Encl2_Performance Work Statement_PWS_DTTS V_DITCO_Sources_Sought.docx

PERFORMANCE WORK STATEMENT (PWS)

1. Contracting Officer’s Representative (COR).

a. Primary COR. See DITCO Additional Text G1 - Points of Contact

b. Alternate COR. See DITCO Additional Text G1 - Points of Contact

2. Contract or Task Order Title. Defense Information Systems Agency (DISA) Travel Telecommunications Services – V (DTTS-V)

3. Background. DISA provides a dedicated temporary telecommunications network to support the activity of the DISA Field Element. This telecommunications network consists of Government-owned and commercial-leased telecommunications services and/or equipment. Typical requirements for the network include voice, data, and video communication services at various locations throughout the Contiguous United States (CONUS), Alaska, and Hawaii. The temporary telecommunications network remains constituted for a designated duration.

The telecommunications network is typically established in hotel rooms, hotel meeting spaces, convention centers, military installations, or other public and/or privately owned facilities. The types and quantities of telecommunications services vary by location and mission category. The average usage is 250 minutes per line.

In general, temporary missions can be categorized as follows:

Typical telecommunications services are projected to be:

20 to 35 Internet circuits RON Less than 50 IDD MBLs per mission 40 to 55 Internet circuits Typical telecommunications services distribution is as follows:

Historical Data:

CONUS

NCR

Applicable Publications:

FAR – Federal Acquisition Regulation DFARS – Defense Federal Acquisition Regulation Supplement DARS – DISA Acquisition Regulation Supplement DISA Circular 310-130-1 Department of Defense (DoD) 7000.14-R FMR- Financial Management Regulation Telecommunications Certification Office (TCO) Form 1 (Attachment 1) DISA Form 67 (Attachment 2) Request to Exceed Per Diem Approval Letter (Attachment 3) Travel Letter (Attachment 4)

4. Objectives: The contract will provide temporary telecommunications services at various locations throughout the CONUS, Alaska, and Hawaii to support the DISA Field Element.

5. Scope. The purpose of this contract is to provide a full range of telecommunications services supporting the travel mission requirements of the DISA Field Element. The DISA Field Element assigns a telecommunications officer (Trip Lead) for each mission. The Trip Lead has the responsibility to ensure an appropriate telecommunications infrastructure is in place to support the mission. Telecommunications services shall consist of voice and/or data services installed at designated locations (e.g., airport, event sites, the designated Press Office, and other designated locations) as identified by the Trip Lead per Trip Docket Number (TDN). As technology advances throughout the life of this contract, other telecommunication services may be incorporated into this contract. Separate pricing will be requested at that time. The Contractor shall be responsible for the installation of services to the identified termination location and for the activation, maintenance, and deactivation of each service at the direction of the Trip Lead.

6. Performance Requirements.

6.1 Task 1 - Ordering

6.1.1 Subtask 1 - Order Tracking. The Contractor shall provide temporary telecommunications services, not to exceed 90 days at various locations throughout CONUS, Alaska, and Hawaii. The Contractor shall be available to receive orders and provide resolution to the Government’s requests 24 hours a day / 7 days a week / 365 days a year (24/7/365). The Contractor shall respond to all correspondence from Defense Information Technology Contracting Organization (DITCO) within 30 minutes. The Contractor will receive a verbal authorization and an emailed TCO Form 1 from a DITCO Contracting Officer. DITCO Contracting Officers are the ONLY Government personnel authorized to obligate the Government. Therefore, no increases to the award values are authorized unless a Contracting Officer has made the obligation via verbal and/or written modification to the award. The TCO Form 1 is awarded with estimated line counts by type of service, and requiring activity; each is assigned a Communication Service Authorization (CSA) number. If Contractor travel is authorized, a travel CSA will be included on the TCO Form 1. The Contractor shall provide an email to the designated Trip Lead within four (4) hours of receipt of the initial TCO Form 1 with the name and contact information of the Contractor’s Representative assigned to the designated mission. The Contractor will receive specific instructions via a DISA Form 67 provided by the Trip Lead. The Contractor shall not arrive to the designated location(s) prior to the date instructed by the Trip Lead.

At the conclusion of the mission, the actual lines installed will be documented on the DISA Form 67, this Form serves as Government acceptance of services received. The Government will only pay for the services received as annotated on the DISA Form 67. The Contractor will be paid as indicated on the Contract Line Item Number (CLIN) structure. The CSA number along with the telecommunications service request (TSR) number and TDN will be used to track all requirements. The Contractor shall not install services in excess of those authorized on the initial TCO Form 1 unless a modification has been issued by a DITCO Contracting Officer.

The Contractor shall install, integrate, test, troubleshoot, operate, coordinate repairs, modify, move, disconnect and remove all telecommunications services and equipment as instructed by the Trip Lead during the period of performance. The Contractor has sole responsibility to negotiate with the venue(s) for required services at the mission location. The Contractor shall obtain authorization for the installation of temporary circuits, wiring, antennas, and other equipment on the premises (e.g., hotel, motel, airport, fire station, field house, restaurant, hospital owner/managers, and officials at other site venues). Upon mission completion and prior to the conclusion of the period of performance, the Contractor shall ensure the removal of all Contractor owned and/or installed at the direction thereof, equipment and cabling from all venues. All venues must be reconstituted to original condition prior to Contractor departure from the mission as documented on DISA Form 67.

