U.S. DEPARTMENT OF ENERGY

NATIONAL NUCLEAR SECURITY ADMINISTRATION

**REPORTING REQUIREMENTS CHECKLIST**

+-----------------------------------+----------------------------------+
| 1\. PROGRAM/PROJECT TITLE         | 2\. IDENTIFICATION NUMBER        |
|                                   |                                  |
| Office of Secure Transportation   | DE-AC52-08NA28558                |
| Support Service Contract          |                                  |
+-----------------------------------+----------------------------------+
| 3\. PARTICIPANT NAME AND ADDRESS  |                                  |
|                                   |                                  |
|                                   |                                  |
|                                   |                                  |
|                                   |                                  |
|                                   |                                  |
|                                   |                                  |
+-----------------------------------+----------------------------------+
| 4\. PLANNING AND REPORTING        | [Frequency]{.underline}          |
| REQUIREMENTS                      |                                  |
|                                   | E. Financial Incentives          |
| [Frequency]{.underline}           |                                  |
|                                   | Statement of Income and Expenses |
| A. General Management             | **     **                        |
|                                   |                                  |
| **X** Management Plan (requires   | Balance Sheet **     **          |
| CO approval) **X**                |                                  |
|                                   | Cash Flow Statement **     **    |
| **X** Technical Status Report     |                                  |
| (Presented at Qrtrly Reviews)     | Statement of Changes in          |
| **Q, A**                          | Financial Position **     **     |
|                                   |                                  |
| **X** Summary Report **A**        | Loan Drawdown Report **     **   |
|                                   |                                  |
| **X** Quality Assurance Plan      | Operating Budget **     **       |
| (requires CO approval) **O, A**   |                                  |
|                                   | Supplementary Information        |
| B. Schedule/Labor/Cost            | **     **                        |
|                                   |                                  |
| Milestone Schedule/Plan           | F. Technical                     |
|                                   |                                  |
| Labor Plan (Staffing Plan) **X,   | Notice of Energy R&D Project     |
| A**                               | **     **                        |
|                                   |                                  |
| Facilities Capital Cost of Money  | (Required with any of the        |
| Factors Comp. **     **           | following)                       |
|                                   |                                  |
| Contract Facilities Capital and   | Technical Progress Report        |
| Cost of Money **     **           | (Annual Accomplishment           |
|                                   |                                  |
| Cost Plan (w/Task Order Proposal) | Report)                          |
| **O, A**                          |                                  |
|                                   | Draft for Review **     **       |
| **X** Milestone Schedule/Status   |                                  |
| (if req'd by Task Order) **A**    | Final for Approval **     **     |
|                                   |                                  |
| Labor Management Report **A**     | Topical Report **A**             |
|                                   |                                  |
| Cost Management Report (Status    | Final Technical Report **A, F**  |
| Report at Qrtrly **Q**            |                                  |
|                                   | Draft for Review **A**           |
| **Reviews**                       |                                  |
|                                   | Final for Approval **A**         |
| C. Exception Reports              |                                  |
|                                   | Software **     **               |
| Conference Record**/Trip Reports  |                                  |
| A**                               | G. Environment, Safety & Health  |
|                                   |                                  |
| Hot Line Report **     **         | **Environment, Safety & Health   |
|                                   | (ES&H) Plan O, A**               |
| D. Performance Measurement        |                                  |
|                                   | **X Quarterly Safety             |
| Management Control System         | Activity/Inspection Reports Q**  |
| Description **     **             |                                  |
|                                   |                                  |
| WBS Dictionary **X, A**           |                                  |
|                                   |                                  |
| Index **X, A**                    |                                  |
|                                   |                                  |
| Element Definition **X, A**       |                                  |
|                                   |                                  |
| Cost Performance Reports **M, A** |                                  |
|                                   |                                  |
| Format 1 ‑ WBS **     **          |                                  |
|                                   |                                  |
| Format 2 ‑ Function **     **     |                                  |
|                                   |                                  |
| Format 3 ‑ Baseline **     **     |                                  |
+-----------------------------------+----------------------------------+
| 5\. FREQUENCY CODES               |                                  |
|                                   |                                  |
| A -- As Required BM -- Bi-Monthly |                                  |
| S -- Semi-Annually                |                                  |
|                                   |                                  |
| C -- Change to Contractual        |                                  |
| Agreement M -- Monthly X -- With  |                                  |
| Proposal/Bid/Application or with  |                                  |
| Significant Changes               |                                  |
|                                   |                                  |
| F -- Final (end of effort) O --   |                                  |
| Once After Award Y -- Yearly or   |                                  |
| Upon Renewal of Contractual       |                                  |
| Agreement/Revision                |                                  |
|                                   |                                  |
| D -- Daily Q -- Quarterly of Task |                                  |
| Assignment                        |                                  |
+-----------------------------------+----------------------------------+
| 6\. SPECIAL INSTRUCTIONS          |                                  |
| (ATTACHMENT)                      |                                  |
|                                   |                                  |
| **X** Report Distribution         |                                  |
| List/Addresses **     ** Analysis |                                  |
| Thresholds **     **              |                                  |
|                                   |                                  |
| Reporting Elements **     ** Work |                                  |
| Breakdown Structure **(see        |                                  |
| attached instructions)**          |                                  |
|                                   |                                  |
| Due Dates (**within 20 days after |                                  |
| reporting period unless otherwise |                                  |
| noted).** **O -- Once after award |                                  |
| to be submitted within**          |                                  |
|                                   |                                  |
| **30 days after award of contract |                                  |
| or Task Order**                   |                                  |
+-----------------------------------+----------------------------------+
| 7\. PREPARED BY                   | 8\. REVIEWED BY                  |
|                                   |                                  |
| **Rose Sedillo**                  | **Eusebio M. Espinosa**          |
|                                   |                                  |
| \_\_\_\_\_\_\_\_                  | \_\_\_\_\_\_\_\_\_               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_  | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                   |                                  |
| *(Signature) (Date)*              | *(Signature) (Date)*             |
+-----------------------------------+----------------------------------+

