Attachment_7_IAA_SOW_template.docx

Attachment 7 Revised 10-17-14

Interagency Agreement (IA) Between DHS Countering Weapons of Mass Destruction (CWMD) Office and the DOE [National Laboratory/Site] [IA Number __________/Amendment Number __________] Statement of Work (SOW) Template

INSTRUCTIONS – Sections in “red Italics” provide specific instruction, guidance or examples to assist in the completion of this SOW and should be deleted once that section is completed. Section wording in <Red> must be completed prior to submission of the SOW.

INSTRUCTIONS – Note that if any of the provisions below, including milestones, deliverables, and amounts funded or unfunded, of this SOW change subsequent to the issuance of this IA, the DHS program office and the DOE Site, must ensure that the SOW and IA of which it is a part are formally updated to reflect the pertinent changes when they occur.

I. Introduction

1. Purpose

This Statement of Work (SOW) provides specific information regarding the requirements of the Department of Homeland Security, Countering Weapons of Mass Destruction (CWMD) Office, hereinafter referred to as DHS CWMD, sufficient to enable the Department of Energy <Insert National Laboratory/Site>, hereinafter referred to as DOE, to perform services under an interagency agreement.

2. Authority

Section 309(a)(1)(c) of the Homeland Security Act of 2002 (Public Law 107-296) provides special access to the DOE national laboratories and other facilities on a reimbursable basis as implemented in DOE Order 484.1 “Reimbursable Work for the Department of Homeland Security”.

3. General Terms & Conditions

Activities undertaken pursuant to this document are subject to the Standard Terms and Conditions hereby attached between the DHS CWMD and DOE.

4. Project Title

<Insert Project Title>--CWMD Example “Support of the Chemical Biological Division Program (Bio-Response Operational Testing and Evaluation Project) for the Department of Homeland Security, Countering Weapons of Mass Destruction (CWMD) Office”

5. Description of Products or Services / Bona Fide Need

Succinctly describe the product or services being requested of the Servicing Agency, what bona fide need of the DHS CWMD will be satisfied through the product or services, and how the latter will satisfy this need.

II. Background

This section should contain a Background section which provides a brief introductory information regarding the nature, purpose, and objectives of the particular project or task(s) to be performed under the IA and the parties involved in the effort described in the IA. It should identify whether the IA is a new IA or an amendment of an existing IA.

The purpose of this action is to <Insert “establish a new” or “amend”> an IA with DOE for the tasking described in Section 5 of this Statement of Work (SOW).

III. Scope

This portion should contain the Scope of the effort or requirement(s) which clearly describes the technical requirements and work desired by DHS delineated in consecutive numerical and detailed narrative for the tasks to be performed by the DOE under the IA. The DHS Component Program Manager should identify specify objectives in as detailed manner as possible. NOTE: If the program manager is amending an existing SOW, then it should only include the revised information under Scope, identifying the exact location of the change in the original SOW, as well as clearly specifying what SOW provisions have changed and how they have changed.

Example format.

Phase/Year/or other designation if appropriate

TASK(s):

1. TASK NAME / DESCRIPTION

1.1. Sub Task Name

1.2. Continue as needed.

2. TASK NAME / DESCRIPTION

2.1. Sub Task Name

2.2. Continue as needed.

3. TASK NAME / DESCRIPTION

3.1. Sub Task Name

3.2 Continue as needed

IV. Key Milestones and Deliverables

The Table similar to the one below should be completed matching / linking task(s) with due dates. If all tasks identified are not fully funded and an incremental funding approach is taken then each task should be labeled as either “funded by this action” or “partially funded by this action” or “not funded by this action.”

Table 1

Task/Subtask Number and Name

(F) Funded (P) Partially funded (U) Unfunded

1.0 Task Name

2.0 Task Name

3.0 Task Name

V. Project Timeline

Below is a summary of the tasking timeline for this effort:

Table 2

Indicate Month Deliverable is due or Services are to be completed

Phase/Year/or other designation if appropriate

1.0 Task Name

1.1 Sub-Task Name

1.2 Sub-Task Name

2.0 Task Name

2.1 Sub-Task Name

2.2 Sub Task Name

3.0 Continue as needed

VI. Other IA Details

1. Period of Performance. The period of performance (POP) for this SOW is from the effective date of the IA through <specify date>.

2. Travel. Travel <will/will not> be required in the performance of the duties listed herein. Travel <will/may> may include, but not be limited to, the following destination/s. [Identify destinations].

