A001.pdf

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

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

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 SOLICIATION 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.

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 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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.

12. ACCOUNTING AND APPROPIRATION DATA (If required)

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)

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

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

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A001 Mar 9, 2011 N/A

National Gallery of Art Office of Procurement & Contracts (APC) 2000B South Club Drive Landover, MD 20007

NGA-RFP-11-307

Feb 10, 2011

The solicitation is hereby modified by replacing Section C.2 of the solicitation with the attached, modified Section C.2. Additionally, Section J is hereby replaced with the attached Section J list of attachments. All other terms and conditions of the original solicitation shall remain unchanged.

Henrietta Brox-Campbell, Contracting Officer

BAS IDIQ CONTRACT

Solicitation No. NGA-RFP-11-307

Amendment No. A001

The following provisions shall replace Section C.2. as it originally appeared in the solicitation:

C.2. GENERAL REQUIREMENTS

As described in task orders issued pursuant to the terms of this contract, the Contractor shall furnish all labor, transportation, equipment, materials, tools, supervision, and management required to provide maintenance, complete installations, repair, alteration, and all other services of automatic control systems and equipment.

This work may include repair and alterations to the NGA’s legacy Honeywell Excel 500 BAS controls. Hardware installations and software programming services using Honeywell CARE may be required. All legacy controls are integrated into NGA’s BAS using Honeywell Cbus.

Repair, maintenance, alternations and the installation of new “open system” BAS control, such as Niagara Ax JACE controls, may be required. Specific work may include hardware installations and software programming services using Niagara Ax Workplace or compatible software applications. All new “open system” control installations are integrated into NGA’s

BAS using Bacnet. Repair, maintenance, alternations and new installations of Lonworks, Modbus and Bacnet field buses may be required.

BAS integration of newly installed controls is generally performed by the NGA staff with the aid of the contractor. Contractor shall set aside ample time to assist with the NGA’s integration of new controls.

All work described herein shall be performed in accordance with the specifications provided in this contract as well as any additional requirements included in the task orders issued under and according to this IDIQ contract.

The Contractor shall have limited use of premises for performance of work as indicated in the contract, specifications, individual task orders, and/or attachments thereto.

The Contractor shall maintain existing environmental condition throughout task order periods of performance, repair damage caused by working operations, and protect NGA building and its occupants during task order periods of performance.

The NGA will occupy existing facilities maintained herein during the entire construction period. The Contractor shall cooperate with the COTR during execution of the work to minimize conflicts and facilitate NGA usage. Maintain existing exits, unless otherwise indicated.

The contractor may be required to maintain the operation of existing automatic control system until the replacement, alternations or installation of new equipment is complete.

The Contractor shall maintain access to existing walkways, corridors, and other adjacent occupied or used facilities. Do not close or obstruct walkways, corridors, or other occupied or used facilities without written permission from the COTR.

All work restrictions are subject to change when the Threat Advisory Level is raised above

Code Yellow “Elevated” status by the Department of Homeland Security and adopted by the

NGA. The COTR will advise the Contractor of additional work restrictions initiated by AOP should a change in the Threat Level Advisory occur.

The Contractor shall be responsible for safeguarding all NGA property provided for the

Contractor’s use. The Contractor shall secure all NGA facilities, equipment, and materials at the close of each work period.

The Contractor shall provide all labor, materials, and equipment required for the protection of

NGA staff, visitors, equipment, furnishings, buildings, and grounds from damage caused by

Contractor negligence. NGA equipment, furnishings, buildings, and grounds damaged by the

Contractor shall be repaired or replaced to original condition at no additional cost to the NGA.

If approved and issued by the Parking Coordinator, NGA will issue only one (1) parking permit for a contracting firm and additional permits for their subcontractors on a case-by-case basis.

No parking permit will be issued for a period in excess of two (2) consecutive days.

When the Contractor requires the use of the Loading Dock, or other designated NGA location as determined by the COTR, to deliver materials and to remove construction debris, the

Contractor shall provide a three (3) work day advance written request to the COTR. The

Contractor shall obtain the COTR's approval prior to using the loading dock. Each written request shall include hours, dates, model and year of vehicle, license number, name of company on vehicle, and personnel responsible for vehicle while located at the NGA.

National Gallery of Art

BAS IDIQ Contract

RFP-10-307

SECTION J – ATTACHMENTS

ATTACHMENT

NUMBER

TITLE NUMBER

OF PAGES

1 National Gallery of Art Authorization for Release of Information 1

2 National Gallery of Art Security Procedures 5

Regulations Governing the National Gallery of Art

Buildings and Grounds

4 National Gallery of Art Contractor ID Request Form 2

5 Optional Form 306-0182 Declaration for Federal Employment 3

6 NGA Hot Work Permit 1

Service Contract Act Wage Determination No.: 2005-2103; Revision

No. 10; Dated 06/15/2010

8 Contractor’s Proposal TBD

Carefully read this authorization to release information about you, then sign and date it in black ink.

