Amendment 7.pdf
PDF 2 MB Posted
- Solicitation number
- 70RFP124RE2000001
About this file
This document is Amendment 7 to a solicitation for Protective Security Officer (PSO) services and Technical and Support positions at the Plum Island Animal Disease Center (PIADC). The key details are:
The purpose of this amendment is to: 1) replace various attachments with updated versions, including the Master Certification List, Statement of Work exhibits, and pricing model; 2) provide a ferry schedule to Plum Island; 3) provide responses to industry questions; and 4) leave the proposal due date unchanged at July 26, 2024. The solicitation is an indefinite delivery, indefinite quantity contract seeking PSO and related services with a period of performance from December 1, 2024 to November 30, 2029. The estimated value is not provided, but the incumbent contract was valued at $34.7 million. Proposals must be submitted in two separate electronic files - one for the technical/non-price submission and one for the pricing submission and other documents.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 8.pdf | ||
| Amendment 6.pdf | ||
| Amendment 5.pdf | ||
| Amendment 4.pdf | ||
| Amendment 3.pdf | ||
| Pre-Proposal Conference 70RFP124RE2000001.pdf | ||
| Amendment 2.pdf | ||
| Attachment 6a - Price Element Breakdown Instructions.doc | DOC document | |
| Attachment 6 - Plum Island Recompete Pricing Model (2).xlsx | XLSX spreadsheet | |
| DHS Form 11000-6 Non Disclosure Agreement.pdf | ||
| Amendment 1.pdf | ||
| RFP FAR 12 with Clauses and Provisions.pdf | ||
| Attachment 3 - Synposis.docx | DOCX document |
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(x)
70RFP124RE2000001
x x
1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE
RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR
OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
x
Philadelphia PA 19106 Attn: Ryan Hessler
OPO/FPS/EAST CCG/R2
701 Market Street, Suite 4200 Ofc of Procurement Operations - FPS U.S. Dept. of Homeland Security DHS/FPS/East CCG/Region 2
Philadelphia PA 19106 701 Market Street, Suite 4200
70RFP1
Federal Protective Service Acq. Division Office of Procurement Operations U.S. Dept. of Homeland Security
FPS EAST CCG DIV 1 ACQ DIV(70RFP1)
07/11/20240007
13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
FACILITY CODE CODE
10B. DATED (SEE ITEM 13)
10A. MODIFICATION OF CONTRACT/ORDER NO.
9B. DATED (SEE ITEM 11)
9A. AMENDMENT OF SOLICITATION NO.
CODE
8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY
PAGE OF PAGES
4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)
1. CONTRACT ID CODE
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
03/29/2024
CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.
ORDER NO. IN ITEM 10A.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
The purpose of this amendment is as follows:
1. Replace Attachment 2c - Master Certification List with revised Attachment 2c - Master
Certification List. The revised Attachment adds all incumbent PSO training/certification information. Attachment 2c can be found in the PDF attached as a paperclip to Amendment
0007.
2. Update Page 73 of the RFP, Section - Proposal Submission Requirements, Number 3 to read as follows:
Proposals shall be comprised of TWO (2) separate electronic files. The first file shall
Continued ...
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)
15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED
(Signature of person authorized to sign) (Signature of Contracting Officer)
Thomas S. Schrank
STANDARD FORM 30 (REV. 11/2016)
Prescribed by GSA FAR (48 CFR) 53.243
Previous edition unusable
Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
2 3
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP124RE2000001/0007
contain one (1) copy of the technical (non-price) submission. The second file shall contain one copy of the pricing submission and all other documents required by the solicitation (e.g. the
SF 1449 to include the Pricing Schedule, Price
Element Breakdown, Disclosures, Representation &
Certifications, Subcontracting Plan (if applicable), etc.). Both of these files should clearly identify the RFP for which it is being submitted. The
Price Element Breakdown shall be submitted in
Excel Format. Vendors are reminded to submit files one and two via email to
Ryan.C.Hessler@fps.dhs.gov.
3. Updates the Post Exhibit. Updated Post Exhibit will be sent to all potential offerors who provided a signed Non-Disclosure Agreement. If you would like an updated copy of the Post
Exhibit and have not provided a signed NDA please send to Ryan.C.Hessler@fps.dhs.gov.
4. Provides Ferry Schedule to Plum Island.
Schedule can be found in the PDF attached as a paperclip to Amendment 0007.
5. Replaces Attachment 2, SOW Exhibits 1-16 with revised Attachment 2, SOW Exhibits 1-16 which is paperclipped to Amendment 0007.
6. Replaces Attachment 6 – Plum Island Recompete
Pricing Model with revised Attachment 6 – Plum
Island Recompete Pricing Model which is paperclipped to Amendment 0007.
7. Replaces Attachment 9 – Proposal Submission
Checklist with revised Attachment 9 paperclipped to Amendment 0007.
8. Provide responses to the questions submitted by industry. The questions and answers can be found in the PDF attached as a paperclip to
Amendment 0007. The answers to the questions are provided for informational purposes, any changes resulting from the questions and answers are documented within Amendment 0007. If there is a conflict between the solicitation and the information provided in the answers to the questions, the solicitation governs.
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 3
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP124RE2000001/0007
8. The proposal due date remains unchanged at
Friday July 26, 2024 at 4:00pm Eastern Time.
