PACTS_II_RFP_-_HSHQDC-14-R-00009_-_Attachments_ except_Attach_J-3_and_J-4 .docx

ATTACHMENT J-1 – SAMPLE MONTHLY CONTRACT STATUS REPORT

The following information defines the header and data fields of the Attachment.

Header Fields Definition

1st Line Indicate Company Name and PACTS II Contract Number.

3rd Line Indicate Report Date and the Period the report covers; put in MM/DD/YYYY format.

Data Fields Definition

Item Number Assign a sequential numeric value for each awarded TO and each TO Modification.

Customer Component – Agency/Office Indicate the DHS Customer Component and Agency/Office for which the TO / TO Modification is being issued.

TO Title/Description Provide the Title and/or short description of the awarded TO / TO Modification.

TO Number or Modification Indicate the TO Number found on the award document or the TO Modification Number found on the TO Modification document.

TO Type Indicate the type of TO Awarded (i.e. FP, T&M, etc.).

TO Functional Category Indicate the PACTS II Functional Category awarded under the TO (i.e. FC 1, FC2, etc.).

Period of Performance Indicate the date to which the performance under the TO is to begin and the date for when performance is to end, to include all options. (Only indicate the start and end date for a listed TO Modification if the TO Modification changes the TO’s Performance Period; otherwise leave blank.)

Data Fields Definition

Total TO Value Indicate the total value, inclusive of all options, of the awarded TO. (Enter the new total value amount for a listed TO Modification if the TO Modification was issued to change the TO’s total value; otherwise leave blank.)

Amount Obligated to Date Indicate the amount of funding that has been obligated on the awarded TO. (If a TO Modification was issued obligating additional funds to the TO, list that amount; otherwise leave blank.)

TO Contracting Officer Indicate the Name, Phone Number, and Email address of the DHS Contracting Officer signing the TO Award document or the issued TO Modification.

TO COR Indicate the Name, Phone Number, and Email address of the assigned DHS Contracting Officer’s Representative for the awarded TO. (For a listed TO Modification, indicate the COR for the TO being modified.)

Contractor TO Program Manager Indicate the Name, Phone Number and Email address of the Company’s Program Manager for the awarded TO. (For a listed TO Modification, indicate the Contractor TO Program Manager for the TO being modified.)

Department of Homeland Security Page 2 of 2 June 10, 2014

ATTACHMENT J-2 – PACTS II SUBCONTRACTING REPORT

Contractor Name____________________________________________________ Contract Number_________________________ Functional Category__________

(C*E)

EXAMPLE 1 (one sub-contractor) 12-3456-789

EXAMPLE 2 (multiple sub-contractors) 8765-432-1

Company TUV

Company XYZ

TOTAL: $237,500

Use additional pages as necessary.

Cumulative means from date of the contract notice to proceed through the end of the current reporting period.

Contractor’s PM Signature_________________________________________________________Date____________________

Signature constitutes certification that the report is accurate and complete.

Department of Homeland Security Page 1 of 1 June 10, 2014

ATTACHMENT J-3 – NON-DISCLOSURE AGREEMENT

Department of Homeland Security Page 1 of 1 June 10, 2014

ATTACHMENT J-4 – PRICING TEMPLATES

See separate file Attachment J-4, Pricing Templates.

Department of Homeland Security Page 1 of 1 June 10, 2014

ATTACHMENT J-5 – PROGRAM MANAGER RESUME FORMAT

Functional Category:

Program Manager Name:

Program Manager Employer:

Summary of Overall Qualifications

Briefly summarize the overall qualifications of the proposed program manager.

Summary of Experience Directly Related to PACTS II Functional Categories Proposed:

Briefly summarize the experience related to PACTS II functional categories and why this experience will enable the proposed program manager to be successful within this role.

