INDIVIDUAL CONTRACTING ACTION REPORT
Report Control Symbol DD-AT&L(M)1014
A1 Type of Report ______(0) Original; (1) Canceling; or (2) Correcting
A2 Report Number
A3A Reporting Agency FIPS 95 Code
A3B Contracting Office Code
A4 Name of Contracting Office
B1 Contract Identification Information
B1A Contract Number
B1B Origin of Contract (A) DoD; (B) NASA; or (C) Other Non-DoD Agency
B1C Bundled Contract____ (Y) Yes; or (N) No
B1D Bundled Contract Exception . (A) Mission Critical; (B) OMB Circular A-76; or (C) Other
B1E Performance-Based Service Contract (Y) Yes; or (N) No
B2 Modification, Order, or Other ID Number
B3 Action Date (yyyymmdd)
B4 Completion Date (yyyymmdd)
B5 Contractor Identification Information
B5A Contractor Identification Number (DUNS)
B5B Government Agency _ (Y) Yes; or (N) No
B5C Reserved
B5D Contractor Name and Division Name
Contractor _
Division
B5E Contractor Address
Street or PO Box __
City or Town
State or Country Zip Code _
B5F Taxpayer Identification Number _
B5G Parent Taxpayer Identification Number ___
B5H Parent Name
B6 Principal Place of Performance
B6A City or Place Code
B6B State or Country Code _
B6C City or Place and State or Country Name
B7 Type Obligation (1) Obligation; (2) Deobligation; or (3) No Dollars Obligated or Deobligated
B8 Obligated or Deobligated Dollars (Enter Whole Dollars Only)
B9 Foreign Military Sale ______ (Y) Yes; or (N) No
B10 Multiyear Contract (Y) Yes; or (N) No
B11 Total Estimated Contract Value (Enter Whole Dollars Only)
B12 Principal Product or Service
B12A Federal Supply Class or Service Code
B12B DoD Claimant Program Code
B12C Program, System, or Equipment Code
B12D NAICS Code
B12E Name or Description
B12F EPA-Designated Product(s)_______(A) EPA-Designated Produce(s) with Minimum Recovered Material Content; (B) FAR 23.405(c)(1) Justification; (C) FAR 23.405(c)(2) Justification; (D) FAR 23.405(c)(3) Justification; or (E) No EPA-Designated Produce(s) Acquired
B12G Recovered Material Clauses____(A) FAR 52.223-4; or (B) FAR 52.223-4 and FAR 52.223-9
B13 Kind of Action
B13A Contract or Order ___(1) Letter Contract; (3) Definitive Contract; (4) Order under an Agreement; (5) Order under Indefinite-Delivery Contract; (6) Order under Federal Schedule; (7) BPA Order under Federal Schedule; (8) Order from Procurement List; or (9) Award under FAR Part 13
B13B Type of Indefinite-Delivery Contract ___(A) Requirements Contract (FAR 52.216-21); (B) Indefinite-Quantity Contract (FAR 52.216-22); or (C) Definite-Quantity Contract (FAR 52.216-20)
B13C Multiple or Single Award Indefinite-Delivery Contract ___(M) Multiple Award; or (S) Single Award
B13D Modification ___(A) Additional Work (new agreement); (B) Additional Work (other); (C) Funding Action; (D) Change Order, (E) Termination for Default; (F) Termination for Convenience; (G) Cancellation; (H) Exercise of an Option; or (J) Definitization
B13E Multiple Award Contract Fair Opportunity ___(A) Fair Opportunity Process; (B) Urgency; (C) One/Unique Source; (D) Follow-On Contract; or (E) Minimum Guarantee
B13F Indefinite-Delivery Contract Use ___(A) Government-Wide; (B) DoD-Wide; (C) DoD Department or Agency Only; or (D) Contracting Office Only
B13G Indefinite-Delivery Contract Ordering Period Ending Date (yyyymmdd) _________________
B14 CICA Applicability ___(A) Pre-CICA; (B) CICA Applicable; (C) Simplified Acquisition Procedures Other than FAR Subpart 13.5; or (D) Simplified Acquisition Procedures Pursuant to FAR Subpart 13.5
B15 Information Technology Products or Services ___(A) Commercially Available Off-the-Shelf Item; (B) Other Commercial Item of Supply; (C) Nondevelopmental Item Other man Commercial Item; (D) Other Noncommercial Item of Supply; (E) Commercial Service; or (F) Noncommercial Service.
B16 Clinger-Cohen Act Planning Compliance _ (Y) Yes; or (N) No