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DD FORM 1423, AUG 96

CONTRACT DATA REQUIREMENTS LIST

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 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

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

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 (BACK), AUG 96

addr1_1: KO draft1_1:

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line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: RRC Contract ctr_no:

contr: TBD data_item1: A001 title1: NAMES OF PROJECT & ASSISTANT MANAGERS sub1: N/A auth1: N/A ref1: SOW PARA 1.3, 1.3.3, and 1.3.4 req_ofc1: MICC - Fort Drum dd250_1: N/A appcode1: N/A dist1: N/A freq1: ASREQ asof1: 10 DAYS firstsub1: 10 DAYS subsub1: ASREQ group1:

totalprice1:

rmks1: Designated in writing 10 days prior to contract performance (listing name, address, beeper and/or cell phone numbers, and home telephone number) to the KO and whenever there are any changes.

totaldraft1: 0 totalreq1: 1 totalrepro1: 0 data_item2: A002 title2: C & D DEBRIS WASTE MANAGEMENT PLAN sub2: N/A auth2: N/A ref2: SOW PARA 1.5.1.

req_ofc2: MICC - Fort Drum dd250_2: N/A appcode2: N/A dist2: N/A freq2: ASREQ asof2: 30 DAYS AA firstsub2: 30 DAYS AA subsub2: ASREQ rmks2: Submitted within 30 days after contract award and prior to initiating any site preparation work. See Part 8 paragraph 8.12 for requirements group2:

totalprice2:

totaldraft2: 0 totalreg2: 1 totalrepro2: 0 data_item3: A003 title3: ENVIRONMENTAL PROTECTION PLAN sub3: N/A auth3: N/A ref3: SOW PARA 1.5.2.

req_ofc3: MICC - Fort Drum dd250_3: N/A appcode3: N/A dist3: N/A freq3: ASREQ asof3: 30 DAYS AA firstsub3: 30 DAYS AA subsub3: ASREQ rmks3: Submitted to the Contracting Officer for approval within 30 days after contract award and prior to initiating any site preparation work. See Part 1 paragraph 8.17.12 for requirements.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 0 data_item4: A004 title4: PHASE OUT PLAN sub4: N/A auth4: N/A ref4: SOW PARA 1.5.3.

req_ofc4: MICC - Fort Drum dd250_4: N/A appcode4: N/A dist4: N/A freq4: ASREQ asof4: SEE BLK 16 firstsub4: SEE BLK 16 subsub4: N/A rmks4: A Phase out plan shall be submitted at least six months prior to contract expiration.

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totaldraft4: 0 totalreg4: 1 totalrepro4: 0 prep_by:

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The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: COR draft1_1:

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addr3_1: HW MGR addr3_2:

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line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: RRC Contract ctr_no:

contr:

data_item1: A013 title1: NYS DEC SPDES PERMIT PLAN sub1: N/A auth1: N/A ref1: SOW PARA 8.17.1.4 req_ofc1: DPW dd250_1: N/A appcode1: N/A dist1: N/A freq1: ASREQ asof1: ASREQ firstsub1: ASREQ subsub1: ASREQ group1:

totalprice1:

rmks1: The Contractor shall provide the appropriate plan in accordance with NYS DEC SPDES permit no. GP-02-01.

totaldraft1: 0 totalreq1: 1 totalrepro1: 0 data_item2: A014 title2: LAND RESOURCES sub2: N/A auth2: N/A ref2: SOW PARA 8.17.2.

req_ofc2: DPW dd250_2: N/A appcode2: N/A dist2: N/A freq2: ASREQ asof2: ASREQ firstsub2: ASREQ subsub2: ASREQ rmks2: Prior to the beginning of any construction, the Contractor shall identify the land resources to be preserved within the work area.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 1 totalrepro2: 0 data_item3: A015 title3: WASTE PROFILES, ETC.

sub3: N/A auth3: N/A ref3: SOW PARA 8.17.5.2.1., PARA 8.6.

