CIA STARGATE release
CIA-RDP96-00789R003000420006-7
Opens with: STATEMENT OF WORK
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Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 SECRET STATEMENT OF WORK FOR BIOPHYSICAL RESEARCH AND ANALYSIS 1.0 (S/NF) PURPOSE : The purpose of this effort is to perform biophysical research and analysis on neuromagnetic phenomena. 2.0 (S/NF) BACKGROUND: The FY 1991 Defense Authorization Act identified DIA as executive agent of a new program for examining anomalous phenomena. One of the areas of specific interest was based on results from an earlier DOD sponsored research effort involving brain neuromagnetic responses to various visual or visual-related stimuli. This pilot work was performed by the Biophysical Group at the Los Alamos National Laboratory (LANL), Los Alamos, NM, as part of an Army research effort under the Surgeon General's Research and Development (SGRD) office. 3.0 (S/NF) OBJECTIVE: This statement of work is based on findings from the previous LANL research on this topic. Primary objective of this effort is to identify correlations of brain neuromagnetic responses to a variety of independent conditions or parameters. 4.0 (S/NF) SCOPE : This activity will replicate previous results, will recalibrate the experimental environment, will search for possible artifacts and will initiate new systematic research. This new research will include a variety of population groups and will examine a variety of possible physical variables. All the measurements will be based on passive magnetoencephalograph (MEG) recording instrumentation. 5.0 (U) TECHNICAL/OTHER CONSIDERATIONS : 5.1 (S/NF) This effort is part of a larger external investigation effort in this general phenomenological area that includes a DIA contractor, the Science Applications International Corporation (SAIC) . The SAIC program manager for this effort, Dr. Ed May, had been directly involved in the previous LANL activities in this area. Consequently, LANL will be required to work with both the DIA COTR and the SAIC program manager for most of the activities identified in this statement of work (SOW) . 5.2 (S/NF) It is anticipated that both government and contractor supplied individuals will be involved in the MEG- measurement activity. All activity involving non-DIA CLASSIFIED BY : DIA/DT DECLASSIFY ON: OADR SECRET/NOFORN Enclosure 1 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 SECRET personnel (e.g., contractor supplied) will be coordinated in advance with the DIA COTR. Specific subject/population types to be investigated will be reviewed and approved by the COTR well in advance of their involvement. 5.3 (U) All research protocols, analysis methodologies, specific scheduling, and other procedures will be reviewed/approved by the DIA COTR. A contractor Scientific Oversight Committee (SOC) will . review and comment on all experimental protocols, procedures and analysis methods. The SOC will also review and comment on the final report prepared for this effort. 5.4 (U) This effort will be subject to review by the LANL Human Use Review Panel to assure that all experiments with human subjects conform to standard human use guidelines set forth by Health and Human Service and DOD regulations. (Additional human use guidance is provided on attachment 1. to this SOW) . 5.5 (U) The contractor will be required to submit brief progress reports and cost data to the DIA COTR on a monthly basis. A final technical report containing all protocols, methodology, analysis techniques, results, and conclusions will be provided to the COTR by 1 July 1992. An advanced draft of this final report will also be required 2 weeks prior to submission of the final report. 5.6 (U) Should unforseen schedule or other issues arise concerning any of the specific tasks identified in section 6.0, the COTR will be given immediate notice. If necessary, adjustments to priorities and schedules can be approved by the COTR if there is no cost or other impact on the overall project. 6.0 (U) SPECIFIC TASKS: 6.1 (U) Examine the hardware and software used in the earlier remote stimuli study to determine possible instrumental artifacts; existing electromagnetic/ magnetoencephalograph (MEG) environment. This should include, but is not limited to, (a) open sensors; (b) brain equivalent targets; and (c) non-central nervous system targets. 6.2 (S/NF) Perform new remote stimuli experiments with a variety of subject population types and variations to the remote aspect (e.g., vary light stimuli parameters, vary location from MEG room, presence/absence of "senders") . SECRET/NOFORN 2 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7
1 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 SECRET 6.3 (U) For same subject pool as used in item 6.2, perform direct visual stimuli measurements under a variety of MEG sensor locations. Identify correlations to various population groups, where possible. 6.4 (S/NF) Examine results from item 6.3 to determine inter-group discrimination potential of MEG results. 7.0 (U) QUICK REACTION CAPABILITY (QRC) : The contractor will maintain quick response capability to problems or unexpected demands (e.g., briefings, unique subject availability, ) as may be encountered during this project. 8.0 (U) ALLOCATION OF EFFORT: £ Level of effort to be applied to each task is shown below: TASK NO. ALLOCATION OF EFFORT (%) 6.1 15 6.2 60 6.3 20 6.4 5 SECRET/NOFORN 3 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7
. Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 HUMAN USE GUIDELINES A. DEFINITIONS 1. Human Subject: An individual about whom an investigator conducting research obtains data through interaction with the individual, including both physical procedures and manipulations of the subject or the subject's environment. The term does not include military or civilian personnel who are qualified to test by assignment to duties that call specifically for such qualifications such as test pilots and test engineers. 2. Non-U.S. Citizens: Foreign nationals, excluding, personnel on active duty. 3. Research: The term does not include individual or group training of military personnel such as combat readiness, effectiveness, proficiency, or fitness exercises. B. GENERAL GUIDANCE 1. The contractor shall conduct research using human subjects at all times so as to be in full compliance with all applicable laws, federal regulations and DOD instructions. Among them are: a. 45 CFR 46 Health and Human Services (HHS) Regulation, "Protection of Human Subjects"; b. 10 U.S.C. Section 980, "Limitations or Use of Humans as Experimental Subjects"; c. DOD Directive 3216.2 (January 7, 1983) "Protection of Human Subjects in DOD-supported Research"; 2. Safeguarding the rights and welfare of subjects at risk in activities supported by this contract is the responsibility of the Contractor. Compliance with this contract will in no way render inapplicable pertinent federal, state, or local laws or regulations. In order to provide for the adequate discharge of this institutional responsibility, no activity involving human subjects under this contract shall be undertaken unless a Contractor Human Use Review Board (CRB) has reviewed and approved such activity. 3. The contractor must provide the Contracting Officer with a written assurance that it is in compliance with all provisions of 45 CFR 46 HHS Regulation, "Protection of Human Subjects, " as Approved For Release 2000/08/08 : CIA-RDP96-00789R003000429906-7 :
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 amended. 4. The Contractor will assure the Contracting Officer that the identities of all subjects will be protected. 5. Informal consent must be obtained in writing from each human subject before research is undertaken. 6. The contractor shall provide all necessary medical care to research subjects for injury or disease which is the proximate result of participation in the research. 7. Studies conducted outside the United States, its territories or possessions, shall be conducted in compliance with all laws, customs, and practices of the country in which the study is to be conducted. c. REQUIREMENTS FOR REPORTING AND DOCUMENTATION 1. Copies of all documents presented or required for initial and continuing review of the CRB, e.g., Board minutes pertaining only to the contract, record of subjects consent, transmittal on actions, instructions and conditions resulting from Board deliberations addressed to the activity director, are to be retained by the Contractor for at least three (3) years after completion of the research. All documents shall be accessible for inspection during normal working hours by the DIA COTR or authorized representative. 2. Except as otherwise provided by law, information in the records or possession of the Contractor which refers to or can be identified with a particular subject may not be disclosed except: a. With the consent of the subject or his legally authorized representative, or b. As may be necessary for the DIA to carry out its legal responsibilities. 3. Upon expiration or termination of this contract, a list of all unused test material shall be provided to the DIA Contracting Officer. 4. The Contractor shall immediately notify the DIA Contracting Officer, by telephone, of inquiries from sources outside the Department of Defense concerning the use of human subjects under this contract. 2 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7
- Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 SECRET CONTROL NO. JUSTIFICATION AND APPROVAL FOR OTHER THAN FULL AND OPEN COMPETITION 1. (U) Contracting Authority: Virginia Contracting Activity, P. O. Box 46563, Washington, DC 20050-6563. 2. (U) Authority Cited: 10 U.S.C. 2304 (c) (1) ; FAR 6.302-1, "Only one responsible source and no other supplies or services will satisfy Agency requirements." 3. (U) Description of Supplies/Services: The Defense Intelligence Agency (DIA) proposes to procure Biophysical Research and Analysis services for a DIA special evaluation activity. External assistance funds are available for this effort, and are part of a Congressional Directed Program. 4. (U) Description of Action: It is anticipated that a cost- plus-fixed fee contract will be negotiated and awarded to satisfy this requirement. R&D funds for this effort are cited on Purchase Request (PR) No. 330/028Z/91. 