Amendment 4 to RFP NRC3310ADAMS

CONTRACT SECURITY AND/OR

CLASSIFICATION REQUIREMENTS

NRC FORM 187

(1-2000)

NRCMD 12

U.S. NUCLEAR REGULATORY COMMISSION

DATE

1. CONTRACTOR NAME AND ADDRESS A. CONTRACT NUMBER FOR COMMERCIAL

CONTRACTS OR JOB CODE FOR DOE

PROJECTS (Prime contract number must be shown for all subcontracts.)

3. FOR FOLLOW-ON CONTRACT, ENTER PRECEDING CONTRACT NUMBER AND PROJECTED COMPLETION DATE

NRC FORM 187 (1-2000)

COMPLETE CLASSIFIED ITEMS BY

SEPARATE CORRESPONDENCE

AUTHORITY

The policies, procedures, and criteria of the NRC Security Program, NRCMD 12, apply to performance of this contract, subcontract or other activity.

B. PROJECTED

START DATE

C. PROJECTED

COMPLETION DATE

2. TYPE OF SUBMISSION

A. ORIGINAL

B. REVISED (Supersedes all previous submissions)

C. OTHER (Specify)

B. CONTRACT NUMBER

4. PROJECT TITLE AND OTHER IDENTIFYING INFORMATION

1. ACCESS TO FOREIGN INTELLIGENCE INFORMATION

5. PERFORMANCE WILL REQUIRE NATIONAL SECURITY RESTRICTED DATA

SECRET CONFIDENTIAL SECRET CONFIDENTIAL

NOT

APPLICABLE

A. ACCESS TO CLASSIFIED MATTER OR CLASSIFIED INFORMATION

(If "YES," answer 1-7 below)

2. RECEIPT, STORAGE, OR OTHER SAFEGUARDING OF

CLASSIFIED MATTER. (See 5.B.)

3. GENERATION OF CLASSIFIED MATTER.

4. ACCESS TO CRYPTOGRAPHIC MATERIAL OR OTHER

CLASSIFIED COMSEC INFORMATION

5. ACCESS TO CLASSIFIED MATTER OR CLASSIFIED

INFORMATION PROCESSED BY ANOTHER AGENCY.

6. CLASSIFIED USE OF AN INFORMATION TECHNOLOGY

PROCESSING SYSTEM.

7. OTHER (Specify)

IS FACILITY CLEARANCE REQUIRED? YES NO

C.

D.

E.

F.

UNESCORTED ACCESS IS REQUIRED TO PROTECTED AND VITAL AREAS OF NUCLEAR POWER PLANTS.

ACCESS IS REQUIRED TO UNCLASSIFIED SAFEGUARDS INFORMATION.

ACCESS IS REQUIRED TO SENSITIVE IT SYSTEMS AND DATA

UNESCORTED ACCESS TO NRC HEADQUARTERS BUILDING.

FOR PROCEDURES AND REQUIREMENTS ON PROVIDING TEMPORARY AND FINAL APPROVAL FOR UNESCORTED ACCESS, REFER TO NRCMD 12.

PRINTED ON RECYCLED PAPER

A. DOES NOT APPLY

(If "NO," proceed to 5.C.)

B..

YES

NO

NAME AND TITLE SIGNATURE

6. INFORMATION PERTAINING TO THESE REQUIREMENTS OR THIS PROJECT, EVEN THOUGH SUCH INFORMATION IS CONSIDERED UNCLASSIFIED, SHALL NOT BE RELEASED FOR DISSEMINATION EXCEPT AS APPROVED BY:

DATE

7. CLASSIFICATION GUIDANCE

NATURE OF CLASSIFIED GUIDANCE IDENTIFICATION OF CLASSIFICATION GUIDES

8. CLASSIFIED REVIEW OF CONTRACTOR / SUBCONTRACTOR REPORT(S) AND OTHER DOCUMENTS WILL BE

CONDUCTED BY:

AUTHORIZD CLASSIFIER (Name and Title) DIVISION OF FACILITIES AND SECURITY

9. REQUIRED DISTRIBUTION OF NRC FORM 187 Check appropriate box(es)

SPONSORING NRC OFFICE OR DIVISION (Item 10A)

SECURITY/CLASSIFICATION REQUIREMENTS FOR SUBCONTRACTS RESULTING FROM THIS CONTRACT WILL BE APPROVED BY THE

OFFICIALS NAMED IN ITEMS 10B AND 10C BELOW.

DIVISION OF CONTRACTS AND PROPERTY MANAGEMENT

10. APPROVALS

SECURITY/CLASSIFICATION REQUIREMENTS FOR SUBCONTRACTS RESULTING FROM THIS CONTRACT WILL BE APPROVED BY THE OFFICIALS NAMED

IN ITEMS 10B AND 10C BELOW.

A DIRECTOR, OFFICE OR DIVISION SIGNATURE DATE

NAME (Print or type) SIGNATURE DATE

B. DIRECTOR, DIVISION OF FACILITIES AND SECURITY SIGNATURE DATE

C. DIRECTOR, DIVISION OF CONTRACTS AND PROPERTY MANAGEMENT

(Not applicable to DOE aggrements)

SIGNATURE DATE

REMARKS

DIVISION OF FACILITIES AND SECURITY (Item 10 B) CONTRACTOR (Item 1)

INSTRUCTIONS FOR COMPLETING NRC FORM 187

NRC Form 187, "Contract Security and/or Classification Requirements," including attachments and supplements, furnishes the basis for providing security and classification requirements to contractors, subcontractors or others (e.g., bidders) who have or may have an NRC contractual relationship which requires access to classified information or matter, for unescorted access to nuclear power plants, access to Unclassified Safeguards Information, access to sensitive IT systems or data and/or access to NRC Headquarters buildings.

WHO USES NRC FORM 187: All organizations which have or may have an NRC contractual relationship of the nature set forth above.

WHEN TO USE: Responsibility for initiation of NRC Form 187 rests with the office or division sponsoring a contract, project, or consultant, or requesting that such work be conducted (e.g., at a Department of Energy (DOE) National Laboratory)

Early preparation and submission of this form will help assure that all necessary classification and security actions are completed prior to contract award. Experience has shown that incomplete information or untimely submission delays both the security and contractual process.

WHERE TO SEND: Send two (2) copies of this form to the NRC Division of Contracts and Property Management (DCPM) with the Request for Procurement Action (NRC Form 400), when the interest does not involve a DOE security interest or consultant obtained through the Office of Human Resources. If the interest involves a DOE National Laboratory or consultant and does not require action by DCPM, forward one (1) copy of the form directly to the Division of Facilities and Security.

PREPARATION: Items are keyed to the numbered items on NRC Form 187.

1. Identify contractor, contract number, JOB CODE, or other identifying number(s).

2. Check either 2.A, B, or C as appropriate.

3. If NRC Form 187 is not for a follow-on contract, check block "Does Not Apply." If it is for a follow-on contract, enter preceding contract identification number from which this contract evolves and its actual or anticipated completion date.

Include project title and a brief unclassified statement setting forth sufficient information to identify the nature of the project.

4.

Check the appropriate box in each column with the highest level of classified matter under National Security Information and Restricted Data, to which access is required. Check "NA" for any items which are not applicable. Completion of this section should be coordinated with the sponsoring Office Authorized Classifier as well as the Project Manager to assure complete and accurate information.

5.A.

Indicate if a contractor must access, store or handle classified information at contractor facility.5.B.

Indicate if unescorted access is required to protected and vital areas of nuclear power plants.5.C.

Indicate if access is required to Unclassified Safeguards Information.5.D.

Indicate if access is required to sensitive IT systems or data.5.E.

Indicate if unescorted access is required to NRC Headquarters building.5.F.

Contractors listed in item 1 will submit proposed releases to DCPM for approval prior to release. Subcontractors shall be instructed to submit proposed releases through the prime contractor listed in item 1 to DCPM.

6.

If 5.A. is yes, indicate the nature of classification guidance/identification of classification guides.7.

When the block "Nature of Classification Guidance" is used, identify the areas of classified information involved and, in particular, provide adequate unclassified narrative comment to describe specific items of information within these areas which may require classification guidance.

Furnish name and title of position of authorized classifier if Division of Facilities and Security is not checked.8.

The DCPM will assure distribution of this document to all responsible organizations when completed.9.

(Not applicable to DOE agreements) The sponsoring office should obtain the signatures required in Boxes 10A and 10B before submitting it to DCPM.

10.

Additional comments relating to any of the items may be included under "Remarks", to assure that reviewers evaluate the information properly.

NRC FORM 187 (1-2000) PRINTED ON RECYCLED PAPER

After approval, the sponsoring office will assure distribution of this document for DOE aggrements.9.A.

InForms - nrc187_2.wpf

JI25656

D:20060317105127+05'30' D:20060317105127+05'30'

CONTRACT SECURITY AND/OR

CLASSIFICATION REQUIREMENTS

NRC FORM 187

(1-2000)

NRCMD 12

U.S. NUCLEAR REGULATORY COMMISSION

DATE

1. CONTRACTOR NAME AND ADDRESS

A. CONTRACT NUMBER FOR COMMERCIAL

CONTRACTS OR JOB CODE FOR DOE

PROJECTS (Prime contract number must be shown for all subcontracts.)

3. FOR FOLLOW-ON CONTRACT, ENTER PRECEDING CONTRACT NUMBER AND PROJECTED COMPLETION DATE

NRC FORM 187 (1-2000)

COMPLETE CLASSIFIED ITEMS BY

SEPARATE CORRESPONDENCE

AUTHORITY

The policies, procedures, and criteria of the NRC Security Program, NRCMD 12, apply to performance of this contract, subcontract or other activity.

B. PROJECTED

START DATE

C. PROJECTED

COMPLETION DATE

2. TYPE OF SUBMISSION

A. ORIGINAL

B. REVISED (Supersedes all previous submissions) C. OTHER (Specify)

B. CONTRACT NUMBER

4. PROJECT TITLE AND OTHER IDENTIFYING INFORMATION

1.

ACCESS TO FOREIGN INTELLIGENCE INFORMATION

5. PERFORMANCE WILL REQUIRE

NATIONAL SECURITY

RESTRICTED DATA

SECRET

CONFIDENTIAL

SECRET

CONFIDENTIAL

NOT

APPLICABLE

A. ACCESS TO CLASSIFIED MATTER OR CLASSIFIED INFORMATION

(If "YES," answer 1-7 below) 2.

RECEIPT, STORAGE, OR OTHER SAFEGUARDING OF CLASSIFIED MATTER. (See 5.B.)

3.

GENERATION OF CLASSIFIED MATTER.

4.

ACCESS TO CRYPTOGRAPHIC MATERIAL OR OTHER

CLASSIFIED COMSEC INFORMATION

5.

ACCESS TO CLASSIFIED MATTER OR CLASSIFIED

INFORMATION PROCESSED BY ANOTHER AGENCY.

6.

CLASSIFIED USE OF AN INFORMATION TECHNOLOGY PROCESSING SYSTEM.

7.

OTHER (Specify)

IS FACILITY CLEARANCE REQUIRED?

YES

NO

C.

D.

E.

F.

UNESCORTED ACCESS IS REQUIRED TO PROTECTED AND VITAL AREAS OF NUCLEAR POWER PLANTS.

ACCESS IS REQUIRED TO UNCLASSIFIED SAFEGUARDS INFORMATION.

ACCESS IS REQUIRED TO SENSITIVE IT SYSTEMS AND DATA

UNESCORTED ACCESS TO NRC HEADQUARTERS BUILDING.

FOR PROCEDURES AND REQUIREMENTS ON PROVIDING TEMPORARY AND FINAL APPROVAL FOR UNESCORTED ACCESS, REFER TO NRCMD 12.

PRINTED ON RECYCLED PAPER

A. DOES NOT APPLY

(If "NO," proceed to 5.C.)

B..

YES

NO

NAME AND TITLE

SIGNATURE

6.

INFORMATION PERTAINING TO THESE REQUIREMENTS OR THIS PROJECT, EVEN THOUGH SUCH INFORMATION IS CONSIDERED UNCLASSIFIED, SHALL NOT BE RELEASED FOR DISSEMINATION EXCEPT AS APPROVED BY:

DATE

7. CLASSIFICATION GUIDANCE

NATURE OF CLASSIFIED GUIDANCE IDENTIFICATION OF CLASSIFICATION GUIDES

8. CLASSIFIED REVIEW OF CONTRACTOR / SUBCONTRACTOR REPORT(S) AND OTHER DOCUMENTS WILL BE

CONDUCTED BY:

AUTHORIZD CLASSIFIER (Name and Title)

DIVISION OF FACILITIES AND SECURITY

9. REQUIRED DISTRIBUTION OF NRC FORM 187 Check appropriate box(es) SPONSORING NRC OFFICE OR DIVISION (Item 10A) SECURITY/CLASSIFICATION REQUIREMENTS FOR SUBCONTRACTS RESULTING FROM THIS CONTRACT WILL BE APPROVED BY THE OFFICIALS NAMED IN ITEMS 10B AND 10C BELOW.

DIVISION OF CONTRACTS AND PROPERTY MANAGEMENT

10. APPROVALS

SECURITY/CLASSIFICATION REQUIREMENTS FOR SUBCONTRACTS RESULTING FROM THIS CONTRACT WILL BE APPROVED BY THE OFFICIALS NAMED IN ITEMS 10B AND 10C BELOW.

A DIRECTOR, OFFICE OR DIVISION

SIGNATURE

DATE

NAME (Print or type)

SIGNATURE

DATE

B. DIRECTOR, DIVISION OF FACILITIES AND SECURITY

SIGNATURE

DATE

C. DIRECTOR, DIVISION OF CONTRACTS AND PROPERTY MANAGEMENT

(Not applicable to DOE aggrements)

SIGNATURE

DATE

REMARKS

DIVISION OF FACILITIES AND SECURITY (Item 10 B) CONTRACTOR (Item 1)

INSTRUCTIONS FOR COMPLETING NRC FORM 187

NRC Form 187, "Contract Security and/or Classification Requirements," including attachments and supplements, furnishes the basis for providing security and classification requirements to contractors, subcontractors or others (e.g., bidders) who have or may have an NRC contractual relationship which requires access to classified information or matter, for unescorted access to nuclear power plants, access to Unclassified Safeguards Information, access to sensitive IT systems or data and/or access to NRC Headquarters buildings.

WHO USES NRC FORM 187: All organizations which have or may have an NRC contractual relationship of the nature set forth above.

WHEN TO USE: Responsibility for initiation of NRC Form 187 rests with the office or division sponsoring a contract, project, or consultant, or requesting that such work be conducted (e.g., at a Department of Energy (DOE) National Laboratory) Early preparation and submission of this form will help assure that all necessary classification and security actions are completed prior to contract award. Experience has shown that incomplete information or untimely submission delays both the security and contractual process.

WHERE TO SEND: Send two (2) copies of this form to the NRC Division of Contracts and Property Management (DCPM) with the Request for Procurement Action (NRC Form 400), when the interest does not involve a DOE security interest or consultant obtained through the Office of Human Resources. If the interest involves a DOE National Laboratory or consultant and does not require action by DCPM, forward one (1) copy of the form directly to the Division of Facilities and Security.

PREPARATION: Items are keyed to the numbered items on NRC Form 187.

1.

Identify contractor, contract number, JOB CODE, or other identifying number(s).

2.

Check either 2.A, B, or C as appropriate.

3.

If NRC Form 187 is not for a follow-on contract, check block "Does Not Apply." If it is for a follow-on contract, enter preceding contract identification number from which this contract evolves and its actual or anticipated completion date.

Include project title and a brief unclassified statement setting forth sufficient information to identify the nature of the project.

4.

Check the appropriate box in each column with the highest level of classified matter under National Security Information and Restricted Data, to which access is required. Check "NA" for any items which are not applicable. Completion of this section should be coordinated with the sponsoring Office Authorized Classifier as well as the Project Manager to assure complete and accurate information.

5.A.

Indicate if a contractor must access, store or handle classified information at contractor facility.

5.B.

Indicate if unescorted access is required to protected and vital areas of nuclear power plants.

5.C.

Indicate if access is required to Unclassified Safeguards Information.

5.D.

Indicate if access is required to sensitive IT systems or data.

5.E.

Indicate if unescorted access is required to NRC Headquarters building.

5.F.

Contractors listed in item 1 will submit proposed releases to DCPM for approval prior to release. Subcontractors shall be instructed to submit proposed releases through the prime contractor listed in item 1 to DCPM.

6.

If 5.A. is yes, indicate the nature of classification guidance/identification of classification guides.

7.

When the block "Nature of Classification Guidance" is used, identify the areas of classified information involved and, in particular, provide adequate unclassified narrative comment to describe specific items of information within these areas which may require classification guidance.

Furnish name and title of position of authorized classifier if Division of Facilities and Security is not checked.

8.

The DCPM will assure distribution of this document to all responsible organizations when completed.

9.

(Not applicable to DOE agreements) The sponsoring office should obtain the signatures required in Boxes 10A and 10B before submitting it to DCPM.

10.

Additional comments relating to any of the items may be included under "Remarks", to assure that reviewers evaluate the information properly.

NRC FORM 187 (1-2000)

PRINTED ON RECYCLED PAPER

After approval, the sponsoring office will assure distribution of this document for DOE aggrements.

9.A.