A01_-_DD1423.pdf

PDF 335 KB Posted Feb 1, 2017

Attached to: Range Support Services
Solicitation number: W911QX16R0011
Issued by: Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground

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A07_-_Q&A_Interactions_(Solicitation).xlsx	XLSX spreadsheet	Feb 1, 2017
A07_-_Solicitation_(Amendment_0001).pdf	PDF	Feb 1, 2017
A01_-_PWS_-_Range_Services_-_(Minor_Typo_Edits).pdf	PDF	Feb 1, 2017
Evaluation_Approach.pdf	PDF	Feb 1, 2017
Instructions_to_Offerors.pdf	PDF	Feb 1, 2017
A07_-_Solicitation_(Wage_Determinations_Prince_George's_County).pdf	PDF	Feb 1, 2017
A07_-_Solicitation_(Wage_Determinations_Harford_County).pdf	PDF	Feb 1, 2017
A07_-_Q&A_Interactions_(Solicitation).xlsx	XLSX spreadsheet	Jan 30, 2017
A07_-_Solicitation_(Wage_Determinations_Harford_County).pdf	PDF	Jan 30, 2017
A01_-_PWS_-_Range_Services_-_(Minor_Typo_Edits).pdf	PDF	Jan 30, 2017
A01_-_DD1423.pdf	PDF	Jan 30, 2017
A07_-_Solicitation_(Wage_Determinations_Prince_George's_County).pdf	PDF	Jan 30, 2017
Past_Performance_Questionnaire.pdf	PDF	Jan 30, 2017
A01_-_DD254_SAP_Addendum.pdf	PDF	Dec 22, 2016
A07_-_Solicitation.pdf	PDF	Dec 22, 2016
A07_-_Solicitation_(Section_L).pdf	PDF	Dec 22, 2016
A07_-_Miscellaneous_Documentation_(Industry_Day_Slides_-_WMRD_Overview).pptx	PPTX presentation	Dec 22, 2016
A01_-_DD254.pdf	PDF	Dec 22, 2016
A07_-_Solicitation_(Wage_Determinations).pdf	PDF	Dec 22, 2016
A07_-_Miscellaneous_Documentation_(Industry_Day_Slides_-_Procurement_Strategy).pptx	PPTX presentation	Dec 22, 2016
A01_-_PWS_-_Range_Services_-_Final.pdf	PDF	Dec 22, 2016
A07_-_Solicitation_(Section_M).pdf	PDF	Dec 22, 2016
A07_-_Miscellaneous_Documentation_(Industry_Day_Slides_-Site_Visit_Overview).pptx.ppt	PPT presentation	Dec 22, 2016
A07_-_Miscellaneous_Documentation_(Industry_Day_Slides_-_Safety_Requirements).docx	DOCX document	Dec 22, 2016
A01_-_DD1423.pdf	PDF	Dec 22, 2016
A01_-_DD254_Collateral_Addendum.pdf	PDF	Dec 22, 2016
A07_-_Miscellaneous_Documentation_(Industry_Day_Slides_-_Security_Training).pptx	PPTX presentation	Dec 22, 2016
A07_-_Q&A_Interactions_(Industry_Day).xlsx	XLSX spreadsheet	Dec 22, 2016
A02_-_Synopsis_(Competitive)(Amended_2).doc	DOC document	Nov 9, 2016
PERFORMANCE_WORK_STATEMENT.pdf	PDF	Jul 14, 2016

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Template last updated 02/27/2015

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

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.

0004, 0008, 0012

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER: MGMT

D. SYSTEM/ITEM

EXPERIMENTAL FACILITIES

TECHNICIAN SUPPORT SERVICES

E. CONTRACT/PR NO.

0010947607

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

MANAGEMENT PLAN

3. SUBTITLE

PROGRAM MANAGEMENT PLAN

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81797

5. CONTRACT REFERENCE

PWS C.4.3

6. REQUIRING OFFICE

RDRL-WM-G

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

No Later Than (NLT) 30 days After

Contract Award (ACA)

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION SEE 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. SOME MEDIA TYPES

WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM

AND DVD-ROM.

BLK 13: SUBSEQUENT SUBMISSIONS SHALL BE MADE NLT SEVEN (7) MONTHS ACA.

RDRL-WMP-G 1 1

15. TOTAL 1 1

G. PREPARED BY

COR

H. DATE

07 April 2016

I. APPROVED BY

PHILLIP J. AMADOR

J. DATE

17 November 2016

Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

0004, 0008, 0012

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER: MGMT

D. SYSTEM/ITEM

EXPERIMENTAL FACILITIES

TECHNICIAN SUPPORT SERVICES

E. CONTRACT/PR NO.

0010947607

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

FUNDS AND MAN-HOURS EXPENDITURE REPORT

3. SUBTITLE

FINANCIAL REPORTS AND EXPENDITURE

REPORTS

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80331

5. CONTRACT REFERENCE

PWS C.8

6. REQUIRING OFFICE

RDRL-WM-G

7. DD 250 REQ

MTHLY

12. DATE OF FIRST SUBMISSION

NLT 30 DAYS ACA

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16

Draft Final

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: FTP (FILE TRANSFER

PROTOCOL), CD-ROM, AND DVD-ROM.