9. All other terms and conditions remain unchanged.
Period of Performance: 12/01/2024 to 11/30/2029
CO: Tom Schrank
215-521-2257
Thomas.schrank@fps.dhs.gov
CS: Ryan Hessler
215-521-2270
Ryan.c.hessler@fps.dhs.gov
COR: Renee Ann Saporita
646-369-0147
Renee.A.Saporita@fps.dhs.gov
Budget: Viola Smith
646-589-6025, Viola.Smith@fps.dhs.gov
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
Effective as of 11/24/09
Additional Information
Leaving Orient Point
Call PIADC C.C. (631) 323-3115
0730(via OP)
Plum Island
Saybrook Point
*1300
* Only if requested. Call (631) 323-3300 to schedule, (631) 323-3115 after 18:00, Weekends/Holidays.
For delay or cancellation information call:
PIADC Weather Line
(631) 323-3323
*1650 *1630
Weekend / Holiday Departure Times
Orient Point, NY ~ Plum Island Saybrook Point, CT ~ Plum Island
0700 0730 *0845 *1350
*1130 *1445
*0745(via SP)
1000 PI-OP & 10:30 OP-PI mission critical trips are available with 1 hour advance notice.
*1100 *1800(via OP) *1715
After 18:00 or Weekends & Holidays:
2300 2330 1900 1930
*1600
*1130
*1215 *1530 *1930
To Schedule:
Call (631) 323-3300
*1845
* Trips only run if requested
*2030
*1815
*1115
*1555
Plum Island Ferry Schedule
Weekday Departure Times
2100 PI-OP-OS & 2200 OS-OP-PI trips are available by special request only- 12 hours advance notice and Director of Operations approval required.
Orient Point
Saybrook Point
Orient Point, NY ~ Plum Island Saybrook Point, CT ~ Plum Island cguarrasi
Highlight
Exhibit 1 List of Required Forms
Item Form Number Title Section Reference
1 DD 254 DoD Contract Security Classification Specification, when applicable 5.7.1 2 DD 441 DoD Security Agreement, when applicable 5.7.5 3 DHS Form 11000-6 Non-Disclosure Agreement 7.2.5
4 DHS Form 11000-9 Disclosure and Authorization Pertaining to Consumer Reports pursuant to the Fair Credit Reporting Act
5.3.4
5 FD 258 Fingerprint Card Application 5.3.4 6 OF-306 Declaration for Federal Employment 5.3.4 7 SF 85 Questionnaire for Public Trust Positions 5.3.4 8 SF 85-P Supplemental Questionnaire for Selected Positions 5.3.4 9 SF 86 Questionnaire for National Security Positions, when applicable 5.9.1
10 USCIS Form I-9 Employment Eligibility Verification 7.2.5 11 CIWRC V2. Apr14 Contractor Information Worksheet 5.3.4
FPS CIW V4. FEB 2015
Federal Protective Service
CONTRACTOR INFORMATION WORKSHEET (CIW)
Request Type: Please select the type of request Date (MM/DD/YYYY) New Request
Periodic Re-Investigation Position Change Name Change
Contract Change Dual Contract
Separation Reason For Separation: Select Reason
Section I: Requesting Official/Organization
Contracting Officer Representative (COR) (1)
Name (Last, First) Region Select Region ----
Phone Email
Prime Contractor POC (1)
Name (Last, First MI)
Phone Email
Prime Company (1)
Company Name Contract Number
Section II: Individual to be Screened
Full Name (1) Last First Middle
Position Title (1)
Social Security Number (1)
Date of Birth(MM/DD/YYYY)
Place of Birth
City State Country (if not US)
E-Mail Address
Daytime Phone Number
Section III: For UNCLASSIFIED CONTRACTS, Position Designation
Low Risk Moderate Risk (5N) High Risk (6N)
Section IV: For CLASSIFIED CONTRACTS ONLY, Position Security Clearance Requirement
Secret Top Secret
*For FPS reference only. Clearance adjudications must be facilitated by the contractor’s FSO and adjudicated by Defense Security Services.
**When available, a Visitor Authorization Request (VAR) letter must be submitted with the CIW.
Privacy Act Information Authority: 5 U.S.C. § 301; 44 U.S.C. § 3101; Homeland Security Act of 2002, Pub. L. No. 107-296, 116 Stat. 2135; Executive Order (EO) 9397; EO 10450; EO 12968;
and 5 CFR Part 731 authorize the collection of this information.
Purpose: The primary purpose of this collection is to facilitate the screening of an individual for a contractor position to perform services for the Federal government.
Routine Uses: The information collected may be disclosed as generally permitted under 5 U.S.C. § 552a (b) of the Privacy Act of 1974, as amended. This includes using the information as necessary and authorized by the routine uses published in DHS/ALL-023 - Department of Homeland Security Personnel Security Management, 75 FR8088 (February 23, 2010).
Disclosure: Participation is voluntary; however, failure to provide this information may delay the individual from being able to perform services for the Federal Government.
(1) Denotes fields required for completing an Exit Request.
FPS CIW V4. FEB 2015
General
Instructions – Completing the Contractor Information Worksheet
The FPS Contractor Information Worksheet (CIW) is used by Contractor Officer’s Representatives (COR) to request that the Personnel Security Division (PSD) or the Regional Contract Adjudications (RCA) units perform appropriate fitness screening on contractor employees associated with Protective Security Officer Program.
