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DESCRIPCIÓN CUANTITATIVA DE LOS DATOS

PERSONAJE 1. m Persona de distinción, calidad o representación en la

1. The Contractor/Offeror must, at all times during the performance of the Contract/Standing Offer, hold a valid Designated Organization Screening (DOS) with approved: Document Safeguarding at the PROTECTED C level, issued by the Canadian Industrial Security Directorate, Public Works and Government Services Canada.

2. The Contractor/Offeror personnel requiring access to PROTECTED information, assets or work site(s) must EACH hold a valid RELIABILITY STATUS, granted or approved by the Canadian Industrial Security Directorate (CISD), Public Works and Government Services Canada (PWGSC).

3. The Contractor MUST NOT utilize its Information Technology systems to electronically process, produce or store PROTECTED information until the CISD/PWGSC has issued written approval. After approval has been granted or approved, these tasks may be performed at the level of PROTECTED C. 4. Subcontracts which contain security requirements are NOT to be awarded without the prior written permission of CISD/PWGSC.

5. The Contractor/Offeror must comply with the provisions of the:

(a) Security Requirements Check List and security guide (if applicable), attached at Annex _____;

(b) Industrial Security Manual (Latest Edition)

Annex “A” to the SBIPS Supply Arrangement

SBIPS Generic Security Requirements Check List (SRCLs)

____________________________________________________________________________________________

SBIPS EN537-05IT01 - Annex A

1+1

Governmentof Canada Gouvei'nementdu Canada

Contract Number INumilro du contrat

EN637-06IT01SBIPSG2 .

Security Classlllcation IClassification de s~urlte

UNClASSIFIED

2. Branch or Directorate IDirection glmilrale au Direction

ITSPD/Acquisitions .

3. b) Name and Address of Subcontractor INom et adresse du sous-traitant

SECURITY REQUIREMENTS CHECK LIST (SRCL)

L1STE DE VERIFICATION DES EXIGENCESRELATIVES ALA SECURITE

..

~

.

1. Originating Government Department or Organization I Public Works and GovernmentServlces

Mlnist~e oU.organlsme gouvernemental d'orlglne" .

. a) SUbcontract NumberINumilro du contrat de sous-trallance

4. Brief Description of WorkIBr~ve descr1ption du travail

SupplyArrangementfor the provIsionof Solullons Based InformaUcisProfessionalSelVlcesto the Governmentof Canada

Yes Qui Yes Qui Yes Oui Ves Qui No f71Yes Non L!..JQui Forolgn IEtranger

Restricted to:IL1milil a :

D

Specify country(les): IPreClser le(s) pays:

No release restrictlons

0

Aucune restriction relative II la diffusIon

D

NATO/OTAN

Restricted to:.I [jmll~ II:

0

Specify country(ies): IPr~clser le(s) pays:

Not releasable

Ana pas diffuser

5. a) WID the supplier require access to Controlled Goods?

Le fournlsseur aura-t.1I acc~ ades marchandises contrOlees?

5. b) WiD the supplier require access 10unclassified military technical data subject to the provisions of the Technical Data Control

Regulations? . . .

Le foumiaseur aura-t-II aeres ades donnees technique.'\ militaires non classifiees qui sont assuJelties aU)(dispositions du Rilglemenl

sur Ie conlrOle des donnees techn ues? .

Indicate the type of access required Ilndiquer Ie type d'acres requis

6. a) Will the supplier and ils employees require access to PROTECTED and/orCLASSIFIED information or assets?

Le foumlsseur alns! que les employes aurant.ils accesades renseignements ouades biens PROTEGES el/ou CLASSIFIES?

(Specify the level of ac.coss using the chart In Question 7. c)

rl'lclser Ie niveau d'acci:s en utllisant Ie tableau ui se trouve II la uestlon 7. c

6. b) Will the supplier and its employees (e.g. cleaners, maIntenance personnel) require access to restricted access areas? No access to PROTECTED and/or CLASSIFIED Information or assets Is permitted.

Le fournisseur el ses employ~s (p. ex. nettoyeurs, personnel d'entretlen) auront.lls acclls II des zOnes d'acc~s reslrelntes? L'acces

II des rensei nements auades biens PROTEGES et/ou ClASSIFIES n'est as aulorisl:. .

6. c) Is this a commerCIal courier or delivery requirement wilh no overnighl storage?

S'agll-II d'un contral de messagerle au de IIvraison commerelaie sans entreposage de nuil?

