4-FOUO A005 - IT Personnel Security Report for NAVAIR - GAIN LOSS update template rev SAARN(8May09).xls

XLS spreadsheet 48 KB Posted

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Financial, Program, and Business Analysis Support Services
Solicitation number
N00421-09-R-0014
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OPNAV 5239/14 SAAR-N Forms

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N00421-04-R-0014-00002.doc DOC document
CDRL SAAR A005.doc DOC document
9 -Attachment 9 Revised 9-1-09.xls XLS spreadsheet
7-Past Performance Matrix.doc DOC document
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1-QASP AD MOBIS 18May09.doc DOC document
CDRL page 1.rtf RTF text file
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6-Corp Experience.doc DOC document
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Privacy Act Notice

Privacy Act Notice
This spreadsheet will contain Privacy Act Data information upon completion which shall be safeguarded in accordance with the Privacy Act of 1975. Electronic transmittal of the spreadsheet to the NAVAIR Security office (as required by the CDRL) shall be encrypted. The contractor assumes all liability for loss or inadvertent release of information if this data is transmitted by any other means, is released by the contractor to any other parties, or if the data is compromised via storage on the contractor's computer system.

SAAR Info

FOR OFFICIAL USE ONLY
User's
Last NameFirst NameMISuffixEmployee Type: CSSContract No.Customer AIR/PMA/PEO CodeOrg: Hdqtrs/ NAWC / NATEC, etcDuty LocationWork email addressIA Training Date
(Verified by Transcript)Date of User Signature
(SAAR-N Blocks 12,27,31)Type of Investigation
(SAAR-N Blk 33)Date Investigation Finalized
(SAAR-N Blk 33a)Date Interim IT Level Designation (Stamp) Granted (SAAR-N Blk 18b)-do not put pendingHighest IT Level (SAAR-N Blk 33c)Date Security Verified Clearance / Investigation (SAAR-N Blk 37)Date of TOM Signature on SAAR-N
(Blk 18b)TOM
Name (Blk 18)TOM
EmailDate System Access Granted TOM NotifiedDate System Access No Longer RequiredN-ERP IT System (if appli., put N-ERP)Other IT System/s (separate IT system by comma's)Company NameSS# (only for NAVAIR Security)
LastFirstMCSSN00178-05-D-4231PMA261NAWCADPatuxent RiverRachel Santosrachel.santos@navy.milAll Gov't IT SystemsXYZ
Highlighted fields reflect changes since last report.

&C&14Camber Corp Information Technology Personnel Security Report for NAVAIR Security &12 &"Arial,Bold"Note: This spreadsheet will contain Privacy Act information and must be safeguarded in accordance with the Privacy Act of 1975.&"Arial,Regular"

Locations

Duty LocationCompany CodeEmp
NAVAIR HQ Patuxent River, MDHQCiv
NAVAIR HQ North Island, CATSDMil
NAVAIR HQ China Lake, CANAPRACSS
NAVAIR HQ Jacksonville, FLNATECFN
NAVAIR HQ Lakehurst, NJNAWCAD
NAVAIR HQ Pt Mugu, CANAWCWD
NAPRA Atsugi, JapanNon NAVAIR
NAWCTSD Orlando, FL
NATEC North Island, CA
NAWCAD Patuxent River, MD
NAWCWD China Lake, CA
NAWCWD Pt Mugu, CA
NAWCAD Lakehurst, NJ

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