5. (U) Reason for Authority Cited: a. (U) This action is based on the need to utilize research achievements from a previous DOD-sponsored R&D effort. b. (S/NF) Between 1985-1989, the Army's Surgeon General Research and Development (SGRD) office sponsored basic research in a phenomenological evaluation area. One of the specific topics initiated by this SGRD effort was examination of brain neuromagnetic activity correlates. This pilot effort was performed by the Biophysics Group at the Los Alamos National Laboratory (LANL) , Los Alamos, NM, due to their unique equipment and analysis capability. Investigations from this pilot work yielded positive results. Follow-on to this work is one of the main research activities desired in the Congressional direction as part of DIA's over-all Phenomenological Research Program. c. (S/NF) This specific effort at LANL was originally included in PR 330/00122/91, via subcontract from the Science Applications International Corporation (SAIC). However, it has recently been determined that direct MIPR action from DIA to LANL would be more appropriate then an SAIC subcontract at this time for this specific Biophysical Research and Analysis task. Classified By: DIA/DT Declassify On: OADR SECRET/NOFORN 1 Enclosure 2 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7
. Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 SECRET In addition, Dr. Charles Wood, the Biophysical Group's director, had over two years of direct involvement in the previous pilot activity and was responsible for developing all appropriate methodologies and analysis techniques. d. (S/NF) This neuromagnetic activity research and analysis task requires a sole source procurement in order to efficiently build upon previous pilot study findings and to take advantage of the LANL interdisciplinary staff and their expertise. The Biophysics Group had previously developed all appropriate experimental protocols, analysis techniques, hardware, and task-specific software required for in-depth study of neuromagnetic responses as required under this task, e. (S/NF) While a few medical facilities exist with similar monitoring systems, none of them have the complex interdisciplinary or analysis capability required for this topic of investigation. In addition, none of them are capable of examining unique parameters or physical variables as required for DIA's over-all evaluation in this area. It would require 3 or more years for another contractor to build up similar expertise. Consequently, sole source procurement form LANL is the proper action for accomplishing this sensitive task in a timely and effective manner. 6. (U) Efforts to Obtain Competition: Due to the uniqueness of this research area, there are no other qualified research facilities and personnel available to satisfy this contract. To bring other potential organizations up to speed would not be possible without unacceptable delays or additional costs. 7. (U) Action to Increase Competition: Every effort will be made to release research results as widely as possible to attract other potential researchers. Not only will this be accomplished through specialized (and properly classified) channels, but also appropriate portion will be released at unclassified levels to attract interest in academic facilities. 8. (U) Market Survey: Based on the significant advantage that the Los Alamos National Laboratory possesses in this area, a market survey would not serve a useful purpose at this time. 9. (U) Interested Sources: No other source has expressed an interest in this requirement. SECRET/NOFORN 2 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7
- Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 SECRET 10. (U) Other Factors: a. (S) Acquisition data availability: Data from previous government-sponsored research is available in DIA. Since this was part of a controlled access project, every effort will be made to downgrade, and where practical, declassify basic aspects of the research. This will, in time, generate a wider interest in this field. b. (U) Unusual and Compelling Urgency: This task requires timely response form LANL in order to meet the Congressionally- directed requirements. This requirement can only be satisfied via other than full and open competition and by utilizing the existing LANL capabilities. 11. (U) Technical Certification: I hereby certify that the supporting data under my cognizance which are included in the J&A are accurate and complete to the best of my knowledge and belief. SG1J Name: Date: 11 July 91 SG1J Title: Signature: 1 12. (U) Requirements Certification: I hereby certify that the supporting data under my cognizance which are included in the J&A are accurate and complete to the best of my knowledge and belief. SG1J Name: Date: 11 July 91 : SG1J Vice Assistant Deputy Director Title: for Scientific and Technical Signature: Intelligence 13. (U) Fair and Reasonableness Cost/Price Determination: A detailed technical and cost proposal will be required from the contractor, LANL. Prior to award, the Government will conduct an in-depth analysis of all technical and cost aspects of this requirement. Based on the outcome, a fair and reasonable cost will be negotiated. Therefore, I hereby determine that the anticipated cost for this contract action will be fair and reasonable. SECRET/NOFORN 3 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 .