Section – Request Type
Please enter the date of the request, and select one of the following request types:
• New Request – Select “New Request” when the contractor employee is new to FPS.
• Position Change – Select “Position Change” when the contractor obtains a new position associated with the PSO contract.
• Contract Change – Select “Contract Change” if the contractor employee is changing PSO contracts.
• Periodic Re-Investigation – Select “Periodic Reinvestigation” when the contractor is due for their updated e-QIP and associated investigation.
• Name Change – Select “Name Change” if the contractor employee has legally changed their name.
o When “Name Change” is the Request Type, documentation supporting the name change shall be attached.
• Dual Contractor – Select “Dual Contractor” when the contractor is currently serving on an existing PSO contract.
• Separation – Select “Separation” when the contractor employee has left the contract o When “Separation” is the Request Type, a reason shall be indicated on the CIW.
Section I – Requesting Official/Organization
Please complete all fields in Section I.
• Requesting Official – Only the Contracting Officer’s Representative (COR) can be the requesting official.
Section II – Individual to be screened
Please complete all fields in Section II.
Section III – Position Designation
The position designation is essential to the contractor fitness process as it determines the Investigative requirements associated with the position. For example the minimum investigative standard for a Moderate Risk Position is a Moderate Background Investigation (MBI) completed within the last five years. For FPS, the minimum position designation for any Protective Security Officer (PSO) is Moderate Risk. If during the fitness process it is determined that the individual has been investigated by another Federal agency, FPS will use this investigation whenever practical. There are designated costs associated with each level of investigation. Therefore it is critical that the appropriate position designation be made on the CIW, to avoid unnecessary expenditures of time and funds.
Please select only one.
Section IV – Position Security Clearance Requirement
On Classified Contracts, some or all positions may require access to national security information (NSI). In this instance, the contractor employee must have an active clearance at, or higher than, the level designated by the FPS position. Please note, FPS does not grant security clearances to contract employees.
Please complete this section for positions associated with CLASSIFIED contracts. When practical, submit a Visitor Authorization Request (VAR) sent to you from the company Facility Security Officer. FPS will validate this information with Defense Security Services and update the DHS Integrated Security Management System accordingly.
Electronic Transmittal of the CIW
Important: FPS PSD and RCA units will only accept a CIW submitted by FPS CO, COTR, or Federal Points of Contacts. CIW forms submitted by Contractor Employees or Contractor Company representatives will not be processed. A completed worksheet includes Sensitive Personal Identification Information and requires encryption outside of the DHS network.
EXHIBIT 2a INSTRUCTIONS for PSO PIV CARD REVOCATION & DESTRUCTION REQUEST [Only use for those personnel no longer employed on a PSO Security Services contract] Column A: Enter the PIV Card Holder's full legal name, i.e.; as provided on a birth certificate, Social Security Card, or driver's license, etc.
Column B: Enter the Type of Identifier and the PIV Card Holder's EDIPI or Person Handle Identifier Number (Both identifiers can be located in ISMS) Example: EDIPI: 1234567890 or PH: 0123456789 (must be a 10-digit number) Column C: Identify the PIV Card Holder's position title [Use the drop-down selector for Protective Security Officer, Key Personnel, or Staff] Column D: Enter the HSPD-12 PIV Card number located on the back of the card; example: 1000002156 DHS001-7000-02104 Column E: Use the drop-down to select [Cessation of Operation] Column F: Identify the Region the applicant is supporting [Use the drop-down selector for Region 1 through Region 11] Column G: Enter the Contracting Officer's Representative (COR) name Column H: Enter the Prime Contractor Name Column I: Enter the Prime Contract Number [Not Telephone Number]
FOR GOVERNMENT ONLY
Column J: Enter the Name of the Federal Employee that destroyed the PIV card Column K: Enter the Date that the PIV card was destroyed **NOTE** The PIV Card shall be destroyed using a cross-cut shredder Column L: Enter the FPS 3155 Case Number for all Lost or Stolen PIV Cards [*PIV Cards not returned to the COR upon exiting contract]
NOTES
*The COR shall email the completed worksheet to the FPS HSPD-12 Program Office at: FPSHQHSPD-12@ice.dhs.gov *The FPS HSPD-12 Program Office will review and validate the Integrated Security Management System (ISMS) and the Identity Management System (IDMS) to ensure profiles are updated appropriately *Once the review is complete, the FPS HSPD-12 Program Office will provide the COR with a current status update mailto:FPSHQHSPD-12@ice.dhs.gov
Exhibit 2a
PSO Security Services Contracts HSPD-
12 PIV Card Request
POC: FPS HSPD-12 Program Office
FPSHQHSPD-12@hq.dhs.gov
(703) 235-6187
Applicant's Full Legal Name (Last/First/Middle)
Applicant's EDIPI or Person Handle
Position Title
Reason
Weapons Bearer
FERO
FPS Region
COR Name (First/Last)
Prime Contractor Name
Prime Contract Number
Comments
INSTRUCTIONS. [Prior to submitting a request, CORs should validate that the contractor employee has an active and current ISMS profile (with correct personal and contract information) and (at a minimum) a Pre-App Decision Granted/Date (aka: Entry on Duty) for the contract identified in Column J]
Column A: Enter the applicant's full legal name, i.e.; as provided on a birth certificate, Social Security Card, or driver's license, etc.