Mission tempo will be categorized as “standard” or “surge”. During a “standard” period, the Contractor must be prepared to provide a maximum of 25 missions simultaneously at various locations throughout the CONUS, Alaska, and Hawaii with a maximum of ten (10) requiring a Contractor Representative to be physically present at the mission location. When a Contractor Representative is required at a designated mission location they shall not be utilized to represent other missions with authorized travel occurring concurrently. The Government will determine the type of Contractor representation required for each mission, physically on-site or virtual.

When the Government projects the number of concurrent missions is to exceed 25, the Government will promptly notify the Contractor via email of an impending “surge period” for a specific period of time, not to exceed 60 consecutive days. The minimum threshold to declare a surge is at 20 concurrent missions– on-site, virtual, or any combination. During a surge period, the Contractor may be required to provide a maximum number of five (5) missions requiring a Contractor Representative to be physically present at the mission location; all additional missions will have virtual representation. The maximum number of concurrent missions the Government will assign during a surge period will not exceed 45 virtual missions.

The Contractor Representative on location must conduct themselves in a professional manner throughout each mission. Professionalism includes: proactively seeking information to facilitate mission success; being available and responsive 24/7 throughout the duration of the mission; ensuring all services are accurate and operational within established timeframes.

The Contractor shall track orders by CSA number and the TSR number as assigned by DITCO. As a minimum, the Contractor shall maintain the following information for each order:

1. TDN Number

2. CSA Number

3. TSR Number

4. Location

5. Start Date

6. Disconnect Date

7. Number of Circuits Installed

8. Type of Circuits Installed

During both standard and surge ordering periods, the Contractor shall monitor and track the number of concurrent missions they are providing to include the number of Contractor Representatives physically on location. When the number of concurrent missions and/or Contractor Representatives on location reaches 80% of the maximum allowable, the Contractor shall notify DITCO via email (email address will be provided to Contractor at time of award) within two (2) hours of reaching the threshold(s) with the current number of missions being provided and Contractor Representatives deployed.

Deliverables: Receipt of Order Notification of Contractor Representation Assignment Notification of Mission Count Notification of Technical Representative Count

6.1.2 Subtask 2 - Cancellation. Upon receipt of a cancellation order from DITCO, the Contractor shall immediately cease all installation of services. The Contractor shall submit an email to DITCO (email address will be provided to Contractor at time of award) within 12-hours of receipt of the cancellation indicating if service and/or travel costs were incurred. If the Contractor has incurred no expenses, the cancellation shall be accomplished without cost to the Government, and the “no cost” email will serve as the notice of completion (NOC) and the Contractor shall upload it into Integrated Defense Enterprise Acquisition System (IDEAS) for all applicable CSAs. Signature of the Trip Lead is not required. If lines have been installed prior to the issuance of a cancellation, the Contractor shall be paid for those lines installed as indicated on the signed DISA Form 67. The Form 67 and travel invoice shall reflect the Period of Performance (PoP) identified on the Cancel TCO Form. If no lines have been installed prior to the issuance of a cancellation but costs were incurred, refer to 6.5.2 of the PWS.

Deliverables: Receipt of Order Receipt of Cancellation

and email Within 30 minutes from DITCO’s initial contact

Upload Within 12 hours of receipt of the cancellation

6.2 Task 2 - Reporting

6.2.1 Subtask 1 - Mission Summary Report. The Contractor shall provide in electronic format (Microsoft Excel or equivalent), a report on a quarterly basis that summarizes activity (activity is defined as a CSA with a PoP end date during that quarter as documented on the NOC). DITCO will identify the date the first quarterly report is due based on contract award date. The purpose of this report is to ensure all required payments have been made in a timely manner. This summary report will be provided to DITCO (email address will be provided to Contractor at time of award) no later than 30 calendar days after the previous quarter has ended and shall include:

1. TSR Number

2. CSA Number

3. Location

4. Start Date

5. Disconnect Date

6. Date NOC sent to DITCO

7. CLINS Ordered w/quantity

8. Number of Circuits Installed

9. Usage (for usage sensitive services)

10. Total Invoice Amount

11. Date Invoice Paid

Deliverable: Quarterly Summary Report

6.2.2 Subtask 2 – On-Call Schedule. The Contractor shall provide in electronic format (Microsoft Excel or equivalent), a schedule detailing the 24/7/365 point of contact (POC), alternate POC, POC phone numbers, and corresponding dates. Schedule shall be provided no later than one (1) week prior to the end of previous schedule.

Deliverable: On-Call Schedule

6.3 Task 3 - Installation

6.3.1 Subtask 1 – In & Out Hub Hotel. Hub hotel telecommunications must be installed and activated no later than 24-hours after the lines have been spotted and/or locations have been identified by the Trip Lead and communicated to the Contractor’s Representative or the local exchange carrier (LEC) representative on location if the mission is being provided via virtual office. The Contractor will not be held to the 24-hour installation requirement (as applicable) under circumstances of natural disaster or national emergencies as deemed by the Contracting Officer, or LEC labor strike, other than the Contractor.

6.3.2 Subtask 1 - RON Hotel. RON hotel telecommunications services must be installed and activated no later than 48-hours after the lines have been spotted and/or locations have been identified by the Trip Lead and communicated to the Contractor’s Representative or the LEC representative on location if the mission is being provided via virtual office. The Contractor will not be held to the 48-hour requirement (as applicable) under circumstances of natural disaster or national emergencies as deemed by the Contracting Officer, or LEC labor strike, other than the Contractor.

6.3.3 Subtask 2 - Non-Hub. Non-hub hotel services must be installed as designated by the Trip Lead, no later than 72-hours after lines have been spotted and/or locations have been identified by the Trip Lead and communicated to the Contractor’s Representative or the LEC representative on location if the mission is being provided via virtual office. Contractor must promptly notify the Trip Lead if installation is expected to exceed 72- hours; actual installation and activation time shall be annotated on the DISA Form 67 with signature acceptance by the Trip Lead. The Contractor will not be held to the 72-hour requirement (as applicable) under circumstances of natural disaster or national emergencies as deemed by the Contracting Officer, or LEC labor strike, other than the Contractor.

6.3.4 Subtask 3 - Expedite. Expedited orders apply to a single location (e.g., hotel, airport, convention center, etc.). Upon issuance, the Contractor shall acknowledge receipt via email (email address will be provided to Contractor at time of award). The timeline for installation and activation of expedited service begins when the latter of the following two actions has occurred: (1) the Trip Lead identifies specific lines (without limit) to be expedited; OR (2) verbal authorization is provided to the Contractor by a DITCO Contracting Officer. However, both actions must occur. The start and completion time shall be documented on the DISA Form 67. Pricing will be tiered in the following manner:

< 12hrs

· 12hrs < 18hrs

· 18hrs < 24hrs

· 24hrs 100% 75% 25% 0%

Deliverable: Receipt of Order

6.3.5 Subtask 4 - Notice of Completion. The Contractor shall submit a NOC to the DITCO organizational email address within three (3) business days of the completion of the mission and receipt of a DISA Form 67 signed by the Trip Lead. If the mission utilized a Convention Center or Hotel, the subject line of the email shall include “Convention Center” or “Hotel” and adhere to the timeline identified in para 6.3.5.1 for submission of the NOC with supporting documentation. The Contractor will not be held to (3) business days if the Trip Lead has not signed the DISA Form 67. The Contractor shall upload all NOCs into IDEAS; Contractor will submit to the Contracting Officer the names of designate personnel requiring access to IDEAS. Requests should include Contractor personnel’s full name, email address, and phone number. The DISA Form 67 must be signed by the Contractor Representative and the Trip Lead. The Trip Lead’s signature constitutes Government acceptance; should modifications to the contract be required after signature but before the end of the PoP, a new DISA Form 67 must be re-accomplished and signed to reflect those changes. The NOC shall contain the following information as a minimum:

1. Name of Contractor

2. TSR Number

3. TDN Number

4. CSA Number(s)

5. Period of Performance

6. Description of number and type of lines installed

7. Expedite (if authorized) with installation tiered time indicated

8. Signature and contact information of Contractor Representative

9. Signature, printed name, telephone number, email address, and mailing address of the Trip Lead accepting the service, and the date the Trip Lead signed the NOC.

6.3.5.1 In the event that internet service was required and procured at a Convention Center or Hotel, the Contractor will have 14 business days to upload the NOC, the signed DISA Form 67, breakdown of the rates/subline items (SLINs), and a copy of the paid invoice to Convention Center or Hotel into IDEAS.

6.3.5.2 If no services were ordered by the Trip Lead, the Contractor shall submit an email to DITCO (email address will be provided to Contractor at time of award) and DISA (email to be provided at time of award) within three (3) business days of the completion date of the mission stating no services were ordered and no costs were incurred. This email will serve as the NOC and the Contractor shall upload it into IDEAS for all applicable CSAs. Signature of the Trip Lead is not required.

Deliverable: DISA Form 67

6.3.6 Subtask 5 - Troubleshooting/Reporting. Trip Lead will notify the Contractor Representative to initiate service repair and restoration, and escalate restoration procedures as necessary. The Contractor Representative shall provide updates to include expected restoration time to the Trip Lead at a minimum of every two hours during the outage, unless requested sooner.

and email Within 30 minutes from DITCO’s initial contact

If Convention Center or Hotel, within 14 business days of mission completion

6.4 Task 4. Types of Service

6.4.1 Subtask 1 - Pricing by Location. Services installed for voice lines and dry pairs shall be priced based on the location of the NPA/NXX listed on the TCO Form 1. The NPA/NXX will then be used to determine if it is a NCR or Non-NRC mission. NRC locations are listed in the Definitions & Acronyms section of the PWS.

Internet services shall be priced based on the location of the services being installed in accordance with the CLIN structure (Conventional Center, Hotel, or Other). Missions may require internet services at Convention Centers or Hotels that have an exclusive contract with other IT providers. It is the Contractor’s responsibility to coordinate availability and obtain internet to complete the mission. The “Convention Center” rates will only be charged in instances that the installation site requires the Contractor to use the Convention Center as the IT provider. The “Hotel” rates will only be charged in the event that the installation site requires the Contractor to use the Hotel as the IT provider. If the Contractor delivers services to a hotel or convention center that does not require the Convention Center or Hotel as the IT provider, then the Government will be charged the "Other" Internet rates.

6.4.2 Subtask 2. Voice Lines. The Contractor shall provision all voice lines with local and long distance service. All circuits shall be considered temporary. All voice lines shall have 900 and 976 service blocked. These numbers shall not be provided to service quality control evaluators (organizations that call the new subscriber to ask about satisfaction with the installation) or to telemarketers. Telephone numbers shall be treated as unlisted business class lines and numbers are not to be sold or released for any reason during the duration of the mission. Numbers must have been out of service for six (6) months prior to the mission start date. Telephone lines must have converters for other types of transport mediums. The Contractor will not be required to provide converters when mission has a virtual office. The Contractor shall test and verify circuits operational prior to providing phone numbers to the Trip Lead. The Contractor shall provide phone numbers to the long distance carrier when services are installed using an RJ-11 connection.

Telecommunications services ordered will typically be terminated on standard telecommunications connection devices such as RJ-11/RJ-45/66 blocks, Amphenol Connectors, and/or other industry standard equivalent. DISA Field Element is responsible for extension of services beyond the Contractor provided terminal connection device.

6.4.3 Subtask 3. Internet. The Contractor shall provision internet services by any means available. Data lines shall not be split; each line must be a separate, single run from the internet provider demark. There shall be no blocking of the TCP/IP ports and these specific ports must be opened (e.g., UDP/TCP 500, UPD/TCP 4500).

After installation of services, the Contractor shall perform a speed test to determine the download and upload speeds and report latency to the Trip Lead. If the Contractor is physically on-site, the test shall be conducted when the service is turned over to the Government, using a local line to Washington D.C. servers utilizing Google Speedtest or speedtest.net. Test shall be conducted using one (1) server inside Washington D.C. and shall be annotated on the DISA Form 67 by the Contractor. If the mission has a virtual office, the technician on site will be responsible for providing speed test results using their own electronic devices. The results shall be annotated on the DISA Form 67. Throughout the duration of the mission, the Government will monitor the service and contact the Contractor Representative with any issues in regards to speed and/or latency. The Government will only pay for the speeds ordered regardless if the Contractor delivers higher speeds.

The Government reserves the right to review the Contractor’s Convention Center and Hotel actual costs and re-negotiate internet pricing prior to exercising the option year. Tiered speeds may be required as technology advances throughout the life of this contract. Should this become a requirement, pricing will be requested.

Deliverables: DISA Form 67 Internet Provider Invoice

6.4.4 Subtask 4. Dry Pairs. Installation of up to (5) dry pairs may be required per CSA; CAT 5E or greater cable.

Telecommunications services ordered will typically be terminated on standard telecommunications connection devices such as RJ-11/RJ-45/66 blocks and/or other industry standard equivalent.

6.5 Task 5. Reimbursable Costs

6.5.1 Subtask 1. Travel. Travel shall be in accordance with FAR Part 31 and the FMR. Annually, DITCO will issue a Travel Letter (Attachment 4) to the Contractor documenting the Contractor’s role in providing telecommunications services under this contract and the associated travel to potentially allow for the Contractor Representative to obtain Government rates for lodging. In the event the Contractor cannot obtain lodging at the per diem set for the mission location, the Contractor will submit a letter requesting an authorization to exceed per diem to DITCO’s organizational email address (email address will be provided to Contractor at time of award) with a “Cc” to all designated DITCO Contracting Officers. Further, if after hours, the Contractor shall notify the DITCO after-hours POC via phone call that the request has been submitted. A Contracting Officer will verify pricing proposed on the letter and authorize or decline the request as appropriate. The schedule of DITCO after-hours POCs will be provided at the time of contract award and at regular intervals thereafter.

It is the Contractor’s responsibility to monitor all travel costs in regard to the cost threshold annotated on the TCO Form 1. If the Contractor anticipates exceeding the cost threshold, the Contractor shall notify DITCO via email (email address will be provided to Contractor at time of award) to provide justification and request a threshold increase prior to incurring cost in excess of the authorized threshold. If approved, DITCO will issue an amended TCO Form 1 to increase travel funding. Costs exceeding the initial threshold and prior to the issuance of the amendment to increase funding may not be reimbursed.

