Appendix_J-12_-_CSP_Questionnaire.docx

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Overseas Installation Services (OSIS) for Department of State
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19AQMM19R0182
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Appendix J-12

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Text version

Information Required for OBO/SM to Draft a CSP Please fill out the form below and send as an attachment to OBO Security Management for processing.

Post, Country:
Project Name:
Project Proponent POC:

SCOPE SPECIFICS

Scope

Please describe the scope of work in a concise paragraph:

Estimated start date for construction

Estimated end date for construction

Estimated cost of the project

Notes:

Please select area(s) where work will be performed.

Area

☐ CAA Restricted

☐ CAA Core

☐ PCC

*Work in the PCC requires TS cleared Americans under escort by TS Crypto cleared Americans. This is coordinated by the project proponent with the Post IMO

☐ CAA Contiguous Will work be performed in GWA/LAA spaces that are contiguous/adjacent to CAA?

If Yes, which spaces is the work contiguous to:

☐ CAA Restricted ☐ CAA Core

☐ PCC

Will any material penetrate the plane of the CAA (e.g. anchors)? ☐ Yes ☐ No If Yes, the material must be secure material.

Notes:

LABOR

Please select labor category that will complete the construction.

Cleared Labor

☐ Uncleared

☐ Secret Cleared American Worker

☐ Top Secret Cleared American Worker

Notes:

MATERIAL SECURITY & LOGISTICS

CAA Material Procurement

☐ U.S. Secure Procurement

☐ Random Selection

☐ Local Random Procurement

☐ DS-Approved Inspection *Must be coordinated with SEO by proponent and DS-CAT through OBO/SM

Notes:

Secure Shipping

☐ Trapped Container (Secure Shipment)

☐ Courier Escort

☐ Diplomatic Secure Pouch

Notes:

Secure Storage

☐ Existing CAA Space

☐ Container on the Compound

☐ Existing Post Secure Storage Area

* Secure storage requires DS approved Locks, Alarms, and 24/7 CCTV coverage

Notes:

Project Execution/Documentation

The Regional Security Officer will be assigned as the Site Security Manager. The RSO may delegate the day to day duties to a cleared American, usually from the section managing the project.

The day to day duties would include maintaining project documentation such as logbooks detailing the work within the CAA, full identification of workers, materials, details of work, clearance levels, date and length of work time per shift, and a narrative explaining any anomalies or incidents involving personnel or materials relating to this project.

OBO/CFSM/SM/SOD/SSO

Last Revision Jul 2018

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