I Authorize any investigator, special agent, or other duly accredited representative of the National

Gallery of Art conducting my background investigation to obtain any information relating to my activities from employers and criminal justice agencies. This information may include, but is not limited to, my achievement, performance, attendance and disciplinary employment history, and my criminal history record information.

I Understand that, for some sources of information, a separate specific release will be needed, and I may be contacted for such a release at a later date.

I Authorize custodians of records and sources of information pertaining to me to release such information upon request of the investigator, special agent, or other duly accredited representative of the National Gallery of Art authorized above regardless of any previous agreement to the contrary.

I Understand that the information released by records custodians and sources of information is for official use by the National Gallery of Art only for the purposes provided herein and may be redisclosed by the National Gallery of Art only as authorized by law.

Copies of this authorization that show my signature are as valid as the original release signed by me.

This authorization is valid for two (2) years from the date signed.

Full Name (Type or Print Legibly) Signature (Print COMPLETE MIDDLE NAME below) (Sign in ink) Last First Middle

Other Names Used Date of Birth Social Security (mm/dd/yyyy) Number

Current Address (Street, City) State ZIP Code

Driver’s License Number State License Telephone Number Date Signed Issued By (Include Area Code)

COMPLETE THIS FORM AND SUBMIT TO THE NATIONAL GALLERY OF ART’s COTR.

National Gallery of Art Washington, DC

AUTHORIZATION for

RELEASE of INFORMATION (per Specifications Section 01 3553)

01 3553-1

SECTION 01 3553 – NATIONAL GALLERY OF ART SECURITY PROCEDURES

PART 1 - GENERAL

1.1 RELATED DOCUMENTS

A. The Contract Documents are complementary. In the event of inconsistencies among the Contract Documents, contract clauses of the referenced Federal Acquisition Regulation (FAR) govern over the contract clauses of Section 01 Specifications of this Project.

1.2 REGULATIONS

A. Background checks are required for all Contractor personnel working in the Gallery. Contractor's personnel working at the NGA are required to comply with the "Regulations Governing the National Gallery of Art Buildings and Grounds" as provided at the end of this Section.

B. NGA’s Office of Protection Services (AOP) will perform a background check on each employee of the Contractor proposed to work in the NGA. Because of the NGA’s mission and the potential for risk in permitting access to secured areas, there is no guarantee that access badges will be issued to Contractor employees. NGA reserves the right to deny access to any specific employee of the Contractor at the NGA’s discretion, based on results of the required background checks.

NGA also reserves the right to deny access to Gallery areas during times when the Gallery is closed and to deny access to non-public areas. NGA further reserves the right to revoke an issued ID badge. The Contractor agrees to accept the NGA’s determination regarding access and, by signing the Contract, waives any right to challenge the NGA’s decision to reject any specific employee of the Contractor.

C. Failure to inspect the site or to obtain knowledge of the NGA's security rules and regulations including, but not limited to, those contained or referenced in this Specification shall not relieve the Contractor from performing the contracted Work or complying with NGA rules and regulations.

D. All work restrictions required during construction activities included in this Section, and otherwise included in the Work, are subject to change when the Threat Advisory Level is raised above Code Yellow “Elevated” status by the Department of Homeland Security and adopted by the NGA. The COTR will advise the Contractor of additional work restrictions initiated by AOP should a change in the Threat Level Advisory occur.

1.3 USE OF PREMISES

A. General: Limit use of the NGA premises to work in areas indicated. Do not disturb portions of the site beyond areas in which the Work is indicated.

1. Limits: Confine construction operations to areas within Contract Limits indicated.

2. The Contractor is required to submit a written request three (3) working days in advance to the COTR for work required in areas beyond the Contract Limits. Obtain the COTR's approval prior to initiating requested Work. Each written request must include hours, dates, intended work, and personnel required to perform the Work.

01 3553-2

B. Use of Existing Building: Maintain existing building in a weathertight condition throughout the construction period. Repair damage caused by construction operations. Protect building and its occupants during construction period.

1. A penetration to any surface of the building's exterior envelope is allowed only when clearly shown on the Contract Documents. Penetrations made to the exterior of the NGA buildings require a written request three (3) working days in advance to the COTR. Access and security procedures will be coordinated by the COTR.

2. Penetrations through perimeter walls, roofs, windows, doors, etc. must be secured in a manner acceptable to the COTR, AOP and AFM prior to the Contractor's close of business each day. A joint inspection of the site must be made with the Contractor's Field Supervisor, the COTR, AOP and AFM before dismissing field personnel.

C. Property Passes: Construction personnel entering NGA buildings with personal property, including construction-related tools, equipment and drawings, will be issued an NGA Property Pass signed by an NGA authorized representative. The Property Pass, or a previously issued memorandum from the COTR approved by AOP, will be required in order to exit the building with personal property.