In the event the requirement for a Contractor Representative changes from physically on-site to a virtual office, the COR will confirm with the Contractor Project Management Office (PMO) if any Contractor owned equipment has been installed at the location. If not, an amendment will be issued and the Contractor shall notify DITCO (email address will be provided to Contractor at time of award) within 12-hours of receipt of the amended TCO Form 1 indicating if travel cost were incurred. If so, the Contractor shall submit supporting documentation in accordance with 6.5.3.

Deliverables: Per Diem Letter Receipt of Travel Costs Incurred

6.5.2 Subtask 2. Cancellation Fees. If no lines have been installed prior to the issuance of a cancellation and the cancellation is issued within 24 hours of the initial award, the Contractor will not be paid for any costs incurred. If the cancellation is issued after 24 hours of the initial award and cancellation fees were incurred, the Contractor shall provide the Government supporting documentation. The documentation shall be in the form of an invoice from the subcontractor and will be submitted with the reimbursable cost invoice in accordance with 6.5.3. Regardless of when the cancellation was issued, the Contractor will be paid any applicable travel expenses.

6.5.3 Subtask 3. Invoicing. The Contractor will submit the travel invoice electronically to the organizational email addresses for the COR (email address will be provided to Contractor at time of award) and DITCO (email address will be provided to Contractor at time of award) no later than 90 calendar days after PoP end date, all invoices must include copies of receipts for airfare, vehicle rentals, lodging, and tax costs/cancellation costs incurred when applicable. The subject line for emails containing an invoice shall read “REIMBURSABLE COSTS INVOICE FOR (TSR#, CSA Number, City, State)”. Each invoice shall contain, at a minimum:

1. Contract Number

2. CSA Number

3. TSR Number

4. TDN Number

5. Location

6. Dates of Service

7. Invoice Number

8. CLIN Number

9. Supporting documentation for per diem allowances

10. Remit to address

11. Address to which a rejected invoice can be forwarded

12. Breakdown of costs by type (lodging with nightly rates, meal costs, dates etc.)

The COR will review the invoice, and approved invoices will be sent to DITCO. Rejected invoices will be returned to the Contractor for clarification. Upon receipt of an approved invoice, DITCO will process for payment. Contractor Representatives’ travel dates shall coincide with the DISA Field Element’s arrival and departure.

Deliverables: Per Diem Letter Reimbursable Costs Invoice

Deliverable Summary:

and email Within 30 minutes from DITCO’s initial contact

Upload Within 12 hours of receipt of the cancellation

and email Within 30 minutes from DITCO’s initial contact

If Convention Center or Hotel, within 14 business days of mission completion

7. Performance Standards.

24/7/365 access to Contractor to receive orders

Contractor within 30 minutes of initial contact

Services installed within 72-hours

Services installed, tested and operational within specified timeframes

8. Place of Performance. Various locations throughout the CONUS, Alaska, and Hawaii.

9. Period of Performance. 12-month base period plus four (4) 1-year options periods.

10. Security Requirements.

a. DD Form 254. The Contractor will not have, nor need access to classified information or facilities to perform this contract. DD Form 254, Contract Classification Specification is not applicable for this contract.

b. Data Protection and Retention. All information regarding orders against this contract, to include phone numbers, addresses, locations, and timeframes, shall be protected and may be released only to those with a valid need to know. Unless specifically authorized by the Trip Lead or Contracting Officer, distribution of mission information shall be limited to the LEC, long distance carrier, contract program managers, DISA Field Element, and DITCO.

11. Other Pertinent Information or Special Considerations.

a. Labor. The Contractor’s labor hours will be paid monthly via a firm fixed price CLIN.

b. Meetings. All meetings concerning this contract or existing/possible requirements shall include a DITCO Contracting Officer. The Contractor PMO shall host a Program Status Review with the DISA COR(s) and the DITCO Contracting Officer within 90 days after contract award and every quarter thereafter during the life of the contract. Unless otherwise required by the Government, all meetings and reviews will be virtual.

c. IDEAS. The Contractor shall utilize IDEAS to view orders, modifications, and upload NOCs for all CSAs.

d. Training. Contractor employees may be required to take periodic mandatory training courses provided through the agency, such as records management training and other training required by statute, regulation, DoD, or DISA policy. No other training of Contractor personnel shall be provided by the Government unless authorized by the Contracting Officer.

Attachments:

Attachment 1: Telecommunications Certification Office Form 1

Attachment 2: DISA Form 67

Attachment 3: Request to Exceed Per Diem Approval Letter

Attachment 4: Travel Letter

Definitions & Acronyms:

Mission An event location. This can be an In-Towner, In & Out, or RON. A single mission can result in multiple orders.

NCR

National Capital Region - The area includes the following counties, districts, and independent cities:

District of Columbia:

Washington, D.C.

Maryland:

Virginia:

West Virginia: Jefferson County

Enclosure 4a, PWS Page 1 of 11 Pages 2015/Version 9 image1.emf

TCO FORM 1.pdf

Defense Information Systems Agency Telecommunications Certification Office DISA Travel Telecommunications Services

TDN -------- :

TSR -------- :

CCSD ------- :

CSA#1 -------------------- $XX CSA:

CSA#2 -------------------- $XX CSA:

CSA#3 -------------------- $XX CSA:

CSA#4 NOT-TO-EXCEED PRICE: $XX CSA:

Long Distance Carrier is Please start CSA/CCSD to cover trip requirements.

Trip Lead XXXXXXXX Cell:XXX-XXX-XXXX, Email: XXXXXXXXXX@XXXXXXX Period of Performance for CSA#1, CSA#2 and/or CSA#3:

Period of Performance for CSA#4 - 1st on-site Rep:

Trip Site Location ** DO NOT INSTALL LINES AT THIS ADDRESS SEE NOTE BELOW **

Event:

City :

REQUEST LINES AS FOLLOWS TO BE INSTALLED AT VARIOUS LOCATIONS PER THE TRIP OFFICER LISTED

CSA #1 VOICE LINE(S)-----------------------------

CSA #1 INTERNET 768K/3MB ------------------------

CSA #1 INTERNET 6MB/6MB--------------------------

CSA #1 INTERNET 20MB/20MB------------------------

CSA #1 INTERNET 100MB/100MB----------------------

CSA #1 INTERNET VIA CONV. CENTER/HOTEL 768K/3MB -

CSA #1 INTERNET VIA CONV. CENTER/HOTEL 6MB/6MB --

CSA #1 INTERNET VIA CONV. CENTER/HOTEL 20MB/20MB-

CSA #1 DRY PAIR LINE(S)--------------------------

CSA #2 VOICE LINE(S)-----------------------------

CSA #2 INTERNET 768K/3MB ------------------------

CSA #2 INTERNET 6MB/6MB--------------------------

CSA #2 INTERNET 20MB/20MB------------------------

CSA #2 INTERNET 100MB/100MB----------------------

CSA #2 INTERNET VIA CONV. CENTER/HOTEL 768K/3MB -

CSA #2 INTERNET VIA CONV. CENTER/HOTEL 6MB/6MB --

CSA #2 INTERNET VIA CONV. CENTER/HOTEL 20MB/20MB-

CSA #2 DRY PAIR LINE(S)--------------------------

CSA #3 VOICE LINE(S)-----------------------------

CSA #3 INTERNET 768K/3MB ------------------------

CSA #3 INTERNET 6MB/6MB--------------------------

CSA #3 INTERNET 20MB/20MB------------------------

CSA #3 INTERNET 100MB/100MB----------------------

CSA #3 INTERNET VIA CONV. CENTER/HOTEL 768K/3MB -

CSA #3 INTERNET VIA CONV. CENTER/HOTEL 6MB/6MB --

CSA #3 INTERNET VIA CONV. CENTER/HOTEL 20MB/20MB-

CSA #3 DRY PAIR LINE(S)--------------------------

TOTAL LINES

CSA #1 EXPEDITE CLIN IS NOT AUTHORIZED

CSA #4 TRAVEL

TELCO --

POC ----

Cell --- Work Tel Alt Contact

** NOTE FOR VENDORS AND DITCO:

DO NOT INSTALL ANY LINES UNTIL THE TRIP OFFICER LISTED ABOVE PROVIDES AN INITIAL

TELEPHONE CONFIGURATION DOCUMENT.**

* DIAL TONE/SERVICE IS TO BE TERMINATED AT 11:59 PM ON 15 May 2024

DISA TCO

TCO FORM 1 TSR, 23 JAN 2024

image2.emf

DISA FORM 67.pdf

DEFENSE INFORMATION SYSTEMS AGENCY

DISA FORM 67

DTTS V Contract

AS OF: Insert Date Revision # Rev PP Version: 3.0

WORK ORDER NUMBERS:

xxxxx CSA #1 xxxxx

CSA #2 xxxxx xxxxx CSA #3 xxxxx

TELEPHONE COMPANY: Contractor Traveler

COMPANY CONTACT: NAME

WORK: xxxxx CELL: xxxxx E-MAIL: E-Mail

PRINCIPAL:

TRIP SITE: City, State

HUB INSTALL: HUB Hotel Name Date Initiated Time Date Completion Time

RON INSTALL (IF SPLIT): RON Hotel Name or Private Residence Date Initiated Time Date Completion Time

DISA LEAD: Name

DATES OF SERVICE: FROM: Start Date TO: Disconnect Date

TOTAL LINES: MBL ISP DP ISP - 6Mb ISP - 20Mb ISP - 100 MB Convention Cent/Hotel

- 6Mb

Convention Cent/Hotel - 20Mb

CSA #1 0 0 0 0 0 0 0 0

MBL ISP DP ISP - 6Mb ISP - 20Mb ISP - 100 MB Convention Cent/Hotel

CSA #2 0 0 0 0 0 0 0 0

MBL ISP DP ISP - 6Mb ISP - 20Mb ISP - 100 MB Convention Cent/Hotel

CSA #3 0 0 0 0 0 0 0 0

1ST EXPEDITE LOCATION: YES TIME TIER: LESS THAN 12 HRS (100%)

