Contract Data Requirements List A001 - Contractors Safety Plan

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

(1 Data Item)

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

000X

C. CATEGORY:

A

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

B670 Paint Booth HVAC
1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

3. SUBTITLE

Work Summary Report

N/A

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-MGMT-81911/T

7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

8. APP CODE

N/A

A

17. PRICE GROUP

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

See Blk 16

11. AS OF DATE

See Blk 16

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

PD Para 1.1.2

WR-ALC/402 CMXG

14.

DISTRIBUTION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

a. ADDRESSEE

16. REMARKS

Final

Draft

See Blk 16

Reg

Repro

SEE BLOCK 16

Blks 10, 11, 12, 13: The Contractor shall provide a work plan within five days of site visit for the makeup air unit/condenser, control system and extend concrete pad (if needed) for the paint booth in Building 670. The work plan needs to describe the efforts in detail. The Contractor shall email the work plan to the Government POCs listed in section 2.1.1. The Work Management Plan will be used to plan and prepare for accomplishment of tasks within the contract.
Government POC:
Primary: Emily Johns, 478-222-5260, [email protected] Alternate: Kristyn Edmondson, 478-926-5752, [email protected] WAWF Primary POC: Lisa Matney, 478-926-0634, [email protected] WAWF Alternate POC: Joseph Santillan, 478-926-2829, [email protected] Contracting POC:
Jeffrey Pruitt, 478-222-1491, [email protected]

15. TOTAL

G. PREPARED BY

MATNEY.LISA.D.1229956287