1. Contractor has the option to provide a lockable gang box for storing tools and equipment used daily on site. Coordinate the delivery and placement of the gang box with the COTR.

D. Parking: Not available on the NGA premises on a daily basis. When the Contractor requires frequent access to a vehicle for equipment or materials, parking may be available on a case by case basis. The Contractor must submit a written request three (3) working days in advance to the COTR for each vehicle requesting a parking permit. The COTR will advise the Contractor of approval or disapproval by the NGA Parking Coordinator prior to the Contractor parking vehicles on the NGA premises. Each written request must include hours, date, model and year of vehicle, license number, any identification on vehicle (company name, logo, etc.), and personnel responsible for vehicle while parked on the NGA premises.

1. The Contractor's access to the vehicle will be monitored by AOP and, if the use is observed as infrequent or non-essential, AOP will alert the COTR and instruct the Contractor to remove the vehicle.

2. If approved and issued by the Parking Coordinator, NGA will issue only one (1) parking permit for a contracting firm and additional permits for their subcontractors on a case-by-case basis.

No parking permit will be issued for a period in excess of two (2) consecutive days.

E. Use of Loading Dock: When the Contractor requires the use of the Loading Dock, or other designated NGA location as determined by the COTR, to deliver materials and to remove construction debris, a three (3) work day advance written request to the COTR is required.

Obtain the COTR's approval prior to using the loading dock. Each written request must include hours, dates, model and year of vehicle, license number, any identification on vehicle (company name, logo, etc.), and personnel responsible for vehicle while located at the NGA.

1.4 FIELD PERSONNEL

A. Background Checks: Within fifteen (15) days of the Notice to Proceed and within seven (7) work days prior to commencement of work in any area of the building or grounds, the Contractor is to

01 3553-3 submit to the COTR completed security forms for each employee assigned to this Project. No employee will be granted access to the building or site until AOP has granted authorization.

1. Transmit the following completed forms and information from each Contractor employee to the COTR:

a. A National Gallery of Art Authorization for Release of Information form provided at the end of this Section.

b. A clear, legible photocopy of an official U.S. Federal or State issued photo identification document issued to the employee.

2. Submit information only for those individuals scheduled to work on site.

3. Submit additional names when personnel not already on the list are proposed to work at the site no less than seven (7) work days prior to personnel reporting to the site.

4. Should suitability issues be discovered which would preclude an individual from being granted access to the premises, AOP will advise the COTR who will notify the Contractor so that arrangements can be made for a replacement. The review time of any proposed replacement personnel will also require seven (7) work days to process.

5. NGA issues two (2) types of access badges to Contractor employees. Permanent (limited NGA Access ID) badges and temporary (escort required) badges. Each type of badge has certain responsibilities and privileges. It is completely at the NGA’s discretion as to which type of badge is issued to the Contractor’s employees. Each employee must wear the badge in a visible manner at all times when on NGA property.

a. A permanent badge permits unaccompanied access to most NGA areas. The permanent badge is issued for a stated period of time, and is held by the Contractor’s employee until the expiration date or the time when the NGA requests its return.

b. The temporary badge is issued on a daily basis and must be returned to AOP when exiting the NGA. Employees with temporary badges must be escorted by either AOP or by a Contractor employee with a permanent badge (only as approved in advance by AOP) at all times when in the NGA during non-public hours and when in non-public areas.

6. With the COTR and AOP’s approval, Contractor personnel may obtain a limited NGA Access

ID badge (permanent) if the scope of Work requires the Contractor personnel to coordinate construction activities in multiple Project sites. A seven (7) work day advance written request should be submitted to the COTR along with the following completed form (in addition to those required above):

a. NGA ID Request and Access Form available from the COTR, signed by the Department or Division head. Additionally, the COTR must annotate the time span for the badge, not to exceed one (1) year.

b. Optional Form 306-0182 Declaration for Federal Employment.

B. Escorts are required whenever Contractor employees are to work at the NGA during non-public hours, in non-public spaces, or as otherwise determined by AOP. Contractor must request escorts by written request to the COTR by the close of business on Wednesday of each week for work to be performed the following week. Escort requests shall include NGA’s project name and construction contract identification, Contractor name, field superintendent’s name, subcontractor name, crew size, basic work activities, work location(s), work days, and work hours for each crew.

01 3553-4

1. Contractor employees with an AOP assigned permanent badge may escort a maximum of six

(6) construction employees while on the Project site or between the Project Site and the West Building Service Entrance by a building route approved by AOP.

C. The designated point of building entry and exit for all personnel is the West Building Service

Entrance, off Constitution Avenue, between 6th and 4th Streets. Refer to site plan sketch AWest Building Service Entrance@ at the end of this Section.

1. All personnel are required to "sign-in" and "sign-out" each day in the NGA's official Contractor

Log books, as directed by the AOP staff.

