ATTACHMENT_1,_3_and_4.pdf

ATTACHMENTS to HSSCCG-17-Q-00102

No. 1 - Statement of Work (3 pgs) No. 2 - Excel CLIN Schedule (1pg) No. 3 - Security Clause (1 pg) No. 4 - DHS Form 11000-6, Sensitive But Unclassified Information Nondisclosure Agreement (3 pgs) bjgiard Typewritten Text (Attached in Excel format)

ATTACHMENT No. 1

RFQ# HSSCCG-17-Q-00101

STATEMENT OF WORK

Statement of Work (SOW)

Coaching for USCIS Management Directorate Senior Executive Service and Senior Leaders

1. Title of Project

The Department of Homeland Security, U.S. Citizenship and Immigration Services (USCIS), Management Directorate (MGT) Coaching Program for USCIS Senior Executive Service (SES) and senior leaders.

2. Period of Performance

This order will include a base performance period of six months, plus one six-month option period. The base period will commence following award.

3. Place of Performance

The coaching shall be provided in Washington, DC and Burlington, Vermont. Coaching shall be provided primarily in person, with no more than 25%, over the phone and Skype interactions allowed.

Final locations and coaching schedules will be determined after award.

4. Scope

A. The contractor shall provide executive coaching, to include individual coaching, as well as associated team coaching on an as-needed basis to senior leaders primarily within the USCIS Management Directorate

(MGT DIR).

USCIS Management Directorate is made up of nine business lines:

• Investment Management Division (IMD)

• Office of Administration

• Office of the Chief Financial Officer

• Office of Contracting

• Office of Human Capital and Training

• Office of Information Technology

• Office of Intake and Document Production

• Office of Performance and Quality

• Office of Security and Integrity

Each business line has two or three SES or senior leaders who could receive executive coaching services.

USCIS estimates each individual will receive 10 hours per month of coaching per individual, and each office shall receive approximately 4 hours per month of team coaching.

In addition to the MGT DIR business lines, SES and senior leaders within the Office of Legislative Affairs, Office of Transformation and Coordination, and Office of Communications may also receive executive coaching services.

B. The contractor shall utilized a 360-degree leadership assessment instrument as appropriate for coaching effectiveness. This assessment will assesses an individual’s level of agility in three key leadership contexts: leading organizational change, improving team performance, and engaging in pivotal conversations.

C. The contractor will administer the 360-degree assessment to evaluate behaviors of senior leaders, and identify how these behaviors impact the individual’s ability to be an effective leader. The executive coaches will address the behaviors that significantly impact leadership ability.

5. Objective

The vendor shall partner with USCIS managers and personnel as applicable to achieve the following objective:

• Increase the effectiveness and leadership competencies of the USCIS program participants through coaching engagements designed to target specific areas such as improved leadership, awareness of participant’s actions as a senior leader, and how the senior leader is being perceived by others.

6. Specific Tasks and Requirements

Task 6.1 - The vendor shall provide coaching services on an individual one-on-one and/or group basis as determined by USCIS.

In addition to individual coaching, the vendor may provide team coaches who work with the team (which could include non-managers) in real time on real business challenges to achieve real results from a systematic perspective. The team coach focuses on the team's productivity as well as their processes, and how the team gets the work done. The results are intended to create a team that is self-sufficient and high functioning.

Task 6.2 –The contractor shall have a Professional Certified Coach (PCC) credential from the International Coaching Federation.

The contractor shall be trained in the effective use and administration of the 360 degree assessment tool. The contractor shall have a minimum of 5Years of experience providing coaching services.

The contractor must have:

• Previous experience with providing executive coaching services to federal customers and understand Performance Improvement Plans (PIPs), and discipline and performance systems within the federal government.

Task 6.3 – Vendor shall provide the assessments. The cost of the assessments shall be included in fixed hourly rate. The time to debrief results or feedback will be considered part of a coaching session.

The vendor shall provide monthly reports to USCIS regarding the status of the coaching program including but not limited to: Client, Coach, Hours Used, Hours Available, Assessments completed.

