ࡱ> kil` 7bjbjss .^/: : : : : : : N VVVV,lN 6`86:6:6:6:6:6:67h]::6: c!c!c!:6: : O6!"!"!"c!: : 86!"c!86!"!"p3: : 4 B+kVy!j44Le60645;!45;(45;: 44vT!"D E:6:6" 6c!c!c!c!N N N DN N N N N N : : : : : :  Performance Work Statement FORMAT SAMPLE Functional Area For: LOCATION NOTE: Many statements in this Sample format are generic, change the statements to meet your individual requirements or if any section(s) is/are not applicable to your scope of work, just annotate NA; for example, 8.0 Government Furnished Property NA. CONTRACT NUMBER: W911S0-04-D-0001 FINAL: (DATE) 1.0 Background. Give basic background of the requirements to include what type of clearance is necessary to perform the performance work statement. 2.0 Scope/Objective. Short description of desired product or service. This task will 3.0 Applicable Documents. List any regulations, pamphlets, memorandums, etc., that will assist the contractor in successfully meeting the requirements of this performance work statement. 4.0 Tasks. In accordance with the Sustainable Range Program (SRP) Support Contract, the contractor, as an independent contractor and not as an agent of the Government, shall provide the necessary resources (except for those identified as Government Furnished Property) to support the following tasks: 4.1 4.2 5.0 Deliverables. (Items within the block are listed samples) DeliverableTransmittal Form and QuantityScheduleBriefings and presentations electronic and 1 paper copy1 per month as necessaryIssue papers, white papers, decision papers, etc.electronic and 1 paper copy1.5 per month as necessaryRead-ahead papers / packetselectronic and 1 paper copy1 per scheduled brief (total of 24)Integrated Concept Team (ITC) Documents (agendas, information packets, minutes, and follow-up task tracking)electronic and 1 paper copyWithin 5 days after event and monthly for follow-up.Monthly Status Reportse-mail-formatted according to CDRL-A001NLT the 18th of each monthWritten Records (of meetings, conferences, working groups, etc)1 paper copyWithin 5 days after event.Trip Reportse-mail-Format Attachment AWithin 3 days after event 6.0 Place of Performance. The Contractor shall perform tasks under this contract at Government-owned facilities at Fort ABC or at other associated locations identified by the TPOC or the Contractor shall perform tasks under this contract at the Contractor-owned facilities. 7.0 Travel. Travel shall be reimbursed in accordance with the applicable travel regulation and FAR 31.205-46 (a) (2). The TPOC will provide the contractor specific travel information 10 days prior to a scheduled trip. The TPOC may change a scheduled trip by giving 2-days written notice (including E-Mail) provided the contractor has incurred no costs. A Trip Report (see sample at Attachment A) will be submitted to the TPOC within 3 days of completion of travel. Location and number of trips is unknown at this time; however, travel costs will not exceed $XX,XXX. Or, if travel requirements are known, list the place(s) where the person(s) will be traveling. 8.0 Government Furnished Property. The Government will provide the contractor with office space, computer, printer, facsimile service, reproduction capability, Internet access and administrative support for the project as required, while working on-site at Fort ABC. Telephone service for official use and local calls only will be provided to the contractor; all other calls shall be made at the contractors expense. The contractor shall not use Government furnished material or equipment to work on projects other than those directed by this performance work statement. Government furnished equipment provided to the contractor will be returned to the Government in good working order. 9.0 Reports. 9.1 Monthly Status Report (MSR). The Contractor shall prepare a Monthly Status IAW CDRL A001. The Government will review all reports and provide comments within ten (10) days. The contractor shall incorporate Government comments and provide revised reports within ten (10) days after receiving Government comments. 9.2 Routine written and electronic media staff products and projects are required and are the property of the Government. 10.0 Hazards Information. There is no requirement for the contractor to handle any hazardous material. The contractor will be required to visit active Army firing ranges. The Government will provide proper protective equipment and safety instructions. 11.0 Security. Employees selected by the contractor for this performance work statement must be able to pass all security requirements IAW the Fort ABC Provost Marshalls Policy in order to gain access to the installation. 12.0 Identification of Contractor Employee(s). 12.1 The contractor shall provide each employee an identification (ID) badge on contract start or employment start date. The ID badge shall be made of nonmetallic material, easily readable and include employees name, Contractors name, functional area of assignment and color photograph. 12.2 Display of ID Badges: Contractor personnel shall wear the ID badge at all times when performing work under this contract to include attending Government meetings and conferences. Unless otherwise specified in the contract, each Contractor employee shall wear the ID badge in a conspicuous place on the front of exterior clothing and above the waist except when safety or health reasons prohibit such placement. 12.3 Answering Telephones: Contractor personnel shall identify themselves as Contractor employees when answering Government telephones. 