UNCLASSIFIED

WARNING: This document is the property of the U.S. Government. Further reproduction and/or distribution is prohibited without express written permission. Information on this document is not to be altered except with written approval of the individual whose seal appears here on.

SPECIFICATIONS

NEW OFFICE BUILDING 401 – TENANT 6 & DRY COOLER

IFC Submission

Date:

February 6, 2025

Solicitation Number:

70FA5025B00000001

Prepared For:

Department of Homeland Security Federal Emergency Management Agency

WARNING: This document is the property of the U.S. Government. Further reproduction and/or distribution outside of the contractor team is prohibited without express written permission. Information on this document is not to be altered except with written approval of the individual whose seal appears here on.

SPECIFICATIONS

NEW OFFICE BUILDING 401 – TENANT 6 & DRY COOLER

IFC Submission February 6, 2025

Prepared For: Department of Homeland Security

Prepared By: Mason & Hanger (M&H) 4880 Sadler Road, Suite 300 Glen Allen, VA 23060 Phone: (804) 285-4171 Point of Contact: Matthew Donald M&H Project No.: HN.00353.06

New Office Building 401 – Tenant 6 & Dry Cooler IFC Submission

Solicitation No. 70FA5025B00000001 February 2025

TABLE OF CONTENTS TOC - 1

VOLUME I – TENANT 6

DIVISION 01 – GENERAL REQUIREMENTS

011100 SUMMARY

011400 WORK RESTRICTIONS

012600 CONTRACT MODIFICATION PROCEDURES

012900 PAYMENT PROCEDURES

013100 PROJECT MANAGEMENT AND COORDINATION

013200 CONSTRUCTION PROGRESS DOCUMENTATION

013300 SUBMITTAL PROCEDURES

014000 QUALITY CONTROL PROGRAM

014200 REFERENCES

015000 TEMPORARY FACILITIES AND CONTROLS

015950 SAFETY AND HEALTH

016000 PRODUCT REQUIREMENTS

017000 EXECUTION REQUIREMENTS

017320 SELECTIVE DEMOLITION

017329 CUTTING AND PATCHING

017350 FIRE PREVENTION REQUIRMENTS FOR HOT WORK

017419 CONSTRUCTION WASTE MANAGEMENT AND DISPOSAL

017700 CLOSEOUT PROCEDURES

017800 CONSTRUCTION OPERATIONS BUILDING INFORMATION EXCHANGE (COBIE)

017823 OPERATION AND MAINTENANCE DATA

017900 DEMONSTRATION AND TRAINING

019113 GENERAL COMMISSIONING REQUIREMENTS

DIVISION 05 - METALS

055000 METAL FABRICATIONS

DIVISION 06 - WOOD, PLASTICS, AND COMPOSITES

061000 ROUGH CARPENTRY

062023 INTERIOR FINISH CARPENTRY

066119 QUARTZ SURFACING FABRICATIONS

DIVISION 07 - THERMAL AND MOISTURE PROTECTION

078413 PENETRATION FIRESTOPPING

078443 JOINT FIRESTOPPING

079200 JOINT SEALANTS

079219 ACOUSTICAL JOINT SEALANTS

DIVISION 08 - OPENINGS

081113 HOLLOW METAL DOORS AND FRAMES

081416 FLUSH WOOD DOORS

083113 ACCESS DOORS AND FRAMES

083473.13 METAL SOUND-CONTROL DOOR ASSEMBLIES

083437.16 WOOD SOUND CONTROL DOOR ASSEMBLIES

087100 DOOR HARDWARE

088000 GLAZING

TABLE OF CONTENTS TOC - 2

DIVISION 09 - FINISHES

092216 NON-STRUCTURAL METAL FRAMING

092900 GYPSUM BOARD

095113 ACOUSTICAL PANEL CEILINGS

096513 RESILIENT BASE AND ACCESSORIES

096536 STATIC-CONTROL RESILIENT FLOORING

096813 TILE CARPETING

096900 ACCESS FLOORING

097200 WALL COVERING

097713 STRETCHED-FABRIC WALL SYSTEMS

099123 INTERIOR PAINTING

DIVISION 10 - SPECIALTIES

101100 VISUAL DISPLAY UNITS

102239 FOLDING PANEL PARTITIONS

104413 FIRE EXTINGUISHER CABINETS

104416 FIRE EXTINGUISHERS

105113 METAL LOCKERS

DIVISION 11 - EQUIPMENT

115217 TELEVISION BRACKETS

DIVISION 12 - FURNISHINGS

122413 ROLLER WINDOW SHADES

124600 FURNISHINGS AND ACCESSORIES

DIVISION 13 – SPECIAL CONSTRUCTION

132754 RADIO FREQUENCY SHEILDING

DIVISION 21 – FIRE SUPPRESSION

211313 WET-PIPE SPRINKLER SYSTEMS

DIVISION 23 - HEATING VENTILATING AND AIR CONDITIONING

230500 COMMON WORK RESULTS FOR MECHANICAL SYSTEMS

230513 COMMON MOTOR REQUIREMENTS FOR MECHANICAL EQUIPMENT

230517 SLEEVES AND SLEEVE SEALS FOR HVAC PIPING

230518 ESCUTCHEONS FOR HVAC PIPING

230519 METERS AND GAGES FOR MEHCANICAL SYSTEMS

230523 VALVES FOR MECHANICAL SYSTEMS

230529 HANGERS AND SUPPORTS FOR MECHANICAL PIPING AND EQUIPMENT

230548 VIBRATION CONTROLS FOR MECHANICAL PIPING AND EQUIPMENT

230553 IDENTIFICATION FOR MECHANICAL PIPING AND EQUIPMENT

230593 TESTING, ADJUSTING, AND BALANCING FOR HVAC

230700 MECHANICAL INSULATION

230800 COMMISSIONING OF HVAC

230900 AUTOMATIC TEMPERATURE CONTROLS

232113 HYDRONIC PIPING

232116 HYDRONIC PIPING SPECIALTIES

232500 HVAC WATER TREATMENT

233113 METAL DUCTS

TABLE OF CONTENTS TOC - 3

233300 AIR DUCT ACCESSORIES

233600 AIR TERMINAL UNITS

233713.23 AIR REGISTERS AND GRILLES

DIVISION 26 - ELECTRICAL

260500 COMMON WORK RESULTS FOR ELECTRICAL

260519 LOW-VOLTAGE ELECTRICAL POWER CONDUCTORS AND CABLES

260526 GROUNDING AND BONDING FOR ELECTRICAL SYSTEMS

260529 HANGERS AND SUPPORTS FOR ELECTRICAL SYSTEMS

260533 RACEWAYS AND BOXES FOR ELECTRICAL SYSTEMS

260553 IDENTIFICATION FOR ELECTRICAL SYSTEMS

260574 OVERCURRENT PROTECTIVE DEVICE ARC-FLASH STUDY

