A01_-_DD1423.doc

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Pre-Solicitation Notice Waste Stream Management
Solicitation number
W911QX-15-T-0130
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DD 1423

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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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-1088). 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: MISC

D. SYSTEM/ITEM

Refuse Removal with Waste Stream Diversion

E. CONTRACT/PR NO.

W911QX-15-T-0130

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

Base PWS C.4.1

6. REQUIRING OFFICE

IMAL-PWF

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

BLK 16

14.

DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION BLK 16

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: IN ADDITION TO PAPER COPIES, EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FILE TRANSFER PROTOCOL (FTP), CD-ROM AND DVD-ROM.

BLK 12: THE CONTRACTOR SHALL DELIVER THE FIRST MONTHLY STATUS REPORT NLT THE 10TH DAY OF THE CONTRACTOR’S FIRST ACCOUNTING MONTH OF THE PERIOD OF PERFORMANCE

BLK 13: THE CONTRACTOR SHALL DELIVER SUBSEQUENT MONTHLY STATUS REPORTS ON THE 10TH DAY OF EACH CONTRACTOR’S ACCOUNTING MONTH FOR THE PRIOR MONTH OF PERFORMANCE

IMAL-PWF REPORT COPY TO BE SENT TO:

ADELPHI LABORATORY CENTER

IMAL-PWF (RAYMOND WALKER)

2800 POWDER MILL RD.

ADELPHI, MD 20783-1197

IMAL-PWF

2
1

15. TOTAL

2
1

G. PREPARED BY

H. DATE

08/26/2015

I. APPROVED BY

FATIMA DIALLO

J. DATE

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

CONTRACT DATA REQUIREMENTS LIST

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 collecton 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 and Communications Directorate (0704-1088). 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: MISC

D. SYSTEM/ITEM

Refuse Removal with Waste Stream Diversion

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Schedule of Pickups

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

C.4.2

6. REQUIRING OFFICE

IMAL-PWF

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

BLK 16

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

11. AS OF DATE

TBD

13. DATE OF SUBSEQUENT

SUBMISSION N/A

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FILE TRANSFER PROTOCOL (FTP), CD-ROM AND DVD-ROM.

BLK 12: THE CONTRACTOR SHALL DELIVER THE SCHEDULE OF PICKUPS AT CONTRACT AWARD.

IMAL-PWF

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

FATIMA DIALLO

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 collecton 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 and Communications Directorate (0704-1088). 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: MISC

D. SYSTEM/ITEM

Refuse Removal with Waste Stream Diversion

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Safety Program Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81626

5. CONTRACT REFERENCE

C.4.3

6. REQUIRING OFFICE

IMAL-PWF

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

BLK 16

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION BLK 16

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FILE TRANSFER PROTOCOL (FTP), CD-ROM AND DVD-ROM.

BLK 12: THE CONTRACTOR SHALL DELIVER THE SAFETY PROGRAM PLAN WITHIN 10 DAYS OF CONTRACT AWARD.

BLK13: THE CONTRACT SHALL DELIVER THE SAFETY PROGRAM PLAN REVISION WITHIN THREE DAYS OF RECEIPT OF REQUESTED CHANGES FROM COR.

IMAL-PWF

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 collecton 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 and Communications Directorate (0704-1088). 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: MISC

D. SYSTEM/ITEM

Refuse Removal with Waste Stream Diversion

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Quality Control Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81009

5. CONTRACT REFERENCE

C.4.4

6. REQUIRING OFFICE

IMAL-PWF

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

BLK 16

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION N/A

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FILE TRANSFER PROTOCOL (FTP), CD-ROM AND DVD-ROM.

BLK 12: THE CONTRACTOR SHALL DELIVER THE TRAINING PROGRAM ON A QUARTERLY BASIS WITH THE FIRST PROGRAM DELIVERED WITHIN FIFTEEN DAYS OF CONTRACT AWARD.

IMAL-PWF

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 collecton 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 and Communications Directorate (0704-1088). 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: MISC

D. SYSTEM/ITEM

Refuse Removal with Waste Stream Diversion

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

Damage Report

4. AUTHORITY (Data Acquisition Document No.)

DI-ALSS-81534

5. CONTRACT REFERENCE

C.4.5

6. REQUIRING OFFICE

IMAL-PWF

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK 16

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION BLK 16

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FILE TRANSFER PROTOCOL (FTP), CD-ROM AND DVD-ROM.

BLK 12: THE CONTRACTOR SHALL DELIVER TEARDOWN DEFICIENCY REPORT BY CLOSE OF BUSINESS ON THE DAY THE DAMAGE OCCURRED.

BLK 13: THE CONTRACTOR SHALL DELIVER THE SUBSEQUENT TEARDOWN DEFICIENCY REPORT ON BY CLOSE OF BUSINESS ON THE DAY THE NEXT INCIDENT THAT RESULTED IN DAMAGE OCCURS.

IMAL-PWF

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 collecton 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 and Communications Directorate (0704-1088). 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: MISC

D. SYSTEM/ITEM

Refuse Removal with Waste Stream Diversion

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Training Program

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81521B

5. CONTRACT REFERENCE

C.4.6

6. REQUIRING OFFICE

IMAL-PWF

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

QRTLY

12. DATE OF FIRST SUBMISSION

BLK 16

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION BLK 16

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FILE TRANSFER PROTOCOL (FTP), CD-ROM AND DVD-ROM.

BLK 12: THE CONTRACTOR SHALL DELIVER THE TRAINING PROGRAM ON A QUARTERLY BASIS WITH THE FIRST PROGRAM DELIVERED WITHIN FIFTEEN DAYS OF CONTRACT AWARD.

BLK 13: THE CONTRACTOR SHALL DELIVER THE TRAINING PROGRAM ON A QUARTERLY BASIS WITH THE SUBSEQUENT SUBMISSION THREE MONTHS AFTER THE INITIAL SUBMISSION.

IMAL-PWF

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 collecton 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 and Communications Directorate (0704-1088). 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: MISC

D. SYSTEM/ITEM

Refuse Removal with Waste Stream Diversion

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Compost Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81117

5. CONTRACT REFERENCE

C.4.7

6. REQUIRING OFFICE

IMAL-PWF

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

BLK 16

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION N/A

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FILE TRANSFER PROTOCOL (FTP), CD-ROM AND DVD-ROM.

BLK 12: THE CONTRACTOR SHALL DELIVER THE SAFETY PROGRAM PLAN WITHIN 30 DAYS OF CONTRACT AWARD.

IMAL-PWF

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

EXHIBIT A – ATTACHMENT 1

ARMY RESEARCH LABORATORY

Report Title Goes Here

Any Subtitles Go Here

By Some Author and Another Author

ARL-CR-XXX

Month XXXX

Prepared by

Whatever Technology Corporation

0000 Research Drive

Anywhere, ST 20006-1000

Under contract

W911QX-XX-C-XXXX

DISTRIBUTION STATEMENT GOES HERE

EXHIBIT A – ATTACHMENT 2

The findings in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents.

Citation of manufacturer's or trade names does not constitute an official endorsement or approval of the use thereof.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

File details come from the government source that posted it. Updated .