Exhibit_A_JMRC_CDRLs_A001-B006_25-SEP-18.pdf
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- W900KK-19-R-0020
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages
18.ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to the Department of Defense, Executive Services and Communications 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
A
C. CATEGORY
TDP TM
OTHER FNCL
D. SYSTEM/ITEM
JMRC Rotational Mission Support
E. CONTRACT/PR NO.
W900KK-18-R-0028
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF THE DATA ITEM
Performance and Cost Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-FNCL-80912
5. CONTRACT REFERENCE
PWS 2.5.1, 5.0
6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
MONTHLY
12.DATE OF FIRST
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE 13.DATE OF SUBSEQUENT
SUBMISSION
Draft
Final
Reg Repro
16. REMARKS
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 in an editable format.
15. TOTAL 0 0 0
G. PREPARED BY
Leavitt, Samuel P.
H. DATE I. APPROVED BY
OSULLIVAN.JOHN.P.1018507141
Digitally signed by OSULLIVAN.JOHN.P.1018507141 Date: 2018.09.21 19:58:26 +02'00'
J. DATE
17. PRICE GROUP
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to the Department of Defense, Executive Services and Communications 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
A
OTHER SAFT
E. CONTRACT/PR NO.
W900KK-18-R-0028
A002
Accident/Incident Report
DI-SAFT-81563
PWS 2.09, 2.10, 5.0
7. DD 250 REQ
NO
9. DIST STATEMENT
D
AS REQUIRED
12.DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE 13.DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
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,
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.
Leavitt, Samuel P.
Date: 2018.09.21 19:59:01 +02'00'
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to the Department of Defense, Executive Services and Communications 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
B
OTHER MGMT
E. CONTRACT/PR NO.
W900KK-18-R-0028
B001
Contract Funds Status Report (CFSR)
DI-MGMT-81468
7. DD 250 REQ
NO
9. DIST STATEMENT
B
QUARTERLY
12.DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE 13.DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
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
3. Block 12: Shall be due 15 days after the close of the first quarterly accounting period.
4. The Government shall have 15 days to accept/reject and provide comments on each submission. The Contractor shall have 15 days to incorporate changes.
5. Block 13: Shall continue quarterly through life of contract.
6. Block 14: Deliverables shall be delivered electronically via MIS and email to the COR, Contracting Officer and the Contract Specialist.
Leavitt, Samuel P.
H. DATE I. APPROVED BY
OSULLIVAN.JOHN.P.1018507141 Digitally signed by OSULLIVAN.JOHN.P.1018507141
Date: 2018.09.21 19:59:54 +02'00'
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to the Department of Defense, Executive Services and Communications 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
TDP TM OTHER MGMT
D. SYSTEM/ITEM
JMRC Rotational Mission Support
E. CONTRACT/PR NO.
W900KK-18-R-0028
B002
Contract Invoicing and Payment Report
DI-MGMT-81651
MONTHLY
12.DATE OF FIRST
SUBMISSION
8. APP CODE 11. AS OF DATE 13.DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
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
3. Block 12: Shall be due 5 days after end of month.
4. The Government shall have 5 days to accept/reject and provide comments on each submission. The Contractor shall have 5 days to incorporate changes.
5. Block 13: Shall continue monthly through life of contract.
6. Block 14: Deliverables shall be delivered electronically via MIS and email to the COR, Contracting Officer and the Contract Specialist.
Leavitt, Samuel P.
H. DATE I. APPROVED BY
OSULLIVAN.JOHN.P.1018507141 Digitally signed by OSULLIVAN.JOHN.P.1018507141
Date: 2018.09.21 20:00:22 +02'00'
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to the Department of Defense, Executive Services and Communications 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
B
E. CONTRACT/PR NO.
W900KK-18-R-0028
B003
Contract Work Breakdown Structure
DI-MGMT-81334D
QUARTERLY
12.DATE OF FIRST
SUBMISSION
8. APP CODE 11. AS OF DATE 13.DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
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
ACC-OPD, 12211 Science Drive, Orlando, FL 32826-3224
3. Block 10: The Contracting Officer or COR may request an updated CWBS at anytime during the contract. The Government will only request an updated version if necessary.