260800 COMMISSIONING OF ELECTRICAL SYSTEMS

262200 LOW-VOLTAGE TRANSFORMERS

262416 PANELBOARDS

262726 WIRING DEVICES

263353 STATIC UNINTERRUPTIBLE POWER SUPPLY

265119 LED INTERIOR LIGHTING

265219 EMERGENCY AND EXIT LIGHTING

DIVISION 27 - COMMUNICATIONS

270526 GROUNDING AND BONDING FOR COMMUNICATIONS SYSTEMS

270528.29 HANGERS AND SUPPORTS FOR COMMUNICATIONS SYSTEMS

270528 PATHWAYS FOR COMMUNICATIONS SYSTEMS

270536 CABLE TRAYS FOR COMMUNICATIONS SYSTEMS

270544 SLEEVES AND SLEEVE SEALS FOR COMMUNICATIONS PATHWAYS AND

CABLING

271100 COMMUNICATIONS EQUIPMENT ROOM FITTINGS

271313 COMMUNICATIONS COPPER BACKBONE CABLING

271323 COMMUNICATIONS OPTICAL FIBER BACKBONE CABLING

271333 COMMUNICATIONS COAXIAL BACKBONE CABLING

271500 COMMUNICATIONS HORIZONTAL CABLING

275119 SOUND MASKING SYSTEMS

DIVISION 28 – ELECTRONIC SAFETY AND SECURITY

280513 CONDUCTORS AND CABLES FOR ELECTRONIC SAFETY AND SECURITY

280526 GROUNDING AND BONDING FOR ELECTRONIC SAFETY AND SECURITY

280528 PATHWAYS FOR ELECTRONIC SAFETY AND SECURITY

280544 SLEEVES AND SLEEVE SEALS FOR ELECTRONIC SAFETY AND SECURITY

PATHWAYS AND CABLING

281300 ACCESS CONTROL SYSTEM

281600 INTRUSION DETECTION

283113 DIGITAL, ADDRESSABLE FIRE-ALARM SYSTEM/MASS NOTIFICATION SYSTEM

TABLE OF CONTENTS TOC - 4

VOLUME II – DRY COOLER

DIVISION 23 - HEATING VENTILATING AND AIR CONDITIONING

235700 HEAT EXCHANGERS FOR HVAC

238123.19 DRY COOLER

DIVISION 26 – ELECTRICAL

260543 UNDERGROUND DUCTS AND RACEWAYS FOR ELECTRICAL SYSTEMS

262816 ENCLOSED SWITCHES

DIVISION 31 - EARTHWORK

311000 SITE CLEARING

312000 EARTH MOVING

DIVISION 32 – EXTERIOR IMPROVEMENTS

321313 CONCRETE PAVING

DIVISION 33 - UTILITIES

330500 COMMON WORK RESULTS FOR UTILITIES

VOLUME I

TENANT 6

New Office Building 401 – Tenant 6 IFC Submission

SUMMARY 011000- 1

SECTION 011000 - SUMMARY

PART 1 - GENERAL

1.1 RELATED DOCUMENTS

A. Drawings and general provisions of the Contract, including other Division 01 Specification

Sections, apply to this Section.

1.2 SUMMARY

A. This Section includes the following:

1. Work covered by the Contract Documents.

2. Work under other contracts.

3. Use of premises.

4. Specification formats and conventions.

1.3 WORK COVERED BY CONTRACT DOCUMENTS

A. Project Identification: Department of Homeland Security, Mt. Weather Emergency Operations

Center, Building 401 Tenant fit-out.

B. This is an UNCLASSIFIED construction project.

C. The Work consists of the following:

1. Building 401 Tenant Fit-Out: Work of the Project includes tenant fit-out configuration for personnel to occupy and utilize space on level 2 of Building 401. Work shall include conference room, offices, storage, electrical and IT rooms and special use areas. Fit out area on level 2 is approximately 7000 SF.

2. A separate CLIN and separate pricing shall be included for the addition of a mechanical

Dry Cooler unit and associated site work, power, piping and other support equipment located in the level 1 mechanical room.

3. The Contractor under this Contract shall furnish all labor, materials, equipment, facilities, management, surveys, testing and services necessary to accomplish the project contract requirements. The project site is located at the Mt. Weather Emergency Operations

Center (MWEOC) 19844 Blueridge Mountain Road, Mt. Weather, VA 20135.

4. Site improvements within the project, include but are not limited to:

a. Earthwork, grading, erosion and sediment control.

D. Prepare a sequential plan for coordinated accomplishment of the work and submit to the COR for approval prior to beginning construction.

SUMMARY 011000- 2

E. This project will be constructed under a single prime contract.

F. Perform Work of the Contract under stipulated sum Contract with U.S Government according to

Conditions of Contract.

1.4 WORK UNDER OTHER CONTRACTS

A. General: Additional Work may be conducted under other contracts. Cooperate fully with separate contractors so work on those contracts may be carried out smoothly, without interfering with or delaying work under this Contract. Coordinate the Work of this Contract with the work performed under separate contracts.

1.5 USE OF PREMISES

A. General: Adjacent Buildings 405, 433, 310, 205 , and 437 shall remain operational during construction. Use of premises for construction operations, including use of Project site, during construction period, shall be governed by provisions of Division 01 Sections “Work

Restrictions” and “Temporary Facilities and Controls,” and by Contract limits as indicated on drawings. The Government shall have access to all portions of the Project site at all times for security and inspection purposes.

B. Use of Site: Limit use of premises to work in areas indicated. Do not disturb portions of

Project site beyond areas in which the Work is indicated.