7. Deliverables

Task Number

Deliverable Delivery Time

4.0 Administer 360 Degree Assessments as

necessary.

To be determined

6.3 Provide monthly reports detailing use of

coaching services, balances of remaining coaching hours and assessments completed.

Monthly on dates as determined by USCIS post award.

FOIA: Terms & Conditions

Redacted copy of the order, including attachments, suitable for posting

Within 30 days of contract award

8. Travel

Travel may be required to support this task order. All travel required by the Government outside the contractor’s local areas will be reimbursed to the contractor in accordance with the Federal Travel Regulations, the Federal Civilian Employee and Contractor Travel Expense Act of 1985 (Public Law 99-

234) and FAR Part 31.

The contractor shall be responsible for obtaining COR approval (electronic mail is acceptable) for all reimbursable travel in advance of booking the travel event. Contractor travel costs shall not exceed the Other Direct Costs as indicated on the task order.

SECURITY REQUIREMENTS

FACILITY ACCESS CONTROL

Based upon nonrecurring access to USCIS facilities and Sensitive But Unclassified (SBU) Information, the Contractor, consultant, vendor(s), etc. (herein known as Contractor), will observe all internal building security regulations that apply to any and all buildings concerning this contract.

The Contractor will only enter the facility or building with continuous escort by a Federal employee during established business hours. When entering and departing the facility or building, each Contractor must sign in and out as required at the site.

In accordance with DHS Management Directive 11042.1, Safeguarding Sensitive But Unclassified (For Official Use Only) Information, Contractors shall execute a DHS Form 11000-6 Sensitive But Unclassified Information Nondisclosure Agreement (NDA) as a condition of access to such information.

EMPLOYMENT OF ILLEGAL ALIENS

Subject to existing law, regulations and other provisions of this contract, the Contractor shall not employ illegal or undocumented aliens to work on, or with this contract. The Contractor shall ensure that this provision is expressly incorporated into any and all subcontracts or subordinate agreements issued in support of this contract.

ATTACHMENT NO. 3

RFQ # HSSCCG-17-Q-00102

DEPARTMENT OF HOMELAND SECURITY

NON-DISCLOSURE AGREEMENT

Protected Critical Infrastructure Information (PCII)

DHS Form 11000-6 (08-04)

I, _______________________________________, an individual official, employee, consultant, or subcontractor of or to _____________________ (the Authorized Entity), intending to be legally bound, hereby consent to the terms in this Agreement in consideration of my being granted conditional access to certain information, specified below, that is owned by, produced by, or in the possession of the United States Government.

(Signer will acknowledge the category or categories of information that he or she may have access to, and the signer’s willingness to comply with the standards for protection by placing his or her initials in front of the applicable category or categories.)

Initials:

I attest that I am familiar with, and I will comply with all requirements of the PCII program set out in the Critical Infrastructure Information Act of 2002 (CII Act) (Title II, Subtitle B, of the Homeland Security Act of 2002, Public Law 107-296, 196 Stat. 2135, 6 USC 101 et seq.), as amended, the implementing regulations thereto (6 CFR Part 29), as amended, and the applicable PCII Procedures Manual, as amended, and with any such requirements that may be officially communicated to me by the PCII Program Manager or the PCII Program Manager’s designee.

Sensitive Security Information (SSI)Initials:

I attest that I am familiar with, and I will comply with the standards for access, dissemination, handling, and safeguarding of SSI information as cited in this Agreement and in accordance with 49 CFR Part 1520, “Protection of Sensitive Security Information,” “Policies and Procedures for Safeguarding and Control of SSI,” as amended, and any supplementary guidance issued by an authorized official of the Department of Homeland Security.

Other Sensitive but Unclassified (SBU)Initials:

As used in this Agreement, sensitive but unclassified information is an over-arching term that covers any information, not otherwise indicated above, which the loss of, misuse of, or unauthorized access to or modification of could adversely affect the national interest or the conduct of Federal programs, or the privacy to which individuals are entitled under Section 552a of Title 5, as amended, but which has not been specifically authorized under criteria established by an Executive Order or an Act of Congress to be kept secret in the interest of national defense or foreign policy. This includes information categorized by DHS or other government agencies as: For Official Use Only (FOUO); Official Use Only (OUO); Sensitive Homeland Security Information (SHSI); Limited Official Use (LOU); Law Enforcement Sensitive (LES); Safeguarding Information (SGI); Unclassified Controlled Nuclear Information (UCNI); and any other identifier used by other government agencies to categorize information as sensitive but unclassified.

I attest that I am familiar with, and I will comply with the standards for access, dissemination, handling, and safeguarding of the information to which I am granted access as cited in this Agreement and in accordance with the guidance provided to me relative to the specific category of information.

1. I hereby acknowledge that I have received a security indoctrination concerning the nature and protection of information to which I have been provided conditional access, including the procedures to be followed in ascertaining whether other persons to whom I contemplate disclosing this information have been approved for access to it, and that I understand these procedures.

I understand and agree to the following terms and conditions of my access to the information indicated above:

2. By being granted conditional access to the information indicated above, the United States Government has placed special confidence and trust in me and I am obligated to protect this information from unauthorized disclosure, in accordance with the terms of this Agreement and the laws, regulations, and directives applicable to the specifi c categories of information to which I am granted access.

3. I attest that I understand my responsibilities and that I am familiar with and will comply with the standards for protecting such information that I may have access to in accordance with the terms of this Agreement and the laws, regulations, and/or directives applicable to the specifi c categories of information to which I am granted access. I understand that the United States Government may conduct inspections, at any time or place, for the purpose of ensuring compliance with the conditions for access, dissemination, handling and safeguarding information under this Agreement.

ATTACHMENT NO. 4

RFQ# HSSCCG-17-Q-00102

8. If I violate the terms and conditions of this Agreement, such violation may result in the cancellation of my conditional access to the information covered by this Agreement. This may serve as a basis for denying me conditional access to other types of information, to include classified national security information.

4. I will not disclose or release any information provided to me pursuant to this Agreement without proper authority or authorization. Should situations arise that warrant the disclosure or release of such information I will do so only under approved circumstances and in accordance with the laws, regulations, or directives applicable to the specific categories of information. I will honor and comply with any and all dissemination restrictions cited or verbally relayed to me by the proper authority.

5. (a) For PCII - (1) Upon the completion of my engagement as an employee, consultant, or subcontractor under the contract, or the completion of my work on the PCII Program, whichever occurs first, I will surrender promptly to the PCII Program Manager or his designee, or to the appropriate PCII officer, PCII of any type whatsoever that is in my possession.

(2) If the Authorized Entity is a United States Government contractor performing services in support of the PCII Program, I will not request, obtain, maintain, or use PCII unless the PCII Program Manager or Program Manager’s designee has first made in writing, with respect to the contractor, the certification as provided for in Section 29.8(c) of the implementing regulations to the CII Act, as amended.

(b) For SSI and SBU - I hereby agree that material which I have in my possession and containing information covered by this Agreement, will be handled and safeguarded in a manner that affords sufficient protection to prevent the unauthorized disclosure of or inadvertent access to such information, consistent with the laws, regulations, or directives applicable to the specific categories of information. I agree that I shall return all information to which I have had access or which is in my possession 1) upon demand by an authorized individual; and/or 2) upon the conclusion of my duties, association, or support to DHS; and/or 3) upon the determination that my official duties do not require further access to such information.

6. I hereby agree that I will not alter or remove markings, which indicate a category of information or require specific handling instructions, from any material I may come in contact with, in the case of SSI or SBU, unless such alteration or removal is consistent with the requirements set forth in the laws, regulations, or directives applicable to the specific category of information or, in the case of PCII, unless such alteration or removal is authorized by the PCII Program Manager or the PCII Program Manager’s designee. I agree that if I use information from a sensitive document or other medium, I will carry forward any markings or other required restrictions to derivative products, and will protect them in the same matter as the original.

