Form Approved 4.00789R003000400008-1 Public reporting burden for this collection of information is estimated to average 440 hours tesponse, Including the time for reviewing imtructions, searchi existing data sources, gathering and maintaining the data needed, and completing and tevfewing the collection of Information. Send comments fegarding tha burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Oepartment of Defense. Washington =~ Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Aclingtan, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, OC 20503. Please OO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer tor the ContractPR No. listed in Block E. . A. 5853" LINE (TEM NO. B. EXHIBIT Cc. CATEGORY: . D. SYSTEM/ITEM Phenomenological] &. CONTRAGS/PR NO. —. CONTRACTOR Research and ‘Analysis 330/0267/9% SAIC 2 TIME OF DATA TEM Contractor's progress, 3. SUBTITLE AQ01 status and management report Periodic Status Reports . AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE (S .O.W. ) DI-MGMT-80227 C.6.1, €.6.2, C.6.3, C.6.4 | DIA/ODT-S 7. DO 250 REQ 9. DIST STATEMENT | 10. FREQUENCY 12. DATE OF FIRST SUBMISSION «| 44. DISTRIGUTION &. APP CODE ac Q@DT-S 11. AS GF OATE 13. DATE OF SUBSEQUENT 0 SUBMISSION 16. REM, Ref Block 12: ers __} Contractor will provide draft report ~ a 5 DARP. Draft will be returned within 7 working days. 1. DATA ITEM NO. 2. TITLE OF DATA [TEM . 3. SUBTITLE A002 Technical Report-Study/Services Interim Technical Reports AUTHORITY (Data Acquisition Document No) ‘| 5. ConTRACT REFERENCE (SQW. DI-MISC-80508 ~  * -€.6.1, €.6.2, C.6.3, C.6.4 DIA/ODT-S a 7. DD 250 REQ. | 9. DIST STATEMENT | 10. FREQUENCY 42. DATE OF FIRST SUBMISSION ee _ ATIME 5 DARC aaa bc ee Fes | ; . Ree Block 12: Contractor will provide draft report -ObT=S__ ee 5 DARP. Draft will be returned within 7 working days. — Ra fs ror ——] E 1. DATA ITEM NO.] 2. TITLE OF DATA (TEM - 3. SUBTITLE A003 Final Technical Report 4, AUTHORITY (Data Acquisition Document No.) S. CONTRACT REFERENCE ( S.0.W. ) . REQUIRING OFFICE DI-MISC-80508 6.1, C.6.2, C.6.3, C.6.4 DIA/OODT-S 7. DO 250 REQ 9. DIST STATEMENT | 10. FREQUENCY 12. DATE OF FIRST SUBMISSION REQUIRED ONE/R See block 16 16. REMARKS DOF Block 12: Contents of this report will ODT-S | 2 | 6 | encompass A002 plus any remaining contract period. || Contractor will provide draft report 5 DARP. Draft ma wi eturned in working da ts, Toran ——| 2 | 6 | pearareymcer nn 14, ° 7. DO 250 REQ . OST STATEMENT | 10. FREQUENCY =~ 12. DATE OF FIRST SUBMISSION sso Ls REQUIRED 13. DATE OF SUBSEQUENT ; Feat | SUBMISSION 16, REMARKS SG1J f. APPROVED BY G. PREPARED BY H. OATE 10 FEB 92 proved For Release 2000/0887 AcRBF S86 -00789RO0800046000824°: Enclosure 9 DD Form 1A%p 161/183 U7, PRICE GROUP 18. ESTIMATED TOTAL PRICE 17. PRICE GROUP 18 ESTIMATED TOTAL PRICE 17. PRICE GROUP 18. ESTIMATED TOTAL PRICE 17. PRICE GROUP 18. ESTIMATED TOTAL PRICE
Approved For Release NdofaBIOs; KARL ERS. Bo RENob¥obo460008- 1 FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR ftem 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, item A. Self-explanatory. item B. Self-explanatory. ftem C. Mark (X) appropriate category: TOP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as “Provisioning,” “Configuration Management”, etc. a. Group J. Definition - Data which is not otherwise essential . / . . to the contractor's performance of the primary contracted effort item D. Enter name of system/item being acquired that data will (production, development, testing, and administration) but which support. is required by DD Form 1423. ttem E. Self-explanatory (to be filled in after contract award). Estimated Price - Costs to be included under Group | 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. Item F. Self-explanatory (to be filled in after contract award). Item G. Signature of preparer of CDRL. ttem H. Date CDRL was prepared. ftem I. Signature of CDRL approval authority. item J. Date CORL was approved. b. Group Hl. 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. ttem 1. See DoD FAR Supplement Subpart 4.71 for proper numbering. ttem 2. Enter title as it appears on data acquisition document cited in Item 4. : : : in Estimated Price - Costs to be included under Group I! 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. 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. ¢. Group ill. 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. Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number). ttem 6. Enter technical office responsible for ensuring adequacy of the data item. Estimated Price - Costs to be included under Group Ill are the administrative and other expenses related to reproducing and delivering such data item to the Government. 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. 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. ttem 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD $230.24). item 10. Specify number of times data items are to be delivered. Estimated Price - Group IV items should normally be . shown on the DD Form 1423 at no cost. ttem 11. Specify as-of date of data item, when applicable. . Item 12. Specify when first submittal is required. 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 shail 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. 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 capies 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 we ome - data item. 2B Form 1423 Rpysroveld FUr Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
; OO Form 1664, FEB 8S J Prewous eaitron <s obsolete. . SAGE 1 of Ue Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 [TEM DESCRIPTION ° pproved OME No, 0704-0186 Exp. Dace: Jun JO, 1986 . | 2. IOENTIFICATION NUMBER Contractor's Progress, Status and Management Report DI-MGMT-80227 3. OESCRIPTIONPURPOSE 3.1 The Contractor's Progress, Status and Management Report indicates the progress of work and the status of the program and of the assigned tasks, reports costs, and informs of existing or potential problem areas. 4, APPROVAL DATE 5. OFFICE OF PRIMARY RESPONSIBILTY (OPR) Ga. DTIC REQUIRED CrYMMOO) N/SPAWAR 860905 _ MS 7.1 This Data Item Description (DID) contains the format and content preparation 7. APPLICATION /INTERRELA TIONSHIP instructions for the data product generated by the specific and discrete task _ requirement for this data included in the contract. . : 7.2 This DID may be applied in any contract and during any program phase. 7.3 This DID supersedes DI-A-2090A, DI-A-3025A, UDI-A-22050B, UDI-A-22052A, UDI-A-23960, DI-~A-30024, and DI-A-30606. (cont. on page 2) Ja. APPLICABLE FORMS 10. PREPARATION INSTRUCTIONS 10.1 Contract - This data item is generated by the contract which contains a specific and ‘°° discrete work task to develop this data product. 10.2 Format - This report shall be typewritten on standard size (e.g. 8 1/2" by 11") white ‘paper, and securely stapled. Pages shall be sequentially numbered: All attachments shall be identified and referenced in the text of the report. The report shall be prepared in the contractor's format and shall be legible and suitable for reproduction. 10.3 Content - The report shall include: a. A front cover sheet Which includes the contractor's name and address, the “. contract number, the nomenclature of the system or program, the date of the report, the period covered by the report, the title of the report, either the serial number of the report or the Contract Data Requirements List (CDRL) - sequence number, the security classification, and the name of the issuing Government activity; : , b. Description of the progress made against milestones during the reporting period; c. Results, positive or negative, obtained related to previously-identified problem areas, with conclusions and recommendations; oo - “d. Any significant changes to the contractor's organization or method of operation, to the project management network, or to the milestone chart; , e.- Problem areas affecting technical or scheduling elements, with ‘background and any _ xecommendations for solutions beyond the scope of the contract; . : £. Problem areas affecting cost elements, with background and any recomendations fo ’ golutions beyond the scope of the contract; : Co g- Cost curves showing actual and projected conditions throughout the contract; h. Any cost incurred for the reporting period and total contractual expenditures 26 of reporting date; . oo ot 4. Person-hours expended for the reporting period and cumulatively for the contract; f- Any trips and significant results; (cont..on page 2). °«. Go. GIDE? REQUIRED . 8. APPROVAL LIMITATION q—t ve
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 DI-MGHT- 80227 7. APPLICATION/INTERRELATIONSHIP (Cont'd) 7.4 Paragraphs 10.3.f, 10.3.g, and 10.3.h herein should be tailored on DD Form 1423 -when such cost data is already submitted through a sophisticated cost reporting system under the contract. - i 10. PREPARATION INSTRUCTIONS (Cont ‘d) k. Record of all significant telephone calls and any commitments made by telephone; . 1. Sunmary of Engineering Change Proposal (ECP) status, including identification of proposed ECPs, approved ECPs, and implemented ECPs; m. Contract schedule status; : n. Plans for activities during the following reporting period; o. Name and telephone number of preparer of the report; p. Appendixes for any necessary tables, references, photographs, illustrations, and charts. : U.S. GOVERNMENT PRINTING OFFICE: 1986~704-037/50176 _ Page 2 of 2 Pages . So De 2 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 ane am, :
