Amendment_02.pdf

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION

NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO.

IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

7PQD

See Attached.

7PQD

Energy & Acquisition Support Branch

819 TAYLOR ST

FORT WORTH, TX 76102-6124 United States

Energy & Acquisition Support Branch

819 TAYLOR ST

FORT WORTH, TX 76102-6124 United States

GS-07-P-16-JU-C-7003

1 5

12/29/2015

12/10/2015

Amendment No. 2 – Solicitation No. GS-07-P-16-JU-C-7003 for Chiller Installation at the Bob Casey Federal Building & Courthouse in Houston, TX

This amendment is issued to respond to questions.

1. I need some information on the background check required for this job. All the required documents such ID and SS# etc. Also all and the disqualification. Please see the attached CIW form as well as the CIW Quick Reference page. The awardee will have to submit a completed CIW form as well as a copy of the driver’s license of each employee who will be performing work under this contract. The Office of Personnel Management makes a disqualification determination based on what may be found in the individual's background investigation.

2. Is victaulic excepted for piping? I ask because I see it on the existing chiller piping. As seen in this picture. Victaulic fitting is only acceptable at the connection to the condenser and evaporator of the chiller marine water box(es).

ARRA Temporary Contractors:

Complete GSA Form 850 instead of CIW

For Official Use Only Contractor Information Worksheet (CIW)

Version 4 (Updated 12/7/10) Pg. 1 of 2

Type Contractor (Definitions on Pg. 2)

ARRA Long Term Contractor

ARRA Temporary (Short Term) Contractors: Use GSA Form 850

Investigation Preference

(if option offered in region)

Priority (Option available for MBI / BI only)

Sponsoring Office Symbol

GSA Region (Options on Pg.2)

1. Contract Employee Information Name (Last/Family)

First (Given)

Middle (or NMN if none)

Suffix

Social Security #

Date of Birth

Place of Birth (POB): City

POB: State

Country

Sex

Home Address Street e-Mail

Address Street (line 2)

Phone Number (Day)

Phone Number (Cell)

City

State

Zip

Position (Job) Title

IT System Administrator

Prior Investigation

Investigation Date

Agency that Adjudicated Prior Investigation

U.S. Citizen

Non-U.S. Citizens Only: Port of Entry City and State

Date of Entry

Less than 3 Yrs.

U.S. Resident

Alien Registration #

Citizenship Country

2. Contact Information Company Name

Company is:

If Sub, Name of Prime

Task Order (TO) / Delivery Order (DO) Number (Enter Contract Base Number if TO / DO is Not Applicable)

Contract Number Type

Contract Start Date

Contract End Date

Has Option Yrs.

Or End Date TBD

Company Point of Contact (POC) Name

POC Phone Number (Day)

POC Email Address

3. Project/Work Location Information (Government site where contractor is working) GSA Building Number

Building Name

Building Address

4. Type of Investigation Requested for: GSA Access Card

Note: National Security positions are processed by GSA Personnel Security (CIS)

5. Requesting Official (Sponsor) Information Sponsor’s Name

Title

Is COR/COTR

Email Address

Phone Number (Day)

Date Forms Were Reviewed

Alternate POC and Phone Number or Comments

6. Personnel Security Office:

OPM PIPS Inv Status e-QIP Invitation # Date e-Mail Sent

[ ] Release Form

[ ] CER

[ ] Medical Release [ ] GSA Form3665

[ ] FD 258

[ ] CS Case

[ ] FD 258 RAP

[ ] Just

Date Received

[ ] Reviewed [ ] Scan/TIF

Date Sent to OPM

Suitability Decision Preliminary Date [ ] Unfavorable [ ] Favorable

Final Date [ ] Unfavorable [ ] Favorable

Notify Preliminary Decision [ ] Email: hspd12.security@gsa.gov [ ] Email: COTR/Requesting Official [ ] Email: Subject [ ] Email: Subject’s Company Notify Final Decision [ ] Email: hspd12.security@gsa.gov [ ] Email: COTR/Requesting Official [ ] Email: Subject [ ] Email: Subject’s Company

Contractor Information Worksheet

Instructions

Version 4 (Pg. 2 of 2)

Applicability of Contractor Information Worksheet Use this Contractor Information Worksheet for all GSA contractors except ARRA temporary contractors. For all ARRA temporary contractors, use the GSA Form 850 available at http://gsa.gov/forms.

How to Enable Macros if You Are Not Able to Enter Information or Select Options Electronically If you receive an option to enable macros when you open the file, select Enable Macros.

If you are not able to make selections or enter text on the form, please adjust your macros security settings. To adjust your settings, open the file. Click on Tools, then move your cursor to Macros, then select Security. On the Security window that appears, select Low, then click OK. Save the file to your workstation. When you reopen it, the form should work properly.