(2-06)

REPORTING REQUIREMENTS CHECKLIST (Continued)

+------------------------------+-------+---------+----------+--------+
| **Report**                   | *     | **Freq  | **       | **     |
|                              | *Form | uency** | Copies** | Addres |
|                              | No.** |         |          | sees** |
+------------------------------+-------+---------+----------+--------+
| Transition Plan (requires    | Contr | X -     | 1 &      | A      |
| Contracting Officer approval | actor | W/Pr    | electr   |        |
| following contract award)    | f     | oposal, | onically |        |
|                              | ormat | as      |          |        |
|                              |       | revised |          |        |
|                              |       | after   |          |        |
|                              |       | award   |          |        |
+------------------------------+-------+---------+----------+--------+
| Management Plan              | Contr | X -     | 1 &      | A      |
|                              | actor | W/P     | electr   |        |
|                              | f     | roposal | onically |        |
|                              | ormat |         |          |        |
|                              |       | After   |          |        |
|                              |       | Award   |          |        |
|                              |       | and as  |          |        |
|                              |       | Revised |          |        |
+------------------------------+-------+---------+----------+--------+
| Quality Assurance Plan       | Contr | O, A    | 1 &      | B      |
| (requires Contracting        | actor |         | electr   |        |
| Officer approval following   | fo    |         | onically |        |
| contract award) per PWS      | rmat, |         |          |        |
| para. 6.11                   | IAW O |         |          |        |
|                              | 57    |         |          |        |
|                              | 00.6C |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Labor Plan/Staffing          | Contr | X -     | 1 &      | A, B   |
| Plan/Organizational          | actor | W/P     | electr   |        |
| Structure identifying all    | f     | roposal | onically |        |
| management personnel and     | ormat |         |          |        |
| FTE's by title and name, per |       | After   |          |        |
| WBS element                  |       | Award   |          |        |
|                              |       | and as  |          |        |
|                              |       | Revised |          |        |
+------------------------------+-------+---------+----------+--------+
| Technical Status Report --   | Contr | Q       | 2 &      | A, B   |
| Presented Qrtrly at Program  | actor |         | electr   |        |
| Reviews addressing all Task  | f     |         | onically |        |
| Orders and WBS elements, and | ormat |         | (inco    |        |
| as required by COR for       |       |         | rporated |        |
| individual project elements  |       |         | with     |        |
|                              |       |         | Qrtrly   |        |
|                              |       |         | Prog Rev |        |
|                              |       |         | do       |        |
|                              |       |         | cuments) |        |
+------------------------------+-------+---------+----------+--------+
| Spending Plan by WBS with    | Contr | M       | 3 &      | A, B,  |
| Projected/approved funding   | actor |         | electr   | E      |
| levels (Budget Authority     | f     |         | onically |        |
| (BA)), FY obligations, YTD   | ormat |         |          |        |
| obligations, Costs incurred, |       |         |          |        |
| balance uncosted             |       |         |          |        |
| Additionally, applicable     |       |         |          |        |
| portions of the Spend Plan   |       |         |          |        |
| to SME's, as required.       |       |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Conference/Trip Reports -    | Contr | A       | 2 &      | B, E   |
| Provide summary of           | actor |         | electr   |        |
| conference/trip w/list of    | f     |         | onically |        |
| attendees that result in     | ormat |         |          |        |
| significant agreements/plans |       |         |          |        |
| of action                    |       |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Cost Performance Report      | Contr | M, A    | 3 &      | A, B,  |
| (CPR)                        | actor |         | electr   | C      |
|                              | f     |         | onically |        |
| Cost Summary of Costs        | ormat |         | to CS    |        |
| allocated per WBS/Task,      |       |         | and COR  |        |
| amounts funded, costs        |       |         |          |        |
| incurred to date.            |       |         |          |        |
| Identification of and        |       |         |          |        |
| explanation of monthly       |       |         |          |        |
| variances [+]{.underline}3%, |       |         |          |        |
| identification of and        |       |         |          |        |
| explanation of total cost    |       |         |          |        |
| incurred variances of        |       |         |          |        |
| [+]{.underline} 3%,          |       |         |          |        |
| remaining funds, funding     |       |         |          |        |
| required to meet BA. For     |       |         |          |        |
| positive variances explain   |       |         |          |        |
| if funds could be removed    |       |         |          |        |