C. Roadways, Driveways and Entrances: Keep roadways, driveways and entrances serving premises clear and available to Government and emergency vehicles at all times. Do not use these areas for parking or storage of materials.

1. Schedule deliveries to minimize use of driveways and entrances.

2. Schedule deliveries to minimize space and time requirements for storage of materials and equipment on-site.

3. A construction entrance shall be constructed as needed to keep the MW roadways free and clear of dirt and mud.

D. Construction Plan: Before start of construction, submit three copies of construction plan regarding access to Work, use of Site, and utility outages for acceptance by Owner. After acceptance of plan, construction operations shall comply with accepted plan unless deviations are accepted by

COTR in writing.

1. Maintain access to existing walkways, corridors, and other adjacent occupied or used facilities. Do not close or obstruct walkways, corridors, or other occupied or used facilities without written permission from Owner and authorities having jurisdiction.

2. Provide not less than 5 work days notice, via outage request and COR coordination, to

Owner of activities that will affect Owner's operations. Activities that may disrupt

Government operations shall require written coordination with and approval by the COR.

SUMMARY 011000- 3

1.6 SPECIFICATION FORMATS AND CONVENTIONS

A. Specification Format: The Specifications are organized into Divisions and Sections using the

21-division format and CSI/CSC's MasterFormatTM section numbering system (1 through 14, 22, 23, 26, 28, 31, 32 and 33).

1. Division 01: Sections in Division 01 govern the execution of the Work of all Sections in the Specifications.

B. Specification Content: The Specifications use certain conventions for the style of language and the intended meaning of certain terms, words, and phrases when used in particular situations.

These conventions are as follows:

1. Abbreviated Language: Language used in the Specifications and other Contract

Documents is abbreviated. Words and meanings shall be interpreted as appropriate.

Words implied, but not stated, shall be inferred as the sense requires. Singular words shall be interpreted as plural, and plural words shall be interpreted as singular where applicable as the context of the Contract Documents indicates.

2. Imperative mood and streamlined language are generally used in the Specifications.

Requirements expressed in the imperative mood are to be performed by Contractor.

Occasionally, the indicative or subjunctive mood may be used in the Section Text for clarity to describe responsibilities that must be fulfilled indirectly by Contractor or by others when so noted.

a. The words "shall," "shall be," or "shall comply with," depending on the context, are implied where a colon (:) is used within a sentence or phrase.

PART 2 - PRODUCTS (Not Used)

PART 3 - EXECUTION (Not Used)

END OF SECTION 011000

WORK RESTRICTIONS 011400 - 1

SECTION 011400 - WORK RESTRICTIONS

PART 1 - GENERAL

1.1 RELATED DOCUMENTS

A. Drawings and general provisions of the Contract, including other Division 01 Specification

Sections, apply to this Section.

B. Comply with requirements in Access Procedures for the Project.

1.2 CONTRACTOR USE OF PREMISES

A. Cooperate with the Government's representatives during construction operations to minimize conflicts and disturbance of Government operations. Perform the Work in a manner that does not interfere with these operations.

B. The Contractor shall limit use of the premises to the Work in areas indicated.

1. Confine operations at the Site to areas indicated on drawings. Do not disturb portions of the site beyond the areas in which Work is indicated.

2. Keep driveways and entrances serving the premises clear and available at all times to the

Government and for emergency vehicles. Do not use these areas for parking or storage of materials.

3. Schedule deliveries to minimize space and time requirements for storage of material and equipment on site.

4. An outdoor storage or lay-down area will be designated for the Project on design drawings.

5. Existing materials and equipment that are removed as part of the construction operations, and that are not reused or designated to be salvaged as Government or other's property, shall become the property of the Contractor and shall be removed from the site. Storage or sale of excess salvageable materials and equipment is not permitted on site.

6. Pollution producing equipment shall not be located near air intakes where airborne smoke or fumes could be drawn into the building.

7. Parking will be available at the Building 400 Lot for Contractor and Subcontractor employees, or within the fenced project site.

C. Existing Utility Interruptions: Do not interrupt utilities serving facilities occupied by Owner or others unless permitted under the following conditions, and then only after arranging to provide temporary utility services according to requirements indicated:

1. All utility interruptions are to be coordinated with the Federal Emergency Management

Agency (FEMA) representative and COR.

2. FEMA must be given a minimum of 5 (five) working days advance notice of proposed utility interruptions.

3. Do not proceed with utility interruptions without COR’s written permission and approved outage request.

WORK RESTRICTIONS 011400 - 2

1.3 ACCESS REQUIREMENTS

A. An Area A Access Request will be initiated by the Contractor and all personnel requiring access to the MWEOC. Vehicles will be required to check in on a daily basis and may undergo visual and K9 inspection. All employees must be U.S. citizens and provide proof of citizenship. Non-

U.S. citizens are not permitted access to the MWEOC. Reference the MWEOC Area A Access

Policy at the end of this specification section for access requirements.

1. There are five separate access forms that are required to gain access to the site. Anyone required to access the site must fill out these forms. The five access forms are at the end of this specification section.

1.4 WORKING HOURS

A. Normal working hours at the Mt. Weather Emergency Operations Center are 0600 (6 a.m.) to

1700 (5 p.m.), Monday through Friday, excluding Federal holidays. Construction operations should be restricted to these hours. Any hours outside normal working hours must be coordinated with COR and will require submission of an After Hours Work Request to the COR.

1.5 NOISE CONTROL

A. Local Noise Control Regulations apply. Contractor shall notify COR of operations that may produce noise or other disturbance, such as concrete crushing or similar operations, and obtain approval at least 72 hours before commencing such operations.

1.6 WEATHER DELAYS

A. Weather Delay Definitions.

1. Reasonable Predictable Weather. The number of workdays that one can expect to be lost in any month due to rainfall based on 10-year historical weather data.

2. Rain Day. A potentially lost workday on which rainfall is equal to or greater than 0.10 inches.

3. Drying Day. A work day(s) immediately following a rainfall equal to or greater than 1.00 inch which is potentially lost because of wet ground conditions.

