HQ0858-21-R-0015_Attachment J-17 IMCP Supplier Comp Suppl 06Jul2021.xlsx

XLSX spreadsheet 168 KB Posted

Attached to
TEAMS-Next Security Operations and Counterintelligence
Solicitation number
HQ0858-21-R-0015
Issued by

About this file

Written by GovTribe AI ·

This solicitation notice seeks proposals for security operations and counterintelligence services under the Technical, Engineering, Advisory and Management Support Next contract for the Missile Defense Agency. The services required include assisting with government review and disclosure of classified military information to foreign entities, international visits and assignments, technology transfer, munitions export/import licensing, and declassification activities. Counterintelligence requirements involve integrating defensive counterintelligence activities into agency research, development, testing, and worldwide deployment programs. The solicitation will result in a single cost-plus-fixed-fee level-of-effort contract with a period of performance of three years base, two year option, and six month option. Proposals are due by September 21, 2021. The solicitation is available on sam.gov under number HQ0858-21-R-0015 and seeks advisory and assistance services supporting security, emergency management, and program protection for the integrated Missile Defense System.

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Instructions

MDA Information Management and Control Plan (IMCP)
Supplier Compliance Supplement

-for DFARS 7012-

MDA Contract Number:

MDA PCO Name:

MDA PCO Email:

Instructions
This form is submitted by the contractor completing the IMCP Compliance Supplement (Appendix) requirement. Complete Parts 1 and 2. Ensure all field status indicators are green before submitting. Part 3 is available for any additional comments. Once completed, follow the Form Submission and Flow Down Requirement Instructions. The MDA Contract number, MDA Procuring Contracting Officer (PCO) Name, and MDA PCO Email should be populated above on this tab.
Part 1: Company Information:
– MDA Contract Number: Input the MDA Contract Number on the Instructions tab. This is the MDA Contract number your company is supporting. If unknown, contact your prime. This field is read-only on the Company Information tab.
– Overall Contract Prime: Select "Yes" or "No" if your company is the overall contract prime.
– Company Name: Enter your company's name.
– DUNS Number: Enter your company's Duns & Bradstreet number.
– CAGE Code: Enter your company's Commercial and Government Entity (CAGE) code.
DLA CAGE Code Lookup Tool: https://cage.dla.mil/Search
– Address: Enter the street address for your company.
– City: Enter the city associated with the address for your company.
– State: Select the state associated with the address for your company.
– Zip Code: Enter the Zip Code associated with the address for your company.
– Contact Name: Enter the contact name for your company.
– Contact Phone: Enter the contact phone for your company.
– Contact Email: Enter the contact email for your company.
– Do you have suppliers handling CUI in support of this contract?: Select "Yes" or "No".
Part 2: Suppliers Handling CUI in support of this Contract:
– Purpose: Identify all subcontractors/suppliers that collect, develop, receive, transmit, use or store CUI in support of this contract.
– Supplier Company Name: Enter the supplier company name.
– DUNS Number: Enter supplier's Duns & Bradstreet number.
– CAGE Code: Enter the Commercial and Government Entity Program code.
DLA CAGE Code Lookup Tool: https://cage.dla.mil/Search
– Supplier POC Name: Enter the contact name for the supplier.
– Supplier POC Phone: Enter the contact phone for the supplier.
– Supplier POC Email: Enter the contact email for the supplier.
– Subcontract Contains DFARS 252.204-7012?: Does your company's subcontract with this supplier contain DFARS 252.204-7012? Select "Yes" or "No".
– Subcontract Contains DFARS 252.204-7019/7020?: Does your company's subcontract with this supplier contain DFARS 252.204-7019 and 7020? Select "Yes" or "No".
– NIST SP 800-171 Self-Assessment Complete?: Has the supplier completed a self-assessment IAW NIST SP 800-171: Select Select Complete or Not Complete..
– Assessment Reported in SPRS?: Has your company reported as minimum the Basic Self-Assessment in the Supplier Performance Risk System (SPRS)? Select Complete or Not Complete.
– SSP Complete?: Does the supplier have a System Security Plan (SSP) IAW NIST SP 800-171: Select Yes or No.
– POA&M Complete?: Does the supplier have a Plan of Action and Milestones (POA&M) IAW NIST SP 800-171: Select "Yes" or "No".
– POA&M Completion Date: If POA&M exists, what is the overall completion date for the POA&M? Enter a date in the space provided.
Part 3: Additional Comments:
– Use this page to enter any additional clarifying comments.
Form Submission:
– (Step 1) Once completed, submit this form directly to the MDA Procuring Contracting Officer (PCO) via an encrypted email or by DoD Secure Access File Exchange (DoD SAFE). Only provide the completed form to the MDA PCO. The MDA PCO name and email address are listed above.
– (Step 2) Communicate to your prime one of the following statements:
– "We have completed the Supplier Compliance Supplement form and securely submitted it to the Missile Defense Agency (MDA) Procuring Contracting Officer. We have flowed down this requirement to all our suppliers handling MDA CUI for this contract."
– "We have completed the Supplier Compliance Supplement form and securely submitted it to the Missile Defense Agency (MDA) Procuring Contracting Officer. We do not have suppliers handling MDA CUI for this contract."
Flow Down Requirement:
– Provide a blank version of this form to all suppliers listed in Part 2. The MDA Contract Number, MDA PCO Name, and MDA PCO Email can be prepopulated when provided to suppliers.
Version
04132101 - DFARS 7012
Form Status:
Incomplete

