Attachment 11 Initial Checklist for Contractor Personnel 6-15-2026.pdf

692M15-25-R-00012 WJHTC Armed Security Guards 15 June 2026 Attachment 11

INITIAL CHECKLIST FOR CONTRACTOR PERSONNEL

Employee Name: _______________________________

Labor Category: _______________________________ (Enter Contract Program Manager, Contract Guard Supervisor, Computer Operator, Guard, Emergency Management Specialist)

In accordance with Attachment 01 Statement of Work (SOW), as an authorized representative of the above listed contractor, with my signature below, I do hereby certify that each of the following SOW Section 3.3.18 requirements are submitted for the above-listed contract employee.

Check off each of the below indicating that the SOW Section 3.3.18 requirement is complete and provided to the FAA.

1. Certification of medical standards and current drug test completion and date

(Section 3.3.9 and Section J Attachments 13 and 14). (armed)

2. State of New Jersey valid Firearms permit (armed)

3. Completed Contract Security Officer Firearms Qualification Course of Fire (CoF) and Certification Form (Sections 3.1.1, 3.2.1, 3.2.2, 3.3.5, and 3.5.6 and Section J Attachment 09). (armed)

4. Certification of U.S. citizenship (Sections 3.2.1, 3.2.2, 3.3.5, and 3.3.7 and Section J

Attachment 12). (all)

5. Certification of education (Sections 3.2.1, 3.2.2, 3.3.5, and 3.3.7 and Section J

Attachment 12). (all)

6. Certification of minimum age (Section 3.2.1, 3.2.2, 3.3.5, and 3.3.7 and Section J

Attachment 12). (all)

7. Certification of written and oral communication skills (Section 3.8 and Section J

Attachment 12) (all)

8. Applicable state or local jurisdiction licensing (Section 3.3.11). (armed)

9. Security Officers Registration Act (SORA) certification (Sections 3.2.1, 3.2.2, and

3.3.5). (armed)

10. American Red Cross or American Heart Association-approved Cardiopulmonary

Resuscitation (CPR) certification. first aid, and Automated External defibrillator (AED) certification (Section 3.6.1). (armed)

11. Signed and dated certification of compliance with Lautenberg Amendment IAW 18

USC 922 and Certification Form, Section J Attachment 08 (Section 3.3.17 and Section J Attachment 10). (armed)

12. Baton/Handcuff/OC (pepper spray) training certification (Section 3.6). (armed)

13. Security Awareness Virtual Initiative (SAVI) training certification (Section 3.6). (all)

14. X-Ray Machine, Walk-Thru Magnetometer and Package Handling training certification (Section 3.6). (armed)

15. Signed and dated certification for review of Contract Guard Orders and Contractor

Guard Manual (Sections 3.7 and 3.8 and Section J Attachment 06). (all)

16. In addition to the above list, the Contractor must submit documentation of successful completion of all required initial and annual refresher training (Sections

3.5 and 3.6 and Section J Attachment 11) for all contractor personnel to the COR/ACOR. These records must provide the name and location of the training facility, date and times of training courses, and who conducted the training. The COR will accept any of the Guard’s current unexpired certifications and qualifications if they meet current FAA requirements for certification and qualification.

Certifier’s Typed or Printed Name:

Certifier’s Typed or Printed Title:

Certifier’s Signature:

Date: