LARC_III_RFP_Amendment_No._2_9_27_2012.pdf
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- Solicitation number
- nihod2012317
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Amendment 2 to RFP.
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| File | Type | Posted |
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| LARC_III_RFP_Amendment_No._3_04_11_13.pdf | ||
| LARC III RFP Amendment No. 1_9_12_2012.pdf | ||
| DGS_rfp_workform_06042012.pdf |
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AM ENDM ENT OF SOLICITATION/ M ODIFICATION OF CONTRACT
1 . CONTRACT ID NO. PA GE O F PA GES
2 . AM ENDM ENT/M ODIFICATION NO. 3 . EFFEC TIV E DA TE 4 . REQUISITION/PURCHA SE REQ. NO. 5 . PROJECT NO. (if app licable)
Two (2) Sep. 19, 2012 Not Applicable
6 . ISSUED BY CODE 7 . A D M IN IS T ERED BY (if ot her t han It em 6 ) CODE
National Institutes of Health Office of Logistics and Acquisitions Operations - OA 6011 Executive Blvd., Room 529-X, MSC 7663 Bethesda, MD 20892-7663
8 . NA M E AND A DD RESS O F CO NT RA CT OR (No. , st reet, cou nt y, St at e and ZIP Code) (T ) 9 A . AM ENDM ENT OF SOLICITATION NO.
Recipients of RFP NIHOD2012317, Technical and Logistical Support for NIH Laboratory Animal Research, LARC III T
NIHOD2012317
9 B. DATED (S EE IT EM 1 3 )
August 29, 2012
1 0 A . M ODIFICA TION OF
CONTRA CT/ORDER NO.
1 0 B. DATED (S EE IT EM 1 3 )
CODE FACIL ITY CODE
11 . THIS ITEM A PPLIES TO AM ENDM ENTS OF SOLICITATIONS
T The abov e num be red so lic it at ion i s am ended as set f or t h in It em 1 4 . T he ho ur and d at e sp ec if ied f or rec eip t of of f ers ______ is ex t ended, ___T___ is not extended.
Of ferors m ust ackno w ledge receipt of th is amend m ent prior to th e hour and dat e specif ied in the solicit ation or as amend ed, by one of th e follow ing m eth ods:
(a) By com plet ing Items 8 and 15 and return ing ON E (1) copies of the amendment . b) By acknow ledging receipt o f th is amendm ent on each copy of t he of fer submi t t ed; or
(c ) By separat e let t er or t eleg ram w hic h in c lu des a ref eren ce t o t he solic it at io n an d am en dm en t num bers. FA ILURE OF Y OUR A CKNOW LED GM ENT TO BE RECEIV ED A T THE
PLAC E DESIGNA TED FOR RECEIPT OF OFFERS PRIOR TO T HE HOU R AN D D A TE SPECIFIED M A Y RESULT IN REJECTION OF YOU R OFFER. If b y v irtu e of t his am endm ent yo u de sire t o c han ge an of f er already sub m it t ed, suc h c han ge m ay be m ade b y t elegram or let t er, p rov ided each t elegram or let t er m akes ref erenc e t o t he so licit at ion and t his amendment , and is received pr ior to the opening hour and date specif ied.
1 2 . ACCOUNTING AND APPROPRIATION DATA ( if required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
A . TH IS CHA NGE ORDER IS ISSUED PURSUANT TO: (Spec if y authori ty) THE CHA NGES SET FORTH IN ITEM 1 4 A RE M ADE IN THE CONTRACT ORDER NO. IN ITEM 1 0 A .
B. THE A BOVE NUM BERED CONTRA CT/ORDER IS M ODIFIED TO REFLECT THE A DM IN ISTRA TIV E CH A NGES (such as changes in pay ing of f ice, appropriat ion data, etc . )
SET FORTH IN IT EM 1 4 , PURS UA NT TO TH E AU TH ORIT Y O F FA R 4 3 .1 0 3 (b).
C. THIS S UPPLEM ENT A L A GREEM ENT IS EN TERED IN TO PU RSU A NT TO A UTHORITY OF:
D. OT HER (S p ec if y t y p e o f m o d if i c at i on an d au t h or it y )
E. IM PORTANT: Contractor is n ot , X is required t o sign t his do cu m ent and ret urn 1 co pies t o t he issuin g of f ice.
1 4 . DESCRIPTION OF AM ENDM ENT/M ODIFICATION (Organized by UCF sect ion headings, inc lud ing so lic ita t ion/contract subject m at ter w here feas ible. )
Clarifications, revisions, and answers to questions are provided in this amendment No. 2.
Except as p rov ided herein , a ll terms and condi t ions o f the document refe renced in Item 9 A or 10 A, as hereto fo re changed, remains unchanged and in fu l l fo rce and e f fec t .
1 5 A . NA M E AND TIT LE OF SIG NER (Type or pr in t ) 1 6 A . NA M E AND TIT LE OF CO NT RA CT ING OFFICER (Type or pr in t )
William Bartelmes, Contracting Officer, OA-OLAO
1 5 B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 1 6 B. UNIT ED STA TES OF A M ERICA 1 6 C. DA TE SIGN ED
BY
(Signature of person author ized to s ign. ) (Signat ure of Con t ract ing Of f icer)
N SN 75 4 0 -0 1 -1 5 2 -8 0 7 0 3 0 -1 0 5 ST AND ARD FO RM 3 0 (REV. 1 0 -8 3 )
PREVIOUS EDITION UN USA BLE Prescr ibed by GSA
FAR (48 CFR) 53 .24 3
RFP No. NIHOD2012317
Am endment No. 2
Clarifications and Revisions:
1. It anticipated that 6 task orders will be set aside for either small businesses, SDVOSBs, or 8(a) companies.
2. Additional task order set asides are possible and will be determined at the RFPTO level.
3. The list of small business specialists for NIH can be found at http://www.hhs.gov/about/smallbusiness/osdbustaff.html.
Answers to Questions:
Q 1: Re Amendment 1, I must ask for further clarification regarding total number of references requested in the Technical Proposal.
5. Section L, 2.a.5 .d (Specific Experience) at page 53 is revised to state the fo llowing: The Offeror shall identify a maximum of 5 recently completed (within the past 36 months) or ongoing contract or task orders for animal care facilit ies which are similar in nature to the solicitation's scope of work.
6. Section L, 2.a.11(Past Performance Information) at page 57 is revised to state the following: a.
Offerors shall submit the following information as part of their Technical proposal. A list of the last 5
(maximum) contracts com pleted during the past 36 months and ALL CONTRACTS or task orders currently being performed that are similar in nature to the solicitation workscope.
1. Do you want 5 total (current and/or completed in past 36 months) or 5 completed plus ALL others ongoing similar in nature?
2. Also, would you prefer that TOs are listed as individual references, or would they all fall under the umbrella contract (for this purpose) as one contract, and we would therefore provide an additional four references (if 5 is the max)?
Last, I interpret the RFP so that there will be one identified section in the Technical Proposal for
Specific Experience/Past Performance (so that the two above comments are incorporated into one section) and that the two descriptions in RFP are sim ply a redundancy. Can you confirm there is only the one section requested?
A.1: Please submit no more than five (5) (total) recently completed (within the past 36 m onths) or ongoing contract or task orders for animal care facilities which are s imilar in nature to the solicitation’s scope of work.
http://www.hhs.gov/about/smallbusiness/osdbustaff.html
Task orders would fall under the umbrella contract, and additional four references would be permitted. One section requests this specific experience be included in the technical proposal submissions
(Section L.2.a.11) and the other limits the number of pages that may be submitted for each contract summary. (L.2.a.5.d.) Additionally, the business proposal must also include a sum mary of general
(corporate) experience, to include organizational experience, performance history, and pertinent contracts.
Q. 2: Please clarify how task orders are being classified for sm all businesses and SDVOB set-a-sides. W ill there be 8(a) opportunities. If not why is this not being considered? Is there a dollar threshold limit for different categories? What is the basis?
A.2: Task orders will be classified for small business and SDVOSB set-asides on a case by case (task order by task order) basis. There may be a possibility for 8(a) opportunities if two or more contracts are awarded to 8(a) businesses. Please see A.3 below, and
Clarifications, above.
Q. 3: There was a reference to SDVOB companies receiving opportunities to bid on of a $100,000 value on page 45, for low complexity work. Is there a pre-determine selection process SDVOB companies can only perform low complex work? Please clarify was there an error in the $100,000 amount. There may have been a typo to show $1,000,000. It does not appear a $100,000 effort would not support a task.
A.3: Sections L.b. and L.c. are revised as follows:
b. NOTICE OF SMALL BUSINESS SET-ASIDE
(1) General. Tasks of low to moderate technical complexity with an annual IGCE of $500,000 or less will be set aside for sm all businesses. It is antic ipated that three tasks will be set aside for small business competition. Accordingly, this procurement will be awarded to one or m ore such concerns, organizations, or ind ividuals. This action is based on a determination by the Contracting Officer, alone or in conjunction with a representative of the Small Business
Administration, that it is in the interest of maintaining or mobilizing the Nation's full productive capacity, or in the interest of war or national defense program s, or in the interest of assuring that a fair proportion of Government procurement is placed with small business concerns.
(2) Definitions. The term "small business concern" means a concern, including its affiliates, which is independently owned and operated, is not dominant in the field of operation in which it is bidding on
Government contracts, and can further qualify under the s ize standards in this solicitation. In addition to meeting these criteria, a small business concern submitting an offer in his own name shall furnish, in the performing the contract, only end items manufactured or produced by small business concerns in the United
States or its outlying areas, provided that this additional requirement does not apply in connection with construction or service contracts.
c. NOTICE OF SERVICE-DISABLED VETERAN-OWNED SMALL
BUSINESS SET-ASIDE
Tasks of low to moderate technical complexity with an annual IGCE of
$250,000 or less will be set aside for SDVOSB competition. It is anticipated that three tasks will be set-as ide for SDVOSB com petition.
In accordance with the "Service-Disabled Veteran-owned Small
Business (SDVOSB) Procurement Program" authorized by the
Veterans Benefit Act of 2003 (15 U.S.C. 657f), offers on designated task orders will be solicited only from Service-Disabled Veteran-owned Small Business concerns.
At the time of proposal submission, a service-disabled veteran-owned small business (SDVOSB) concern must represent to the Contracting
Officer that it is a SDVOSB concern and is considered small under the
North American Industry Classification System (NAICS) code assigned to the solicitation.
Offers received from other than SDVOSB concerns shall not be considered on task order requests for proposals which have been set-aside for SDVOSB concerns.
Q. 4: If sm all businesses can perform the work will task orders be placed in a small business category. I understand small businesses can bid on large business task orders but this seems to defeat having a small business program if the task order automatically goes to large businesses.
A.4: See A.3 Task orders are not automatically given to large businesses.
Please see clarification #2, above.
Q. 5: In the past companies without NIH experience could not score high enough to win awards. What has changed so that experience from other government, academic and corporate contracts will have value in competing with companies that hold the current work at NIH.
A.5: There are no bonus points given to companies whose experience was performed at NIH. See RFP Section M, Evaluation Factors for
Award.
Q. 6: Please explain why 541940 is the code for LARC III.
541 -- Professional, Scientific, and Technical Services/541940 -- Veterinary Services This appears to be more general for actual veterinary clinic work. In the past the LARC used more appropriate NAICS codes. NAICS 541711 and 541712 provide a more clear reference to biomedical research support. Research and development in the physical, engineering, and life sciences
Can you clarify if 541711 and 541712 would be used as they have in the past. 541940 has been used for Veterinary support is primarily used for animal clinics and the farm animal work for USDA.
In addition, using 541940 limits the use of small businesses on the LARC because of the dollar threshold. 541711 and 541712 provide m ore advantages to small businesses.
See 541940 description:
541940 Veterinary Services
This industry comprises establishments of licensed veterinary practitioners primarily engaged in the practice of veterinary medicine, dentistry, or surgery for animals; and establishments primarily engaged in providing testing serv ices for licensed veterinary practitioners.
Cross-References.Establishments primarily engaged in--
2. Providing veterinary research and development services--are classified in Industry 541710, Research and Development in the Physical, Engineering, and Life Sciences;
3. Providing nonveterinary pet care serv ices, such as boarding or grooming pets,--are classified in
Industry 812910, Pet Care (except Veterinary) Services;
4. Providing animal breeding services or boarding horses--are classified in Industry 115210, Support Activities for Animal Production; and
5. Transporting pets--are classified in U.S. Industry 485991, Special Needs Transportation.
No change 1997 to
2002 NAICS to 1987
SIC
1997Econom ic Census
Bridge Between 1997 NAICS and
SIC
NAICS
NAICS
SIC
Corresponding Index Entries
541940 541940 0742 Animal hospitals
541940 541940 0742 Disease testing services, veterinary
541940 541940 0741 Hospita ls, anim al
541940 541940 Internists ' offices, veterinary http://www.naics.com/censusfiles/ND541710.HTM http://www.naics.com/censusfiles/ND812910.HTM http://www.naics.com/censusfiles/ND115210.HTM http://www.naics.com/censusfiles/ND485991.HTM http://www.census.gov/epcd/ec97/industry/E541940.HTM http://www.census.gov/epcd/ec97brdg/E97B1541.HTM http://www.census.gov/epcd/ec97brdg/E97B1541.HTM
541940 541940 8734 Laboratory testing services, veterinary
541940 541940 0741 Livestock inspecting and testing services, veterinary
541940 541940 0741 Livestock veterinary services
541940 541940 0742 Pet hospitals
541940 541940 0742 Small animal veterinary services
541940 541940 0742 Surgeons' offices, veterinary
541940 541940 0741 Surgery services, veterinary
541940 541940 0742 Testing laboratories, veterinary
541940 541940 8734 Testing services for veterinarians
541940 541940 0741 Vaccination services, veterinary
541940 541940 0742 Veterinarians' offices
541940 541940 0741 Veterinarians' practices
541940 541940 0741 Veterinary clinics
541940 541940 Veterinary services
541940 541940 0741 Veterinary services, livestock
541940 541940 0742 Veterinary services, pets and other animal specialties
541940 541940 8734 Veterinary testing laboratories
A.6: NAICS codes are chosen based on the primary purpose of the procurement. Please see SOW .
Q.7: Amendment 1 to the RFP, Question 7, RFP Section L, Page 61, Para. 6. This is a follow-up to the answer NIH provided. Does NIH have a minimum goal (expressed in percentage of the total estimated cost of the contract) for Small Disadvantaged Business Participation for this solicitation?
A.7: The NIH minimum goal for SDB participation is identified at the bottom of page 1 of the small business subcontracting plan form. See attachment
9 of the RFP.
Q.8: Amendment 1 to the RFP, Question 15, concerning RFP Section L, GENERAL INSTRUCTIONS, Para. 4. “Separation of Technical and Business Proposals”. The NIH Answer to the question states that no cost information is required and refers to Clarification 1 of the RFP Amendment which deletes the “Technical Proposal Cost Summary”. However, Amendment 1 to the RFP did not make any adjustment/deletions to the wording in the Para. 4 referenced above. This is a follow-up question: Is any resource information required in the Technical Proposal, such as proposed labor categories and associated hours and wage rates (not fully loaded)?
A.8: No cost information should be included in the technical proposal.
Q.9: RFP, Page 38. Section J, Attachments. We are unable to access Attachments 20, 21, and 22.
A.9: The documents accessible from those links are attached to th is
Amendment 2.
Q.10: For proposal purposes, should we assume February 1, 2013 is the start date for the first awarded task order or the award date of this contract?
A.10: No. Task orders will be com peted after the contracts are awarded. It is antic ipated that the contracts’ period of performance will begin
February 1, 2013.
Q.11 Please confirm that there are no key personnel designated for this contract except as specified in a
RFPTO.
A.11: Yes, that is correct.
Q.12 The listing of responses to a task order shown in this reference covers areas which will be covered in the response to this proposal, specifically the provision of past performance information. Further it implies that resumes of all proposed personnel must be included with the response to the RFPTO.
Please re-evaluate these requirements.
A.12: Resumes of proposed key personnel only, need be submitted.
Q.13: Does the Government intend to incorporate a new W age Determination at the beginning of each Task
Order option period?
A.13: No. Wage Determinations will be incorporated annually, throughout the contract’s period of performance.
Q14.: Article H.8 E.1- Please provide the Information type appropriate to the referenced Article.
A.14: Mission Based Information.
Q.15: Are resumes submitted in response to the Personnel and Staffing response included in the page count?
A.15: No. However, the individual’s qualifications must be described in the
P&S narrative. See Section L. 2.a.5.h.
Q.16: Page 53 & 57. The instructions for Past Performance information are in conflict as to the number of references and the information provided. Please clarify.
A.16: See Amendment 1 to RFP, Clarifications 5 & 6.
Q.17: The instructions for the First Page given on page 40 are different from the instructions for the Cover
Sheet on page 58 for the Business Proposal. Are both necessary in the Business Proposal.
A.17: Yes. The cover page must include the RFP title number, name of organization, DUNS No., identification of the proposal part, e.g., business or technical proposal, and indicate whether the proposal is an original or copy. The first page of the proposal must show the information stated on page 40.
Q.18: The Business Proposal Cover Sheet requests the proposed price, fee and total. What should we enter?
A.18: Indicate the price, fee & total based on one person for each labor category.
Q.19: In the SOW , Section IV, Two documents (NIH Chemical Hygiene Plan and Laboratory Safety at the
NIH) are re ferenced with “??” in th is list. Is it possible to get an electronic copy.
A.19: See:
http://www.ors.od.nih.gov/sr/dohs/Documents/NIH%20Chem ical%20H ygiene%20Plan.pdf
The Laboratory Safety docum ent is removed from the list.
Q.20: W hy has the NAICS Code and Size Standard been changed to 541940 from 541712. Based on the description of services provided in Article B.1, The Government intends to buy a wide variety of support tasks not related to veterinary services. The existing contract uses 541712 which may better describes the services required. Very few, if any, of the existing incumbent contractors will be considered a small business under 541940.
A.20: The existing LARC contract does not utilize NAICS code 541712, but was incorrectly coded as 541710. Additionally, see A. 6, above.
Q.21: Can the Lark (sic) III have a process where opportunities are presented to small businesses first to see if they have the capability to support a task order?
A.21: In addition to the processes previously followed, i.e., Sources Sought
Synopsis posted on www.fbo.gov, processes may be considered at the task order level.
Q.22: W hy is this RFP not considered a Research and Developm ent requirement? W as Lark II a Research and Development requirement?
A.22: Please see Attachment 3 to RFP, SOW , for a description of the requirements perta ining to this procurement.
http://www.ors.od.nih.gov/sr/dohs/Documents/NIH%20Chemical%20Hygiene%20Plan.pdf http://www.ors.od.nih.gov/sr/dohs/Documents/NIH%20Chemical%20Hygiene%20Plan.pdf http://www.fbo.gov, Q.23: Please advise if the training described in the RFP sections listed below will be considered allowable costs to be paid by the Governm ent or if costs are to be borne by the Contractor? If the labor/cost is not billable to the contract, is there a typical time period for completing the training?
ARTICLE H.8. INFORMATION AND PHYSICAL ACCESS SECURITY
Page 23 - Section D.e – Contractor and subcontractor employer training
Pages 24 and 25 – INFORMATION SECURITY TRAINING
Subsections a.1 – Mandatory Training and b.2 – Role based Training
A.23: NIH mandatory training m ay be completed on governm ent time.
Overtime is not authorized for completion of training. Time frames for completion of training varies by training requirement. More than adequate time is provided to complete the training.
All other terms and conditions remain unchanged.
-END-
CONTRACTOR NON-DISCLOSURE AGREEMENT
Separate Agreements are required for each Contract
Each contractor/subcontractor who may have access to non-public information under their contract shall complete the form: Commitment to Protect Non-Public, Sensitive Information
– Contractor Agreement.1 The agreement is on the next page of this document.
A copy of each Agreement shall be submitted to the Project Officer prior to performing any work under the contract. Other copies are retained/submitted as stated in the Agreement.
Contractors with NIH network accounts must also upload a scanned copy of the signed Agreement into the NIH Security Awareness Tracking System. If you perform work under more than one contract, you must have a signed and for each contract. scanned Agreement
Carefully read the following directions.
To Complete the NDA Form using a DIGITAL Signature
1. Fill out the online form.
2. Using your digital signature, sign the Agreement form. [If unsure how to do this, fill the form out manually]
3. Save the file.
4. Once the file has been saved, remove the directions page and save it again (only retaining the Agreement portion of the form).
5. You are now ready to upload the signed Agreement form into the Security Awareness
Tracking System. Refer to the directions below. Keep the original Agreement for your records, and distribute a copy to your NIH Project Officer and your Employer’s Contract Management Office.
To Complete the NDA Form using a MANUAL Signature
1. Print the NDA form and fill it out.
2. Sign the Agreement in front of a witness and have the witness sign it.
3. Scan only the Agreement page of the form so that you can get a digital copy of it.
Make a note of where you save the file. [Some scanners send it as an attachment to an email; others will scan directly to your computer.]
4. You are now ready to upload the signed Agreement form into the Security Awareness Tracking System. Refer to the directions below. Keep the original Agreement for your records, and distribute a copy to your NIH Project Officer and your Employer’s Contract Management Office.
To Upload the NDA Form into the Security Awareness Tracking System:
1. Log into http://irtsectraining.nih.gov/ using your NIH ID.
2. Scroll down to “CONTRACTORS ONLY: NON-DISCLOSURE AGREEMENTS” and click on
UPLOAD NDA FORM.
3. Type in the contract-specific information related to the Agreement.
4. Follow directions for uploading the Agreement using the BROWSE button.
5. Click SUBMIT
1 HHS Contractor Oversight Guide http://intranet.hhs.gov/infosec/docs/policies_guides/COG/Contractor_Oversight_Guide.pdf
COMMITMENT TO PROTECT NON-PUBLIC, SENSITIVE INFORMATION
CONTRACTOR AGREEMENT
Access to non-public, sensitive information may be required in the performance of my official duties, under contract number _________________________________ between ________________________________ and my employer ______________________________ (NIH I/C Name or Component) (Employer’s Name)
Should I have access to non-public sensitive information, I agree that I shall not release, publish, or disclose such information to unauthorized personnel. I shall protect such information and will employ all reasonable efforts to maintain the confidentiality of such information. These efforts shall be no less than the degree of care employed by ______________________________ to preserve and safeguard its own sensitive information.
(Employer’s Name)
I agree that I shall immediately notify the NIH IT Service Desk of any suspected or confirmed unauthorized disclosure and/or misuse of sensitive information.
[ 301-496-4357 (local), 866-319-4357 (toll free), 301-496-8294 (TTY) or http://ithelpdesk.nih.gov ].
I understand that there are laws and regulations which provide for criminal and/or civil penalties for improper disclosure, including but not limited to:
a) 18 U.S.C. 641 (Public Money, Property or Records)
b) 18 U.S.C. 1832 (Trade Secrets)
b) 18 U.S.C. 1905 (Disclosure of Confidential Information)
c) 5 U.S.C. 552a (Privacy Act)
I affirm that I have received a written and/or verbal briefing by my company concerning my responsibilities under this agreement. I understand that violation of this agreement may subject me to criminal and civil penalties.
Select one of the two options for signing this form:
1) Digital Signature
Insert Digital Signature
2) Manual Signature (requires Witness)
Type or Print Your Name: ____________________________ Signature: ________________________________________
Date: ________________
Type or Print Witness Name: ________________________ Signature: _______________________________________
Date: _______________
Retain this original signed form for your records.
Submit copies to:
1) Your NIH IC Project Officer, and
2) Your Employer’s Contract Management Office
Page 1 H:\LARC III\RFP\Amendment\Amend 2 Attach 21_Suitability-roster(1).xls
CAN: Contractor:
RFP/Contract #: Contractor Contact:
Contract Title: Contractor E-mail:
Project Officer:
Contract Specialist:
Suitability Level
Questionaire Required
Last Name First Name e-mail Position
Non-Disclosure Agreement Submitted
(mm/dd/yyyy)
Security Awareness Training Completed
(mm/dd/yyyy) 1, 5, 6
NACI,
NACIC,
MBI, LBI, BI
Estimated
Cost SF85 or SF85P Agency
Clearance Level Date Comment
Investigation Type
TO BE FILLED OUT BY
PROJECT OFFICER and ISSO:
ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS
TO BE FILLED IN BY CONTRACTOR:
TO BE FILLED OUT BY CONTRACTOR:
Questionaire Submitted
(mm/dd/yyyy)
HHS Credit Release
Submitted (mm/dd/yyyy)
OF 306
Submitted
(mm/dd/yyyy)
Fingerprinting Completed
(mm/dd/yyyy)
Existing Clearance or Application
EMPLOYEE SEPARATION CHECKLIST
Contractor: _________________________________________________ Contract No: __________________________
Departing Staff Member’s Name: ________________________________ Separation Date: _______________________
Check and complete one of the columns below as appropriate:
I. FRIENDLY SEPARATION II. UNFRIENDLY SEPARATION
Date (Mandatory) Action
Date (Mandatory) Action
Remove all network and system access privileges.
Disable system access as quickly as possible–preferably just before the individual is notified of his or her dismissal.
Collect any authentication tokens. Terminate access to systems immediately when an employee notifies the Department of a resignation that is on unfriendly terms.
Retrieve any access cards or Departmental identification badges.
Notify support functions (e.g., help desk) that an employee is no longer authorized access.
Recover all keys. Restrict the area and function of employees during the period between termination and leaving.
Brief employee on continuing confidentiality and privacy responsibilities.
Immediately notify the Project Officer, appropriate NIH security officials, and the assigned IT Systems Manager of the time of removal.
Review any employee contracts that remain valid after separation.
Request the Project Officer to have the combinations changed on all locks to which the contractor employee has access.
Return property belonging to the United States Government.
Collect any authentication tokens.
Identify any unique problems, filing schemes, or data backups created by the employee.
Retrieve any access cards or Departmental identification badges.
Instruct employees on proper “clean up” procedures for their personal computers (PC) before leaving.
Recover all keys.
Determine the employee’s access termination date, and notify the Project Officer, appropriate NIH security officials, and the assigned IT Systems Manager within 24 hours of the time of termination.
Review the employee’s duties and responsibilities under this contract with the Project Officer and assess the level of risk to the Government.
Notify the Project Officer in writing upon completion of these actions.
Escort individual off premises in cases where the potential for retaliation is high.
Notify the Project Officer in writing upon completion of these actions.
CERTIFICATION: By signing below, I certify that the above actions were taken on the dates indicated.
Signature and Date Typed Name of Individual Authorized to Certify for Contractor
Title of Individual Authorized to Certify for Contractor
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