1.1.4 SOW 20149226 Pest Control Services.pdf

Statement of Work (SOW) U.S. Customs and Border Protection (CBP), U.S. Border Patrol (USBP), Tucson Sector

Pest Control Management Service Requirement

1. BACKGROUND:

The U.S. Border Patrol Tucson Sector has a requirement for Pest Control Management Services throughout the surrounding stations, checkpoints, and facilities listed in section 7.

The U.S. Border Patrol Tucson Sector has a need for a thorough inspection, treatment and prevention; which involves exterior and interior locations in the vicinity of the structure. After conducting the inspection, the technician shall discuss any problems with the Contract Specialist or Point of Contact (POC) listed in paragraph 10.

2. SCOPE:

The Contractor shall provide Integrated Pest Management (IPM) services to prevent and control a wide variety of arthropod and vertebrate pests including but not limited to cockroaches, termites, ants, fleas, stored product pests, mosquitoes, mice, rats, bats, bees, and wasps at all U.S. Border Patrol Tucson Sector as identified in section 7. The scope of this contract is to establish an environmentally sound and effective IPM program to prevent general arthropod and vertebrate pests and disease vectors from adversely affecting U.S.

Border Patrol installation operations. This includes, at a minimum:

• Thoroughly inspecting all areas suspected of pest infestation(s) and surrounding areas/facilities up to 25 feet, as necessary.

• Communicating constantly with the government POC regarding planned actions and recommendations.

• Recommending structural and procedural modifications to reduce food, water, harborage and access used by pests.

• Using appropriate non-chemical technologies to control pests, where possible.

• Judiciously using pesticide products, formulations and application methods that present the lowest potential hazard to human health, non-target animals and the environment.

• Recording and reporting all integrated pest management operations including surveillance, inspections, non-chemical and chemical control.

• Pest Control Unscheduled Services – Due to Unpredictable circumstances with pests;

The vendor will respond to urgent requests within (2) two hours of notification to remedy or exterminate pests which will allow Border Patrol to continue operations.

The Vendor will provide an Unscheduled services callout rate, to include hourly rate.

• The Vendor will provide two (one Back-up) phone numbers. These numbers will be answered after normal business hours in the event of urgent requirements.

Federal agencies are mandated by Public Law (Section 136r-1 of title 7, United States Code) to use IPM. The Contractor shall use best management practices and recognized industry standards for managing pests such as those established by national pest management organizations, and follow the guidance provided by State Pesticide Regulatory agencies and State institutions of higher learning. However, the Contractor shall be responsible for complying with all federal, state, and local laws, including but not limited to the National Environmental Policy Act of 1969, PL 92-516, the Federal Insecticide, Fungicide and Rodenticide Act of 1972, as amended.

3. APPLICABLE DOCUMENTS:

National Environmental Policy Act of 1969 Arizona Depart of Agriculture Registrants of Pesticide Products PL 92-516 The Federal Insecticide, Fungicide and Redenticide Act of 1972 (as amended)

4. SPECIFIC TASKS:

The Contractor shall perform pest control service to the locations identified in section 7. Pest control service shall be performed by a specially trained Arizona State Certified Technician. The Contractor shall be responsible for the following project management activities:

4.1 Contractor Work Plan

The Contractor shall develop and maintain a detailed Contractor’s Work Plan (CWP) for each location. The CWP, based on the schedule prepared as part of the Contractor proposal, shall specify the schedule, technical approach, and resources required for the planning, execution, and completion of the performance objectives. Contractors may review the installation’s historical records of pest activity and abatement actions, survey facilities and grounds, and consult with the POC in development of a plan. The CWP shall address continuous monitoring, pest response and removal procedures, record keeping, warranties, education and communication to installation personnel to prevent nuisance pests and disease vectors in and around specified buildings. The CWP shall include labels, MSDS sheets, and the planned pesticide use proposal and comply with all applicable local, state, and Federal regulations.