req_ofc3: DPW dd250_3: N/A appcode3: N/A dist3: N/A freq3: ASREQ asof3: ASREQ firstsub3: ASREQ subsub3: ASREQ rmks3: The DPW Environmental, HW Manager or appointed representative must review and sign the waste profiles/waste analysis, Land Ban restriction forms (if applicable), all manifests, and BOLs for waste that is generated on Fort Drum, prior to shipment off installation.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 0 data_item4: A016 title4: NYS REGULATING AUTHORITY PERMIT sub4: N/A auth4: N/A ref4: SOW PARA 8.17.5.2.2 req_ofc4: DPW dd250_4: N/A appcode4: N/A dist4: N/A freq4: ASREQ asof4: ASREQ firstsub4: ASREQ subsub4: ASREQ rmks4: Provide a New York State Regulating Authority permit for each treatment, storage, disposal or recycling facility utilized.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 1 totalrepro4: 0 prep_by:

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The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: COR draft1_1:

reg1_1: 1 repro1_1:

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addr4_1: EPCRA MGR draft4_1:

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line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: RRC Contract ctr_no:

contr:

data_item1: A017 title1: HAZARDOUS MATERIALS&DISPOSAL METHODS sub1: N/A auth1: N/A ref1: SOW PARA 8.17.5.2.4.

req_ofc1: DPW dd250_1: N/A appcode1: N/A dist1: N/A freq1: ASREQ asof1: ASREQ firstsub1: ASREQ subsub1: ASREQ group1:

totalprice1:

rmks1: The Contractor shall provide the COR a list of all hazardous materials and disposal methods for the wastes generated through use of the items for review and approval prior to use of the materials. The Contractor shall submit spill plans for any hazardous material totaldraft1: 0 totalreq1: 1 totalrepro1: 0 data_item2: A018 title2: PERMIT FOR HOT WORK sub2: N/A auth2: N/A ref2: SOW PARA 8.20.

req_ofc2: Directorate of Emergency Services dd250_2: N/A appcode2: N/A dist2: N/A freq2: ASREQ asof2: ASREQ firstsub2: ASREQ subsub2: ASREQ rmks2: Prior to performing any work which involves torch cutting, brazing, welding or any other heat producing operation, the contractor shall obtain a permit from the Fire Prevention Office, Building No T-801, Telephone No. 315-772-6338.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 1 totalrepro2: 0 data_item3: A019 title3: ID BADGES sub3: N/A auth3: N/A ref3: SOW PARA 8.21.2.

req_ofc3: DPW dd250_3: N/A appcode3: N/A dist3: N/A freq3: ASREQ asof3: ASREQ firstsub3: ASREQ subsub3: N/A rmks3: A listing of issued identification badges shall be furnished to the COR prior to contract performance date and updated quarterly to reflect Contractor and Subcontractor personnel changes.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 0 data_item4: A020 title4: MATERIAL SAFETY DATA SHEETS (MSDS) sub4: N/A auth4: N/A ref4: SOW PARA 8.27.

req_ofc4: DPW Environmental Division dd250_4: N/A appcode4: N/A dist4: N/A freq4: ASREQ asof4: ASREQ firstsub4: ASREQ subsub4: ASREQ rmks4: Material Safety Data Sheets (MSDS) will be provided to the Emergency Planning and Community Right to Know Act (EPCRA) manager at Fort Drum Public Works Environmental Division upon request.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 1 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

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pages:

app: Adobe Professional 8.0

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The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: COR draft1_1:

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addr4_1: CMD SAFETY OFFIC draft4_1:

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line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: RRC Contract ctr_no:

contr:

data_item1: A021 title1: NEW YORK STATE MINING PERMIT sub1: N/A auth1: N/A ref1: SOW PARA 8.28.

req_ofc1: DPW dd250_1: N/A appcode1: N/A dist1: N/A freq1: ASREQ asof1: ASREQ firstsub1: ASREQ subsub1: ASREQ group1:

totalprice1:

rmks1: Any off post source of borrow materials must have a valid New York State Mining Permit.

totaldraft1: 0 totalreq1: 1 totalrepro1: 0 data_item2: A022 title2: OPERATING AND MAINTENANCE MANUALS sub2: N/A auth2: N/A ref2: SOW PARA 8.30.1.