BLK 11 AND 13: SUBSEQUENT SUBMISSIONS SHALL BE MADE NLT THE 10TH DAY OF

THE MONTH FOLLOWING THE PERIOD OF PERFORMANCE REPORTING ON.

RDRL-WMP-G 0 1

15. TOTAL 0 1

COR

H. DATE

07 April 2016

I. APPROVED BY

PHILLIP J. AMADOR

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.

0004, 0008, 0012

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER: MGMT

D. SYSTEM/ITEM

EXPERIMENTAL FACILITIES

TECHNICIAN SUPPORT SERVICES

E. CONTRACT/PR NO.

0010947607

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

STATUS REPORT

3. SUBTITLE

MONTHLY STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

PWS C.4.3

6. REQUIRING OFFICE

RDRL-WM

7. DD 250 REQ

MTHLY

12. DATE OF FIRST

SUBMISSION

NLT 30 DAY ACA

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

BLK 11, 12 AND 13: SUBSEQUENT SUBMISSIONS SHALL BE MADE NLT THE 10TH DAY OF

RDRL-WMP-G 0 1 0

15. TOTAL 0 1 0

COR

H. DATE

07 April 2016

I. APPROVED BY

PHILLIP J. AMADOR

J. DATE

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

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.

0004, 0008, 0012

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER: MGMT

D. SYSTEM/ITEM

EXPERIMENTAL FACILITIES

TECHNICIAN SUPPORT SERVICES

E. CONTRACT/PR NO.

0010947607

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

SAFETY REPORT

3. SUBTITLE

SAFETY PLAN

4. AUTHORITY (Data Acquisition Document No.)

DI-ENVR-81375

5. CONTRACT REFERENCE

PWS C.11.7.1

6. REQUIRING OFFICE

RDRL-WM

7. DD 250 REQ

QRTLY

12. DATE OF FIRST

SUBMISSION

NLT 120 DAYS ACA

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

THE MONTH FOLLOWING EACH QUARTER DURING THE PERIOD OF PERFORMANCE

REPORTING ON.

COR

H. DATE

07 April 2016

I. APPROVED BY

PHILLIP J. AMADOR

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.

0004, 0008, 0012

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER: MGMT

D. SYSTEM/ITEM

EXPERIMENTAL FACILITIES

TECHNICIAN SUPPORT SERVICES

E. CONTRACT/PR NO.

0010947607

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

PERSONNEL MANAGEMENT PLAN

3. SUBTITLE

PERSONNEL PLAN

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80096

5. CONTRACT REFERENCE

PWS C.9.4

6. REQUIRING OFFICE

RDRL-WM

7. DD 250 REQ

OTIME/R

12. DATE OF FIRST

SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

BLK 11 AND 13: SUBSEQUENT SUBMISSIONS SHALL BE MADE WITHIN 24 HOURS OF

ANY CHANGES DURING THE PERIOD OF PERFORMANCE REPORTING ON.

COR

H. DATE

07 April 2016

I. APPROVED BY

PHILLIP J. AMADOR

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.

0004, 0008, 0012

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER: MGMT

D. SYSTEM/ITEM

EXPERIMENTAL FACILITIES

TECHNICIAN SUPPORT SERVICES

E. CONTRACT/PR NO.

0010947607

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

RECORD OF ACCIDENTS OR INCIDENTS

3. SUBTITLE

ACCIDENT REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563

5. CONTRACT REFERENCE

PWS C.19.1

6. REQUIRING OFFICE

RDRL-WM

7. DD 250 REQ

AS REQ

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

BLK 11, 12 AND 13: ALL SUBMISSIONS SHALL BE MADE WITHIN 72 HOURS OF THE

INCIDENT.

RDRL-WMP-G 0 1

15. TOTAL 0 1

COR

H. DATE

07 April 2016

I. APPROVED BY

PHILLIP J. AMADOR

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.

0004, 0008, 0012

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER: MGMT

D. SYSTEM/ITEM

EXPERIMENTAL FACILITIES

TECHNICIAN SUPPORT SERVICES

E. CONTRACT/PR NO.

0010947607

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

EMPLOYEE CERTIFICATIONS

3. SUBTITLE

CERTIFICATIONS

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368

5. CONTRACT REFERENCE

PWS C.19.2

6. REQUIRING OFFICE

RDRL-WM

7. DD 250 REQ

MTHLY

12. DATE OF FIRST

SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

COR

H. DATE

07 April 2016

I. APPROVED BY

PHILLIP J. AMADOR

EXHIBIT A – ATTACHMENT 1

ARMY RESEARCH LABORATORY

Report Title Goes Here Any Subtitles Go Here

By Some Author and Another Author

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 Nov 14, 2017.