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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A001 title: Quality Control Plan sub: N/A auth: A001 ref: PWS 1.5.1 req_ofc: ARNORTH dd250: LT appcode: N dist: B freq: INITIAL/AS RQD asof: K Award Dat firstsub: SEE BLK16 subsub: SEE BLK16 addressee1: PCO draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLOCK 2: CONTRACTOR FORMAT IS ACCEPTABLE USING THE CURRENT GOVERNMENT VERSION OF MICROSOFT OFFICE.

BLOCK 5: SHALL ADDRESS BASE PWS PARAGRAPH 1.5.1. THE CONTRACTOR SHALL PREPARE AND ADHERE TO A QUALITY CONTROL PLAN (QCP). THE QCP SHALL DOCUMENT HOW THE CONTRACTOR WILL MEET AND COMPLY WITH THE QUALITY STANDARDS ESTABLISHED IN THE PWS. AT A MINIMUM, THE QCP MUST INCLUDE;

(A) A CHART SHOWING THE ORGANIZATIONAL STRUCTURE AND LINES OF AUTHORITY, THE NAMES, QUALIFICATIONS, DUTIES, RESPONSIBILITIES, AND CLASSIFICATION OF EACH MEMBER OF THE CONTRACTOR'S QUALITY CONTROL TEAM;

(B) HOW THE CONTRACTOR WILL MONITOR WORK TO ENSURE PERFORMANCE COMPLIES WITH ALL DELIVERABLES (ETC. TIMELINES, DEADLINES, AND GOALS);

(C) HOW THE CONTRACTOR WILL MONITOR WORK TO ENSURE PERFORMANCE COMPLIES WITH ALL SPECIFICATIONS AND REQUIREMENTS OF THE CONTRACT, INCLUDING THE CONTRACT’S CLAUSES;

(D) HOW THE CONTRACTOR WILL MONITOR AND ENSURE STAFF QUALIFICATIONS REMAIN CURRENT AND VALID INCLUDING DEPARTMENT OF DEFENSE (DOD) CONTRACTOR PERSONNEL OFFICE (DOCPER) PROCESSES/APPROVALS THROUGHOUT CONTRACT PERFORMANCE;

(E) HOW THE CONTRACTOR WILL ENSURE ALL KEYS ISSUED WILL REMAIN CONTROLLED ITEMS (PARAGRAPH 1.7 OF THE PWS, KEY CONTROL);

(F) HOW THE CONTRACTOR WILL INVENTORY AND TRACK MAINTENANCE OF ALL GOVERNMENT PROVIDED EQUIPMENT / MATERIALS;

(G) HOW THE CONTRACTOR WILL IDENTIFY, INVESTIGATE, AND CORRECT ANY NON-CONFORMING PERFORMANCE AND PREVENT SIMILAR DEFICIENCIES IN THE FUTURE; AND group:

total_price:

prep_name:

line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: ARNORTH CSTA ctr_no: W900KK-24-R-0023 contr: TBD remarksb:

(H) HOW THE CONTRACTOR WILL FILE AND SAVE ALL QUALITY CONTROL RELATED DOCUMENTS FOR THE LIFE OF THE CONTRACT PLUS 5 YEARS.

BLOCK 8: THE GOVERNMENT WILL HAVE FIFTEEN (15) WORKING DAYS TO REVIEW AND ACCEPT OR REJECT EACH SUBMISSION. THE CONTRACTOR SHALL HAVE FIFTEEN (15) WORKING DAYS TO INCORPORATE GOVERNMENT COMMENTS AND RESUBMIT.

BLOCK 9: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES ONLY. OTHER REQUESTS MUST BE REFERRED TO PEO STRI (SFAE-STRI-TSO).

WARNING: THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC. 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED (TITLES 50, U.S.C., APP. 2401, ET SEQ.) VIOLATION OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE

BLOCK 12: 30 DAYS AFTER CONTRACT AWARD

BLOCK 13: AS REQUIRED FOR SIGNIFICANT CHANGES TO THE PLAN

BLOCK 14a: PCO AND COR.

BLOCK 14b: SHALL BE DELIVERED IN MICROSOFT OFFICE FORMAT WITH AN EMAIL NOTIFICATION PROVIDED TO BLOCK 14a.