| and applied to a different   |       |         |          |        |
| WBS, for negative variances  |       |         |          |        |
| explain how it will be       |       |         |          |        |
| resolved.                    |       |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Training Activity After      | Contr | A       | 1 &      | E      |
| Action Report                | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Training Lessons Learned     | Contr | A       | 1 &      | E      |
| Report                       | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Personnel Assurance Program  | O     | O, A    | 1 &      | B      |
| Plan                         | 4     |         | electr   |        |
|                              | 72-1B |         | onically |        |
|                              | OST   |         |          |        |
|                              | P     |         |          |        |
|                              | olicy |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Substance Abuse Plan         | 10    | O, A    | 1 &      | B      |
|                              | CFR   |         | electr   |        |
|                              | 707   |         | onically |        |
+------------------------------+-------+---------+----------+--------+
| Security Plan                | O     | O, A    | 1 &      | B      |
|                              | 470-1 |         | electr   |        |
|                              |       |         | onically |        |
+------------------------------+-------+---------+----------+--------+
| Maintenance Management Plan  | O     | O, A    | 1 &      | B      |
|                              | 430.1 |         | electr   |        |
|                              |       |         | onically |        |
+------------------------------+-------+---------+----------+--------+
| Individual Accident/Incident | 5     | A       | 1 &      | B      |
| Report                       | 484.Z |         | electr   |        |
|                              |       |         | onically |        |
+------------------------------+-------+---------+----------+--------+
| Work Breakdown Structure &   | Contr | O, A    | 2 &      | A, B   |
| Dictionary                   | actor |         | electr   |        |
|                              | f     | After   | onically |        |
|                              | ormat | Award & | to CS    |        |
|                              |       | as      | and COR  |        |
|                              |       | revised |          |        |
+------------------------------+-------+---------+----------+--------+
| Quarterly Program Reviews    | Contr | Qrtly   | Su       | A, B,  |
| reporting up to date status, | actor |         | fficient | C      |
| activities per WBS element,  | f     |         | cys for  |        |
| including budget, incurred   | ormat |         | approx   |        |
| costs, expenditures and      |       |         | 20       |        |
| uncosted balances,           |       |         | a        |        |
| accomplishments, funding to  |       |         | ttendees |        |
| date, balances per WBS       |       |         |          |        |
+------------------------------+-------+---------+----------+--------+
| ES&H Plan                    | Contr | After   | 1 &      | B      |
|                              | actor | Award,  | electr   |        |
|                              | f     | Y       | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Quarterly Safety             | Contr |         |          |        |
| Activity/Inspection Reports  | actor |         |          |        |
| per PWS paragraphs 6.12 and  | f     |         |          |        |
| 8.1                          | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Board of Survey (BOS)        | Contr | A       | 3 &      | B, C,  |
| Reports IAW DOE O 580.1      | actor |         | electr   | D      |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Transportation Management    | Contr | A       | 1 &      | E      |
| Plan per PWS Task Area 15    | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Report of DOE-Owned &        | OMB   | Semia   | 1 &      | D      |
| Capital Equipment of         | 4     | nnually | electr   |        |
| DOE-owned over \$50K         | 300.3 |         | onically |        |
+------------------------------+-------+---------+----------+--------+
| Document Physical Inventory  | Contr | Y       | 1 &      | D      |
| of Sensitive Items           | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Document Physical Inventory  | Contr | S       | 1 &      | D      |
| of Equipment Items           | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Report of Inventory of       | Contr | Y       | 1 &      | D      |
| Stores Items                 | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| List of all Government-owned | Contr | Y       | 1 &      | D      |
| Vehicles                     | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Training/JTX Activity        | Contr | Y       | 1 &      | D      |
| Logistical Support Plan      | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+
| Reports of Survey (ROS) for  | OSTF  | Per     | 1 &      | D      |
| Lost/Damaged/Destroyed       | 44    | i       | electr   |        |
|                              | 21.04 | ncident | onically |        |
+------------------------------+-------+---------+----------+--------+
| Document Munitions Inventory | Contr | S       | 1 &      | D      |
| -- Sensitive Stores          | actor |         | electr   |        |
|                              | f     |         | onically |        |
|                              | ormat |         |          |        |
+------------------------------+-------+---------+----------+--------+

