5. The Government shall have 20 business days to accept/reject and provide comments. The Contractor shall have 15 business days to incorporate the Governments comments.

6. Block 14: Submission and the report form shall be discussed during the Post Award Conference. All data required to create the report shall be submitted with the report via the MIS. The final report shall be submitted to the Government in a signed PDF as well as an editable format.

16. REMARKS See Block 16

000 15. TOTAL

18.ESTIMATED

TOTAL PRICE

17. PRICE GROUP

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

6. REQUIRING OFFICE

PWS 2.8 & 2.9

5. CONTRACT REFERENCE

DI-SAFT-81563

4. AUTHORITY (Data Acquisition Document No.)

3. SUBTITLE

Accident/Incident Report

2. TITLE OF THE DATA ITEM

A002

1. DATA ITEM NO.

F. CONTRACTOR

W900KK-18-R-0015

E. CONTRACT/PR NO.

NTCMS

D. SYSTEM/ITEM

TDP

C. CATEGORY

TM OTHER SAFTA

B. EXHIBITA. CONTRACT LINE ITEM NO.

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 this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). 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.

Form Approved OMB No. 0704-0188

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

N/A

8. APP CODE

NO

7. DD 250 REQ

D

9. DIST STATEMENT

REQUIRED

13.DATE OF SUBSEQUENT

SUBMISSION

See Block 16

11. AS OF DATE

See Block 16

12.DATE OF FIRST

SUBMISSION

ASREQ

10. FREQUENCY

ReproReg

Final

Draft

b. COPIES

a. ADDRESSEE

14. DISTRIBUTION

J. DATEI. APPROVED BYH. DATEG. PREPARED BY

Jerome, Jason

1. Block 4: Contractor Format is acceptable.

2. Block 9: DISTRIBUTION D. Distribution authorized to DoD and U.S. DoD contractors only- ADMINISTRATIVE OR OPERATIONAL USE. Other requests for this document shall be referred to Army Contracting Command Orlando, ACC-OPD, 12211 Science Drive, Orlando, FL 32826-3224.

3. Block 12: Required within 2 days of an incident.

4. Block 13: Required to provide any additional data obtained after the incident. All new data will be uploaded into the MIS and a final report will be submitted once the incident has been determined closed by the NTC support staff.

5. Block 14: The Contractor shall submit the report along with all data ( interviews, internal memos, emails, photographs, drawings, citations) via the MIS. The report shall be emailed to the COR, Contracting Officer and the Contract Specialist.

6. The Government may request for additional data after receipt of the final report, the Government will be the final authority on when an incident is closed.

16. REMARKS See Block 16

000 15. TOTAL

18.ESTIMATED

TOTAL PRICE

17. PRICE GROUP

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