As part of the CWP, the Contractor shall develop a schedule that fully supports the technical approach and that outlines the due dates, monthly fees and annual costs. It is the U.S. Border Patrol intent to make all payments after verification of performance in accordance with this schedule. The Contractor shall coordinate activities with the POC to ensure that the proposed project schedule does not conflict with other Contractor activities on site, or interrupt installation mission activities.

4.2 Expertise and Necessary Personnel

All Contractor personnel shall understand IPM principles and practices and be capable of implementing them. The Contractor shall have the background and experience to be capable of identifying pests and knowledgeable about pest life cycles, habits and the conditions that affect pest populations. Additionally, the Contractor shall have a written IPM policy describing their overall objectives relating to IPM.

4.3 Licensing and Certification

The Contractor shall possess a business license issued by the state of Arizona to provide pest control services. The Contractor shall provide proof of licensing to the government prior to contract award.

All Contract personnel employed who will apply or supervise the application of pesticides under this contract shall possess commercial certification by the State of Arizona in the appropriate EPA-approved State categories for the work requirements of the contract. All Contractor personnel who apply pesticides shall have full commercial certification. Neither private applicator certification nor registered technician certification are acceptable. Proof of State certification shall be provided to the government prior to contract award along with a list of vendor personnel.

4.4 Additional Requirements

All Contract vehicles used for pest control operations shall not be used for other purposes in connection with this contract. Vehicles shall be secured at all times to prevent unauthorized access. All pesticides carried on vehicles shall be stored in a locked compartment separate from the cab of the vehicle. Vehicles shall be equipped with a fire extinguisher, emergency wash water, a portable emergency eye wash and a portable spill and decontamination kit.

Vehicles shall be marked as required by Arizona State.

The Contractor shall repair and maintain all equipment in accordance with manufacturer’s instructions. Equipment shall be in good operating condition, free of visible deterioration, shall not leak, and shall be calibrated to apply pesticides in accordance with the pesticide product label. Proof of calibration may be requested by the government. Equipment that has failed shall be replaced and/or repaired by the Contractor prior to resuming operations. The Contractor must clearly and plainly mark all pesticide application equipment including rodent bait stations and glue traps with the company’s name, a point-of-contact, and phone number.

The Contractor shall assume responsibility for all Contractor-owned equipment or other items.

The Contractor shall procure, handle, store, and apply pesticides in strict accordance with the EPA registered pesticide label. Only certified applicators shall operate pesticide application equipment. All pesticides shall be used in accordance with Federal, state, local laws, and installation regulations.

Prior to use, the Contractor shall request approval for all pesticides. The Contractor shall ensure that all pesticides proposed for use on U.S. Border Patrol installations are EPA registered and registered with the Arizona Department of Agriculture. Approvals may be made and limited to specific pests/sites. During the term of this contract the Contractor shall submit an OCPUR for additional pesticides to the POC for review and approval by the designated U.S. Border Pest Management Advisor. The Contractor shall not deviate from the approved listed pesticides without prior approval from the POC. The pesticides list being used shall reflect only the currently approved pesticides for application on the installation and updated as additional products are approved and/or as other products deleted.

4.5 Pesticide Storage, Mixing and Disposal

The Contractor shall not store pesticides on Government property. All pesticides shall be stored off Government property, or inside of the secured Contractor vehicle(s).

The Contractor shall not mix pesticides on Government property. All pesticides must be mixed prior to arrival at the installation.

All pesticides, rinse water, and containers shall be disposed of in accordance with label directions. The Contractor shall dispose of any pesticides, pesticide containers, pesticide residue, pesticide rinse water, or any pesticide contaminated article at an authorized disposal area off of Government property.

4.6 Pesticide Spills

The Contractor shall immediately report all spills of hazardous materials to the POC and shall be financially responsible for the clean-up of any spills. Spills shall be managed in accordance with the installation’s Spill Contingency and Countermeasure Plan. The Contractor shall have on-hand spill containment equipment and materials necessary to contain spills of pesticides and other pest control materials and supplies that are on the installation.

4.7 Personal Protective Equipment

The Contractor shall provide Personal Protective Equipment (PPE) to each of their pest control applicators. This equipment shall include, at a minimum, the PPE required by the applicable pesticide labels and MSDSs.