ADONONEA FoF RéfebSe F060 GMOS SIK-RDPSY7B9RON La ue 2. TITLE 1. IDENTIFICATION NUMBER Technical Report — Study/Services DI-M1ISc— 80508 3. DESCRIPTION/FPURFOSE 3.1 A technical report provides fully documented results of studies or analyses performed. 4- APPROVAL DATE §. OFFICE OF PRIMARY éa.DTIC CYYMMDD) RESFONSIBILITY (OFR) AFFLICABLE | APPLICABLE 880115 G/T2137 x 7. AFPPLICATION/ INTERRELAT TIONSHIP 7.1 This data item description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. 7.2 This DID supersedes DI~A-5029. 7.3 Defense Technical Information Center (DTIC), Cameron Station, Alexandria, VA 22314. 8. AFFROVAL LIMITATION 9a. APPLICABLE FORMS/9b. AMSC NUMBER G4291 10. PREPARATION INSTRUCTIONS 10.1 Format. (a) The report and all attachments shall be typewritten, or otherwise clearly lettered, and shall be duplicated using non-fading ink. (b) Text shall be prepared on standard letter size paper (68 1/2" X 11"). (c) When attachments are included, they shall be fully identified, referenced in the text, and folded to canform to the size paper used in the report. . (d) Security classification and distribution markings shall conform to the requirements of the contract, purchase description and security requirements checklist, as applicable. , 10.2 Content.. (a) Title Page — Identifies the report by providing contract number, project name or purchase description title, task number, and reporting period. (continued on page 2) 11. DISTRIBUTION STATEMENT DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited. Fore 1644, JUN 64 (FACSIMILE) Previous editions are obsolete. Page 1 of 2 Pages Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 DI—-MGMT— 80508 Block 10. Preparation Instructions (Continued) (b) Table of Contents {c) Section I - Includes the following: (1) Introduction (2) Summary - A brief statement of results obtained from the analytic effort. (3) Conclusions and their condensed technical substantiations. (d) Section II - A complete and detailed description of the analytic results which led to the conclusions stated in Section I above. Page 2 of 2 Pages Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 DIA LOGISTICS/SUPPORT PLAN CONTRACT SPONSOR: Research and Analysis SG1J ELEMENT: SG1A PRONE: a A. EQUIPMENT MAINTENANCE (RTS-6) Not Required 1. Internal Maintenance 2. Contractor Maintenance B. SUPPLY SUPPORT (RTS-6) Not. Required 1. Consumables 2. Equipment Storage C. EQUIPMENT TRANSPORTATION HANDLING (RTS-6) Not Required D. FACILITIES (RTS-1) Not Required 2. Space, location 3. Health, Environmental & Safety implications. E. PERSONNEL AND TRAINING (RHR) Not Required 1. Civilian & military personnel requirements 3. Personnel relocations F. INFORMATION AND GRAPHICS (RSO) Not. Required 1. Systems concept 2. Software requirements 3. Hardware requirements 4. Required funding G. PUBLICATIONS AND GRAPHICS (RTS-5) Not. Required H. COMMUNICATIONS (RCM) Not. Required I. SECURITY SERVICES (OSC) REQUIRED 1. Security clearances 2. Physical security 3. Contractor security 4. TEMPEST - DIA/OSC-2 will review and evaluate all requests to process classified information electronically and will provide guidance on equipment procurement, installation, relocation and other measures relative to the control of compromising emanations. Enclosure 10 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 ADVANCED ACQUISITION PLAN (AAP) SUMMARY AAP NO. /PURCHASE REQUEST NO. 330/0262Z/92 PROJECT TITTLE: Phenomenological Research and Analysis (U) 1. (U) BACKGROUND: a. (U) Phenomenological research and analysis as intended by this contract refers to anomalous phenomena associated with human activities. Investigations in this area have sometimes been referred to as Remote Viewing (RV), Extrasensory Perception (ESP), and recently as Anomalous Cognition (AC) or Anomalous Phenomena (AP) research. Foreign researchers have also used the term, psychoenergetics, to describe aspects of this area. b. (S) In 1985, the Department of Army' Surgeon General Office for Research and Development (DASGRD) initiated a 5-year phenomenological research and development program. Research