Column B: Enter the Type of Identifier and the applicant's EDIPI or Person Handle Identifier Number (Both identifiers can be located in ISMS) Example: EDIPI: 2354633 or PH: 0023433
Column C: Identify the applicant's position title [Use the drop-down selector for Protective Security Officer, Key Personnel, Staff]
Column D: Identify the applicant's reason for a HSPD-12 PIV Card [Use the drop-down to select the appropriate reason] NOTE: If the Reason is for Replace (Lost/Stolen) a FPS 3155, Incident Report, Case Number shall be entered into the Comments Section (Column K)
Column E: Identify the applicant's need for Weapons Bearer on the HSPD-12 PIV Card [Use the drop-down to select Yes or No] PSOs Only
Column F: Identify the applicant's need for the Federal Emergency Response Official (FERO) Stripe on the HSPD-12 PIV Card [Use the drop-down to select Yes or No] PSOs Only
Column G: Identify the Region the applicant is supporting [Use the drop-down selector for Region 1 through Region 11
Column H: Enter the name of the Contracting Officer's Representative (COR)
Column I: Enter the Prime Contractor Name
Column J: Enter the Prime Contract Number
*The COR shall email the completed worksheet to the FPS HSPD-12 Program Office at FPSHQHSPD-12@hq.dhs.gov
*The FPS HSPD-12 Program Office will review and validate the Integrated Security Management System (ISMS) and the Identity Management System (IDMS) to ensure the applicant has a current and valid profile
*Once the review is complete, the FPS HSPD-12 Program Office will provide the COR with a sponsorship notice or current status, if not able to sponsor
Protective Security Officer New Yes Approved Region 1 Key Personnel Inoperable No Disapproved Region 2 Staff Replace (Damaged) Region 3
Replace (Expired) Region 4 Replace (Lost) Region 5 Replace (Stolen) Region 6 Replace (Name Change) Region 7 Other Region 8 Region 9 Region 10 Region 11 mailto:FPSHQHSPD-12@hq.dhs.gov mailto:TheCORshallemailthecompletedworksheettotheFPSHSPD-12ProgramOfficeatFPSHQHSPD-12@hq.dhs.gov
Exhibit 2a
PSO Security Services Contracts HSPD-12 PIV Card Revocation/Destruction
POC: FPS HSPD-12 Program Office FPSHQHSPD-12@fps,dhs.gov (703) 235-6187
PIV Card Holder Full Legal Name (Last/First/Middle)
PIV Card Holder's EDIPI or Person Handle
Position Title
HSPD-12 PIV Card Number
Reason**
FPS Region
COR Name (First/Last)
Prime Contractor Name
Prime Contract Number
Destroyed by: (Last/First Name)
Destroyed Date
3155 Case #
INSTRUCTIONS
Column A: Enter the PIV Card Holder's full legal name, i.e.; as provided on a birth certificate, Social Security Card, or driver's license, etc.
Column B: Enter the Type of Identifier and the PIV Card Holder's EDIPI or Person Handle Identifier (Both can be located in ISMS) Example: EDIPI 2345433 or PH 5465324
Column C: Identify the applicant's position title [Use the drop-down selector for Protective Security Officer, Key Personnel, or Staff]
Column D: Enter the HSPD-12 PIV Card number located on the botton of the card; example: 1000002156 DHS001-7000-02104
Column E: Identify the reason for HSPD-12 PIV Card Return [Use the drop-down to select the appropriate reason - definitions below]
**Cessation of Operation: A PIV Card Holder is retiring, resigning, or is fired
**Key Compromised: A PIV Card is lost or stolen. **NOTE** Shall provide the 3155 Case Number in Column L.
**Superseded: A PIV Card Holder has a change in clearance or any other change to the card topology, to include damaged or inoperable cards
Column F: Identify the Region the applicant is supporting [Use the drop-down selector for Region 1 through Region 11
Column G: Enter the Contracting Officer's Representative (COR) name
Column H: Enter the Prime Contractor Name
Column I: Enter the Prime Contract Number
FOR GOVERNMENT ONLY
Column J: Enter the Name of the Federal Employee that destroyed the PIV card **NOTE** The PIV Card shall be destroyed using a cross-cut shredder
Column K: Enter the Date that the PIV card was destoryed **NOTE** The PIV Card shall be destroyed using a cross-cut shredder
Column L: Enter the FPS 3155 Case Number for all Lost or Stolen PIV Cards
*The COR shall email the completed worksheet to the FPS HSPD-12 Program Office at FPSHQHSPD-12@hq.dhs.gov
*The FPS HSPD-12 Program Office will review and validate the Integrated Security Management System (ISMS) and the Identity Management System (IDMS) to ensure profiles are updated appropriately
*Once the review is complete, the FPS HSPD-12 Program Office will provide the COR with a current status update
Protective Security Officer Cessation of Operation Region 1
Key Personnel Key Compromised Region 2
Staff Superseded Region 3
Region 4
Region 5
Region 6
Region 7
Region 8
Region 9
Region 10
Region 11
DHS Form 11000-6 (10/18) Page 1 of 3
Initials: Protected Critical Infrastructure Information (PCII)
Initials: Sensitive Security Information (SSI)
Initials: Other Sensitive but Unclassified (SBU)
DEPARTMENT OF HOMELAND SECURITY
NON-DISCLOSURE AGREEMENT
I, , an individual official, employee, consultant, or subcontractor of or to
(the Authorized Entity), intending to be legally bound, hereby consent to the terms in this
Agreement in consideration of my being granted conditional access to certain information, specified below, that is owned by, produced by, or in the possession of the United States Government.