4.8 Occupied Spaces

Liquid or aerosol pesticide shall not be applied in occupied spaces when people are present.

Dust pesticide formulations shall not be applied in occupied spaces if the dust can be carried by air currents to people. Gel baits, cockroach, rodent and ant bait stations or other pesticide formulations that do not volatize or carry on air currents may be applied in occupied spaces.

4.9 Records and Reports

The Contractor shall prepare, submit, and maintain daily and or monthly pest management records and reports for each pest management service provided to include surveillance, non-chemical controls and pesticide applications. Records shall be accurate and complete. Records shall include: the installation name, pesticide common name from the label that was applied, pesticide formulation, EPA Registration Number, target pest, the type of application and final concentration applied, the amount of final spray or dry formulation, date of application, location of the service, building number, and address that accurately identifies the location, the pounds of active ingredient applied, and the pest controller’s name and certification number. All pest management records shall be submitted electronically (via disk or e-mail attachment) to the POC monthly.

5. DELIVERABLES AND DELIVERY SCHEDULE: The Contractor shall perform monthly Pest Control Services on a regular scheduled basis as identified in Table 1. If the regular scheduled day falls on a holiday, prior arrangements for rescheduling service will be made. Vendor will not deviate from the delivery schedule below with out prior approval from the Contract Specialist. In addition to the services provided annually (every twelve months) if applicable; the Contractor will respond for additional services during the year, if deemed necessary by the Station, Contract Specialist or COR.

Table 1. Pest Control Service Schedule

Deliverables Delivery Schedule Integrated Pest Management Plan Upon Contract Award Contractor Work Plan 30th of each month Tucson Headquarters Pest Control Inspection 1st Tuesday of each month Tucson Station Pest Control Inspection 1st Tuesday of each month Tucson Air Branch Pest Control Inspection 1st Tuesday of each month Tucson Headquarters Annex Pest Control Inspection

1st Tuesday of each month

Willcox Station Pest Control Inspection 2nd Wednesday of each month Equestrian Training Facility Pest Control Inspection 2nd Wednesday of each month Highway 90 Interim Checkpoint Pest Control Inspection

2nd Thursday of every other month

Sierra Vista Air Branch & UAS Pest Control Inspection

2nd Thursday of each month

Douglas Station Pest Control Inspection 2nd Thursday of each month Douglas Station Annex Pest Control Inspection 2nd Thursday of each month Hedglen FOB Pest Control Inspection 2nd Thursday of each month Brian A. Terry Station Pest Control Inspection 2nd Thursday of each month Coronado FOB Pest Control Inspection 2nd Thursday of each month Ajo Station Pest Control Inspection 3rd Thursday of each month Papago Farms FOB Pest Control Inspection 3rd Thursday of each month Boundary FOB Pest Control Inspection 3rd Thursday of each month North Highway 85 Interim Checkpoint 3rd Thursday of each month Casa Grande Station VMF Pest Control Inspection 3rd Thursday of each month San Miguel FOB Pest Control Inspection 3rd Thursday of each month Three Points Sub-Station Pest Control Inspection 4th Thursday of each month Sasabe FOB Pest Control Inspection 4th Thursday of each month Nogales Station Pest Control Inspection 4th Friday of each month

Deliverables Delivery Schedule I-19 Interim Checkpoint Pest Control Inspection 4th Friday of each month Sonoita Station Pest Control Inspection 4th Friday of each month

6. GOVERNMENT-FURNISHED EQUIPMENT AND INFORMATION:

All equipment used to fulfill this contract requirement will be furnished by the Contractor. No Government furnish equipment will be provided.

7. PLACE OF PERFORMANCE:

Service shall be performed at the locations listed in table 1 at a minimum of once a month depending on the service required. Service may require more than one visit to eliminate pest issues. Note: All building data are estimated square feet gross areas.