4. Workday. A day not excluded from work. There are currently no days that exclude the

Contractor from working. Normal working days are M-F excluding weekends and holidays. Contractor personnel are permitted to work on weekends and holidays provided that after hours work request from and proper coordination are completed.

5. Unusually Severe Weather. When the number of Actual Workdays Lost is greater than the calculated Total Lost Days for the month in question.

B. Reasonably Predictable Weather. Determine Reasonably Predictable Weather for this contract by completing Table 1. Calculate data for Table 1 as follows:

1. Using the last 10 years of historical weather data from the nearest NOAA weather data collection station, compute the average number of workdays lost (rain days plus drying

WORK RESTRICTIONS 011400 - 3

days) for each month and the standard deviation from the average. Add the average number of workdays lost to the standard deviation.

2. The Total number of Lost Days (Average Workdays Lost plus 1 Standard Deviation, rounded to whole days) will be considered normal for each month.

3. Submit a completed Table 1 with the initial construction schedule.

4. Table 2, MWEOC Weather Data is provided as an unofficial tabulation of rain days observed at the MWEOC over the past several years.

C. Unusually Severe Weather. Under FAR clause 52.249-10, Default (Fixed-Price Construction), the Contractor can request time for delay due to Unusually Severe Weather. The number of

Actual Work Days plus the actual Drying Days occurring in the month in question. From this total, deduct any workdays meeting the following conditions:

1. The Rain Day or Drying Day occurred on a non-work weekday such as a holiday.

2. Rainfall occurred at a time when no weather dependent work was in progress or occurred during planned or unplanned shutdowns due to other circumstances such as equipment failure, strikes, material supplies, delays, etc.

3. The Contractor was still working or able to work on weather dependent activities to the extent that less than 50 percent of the workday was lost due to weather.

4. If the net number of Actual Workdays Lost is greater that the Total Lost Days, then

Unusually Severe Weather occurred during the month in question.

D. Time Adjustments for Rain Delays. If the net number of Actual Workdays Lost to rain is less than the total Lost Days for the month in question, no time adjustments will be made. If the net number of Actual Workdays Lost is more, then an excusable time extension may be granted. The

Contractor must submit a Weather Time Impact Analysis supporting any alleged delays due to

Unusually Severe Weather.

E. Delays Due To Other Weather Conditions. Delays due to other unusually severe weather conditions (snow, extreme cold or heat, high winds, etc.) must be supported with a Weather Time

Impact Analysis using historical weather data.

F. Schedule. The contractor shall be required to submit a construction schedule.

1. The progress schedule shall reflect consideration of these anticipated adverse weather delays in all weather dependent activities.

2. Upon issuance of the Notice to Proceed (NTP) and continuing throughout the contract, the

Contractor shall record on the Daily Contractor Production Report, the occurrence of adverse weather and resultant impact to normally scheduled work. Actual adverse weather delays must prevent work on critical activities for 50 percent or more of the contractor’s scheduled workday.

3. Other Delays. In each instance when the site is closed to Contractor personnel as a result of inclement weather, potentially hazardous conditions, or other special circumstances, the

Contractor shall direct its staff as necessary to take actions such as reporting to its home office or taking appropriate leave consistent with its policies. Each instance shall be recorded on the Daily Production Report as a Lost Workday.

TABLE 1

WORK RESTRICTIONS 011400 - 4

Project Number: ________________________

Location of NOAA Data Collection Station:__________________________

Data Years (10-year history): 20___ through 20___

REASONABLY PREDICTABLE WEATHER

MONTH

AVERAGE

WORKDAYS LOST

STANDARD

DEVIATION

TOTAL LOST DAYS

January

February

March

April

May

June

July

August

September

October

November

December

Total

WORK RESTRICTIONS 011400 - 5

TABLE 2

MWEOC WEATHER DATA

Unofficial Rain Day Count. A Rain Day is defined as the number of days that precipitation equals 0.10 inches of rain or more.

Mean 8.1 6.7 6.1 7.2 11.3 9.6 9.3 7.5 8.5 7.3 5.8 7.4

Std. Dev 2.69 3.02 2.13 2.25 3.59 4.12 2.95 2.72 3.89 2.63 2.94 2.84

"Rain Days" 11 10 8 9 15 14 12 10 12 10 9 10

Year Jan Feb March April May June July August Sept Oct Nov Dec

2011 9 4 12 16 12 7 4 8 15 13 6 7

2012 5 5 6 7 15 8 8 8 8 10 3 7

2013 6 6 8 7 10 12 10 7 2 10 4 13

2014 7 8 7 6 10 9 12 7 6 12 7 8

2015 7 3 9 8 6 17 12 6 8 8 8 10

2016 9 9 5 5 15 10 8 5 9 4 4 9

2017 10 3 6 9 15 10 8 5 9 4 4 3

2018 5 8 7 6 16 15 14 10 18 5 11 10

2019 12 8 8 8 11 4 10 7 4 10 5 9

2020 9 8 8 12 11 7 5 11 6 6 7 9

2021 5 12 5 5 8 12 7 8 9 7 1 2

2022 10 4 2 8 14 8 8 9 8 8 7 6

2023 4 4 4 5 7 9 6 2 11 4 2 8

2024 10

PART 2 - PRODUCTS (Not Applicable)

PART 3 - EXECUTION (Not Applicable)

END OF SECTION 011400

ATTACHMENT: ACCESS FORMS

Section II: Applicant Information

Please refer to the appended instructions when completing this form. Incomplete forms will be returned. This form must be submitted electronically to by the CO, COTR, or Federal POC.

Section I: Requesting Official/Organization

1. Date of Submission 1 2. DHS Organization 1

3. Type of Request 4. Exit Request Reason 1

5a. CO:

Phone DHS Email 1

5b. COTR/Federal POC:

Phone DHS Email 1

6. Prime Contractor 7. Prime Contract No.

8. Task Order No. 9. PIV Required

10. DHS Organization Structure Code

11. Applicant Name 1

12. Position Title 1

13. SSN 1 14. Gender

15. Place of Birth

16. Date of Birth 17. U.S. Citizen

18. Phone 19. Email

Section III: Position Designation

20. Position Risk Level

Section IV: Position Security Clearance Requirement

21. Security Clearance Level 22. DD254 on File

Privacy Act Information

Authority: 5 U.S.C. 5701-5733, Sections 5701-5733 and Executive Order 9397. Purpose: To facilitate the screening of applicants for contractor positions. Disclosure: Participation is voluntary; however, failure to provide this information may delay processing.