List of Addressees

+-----------------------+-----------------------+-----------------------+
| A.                    | DOE/NNSA/TSD          | 1 cy & electronically |
|                       |                       |                       |
| Contract Specialist   | Albuquerque           |                       |
|                       | Operations Office     |                       |
|                       |                       |                       |
|                       | P O Box 5400          |                       |
|                       |                       |                       |
|                       | Albuquerque, NM       |                       |
|                       | 87185-5400            |                       |
+-----------------------+-----------------------+-----------------------+
| B.                    | DOE/NNSA/OST, Bldg    | 1 cy & electronically |
|                       | 385                   |                       |
| Contracting Officer's |                       |                       |
| Representative        | Albuquerque           |                       |
|                       | Operations Office     |                       |
|                       |                       |                       |
|                       | P O Box 5400          |                       |
|                       |                       |                       |
|                       | Albuquerque, NM       |                       |
|                       | 87185-5400            |                       |
+-----------------------+-----------------------+-----------------------+
| C.                    | DOE/NNSA/OST, Bldg    | As required           |
|                       | 385                   |                       |
| Manager, OST (R.      |                       |                       |
| Devine)               | Albuquerque           |                       |
|                       | Operations Office     |                       |
|                       |                       |                       |
|                       | P O Box 5400          |                       |
|                       |                       |                       |
|                       | Albuquerque, NM       |                       |
|                       | 87185-5400            |                       |
+-----------------------+-----------------------+-----------------------+
| D.                    | DOE/NNSA/TSTS         | 1 cy & electronically |
|                       |                       |                       |
| Property Management   | Ft Barling, AR        |                       |
| Officer (LPMP)        |                       |                       |
+-----------------------+-----------------------+-----------------------+
| E.                    |                       |                       |
|                       |                       |                       |
| Subject Matter Expert |                       |                       |
+-----------------------+-----------------------+-----------------------+