Attachment 5 - Facility Government Review.pdf

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DOJ SEAL

FEDERAL GRAND JURY COURT REPORTER'S SECURITY REVIEW - COMMERCIAL FACILITY

ADMINISTRATIVE INFORMATION

ADMINISTRATIVE INFORMATION

to Period of Performance:

SECTION A - CONTRACT INFORMATION

SECTION A - CONTRACT INFORMATION

SECTION B - COURT REPORTERS

SECTION B - COURT REPORTERS

NAME (LAST, FIRST, MI)

BACKGROUND INVESTIGATION TYPE

DATE OF INVESTIGATION

DATE EOUSA APPROVED BI OR WAIVER

NATIONAL SECURITY CLEARANCE LEVEL (IF ANY)

DATE OF SIGNED CR SECURITY ACKNOWLEDGEMENT

DATE OF LATEST TRAINING ON GRAND JURY SECURITY

FORM OF LATEST TRAINING ON GRAND JURY SECURITY

Page of

GJCR SR CF 04/2025

SECTION C - FACILITY INFORMATION

SECTION C - FACILITY INFORMATION

GJCR SR CF 04/2025

GJCR SR CF

04/2025 Page of

1. Physical address of Grand Jury (GJ) material:

1. List the physical address where Grand Jury (GJ) material will be:

(Room #, Floor, Street, City, State, Zip Code) (Room #, Floor, Street, City, State, Zip Code) (Room #, Floor, Street, City, State, Zip Code) (Room #, Floor, Street, City, State, Zip Code)

4. List the full name(s) of the facility or space owner(s):

4. List the full name(s) of the facility or space owner(s):

First Name Middle Initial Last Name Phone Number eMail

5. List the full name(s) of who has a key, access code, and alarm code to the facility and to the GJ processing/storage space? (Specify to each)

KEY

ACCESS CODE

ALARM CODE

6. List the full name(s) of who has unsupervised and/or unrestricted access to the facility or space:

Full Name (First, MI, Last) Title or Position

SECTION D - PROCESSING AND STORAGE LOCATION INFORMATION

SECTION D - PROCESSING AND STORAGE LOCATION INFORMATION

1. Is the room(s) within the facility or space where GJ material is processed and stored equipped with a lockable door?

1. Is the room(s) within the facility or space where GJ material is processed and stored equipped with a lockable door?

SECTION D - PROCESSING AND STORAGE LOCATION INFORMATION

SECTION D - PROCESSING AND STORAGE LOCATION INFORMATION

GJCR SR CF 04/2025

Page of

2. Is the room(s) within the facility or space dedicated solely to the processing and/or storage of Grand Jury Information (GJI)?

2. Is the room(s) within the facility or space dedicated solely to the processing and/or storage of GJI?

KEY

COMBINATION

ALARM CODE

5. List the full name(s) of who has the key(s) or combination(s) to any door locks and/or alarm codes used to provide access to GJ material:

5. List the full name(s) of who has the key(s) or combination(s) to any door locks and/or alarm codes used to provide access to GJ material:

6. Is there an externally monitored intrusion detection system (IDS) installed for the room(s) where GJ material is processed and stored?

2. Is the room(s) within the facility or space dedicated solely to the processing and/or storage of GJI?

7. Is the IDS connected to a monitoring station?

(Attach a copy of the IDS activity log covering the last quarter, previous 3 months, or since the contract was awarded if less than 3 months.)

2. Is the room(s) within the facility or space dedicated solely to the processing and/or storage of GJI?

10. Is the IDS Key Pad within the room and covered by an alarm sensor?

1. Are Grand Jury notes, drafts, final documents, transcripts, all processing storage media, printed materials, etc., containing GJI stored inside a locked General Services Administration (GSA) approved safe or equivalent? What is the make, model, and serial number of safe?

1. Are Grand Jury notes, drafts, final documents, transcripts, all processing storage media, printed materials, etc., containing GJI stored inside a locked General Services Administration (GSA) approved safe or equivalent? What is the make, model, and serial number of safe?

SECTION E - INFORMATION SECURITY AND INFORMATION TECHNOLOGY

SECTION E - INFORMATION SECURITY AND INFORMATION TECHNOLOGY

GJCR SR CF 04/2025

Page of

MAKE

MODEL

SERIAL NUMBER

4. Describe the exact computer device and any external devices used for preparing and processing GJI? (List brand or make, model, serial number, and any activated wireless capabilities.)

4. Describe the exact computer device and any external devices used for preparing and processing GJI?

(List brand or make, model, serial number, and any activated wireless capabilities.)

2. Are combinations to approved safes or locks on approved storage containers security GJI changed at least annually, when a person who has knowledge of the combination leaves, or when a combination is or may have been compromised? (List date of the last two changes)

2. Are combinations to approved safes or locks on approved storage containers security GJI changed at least annually, when a person who has knowledge of the combination leaves, or when a combination is or may have been compromised? (List date of the last two changes)

3. Are devices and removable media clearly marked or labeled as containing GJI?

3. Are devices and removable media clearly marked or labeled as containing GJI?

BRAND OR MAKE

MODEL

SERIAL NUMBER

ACTIVATED WIRELESS CAPABILITY

5. List the full name(s) of all users of the device(s) used for GJ:

5. List the full name(s) of all users of the device(s) used for GJ:

Full Name (First, MI, Last) Title or Position Role

GJCR SR CF 04/2025

Page of

SECTION E - INFORMATION SECURITY AND INFORMATION TECHNOLOGY

SECTION E - INFORMATION SECURITY AND INFORMATION TECHNOLOGY

6a. List any external or partner company and individual by full name(s)?

5. List the full name(s) of all users of the device(s) used for GJ:

External or Partner Company Name(s) Full Names (First, MI, Last)

GOVERNMENT REVIEW

GOVERNMENT REVIEW

GJCR SR CF 04/2025

Page of I certify that I have reviewed the facility and their processes are required. The results of the review are contained in this completed in this completed document. (select one):

I certify that I have reviewed the facility and their processes are required. The results of the review are contained in this completed in this completed document. (Select one):

Additional comments or observations or attached 11.0.1.20150601.2.919255.899636