7. a Indicale the of Information that tho su lier will be re ulred to access Iindi uer Ie e d'informalion au uello foumlsseur devra avolr aecils

7. b Release restrictlons IRestrictions relatives II la diffusion

No release reslrlctlons r7l All NATO C'.ountries

Aucune restIlcllon relatlve [{J Tous les pays de i'OTAN

a la diffusion

D

Restricted to:ILimite II ;

.0

Speclfy llOuntryOes):IPreciser le(s) pays:

NATO UNCLASSIFIED NATO NON CLASSIFIE NATO RESTRICTED

NATO DIFFUSION RESTRE1NTE Nft,TO CONFIDENTIAL NATO CONFIDENTIEL NATO SECRET NATO SECRET COSMIC TOP SECRET COSMIC TRES SECRET

PROTECTED A PROTEGE A PROTECTED B PROTEGES PROTECTEDC PROTEGEC CONFIDENTIAL CONFIDENTIEL SECRET SECRET TOP SECRET TRESSECRET TOP SECRET (SIGINT)

TRES SECRET SIGi

TBS/SCT 350-103(2004/12) Security Classlficatlon IClassification de s~curltl:

UNCLASSIFIED

Canada

--._--~-_

...•

---._----_.._----_._._._---_

.•.

_--_

...•_._----~--'.".

---_

...

_---_._---_._---

1+1

Government

of Canada Gouvernementdu Canada

Conlracl NumberINumero du contral EN537 .(j5ITO 1SBIPSG2

Security Classincatlon IClasslflcaUon de securlle

UNCLASSIFIED

ART A(continued) /PARTIE A(suite)

8.Wililhe supplier require access10PROTECTED and/or CLASSIFIED COMSEC Information or assets? . . Le foumlsseur aura-l.1I acclls 11des renselgnemenls ou l'l des biens COMSEC deslgnes PROTI:G~S eUou CLASSIFIES? If Yes. Indlcate lhe level of sensitivity:

Dans I'affirmative Indi lIer Ie nlveau de senslbilite :

9.Willihe supplier require access to extremely senslllve INFOSEC Information or assels? . Le foumlsseur aura+1I acces ~ des renselgnements ou l'l des biens INFOSEC de nature extr~memenl dllllcale? Short Tltle(s) of materialITIlre(s) abrllgll(s) du malMel :

Document NumberINumero du documenl :

.171No DYes l...!-J Non Qui

171No DYes ~ Non OUl

PART B • PERSONNEL (SUPPLlER)/ PARTIE B - PERSONNEL (FOURNISSEUR) .

O.a) Personnel security screening level requiredINlveau de contrOle de la securlle du personnel requis

[{]

D

D

RELIABILITY STATUS COTE DE FIABILITE TOP SECRET - SIGINT TRES SECRET - SIGINT SITE ACCESS

ACCES AUX EMPLACEMENTS

D

D

CONFIDENTIAL CONFIDENTIEL NATO CONFIDENTiAL NATO CONFiDENTIEL

D

SECRET SECRET

D

NATO SECRET' NATO SECRET

D

D

TOP SECRET TRESSECRET COSMIC TOP SECRET COSMIC TRES SECRET

.Special conunents: Comment aires spllciaux :

NOTE: If mullipJe levels of screenIng are Identified, a security Classlncatlon Guide must be provided.

REMARQUE : 51 lusieurs niveaux de conlrOle de securitt!l sont re uls un uido do classification de la st!lcurlle dolt eire fournl.

10. b) May unscreened personnel be used for portions of lhe work? I'7lNo DYes Du personnel sans aulorlsatlon securilaire peul-II se voir confier des parties du travail? l..!:JNon. Oul If Yes: wUl unscreencd personnel be escorted? f7l No DYes Dans I'aflirmallve. Ie ~onnel en question sera-t.II escorte? l.!.J Non Oul

~~~~~~~'

~-~.~~~~~~~~~~~~~Il.iB:iJ-

il-~.ffil~lmmt!.tm.lm~mD•••••••••••••••••• ~

INFORMATION IASSETS / RENSEIGNEMENTS IBIENS

11. a) 'Mil the supplier be required to receive and store PROTECTED and/or CLASSIFIED Informallon or assels on lis site or . premises?

La foumisseur sera-l.illenu de recevolr el d'entreposer sur place des renselgnemenls ou des b!ens PROTEGES el/ou CLASSIFIES?

D

.NO f'7IYes Non L!-JOul

r7J

No

DYes

L!-J Non Oul 11. b) Will the supplier be required to safeguard COM SEC Information or assels?

Le fournlsseur sera-l-lilenu de prol6ger des renselgnements ou des biens COMSEC? h;P;<;R;;;O:;:;D:;;U;:;CTiTI;;;O:uN,---~---j

11. c) Will lIle production (manufacture, and/or repairand/ormodification) of PROTECTED andlor CLASSIFIED material or equipment occur allhe supplier's slle or premises?

Les Inslallations du foumlsseur servlronl-elles l'lla productlon (fabrication el/au reparation el/ou modification) de materiel PROrtGE

el/ou CLAsSIFIE? .

f7l No DYes L!..J Non Qui

INFORMATION TECHNOLOGY (11) MEDIA / SUPPORT RELATIF LA TECHNOLOGIE DE L'INFORMATION (TI)

11. d) Willihe supplIer be regulred10use Its IT systems10electron/cally process, produce or store PROTECTED and/or 'CLASSIFIED

InformaUon or data? .

Le foumlsseur sera-t-lilenu d'uUllser ses propres syslemes Informatiques pour tralter, produire ou stocker 61eclronlquemenl des' rensclgnements ou des donnt!les PROTEGES el/au CLASSIFIES?

ONo

7l

Yes

Non l.!...JOul

11. e) Willlhere be an electronic link belween lIle supplier's IT systems and the government deparlmenl or agency? Dlsposera-t-on d'un lien electronlque entre Ie sysleme informatique du foumlsseur el eclul du mlnlstere ou de I'agence gouvememenlale?

f7l No DYes

l...!-J Nan QuI

TBSJSCT 350-103(2004/12) Security Classlficalion / Classification de securite

UNCLASSIFIED

Canada

1+1

Govemment

of Canada GouvemementduCanada

Contract Number / Numero du contrat EN537-05IT01SBIPSG2

Securfty Classification / ClasslflcaUon de securlte . UNCLASSIFIED

F?r users completing the fonn manually use the summery chart below to Indicate the category(les) and level(s) of safeguarding required at the supplier's

slte(s) or prenises. .

Lea utillsateurs qui rempllssentle formula Ire .manuollement dolvent utillser 10tableau recapltufatif cl.dessous pour Indlquer, pour chaque cah!gorle, 'Ies niveaux de sauvegarde requls aux Installallons du foumlsseur.

For users compleUng the fonn online (via the Internet), the summary chart Is automatically populated by your responses 10previous questions. Dans Ie cas des ulillsaleurs qui rempllssent Ie formulalre en IIgno (par Internel), Ies reponses aux questions precedenles sonl aulomatiquement sa Isles dans Ie tablel;lu r~apltulatlf.

SUMMARY CHART / TABLEAU RECAPITULATlF

Cal~ PR<>T<CTED CLAsSIFIEf NATO

COMSEC

CalIlgorl. PROTEGE ClASSIFI

TOP NP.TO NATO NATO COSJlIC PROTECTED Top

A B C C"""'llEHTlAL . SECR"," SECRET RE&TRICTEO COHFmeNTJAl SECRET • TOP PRoT£M COOFIOEHT1.tL SECRET . SECRET

SECRET

.T~

CoNFIOENTIa TReS NATO NATO COSMIC A El C COOFIDENT1EL

SECRET DIFFUSION CONROENTIB. TRes

SECRET RESTHEJNTE SECRE;T nrormallon I Asscl. .I ~onseiMemAnl51 Blenl Produc1lon !U:=';BTt .I I ~~~Imnlou. .

12. a) Is the description of the work contained within Ihls SRCL PROTECTED and/or CLASSIFIED? La doscriptlon du Iravail viall par la presente LVERS est-elle de nalure PROTEGEE eUouCLASSIFIEE? If Yes, classify Ihls fonn by annotating the top and bottom In the area entitled "Security Classification".

Dans I'affirmatlve, classifier Ie present formulalre en Indlquant Ie nlveau de securlt6 dans la case lnllluille IIClasslflcatton de securlte 1Iau haut et au bas du fonnulalre.

1? b) 1lVi1ilhe documentaUon attached 10Ihls SRCL be PROTECTED and/or CLASSIFIED? La docurnenlalion lIssocJ~e ilia presenle LVERS sera-t-elle PROTEGr::E eUou CLASSIFIEE?

If Yos, classify this form by annotating tho top and bottom In the aroa entitled "Security Classification" and Indicate with atlachinGrlts (e.g. SECRET Y/lth Attachments). .

Dans I'affirmative, classifier Ie prosent formulalre en Indlquantle nlvoau de securlte dans la case Inllluh!e ClClassification de securlte Ilau haut at au bas du formulalro ot Indlquer qu'll y a dllS pieces Jointas (p. ex. SECRET avoc des pIeces

olntes. .

f7l No DYes

l..!.J Non Oul

~NO DYes

L.!.J Non Oui

TBSlSCT 350-103{2004/12) Security Classlflcatlon IClaSsification de securft6 UNCLASSIFIED

Canada

.--- ••••---.---.---.---...--- ._. ._ ••_-. __ .0

1+1

Government

of Canada Gouvernemenldu Canada

Contract NumberINumtmJ du contral EN537.051TO1SBIPSG2

Security ClassificationIClassl1lcatlonde s~curit~

UNCLASSIFIED

Signature

SO

TIUe- nlre Robertson, Julie

clophone No. - N° de telephone Facsimile No. - N° de ll!lCcopleur 819-956-0615 819-934-1449

15. Are there additional instructions (e.g. Security Guide, Security ClassificaUonGuide) allached?

Des Instruclions suppl6mentaires (p. ex. Guide de s~curlte. Guide de ciassmcaUonde la securih'J)sont-elles Jolnles? 6. Procurement OfficerIAgent d'approvlslonnement

arne (prJnt)- Nom (en leures moulees)

..

.-..

.

.

.-

..

13. Organization Project AuthorJtyIChargl! de proJet00 I'organlsme ame (print) - Nom (en leUres moull!es) Title _Titre

Toman, Rebecca Supply Specialist

elephone No, - N" de t61l!phone Facsimile No. - N de telecopleur E-mail address ,_Adresse courriel 819-956-2375 819-956-7827 iebecca,[email protected] 14. Organization Security AuthorityIResponsable de la securite de l'organlsme

arne (print) - Nom (en lelITesmOUlees) nUe - Titre

felephone No. - de telephone Facsimile No. - N de 1~lecopleur E-mail address. Adresse courrleJ Date

Date

2011- ()., _:2/

TBSISCT 350-103(2004112) Security ClassificationIClassification de securite

UNCLASSIFIED

Canada

SECURITY REQUIREMENT FOR CANADIAN SUPPLIER: PWGSC FILE #EN537-05IT01SBIPSG3

1. The Contractor must, at all times during the performance of the Contract, hold a valid Facility Security Clearance at the level of SECRET, issued by the Canadian Industrial Security Directorate (CISD), Public Works and Government Services Canada (PWGSC).

2. The Contractor personnel requiring access to PROTECTED/CLASSIFIED information, assets or sensitive work site(s) must EACH hold a valid personnel security screening at the level of RELIABILITY, CONFIDENTIAL or SECRET, as required, granted or approved by CISD/PWGSC.

3. The Contractor MUST NOT remove any PROTECTED/CLASSIFIED information from the identified work site(s), and the Contractor must ensure that its personnel are made aware of and comply with this restriction.

4. Subcontracts which contain security requirements are NOT to be awarded without the prior written permission of CISD/PWGSC.

5. The Contractor must comply with the provisions of the:

(a) Security Requirements Check List and security guide (if applicable), attached at Annex ____

(b) Industrial Security Manual (Latest Edition).

NOTE: There are multiple levels of personnel security screenings associated with this file. In this instance, a Security Classification Guide must be added to the SRCL clarifying these screenings. The Security Classification Guide is normally generated by the organization's project authority and/or security authority.

Annex “A” to the SBIPS Supply Arrangement

SBIPS Generic Security Requirements Check List (SRCLs)

____________________________________________________________________________________________

SBIPS EN537-05IT01 - Annex A

1+1

Govemment

, of Canada Gouvernemen1duCanada

Contract Number , Num~ro du contrat EN537-06IT01SBIPSG3

Security Classification' Classlflcallon de s6CUlite

UNCLASSIFIED

SECURITY REQUIREMENTS CHECK LIST (SRCL)

L1STE DE VERIFICATION DES EXIGENCES RELATIVES ALA SECURIT~ LVERS

•... .

.

.-

.. .

1. Origlnallng Govornment Department or Orga~izallon / PublicWorks and Govemme'ntServices 2. Branch or.~~ctorate / Direction generale ou Direction MInisters au organisms gouvernemental d'ongfne . ITSPD'Acqulsltlons

. a) Subcontract Number' Numero du contrat de sous-traitanca 3. b) Name and Address of Subcontractor' Nom at adresse du sous.traltanl 4. Brief Descrlplion of Work 'Breve descrtpllon dutravail

Supply Arrangement lor the provision of Solutions Based Inlormaocs Professlona! Services to the Government or Canada

Yes Oul Yes Oul

Restricted 10: ,Limit~a :

0

Specify country{les): / Preciser le(s) pays: No release restrictions

0

Aucune restrlcllon relallve

ala diffusion

o

Restricled to: , lImile A :

D

Specify counlryOes): , Pr~clser le(s) pays: Not releasable

Ane pas diffuser

7. b Release reslrlcllons / Restrictions relallves D la diffusion

No release restricllons f/l All NATO countries Aucune restr1cllon relallve

L6

Tous las pays de I'OTAN Ala diffusion

o