Attachment 2 - Contractor Information Form_RFI_INSCOM Access Control.pdf

Attachment 2

CONTRACTOR INFORMATION FORM

Requirement Name: ____________________________________________________

Use this form to provide your company’s general information. Please respond to all questions as completely as possible.

SECTION 1. GENERAL UEI: __________________ CAGE Code: _____________

1. Business Name:

2. Business Address:

3. Responsible Point of Contact:

Name:

Telephone:

Email:

4. Do you want your Company’s name and Point of Contact publicized in Federal Business Opportunities (SAM.GOV) for possible teaming opportunities? Yes No

SECTION 2. TYPE OF BUSINESS: (Check all that apply)

8(a) Small Business Service-Disabled Veteran-Owned Small Business

Veteran-Owned Small Business HUBZone Small Business

Women-Owned Small Business Small Disadvantaged Business

Small Business Other than Small Business

Number of Years in Business: _____________________________

Number of Employees: __________________________

Annual Revenue: ________________________________

NAICS Codes (Top Five (5)):____________________________________________________________

Is your firm: (Check all that apply)

Services Supply General Construction Specialized Construction Manufacturing

Research & Development Prime Contractor Subcontractor

Other – explain___________________________________________________________________

SECTION 3. BONDING CAPACITY: Not Applicable Yes. If yes, provide the following:

Surety Name: (Insert Bonding Company Name)

Maximum bonding capacity per project: $____________________________

Aggregate maximum bonding capacity: $____________________________

SECTION 4. ACQUISITION INTEREST:

Is your firm interested in performing Classified Projects?

Yes No

SECTION 5. CONTRACTOR ARRANGEMENT

Is your firm a part of the Following Mentor Protégé Program(s)?

8(a) Small Business Administration (SBA) Mentor Protégé Program

All Small SBA Mentor Protégé Program

Department of Defense Mentor Protégé Program (i.e. Army, Navy, Air Force)

Joint venture with (Insert busines name, business size, and cage code). (See FAR subpart

9.6 for Government policy on teaming arrangements, as well as 8(a) Program regulations described in 13 CFR 124.513, HUBZone Program regulations described in 13 CFR 126.616, and Service-Disabled Veteran-Owned Program regulations described in FAR 19.1403 (c) and 13 CFR 125.15(b). )

Not Applicable

SECTION 6. CAPABILITY

1. Our firm’s accounting system does / does not contain the following characteristics:

• Proper segregation of direct costs from indirect costs.

• Identification and accumulation of direct costs by contract.

• Logical and consistent method for the allocation of indirect costs to contracts.

• Accumulation of costs under general ledger controls.

• Timekeeping system that identifies employees’ labor by contract.

• Exclusion of unallowable costs from costs charged to Government contracts.

• Does your firm have written accounting policies and procedures?

2. Our firm has / does not have a Higher-Level Contract Quality certification(s).

If yes, please provide type(s) of Higher-Level Quality Certification below:

(For additional information look at DFARS Part 246.202-4, Higher-level contract quality requirements.): 246.202-4 Higher-level contract quality requirements. | Acquisition.GOV Higher-level contract quality requirements.)

SECTION 7. SECURITY CLASSIFICATION

1. Our firm holds / does not hold the following: (Check all that apply)

An active Top Secret Facility in Clearance with Sensitive Compartment Information eligibility

Active Top Secret Facility Clearance

Active Secret Facility Clearance https://www.acquisition.gov/dfars/246.202-4-higher-level-contract-quality-requirements.#:%7E:text=246.202-4%20Higher-level%20contract%20quality%20requirements.%20%281%29%20Higher-level%20contract,in%20the%20DoD%20Index%20of%20Specifications%20and%20Standards.

https://www.acquisition.gov/dfars/246.202-4-higher-level-contract-quality-requirements.#:%7E:text=246.202-4%20Higher-level%20contract%20quality%20requirements.%20%281%29%20Higher-level%20contract,in%20the%20DoD%20Index%20of%20Specifications%20and%20Standards.

2. Our firm owns or has access to a Sensitive Compartment Information Facility (SCIF)?

3. If yes, do you have multiple locations? Yes No

4. Where? ___________________________________________________________________

5. Is your company compliant with all security controls in National Institute of Standards and Technology (NIST) Special Publication (SP) 800-171? Yes No

6. Our firm has / does not have a Statement of Affiliation with any Federal entity.

If yes, please provide a copy of the most current Federal Statement of Affiliation.

7. Does your company have experience using the Defense Information System for Security (DISS) for personnel security management? Yes No

If "Yes," can you characterize the general functions your personnel are experienced in performing within DISS?

8. Does your company have experience processing Visitor Access Requests (VARs) in DISS? Yes No

If "Yes," can you describe the general scope of this experience?

9. Does your company have experience using the Scattered Castle system? Yes No

If "Yes," please characterize the nature of this experience.

10. Does your company have personnel experienced with the Lenel OnGuard system?

If "Yes," please characterize the scope of this experience (e.g., routine monitoring, alarm response).

11. Are your personnel trained in Key Control principles and practices? Yes No

If "Yes," please confirm that this training is a standard part of your security procedures.

12. Does your company have experience with access control procedures that link DISS-based clearance verification to the issuance of visitor badges? Yes No

If "Yes," please describe your company's general experience in this area.

13. Are your personnel experienced in the process of validating courier authorizations for classified materials? Yes No

If "Yes," please confirm the nature of this experience (e.g., validating credentials, inspecting documentation).

14. Does your company have experience conducting entry/exit inspections? Yes No

If "Yes," please characterize the general purpose of these inspections (e.g., routine, random, for-cause).

15. Have your personnel received formal training regarding the protection of Personally Identifiable Information (PII)? Yes No

If "Yes," please confirm that your company maintains standard procedures for safeguarding PII.

16. Does your company maintain a staffing contingency plan to ensure continuity of operations during unexpected personnel absences? Yes No

If "Yes," please confirm the existence of such a plan.

11. Are personnel available during all service hours who are trained in the use of an Automated External Defibrillator (AED)? Yes No

If "Yes," please confirm this capability and that training is kept current.

12. Does your company have a standard procedure to ensure personnel who may operate government vehicles possess a valid driver’s license? Yes No

If "Yes," please confirm that a verification process is in place.