Chronology of Professional Experience (Starting with current)

Title: XXX Employer: XXX Dates of Employment: xx/xx/xxxx to xx/xx/xxxx Summary of Responsibilities:

Education:

Certification(s):

Awards:

Security Clearances (if applicable):

Department of Homeland Security Page 1 of 1 June 10, 2014

ATTACHMENT J-6 – RELEVANT EXPERIENCE FORM

INSTRUCTIONS:

1. Identify Prime Offeror Name Submitting Form.

2. Identify each Experience Form provided in numerical order.

3. Select if Form represents experience of the PACTS II Prime Offeror, or team member (i.e. a Joint Venture Component, or Subcontractor).

4. Indicate name of Team Member whose Experience is represented, if applicable

5. Select the applicable Functional Category

6. Identify relevant FC Services

7. Complete all blank fill-ins and boxes as applicable in the tables

8. The page limitation is three (3) pages for each Relevant Experience Form.

1. Prime Offeror Submitting Form: __________________________________________

2. Form No. ________

3. Experience provided for PACTS II Team member proposed as (select one):

Prime Offeror; Joint Venture Component of Prime Offeror; or Subcontractor

4. PACTS II Team member Name: _______________________________________________________

2 – Administrative and Operations Support Services

6. Relevant FC Service(s) demonstrated:

Contract/TO Title: ______________________________________________ Contract/TO Number: __________________________________________ Project Name: _________________________________________________

Joint Venture Component of Prime Offeror; or Subcontractor

If Prime Contractor, list Major Subcontractor(s), if applicable:

Customer Name:

Contract/TO CO Contact information:

Name &Title:

Phone No. :

Address:

Contract/TO COR Contact information:

Name &Title:

Phone No. :

Address:

Other Contract/TO Technical POC(s) Contact information:

Name &Title:

Phone No. :

Address:

Contract/TO Period of Performance:

Original Contract/TO Total Value:

Current Contract/TO Total Value:

Detailed Service(s) Provided: Detail the work performed by the Prime Offeror and/or its team member/subcontractor for which the role of prime or subcontractor was held on a “relevant/recent” effort for the Functional Category to which the Offeror is proposing. Recent is defined as within the last three (3) years from the date of release of this RFP. Relevant is defined as work similar in breadth, depth, and complexity to the scope of work identified in Section C, SOW.

Awards, Recognitions, and Certifications Received for Performance:

Describe the Relevancy of Offeror’s Experience and Efforts to PACTS II Functional Category: Demonstrate a capability and capacity to deliver high quality service on work similar in breadth and depth to the scope of work within the proposed Functional Category. (This section can continue on one (01) additional page.)

Department of Homeland Security Page 2 of 2 June 10, 2014

ATTACHMENT J-7 – PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE INFORMATION

CONTRACTOR PERFORMANCE CUSTOMER SURVEY QUESTIONNAIRE

PART 1 INSTRUCTIONS: THE OFFEROR SHALL COMPLETE PART 1 BEFORE SENDING THE QUESTIONNAIRE TO THE CUSTOMER. THE PAGE LIMITATION IS FIVE (5) PAGES FOR EACH COMPLETED QUESTIONNAIRE.

Check the applicable functional category that corresponds with the referenced service:

2 – Administrative Services and Operations Services

Questionnaire provided for PACTS II(Insert concern Name:

Subcontractor to Prime __________________

PACTS II Prime Offeror Name: __________________________________________

Corresponding Factor 1: Experience Form No.:___

Contract/TO Title: ______________________________________________ Contract/TO Number: __________________________________________ Project Name: _________________________________________________

Joint Venture Component of Prime Offeror; or Subcontractor

If Prime Contractor, list Major Subcontractor(s), if applicable:

Customer Name:

Contract/TO CO Contact information:

Name &Title:

Phone No. :

Address:

Contract/TO COR Contact information:

Name &Title:

Phone No. :

Address:

Other Contract/TO Technical POC(s) Contact information:

Name &Title:

Phone No. :

Address:

Contract/TO Period of Performance:

Original Contract/TO Total Value:

Current Contract/TO Total Value:

PART 2 INSTRUCTIONS:

Customer respondent, please complete this questionnaire and e-mail to PACTSII@HQ.DHS.GOV , no later than 2:00 P.M. Eastern Daylight Time (EDT), Washington DC on Wednesday, July 2, 2014. The “subject” line in the submission email shall clearly indicate: “PACTS II Past Performance Questionnaire Submission for PACTS II Prime Offeror {Insert Name from PPQ Page 1}”. THE PAGE LIMITATION IS FIVE (5) PAGES FOR EACH COMPLETED QUESTIONNAIRE.

Attn: LaShonda Keith, Contracting Officer

The message shall originate from the reference’s corporate or Government email system.

Date of Survey: ________________________________________________________________ Name of Person Completing Survey: _______________________________________________ Contact information of Person Completing Survey: ___________________________________ Signature of Person Completing Survey: ____________________________________________ Your Role in this Contract/ TO: ____________________________________________________ Survey Period of Performance: ___________________________________________________ Detailed Service(s) required under the contract/ TO: _______________________________

RATINGS

Please assess each of the five (5) following areas with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support the rating for the element assessed is requested where indicated at the end of each section.

Assign each a rating among the choices of Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory. Use the attached Rating Guidelines as guidance in making these evaluations. Insert the appropriate rating.

QUALITY OF SERVICE: Rating: _______________________________ Assess the Contractor's conformance to contract/order requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards) considering aspects such as:

· Compliance with contract requirements,

· Accuracy of reports,

· Level of knowledge, experience, and training of personnel,

· Capability of personnel to perform required services,

· Effectiveness of personnel in performing required services, and

· Overall quality of service

SUPPORTING COMMENTS:

COST CONTROL: Rating: _______________________________ Assess the Contractor's effectiveness in forecasting, managing, and controlling contract/order cost considering aspects such as:

· Current, accurate and complete billings,

· Relationship of price negotiated at initial contract/order award to final/ current modified contract/order price/value, and

· Cost efficiencies:

SUPPORTING COMMENTS:

SCHEDULE / TIMELINESS OF PERFORMANCE: Rating: _________________________ Assess the timeliness of the Contractor against the completion of the contract, TOs, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or effect the schedule variance). This assessment of adherence to the required delivery schedule should include the Contractor's efforts during the performance period evaluated that contributes to or effects the schedule variance. This applies to contract/order closeout activities as well as contract performance. Instances of adverse actions such as the assessment of liquidated damages, or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract/order schedule and should therefore be noted in the evaluation.

SUPPORTING COMMENTS:

BUSINESS RELATIONS: Rating: _________________________ Assess the integration and coordination of all activity needed to execute the contract/order, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the Contractor's history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts considering aspects such as:

· Contractor oriented toward the customer,

· Effective management, excluding subcontracts,

· Satisfaction with interaction between the Contractor and the Government,

· Responsive to contract requirements,

· Notification of problems,

· Flexibility,

· Pro-active vs. reactive,

· Adequacy of the Contractor's management of Government Property (GFP) if a substantial amount of GFP has been provided to the Contractor under the contract/order,

· Timeliness of awards to subcontractors and management of subcontractors, including subcontract costs. Consider efforts taken to ensure early identification of subcontract problems and the timely application of corporate resources to preclude subcontract problems from impacting overall prime Contractor performance, and

· Prime Contractor's effort devoted to managing subcontracts where subcontractors were an integral part of the Contractor's team:

MANAGEMENT OF KEY PERSONNEL: Rating: _________________________ Assess the Contractor's performance in selecting, retaining, supporting, and replacing, when necessary, key personnel. Assess the Contractor’s match of the qualifications of the key position, as described in the contract/order, with the person who filled the key position.

ADDITIONAL COMMENTS:

PACTS II Request For Proposal Section J – Attachment J-7 RFP No. HSHQDC-14-R-00009 Past Performance Questionnaire

Department of Homeland Security Page 7 of 7 June 10, 2014

Rating Guidelines to be used by the Person Completing the Past Performance Questionnaire

Rating

There are multiple significant events identified relating to the area being assessed with detail as to how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there have been no significant weaknesses identified.

There is a significant event identified relating to the area being assessed with detail as to how it was a benefit to the Government. There have been no significant weaknesses identified.

For the element being assessed, there have been only minor problems, or major problems the contractor recovered from without impact to the contract/order. There have been NO significant weaknesses related to the element being assessed. The contractor has not been assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract/order.

For the element being assessed, a significant event has been identified in each category that the contractor had trouble overcoming and details provided as to how it impacted the Government. A reference to the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter) should also be provided.

For the element being assessed as, multiple significant events have been identified in each category that the contractor had trouble overcoming and details provided as to how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. A reference to the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters) should also be provided.

PACTS II Request For Proposal Section J – Attachment J-7 RFP No. HSHQDC-14-R-00009 Past Performance Questionnaire

ATTACHMENT J-8 – STAFFING LEVEL PROFILE FORM

In accordance with Section L.15(2) Contractor Name:

Number of prime Contractor employees

BA/BS

MA/MS

PhDs

Number of prime Contractor employees with the professional certifications obtained by the work force (e.g. CPA, CFM, PMP, CEM, CFCM, CPL Engineering) (Add rows as necessary):

Secret

Top Secret

For prime Contractor employees, the average length of service

For prime Contractor employees, the turnover ratio (defined as the # of people who departed (for any reason) divided by the # of employees at the end of the period.

Department of Homeland Security Page 1 of 1 June 10, 2014

ATTACHMENT J-9 – LABOR CATEGORIES AND QUALIFICATIONS

Education and Experience: The Offeror should consider the desired education and desired experience levels listed in the Table J-9. Minimum requirements have been provided in the column, “Minimum Requirements” to add flexibility and to assist Offerors in aligning resources proposed for PACTS II requirements.

It is anticipated that all experience and education will be in a field and/or specialty directly related to the labor category being proposed and all diplomas, GED certificates, and degrees will be from accredited institutions. Further, the Contracting Officer(s) for TOs may grant waivers for these requirements or allow substitution of certain certifications for education and/or experience if it is determined to be in the best interest of the Government. Any equivalencies or substitutions must be cited in each TO. All labor categories, with the exception of the Administrative/Clerk I, II and III, may include supervisory duties.

Labor Category Overview

Offeror’s Name: _______________________________

LABOR CATEGORY

CONTRACTOR

DESCRIPTION

CONTRACTOR

QUALIFICATIONS

Department of Homeland Security Page 8 of 8 June 10, 2014

ATTACHMENT J-10 -- POST-AWARD INSTRUCTIONS REGARDING SECURITY REQUIREMENTS FOR NON-CLASSIFIED CONTRACTS/TASK ORDERS

1. The procedures outlined below shall be followed for the DHS Office of the Chief Security Officer (OCSO), Personnel Security Division (PSD) to process background investigations, Entry on Duty determinations, and Fitness determinations, as required, in a timely and efficient manner.

2. Carefully read the security clauses in the contract. Compliance with the security clauses in the contract is not optional.

3. Contractor employees (to include applicants, temporaries, part-time and replacement employees) under the contract, requiring access to sensitive information, shall undergo a position-sensitivity analysis based on the duties each individual will perform on the contract. The results of the position sensitivity analysis shall identify the appropriate background investigation to be conducted. All background investigations will be processed through the DHS OCSO/PSD. Prospective contractor employees shall submit the below completed forms to the DHS OCSO/PSD. The Standard Form (SF) 85-P must be completed electronically through the Office of Personnel Management’s e-QIP SYSTEM. The SF-85Psignature pages and other completed forms must be given to the OSCO/PSD no less than thirty (30) days before the start date of the contract or thirty (30) days prior to the requested entry on duty date, for all contractor employees whether a replacement, addition, subcontractor employee, or vendor:

Only complete packages will be accepted by the DHS OCSO/PSD. Specific instructions on submission of packages will be provided upon award of the contract.

4. The DHS OCSO/PSD may, as it deems appropriate, authorize and grant a favorable Entry on Duty (EOD) decision based on preliminary checks. A favorable EOD decision allows a contractor employee to commence work temporarily prior to the completion of the full background investigation. The granting of a favorable EOD decision shall not be considered as assurance that a favorable Fitness determination will follow. In addition, a favorable EOD or Fitness determination shall in no way prevent, preclude, or bar DHS from withdrawing or terminating access to government facilities or information, at any time during the term of the contract. No employee of the Contractor shall be allowed unescorted access to a Government facility without a favorable EOD or Fitness determination by the DHSOCSO/PSD.

Limited access to Government buildings is allowable without an EOD decision if the Contractor is escorted by a Government employee and the purpose of the visit is to attend a limited number of required briefings or nonrecurring meetings in order to facilitate the transition of a contract The intent of this statement is to allow a minimum amount of meeting / transition attendances to prepare for the new contract.

5. The DHS OCSO/PSD shall be notified of all terminations/resignations within five (5) days of occurrence. The Contractor shall return to the Contracting Officer’s Technical Representative (COTR) all DHS issued identification cards and building passes that have either expired or have been collected from terminated employees. If an identification card or building pass is not available to be returned, a report shall be submitted to the COTR, referencing the pass or card number, name of individual to whom it was issued and the last known location and disposition of the pass or card.

6. [If HSAR 3052.204-71 Alternative clauses are used, Section 6 instructions apply.]

*** USE THE FOLLOWING ONLY WITH HSAR 3052.204-71 ALT 1 CONTRACTS ***

When sensitive Government information is processed on Department telecommunications and automated information systems, the Contractor shall provide for the administrative control of sensitive data being processed. Contractor personnel must have a favorable Entry on Duty or Fitness determination by the DHS Office of the Chief Security Officer (OCSO), Personnel Security Division (PSD), to access this information.

Contractors who fail to comply with Department security policy are subject to having their access to Department IT systems and facilities terminated, whether or not the failure results in criminal prosecution. Any person who improperly discloses sensitive information is subject to criminal and civil penalties and sanctions under a variety of laws (e.g., Privacy Act).

*** USE THE FOLLOWING ONLY WITH HSAR 3052.204-71 ALT 2 CONTRACTS ***

See HSAR 3052.204-71 (g) (Alt 2) for alternative citizenship requirements for non IT contracts.

7. Failure to follow these instructions may delay the completion of background investigations, EOD and Fitness determinations. Note that any delays in this process, which are not caused by the Government, do not relieve a contractor from performing under the terms of the contract.

8. Your POC at the Security Office is:

DHS OCSO/PSD Security Customer Service Center Telephone: (202) 447-5010 E-mailbox: officeofsecurity@dhs.gov .

Department of Homeland Security Page 3 of 3 June 10, 2014

ATTACHMENT J-11 – DHS OFFICIAL SEAL USAGE APPROVAL FORM

U.S. Department of Homeland Security

DHS OFFICIAL SEAL USAGE APPROVAL

MD No. 0030

Please fill out this form and e-mail it to branding@dhs.gov , or fill it out, print it, and fax to (202) 282-8775. DHS employees must ensure the project using the DHS seal has a supervisor’s approval before submitting to DHS Office of Public Affairs.

For questions, e-mail branding@dhs.gov . For detailed branding guidelines, visit www.dhs.gov/branding.

Name: _____________________________________________________________________

Date of request: _____________________ Date needed by: ___________________________

DHS Component or Company: _________________________________________________

Phone: _____________________________Email: ___________________________________

Address: _____________________________________________________________________

Please explain your project and how you wish to use the official DHS seal. Attach a sample or provide a photo:

DHS employees: Supervisor approval? Supervisor’s name and number: _________________

Do not write below this line

Date reviewed: Approved: Denied: GC review: A/S review:

Notes:

Approving Official’s Name and initial: _______ Title: ______________________________ 11/2008 OPA MD No. 0030 Any use of the DHS seal must be approved by the Secretary’s branding designee, the Assistant Secretary for Public Affairs. Any permission granted by the Secretary will apply only to the specific use outlines on this form and should not be construed as permission for any other use. Use of the DHS seal will not be approved for implying DHS endorsement of commercial products or services, the user’s policies or activities.

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