(Signer will acknowledge the category or categories of information that he or she may have access to, and the signer's willingness to comply with the standards for protection by placing his or her initials in front of the applicable category or categories.)
I attest that I am familiar with, and I will comply with all requirements of the PCII program set out in the Critical Infrastructure Information Act of 2002 (CII Act) (Title II, Subtitle B, of the Homeland Security Act of 2002, Public Law 107-296, 196 Stat. 2135, 6 USC 101 et seq.), as amended, the implementing regulations thereto (6 CFR Part 29), as amended, and the applicable PCII Procedures Manual, as amended, and with any such requirements that may be officially communicated to me by the PCII Program Manager or the PCII Program Manager's designee.
I attest that I am familiar with, and I will comply with the standards for access, dissemination, handling, and safeguarding of SSI information as cited in this Agreement and in accordance with 49 CFR Part 1520, "Protection of Sensitive Security Information," "Policies and Procedures for Safeguarding and Control of SSI," as amended, and any supplementary guidance issued by an authorized official of the Department of Homeland Security.
As used in this Agreement, sensitive but unclassified information is an over-arching term that covers any information, not otherwise indicated above, which the loss of, misuse of, or unauthorized access to or modification of could adversely affect the national interest or the conduct of Federal programs, or the privacy to which individuals are entitled under Section 552a of Title 5, as amended, but which has not been specifically authorized under criteria established by an Executive Order or an Act of Congress to be kept secret in the interest of national defense or foreign policy. This includes information categorized by DHS or other government agencies as: For Official Use Only (FOUO); Official Use Only (OUO); Sensitive Homeland Security Information (SHSI); Limited Official Use (LOU); Law Enforcement Sensitive (LES);
Safeguarding Information (SGI); Unclassified Controlled Nuclear Information (UCNI); and any other identifier used by other government agencies to categorize information as sensitive but unclassified.
I attest that I am familiar with, and I will comply with the standards for access, dissemination, handling, and safeguarding of the information to which I am granted access as cited in this Agreement and in accordance with the guidance provided to me relative to the specific category of information.
I understand and agree to the following terms and conditions of my access to the information indicated above:
1. I hereby acknowledge that I have received a security indoctrination concerning the nature and protection of information to which I have been provided conditional access, including the procedures to be followed in ascertaining whether other persons to whom I contemplate disclosing this information have been approved for access to it, and that I understand these procedures.
2. By being granted conditional access to the information indicated above, the United States Government has placed special confidence and trust in me and I am obligated to protect this information from unauthorized disclosure, in accordance with the terms of this Agreement and the laws, regulations, and directives applicable to the specific categories of information to which I am granted access.
3. I attest that I understand my responsibilities and that I am familiar with and will comply with the standards for protecting such information that I may have access to in accordance with the terms of this Agreement and the laws, regulations, and/ or directives applicable to the specific categories of information to which I am granted access. I understand that the United States Government may conduct inspections, at any time or place, for the purpose of ensuring compliance with the conditions for access, dissemination, handling and safeguarding information under this Agreement.
DHS Form 11000-6 (10/18) Page 2 of 3
4. I will not disclose or release any information provided to me pursuant to this Agreement without proper authority or authorization. Should situations arise that warrant the disclosure or release of such information I will do so only under approved circumstances and in accordance with the laws, regulations, or directives applicable to the specific categories of information. I will honor and comply with any and all dissemination restrictions cited or verbally relayed to me by the proper authority.
5. (a) For PCII - (1) Upon the completion of my engagement as an employee, consultant, or subcontractor under the contract, or the completion of my work on the PCII Program, whichever occurs first, I will surrender promptly to the PCII Program Manager or his designee, or to the appropriate PCII officer, PCII of any type whatsoever that is in my possession.
(2) If the Authorized Entity is a United States Government contractor performing services in support of the PCII Program, I will not request, obtain, maintain, or use PCII unless the PCII Program Manager or Program Manager's designee has first made in writing, with respect to the contractor, the certification as provided for in Section 29.8(c) of the implementing regulations to the CII Act, as amended.
(b) For SSI and SBU - I hereby agree that material which I have in my possession and containing information covered by this Agreement, will be handled and safeguarded in a manner that affords sufficient protection to prevent the unauthorized disclosure of or inadvertent access to such information, consistent with the laws, regulations, or directives applicable to the specific categories of information. I agree that I shall return all information to which I have had access or which is in my possession 1) upon demand by an authorized individual; and/or 2) upon the conclusion of my duties, association, or support to DHS; and/or 3) upon the determination that my official duties do not require further access to such information.
6. I hereby agree that I will not alter or remove markings, which indicate a category of information or require specific handling instructions, from any material I may come in contact with, in the case of SSI or SBU, unless such alteration or removal is consistent with the requirements set forth in the laws, regulations, or directives applicable to the specific category of information or, in the case of PCII, unless such alteration or removal is authorized by the PCII Program Manager or the PCII Program Manager's designee. I agree that if I use information from a sensitive document or other medium, I will carry forward any markings or other required restrictions to derivative products, and will protect them in the same matter as the original.