2. Each individual not issued a permanent badge will be issued a Atemporary@ badge at the beginning of each day. This badge must be returned to AOP when "signing out" at the end of each day. Contractor's Field Supervisor will be responsible for lost or misplaced "temporary" badges; failure to report missing badges will delay personnel entering onto the NGA premises.

D. The NGA's designated work hours for construction activities are between 6:00 a.m. and 6:00 p.m., Monday through Friday. The Contractor must submit a proposed eight (8) hour daily work period to the COTR and AOP for approval.

1. Prior to the COTR's working hours (7:00 a.m. through 4:00 p.m.), notify AOP's Security

Command Center (SCC) if construction personnel will arrive later than submitted.

2. When Work is requested to be performed prior to or later than designated hours, the

Contractor shall submit a written request five (5) working days in advance to the COTR for approval. Work during the NGA’s Exclusionary Access hours (12:30 a.m. to 5:30 a.m.) must be specifically approved by the Gallery Administrator. The Contractor must obtain the COTR's approval prior to initiating the requested Work. Each written request must include dates, time periods, and personnel required to perform the Work.

3. The Contractor is responsible to immediately notify the COTR if any employees will be arriving later than scheduled. If the COTR cannot be contacted in person at the time of notification, the Contractor shall notify the SCC at (202) 842-6115 of the proposed late arrival.

AOP maintains daily logs of escorts that have been scheduled and the names of Contractor employees scheduled to arrive.

4. In the event that the Contractor has reason to assign additional employees to the Work on any particular day, the Contractor shall immediately notify the COTR to obtain approval for the substitution for that day only.

1.5 ELECTRONIC SECURITY AND DETECTION SYSTEMS

A. Maintain existing security and detection systems indicated to remain in service and protect the systems against damage during demolition and construction activities. Do not interrupt, disconnect, remove, tamper with or cover any systems, except when authorized in writing by the COTR and AOP.

B. Provide bypass connections as necessary and as directed by AOP staff, to maintain continuity of security systems to occupied areas of building. Obtain the COTR and AOP approval if a shutdown of a system is necessary during changeover.

01 3553-5

C. Any system wiring or device accidentally damaged or disturbed during construction activities must be reported to the SCC within five (5) minutes of occurrence or discovery, and to the COTR once the occurrence is under the NGA's control.

1. The Contractor, COTR and interested NGA offices will meet to determine the scope of damage and costs, if any, attributable to the Contractor for the work required to restore the system to proper function.

1.6 OCCUPANCY REQUIREMENTS

A. NGA Occupancy: The NGA occupies the immediate adjacent site and building areas during the entire construction period. Cooperate with the NGA during construction operations to minimize conflicts and facilitate the NGA usage. Perform the Work so as not to interfere with the NGA's operations.

PART 2 - PRODUCTS (Not Used)

PART 3 - EXECUTION (Not Used)

END OF SECTION 01 3553

REGULATIONS GOVERNING THE NATIONAL GALLERY OF ART BUILDINGS AND GROUNDS

These regulations are issued under the authority of 40 U.S.C. §193n-193x.

1. GENERAL. These regulations apply to all buildings and grounds of the National Gallery of Art, as defined in 40 U.S.C.

§193v(2), and to all persons entering in or on such buildings and grounds, hereinafter referred to as the premises. All authorizations and orders hereunder are valid only if made in writing by the Administrator or by someone delegated in writing by the Administrator to do so.

2. ACCESS TO BUILDINGS. Except as otherwise ordered, National Gallery of Art buildings shall be closed to the public after normal visiting hours. Such buildings, or portions thereof, shall also be closed to the public in emergency situations and at such other times as may be necessary for the orderly conduct of business. Whenever the buildings are closed to the public for any reason, visitors will immediately leave the premises upon being requested by a guard or other authorized individual to do

so. Admission to the buildings during periods when they are closed to the public will be limited to authorized individuals who will be required to register and identify themselves when requested by a guard or other authorized individual.

3. PRESERVATION OF PROPERTY. It is prohibited willfully to destroy, deface or damage property on the premises or to remove from the premises property or any part thereof unless specifically authorized. Touching of any work of art is forbidden unless specifically authorized. Parcels, portfolios, bags and containers of any kind may be required to be opened and the contents identified prior to their being allowed to enter or leave the premises. A properly completed property pass signed by an authorized official of the National Gallery of Art may be required prior to the removal of any property from the premises.

4. CONFORMITY WITH SIGNS AND EMERGENCY

DIRECTIONS. Persons in or on the premises shall comply with official signs of a prohibitory or directory nature and with the directions of authorized individuals.

5. NUISANCES. The following are prohibited: the use of loud, abusive, or otherwise improper language; unwarranted loitering, sleeping or assembly; the creation of any hazard to persons or things; improper disposal of rubbish; spitting; prurient prying; the commission of any obscene or indecent act, or any other unseemly or disorderly conduct on the premises; throwing articles of any kind from, at or within a building; and climbing upon any part of a building or work of art.