Foreign travel shall require the DOE facility management contractor to obtain the DHS CWMD Technical Representative’s approval and an approved DHS CWMD Foreign Travel Report 30 days in advance of the travel. Foreign travel will be consistent with DOE Order 551C.

3. DHS-Furnished Information and Property.

DHS furnished information and property, if any, shall be provided in a numbered attachment to this SOW and listed in Section VIII, Applicable Documents.

at the following location(s) <Insert National Laboratory/Site, or other applicable location(s)>.

4. Property Acquired by the Servicing Agency Under This Interagency Agreement.

Any item(s) of property in excess of $5000 in value if any, acquired by the Servicing Agency or its facility management contractor under this interagency agreement, shall be identified in a numbered attachment to this SOW and listed in Section VIII, Applicable Documents at the following location(s) <Insert National Laboratory/Site, or other applicable location(s)>. [In the attachment, identify each item of property by nomenclature, quantity, location, and proposed acquisition cost.]

5. Place(s) of Performance. <Insert Acronym for Servicing Agency> will perform the work under this SOW at <Identfy specific location(s) where the services are to be performed>.

6. Program Status Report. DOE shall deliver a monthly status report, in accordance with Section 10.a. of the attached Standard Terms and Conditions, due within ten (10) business days of the end of each month.

7. Deliverables. DOE will provide all deliverables identified in this SOW to the Government in accordance with Section 10.b. of the attached Standard Terms and Conditions.

8. Security Requirements. The terms and conditions of Section14 of the attached Standard Terms and Conditions shall govern “Security” under this IA. All work performed under this SOW is unclassified unless otherwise noted below: <specify which work is classified or sensitive but unclassified by task/subtask>.

If provided DHS “sensitive” information (e.g., items marked with FOUO or other appropriate marking), the Servicing Agency agrees it shall safeguard such information by not providing access of this marked information to any non-federal personnel unless advance approval is obtained from the DHS/CWMD Technical Representative. In turn, the DHS/CWMD Technical Representative must ensure any applicable DHS security and/or suitability requirements are satisfied by its servicing DHS Security office and that a DHS NDA Form 11000-6s are signed by the non-federal personnel before access to DHS “sensitive” information is given to them. The DHS/CWMD Technical Representative must further obtain copies of the executed, signed DHS Form 11000-6s, to be provided to the DHS Contracting Officer (for inclusion in the official DHS/OPO inter-agency agreement file).

9. Funding Requirements. DHS will provide funding to DOE in accordance with DHS’s appropriations and available funds. All cost categories in Table 3. below include “applicable burdens”, and the funding columns may be modified or augmented as required to address other cost categories applicable to the requirement described in the SOW.

Table 3

*Describe specific costs included in this column.

**The DOE National Laboratory’s/Site’s Directed Research and Development (LDRD) cost as defined in Section 4.d. of the Standard Terms and Conditions is included in the total funding amount specified above.

*** If the funding described in this table includes an item or items of Contractor Acquired Property with a value in excess of $5000 but below the threshold, agreed to by DOE and its facility management Contractor/M&O in their current negotiated contract, for the purposes of maintaining accountability procedures, such item or item(s) shall be specifically identified in accordance with Section VI.4. of this SOW. Such item/items may or may not at the discretion of DHS be tagged, tracked, reported on, and disposed of as DHS property in the same manner as Contractor acquired property in excess of the value established under the aforementioned contract for maintaining accountability procedures, in accordance with Articles 8 and 9 of the Standard Terms and Conditions of this IA. The Servicing Agency shall include in its proposal to DHS CWMD for this IA the reasonable, allowable and allocable costs of maintaining accountability of such item(s) in accordance with the aforementioned procedures.

VII. Points of Contact

<Insert Lab Name> Points of Contact (POCs) (name, mailing address, office phone number, and email address) are as follows:

Technical POC:

Financial/Business POC:

The DHS POCs (name, mailing address, office phone number and email address) are as follows:

DHS CWMD Technical Representative:

DHS CWMD Contracting Officer:

VIII. Applicable Documents

<List any additional Attachment(s) (e.g , DHS Furnished Property Listing) that are applicable to this SOW. If none, state “None” here>

IX. Changes to this SOW

Changes to this SOW shall be in made in accordance with Section 2.b. of the attached Standard Terms and Conditions.

Distribution is authorized to U.S. government agencies only. Contains information that may be exempt from public release under the Freedom of Information Act. Before this SOW is released to the public, approval is required by the Department of Homeland Security Countering Weapons of Mass Destruction (CWMD) Office.

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