7. I hereby agree that I shall promptly report to the appropriate official, in accordance with the guidance issued for the applicable category of information, any loss, theft, misuse, misplacement, unauthorized disclosure, or other security violation, I have knowledge of and whether or not I am personally involved. I also understand that my anonymity will be kept to the extent possible when reporting security violations.

9. (a) With respect to SSI and SBU, I hereby assign to the United States Government all royalties, remunerations, and emoluments that have resulted, will result, or may result from any disclosure, publication, or revelation of the information not consistent with the terms of this Agreement.

(b) With respect to PCII I hereby assign to the entity owning the PCII and the United States Government, all royalties, remunerations, and emoluments that have resulted, will result, or may result from any disclosure, publication, or revelation of PCII not consistent with the terms of this Agreement.

10. This Agreement is made and intended for the benefit of the United States Government and may be enforced by the United States Government or the Authorized Entity. By granting me conditional access to information in this context, the United States Government and, with respect to PCII, the Authorized Entity, may seek any remedy available to it to enforce this Agreement including, but not limited to, application for a court order prohibiting disclosure of information in breach of this Agreement. I understand that if I violate the terms and conditions of this Agreement, I could be subjected to administrative, disciplinary, civil, or criminal action, as appropriate, under the laws, regulations, or directives applicable to the category of information involved and neither the United States Government nor the Authorized Entity have waived any statutory or common law evidentiary privileges or protections that they may assert in any administrative or court proceeding to protect any sensitive information to which I have been given conditional access under the terms of this Agreement.

DHS Form 11000-6 (08-04) Page 2

11. Unless and until I am released in writing by an authorized representative of the Department of Homeland Security (if permissible for the particular category of information), I understand that all conditions and obligations imposed upon me by this Agreement apply during the time that I am granted conditional access, and at all times thereafter.

12. Each provision of this Agreement is severable. If a court should find any provision of this Agreement to be unenforceable, all other provisions shall remain in full force and effect.

13. My execution of this Agreement shall not nullify or affect in any manner any other secrecy or non-disclosure Agreement which I have executed or may execute with the United States Government or any of its departments or agencies.

14. These restrictions are consistent with and do not supersede, conflict with, or otherwise alter the employee obligations, rights, or liabilities created by Executive Order No. 12958, as amended; Section 7211 of Title 5, United States Code (governing disclosures to Congress); Section 1034 of Title 10, United States Code, as amended by the Military Whistleblower Protection Act (governing disclosure to Congress by members of the military); Section 2302(b)(8) of Title 5, United States Code, as amended by the Whistleblower Protection Act (governing disclosures of illegality, waste, fraud, abuse or public health or safety threats); the Intelligence Identities Protection Act of 1982 (50 USC 421 et seq.) (governing disclosures that could expose confidential Government agents); and the statutes which protect against disclosure that may compromise the national security, including Sections 641, 793, 794, 798, and 952 of Title 18, United States Code, and Section 4(b) of the Subversive Activities Act of 1950 (50 USC 783(b)). The definitions, requirements, obligations, rights, sanctions, and liabilities created by said Executive Order and listed statutes are incorporated into this agreement and are controlling.

15. Signing this Agreement does not bar disclosures to Congress or to an authorized official of an executive agency or the Department of Justice that are essential to reporting a substantial violation of law.

16. I represent and warrant that I have the authority to enter into this Agreement.

17. I have read this Agreement carefully and my questions, if any, have been answered. I acknowledge that the briefing officer has made available to me any laws, regulations, or directives referenced in this document so that I may read them at this time, if I so choose.

DHS Form 11000-6 (08-04)

DEPARTMENT OF HOMELAND SECURITY

NON-DISCLOSURE AGREEMENT

Acknowledgement Typed/Printed Name: Government/Department/Agency/Business Address Telephone Number:

I make this Agreement in good faith, without mental reservation or purpose of evasion.

Signature:

Typed/Printed Name: Government/Department/Agency/Business Address Telephone Number:

Signature:

WITNESS:

This form is not subject to the requirements of P.L. 104-13, “Paperwork Reduction Act of 1995” 44 USC, Chapter 35.