TAB 32 STATEMENT OF WORK.pdf

This is a HSAM Appendix G checklist form used for controlled unclassified information (CUI) requirements in federal contracting. The document applies to requisition 2026229-ND06 for "Repair Cylinder, Oxy Emergency" with an estimated contract value of $24,552.00.

The checklist requires the requiring office to determine whether contractors will access CUI or federal information systems during contract performance. It identifies thirteen types of CUI that may be applicable, including Chemical-Terrorism Vulnerability Information, Homeland Security information, Information Systems Vulnerability Information, International Agreement Information, Operations Security Information, Personnel Security Information, Physical Security Information, Protected Critical Infrastructure Information, Personally Identifiable Information, Sensitive PII, and Sensitive Security Information. If CUI access is required, the contracting officer must include specific HSAR and FAR clauses addressing privacy training, contractor employee access, safeguarding of controlled unclassified information, and notification requirements for personally identifiable information incidents. The checklist also addresses whether contractors require recurring access to government facilities or DHS information systems, and whether foreign end products necessitate additional security provisions. The form must be completed and signed by the requiring official and Head of the Contracting Activity designee before the procurement package can be submitted.