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Reset:

2023-05-26T18:04:34-0400

WOOLVERTON.ROBERT.A.1158160788

prep_date: 5/26/2023 app_by:

2023-05-31T09:19:43-0500

WELCH.MARK.ANTHONY.1088986756

app_date: 5/26/2023

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Contractor's Personnel Roster sub: N/A auth: DI-MGMT-81834A ref: PWS 1.10.3 req_ofc: ARNORTH dd250: LT appcode: N dist: B freq: INITIAL/AS RQD asof: K Award Dt firstsub: SEE BLK16 subsub: SEE BLK16 addressee1: PCO draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLOCK 2: CONTRACTOR FORMAT IS ACCEPTABLE USING THE CURRENT GOVERNMENT VERSION OF MICROSOFT OFFICE.

BLOCK 5: SHALL ADDRESS BASE PWS PARAGRAPH 1.10.3.

BLOCK 8: THE GOVERNMENT WILL HAVE FIFTEEN (15) WORKING DAYS TO REVIEW AND ACCEPT OR REJECT EACH SUBMISSION. THE CONTRACTOR SHALL HAVE FIFTEEN (15) WORKING DAYS TO INCORPORATE GOVERNMENT COMMENTS AND RESUBMIT.

BLOCK 9: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES ONLY. OTHER REQUESTS MUST BE REFERRED TO PEO STRI (SFAE-STRI-TSO).

WARNING: THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC. 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED (TITLES 50, U.S.C., APP. 2401, ET SEQ.) VIOLATION OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE

BLOCK 12: FIFTEEN (15) WORKING DAYS AFTER CONTRACT AWARD

BLOCK 13: ANY CHANGES TO THE WORKING STATUS OF KEY PERSONNEL, IDENTIFIED IN PWS PARAGRAPH 1.10.1 OR FULL TIME PERSONNEL SHALL BE TRANSMITTED IN THE FORM OF A NEW LIST (IN WRITING) TO THE PCO AND COR WITHIN TEN (10) WORKDAYS OF THE PROPOSED CHANGE .

BLOCK 14a: PCO AND COR.

BLOCK 14b: SHALL BE DELIVERED IN MICROSOFT OFFICE FORMAT WITH AN EMAIL NOTIFICATION PROVIDED TO BLOCK 14a.

group:

total_price:

prep_name:

line_item: 0007 exhibit: A xtdp: Off xtm: Off othercat: X system: ARNORTH CSTA ctr_no: W900KK-24-R-0023 contr: TBD remarksb:

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Reset:

2023-05-26T18:05:33-0400

WOOLVERTON.ROBERT.A.1158160788

prep_date: 5/26/2023 app_by:

2023-05-31T14:05:42-0500

WELCH.MARK.ANTHONY.1088986756

app_date: 5/26/2023

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003 title: Phase-Out Plan sub: N/A auth: DI-MGMT-81945 ref: PWS 5.2.1.4 req_ofc: ARNORTH dd250: LT appcode: N dist: B freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK16 subsub: N/A addressee1: PCO draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 2 – Contractor format acceptable. Delivery shall be on electronic media compatible with the version of Microsoft Office being used by the Government, coordinated with the COR.

BLK 7 - The contractor shall initiate a zero cost Receiving Report in Wide Area Workflow (WAWF) immediately after submitting the data in accordance with Block 14. A WAWF Receiving Report is required for every data item submission (initial and subsequent submissions) to the Government. For data items that are separately priced, the contractor shall initiate a WAWF invoice in lieu of a zero cost Receiving Report.

BLK 9 - DISTRIBUTION B. Distribution authorized to Federal Employees Only (FED ONLY). All data/documents submitted shall include required CUI markings IAW DoDI 5200.48, NIST SP 800-171 and 32 CFR Part 2002. Other requests for this document shall be referred to Army Contracting Command Orlando, CCOR-CDD-C, 12211 Science Drive, Orlando, FL 32826-3224.

BLK 10/11/12 - Shall be due 30 days after contract award. An updated report shall be submitted no later than 180 days prior to implementation. The Government shall have 20 business days to accept/reject and provide comments. The Contractor shall have 15 business days to incorporate the Government’s comments.