4. Block 12: Shall be due 60 days after contract award. The Contractor shall provide a copy and brief the draft CWBS during the Post Award Conference.
5. The Government will have 10 days to accept/reject and provide comments.
The Contractor will have 15 days to incorporate Government comments.
6. Block 14: All deliverables will be sent via the MIS and/or email to the COR, Contracting Officer and the Contract Specialist.
Leavitt, Samuel P.
Date: 2018.09.21 20:00:44 +02'00'
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to the Department of Defense, Executive Services and Communications 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
B
E. CONTRACT/PR NO.
W900KK-18-R-0028
B004
PROGRAM MANAGEMENT PLAN
DI-MGMT-81797
PWS 3.14.2, 5.0
QUARTERLY
12.DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE 13.DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
1. Block 4: Shall be in the Contractors format
2. Block 9: DISTRIBUTION B. Distribution authorized to U.S. Government Agencies only - ADMINISTRATIVE OR OPERATIONAL USE. Other requests for
3. Block 10: Report will be required quarterly if changes are made. If no changes were made during the quarter a resubmission is not required.
4. Block 12: Shall be delivered via email to the COR, Contracting Officer and the Contract Specialist prior to the Post Award Conference.
5. The Government will have 20 business days to approve/reject and/or provide comments. The Contractor will have 15 business days to incorporate Government comments.
6. Block 13: The Government will require only updated material. If no changes occur, a report is not required. A notification is required monthly to the COR that the plan is unchanged.
7. Block 14: The Plan shall be submitted via the MIS and/or email to the COR, Contracting Officer and the Contracting Specialist.
Leavitt, Samuel P.
Date: 2018.09.21 20:03:05 +02'00'
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to the Department of Defense, Executive Services and Communications 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
E. CONTRACT/PR NO.
W900KK-18-R-0028
B005
Phase-Out Transition Plan
DI-MGMT-81945
PWS 2.5.6.2, 5.0
AS REQUIRED
12.DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE 13.DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
1. Block 4: All support-related hardware and software documentation shall be in the Transition Plan.
2. Block 9: DISTRIBUTION B. Distribution authorized to U.S. Government Agencies only - ADMINISTRATIVE OR OPERATIONAL USE. Other requests for
3. Block 12: A draft plan shall be due 30 days after the last option period is exercised, or 30 days after the Contracting Officer officially requests the plan in writing. The Contracting Officer can request the draft plan any time after the Post Award Conference. The Government will have 30 days to accept/reject and provide comments. The Contractor shall have 15 days to incorporate Government comments and resubmit. Revisions are required through the life of the contract.
4. Block 13: The final plan shall be submitted 6 months prior to the end of the contract. If an option period is not exercised, the plan will be submitted 6 month after the Contracting Officer officially requests the plan. The Final item on the Transition Plan will be the final transfer of Management Interface System data with Government Purpose Rights per PWS 2.3.8.
5. Block 14: Reproducible documents (text, drawings, tables, charts, graphic packages used to create figures, and other type documents) shall be delivered in an appropriate, applicable and editable format on CD-ROM, FTP, or via electronic mail. Final approved documents shall be delivered in an editable format and signed PDF to the COR, Contract Specialist and the Contracting Officer.
Leavitt, Samuel P.
H. DATE I. APPROVED BY
OSULLIVAN.JOHN.P.1018507141 Digitally signed by OSULLIVAN.JOHN.P.1018507141
Date: 2018.09.21 20:03:36 +02'00'
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to the Department of Defense, Executive Services and Communications 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
B
C. CATEGORY
TDP TM OTHER MGMT
D. SYSTEM/ITEM
JMRC Rotational Mission Support
E. CONTRACT/PR NO.
W900KK-18-R-0028
B006
Operations Security (OPSEC) Plan
DI-MGMT-80934C
PWS 2.11.1, 5.0
ANNUALLY
12.DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE 13.DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
none
Leavitt, Samuel P.
H. DATE I. APPROVED BY
OSULLIVAN.JOHN.P.1018507141 Digitally signed by OSULLIVAN.JOHN.P.1018507141
Date: 2018.09.21 20:04:10 +02'00'
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