7. I hereby agree that I shall promptly report to the appropriate official, in accordance with the guidance issued for the applicable category of information, any loss, theft, misuse, misplacement, unauthorized disclosure, or other security violation, I have knowledge of and whether or not I am personally involved. I also understand that my anonymity will be kept to the extent possible when reporting security violations.
8. If I violate the terms and conditions of this Agreement, such violation may result in the cancellation of my conditional access to the information covered by this Agreement. This may serve as a basis for denying me conditional access to other types of information, to include classified national security information.
9. (a) With respect to SSI and SBU, I hereby assign to the United States Government all royalties, remunerations, and emoluments that have resulted, will result, or may result from any disclosure, publication, or revelation of the information not consistent with the terms of this Agreement.
(b) With respect to PCII I hereby assign to the entity owning the PCII and the United States Government, all royalties, remunerations, and emoluments that have resulted, will result, or may result from any disclosure, publication, or revelation of PCII not consistent with the terms of this Agreement.
10. This Agreement is made and intended for the benefit of the United States Government and may be enforced by the United States Government or the Authorized Entity. By granting me conditional access to information in this context, the United States Government and, with respect to PCII, the Authorized Entity, may seek any remedy available to it to enforce this Agreement including, but not limited to, application for a court order prohibiting disclosure of information in breach of this Agreement. I understand that if I violate the terms and conditions of this Agreement, I could be subjected to administrative, disciplinary, civil, or criminal action, as appropriate, under the laws, regulations, or directives applicable to the category of information involved and neither the United States Government nor the Authorized Entity have waived any statutory or common law evidentiary privileges or protections that they may assert in any administrative or court proceeding to protect any sensitive information to which I have been given conditional access under the terms of this Agreement.
DHS Form 11000-6 (10/18) Page 3 of 3
11. Unless and until I am released in writing by an authorized representative of the Department of Homeland Security (if permissible for the particular category of information), I understand that all conditions and obligations imposed upon me by this Agreement apply during the time that I am granted conditional access, and at all times thereafter.
12. Each provision of this Agreement is severable. If a court should find any provision of this Agreement to be unenforceable, all other provisions shall remain in full force and effect.
13. My execution of this Agreement shall not nullify or affect in any manner any other secrecy or non-disclosure Agreement which I have executed or may execute with the United States Government or any of its departments or agencies.
14. These provisions are consistent with and do not supersede, conflict with, or otherwise alter the employee obligations, rights, or liabilities created by existing statute or Executive Order relating to (1) classified information, (2) communications to Congress, (3) the reporting to an Inspector General of a violation of any law, rule, or regulation, or mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety, or (4) any other whistleblower protection. The definitions, requirements, obligations, rights, sanctions, and liabilities created by controlling Executive Orders and statutory provisions are incorporated into this agreement and are controlling.
15. Signing this Agreement does not bar disclosures to Congress or to an authorized official of an executive agency or the Department of Justice that are essential to reporting a substantial violation of law.
16. I represent and warrant that I have the authority to enter into this Agreement.
17. I have read this Agreement carefully and my questions, if any, have been answered. I acknowledge that the briefing officer has made available to me any laws, regulations, or directives referenced in this document so that I may read them at this time, if I so choose.
NON-DISCLOSURE AGREEMENT
Acknowledgement
Typed/Printed Name: Government/Department/Agency/Business Address Telephone Number:
I make this Agreement in good faith, without mental reservation or purpose of evasion.
Signature: Date:
WITNESS:
Typed/Printed Name: Government/Department/Agency/Business Address Telephone Number:
Signature: Date:
This form is not subject to the requirements of P.L. 104-13, "Paperwork Reduction Act of 1995" 44 USC, Chapter 35.
Exhibit 4
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.
I, , hereby authorized the 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
Current Organization Assigned
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)
Lautenberg Amendment Certification (Exhibit 5)
FACT SHEET
On September 30, 1996, Title 18, United States Code, Section 922 (g)(9), was signed into law. This legislation makes it illegal for anyone who has been convicted of a misdemeanor crime of domestic violence to possess, receive, ship or transport any firearm or ammunition. This law applies without exception to any person who has ever been convicted of a misdemeanor crime of domestic violence within the meaning of the statute. The inability of an individual to lawfully possess a firearm disqualifies that person from any position authorizing firearm privileges.
The position for which you have applied authorizes firearm privileges. Therefore, in order to determine your qualifications for this position, you must complete a certification form. Please carefully review the statute and all of the following information before responding to the inquiry.
QUALIFICATION INQUIRY – Prospective New FPS LEO
For new applicants, you must complete the Lautenberg Certification Form and return it following instructions provided. In completing the form, you are advised that:
• The purpose is to obtain information regarding your qualification to possess or receive firearms or ammunition.
• You must complete and return the form in a timely manner to receive consideration for the position to which you are applying. If you fail to complete and/or return the form in a timely manner you will automatically be deemed not qualified.
REQUALIFICATION INQUIRY – Current FPS LEOs Current FPS LEOs must complete the Lautenberg Certification Form annually, when provided by your supervisor at the time of their performance review.
THE LAW
The Lautenberg Amendment to Title 18, U.S.C., Section 922 (g) provides:
(g) It shall be unlawful for any person –
(9) who has been convicted in any court of a misdemeanor crime of domestic violence, to ship or transport in interstate or foreign commerce, or possess in or affecting commerce, any firearm or ammunition; or to receive any firearm or ammunition which has been shipped or transported in interstate or foreign commerce.