identified for this effort centered on two aspects; basic phenomena understanding and applications oriented research. This SGRD program was in response to recommendations that followed from DIA's earlier 3-year evaluation effort that examined the validity and threat potential of an aspect of this phenomena known as remote viewing. DIA established close ties with this SGRD research program to insure that applications research would be adequately pursued. c. (S/NF) In 1987, it became apparent that SGRD funding might not be available to carry the project through to the end of the 5-year period. Consequently, additional funding was sought by DIA and acquired funding transfer action by the House Appropriations Committee (HAC). This funding was provided to DIA; MIPR action to the SGRD contract was the most expeditious method of allocating these funds. da. (S/NF) Results of the DIA/SGRD effort yielded several findings of breakthrough potential. Subsequently, follow-on research support was provided to DIA by Congressional action for FY91. DIA was identified as the executive agent due to long-standing knowledge and expertise in this area. Both R&D and O&M funds were allocated for continuing basic and applied research, for applied investigations, and for assisting in assessment of relevant foreign research. Additional R&D funding was received by DIA in the FY 92 Defense Authorization Act to continue research in this area initiated in FY 91 and to undertake new research along with other activites. SECRET /NOFORN Classified By: DIA/ODT Declassify On: OADR la Enclosure 11 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 SECRET 2. (S/NF) DESCRIPTION (Expected Capability): This effort will permit both research and analysis of anomalous phenomena to continue. Tasks defined in the classified statement of work focus on those activities that have the highest potential payoff in phenomena understanding, in application analysis, and in threat assessment support. Progress in this area will assist DIA and the Intelligence Commmity in performing adequate threat assessments and for possible pursuit of applications involving this phenomenological area. 3. (U) MISSION REQUIREMENT SOPPORTED: a. (U) Source of Mission (DCI goal, Defense guidance, JCS, Other): DCI Goal #2; DIP FY88-92 Required Capabilities 1i. in, 1q, 2a, 2¢, 29, 23, 2n; DoD Plan for Intelligence Support to Operational Commanders FY88-92 Required Capabilities 20, 21, 23. NIT #9 & 32. b. (U) Impact of Disapproval: Failure to fund this effort would seriously degrade DIA's ability to assess military potential of the emerging foreign efforts in this field and would eliminate potential for phenomena understanding and application development. 4. (U) CONTEXT: a. (U) Relationship to Ongoing or Proposed Projects: There are no known similar current or proposed projects. b. (U) Managerial Perspective (DIA goal or objective supported) : (1) (U) Responsive to PMGM 1988-1992 General Production Guidance II.B.2.a. (2) (S/NF) A prior effort (1981-1983) concerning anomalous phenomena research was conducted through a DIA external contract. The main purposes of this effort was to evaluate the threat that foreign achievements in this area could pose to US national security and to explore its potential for use in US intelligence collection and military operational problems. The results of this effort have confirmed the reality of the remote viewing phenomenon and the existence of a potential threat to US national security. Assessments of foreign research in psychoenergetics were also included in the early effort. c. (U) Accordance with Agency ADP Planning, if applicable: N/A. d. (U) Government Furnished Space: None. SECRET/NOFORN Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 ADVANCED ACQUISITION PLAN (AAP) PURCHASE REQUEST (PR) NO._330/026Z/92 FY1992 UNESCALATED DOLLARS (SK) _10 FEB 1992. SG1J SG1A —a_ ll ELEMENT orricer I 1-0 /373-1565__ SG1J ACQUISITION ACCOMPLISHED BY: (X]} RSQ, ] MPR[ J] ISA [ J] OTHER____ PROPOSED TYPE OF ACTION: a. [X] NEW CONTRACT b. [ ] MODIFICATION TO CONTRACT NO._MDA 908-91-C-0037 (excludes incremental funding and options previously approved in an AAP). c. { ] ORDER UNDER REQUIREMENTS CONTRACT NO. d. [ ] ORDER UNDER GSA FEDERAL SUPPLY SCHEDULE. e. [ ] OTHER ls COMPETITION (Applicable to paragraphs 4.a. and 4.b. above): a. ({ ] FULL AND OPEN COMPETITION. b. [X] OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO AUTHORITY 10 U.S.C. 2304(c) (1). See enclosure 4 for Justification for Other Than Full and Open Competition (JFOIF&0OC) . Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 AAP NO. /PR NO._330/0262/92 . (S4il) (Seti) a. Appropriation: O&M —_— lees R&D 1.45 _ _ WH PROC eee Other Govt Funds —_— —— —__. TOTAL: 1.45 b. Total Estimated Contract Amount._ $1.45 million (Include cost for total effort in Statement of Work) c. Source of Funds (1) Program/Budget Line Name/Dollars ($Mi1) Line Name(s) Approp FY92 FY93 FY94 FY95 FY96 OUTYEARS 1.004 R&D 1.85 (2) Program/Budget Record Line Name Project# Iv RC PE BASE 103 301 301 TARGET DATE FOR MILESTONES: a. Agency coordination of acquisition package begins FEB 1992 b. ‘Transmitted to oc FEB 1992 c. Transmitted to RSQ FEB 1992 da. Required award date APR 1992 e. Required delivery date or perfommance period SEP 1993 3 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 SECRET EXCEPTION to Requirement To Synopsize DIA/ODT R&D Contract: Phenomenological Research and Analysis (U) Purchase Request # 330/026Z/92 Information necessary for synopsizing this contract cannot be worded in such a manner so as to avoid disclosure of classified information. The activity of this contract is highly sensitive and any attempt to synopsize would reveal DIA's interest from an applications perspective. Date: JOHN T. BERBRICH SG1J Director Office for Scientific and Technical Intelligence Enclosure 12 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
PURCHASE REQUES INSTRUCTIONS — ORIGINAL AND 8 COPIES 10 FEB 92 30 SEP 93 330/0262/92 Accounting classification 5B. Amount 7 Signature Director R/D: JOHN T. BERBRICH, Office for $ & TI Type Name Date 4B. Name, Ext, and Signature of Designated Supply Coordinator {DIAM 25-1) $1,450,000.00 5C. Name and signature of Certifying Official Signature Signature SG1J Date Office Symbol! ODT- 7B. Mark for: (ODT-S: SG1J | Estimated indto D 0340-6150 Descripti f . Servi Quanti RELEASE OF FUNDS FOR EXTERNAL RESEARCH $1,450,000.00 AND ANALYSIS. — a am Sole Source Contract with SAIC for Phenomenological Research, 9. O Recurring requirement 8B. Total 8A. Stock/Item No, Acquisition Plan No. 10. Action Office if External to DIA: eS vo Other: Interservice Support Agreement No: External POC: "1. ustification/Remerks Tha purpose of this request is to pursue general phenomenological research via the Science Applications International Corporation (SAIC). Funds for this effort are in the approved FY 92 DIA budget as line item for Congressional Directed Programs. This request identifies new research required to fulfill the FY 92 Congressional Direction. Follow-on research resulting from the same FY 92 Congressionally Directed action is identified in PR 330/025Z/92 as a modification to the existing contract (MDA 908-91-C-0037). 12A. Requisition Number/Other 12.8 Logistics Branch Action Officer/Phone No. 13A. Coordinations Cicras _Jsappo DI-SF GC ooc-4 RLE-2A.-« O0C-2 138. Approvals 13C. Budget Reporting Code AAP R400 C1 ves Date 12C. Method (J Not required (DIAR 44-4) 1X] contracting and Acquisition Office (J other: 12D. Received By: (Signature) ne saopo ACA C1 No 14A. Action Assigned To: Contract Specialist: Telephone No: ARAL VIUVGEU ve we UU - P] JOTUG R= DIA FORM 520 (5-82) Previous Edition is Obsolete.
Avele qe {REFERENCE | OBLIGATIONS |UNOBLIGATED DA NUMBER INCURRED BALANCE A Aved Or Release Z0UU0/0G0/0G _: A-RUDPY6-00 /S69R0035000 15. OBLIGATION RECORD AMOUNT OF COMMITMENT REFERENCE | OBLIGATIONS NUMBER INCURRED 16. Summary Data for CRRB/SADPO Actions: 17, Purpose: 1,450,000 R&D Historical Summary: intelligence Question/Objective: ist of Enclosures: Procurement Package Access List ____ 2 ___ Uniform Contract Format (over $25K) 4 5 a —__ 7 ——8 ——9_ —_—_10 12 Statement of Work/Specifications . Justification for other than full and open competition SADPO Acquisition Authority Emergency Justification Services Questionnaire List of Recommended Sources Certification of Data Base Government Independent Cost Estimate DD 254, Security Classification Specification DD 1423, Contract Data Requirements List with Data Item Description (DD Form 1684) Technica! Evaluation Criteria Technica) Evaluation Plan Logistical Support Plan (DIAR 25-4) Other(s) AAP Summary —— Exception to Synopsis (of class SOW, ) Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1 Date of Request. Purchase Request No. 330/026Z/92 PROCUREMENT PACKAGE ACCESS LIST All personnel reviewing or accessing this purchase request must sign below. No. Date Name (Print/Sign) Organization Phone # 1. 2. 3. | 10, Me ee 138 Me Me Me We Be 19, 200 Enclosure 1 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460008-1