1 Indicates fields required for completing an Exit Request.

Last First Middle

City State Country (if not U.S.)

Name 1

Name 1 Last First

Last First

UNCLASSIFIED//FOR OFFICIAL USE ONLY

Complete this section for UNCLASSIFIED CONTRACTS ONLY.

Note: Low Risk is used for Building Access ONLY, where the position will not require access to DHS systems or information.

Complete this section for CLASSIFIED CONTRACTS ONLY.

Note: A DD254 form is required for all contractor positions requiring a security clearance, and should be on file with ISPB.

Select

Select Select None

Select

Select

Select Select

Select

Select

DEPARTMENT OF HOMELAND SECURITY

CONTRACTOR FITNESS/SECURITY SCREENING REQUEST FORM

DHS Form 11000-25 (7/17) Page 1 of 4

Instructions - Completing DHS Form 11000.25, Contractor Fitness/Security Screening Request

General The DHS form 11000.25, Contractor Fitness/Security Screening Request is used by DHS federal employees to request that the Office of Security, Personnel Security Division (PSD) perform the appropriate fitness screening on contract employees based on the risk levels of their positions. The risk level is based on an overall assessment of the damage that an untrustworthy individual could cause to the efficiency or the integrity of DHS operations. When determining risk levels, program officials may compare the individual’s duties, responsibilities, and access with those of DHS federal employees in similar positions.

The position designation is critical to the contractor fitness process in that it determines the Investigative requirements associated with the position. For example, the minimum investigative standard for a Moderate Risk Public Trust position is a Tier-2 investigation conducted within the last 5 years. If, during the fitness process, it is determined that the individual has been investigated by another Federal agency, DHS will use the investigation(s) whenever practical. However, if the investigation is out of date or not at the required level for the position, DHS will need to initiate a new background investigation and incur the costs associated with the investigation.

Therefore, it is extremely important that the appropriate position designation be made on the initial request to avoid the additional cost and time associated with position changes that may require higher level investigations.

On Classified Contracts, a few or all of the positions may require access to national security information (NSI). In this case, the contract employee must have an active clearance at, or higher than, the level designated by the DHS position. Please note that DHS does not grant security clearances to contract employees.

Contract Employee Clearances - DHS recognizes contract employee clearance levels based on the risk or access level designated to the DHS contract position. For example, a contract employee may be eligible through his company and the Department of Defense Consolidated Adjudications Facility (DoD CAF) for access at the Top Secret level; however, if the DHS contract position is designated at the Secret level, then the position and associated PIV card or badge is marked at the Secret level, not the Top Secret level. Using the same example, if the DHS position is designated as a Public Trust position (i.e., unclassified contracts – low through high risk), then the position and associated PIV card or badge is marked with no security clearance. In other words, the security clearance level is to be associated with the position, and not the individual.

Section I: Requesting Official/Organization

Please complete all fields in Section I.

For 3. Type of Request, select one of the following request types:

Contract Change – Select if the contract employee is changing contracts or is transferring from one Directorate to another.

Exit Request – Select if the contract employee has left the contract position.

Please note that only those fields marked with 1 are required to be completed for an Exit Request.o

Multiple Contracts – Select if it is known in advance that the contract employee is working on two or more contracts.

Name Change – Select if the contract employee has legally changed his/her last name.

New Request – Select if the contract employee is new to the Office or Directorate.

Position Change – Select if the duties of the contract position require a higher or lower level of access or risk (e.g., clearance upgrade/downgrade; TECS access upgrade/downgrade).

Reinvestigation – Select if one of the following conditions apply:

a. Contract employee has an investigation that was completed after the date of submission of the last 11000.25 form.

Important: If there is an investigation that was recently updated, the submitter of the current 11000.25 form must provide proof of the completed investigation.

b. Contract employee requires an updated investigation to be initiated by the Security Office.

Temporary Position – Select if the contract employee will be on the contract for 180 days or less.

Page 2 of 4DHS Form 11000-25 (7/17)

The following definition is provided to assist with the completion of this section:

• DHS Organization Structure Code – The DHS Organization Structure Code is the 18-digit code used by DHS to identify the Division sponsoring the request. If you are not sure of the code for your organization, please contact your Human Resource Liaison.

Section II: Applicant Information

Please complete all fields in Section II.

Section III: Position Designation

Please complete this section for positions associated with UNCLASSIFIED Contracts, or Classified contracts where the position requested does not require a Clearance. Only one risk level should be selected in either the Non-IT or IT Position category.

The following field definitions are provided to assist with the completion of this section:

Non-IT versus IT Positions

• Information Technology (IT) – Systems and services used in the automated acquisition, storage, manipulation, management, movement, control, display, switching, interchange, transmission, assurance, or reception of information.

Information technology includes computers, network components, peripheral equipment, software, firmware, services, and related sources.

• Information Technology (IT) Position – Positions that manage, supervise, lead, administer, develop, deliver, or support information technology (IT) systems and services. Positions where the paramount requirement is knowledge of IT principles, concepts, and methods; e.g., data storage, software applications, and networking. (e.g., IT Worker)

• Non-Information Technology (IT) Position – Positions where the paramount requirement is the knowledge of other subject-matter principles, concepts, and methods. These positions may require the knowledge of the application of information technology to the assignment area or may require skill in use of IT software and hardware systems, but are not directly involved in development, delivering or supporting IT systems and services. (e.g., IT User)

Risk Levels

• Low Risk (N) – Low Risk positions have the potential for limited impact on the integrity and efficiency of the service. These positions involve duties and responsibilities of limited relation to the agency or program mission.

o Please note that Low Risk is used for Building Access ONLY, where the position will not require access to DHS systems or information.

• Moderate Risk (5N/5C) – Moderate Risk positions have the potential for moderate to serious impact on the integrity and efficiency of the service. These positions involve duties that are of considerable importance to the agency or program mission, with significant program responsibility or delivery of service.

• High Risk (6N/6C) – High Risk positions have the potential for exceptionally serious impact on the integrity and efficiency of the service. These positions involve duties that are especially critical to the agency or the program mission with a broad scope of responsibility and authority.