Approved for Public Release 21-MDA-10929 (18 Aug 21)

Go to Part 1 /xl/drawings/drawing1.xml#'Part%201-Company%20Information'!A1Go to Part 2 /xl/drawings/drawing1.xml#'Part%202-Supplier%20Identification'!A1Go to Part 3 /xl/drawings/drawing1.xml#'Part%203-Additional%20Comments'!A1https://cage.dla.mil/Searchhttps://cage.dla.mil/Search Part 1-Company Information MDA Contract Number: Incomplete

Part 1: Company Information
Overall Contract Prime:Incomplete
Company Name:Incomplete
DUNS Number:Incomplete
CAGE Code:Incomplete
Address:Incomplete
City:Incomplete
State:Incomplete
Zip Code:Incomplete
Contact Name:Incomplete
Contact Phone:Incomplete
Contact Email:Incomplete
Do you have suppliers handling CUI in support of this contract?Incomplete
Part 2-Supplier Identification Applicability:

MDA Information Management and Control Plan (IMCP) Supplier Compliance Supplement

Controlled Unclassified Information (when completed)

Go to Part 2 - Supplier Identification /xl/drawings/drawing2.xml#'Part%202-Supplier%20Identification'!A1Go to back to Instructions /xl/drawings/drawing2.xml#Instructions!A1 Part 2-Supplier Identification

Contract NumberOverall Contract PrimePrimePrime DUNSPrime CAGENo.Supplier Company NameSupplier DUNSSupplier CAGESupplier POC NameSupplier POC PhoneSupplier POC EmailSubcontract Contains DFARS 252.204-7012?Subcontract Contains DFARS 252.204-7019/ 7020?NIST SP 800-171 Self-Assessment Completed?Assessment Reported in SPRS?SSP Exists?POAM Exists?POAM Completion DateInput Status
00001Incomplete
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0000100Incomplete

MDA Information Management and Control Plan (IMCP) Supplier Compliance Supplement

Controlled Unclassified Information (when completed)

Go to Part 3 /xl/drawings/drawing3.xml#'Part%203-Additional%20Comments'!A1Instructions /xl/drawings/drawing3.xml#Instructions!A1 Part 3-Additional Comments

Part 3 - Additional Comments
Enter additional comments here…

MDA Information Management and Control Plan (IMCP) Supplier Compliance Supplement

Controlled Unclassified Information (when completed)

Go to back to Instructions /xl/drawings/drawing4.xml#Instructions!A1 DataTable

IDTitleNo.Contract_NumberOverall_Contract_PrimePrimePrime_DUNSPrime_CAGESupplier_Company_NameSupplier_DUNSSupplier_CAGESupplier_POC_NameSupplier_POC_PhoneSupplier_POC_EmailSubcontract_Contains_7012Subcontract_Contains_7019_7020NIST_SP_171_Self_Assessment_CompleteAssessment_in_SPRSSSP_ExistsPOAM_ExistsPOAM_Completion_DateInput_StatusComplianceStatusColorGroupNodeSize
-0-110000Incomplete225
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-0-330000Incomplete225
-0-440000Incomplete225
-0-550000Incomplete225
-0-660000Incomplete225
-0-770000Incomplete225
-0-880000Incomplete225
-0-990000Incomplete225
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-0-11110000Incomplete225
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-0-1001000000Incomplete225

Change Page

NumberVersionChange Description
13102101Release version.
24132101Updated Instructions Tab. Added Step in Form Submission to notify prime of form completion and submission

Variables

Yes
No
Part 1 Status:Incomplete
Part 2 Applicability:N/A
Part 2 Num of Companies:0
Part 2 Num of Goods:0
Version:04132101 - DFARS 7012
DIBCACHigh
Medium
Low
N/A
StatesAlabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
American Samoa
Guam
Northern Mariana Islands
Puerto Rico
U.S. Virgin Islands

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