Location 01: Tucson Sector Headquarters 2430 S. Swan Rd, Tucson, AZ 85711 Building Data: Administrative Bldg 1 – 57,571 SF; Processing Bldg 2 – 17,220 SF; Facility Maintenance Bldg 3 – 33,534 SF; Garage Bldg 4 – 40,561 SF; Data Management Bldg 6 –

1,904 SF

Tucson Station Bldg 7 – 26,051 SF; Building 8 – 30,183 SF

Location 02: Tucson Sector HQ Annex 1970 West Ajo Way, Tucson AZ 85713 Building Data: Modular Bldg 1A – 2,700 SF; Facility Maintenance Bldg – 720 SF

Location 03: Ajo Station 850 N. Highway 85, Ajo, AZ 85321 Building Data: Administration/ Operations/ Detention Bldg– 59,598 SF; Facility Maintenance Bldg – 8,433 SF; Vehicle Maintenance Bldg - 9,120 SF; Tire Storage – 2,184 SF; Radio Tower Bldg – 120 SF

Location 04: Papago Farms FOB 0.25-mile South of FR 21 terminus, Sells, AZ 85634 Building Data: Agent Support Bldg - 4,620 SF; Storage/Service Bldg - 810SF; Building B Dorm – 5,040 SF

Location 05: Boundary FOB El Camino Del Diablo, Organ Pipe National Monument, AZ 85321 Building Data: Agent Support Bldg – 6,048 SF; Processing Bldg – 1152 SF

Location 06: North Highway 85 Interim Checkpoint Mile Post 18 Building Data: Support Trailer – 320 SF

Location 07: Casa Grande Station VMF 9480 W Adams Rd., Eloy, AZ 85131

Building Data: Bldg A - 1,200 SF; Bldg B - 480 SF; Office Modular Bldg C - 3,000 SF;

Maintenance Garage - 1,500 SF; OIT Modular Bldg D – 1,000 SF

Location 08: San Miguel FOB Indian Route 19 – 1.5 miles N of Intl Border, San Miguel, AZ 85634 Building Data: Agent Support Bldg – 5,600 SF; Processing Bldg – 4,200 SF; Tohono O’odham Nation Support Bldg – 1,100 SF

Location 09: Douglas Station 1608 S. Kings Highway, Douglas, AZ 85607 Building Data: Bldg A, B, C - 53,000 SF; Garage Bldg – 24,395

Location 10: Douglas Station Annex 1051 Lawrence Avenue, Douglas, AZ 85608 Building Data: Main Bldg – 6,080 SF; Detention Modular - 2,160 SF; Garage Bldg – 2,184 SF; Dispatch Modular - 960 SF; Supervisor Modular - 1,200 SF; Training Modular - 1,200 SF

Location 11: Hedglen FOB 7161 E. Guadalupe Canyon Rd., Douglas, AZ 85607 Building Data: Agent Support Bldg – 6,048 SF; Processing Bldg – 1,320 SF

Location 12: Brian A. Terry (Naco) Station 2136 Naco Highway, Bisbee, AZ 85603 Building Data: Administration Bldg A – 13,219 SF; Operations Buildings B and C – 20,926 SF; Processing Bldg D – 14,091 SF; Vehicle Maintenance Bldg – 23,297 SF; Training Modular Bldg 5 – 5,280 SF; Horse Patrol Unit Bldg 3 - 1,100 SF; Old Main Bldg 1 – 4,176 SF; Indoor Firing Range – 11,586 SF

Location 13: Coronado FOB W Montezuma Canyon Rd, Hereford, AZ 85615 Building Data: Administration Support Modular – 3,920 SF

Location 14: Nogales Station 1500 W. La Quinta Rd, Nogales, AZ 85621 Building Data: Main Bldg, Administration, Garage and Warehouse – 223,302 SF; Guard Bldg

– 180 SF; Indoor Firing Range – 8,000 SF

Location 15: I-19 Interim Checkpoint, Mile Post 42 1500 W. La Quinta Rd, Nogales, AZ 85621 Support Trailer - 384 SF; Mobile Processing Center - 451 SF

Location 16: Sonoita Station 3225 Highway 82, Sonoita, AZ 85637 Building Data: Main Bldg - 4,400 SF; Processing Bldg – 4,200 SF; Operations Modular –