Page 3 of 4DHS Form 11000-25 (7/17)

Section IV: Position Security Clearance Requirement

Please complete this section for positions associated with CLASSIFIED Contracts. Please note that a DD-254 form is required for all contractor positions requiring a security clearance, and must be on file with the DHS Industrial Security Program Branch (ISPB). For positions not requiring a clearance, please indicate a Position Designation in Section III above.

Important: By selecting the DD254 on File checkbox, you are verifying that a DD-254 is on file for the contract identified above. To verify DD254 information, please contact DD254administrativesecurity@hq.dhs.gov.

Electronic Transmittal of DHS Form 11000.25

Important: DHS Personnel Security Division (PSD) will only accept DHS 11000.25 forms submitted by DHS Contracting Officer Representatives (CORs) or Federal Points of Contact (POCs). DHS 11000.25 forms submitted electronically by Contract Employees or Contractor Company representatives will not be processed.

1) Complete the DHS Form 11000.25, Contractor Fitness/Security Screening Request;

2) Scan the file (if applicable);

3) Password-Protect the File;

a. To password-protect the file, go to Tools – Protect & Standardize and click on the Protect icon.

b. Expand the Encrypt dropdown at the top of the screen, and select the Encrypt with Password option. In the resulting pop-up window (“Are you sure you want to change the security on this document?”), select Yes.

c. Select the checkbox next to the Require a password to open the document option towards the top of the window – enter a password in the Document Open Password text field, and click OK. In the resulting confirmation window, re-enter the password and click OK.

d. Upon saving and closing the form, the password provided will be required to open.

4) Save the file using the following file-naming convention: ApplicantLastNameRequestDate (MM/DD/YYYY) (e.g., Smith12042008.pdf)

5) Email the file as an attachment to with a Subject line of "DHS Directorate – 11000.25 Request – Date” (e.g., OPO – 11000.25 Request – 11/20/2008).

Select

6) In a second email to the Office of Security using the same Subject line, send the password used to protect the information contained in the attachments.

Note: Please create or scan only one DHS form 11000.25 within a file attachment. If sending multiple attachments in a single email message, please use the same password for all attachments contained within the message.

Page 4 of 4DHS Form 11000-25 (7/17)

DEPARTMENT OF HOMELAND SECURITY

DISCLOSURE AND AUTHORIZATION

PERTAINING TO CONSUMER REPORTS

PURSUANT TO THE FAIR CREDIT REPORTING ACT

This is a release for the Department of Homeland Security to obtain one or more consumer/credit reports about you in connection with your application for employment or in the course of your employment with the Department. One or more reports about you may be obtained for employment purposes, including evaluating your fitness for employment, promotion, reassignment, retention, or access to classified information and/or sensitive, but unclassified information.

,hereby authorized the I, Department of Homeland Security to obtain such report(s) from any consumer/credit reporting agency for employment purposes. Copies of this authorization that show my signature are as valid as the original signed by me.

Signature

Date

Social Security Number

Organization Assigned

Street Address:_______________________________________________________________________

City:___________________________________________ State:_______ Zip Code :______________

Email Address: ______________________________________________________

The Privacy Act, 5 U.S.C. 552a, requires that federal agencies inform individuals, at the time information is solicited from them, whether the disclosure is mandatory or voluntary, by what authority such information is solicited, and what uses will be made of the information. You are hereby advised that authority for soliciting your Social Security Number (SSN) is Executive Order 9397. Your SSN will be used to identify you precisely when it is necessary to conduct and/or obtain a credit report on you. Although the disclosure of your SSN is not mandatory, your failure to do so may impede the acquisition of a credit report concerning you and possibly result in the denial of your being approved for access to classified and/or sensitive, but unclassified information.

DHS Form 11000-9 (10/08) (FEMA edit 2017)

DEPARTMENT OF HOMELAND SECURITY

FACILITY ACCESS REQUEST

INSTRUCTIONS FOR ACCESS TO FEMA FACILITIES

OMB Control Number: 1660-NW75 Expiration: MM DD, YYYY

1. To apply for access into FEMA controlled facilities, all applicants must TYPE or PRINT the applicable parts of this form. Fill out, sign and return to the point of contact. Part II of this form must be completed and signed by the person applying.

2. The point of contact must sign and forward completed form to the Facility Security Manager.

3. Applicants requesting access to be programmed onto an existing PIV Card must know their PIN Number.

Authorized personnel may have access to rooms/suite entry door within FEMA space only after coordination/endorsements from the servicing program office of the space in question and the Office of the Chief Security Officer (OCSO). If you have questions, you can call the OCSO at (202) 646-3012.

4. FEMA Employees or Contractors: Complete Part I.

Visitors without an existing PIV Card: Complete Parts I and II.

Guests requesting access with an existing PIV Card: Complete Parts I, II, and III.

INSTRUCTIONS FOR ACCESS TO MOUNT WEATHER

1. To apply for access to Mount Weather (MW), all applicants must TYPE or PRINT Part II of this form. Fill out, sign and return to the approved Mount Weather sponsor. Part II of this form must be completed and signed by the person applying.

2. The approved MW sponsor must complete and sign Part I and forward the completed form to the MW Access Control Office.

3. Applicants requesting access to be programmed onto an existing PIV Card must know their PIN Number. Authorized personnel may have access to rooms/suite entry door within MW only after coordination/endorsements from the approved MW Sponsor of the space in question and the MW Access Control Office. If you have questions, you can call the MW Access Control office at (540) 542-2091.

4. Approved MW Sponsor: Complete Part I

Government Employees, Contractors or Vendors: Complete Part II

Agency's Security Officer: Complete Part III, if applicable

INSTRUCTIONS FOR ACCESS TO AREA B

1. To apply for access to Area B, the approved MW Sponsor must TYPE or PRINT Parts I and II of this form, as well as the NEED TO

KNOW and PURPOSE OF VISIT sections in Part IV.

2. The Agency's Security Officer must complete and sign Part III.

3. The Agency's Continuity Coordinator or Agency's Chief of Staff must sign Part IV.

4. The approved MW sponsor, Agency's Continuity Coordinator, or Agency's Chief of Staff must forward the completed form to the MW

Area B Access Control Office. If you have questions, you can call the Area B MW Access Control office at (540) 542-2081.