Type Contractor Definitions (Any GSA Service or Office May be Associated with Building Support, Embedded Contractors):

Building Support: Building maintenance or construction support contractor Embedded: “Side-by-side” or white collar contractor providing business services, and may have staff-like access to GSA space and IT systems External: Does not access GSA building or IT systems but requires a check or investigation Child Care: Child care worker

GSA Region Options: Region 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, NCR, or CO

Transmitting the Contractor Information Worksheet Do not save completed forms on your workstation. Per GSA requirements:

If Personally Identifiable Information (PII) needs to be transmitted over the Internet, it must be sent using encryption methods defined in Chapter 5, Paragraph 7 of GSA Order CIO P 2100.1E GSA Information Technology (IT).

o All passwords must be encrypted in storage.

o All sensitive information, such as PII, as deemed by the data owner, which is transmitted outside the GSA firewall, must be encrypted. Certified encryption modules must be used in accordance with FIPS PUB 140-2, “Security requirements for Cryptographic Modules.”

o When using password generated encryption keys, a password of at least 8 characters with a combination of letters, numbers, and special characters is required. A password of at least 12 characters is recommended.

o Systems implementing encryption must follow the key management procedures and processes documented in CIO IT Security Procedural guide 09-43, “Key Management.”

If PII needs to be emailed within the GSA network, at a minimum Lotus Notes encryption is required.

For additional protection the information also can be encrypted as described in Chapter 5, Paragraph 7 of this IT security policy.

If PII needs to be sent by courier, printed, or faxed several steps should be taken. When sending PII by courier mark "signature required" when sending documents. This creates a paper trail in the event items are misplaced or lost. Don't let PII documents sit on a printer where unauthorized employees or contractors can have access to the information. When faxing information use a secure fax line. If one is not available, contact the office prior to faxing so they know information is coming and contact them after transmission to ensure they received it. For each event the best course of action is limit access of PII only to those individuals authorized to handle it, create a paper trail, and verify information reached its destination.

Submission Information Check with your GSA regional point of contact for instructions on how to submit the completed form.

Privacy Act Notice In compliance with the Privacy Act of 1974, the following information is provided: Solicitation of the information is authorized by the Federal Property and Administrative Services Act of 1949, as amended, and Part III of Title 5, U.S.C; O. 9397 Disclosure of the information is voluntary. This form will be used as a means to prepare and issue a credential or pass. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal or regulatory investigations or prosecutions, or pursuant to a request by GSA or such other agency in connection with the firing or retention of an employee, the issuance of a security clearance, the investigation of an employee, the letting of a contract, or the issuance of a license, grant, or other benefit. If the individual does not provide some or any part of the requested information, the employee will not be issued a credential and will not be allowed to enter a GSA-controlled building after normal working hours or when the building is under security.

http://gsa.gov/forms

Contractor Information Worksheet (CIW) Quick Reference (Region 7)

Information on the CIW must be complete and accurate to avoid delays in the background investigation process. Please check and confirm all data input into the form prior to submission to Region 7 Security Staff. Any errors and/or omissions will cause the form to be rejected.

Section 1: Contract Employee Information. Completed by applicant or contractor POC.

Name: Full legal name, including full middle name. If no middle name, enter NMN in the middle name block. If middle name is only an initial, enter the initial and (IO).

Suffix: Jr., Sr., II, III, IV, etc.

Social Security Number: From applicant’s social security card.

Date of Birth: From applicants’ birth certificate.

Place of Birth: City of birth and country are needed for everyone, even if they are born outside the US. State is only required for US born applicants.

Sex: Select the appropriate response, male or female.

Home Address: Must be a physical address; PO box is not acceptable.

e-Mail: Can be either applicant’s personal e-mail or company POC’s email. It is important someone is reviewing emails at address provided, as this is where instructions will be sent for completing the background investigation process.

Phone: Include work and cell phone numbers as applicable.

Position Title: Include applicant’s job title at time of submission.

Prior Investigation: If applicant has been investigated before, include date and agency that performed the investigation.

US Citizen: Select Yes or No. This must be answered by both US-born and non-

US born applicants.

Non-US Citizens Only: Must complete city and state of entry into US, full date of entry (MM/DD/YYYY), alien registration number, and country of citizenship.

Section 2: Contract Information. Completed by both GSA POC and contractor POC.

Company Name (contractor): Prime contractor unless there is a sub-contractor.

Company Is (contractor): Indicate if company is the prime or sub-contractor.

If sub, Name of Prime (contractor): Name of prime contractor if there is a sub-contractor.

Task Order/Delivery Order (GSA): In most cases, enter the base contract number.

Contract Start/Stop Dates (GSA): Enter the start and stop date of the base contract. This field can include options years at discretion of GSA POC.

Company POC (contractor): name, e-mail, and phone number of the person at the contractor company who will be responsible for completing, managing, and/or processing the security investigation documents for the company employees. This individual will receive emails and phone calls regarding investigations and should be available to respond timely.

Section 3: Project/Work Location. Completed by GSA POC. This is the location at which this contract will be completed. For IDIQ contracts, select one building from the various buildings covered by the contract.

Section 4: Type of Investigation. Completed by the GSA POC. Select non-GSA access card for contractors working less than 6 months who will need short term investigations. Select low risk NACI for those working more than 6 months and needing investigations lasting longer than 6 months.

Section 5: Requesting Official. Completed by OMA Security Staff and GSA POC. GSA POC must put the names of those GSA staff members needing correspondence regarding these investigations under alternate POC. Other data fields should be left as-is.