6,300 SF

Location 17: Three Points Sub-Station 16435 West Ajo Way, Robles Junction, AZ 85635 Building Data: Main Bldg – 2,160 SF; Support Modular – 3,000 SF; Fitness Building – 559 SF; Administration Building #3 – 2,392 SF

Location 18: Sasabe FOB 41455 S. Sasabe Rd., Sasabe, AZ 85633 Building Data: Detention Modular – 2,880 SF; Houses, 4 each – 5,556 SF total

Location 19: Willcox Station 200 S. Rex Allen Jr. Dr., Willcox, AZ 85643 Building Data: Administration and Processing Bldg – 34,039 SF; Vehicle Maintenance Bldg

– 8,512 SF; Special Operations Bldg – 7,000 SF

Location 20: Equestrian Training Facility, Kansas Settlement 3293 East Kimzey Rd, Willcox, AZ 85643 Building Data: Supervisors Dorm Bldg 1 – 1,080 SF; Training Bldg 2 – 1,080 SF;

Training/Dorm Bldg 3 – 1,440 SF; Shower Trailers, 2 each – 240 SF total

Location 21: Highway 90 Interim Checkpoint Northbound Highway 90 at mile marker 304.5, North of Whetstone, AZ Building Data: Support Bldg – 2,000 SF

Location 22: Sierra Vista Air and Marine 2400 Gerstner Road, Building 91081A Fort Huachuca, AZ 85613 Building Data: Building 91080A – 2,520 sf, Building 91082A – 2,520 sf, Building 91081A – 2,520 sf, Building 91079A – 1,680 sf, Building 91092A – 800 sf, Item Manager Building. – 240 sf, East Hanger – 10,000 sf, West Hanger – 10,000 sf

Location 23: Davis Monthan Air and Marine 3440 S. 1st Street, Bldg. 1237 DMAFB Tucson, AZ 85707 Building Data: Admin Building – 1,237 sf, S. Hanger building 1144 – 24,846 sf, N. Hanger building 1244 – 24,766 sf, GSE shop bay 4 building 1246 – 3,500 sf

8. PERIOD OF PERFORMANCE:

The period of performance for this effort shall begin from time of contract award for a twelve (12)-month period and four (4) one year option periods.

9. SECURITY:

The Contractor shall be escorted by a Government employee while performing pest control services.

10. SPECIAL CONSIDERATIONS:

All contract questions and concerns shall be directed to the point of contact as designated below. The Contracting Officer is the only individual with the authority to modify this contract.

Contracting Officer’s Representative (COR):

To be provided upon award.

mailto:robert.j.swann@cbp.dhs.gov

HSAM Appendix G – Individual Checklist for Controlled Unclassified Information

Procurement Title: ______________________ Requisition #: _______________________ Estimated Contract Value (incl. options): __________________________________________

Instructions: The requiring office shall complete this checklist for all acquisitions, including assisted acquisitions, regardless of dollar value. The requiring official shall ensure the Statement of Work, Statement of Objective, Performance Work Statement or specification is reviewed by the organizations identified at HSAM 3004.470(b) and obtain signatures, as applicable, on this checklist when the requiring official determines that (1) contractor and/or subcontractor employees require recurring access to government facilities or access to controlled unclassified information (CUI); (2) CUI will be collected or maintained on behalf of the agency; or (3) Federal information systems, which include contractor information systems operated on behalf of the agency, will be used to collect, process, store, or transmit CUI. If it is not clear to the requiring official if the contractor will have access to CUI and/or Federal information systems, which include contractor information systems operated on behalf of the agency, will be used to collect, process, store, or transmit CUI, the requirements official shall at a minimum consult with the Component Chief Information Officer (CIO), Chief Security Officer (CSO) and Privacy Officer. The requiring office shall submit the completed checklist as part of the procurement request package in accordance with HSAM 3004.7101. Failure to submit a completed checklist will result in the return of the procurement request package. The contracting officer is responsible for routing the checklist to the Head of Contracting Activity (HCA) or designee for signature and ensuring the solicitation and resultant contract reflect the requirements contained in the checklist.