12 TO 18 HOURS (75%)

Initiated: Date & Time NO 18 TO 24 HRS (25% Over 24 Hours (0%)

Completed: Date & Time

2ND EXPEDITE LOCATION: YES TIME TIER: LESS THAN 12 HRS (100%)

12 TO 18 HOURS (75%)

Initiated: Date & Time NO 18 TO 24 HRS (25% Over 24 Hours (0%)

TIME TIER: LESS THAN 12 HRS (100%)

3RD EXPEDITE LOCATION: YES 12 TO 18 HOURS (75%)

18 TO 24 HRS (25%

Initiated: Date & Time NO Over 24 Hours (0%)

CONTRACTOR TRAVELER SIGNATURE:

DISA LEAD SIGNATURE:

NOTE: Provide CONTRACTOR Traveler signed copy of final 67, (can be e-mailed), prior to wheels up/departure.

Submit final 67 to TCO NLT three days after Gameday.

NAME OF CONTRACTOR TRAVELER

NAME OF DISA LEAD

TELEPHONE ORDER and BILLING DOCUMENT

DTTS V Contract

Telephone Co. Contractor Traveler DISA Lead: Name Local

CONTRACTOR

Rep:

NAME Office: xxxxx

Work: xxxxx Cell: xxxxx Cell: xxxxx E-mail E-Mail E-mail E-Mail

A. This document is the Telephone Service Order and Billing Document for the Principle's visit to City, State only those who have a need to know to accomplish the mission.

C. The only individuals authorized to make changes to this order are myself and the 67 Designee.

67 Designee Name Cell E-Mail D. Please use this document as a worksheet when filling in telephone numbers as they are assigned. Once completed, please provide a copy via e-mail.

E. The following information will provide guidelines regarding services ordered:

1. Security is of the utmost concern. For obvious reasons, we must limit knowledge of the Principle's movements, motorcade routes, schedules, and telephone numbers to the minimum number of people. Ensure that only people with a true "need to know" are involved in providing these telephone services.

2. All telephone lines should be terminated as single lines on RJ-11 blocks/jacks unless otherwise noted.

Each jack should be labeled with the corresponding telephone number.

3. Telephone numbers should be identified as "Private" or "U.S. Government."

4. Automated customer service surveys are not to be conducted on any lines.

5. Previously used numbers should only be assigned if the have not been used in the past 6 months. For prioritization purposes I can discuss which lines are most sensitive to us.

Service Authorization. CSA #1: xxxxx TDN #: xxxxx

TSR#: xxxxx

Service Authorization. CSA #2: xxxxx

H. All telephone service listed in this document as CSA #3 will be billed under the following Communications Service Authorization. CSA #3: xxxxx

I. DISA is only obligated for fees associated with telephone service that occurred during this time period.

Start Date Through Disconnect Date

B. Please treat any information I provide you regarding the Principle's visit as sensitive and limit dissemination to

F. All telephone service listed in this document as CSA #1 will be billed under the following Communications

G. All telephone service listed in this document as CSA #2 will be billed under the following Communications

Obligated Service Dates:

DISA Form 67 Effective: 01 March 2019

TELEPHONE ORDER AND BILLING

Submitted: Due NLT: Date New Orders / Updates Verified Ordered / Installed Cancelled Ordered only if needed

ID Circuit #: Circuit Type: Notes: Speed (Mbps): Room #: RJ: Billing:

1 MBL Notes 1 N/A 11 CSA #1 2 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 3 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 4 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 5 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #2 6 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #3 7 Only if Needed ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1

Note 1: Non-SLC, non-compressed, 600 ohm line, non pair gain, no OPX line Note 2: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 3: Allow the following ports/protocols/IP; IPSec UDP 12346 - 12445; IP 214.4.250.0/24; IP 214.6.103.0/24; IP 204.68.207.0/24; IP 165.119.253.0/24 Note 4: Provide Username and Password; IP address assigned via DHCP. Usable quality of service requires 20 Mb up/down.

Note 5: Test ISP speeds before using and annotate results in column E with standalone laptop Note 6: If in Convention Center coverage, order 6Mb through TCO

Submitted: Due NLT: Date

1 ISP - 20Mb Notes 1,2,3,4,5 U: / D: 45 CSA #3 2 ISP - 20Mb Notes 1,2,3,4,5 U: / D: 45 CSA #1

Note 1: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 2: Allow the following ports/protocols/IP; IPSec UDP 12346 - 12445; IP 214.4.250.0/24; IP 214.6.103.0/24; IP 204.68.207.0/24; IP 165.119.253.0/24 Note 3: Provide Username and Password; IP address assigned via DHCP. Usable quality of service requires 20 Mb up/down.

Note 4: Test ISP speeds before using and annotate results in column E with standalone laptop Note 5: If in Convention Center coverage, order 6Mb through TCO

1 ISP - 20Mb Notes 1,2,3,4,5 U: / D: 45 CSA #3

Note 1: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 2: Allow the following ports/protocols/IP; IPSec UDP 12346 - 12445; IP 214.4.250.0/24; IP 214.6.103.0/24; IP 204.68.207.0/24; IP 165.119.253.0/24 Note 3: Provide Username and Password; IP address assigned via DHCP. Usable quality of service requires 20 Mb up/down.

