DD Form 1423 - Contract Data Requirements List Daily Lifeguard Rotation Log

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

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

CONS @ AWD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

17. PRICE GROUP

3. SUBTITLE

Daily Lifeguard Rotation Log

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

8. APP CODE

10. FREQUENCY

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

PWS Paragraph 1.4.18.

12. DATE OF FIRST SUBMISSION

SLD 45 FSS/FSW

14.

DISTRIBUTION

Weekly

b. COPIES

13. DATE OF SUBSEQUENT

SUBMISSION

11. AS OF DATE

16. REMARKS

a. ADDRESSEE

Final

Draft

Reg

Repro

Summer Whisennand

Use/relationship: The Contractor shall submit a Lifeguard Rotation Log detailing the daily rotation of the lifeguards at each station throughout the operational day at each pool. The log shall contain the pool name, lifeguard name, start and end time at each lifeguard station, length of time between rotations, what was done the by the specific lifeguard between rotations and the name and signature of the designated Lead Lifeguard for each date on the log. The log shall be provided every Monday for the previous week of operation. Format: Microsoft Adobe.

15. TOTAL

G. PREPARED BY

DD FORM 1423-1, FEB 2001

H. DATE

I. APPROVED BY

PREVIOUS EDITION MAY BE USED.

J. DATE

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Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

CONS @ AWD

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001

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INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)