5. Approved MW Sponsor: Complete Parts I, II, the NEED TO KNOW & PURPOSE OF VISIT sections in Part IV.

Agency's Security Officer: Complete Part III.

Agency's Continuity Coordinator or Agency's Chief of Staff: Complete AUTHORIZATION section in Part IV.

PRIVACY ACT STATEMENT:

All information requested on the Facility Access Request and release statement is collected under authority derived from 18 USC 3056 and

Executive Order 9397. The routine uses of information requested include referral to other federal, state, local agencies for determining suitability for access to secure areas, and/or sensitive, unclassified material of the Federal Emergency Management Agency (FEMA).

Submission of the information is voluntary, however, failure to provide information requested may prohibit processing and cause denial of access to secure areas or sensitive material protected by FEMA. Disclosure of your social security number will be no cause for denial of any right, benefit, or privilege provided by law.

This release when presented by a duly authorized representative of the FEMA will constitute my consent and authority to examine and obtain copies and abstracts of records, as well as receive statements of information concerning my background. Specifically, I hereby authorize the release of Federal/State/Local police and criminal records to FEMA by applying my signature on the designated line below.

This authorization is given in connection with the investigative procedures being conducted relative to my contractual services with FEMA.

NOTE: I understand that any false statement on any part of my application may be grounds for denying me access into Federal

Emergency Management Agency controlled facilities, and/or grounds for prosecution under Title18 USC 1001.

PART I - TO BE COMPLETED BY THE RESPONSIBLE OFFICE

GOVERNMENT POC (Last, First, Middle) RESPONSIBLE PROGRAM OFFICE

SITE(S) TO BE ACCESSED BY INDIVIDUAL FREQUENCY OF ACCESS REQUIRED (Check One) LENGTH OF ACCESS REQUIREMENT

Start Date Daily Weekly Monthly Other

End Date

ROOM/SUITE ENTRY DOOR TO BE

ACCESSED BY INDIVIDUAL (IF APPLICABLE)

GOVERNMENT INFORMATION SYSTEM ACCESS

REQUIRED?

POC PHONE NO.

Yes (select one) No

REASON FOR ACCESS SIGNATURE OF POINT OF CONTACT

PART II - TO BE COMPLETED BY APPLICANT

FULL NAME OF APPLICANT (Last, First, Middle, and Maiden if applicable) RESPONSIBLE PROGRAM OFFICE

IF YES, WHAT ISSUING AGENCY?

CURRENTLY HAVE A PIV, PIV-I, or CAC CARD? YES (Check one) NO

DATE OF BIRTH (MM/DD/YYYY) SEX

MALE

FEMALE

SOCIAL SECURITY NUMBER DRIVER'S LICENSE # AND STATE

PLACE OF BIRTH (CITY, STATE, COUNTRY) DO YOU HOLD A U.S. CITIZENSHIP STATUS?

YES NO

IF NO, PROVIDE ALIEN REGISTRATION #

ARE YOU A NATURALIZED CITIZEN?

YES NO

IF YES, PROVIDE NATURALIZATION

DATE/ALIEN #

EMPLOYMENT STATUS

FEDERAL CONTRACTOR VENDOR OTHER

TELEPHONE NUMBER

HOME WORK

NAME OF EMPLOYER ADDRESS OF EMPLOYER (Street Address, City, State, ZIP) NAME OF SUPERVISOR & PHONE NO.

SIGNATURE OF APPLICANT (see PRIVACY ACT STATEMENT) DATE

PART III - TO BE COMPLETED BY AGENCY'S SECURITY OFFICER

MUST be completed for any visitors/guests requiring access to classified information.

ORGANIZATION SECURITY OFFICER NAME AND AGENCY SIGNATURE DATE

CONTRACT NO. (IF APPLICABLE) CONTRACT EXPIRATION

DATE (IF APPLICABLE)

CURRENT INVESTIGATION ON FILE?

YES NO

INVESTIGATION TYPE

DATE OF INVESTIGATION INVESTIGATING AGENCY CLEARANCE LEVEL (if applicable) DATE GRANTED

SPECIAL ACCESS (IF APPLICABLE) SI - TK - G

DATE BRIEFED

HCS DATE BRIEFED

FOR INTERNAL USE ONLY

MWEOC Executive Administrator Office

Approved Denied Signature __________________________________________________ Date _____________

* IF APPLICABLE

PART IV - TO BE COMPLETED BY THE RESPONSIBLE OFFICE

NEED TO KNOW

The following person has the "NEED TO KNOW" for access to Area B for the following purpose

Permanent Duty Briefing Contracted Business Temporary Duty

Purpose of Visit

Category 1 Category 2 Category 3 Category 4 Category 5

Additional Justification may cause this document to be classified.

AUTHORIZATION - TO BE COMPLETED BY AGENCY'S CONTINUITY COORDINATOR OR AGENCY'S CHIEF OF STAFF Based upon the information verified in Parts I, II, and III above. I concur with this request for access to Area B.

AGENCY'S CONTINUITY COORDINATOR OR CHIEF OF STAFF NAME DATE

SIGNATURE PHONE NO.

* IF APPLICABLE

PART V - MWEOC CLASSIFIED AREA B BRIEFING VIEWED

SECURITY OFFICER NAME SECURITY OFFICER SIGNATURE DATE

PART VI - TO BE COMPLETED BY THE PHYSICAL ACCESS CONTROL SYSTEM (PACS) ENROLLMENT OFFICIAL

ENROLLMENT OFFICIAL NAME ENROLLMENT OFFICIAL SIGNATURE DATE ACCESS GRANTED BADGE EXPIRE DATE

Page | 1

Agency Business Process for Access to Mt. Weather Emergency Operations Center

(MWEOC) As of Jan 1 2016

1. Area A Procedures – Normal Duty Hours

a. If a mission partner employee or contractor arrives to MWEOC and is initially unable to badge onto the facility, they will be advised to proceed to building 911 for processing.

b. Upon reaching Access Control in building 911, the individual will be asked which agency/ company they are with, who is sponsoring them and/or what building they are attempting to visit. The authorized sponsors for are listed below:

1.