req_ofc2: DPW dd250_2: N/A appcode2: N/A dist2: N/A freq2: ASREQ asof2: ASREQ firstsub2: ASREQ subsub2: ASREQ rmks2: Three complete original copies of manufacturers operation and maintenance manuals will be provided to the COR at the final inspection for all equipment installed.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 3 totalrepro2: 0 data_item3: A023 title3: PERMITS AND LICENSES sub3: N/A auth3: N/A ref3: SOW PARA 8.34.

req_ofc3: DPW dd250_3: N/A appcode3: N/A dist3: N/A freq3: ASREQ asof3: ASREQ firstsub3: ASREQ subsub3: ASREQ rmks3: The Contractor shall obtain any necessary licenses and permits in connection with this contract, unless otherwise specified. The Contractor shall coordinate with the Government prior to obtaining licenses and permits.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 0 data_item4: A024 title4: RADIATION PERMITS sub4: N/A auth4: N/A ref4: SOW PARA 8.39.1.

req_ofc4: Command Safety Office (CSO) dd250_4: N/A appcode4: N/A dist4: N/A freq4: ASREQ asof4: ASREQ firstsub4: ASREQ subsub4: ASREQ rmks4: Applicants must submit their application at least 30 calendar days before the requested start date of the permit. Applications are submitted to the Command Safety Office.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 1 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

Page:

pages:

app: Adobe Professional 8.0

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The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: DES draft1_1:

reg1_1: 1 repro1_1:

addr1_2: CSO draft1_2:

reg1_2: 1 repro1_2:

addr1_3: KO draft1_3:

reg1_3: 1 repro1_3:

draft2_1:

addr2_1: COR addr2_2:

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line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: RRC Contract ctr_no:

contr:

data_item1: A025 title1: ACCIDENT AND INCIDENT REPORTS sub1: N/A auth1: N/A ref1: SOW PARA 8.43.3.

req_ofc1: DES/CSO/KO dd250_1: N/A appcode1: N/A dist1: N/A freq1: ASREQ asof1: ASREQ firstsub1: ASREQ subsub1: ASREQ group1:

totalprice1:

rmks1: The Contractor (to include subcontractors) shall report all serious accidents and incidents, including occupational illnesses and injuries, encountered while performing work under this contract.

totaldraft1: 0 totalreq1: 3 totalrepro1: 0 data_item2: A026 title2: SALVAGEABLE/UNSALVAGEABLE MATERIALS sub2: N/A auth2: N/A ref2: SOW PARA 8.44.4.

req_ofc2: DPW dd250_2: N/A appcode2: N/A dist2: N/A freq2: ASREQ asof2: ASREQ firstsub2: ASREQ subsub2: ASREQ rmks2: Complete a DOD single line item release/receipt document, DD Form 1348-1, for each type of salvageable material prior to salvageable material turn-in.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 1 totalrepro2: 0 data_item3: A027 title3: SUBCONTRACTORS sub3: N/A auth3: N/A ref3: SOW PARA 8.47.1.

req_ofc3: MICC - Fort Drum dd250_3: N/A appcode3: N/A dist3: N/A freq3: ASREQ asof3: ASREQ firstsub3: ASREQ subsub3: ASREQ rmks3: The Contractor shall update the list of its subcontractors monthly and submit the updated list to the KO by the 10th working day of each month.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 0 data_item4: A028 title4: TESTING ORGANIZATION LABELS sub4: N/A auth4: N/A ref4: SOW PARA 8.49.

req_ofc4: DPW dd250_4: N/A appcode4: N/A dist4: N/A freq4: ASREQ asof4: ASREQ firstsub4: ASREQ subsub4: ASREQ rmks4: The Contractor may submit, in lieu of any testing organization label required by the TO, a written certification from any nationally recognized testing agency, that the item required to be labeled has been tested and conforms to the standard.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 1 totalrepro4: 0 prep_by:

prep_date:

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app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: COR draft1_1:

reg1_1: 1 repro1_1:

addr1_2:

draft1_2:

reg1_2:

repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

draft2_1:

addr2_1: COR addr2_2:

reg2_1: 1 repro2_1:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr3_1: COR addr3_2:

addr3_3:

draft3_1:

reg3_1: 1 repro3_1:

draft3_2:

reg3_2:

repro3_2:

draft3_3:

reg3_3:

repro3_3:

addr4_1:

draft4_1:

reg4_1:

repro4_1:

addr4_2:

draft4_2:

reg4_2:

repro4_2:

addr4_3:

draft4_3:

reg4_3:

repro4_3:

draft2_2:

repro2_2:

reg2_2:

line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: RRC Contract ctr_no:

contr:

data_item1: A0029 title1: TRAFFIC CONTROL PLAN sub1: N/A auth1: N/A ref1: SOW PARA 8.50.

req_ofc1: DPW dd250_1: N/A appcode1: N/A dist1: N/A freq1: ASREQ asof1: ASREQ firstsub1: ASREQ subsub1: ASREQ group1:

totalprice1:

rmks1: When a road must be closed off to traffic, the contractor shall prepare, and submit a traffic control plan for approval, at least 14 days prior to Task Order mobilization.

totaldraft1: 0 totalreq1: 1 totalrepro1: 0 data_item2: A030 title2: SPILL CONTROL PLAN sub2: N/A auth2: N/A ref2: SOW PARA 8.17.12.7.

req_ofc2: DPW dd250_2: N/A appcode2: N/A dist2: N/A freq2: ASREQ asof2: ASREQ firstsub2: 30 DAYS AA subsub2: ASREQ rmks2: To be submitted by the Contractor to the COR within 30 days after contract award, and shall include the Contractor’s plans for compliance with the Fort Drum Spill Prevention, Control, and Countermeasure Plan and the Fort Drum Installation Spill Contingency Plan.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 1 totalrepro2: 0 data_item3: A031 title3: NON-HAZARDOUS SOLID WASTE DISPOSAL sub3: N/A auth3: N/A ref3: SOW PARA 8.17.12.8.

req_ofc3: DPW dd250_3: N/A appcode3: N/A dist3: N/A freq3: ASREQ asof3: ASREQ firstsub3: 30 DAYS AA subsub3: ASREQ rmks3: To be submitted by the Contractor to the COR within 30 days after contract award, and shall identify the Contractor’s methods and locations for solid waste disposal including clearing debris.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 0 data_item4:

title4:

sub4:

auth4:

ref4:

req_ofc4:

dd250_4:

appcode4:

dist4:

freq4:

asof4:

firstsub4:

subsub4:

rmks4:

group4:

totalprice4:

totaldraft4: 0 totalreg4: 0 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

Page:

pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: KO draft1_1:

reg1_1: 1 repro1_1:

addr1_2:

draft1_2:

reg1_2:

repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

draft2_1:

addr2_1: KO addr2_2:

reg2_1: 1 repro2_1:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr3_1: COR addr3_2:

addr3_3:

draft3_1:

reg3_1: 1 repro3_1:

draft3_2:

reg3_2:

repro3_2:

draft3_3:

reg3_3:

repro3_3:

addr4_1: KO draft4_1:

reg4_1: 1 repro4_1:

addr4_2:

draft4_2:

reg4_2:

repro4_2:

addr4_3:

draft4_3:

reg4_3:

repro4_3:

draft2_2:

repro2_2:

reg2_2:

line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: RRC Contract ctr_no:

contr:

data_item1: A005 title1: SITE SAFETY & HEALTH PLAN sub1: N/A auth1: N/A ref1: SOW PARA 1.5.4.

req_ofc1: MICC - Fort Drum dd250_1: N/A appcode1: N/A dist1: N/A freq1: ASREQ asof1: SEE SOW firstsub1: 30 DAYS AA subsub1: ASREQ group1:

totalprice1:

rmks1: Submitted to the KO for approval within 30 days after contract award and prior to initiating any site preparation work. See Part 1 paragraph 8.42. for requirements.

totaldraft1: 0 totalreq1: 1 totalrepro1: 0 data_item2: A006 title2: CONTRACTOR QUALITY CONTROL PLAN sub2: N/A auth2: N/A ref2: SOW PARA 1.5.5.