A. Controlled Unclassified Information and Access Requirements (completed by the requiring office):

1. Will the contractor have access to any of the types of CUI (see CUI definition in HSAR 3002.101) listed below during the acquisition?

Yes No Chemical-terrorism Vulnerability Information (CVI) Yes No Homeland Security Agreement Information Yes No Homeland Security Enforcement Information Yes No Information Systems Vulnerability Information (ISVI) Yes No International Agreement Information Yes No Operations Security Information Yes No Personnel Security Information Yes No Physical Security Information Yes No Protected Critical Infrastructure Information (PCII) Yes No Personally Identifiable Information (PII) Yes No Sensitive PII (SPII) Yes No Sensitive Security Information (SSI) Other type of CUI _______________________________________

2.

3.

4.

5.

Note: If the answer is “Yes” to any of the information types listed above, the contracting officer shall include HSAR 3052.204-72 Safeguarding of Controlled Unclassified Information in the solicitation and resultant contract. If “Yes” is answered for PII and/or SPII, the contracting officer shall also include HSAR 3052.204-73 Notification and Credit Monitoring Requirements for Personally Identifiable Information Incidents in the solicitation and resultant contract.

Will contractor employees have access to DHS information systems? Yes No

Will contractor employees require recurring access to Government facilities?

Yes No

Note: If the answer is “No” to questions 1 through 3, proceed to the Signatures section of the checklist. When the answer is “No” to questions 1 through 3, the checklist shall, at a minimum, be signed by the requiring official and the HCA (or designee).

If the answer is “Yes” to any of questions 1 through 3, identify the information security, personnel security, and privacy clauses and provisions to be included in the solicitation and resultant contract:

Yes No FAR 52.224-3 Privacy Training – Alternate I (see FAR Class Deviation 17-03, Revision 1)

Yes No HSAR 3052.204-71 Contractor Employee Access Yes No HSAR 3052.204-71 Contractor Employee Access Alt I Yes No HSAR 3052.204-71 Contractor Employee Access Alt II Yes No HSAR 3052.204-72 Safeguarding of Controlled Unclassified

Information Yes No HSAR 3052.204-72 Safeguarding of Controlled Unclassified

Information Alt I Yes No HSAR 3052.204-73 Notification and Credit Monitoring

Requirements for Personally Identifiable Information Incidents Yes No Special Clause Information Technology Security Awareness Training

(see HSAR Class Deviation 15-01, Revision 1) Yes No Other:

If foreign end products or services are allowed under the contract, what additional security provisions are to be included in the solicitation to protect CUI and facilities from unauthorized access and disclosure?

B. Authority to Operate (ATO) and Continuous Monitoring Data Requirements (completed by requiring office in coordination with Component CIO or designee):

1. Will Federal information systems, which include contractor information systems operated on behalf of the agency, be used to collect, process, store, or transmit CUI?

2. If “Yes” to #1, has the requiring office coordinated development of the Security Requirements Traceability Matrix (SRTM) with the Component CIO or designee for inclusion in the solicitation? Yes N/A (only if “No” to #1)

3. If “Yes” to #1, will the solicitation require the submission of a draft security plan and instructions on how the draft security plan will be evaluated? Yes N/A (only if “No” to #1)

4. If “Yes” to #1, does the requirements document identify how the contractor should submit monthly continuous monitoring data to the Government? Yes N/A (only if “No” to #1)

5. If “Yes” to #1, identify and describe the continuous monitoring data requirements to be included in the solicitation.

Note: When Federal information systems, which include contractor information systems operated on behalf of the agency, will be used to collect, process, store, or transmit CUI , the SRTM shall be included in the solicitation. The SRTM is prepared by the Component CIO or designee in coordination with the requiring office and shall be included in the procurement request package as an attachment to the requirements document (i.e., Statement of Work, Statement of Objectives, Performance Work Statement). Contracting officers shall ensure the solicitation requires vendors to submit a draft security plan with their proposal/quotation as their response to the SRTM. Instructions on how the draft security plan will be evaluated shall be included in the solicitation.