2.

c. Access Control will reach out to the named sponsor, confirming they are aware of the individual’s visit and will then require the individual to complete an Area A Access Request.

Once complete, the sponsor will need to sign the form.

2. Area A Procedures – After Duty Hours

d. If a mission partner employee or contractor arrives to MWEOC and is initially unable to badge onto the facility, they will be advised to proceed to building 911 for processing.

e. Upon reaching building 911, the individual will be asked which agency/company they are with, who is sponsoring them and/or what building they are attempting to visit. The authorized sponsors for are listed below:

1.

2.

f. Access Officer will notify a MWPD Sergeant or above, which will reach out to the named sponsor, confirming they are aware of the individual’s visit and will then require the individual to complete an Area A Access Request. Once complete, access will be granted until the next business day. The access request and pertinent information will be e-mailed to MWEOC Access Control Office at FEMA-MW-AreaA-Access.

1. Federal Employees and contractors with government issued PIV credentials will be allowed unescorted access

2. Federal Employees and contractors without government issued PIV credentials will be granted escort required access

b. The next business day, the MW Access Control Office will ensure all appropriate paperwork is completed and update the access control system with the appropriate access and access dates. acquire the sponsor’s signature on the form and extend the applicant access until the requested date.

(Agency/Division)

(Agency/Division)

Phone

Name

Phone

Name

Name

Phone

Phone

Name

Mount Weather Emergency Operations Center Construction Contractor Cardholder Responsibility Agreement

MWEOC Construction Contractors must sign this cardholder responsibility agreement prior to being issued a MWEOC Construction Contractor Badge.

NOTE: MWEOC Construction Contractor Cardholders should be aware that they must adhere to FEMA’s reporting requirements related to compromised, lost, and stolen property.

NOTE: MWEOC Construction Contractor Cardholders will only use the search bay for vehicular access to MWEOC.

Pedestrian access will be through the visitor’s center turnstile.

As a MWEOC Construction Contractor Cardholder, I agree to the following:

1. I will use the MWEOC Construction Contractor Badge for official purposes only.

2. I will maintain control of my MWEOC Construction Contractor Badge at all times, and not allow anyone to use my MWEOC

Construction Contractor Badge for an unauthorized purpose. When not performing duties at my work site, I shall store my MWEOC Construction Contractor Badge out of plain sight.

3. I will not alter or otherwise deface my MWEOC Construction Contractor Badge. Altering or defacing includes punching a hole in, adhering decals to, or embossing the card.

4. I will report changes to my employee status (e.g., changing from one company to another) or a change in my name; or if my MWEOC Construction Contractor Badge is damaged. When this occurs, I will report these changes to my MWEOC Point of Contact (POC.)

5. I will report a lost or stolen card to a MWEOC security official or my MW POC so they can immediately disable the access on my card.

6. I understand that if I misuse the MWEOC Construction Contractor Badge issued to me, or it is compromised, lost, or stolen through my noncompliance with these requirements, I may be subject to administrative action.

7. I will surrender my MWEOC Construction Contractor Badge to the appropriate authority when my employment or association with MWEOC is terminated, or upon request by appropriate authority.

8. I will not violate Sections 499 and 701, Title 18 of the U.S. Code* through use of my MWEOC Construction Contractor Badge.

* 18 USC Sec. 499 says "Whoever falsely makes, forges, counterfeits, alters, or tampers with any naval, military, or official pass or permit, issued by or under the authority of the United States, or with intent to defraud uses or possesses any such pass or permit, or personates or falsely represents himself to be or not to be a person to whom such pass or permit has been duly issued, or willfully allows any other person to have or use any such pass or permit, issued for his use alone, shall be fined under this title or imprisoned not more than five years, or both."

* 18 USC Sec. 701 says "Whoever manufactures, sells, or possesses any badge, identification card, or other insignia, of the design prescribed by the head of any department or agency of the United States for use by any officer or employee thereof, or any colorable imitation thereof, or photograph, print, or in any other manner makes or executes any engraving, photograph, print, or impression in the likeness of any such badge, identification card, or other insignia, or any colorable imitation thereof, except as authorized under regulations made pursuant to law, shall be fined under this title or imprisoned not more than six months, or both.

MWEOC reserves the right to refuse to issue credentials to any person, and such decision may be made by MWEOC without notice and at its sole discretion. In addition, MWEOC may disable any credential at any time without notice.

By signing this agreement, I acknowledge my understanding and acceptance of the terms outlined in this agreement.

Printed Name Signature Date

FEDERAL EMERGENCY MANAGEMENT AGENCY

1 | P a g e

AREA A ACCESS SPONSOR DESIGNATION MEMORANDUM

To: FEMA Mt. Weather Access Control Office

From: (Nominating Official) Print Name and Title

Date: _______________

Email completed form to: FEMA-MW-AreaA-Access@fema.dhs.gov

I would like to designate (Nominee) as a sponsor for the following locations:

Building Number

Any access applications signed by the incoming Nominee will be categorized as _________________ with an expiration date of _________, unless otherwise designated. In compliance with the Mt. Weather Area A Access Policy, contract employees with no background investigation information can only be granted 6 months of escorted access, pending favorable NCIC.

This Area A Access Sponsorship Designation Memorandum shall be signed by the incoming nominee, nominating official, and MW Security.

1. Area A sponsor designations must be submitted and signed by Division Directors or Mission Partner Liaisons.

2. Division Directors and Mission Partner Liaisons may nominate; building managers, CO’s, COR’s and/or program managers.

3. MW Security must concur with nomination and sign below.

By signing this document the Nominee acknowledges and accepts the duties and responsibilities of the assignment and agrees to follow the FEMA Mt. Weather Area A Access Policy and other applicable guidance.

This designation is effective following the endorsement of all signatures below. If approved, the Incoming Nomee and Nominating Official will receive a completed copy of this form upon signature from the Division Director, or Mission Partner Liaison, and MW Security. The Nominee becomes the Appointee upon complete and proper execution of this form.

E-mail to return completed form to Nominating Official:

Email Address of Nominating Official

Incoming Nominee (Print) Incoming Nominee (Signature) Date

Nominating Official (Print) Nominating Official (Signature)…