req_ofc2: MICC - Fort Drum dd250_2: N/A appcode2: N/A dist2: N/A freq2: ASREQ asof2: SEE SOW firstsub2: 3 Feb 2023 subsub2: ASREQ rmks2: Submitted to the KO with proposal. See Part 1 paragraph 1.5.5. for requirements.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 1 totalrepro2: 0 data_item3: A007 title3: FINAL RECORD DRAWINGS sub3: N/A auth3: N/A ref3: SOW PARA 7.2.

req_ofc3: DPW dd250_3: N/A appcode3: N/A dist3: N/A freq3: ASREQ asof3: SEE BLK 16 firstsub3: ASREQ subsub3: ASREQ rmks3: Prior to the final inspection, the Contractor shall submit the final record drawings to the COR for review and approval.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 0 data_item4: A008 title4: INSURANCE REQUIREMENT sub4: N/A auth4: N/A ref4: SOW PARA 8.23.

req_ofc4: MICC - Fort Drum dd250_4: N/A appcode4: N/A dist4: N/A freq4: ASREQ asof4: SEE SOW firstsub4: ASREQ subsub4: ASREQ rmks4: Submit a current certificate showing the minimum amounts of insurance required prior to beginning work on a Government Installation. See SOW Part 8 Paragraph 8.23.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 1 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

Page:

pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 440 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

Item 4; Clarification of submittal dates in Items 12 and 13;

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 addr1_1: COR draft1_1:

reg1_1: 1 repro1_1:

addr1_2:

draft1_2:

reg1_2:

repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

draft2_1:

addr2_1: COR addr2_2:

reg2_1: 1 repro2_1:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr3_1: COR addr3_2:

addr3_3:

draft3_1:

reg3_1: 1 repro3_1: 2 draft3_2:

reg3_2:

repro3_2:

draft3_3:

reg3_3:

repro3_3:

addr4_1: COR draft4_1:

reg4_1: 1 repro4_1:

addr4_2:

draft4_2:

reg4_2:

repro4_2:

addr4_3:

draft4_3:

reg4_3:

repro4_3:

draft2_2:

repro2_2:

reg2_2:

line_item: 0001 exhibit: A xtdp: Off xtm: Off othercat: X system: RRC Contract ctr_no:

contr:

data_item1: A009 title1: AS BUILT DRAWINGS sub1: N/A auth1: N/A ref1: SOW PARA 8.5.8.

req_ofc1: DPW dd250_1: N/A appcode1: N/A dist1: N/A freq1: ASREQ asof1: ASREQ firstsub1: ASREQ subsub1: ASREQ group1:

totalprice1:

rmks1: Upon approval, the contractor will provide an electronic copy (file names shall consist of the task order number, in four-digit numeric style), and two hardcopy As Built drawings.

totaldraft1: 0 totalreq1: 1 totalrepro1: 0 data_item2: A010 title2: CONFINED SPACE ENTRY PERMIT sub2: N/A auth2: N/A ref2: SOW PARA 8.9.

req_ofc2: DPW dd250_2: N/A appcode2: N/A dist2: N/A freq2: ASREQ asof2: ASREQ firstsub2: ASREQ subsub2: ASREQ rmks2: Entry to all confined spaces will require a permit.

group2:

totalprice2:

totaldraft2: 0 totalreg2: 1 totalrepro2: 0 data_item3: A011 title3: SUBMITTALS sub3: N/A auth3: N/A ref3: SOW PARA 8.10.

req_ofc3: DPW dd250_3: N/A appcode3: N/A dist3: N/A freq3: ASREQ asof3: ASREQ firstsub3: ASREQ subsub3: ASREQ rmks3: Submit ENG Form 4025-R, to the COR two weeks prior to the commencement of work. Work associated with items submitted will not begin until approval is received from DPW.

group3:

totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 2 data_item4: A012 title4: WEIGHT TICKETS sub4: N/A auth4: N/A ref4: SOW PARA 8.11.1.2.

req_ofc4: DPW dd250_4: N/A appcode4: N/A dist4: N/A freq4: ASREQ asof4: ASREQ firstsub4: ASREQ subsub4: ASREQ rmks4: Weight tickets will be required to tally total weights for solid waste disposed of off the installation.

group4:

totalprice4:

totaldraft4: 0 totalreg4: 1 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

Page:

pages:

app: Adobe Professional 8.0

Reset: