K- Sec J Exh I - VettingIraqiNationalReqs.pdf

SECTION J

EXHIBIT I-VETTING REQUIREMENTS FOR IRAQI FIRMS AND WORKERS

In accordance with Section C.6.B.5 of the contract, the contractor shall follow the below procedures for seeking approval of proposed

Iraqi subcontracting firms, and Iraqi citizen employees of both the prime and approved subcontractors prior to issuing any subcontract or access to the compound in support of the contract.

A. Iraqi Firms:

Contractor selection of host country national vendors and subcontractors must be approved by DOS in advance of their final selection. Information concerning potential foreign subcontractors must be submitted to the COR, for review by the RSO, at least forty (40) days prior the proposed performance of the subcontractor/vendor.

The purpose of reviewing firms proposed as either vendors or as subcontractors to work on site, is to ensure that the proposed company and its management does not have known undesirable associations with terrorist or "hostile to U.S. government” organizations, and is not owned or operated by citizens of the Prohibited Countries List.

Contractor shall submit the following information to the COR, for review by RSO:

Complete names, nationality, date and place of birth, citizenship and position/title (if appropriate) of:

All individuals having ownership of the firm;

All key officers of the firm;

All key officers who will work on this project;

Complete business address and telephone number

Information regarding approval/disapproval to contract with proposed company shall be communicated to the prime contractor by the COR.

B. Iraqi Citizen Vetting/Badging Process:

The process for vetting Iraqi citizen employees of the prime contractor and approved subcontractors who require access to the compound must be initiated as soon as possible to ensure that they can be badged appropriately as soon as they are eligible to access and start working on the compound.

Access to the compound in any capacity will NOT be granted until RSO

Baghdad has completed the appropriate investigations and/or interviews, approved temporary, or permanent, escorted or unescorted access, and issued the appropriate badge.

1. Prime contractor must submit the attached forms electronically to

BaghdadVetting@state.gov

The following attached forms should be utilized.

2. The forms must clearly indicate that the Iraqi National SUBJECT will require continuing access to the compound, what their job duties will entail, whether they require escorted or unescorted access, and the areas of the NEC to which they will require access. This must be mailto:BaghdadVetting@state.gov fairly specific so that RSO can determine what kind of badge and accesses the SUBJECT will need. RSO requests that the application/forms be submitted at least 30 days prior to requested access to the compound.

3. The RSO will initiate the appropriate checks, which may require coordination with other Agencies and Posts, local authorities, and elements within Diplomatic Security.

4. The SUBJECT will be required to go through several interviews, as well as a polygraph examination (in the case of those requesting unescorted access).

When most or all of the vetting process is complete (depending upon type of access required), the RSO will notify the COR and/or notify PAE

Project Manager to send the SUBJECT to the RSO for issuance of a temporary or permanent badge.

When the final checks are collected and evaluated, RSO will notify the

COR and/or the PAE Program Manager that a permanent badge/access can be issued.

Attachment 1 to Exhibit I

United States Embassy Baghdad

REGIONAL SECURITY OFFICE

Vetting packet cover checklist sheet

NAME:

Work location/Section:

Database ___ ______2012 Checks sent ______2012

INK: ______________________________________________________________

TECS/NCIC: _______________________________________________________

EMBASSY: ________________________________________________________

DC: _______________________________________________________________

OTHER:____________________________________________________________

Date Temp certification approved: Date Certification approved:

Comments:_______________________________________________________________

Attachment 2 to Exhibit I

U.S. Embassy Baghdad TCN Security Certification Request

INSTRUCTIONS: In order to initiate vetting for third country nationals, please complete the following information and attach the requested documents. Failure to provide this information or any supporting documents will result in suspension of action and return of your case. Submit Requests to the Regional Security Coordination Center in Room N117.

DATE: _____________________

FROM: (Requesting Contractor HR Entity)

_____Facilities Maintenance Office__________

(Point of Contact)

(Phone Number and E-Mail)

TO: REGIONAL SECURITY OFFICER

SUBJECT: REQUEST FOR INITIAL SECURITY CERTIFICATION OF

(Proposed Employee’s Name, including Telephone)

(Subject’s Proposed Position or Job Title)

Please initiate a security certification vetting investigation for the above-named individual. In support of this request, the following documents are attached:

Completed Security Certification Form below (with photograph attached)

Completed Security Acknowledgement Form below

Completed Records Release Form below

Photocopy of Subject’s contract that includes an expiration date.

Photocopies of Subject’s National ID, Passport, Citizenship Document, Police ID, Military Book, High School/University Diplomas, as available.

Please note that your packet will not be processed if you fail to complete any of the above required information.

(Signature of Requestor)

RSO USE ONLY

Date Received: Comments:

U.S. Embassy Baghdad TCN Vetting Security Certification Request

INSTRUCTIONS: In order to initiate vetting for Third Country Nationals (TCN), please complete the following information and attach the requested documents. Failure to provide this information or any supporting documents will result in suspension of action and return of your case.

1. NAME

(List all)

FIRST MIDDLE LAST TRIBAL (Other)

2. DATE OF BIRTH : DD/MM/YYYY

3. PLACE OF BIRTH: (City, Country, Village) 4. CITIZENSHIP AT BIRTH:

5. DUAL CITIZENSHIP: □ YES □ NO (If you did not renounce your original citizenship then list both)

6. CURRENT CITIZENSHIP:

7. LIST ALL PASSPORTS NUMBERS (List PLACE of issuance):

8. NATIONAL ID/CITIZINSHIP NUMBERS (list country of issuance):

9. CURRENT POSITION TITLE:

9a. ORGANIZATION

9b. PARENT CONTRACTOR: (DOS, DOD)

DOS

10. OFFICE OR WORK LOCATION in BAGHDAD (You MUST list office room number and your telephone number):

This space should indicate in what building or area of the compound the applicant will need access to. If the applicant needs access to more than one building, specify all.

11. LOCAL DIRECT U.S. SUPERVISOR (Name and Phone number):

List Contractor manager and other DoS COR

12. LAST COMPLETE FULL ADDRESS FROM YOUR COUNTRY OF

ORIGIN and TELEPHONE NUMBER:

13. PRESENT BAGHDAD ADDRESS/Billeting (Where you currently live)

14. SEX

□ MALE

□ FEMALE

14a. HEIGHT

14b. WEIGHT

14c. EYE COLOR

14d. HAIR COLOR 15. MARITAL STATUS

□ SINGLE □ DIVORCED

□ MARRIED □ SEPARATED

□ WIDOWED □ REMARRIED

16. Excluding residences listed in blocks 12& 13, LIST ALL RESIDENCES FOR THE LAST TEN YEARS (Use additional page if necessary)

DATES COMPLETE STREET AND NUMBER CITY COUNTRY

FROM TO

17. Excluding current position listed in block 9, List all employment you have held in the past FIVE years, including unemployment.

DATES POSITION TITLE EMPLOYER COUNTRY

18. LIST ALL FOREIGN TRAVEL FOR THE LAST TEN YEARS (Include work locations not listed in block 17.) DATES PURPOSE COUNTRY

PARENTS

19. FATHER'S COMPLETE NAME: a. DATE OF BIRTH b. PLACE OF BIRTH (City, Country)

20. MOTHER'S COMPLETE NAME: a. DATE OF BIRTH b. PLACE OF BIRTH (City, Country)

21. DESCRIBE ANY SPECIAL CHARACTERISTICS OR IDENTIFYING MARKS,

(SCARS, TATTOOS, ETC.)

22. Write “YES” or “NO” in the column to the right.

If you answer "YES" to any of these questions, provide additional information in the space 22j provided below. a. Have you ever been known by any other names?

b. Have you ever been charged, arrested or detained by any police or military authority?

c. Do you have tuberculosis or other communicable diseases?

d. Have you been involved in any act of sabotage, espionage, treason, terrorism, sedition, or other act against any person, group, or government?

e. Have you associated or sympathized with persons who are attempting to commit, or who are committing, any of the above acts?

f. Have you associated or sympathized with persons or organizations that advocate the overthrow of the United States Government, or any state or subdivision, by force or violence or by other unconstitutional means?

g. Have you or any member of your family ever been associated with any group which participated

(or will participate) in hostile action against the U.S. or its allies?

h. Have you or any of your family, friends, or associates ever been employed by or offered employment by an intelligence or security service?

i. Have you ever been a member of the military? If so, provide your Service Number along with the Date of your service and country:

22j. SPACE FOR DETAILED ANSWERS:

CERTIFICATION

A false statement on any part of your application may be grounds for not hiring you, or firing you after you begin work. Intentionally providing false or deceptive information is a violation of U.S. Code, Title 18, section

1001.

SIGNATURE: PRINTED NAME: DATE SIGNED:

I certify that I translated the questions on this form and the Applicant’s answers to the best of my ability.

Translator’s Signature (if applicable) Date

United States Embassy

Baghdad

SECURITY ACKNOWLEDGEMENT FORM

TO: Regional Security Office

FROM:

SUBJECT: Security Acknowledgement Form

"I understand that I am required to report immediately to the Embassy

Security Officer any contacts or approaches that I have had with any individuals or organizations that seek to elicit, acquire, or collect sensitive information about the American Embassy or its employees. I am also obligated to report any unusual problems or incidents that may be attributable to my Embassy employment. I understand that my failure to abide by these requirements will result in my immediate dismissal from employment."

Employee Signature: ________________________________________

Date Signed: ________________________

I certify that I translated this document to the person identified above to the best of my ability:

Translator Signature: ________________________________________

United States Embassy

Baghdad

TO: Regional Security Office

FROM:

SUBJECT: Records Release

I hereby authorize the Regional Security Office, U.S. Embassy Baghdad, to make appropriate inquiries into my background for the purpose of making an informed determination regarding my suitability for employment.

Information obtained from these inquiries will be used to make a Security

Determination by the Regional Security Office.

I understand that this release is voluntary. However, if I withhold this permission to make appropriate inquiries, no Security Determination can be made, which would make an individual ineligible for employment.

Name (Please print)

Signature Date

I certify that I translated this document to the person identified above to the best of my ability:

Translator Signature: ________________________________________

MEMORANDUM