As defined in 18 U.S.C. Section 921 (a)(33), a “misdemeanor crime of domestic violence” means an offense that:
(i) is a misdemeanor under Federal or State law; and
(ii) has, as an element, the use or attempted use of physical force, or the threatened use of a deadly weapon, committed by a current or former spouse, parent, or guardian of the victim, by a person with whom the victim shares a child in common, by a person who is cohabiting with or has cohabited with the victim as a spouse, parent, or guardian or by a person similarly situated to a spouse, parent, or guardian of the victim.
Section 921(a)(33) further provides:
(B)(i) A person shall not be considered to have been convicted of such an offense for purpose of this chapter, unless—
(I) the person was represented by counsel in the case, or knowingly and intelligently waived the right to counsel in the case; and
(II) in the case of a prosecution for an offense described in this paragraph for which a person was entitled to a jury trial in the jurisdiction in which the case was tried either:
(aa) the case was tried by a jury, or
(bb) the person knowingly and intelligently waived the right to have the case tried by a jury, by guilty plea or otherwise.
(B)(ii) A person shall not be considered to have been convicted of such an offense for purposes of this chapter if the conviction has been expunged or set aside, or is an offense for which the person has been pardoned or has had civil rights restored (if the law of the applicable jurisdiction provides for the loss of civil rights under such an offense) unless the pardon, expungement or restoration of civil rights expressly provides that the person may not ship, transport, possess, or receive firearms.
15.1.4.2-A
Exhibit 5a Lautenberg Amendment Certification
CONTRACTOR EMPLOYEE INFORMATION
Name
Contractor Contract #
PART I: INQUIRY Yes No Initial Date
Have you ever been convicted of a misdemeanor crime of domestic violence within the meaning of the statute?
If you answered “No”, skip to PART II of the form. If you answered “Yes”, review the attached information on the Lautenberg Amendment and then provide the information requested below and complete PART II of the form.
Court/Jurisdiction
Docket/Case Number
Statute/Charge
Date Sentenced
PART II: CERTIFICATION
I hereby certify that, to the best of my knowledge and belief, all of the information provided by me is true, correct, and complete, and made in good faith. I understand that a false statement on any part of this inquiry may be grounds for not hiring me or for firing me after I begin work. False or fraudulent information provided herein is also criminally punishable pursuant to federal law, including 18 U.S.C. 1001.
Social Security Number
Privacy Statement
Authority and Purpose: FPS is collecting this information to assess your eligibility to possess or receive firearms or ammunition as an FPS law enforcement officer. Collection of this information is necessary to ensure FPS complies with 18 U.S.C. § 922(g)(9), which prohibits individuals convicted in any court of a misdemeanor crime of domestic violence from possessing a firearm or ammunition that has been shipped or transported in interstate or foreign commerce. The last four digits of your Social Security Number are requested in order to identify you and ensure that this form is maintained in the correct personnel file. The authority for collection of this information is 18 U.S.C. § 922.
Disclosure: Furnishing this information is mandatory. For current law enforcement officers, failure to provide this information will result in loss of eligibility to carry a firearm and may result in disciplinary action up to and including removal from a law enforcement officer position.
Routine Uses: This information will be used within FPS to confirm that current law enforcement officers are not b
15.1.4.2-A
Exhibit 5b
ANNUAL ACTIVE THREAT AWARENESS CERTIFICATION
CONTRACTOR EMPLOYEE INFORMATION
Contractor Contract #
Responding to an Active Shooter Situation
A. Active Shooter - An Active Shooter is an individual actively engaged in killing or attempting to kill people in a confined and populated area; in most cases, active shooters use firearms(s) and there is no pattern or method to their selection of victims. Active shooter situations are unpredictable and evolve quickly. Typically, the immediate deployment of law enforcement is required to stop the shooting and mitigate harm to victim
B. PSO Active Shooter Response - The PSO duty book and/or post orders provide specific procedures for responding to an Active Shooter situation. PSOs will not serve as part of the Tactical Contact or Rescue team and will comply with all direction given by the Unified Response Force or the appropriate Federal or State law enforcement authority.
C. PSO Actions
1. Immediately notify the MegaCenter of an active shooter situation.
2. Follow the emergency notification instructions in post orders.
3. Relay the following information, if known:
a. Suspect location
b. Suspect description
c. Weapons used/carried
d. Description of any device carried or used
e. Suspect direction of travel
f. Number and location of casualties and assistance needed Number of friendly by-standers secured at your location.
4. PSO will maintain assigned posts as long as it is tactically feasible to do so.
5. Direct the building occupants in accordance with the Occupant Emergency Plan.
6. Secure all entrances.
7. PSO will defend self and others as necessary in compliance with their contractually required use of force training.
8. If the shooter is outside, do not let the tenants and visitors go outside of the facility.
9. Stay out of the view of the doors and windows.
10. Turn off the lights and close the shades/ curtains, if possible.
11. Stay put until you receive the “ALL CLEAR” signal from recognized law enforcement.
12. Do not impede law enforcement personnel and follow their directions accordingly.
PSO CERTIFICATION
I hereby certify that I have read the above situational awareness information and understand my roles and responsibilities during an active threat situation. I also understand that if I required clarification of my active threat responsibilities that I will contact my supervisor, company instructor, or an FPS Inspector.
