Attachment D - HSAM Appendix G USCGC JAMES (WMSL-754).pdf
PDF 452 KB Posted
- Attached to
- USCG JAMES DS FQ1 FY26
- Solicitation number
- 70Z08525RLREP0018
About this file
This document is a HSAM Appendix G - Class Checklist for Controlled Unclassified Information related to the Surface Forces Logistics Center (SFLC) Programmed Depot Maintenance for Dockside Availabilities. The procurement is for multiple unclassified requisitions totaling $348,000,000, covering labor, materials, services, equipment, supplies, power, accessories, and facilities to perform dockside repairs to Coast Guard vessels, including preservation welding and environmental protection. The contract expires on 01AUG2029.
The checklist comprehensively addresses various information security and access requirements, including contractor access to government facilities, information systems, and controlled unclassified information (CUI). Key sections cover authority to operate, continuous monitoring, data retention, privacy considerations, and require signatures from multiple USCG officials including the Commander of Surface Forces Logistics Center, Deputy Chief Security Officer, CIO designee, Privacy Officer, and Deputy Head of the Contracting Activity. The document ensures compliance with federal information security protocols and establishes guidelines for contractor interactions with sensitive government systems and information.
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Text version
HSAM Appendix G - Class 1 Revision Date: 08/03/2023
SFLC Programmed Depot Maintenance – Dockside Availabilities
$348,000,000
01AUG2029
Multiple unclassified requisitions for labor, materials, services, equipment, supplies, power, accessories, facilities and other such things to perform dockside repairs to Coast Guard vessels This includes preservation welding environmental protection
HSAM Appendix G - Class 2 Revision Date: 08/03/2023
Business sensitive information or limited distribution may apply (e.g., USCG
Access control requirements IAW CI5532.1 apply to each location. DHS NDA Form 11000-6 may apply based on the sensitivity of information provided.
HSAM Appendix G - Class 3 Revision Date: 08/03/2023
N/A
N/A
Access control requirements IAW CI5532.1 apply to each location. DHS NDA Form 11000-6 may apply based on the sensitivity of information provided.
HSAM Appendix G - Class 4 Revision Date: 08/03/2023
Signature Page : After Requiring Official signature, submit this HSAM Appendix G AND the requirements document (description of requirements, SOW, SOO, PWS ) through the HSAM Appendix G Submission Tool to initiate review to the following USCG Offices or designees if the checklist instructs their input: Chief Security Officer, Chief Information Officer, and/or Privacy Officer as appropriate. Email addresses are provided for questions ONLY. If signatures are required for SSI, CVI, and PCII, the Requiring Office must submit the checklists via email AFTER USCG applicable signatures are received. The Requiring Office will provide the HSAM Appendix G for signature to the Contracting Officer to review and coordinate.
Role and Inclu Name, Title, Office, Phone # OR Reason for Exclusion
Signature (Include date if not signing electronically)
Requiring Official (or official title) To be signed by Program Manager, Contracting Officer's Representative (COR) or other Program designee.
USCG Chief Security Officer (CSO) or designee Include when contractor employees require recurring access to DHS facilities and/ or access to Email for questions only:
If <$10M: HQS-SMB-ChiefSecurityOfficer-AppendixG-0-10M@uscg.mil If to <$50M: HQS-SMB-ChiefSecurityOfficer-APs-10M-50M@uscg.mil
HQS-SMB-ChiefSecurityOfficer-APs-50andgreater@uscg.mil
USCG Chief Information Officer (CIO) or designee Include when information systems will be used to transmit Email for questions only: HQS-DG-LST-CG-6-HSAMReview@uscg.mil
USCG Privacy Officer or designee Include when ontractor will have access to Personally Identifiable Information (PII), Personal Health Information (PHI) and/or SPII.
Email for questions only: HQS-DG-M-CG-61-PII@uscg.mil
Sensitive Security Information (SSI) Program Office Include when contractor employees will have to access SSI.
Email: SSI@HQ.DHS.gov (if applicable submit after ITPASS coordination is completed)
Chemical-terrorism Vulnerability Information (CVI) Program Office Include when contractor will have access to CVI.
Email: CVI_HSAM_Requests@cisa.dhs.gov
Protected Critical Infrastructure Information (PCII) Program Office Include when contractor will have access to PCII.
Email: PCII-Assist@cisa.dhs.gov
USCG Head of the Contracting Activity
HSAM Appendix G - Class 5 Revision Date: 08/03/2023
PECORA.ANDR
EW.T.10441869
Digitally signed by
PECORA.ANDREW.T.1044
186914 Date: 2024.07.30 16:25:42 -04'00'
EVANS.SA
MUEL.E.III.
1109718668
Digitally signed by
EVANS.SAMUEL.
E.III.1109718668
Date: 2024.08.22 10:40:32 -04'00'
CASTALDI.JA
MES.MARK.1
548292804
Digitally signed by
CASTALDI.JAMES.MAR
K.1548292804 Date: 2024.08.22 14:59:06 -04'00'
CLAFFIE.KA
THLEEN.LEE
.1137127438
Digitally signed by
CLAFFIE.KATHLEEN.L
EE.1137127438
Date: 2024.09.09 10:05:04 -04'00'
GRANT.MI
A.D.102502
Digitally signed by
GRANT.MIA.D.102
5026981 Date: 2024.11.14 06:58:20 -05'00'
CAPT Andrew T. Pecora Commander Surface Forces Logistics Center
(410) 762-6012
Mr. Samuel E. Evans III Deputy Chief Security Officer
USCG, DCMS-34
(202) 372-3707
James Castaldi CIO designee
USCG, CG-6
(202) 475-3635
Kathleen Claffie Privacy Officer
USCG, CG-6P
(202) 475-3515
No SSI Access
No CVI Access
No PCII Access
Mia Grant Deputy HCA
CG-91
(202) 475-3898
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