12.4 Utilizing Electronic Mail: When prime Contractor or sub Contractor personnel send e-mail messages as a part of contract performance (or otherwise relating to contract matters), each sender shall include his/her name (both first and last names), e-mail address and the name of the individuals employer). 13.0 Government Rights. As specified in paragraph 252.227-7020, DFARS, The Government shall have unlimited rights in works first produced, created, or generated and required to be delivered under this contract. 14.0 Period of Performance. The period of performance for this performance work statement shall be (enter date) to (enter date). The Government's intention is to award a base year task order with (enter number not to exceed 4) option years. Option years may be awarded on a new task order number to correspond with the current year of the base contract at time of execution. This is an administrative requirement and is not to be considered a sole source award. Option years subject to availability of funds. 15.0 Proposal Format. Proposals submitted by the contractor shall be in accordance with the Performance work statement Procedures as stated in Section H Special Contract Requirement of the Basic Contract. 16.0 Personnel. Personnel must meet minimum qualifications as specified in Section J Contractor Personnel and Qualifications List. 17.0 Technical Point of Contact (TPOC): Name Address Phone # Fax # Email Address 18.0 Payment: 18.1 The contractor shall bill the government on a monthly basis. A copy of the invoice and DD Form 250 shall be sent in electrons or mailed to the TPOC identified in paragraph 17.0 and the COR not later than the 5th of the following month. 18.2 Upon receipt of a TPOC signed DD250, electronic or other media from the COR, submit the invoice, DD250 and any other pertinent modification documents to the appropriate DFAS. Reporting of Contractor Services and Manpower. Accounting for Contractor Services: The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address:  HYPERLINK "https://contractormanpower.army.pentagon.mil" https://contractormanpower.army.pentagon.mil. The information to be reported is as follows: Contracting Office, Contracting Officer, Contracting Officers Technical Representative; Contract number, including task and delivery order number; Beginning and ending dates covered by reporting period; Contractor name, address, phone number, e-mail address, identity of contractor employee entering data; Estimated direct labor hours (including sub-contractors); Estimated direct labor dollars paid this reporting period (including sub-contractors); Total payments (including sub-contractors); Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each sub-contractor if different); Estimated data collection cost; Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information); Locations where contractor and sub-contractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardization nomenclature provided on website); Presence of deployment or contingency contract language; Number of contractor and sub-contractor employees deployed in theater this reporting period (by country). As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending 30 September of each government fiscal year and must be reported by 31 October of each calendar year. If contract performance is completed before 30 September, the data can be entered upon contract completion rather than waiting for the end of the fiscal year. Contractors may use a direct XML data transfer to the database server or fill in the fields on the website. The XML direct transfer is a format for transferring files from a contractors systems to the secure web site without the need for separate data entries for each required data element at the web site. The specific formats for the XML direct transfer may be downloaded from the web site.* *For in-theater contracts, requiring activities have the option of requiring more frequent reporting. Uses and Safeguarding of Information. Information from the secure web site is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the contractor name and contract number associated with the data. Subcontract Data. The contractor shall ensure that all reportable subcontract data is timely reported to this data collection web site (citing this contract/order number). At the discretion of the prime contractor, this reporting may be done directly by subcontractors to the data collection site; or by the prime contractor after consolidating and rationalizing all significant data from the subcontractors. Reporting Flexibility. Contractors are encouraged to communicate with the Help Desk identified at the data collection web site to resolve reporting difficulties. Changes to facilitate reporting may be authorized by the contracting officer or the Help Desk (under HQDA policy direction and oversight). ______________________________________________________________________________________ Compensation costs are defined in the reporting instructions at the Army web site designated above. ATTACHMENT A-TRIP REPORT LETTER HEAD MEMORANDUM THRU Directorate of XXXX , ATTN: __________________ Contractor Performance Work Statement Manager, ATTN: _________________ FOR TPOC SUBJECT: Travel Report, Trip Title, Dates 1. PURPOSE: Define the purpose for conducting the travel. 2. DISCUSSION: Outline in paragraph form the activities performed during the trip and how the trip supported the installation. 3. RECOMMENDATION: Provide opinions on the value of the trip and how the trip activities be improved to support future value to the installation. 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