BLK 14 - The contractor shall submit the data via WAWF.

group:

total_price:

prep_name:

line_item: 0007 exhibit: A xtdp: Off xtm: Off othercat: X system: ARNORTH CSTA ctr_no: W900KK-24-R-0023 contr: TBD remarksb:

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Reset:

2023-05-26T18:08:02-0400

WOOLVERTON.ROBERT.A.1158160788

prep_date: 5/26/2023 app_by:

2023-05-31T14:06:34-0500

WELCH.MARK.ANTHONY.1088986756

app_date: 5/26/2023

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A004 title: Accident/Incident Report sub: N/A auth: DI-SAFT-81563 ref: PWS 1.21 req_ofc: ARNORTH dd250: LT appcode: N dist: B freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK16 subsub: N/A addressee1: PCO draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 2 – Contractor format acceptable. Delivery shall be on electronic media compatible with the version of Microsoft Office being used by the Government, coordinated with the COR.

BLK 7 - The contractor shall initiate a zero cost Receiving Report in Wide Area Workflow (WAWF) immediately after submitting the data in accordance with Block 14. A WAWF Receiving Report is required for every data item submission (initial and subsequent submissions) to the Government. For data items that are separately priced, the contractor shall initiate a WAWF invoice in lieu of a zero cost Receiving Report.

BLK 9 - DISTRIBUTION B. Distribution authorized to Federal Employees Only (FED ONLY). All data/documents submitted shall include required CUI markings IAW DoDI 5200.48, NIST SP 800-171 and 32 CFR Part 2002. Other requests for this document shall be referred to Army Contracting Command Orlando, CCOR-CDD-C, 12211 Science Drive, Orlando, FL 32826-3224.

BLK 10/11 - Date of incident BLK 12/13 - Initial notification of the COR and the PCO shall be within 2 hours of event. The CDRL shall be submitted to the PCO and the COR within 24 hours. The Government shall have 20 business days to accept/reject and provide comments. The Contractor shall have 15 business days to incorporate the Government’s comments.

BLK 14 - The contractor shall submit the data via WAWF.

group:

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line_item: 0007 exhibit: A xtdp: Off xtm: Off othercat: X system: ARNORTH CSTA ctr_no: W900KK-24-R-0023 contr: TBD remarksb:

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WELCH.MARK.ANTHONY.1088986756

app_date: 5/26/2023

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: Program Management Plan (PMRs) sub: N/A auth: DI-MGMT-81797 ref: PWS 5.2.1.1.1 req_ofc: ARNORTH dd250: LT appcode: N dist: B freq: Every 6 Months asof: SEE BLK16 firstsub: SEE BLK16 subsub: SEE BLK16 addressee1: PCO draft1:

reg1: 1 repro1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLOCK 2: CONTRACTOR FORMAT IS ACCEPTABLE USING THE CURRENT GOVERNMENT VERSION OF MICROSOFT OFFICE.

BLOCK 4: REPORT SHALL BE IAW THE DATA REQUIREMENTS OF THIS DID.

BLOCK 8: THE GOVERNMENT WILL HAVE FIFTEEN (15) WORKING DAYS TO REVIEW AND ACCEPT OR REJECT EACH SUBMISSION. THE CONTRACTOR SHALL HAVE FIFTEEN (15) WORKING DAYS TO INCORPORATE GOVERNMENT COMMENTS AND RESUBMIT.

BLOCK 9: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES ONLY. OTHER REQUESTS MUST BE REFERRED TO PEO STRI (SFAE-STRI-TSO).

WARNING: THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC. 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED (TITLES 50, U.S.C., APP. 2401, ET SEQ.) VIOLATION OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE

BLOCK 11/12: FIRST PMR SHALL BE IN PERSON OR VIRTUALLY 6 MONTHS AFTER THE FIRST DATE OF FULL PERFOMANCE OF THE CONTRACT. THE DELIVERABLE WILL BE PROVIDED TO THE PCO AND COR 5 BUSINESS DAYS BEFORE THE SCHEDULED PMR.

BLOCK 13: AS REQUIRED FOR SIGNIFICANT CHANGES TO THE PLAN IN BETWEEN SCHEDULED PMR'S USING BLOCK 14b INSTRUCTIONS (NO IN PERSON OR VIRTUAL MEETING REQUIRED).

BLOCK 14a: PCO AND COR.