Note 4: Test ISP speeds before using and annotate results in column E with standalone laptop Note 5: If in Convention Center coverage, order 6Mb through TCO

1 MBL Notes 1 N/A 11 CSA #3

1 MBL Notes 1 N/A 11 CSA #3 2 MBL Notes 1 N/A 11 CSA #3 3 MBL Notes 1 N/A 11 CSA #3

1 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #3 2 Only if Needed MBL Note 1 N/A 11 CSA #3 3 Only if Needed MBL Note 1 N/A 11 CSA #3 4 Only if Needed MBL Note 1 N/A 11 CSA #1

POC:

Phone:

SECTION B

Date Hotel/Location Name Street Address

SECTION A

Date Hotel Name

City and State

SECTION D

Date Airport Name

SECTION C

Date Location Name

SECTION F

SECTION E

Printed on 6/11/2024 at 12:21 PM Line Breakouts Page 3

5 Only if Needed MBL Note 1 N/A 11 CSA #3

Note 2: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 3: Allow the following ports/protocols/IP; IPSec UDP 12346 - 12445; IP 214.4.250.0/24; IP 214.6.103.0/24; IP 204.68.207.0/24; IP 165.119.253.0/24 Note 4: Provide Username and Password; IP address assigned via DHCP. Usable quality of service requires 20 Mb up/down.

2 Only if Needed MBL Note 1 N/A 11 CSA #1

Note 2: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 3: Allow the following ports/protocols/IP; IPSec UDP 12346 - 12445; IP 214.4.250.0/24; IP 214.6.103.0/24; IP 204.68.207.0/24; IP 165.119.253.0/24 Note 4: Provide Username and Password; IP address assigned via DHCP. Usable quality of service requires 20 Mb up/down.

1 Currently Using Cellphone MBL Note 1 N/A 11 CSA #3

1 If cell coverage is poor MBL Note 1 N/A 11 CSA #3

1 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 2 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 3 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #2 4 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #3 5 If required per MCT Lead MBL Note 1 N/A 11 CSA #1 6 If required per MCT Lead ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 7 Only if Needed ISP - 20Mb Notes 2,3,4,5,7 U: / D: 45 CSA #1 8 Only if Needed ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 9 Only if Needed ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 10 Only if Needed ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1

Note 2: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 3: Allow the following ports/protocols/IP; IPSec UDP 12346 - 12445; IP 214.4.250.0/24; IP 214.6.103.0/24; IP 204.68.207.0/24; IP 165.119.253.0/24 Note 4: Provide Username and Password; IP address assigned via DHCP. Usable quality of service requires 20 Mb up/down.

Note 5: Test ISP speeds before using and annotate results in column E with standalone laptop

Note 7: If in Convention Center coverage, order 20Mb through TCO

1 ISP - 20Mb Note 2,3,4,5,6 U: / D:

SECTION G

Date Airport/Hangar Name

SECTION I

Date Location Name

45 CSA #1

SECTION H

Date Hospital Name

SECTION K

Date Event Site Name

SECTION J

Printed on 6/11/2024 at 12:21 PM Line Breakouts Page 4

2 Only if Needed MBL Note 1 N/A 11 CSA #3 3 Only if Needed MBL Note 1 N/A 11 CSA #3

Note 2: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 3: Allow the following ports/protocols/IP; IPSec UDP 12346 - 12445; IP 214.4.250.0/24; IP 214.6.103.0/24; IP 204.68.207.0/24; IP 165.119.253.0/24 Note 4: Provide Username and Password; IP address assigned via DHCP. Usable quality of service requires 20 Mb up/down.

2 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 3 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #2 4 ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #3 5 If required per MCT Lead MBL Note 1 N/A 11 CSA #1 6 If required per MCT Lead ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1 7 Only if Needed ISP - 20Mb Notes 2,3,4,5,7 U: / D: 45 CSA #1 8 Only if Needed ISP - 20Mb Notes 2,3,4,5,6 U: / D: 45 CSA #1

Note 2: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 3: Allow the following ports/protocols/IP; IPSec UDP 12346 - 12445; IP 214.4.250.0/24; IP 214.6.103.0/24; IP 204.68.207.0/24; IP 165.119.253.0/24 Note 4: Provide Username and Password; IP address assigned via DHCP. Usable quality of service requires 20 Mb up/down.

Note 5: Test ISP speeds before using and annotate results in column E with standalone laptop

2 Only if Needed MBL Note 1 N/A 11 CSA #3 3 Only if Needed MBL Note 1 N/A 11 CSA #3

Note 2: Allow the following ports/protocols/IP; TLS/DTLS UDP 12346 - 13065; TCP 23456 - 24156; IP 214.3.57.0/24; IP 214.3.60.0/24; IP 165.119.249.0/24; IP 165.119.250.0/24 Note 3: Allow the following…