Printed
PSO ID (last four SSN)
Exhibit 6
List of Required Training and Certifications
Item Training/Qualification Frequency Provider Section Reference 1 Basic Training One – Time Contractor 6.4.2/Exhibit 8 2 Firearms Training Initial/Semi-
Annual Contractor 6.6.2/Exhibit 8
3 Firearms Training (Transitional) When applicable Contractor 6.6.4/Exhibit 7 4 Firearms Training (Platform) When applicable Contractor 6.6.5/Exhibit 7 6 Firearms Qualification Initial/Semi-
Annual Contractor 6.6.3/Exhibit 7
7 Firearms Certification (Transitional) When applicable Contractor 6.6.4/Exhibit 7 8 Firearms Certification (Platform) When applicable Contractor 6.6.5/Exhibit 7 9 Intermediate Weapons Initial/Annual Contractor 6.6.6/Exhibit 7
10 AED, CPR, & First Aid AHA/ARC standards
Contractor 6.5.3
11 EMT (When applicable) NREMT standards
Contractor 6.5.1.1
12 Refresher Training (36-hr) Every 3-years Contractor 6.4.3/Exhibit 7 13 Orientation Briefing One – Time Government 6.8.2/Exhibit 9 14 Written Examination One – Time Government 6.4.1.4 15 NWDTP Initial/OJT Contractor 6.7.2.1.5/Exhibit 8, 9 16 DHS Privacy Training/ PII SPII/Information
Security Training/Records Management Initial/Annual Contractor 4.2.1
17 Other Special Training When applicable As determined 6.9 18 Active Threat Awareness Certification Annual Contractor 6.6.1.2/Exhibit 5b 19 Annual IRS Security Awareness Training Annual Contractor 6.10/Exhibit 8a
Exhibit 7
Information provided in this certification is subject to investigation and verification under Title 18, Section 1001, United States Code. Any false or misleading information may be punishable by fine and/or imprisonment.
Contractor's Certification of Training and Qualification
Employee's Name (Specify)
Employee's SSN
First/MI/Last
Contractor's Name
Contract Number
Last 4 only
Training/Qual. Type
Training/Qual. Date to
Score (if applicable)
Qualification
Signature Date
Company's Name
Instructor's Name
Instructor's Signature (Required)
Representative's Name
Title/First Initial/Last Representative's Signature (when applicable)
Authorized Contractor Representative
Authorized Contractor Representative Signature/Date (Required)
I hereby certify the above-named instructor presented the training material and the above-named employee successfully completed all blocks of instruction in accordance with this SOW.
TRAINING CONDUCTED BY
Title/First/MI/Last
FPS REPRESENTATIVE (as required)
Exhibit 7a Contractor's Validation of Employee Personal Data
I hereby certify the contractor employee personal data was validated on the dates indicated above. (Maintain this exhibit and associated documents (copy or original) in the electronic PSO Personnel File.)
Information provided in this certification is subject to investigation and verification under Title 18, Section 1001, United States Code.
Any false or misleading information may be punishable by fine and/or imprisonment.
Employee's Name
1. Has a valid Social Security Card from the Social Security Administration
2. Has a verified Alien/Immigration Status (I-9 or e-Verify Certificate)
3. (a) Has a minimum of two years of verifiable security or law enforcement experience;
(OR)
(b) Has a minimum of two years of honorable service as a member of any U.S. Armed Forces component
(c) Has successfully completed a federal or state certified law enforcement education and training or police office's standard training course, that may result in a law enforcement appointment or commission
4. (a) Has a high school or general equivalency diploma from an accredited institution of higher learning or as identified on DD Form 214 (Certificate of Release or Discharge from Active Duty);
(b) Has a diploma from an international learning institution (must be translated in English and certified by an Notary Public or an individual who is authorized to notarize documents; the document must be an original copy)
5. Has the ability to fluently speak, read, comprehend, and compose coherent written reports in English ........................... Date
Title/First Initial/Last
Authorized Contractor Representative Signature (Required) Signature Date
Contractor Employee Status
New Hire
Exhibit 7a
Employee Personal Data
Information provided in this certification is subject to investigation and verification under Title 18, Section 1001, United States Code.
1. Has a valid Social Security Card from the Social Security Administration
2. Has a verified Alien/Immigration Status (I-9 or e-Verify Certificate)
3. (a) Has a minimum of two years of verifiable security or law enforcement experience;
(b) Has a minimum of two years of honorable service as a member of any U.S. Armed Forces component
4. (a) Has a high school or general equivalency diploma from an accredited learning institution recognized by the
U.S. Department of Education;
(b) Has a diploma from an international learning institution
(c) Has a minimum of 60 credit hours, in a related field, from an accredited learning institution recognized by the
U.S. Department of Education;
(d) Has successfully completed a federal or state certified law enforcement education and training or police office's standard training course, that may result in a law enforcement appointment or commission
5. Has the ability to fluently speak, read, comprehend, and compose coherent written reports in English
I hereby certify the above-named contractor employee personal data was validated on the dates indicated above.
(Maintain this exhibit and associated documents (copy or original) in the electronic PSO Personnel File.)
New Hire
Exhibit 7b
Pre-employment Requirements
1. Exhibit 7a, Contractor's Validation of Employee Personal Data
2. HSPD-12 (PIV or PIV-I)
3. Photograph
4. Fitness Decision Letter (Final or Preliminary)
5. National Security Information Clearance Letter, when applicable
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