BLOCK 14b: SHALL BE DELIVERED IN MICROSOFT OFFICE FORMAT WITH AN EMAIL NOTIFICATION PROVIDED TO BLOCK 14a.

group:

total_price:

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WOOLVERTON.ROBERT.A.1158160788

prep_date: 5/26/2023 app_by:

2023-05-31T14:08:10-0500

WELCH.MARK.ANTHONY.1088986756

app_date: 5/26/2023

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Contractor Spend and Expenditure Plan sub: N/A auth: DI-MGMT-82355 ref: 5.2.1.1.2 req_ofc: ARNORTH dd250: LT appcode: N dist: B freq: SEE BLK16 asof: SEE BLK16 firstsub: SEE BLK16 subsub: SEE BLK16 addressee1: PCO draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLOCK 2: CONTRACTOR FORMAT IS ACCEPTABLE USING THE CURRENT GOVERNMENT VERSION OF MICROSOFT OFFICE. REQUIRED REPORTS ARE

IDENTIFIED IN THE REFERENCED DID (SEE BLOCK 4).

BLOCK 8: THE GOVERNMENT WILL HAVE FIFTEEN (15) WORKING DAYS TO REVIEW AND ACCEPT OR REJECT EACH SUBMISSION. THE CONTRACTOR SHALL HAVE FIFTEEN (15) WORKING DAYS TO INCORPORATE GOVERNMENT COMMENTS AND RESUBMIT.

BLOCK 9: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES ONLY. OTHER REQUESTS MUST BE REFERRED TO PEO STRI (SFAE-STRI-TSO).

WARNING: THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC. 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED (TITLES 50, U.S.C., APP. 2401, ET SEQ.) VIOLATION OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE.

BLOCK 10/11: MONTHLY, CLOSE OF BUSINESS ON THE 10TH WORKDAY OF THE MONTH FOLLOWING THE CALENDAR MONTH COVERED BY THE REPORT.

BLOCK 12: 60 DAYS AFTER THE FIRST DATE OF FULL PERFORMANCE OF THE CONTRACT.

BLOCK 13: MONTHLY

BLOCK 14a: COR.

BLOCK 14b: SHALL BE DELIVERED IN MICROSOFT OFFICE FORMAT WITH AN EMAIL NOTIFICATION PROVIDED TO BLOCK 14a.

group:

total_price:

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WOOLVERTON.ROBERT.A.1158160788

prep_date: 5/26/2023 app_by:

2023-05-31T14:09:34-0500

WELCH.MARK.ANTHONY.1088986756

app_date: 5/26/2023

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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

Adobe Professional 8.0

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

ARNORTH CSTA

E. CONTRACT/PR NO.

W900KK-24-R-0023

F. CONTRACTOR:

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Contractor's Funds Status Report

3. SUBTITLE

CFSR

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81468

5. CONTRACTREFERENCE

PWS 5.2.1.1

6. REQUIRING OFFICE

LT

B

Monthly

See Block16

8. APP CODE 11. AS OF DATE

End of Month

Block 4: Contractor format is acceptable.

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.

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

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. 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.

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.

15. TOTAL 0 0 0

TBD

X0007

ARNORTH

Reset

0007 A X conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

CDRL A001

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CDRL A004

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CDRL A007

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CDRL A009

CDRL A010

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CDRL A021-

2024-03-19T11:27:57-0400

ODERMANN.CAFFEE.LATRAIL.1369597694

2024-03-21T10:25:21-0500

WELCH.MARK.ANTHONY.1088986756

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages Adobe Professional 8.0

Form

OMB

Approved

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

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Contract Invoicing and Payment Report

3. SUBTITLE

CIPR

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81651

5. CONTRACT REFERENCE

PWS 5.2.1.1

6. REQUIRING OFFICE

SEE BLK 16

LT

B

Monthly

SEE BLOCK16

8. APP CODE 11. AS OF DATE

End of Month

SEE BLOCK16

Block 4: Format. Data will be submitted electronically and may be in contractor format.

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.

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

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.

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.

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.

SEE BLOCK 16

15. TOTAL 0 0 0

0007 X erick.a.dealba

Cross-Out

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

0007 X conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

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2024-03-19T11:28:41-0400

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2024-03-21T10:27:08-0500

WELCH.MARK.ANTHONY.1088986756