C. Data Retention Requirements (completed by requiring office):

1. Will the contractor be required to retain CUI for the Government?

2. If “Yes” to #1, does the requirements document identify (a) retention requirements (e.g., length of time data must be retained before return and/or destruction) and (b) security requirements for the protection of retained data? Yes N/A (only if “No” to #1)

3. If “Yes” to #1, identify and describe the retention and security requirements to be included in the solicitation.

4. Does the Government have a plan to monitor and/or ensure contractor compliance with the retention and security requirements identified? Yes N/A (only if “No” to #1)

5. If “Yes” to #1, describe the Government’s plan to monitor and/or ensure contractor compliance with the retention and security requirements identified in the acquisition.

D. Additional Privacy Considerations (completed by requiring office in coordination with Component Privacy Officer or designee):

1. Is privacy compliance documentation (Privacy Threshold Analysis, Privacy Impact Assessment, and/or System of Record Notice, as appropriate) required for this procurement? Yes No N/A

2. If “Yes” to #1, has any of the following privacy compliance documentation been completed?

Yes No N/A Privacy Threshold Analysis Yes No N/A Privacy Impact Assessment Yes No N/A System of Record Notice Yes No N/A Other:_____________________________________________

3. Is contractor support needed to complete privacy compliance documentation?

Yes No N/A

4. If contractor support is needed to complete the privacy compliance documentation, does the requirements document identify the activities and level of contractor support needed?

Yes N/A (only if “No” or “N/A” to #3)

5. If “Yes” to #3, identify and describe the activities and level of contractor support needed to complete the privacy compliance documentation.

Signatures:

Signature DHS Component and Organization

Telephone Number

Requiring Official (or official title)

Component Chief Information Officer (CIO) or designee

Component Chief Security Officer (CSO) or designee

Component Privacy Officer or designee

TSA SSI Program Office, as applicable

CISA CVI Program Office, as

CISA PCII Program Office, as

Head of the Contracting Activity or designee

Page 5 of 5 HSAM Notice 2023-10

Procurement Title: USCBP Tucson & Sierra Vista AMOPest Control Services

Requisition: 20149226

Estimated Contract Value incl options: $189,615.78

Other type of CUI:

NA Other:

59: Choice1

60: Choice1

61: Choice2

62: Choice1

63: Choice2

64: Choice1

65: Choice2

66: Choice1

67: Choice2

68: Choice1

69: Choice1

Text47:

Text48: N/A

70: Choice1

71: Choice2

72: Choice1

73: Choice2

Text49: N/A

74: Choice1

75: Choice2

Text50: N/A

76: Choice1

Text51: N/A

77: Choice2

78: Choice1

79: Choice2

80: Choice1

81: Choice2

82: Choice1

83: Choice2

Text52: N/A

2025-02-03T10:51:53-0700

ROBERT J SWANN

DHS Component and Organization: Requiring Official or official title: BPAM, OSF

Telephone NumberRequiring Official or official title: (520) 748-3207

DHS Component and Organization: Component Chief Information Officer CIO or designee:

Telephone NumberComponent Chief Information Officer CIO or designee:

DHS Component and Organization: Component Chief Security Officer CSO or designee:

Telephone NumberComponent Chief Security Officer CSO or designee:

DHS Component and Organization: Component Privacy Officer or designee:

Telephone Number: Component Privacy Officer or designee:

DHS Component and Organization: TSA SSI Program Office as applicable:

Telephone Number: TSA SSI Program Office as applicable:

DHS Component and Organization: CISA CVI Program Office as applicable:

Telephone Number: CISA CVI Program Office as applicable:

DHS Component and Organization: CISA PCII Program Office as applicable:

Telephone Number: CISA PCII Program Office as applicable:

DHS Component and Organization: Head of Contracting Activity or designee: CBP, OA, BECD-Pacific

Telephone Number: Head of Contracting Activity or designee:

Group1: Choice1

Group2: Yes

Group3: Yes

Group4: Yes

Group5: Yes

Group6: Yes

Group7: Yes

Group8: Yes

Group9: Yes

Group10: Yes

Group11: Yes

Group12: Yes

Group13: Off