6. GAMBLING. Participating in games for money or other gain or profit or the operation of gambling devices, the conduct of a lottery or pool, or the selling or purchasing of numbers tickets in or on the premises is prohibited.

7. INTOXICATING BEVERAGES AND CONTROLLED

SUBSTANCES. Entering the premises or the operating of a motor vehicle thereon by a person under the influence of any intoxicating beverage, narcotic drug or other controlled substance, or the unauthorized introduction or use of such substance in or on the premises is prohibited. The introduction or the consumption of intoxicating beverages on the premises is prohibited, except as specifically authorized.

8. SMOKING. Smoking on the premises is prohibited, except as specifically authorized.

9. SOLICITING, VENDING, DEBT COLLECTION AND

DISTRIBUTION OF HANDBILLS. The soliciting of alms and contributions, commercial soliciting and vending of all kinds, the display or distribution of commercial advertising or the collection of private debts in or on the premises is prohibited. This rule does not apply to national or local fund drives for welfare, health and other purposes sponsored or authorized by the National Gallery of Art or to personal notices posted by employees on authorized bulletin boards. Unauthorized distribution of material, such as pamphlets, handbills and flyers, is prohibited.

10. PLACARDS, SIGNS, BANNERS AND FLAGS. The displaying or carrying of placards, signs, banners or flags is prohibited unless officially authorized, except for the wearing of material which does not pose a potential hazard to persons, property or exhibits.

11. DOGS AND OTHER ANIMALS. Dogs and other animals, except seeing eye dogs, other guide dogs and animals used to guide or assist persons with disabilities, shall not be brought upon the premises for other than authorized official purposes.

12. PHOTOGRAPHY, FILMING AND VIDEOTAPING.

Photography, filming and videotaping is prohibited on the premises, except as officially authorized or for personal, non-commercial use with hand-held equipment.

13. ITEMS TO BE CHECKED. Oversized objects, such as briefcases, suitcases, etc., and umbrellas, canes (not needed to assist in walking), and other objects capable of inflicting damage to property or exhibits may be required to be checked in the checking facilities provided.

14. VEHICULAR AND PEDESTRIAN TRAFFIC. Drivers of all vehicles in or on the premises shall drive in a careful and safe manner at all times and shall comply with the signals and directions of the guards and traffic and parking signs and such other directives as may be posted from time to time. The blocking of entrances, driveways, walks, loading platforms or fire hydrants on the premises is prohibited. Parking without authority or parking in unauthorized locations or in locations reserved for other persons or contrary to the direction of posted signs is prohibited.

15. WEAPONS AND EXPLOSIVES. No person while on the premises shall carry firearms, other dangerous and deadly weapons, ammunition, explosives or incendiary devices (or any part thereof), either openly or concealed, except as authorized for official purposes.

16. NONDISCRIMINATION. These regulations will be applied without discrimination as to race, religion, color, national origin, age, gender, sexual preference or disability.

17. PENALTIES. 40 U.S.C., §193(s) provides: “Whoever violates any provision of sections 193o-193q of this title or any regulation prescribed under section 193r of this title, shall be fined not more than $100 or imprisoned not more than sixty days, or both, prosecution for such offenses to be had in the Superior Courts of the District of Columbia, upon information by the United States attorney or any of his assistants: Provided that in any case where, in the commission of such offense, property is damaged in an amount exceeding $100 the amount of the fine for the offense may be not more than $5,000, the period of imprisonment for the offense may be not more than five years and prosecution shall be had in the United States District Court for the District of Columbia by indictment, or if the defendant, after he has been advised of the nature of the charge and his rights, waives in open court prosecution by indictment, by information by the United States attorney or any of his assistants.” The National Gallery of Art reserves the right to take such other actions to enforce these regulations as may be necessary and appropriate under the circumstances.

rev. April 1994

National Gallery of Art Washington, DC 20565

I.D. REQUEST and ACCESS FORM

PART I. Personal Data

Last Name: First Name: Middle Name:

SSN: DOB: Eyes: Hair: Height: Weight:

Sex: Other Names Used:

Home Address (Street, RD#, PO Box, etc) City

State: Zip: Home Phone: Cell Phone: E-mail:

Emergency Contact Information

Contact: Day Phone: Night Phone:

Job Information

Department: Work Phone: Work Hours: Title:

PART II. For Contractors, Volunteers, and Other Non-Gallery Employees

Company: COTR/Sponsor: COTR/Sponsor Phone:

Project, Contract or Term Completion Date (if unknown, enter estimated date):

PART III. A. Authorization

ID Access Badge

G Approved

G Disapproved

Department/Division Head’s Name:

Signature: Date:

PART III. B. Art Access Authorization

Art Access

G Approved

G Disapproved

Registrar’s Name:

Signature: Date:

PART IV. Certification

I, the undersigned, understand this badge is the property of the National Gallery of Art and must be returned upon expiration or end of association with the Gallery (e.g., termination of employment, project or contract completion) and upon request must be surrendered to Gallery security personnel. I further agree to display this badge in plain view on my person while on the premises of the National Gallery of Art.

Badge Holder Signature: _______________________________________ Date: ____________________

Revised April 2006

SEE REVERSE SIDE FOR GENERAL INSTRUCTIONS

GENERAL INSTRUCTIONS

ID REQUEST and ACCESS FORM

The information collected on this form is used to determine your level of security access to non-public space at the National Gallery of Art and/or issuance of a permanent Gallery Identification (ID) Badge.

This form must be completed for all first-time badge recipients and for all badge renewals and extensions.

When this form is submitted as part of Gallery Specifications Section 01 1400 (Work Restrictions) and/or

Contract Clause Security Restrictions, processing time for completion of security clearance will take up to seven (7) business days from notice of intent to work on site.

Part I: Personal Data

� Either type your responses on this form or print clearly in dark ink.

� All responses must be complete and truthful. Cell Phone number and E-Mail address are optional.

Part II: For Contractors, Volunteers, and Other Non-Gallery Employees

� This section should be completed by everyone except permanent Gallery employees.

� The Contracting Officer’s Technical Representative (COTR)/Sponsor is the Gallery employee responsible for the applicant (e.g., contractor, volunteer, other non-Galley employee).

� A date must be entered in the Project, Contract, or Term Completion Date field before a badge will be issued. Except for Docents and Art Information Volunteers, the date should not exceed one (1) year from the date the form is completed. Forms without a date entered in this field will be returned.

Part III. A. Authorization

� Before a Gallery badge is issued, approval must be granted by a Department or Division Head.

� The name of the Department or Division Head should be clearly printed in the space provided.

� The Department or Division Head must sign and date this form.

Part III. B. Art Access Authorization

� This section is to be completed only by the Registrar, who authorizes art access and the handling of art objects.

� The name of the Registrar should be clearly printed in the space provided.

� The Registrar must sign and date this form before an art access badge will be issued.

Part IV. Certification

� This form must be signed and dated by the badge recipient at the time the badge is issued.

Declaration for Federal Employment Form Approved OMB No. 32060182

The information collected on this form is used to determine your acceptability for Federal and Federal contract employment and your enrollment status in the Government's Life Insurance program. You may be asked to complete this form at any time during the hiring process. Follow instructions that the agency provides. If you are selected, before you are appointed you will be asked to update your responses on this form and on other materials submitted during the application process and then to recertify that your answers are true.

All your answers must be truthful and complete. A false statement on any parl of this declaration or attached forms or sheets may be grounds for not hiring you, or for firing you after you begin work. Also, you may be punished by a fine or imprisonment (U.S. Code, title "1, section 1001).

Either type your responses on this form or print clearly in dark ink. If you need additional space, attach letter-size sheets (8.5" X 11"). Include your name, Social Security Number, and item number on each sheet. We recommend that you keep a photocopy of your completed form for your records.

Privacy Act Statement

The Office of Personnel Management is authorized to request this information under sections 1302, 3301, 3304, 3328, and 871 6 of title 5, U. S. Code. Section 1104 of title 5 allows the Office of Personnel Management to delegate personnel management functions to other Federal agencies. If necessary, and usually in conjunction with another form or forms, this form may be used in conducting an investigation to determine your suitability or your ability to hold a security clearance, and it may be disclosed to authorized officials making similar, subsequent determinations.

\/our Social Security Number (SSN) is needed to keep our records accurate, because other people may have the same name and birth date. Public Law 104-134 (April 26, 4996) asks Federal agencies to use this number 'lo help iifentifjr individuals in agency records. Giving us your SSN or any other information is voluntary. However, if you do not give us your SSM or any other information requested, we cannot process your application, Incomplete addresses and ZIP Codes may also slow processing.

ROUTINE USES: Any disclosure of this record or information in this record is in accordance with routine uses found in System Notice OPMJGOVT-1, General Personnel Records. This system allows disclosure of information to: training facilities; organizations deciding claims for retirement, insurance, unemployment, or health benefits; officials in litigation or administrative proceedings where the Government is a party; law enforcement agencies concerning a violation of law or regulation; Federal agencies for statistical reports and studies; officials of labor organizations recognized by law in connection with representation of employees;

Federal agencies or other sources requesting information for Federal agencies in connection with hiring or retaining, security clearance, security or suitability investigations, classifying jobs, contracting, or issuing licenses, grants, or other benefits; public and private organizations, including news media, which grant or publicize employee recognitions and awards; the Merit Systems Protection Board, the Office of Special Counsel, the Equal Employment Opportunity Commission, the Federal Labor Relations Authority, the National Archives and Records Administration, and Congressional offices in connection with their official functions;

prospective non-Federal employers concerning tenure of employment, civil service status, length of service, and the date and nature of action for separation as shown on the SF 50 (or authorized exception) of a specifically identified individual; requesting organizations or individuals concerning the home address and other relevant information on those who might have contracted an illness or been exposed to a health hazard; authorized Federal and non-Federal agencies for use in computer matching; spouses or dependent children asking whether the employee has changed from a self-and-family to a self-only health benefits enrollment;

individuals working on a contract, service, grant, cooperative agreement, or job for the Federal government; non-agency members of an agency's performance or other panel; and agency-appointed representatives of employees concerning information issued to the employees about fitness-for-duty or agency-filed disability retirement procedures.

Public Burden Statement

Public burden reporting for this collection of information is estimated to vary from 5 to 30 minutes with an average of 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to the U.S. Office of Personnel Management, Reports and Forms Manager (3206-0182), Washington, DC 20415-7900. The OMB number, 3206-0182, is valid. OPM may not collect this information, and you are not required to respond, unless this number is displayed.

U.S. Office of Personnel Management 5 U.S.C. 1302,3301.3304.3328 & 8716

NSN 7540-01-368-7775

Optional Form 306 Revised January2001

Previous editions obsolete and unusable

Declaration for Federal Employment Form Approved OM6 No. 3206-0182

G E N E M L INFORMA "$lON

1. FULL NAME (First, middle, last) 12. SOCIAL SECURlTY NUMBER

Night + Selective Sewice Registration If you are a male born after December 31, 1959, and are at least 18 years of age, civil service employment law (5 U.S.C. 3328) requires that you must register with the Selective Service System, unless you meet certain exemptions.

7a. Are you a male born after December 31, 1959? YES NO I f "NO" skip 7b and 7c. I f "YES" go to 7b

7b. Have you registered with the Selective Service System? YES a NO I f "NO" go to 7c.

7c. If "NO," describe your reason(s) in item #16.

Military Seuviee

8. Have you ever served in the United States military? YES Provide information below NO

I f you answered "YES, " list the branch, dates, and type of discharge for all active duty.

I f your only active duty was training in the Reserves or National Guard, answer "NO."

From To I------- - Type 04 Discharge -.q-____ ^ _ _ .-_

- -1

Background Information For all questions, provide all additional requested information under item 16 or on attached sheets. The circumstances of each event you list will be considered. However, in most cases you can still be considered for Federal jobs.

For questions 9,10, and 11, your answers should include convictions resulting from a plea of nolo contendere (no contest), but omit ( I ) traffic fines of $300 or less, (2) any violation of law committed before your 16th birthday, (3) any violation of law committed before your 18th birthday if finally decided in juvenile court or under a Youth Offender law, (4) any conviction set aside under the Federal Youth Corrections Act or similar state law, and (5) any conviction for which the record was expunged under Federal or state law.

9. During the last 10 years, have you been convicted, been imprisoned, been on probation, or been on parole? YES NO (Includes felonies, firearms or explosives violations, misdemeanors, and all other offenses.) I f "YES," use item 16 to provide the date, explanation o f the violation, place of occurrence, and the name and address o f the police department or court involved.

10. Have you been convicted by a military court-martial in the past 10 years? (If no milifary service, answer "NO.") I f YES "YES," use item 16 to provide the date, explanation of the violation, place of occurrence, and the name and address of the military authority or court involved.

11. Are you now under charges for any violation of law? I f "YES, " use item 16 to provide the date, explanation of the

YES NO

violation, place of occurrence, and the name and address o f the police department or court involved.

12. During the last 5 years, have you been fired from any job for any reason, did you quit after being told that you would be fired, did you leave any job by mutual agreement because of specific problems, or were you debarred from YES NO

Federal employment by the Office of Personnel Management or any other Federal agency? I f "YES," use item 16 to provide the date, an explanation of the problem, reason for leaving, and the employer's name and address.

13. Are you delinquent on any Federal debt? (Includes delinquencies arising from Federal taxes, loans, overpayment of benefits, and other debts to the U.S. Government, plus defaults of Federally guaranteed or insured loans such as student and home mortgage loans.) I f "YES,' use item 16 to provide the type, length, and amount of the delinquency or default, and steps that you are taking to correct the error or repay the debt.

U.S. Office of Personnel Management NSN 7540-01-368-7775 Opt~onal Form 306 Rensed J ~ ~ u ~ N 2001

5 U.S.C. 1302. 3301. 3304.3328 & 8716 Previous editions obsolete and unusable

Declaration for Federal Employment Form Approved:

OM0 No. 32060182

Additional Questions

14. Do any of your relatives work for the agency or government organization to which you are submitting this form?

(Include: father, mother, husband, wife, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, YES NO father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, and half sister.) If "YES," use item 16 to provide the relative's name, relationship, and the depan'ment, agency, or branch of the Armed Forces for which your relative works.

15. Do you receive, or have you ever applied for, retirement pay, pension, or other retired pay based on military, YES NO

Federal civilian, or District of Columbia Government service?

Continuation Space /Agency Bptiianal Questions

16. Provide details requested in items 7 through 15 and 18c in the space below or on attached sheets. Be sure to identify attached sheets with your name, Social Security Number, and item number, and to include ZIP Codes in all addresses. If any questions are printed below, please answer as instructed (these questions are specific to your position and your agency is authorized to ask them).

Cedifieations /Additional Questions APPLICANT: If you are applying tor a position and have not yet been selected, carefully review your answers on this form and any attached sheets. When this form and all attached materials are accurate, read item 17, and complete 17a.

APPOINTEE: jfyou are being appointed, carefully review your answers on this form and any attached sheets, including any other application materials that your agency has attached to this form. If any information requires correction to be accurate as of the date you are signing, make changes on this form or the attachments and/or provide updated information on additional sheets, initialing and dating all changes 2nd additions. When this form and all attached materials are accurate, read item 17, complete 17b, read 18, and answer 18a, 18b, and 18c as appropriate.

17. 1 certify that, to the best of my knowledge and belief, all of the information on and attached to this Declaration for Federal Employment, including any attached application materials, is true, correct, complete, and made in good faith. I understand that a false or fraudulent answer to any question or item on any part of this declaration or its anachments may be grounds for not hiring me, or for firing me after I begin work, and may be punishable by fine or imprisonment. I understand that any information I give may be investigated forpurposes of determining eligibility for Federal employment as allowed by law or Presidential order. I consent to the release of information about my ability and fitness for Federal employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, personnel specialists, and other authorized employees or representatives of the Federal Government.

I understand that for financial or lending institutions, medical institutions, hospitals, health care professionals, and some other sources of information, a separate specific release may be needed, and I may be contacted for such a release at a later date.

- uare Enter Date of Appaintment or Conversion (Slgn in Ink)

17b. Appointee's Signature:

(Sign in ink)

Date

18. Appointee (Only respond if you have been employed by the Federal Government before): Your elections of life insurance during previous ~ederal employment may affect your eligibility for life insurance during your new appointment. These questions are asked to help your personnel office make a correct determination.

MM 1 DO /W

18a. When did you leave your last Federal job? DATE:

18b. When you worked for the Federal Government the last time, did you waive Basic Life Insurance or YES NO Do NolKnow any type of optional life insurance?

18c. If you answered "YES" to item 18b, did you later cancel the waiver(s)? If your answer to item 18c is YES NO Do Not Know

"NO," use item 16 to identify the type(s) of insurance for which waivers were not canceled.

U.S. Office of Personnel Management NSN 7540-01-368-7775

C 7 C 3 0 Ophonal Form 306

Rensed January 2001 5 U S C 1302,3301.3304.3328 & 8716 Previous ed~t~ons obsolete and unusable http://www.wdol.gov/wdol/scafiles/std/05-2103.txt[3/3/2011 1:43:54 PM]

WD 05-2103 (Rev.-10) was first posted on www.wdol.gov on 06/22/2010

REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2005-2103 Shirley F. Ebbesen Division of | Revision No.: 10 Director Wage Determinations| Date Of Revision: 06/15/2010 States: District of Columbia, Maryland, Virginia

Area: District of Columbia Statewide Maryland Counties of Calvert, Charles, Frederick, Montgomery, Prince George's, St Mary's Virginia Counties of Alexandria, Arlington, Fairfax, Falls Church, Fauquier, King George, Loudoun, Prince William, Stafford **Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support And Clerical Occupations 01011 - Accounting Clerk I 15.08 01012 - Accounting Clerk II 16.92 01013 - Accounting Clerk III 22.30 01020 - Administrative Assistant 31.41 01040 - Court Reporter 21.84 01051 - Data Entry Operator I 14.38 01052 - Data Entry Operator II 15.69 01060 - Dispatcher, Motor Vehicle 17.87 01070 - Document Preparation Clerk 14.21 01090 - Duplicating Machine Operator 14.21 01111 - General Clerk I 14.88 01112 - General Clerk II 16.24 01113 - General Clerk III 18.74 01120 - Housing Referral Assistant 25.29 01141 - Messenger Courier 13.62 01191 - Order Clerk I 15.12 01192 - Order Clerk II 16.50 01261 - Personnel Assistant (Employment) I 18.15 01262 - Personnel Assistant (Employment) II 20.32 01263 - Personnel Assistant (Employment) III 22.65 01270 - Production Control Clerk 22.03 01280 - Receptionist 14.43 01290 - Rental Clerk 16.55 01300 - Scheduler, Maintenance 18.07 01311 - Secretary I 18.07 01312 - Secretary II 20.18 01313 - Secretary III 25.29 01320 - Service Order Dispatcher 16.98 01410 - Supply…