- -- - Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 . SECRET 14. (U) Contracting Officer Certification: In accordance with FAR 6.303-2 (a) (12), I hereby certify that the facts and representation under my cognizance, which are included in this J&A, are accurate and complete to the best of my knowledge and belief. Date: NAME : Contracting Officer SECRET/NOFORN 4 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7
- Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 SECRET APPROVAL Based on the foregoing justification, I hereby approve the procurement of BIOPHYSICAL RESEARCH AND ANALYSIS on an other than full and open competition basis pursuant to the authority of 10 U.S.C. 2304 (c) subject to availability of funds, and provided that the services and/or property herein described have otherwise been authorized for acquisition. Date: Signature: Name: Title: SECRET/NOFORN 5 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 1 -
1 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 STATEMENT RESEARCH OF PLANNED, ON-GOING, AND COMPLETED STUDIES Research by my staff indicates, to the best of our knowledge, that there is no other known similar or collateral study or analysis, planned, in progress, or completed which fulfills the objectives or specific intent of this proposed contract study: Biophysical Research and Analysis (Purchase Request # 330/028Z/91). PREPARED BY : SG1J Date: 10 July 91 DT-5A . CERTIFIED AS ACCURATE AND COMPLETE: SG1J Date: 11 Jul9 91 JOHN T. BERBRICH Assistant Deputy Director for Scientific and Technical Intelligence Enclosure 3 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 : :
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 MIPR CONTROL PROVISIONS AND GUIDANCE 1. Funds cited may be used only for the project delineated in the classified Statement of Work (Enclosure 1). 2. The DIA estimate for this project is $250,000.00 over a 12 month period. 3. The total MIPR estimate shall not be exceeded by the purchasing office. 4. Changes in purpose, scope or desired results from those delineated in the Statement of Work must have DIA approval. A copy of the final Statement of Work will be provided to DIA/DT-S for review prior to further contractual actions. 5. The MIPR should be addressed to: HQ DOE Attn: Barbara Moyers, IN-40 Forrestall Bld Washington, D.C. 20585 6. Two copies of the final contract should be provided to: Defense Intelligence Agency ATTN: VP-SF Washington, D.C. 20340 Enclosure 4 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 MILITARY INTERDEPARTMENTAL PURCHASE REQUEST PAGE 1 OF 06 PAGES 2. FSC 3. CONTROL SYMBOL NO. 4. DATE PREPARED 12 JULY 1991 5. MIPR NUMBER HHM440 -1-0240 6. AMEND NO. BASIC 7. TO: U.S. Department of Energy Intelligence Dissemination Division ATTN: Barbara Moyers, (IN-40) P.O. Box 23865, GA-301 Washington, DC. 20026 8. FROM: (Agency, name, telephone number of originator) Defense Intelligence Agency ATTN: Logistics (RDE2/9 RTS-6B] Washington, DC 20340-3205 Phone: (202) 373-2890 Autovon 243-2890 ITEMS 9. ARE ARE NOT INCLUDED IN THE INTERSERVICE SUPPLY SUPPORT PROGRAM AND REQUIRED INTERSERVICE SCREENING HAS HAS NOT BEEN ACCOMPLISHED. ITEM NO. 8 b DESCRIPTION (Federal stock number, nomenclature, specification and/or drawing No., etc.) QTY UNIT ESTIMATED UNIT PRICE e ESTIMATED TOTAL PRICE :- Funds are hereby certified available in the amount of $250,000.00 for external Research and Analysis. "This agreement is entered into pursuant to the requirements and authority of the Economy Act of 1932, as amended (31 U.S.C. 1535), and adheres to Federal Acquisition Requlation (FAR) 6.002 and other applicable federal laws and requlations. To the best of our knowledge, the work requested will not place the DOE and its contractor in direct competition with the private sector." Los Alamos National Laboratory (LANL) for biophysical research and analysis. ENCL: Statement of work MIPR Control Provisions and Guidance FUNDS COLTELLO MILLE BLIGATION 7.12.91 MIPR ACCEPTANCE: PROVIDE FOUR COPIES AS FOLLOWS Deputy Comptroller for Financial FOUR COPIES TO: SG1J Director, Defense Intelligence Agency NAME OFFICE: DLA/ DI-JA PHONE: SGA oc-4 WASHINGTON, DC FOR CAT II ACCEPTANCE: ADD TO CONTRACT DISTRIBUTION LIST (FAR 4.201(c))) ONE COMPLETE COPY OF THE CONTRACT AND ALL MODIFICATIONS FOR EACH APPROPRIATION CITED HEREIN AND ONE COPY OF EACH RECEIVING REPORT TO: DIA, ATTN: OC-4 WASHINGTON, DC | 20340-3035 INVOICES WILL BE FORWARDED IN ACCORDANCE WITH THE CONTRACT. SEE ATTACHED PAGES FOR DELIVERY SCHEDULES, PRESERVATION AND PACKAGING INSTRUCTIONS, SHIP- 10. PING INSTRUCTIONS AND INSTRUCTIONS FOR DISTRIBUTION OF CONTRACTS AND RELATED DOCUMENTS. 11. GRAND TOTAL $250,000.00 12. TRANSPORTATION ALLOTMENT (Used if FOB Contractor's plant) 13. MAIL SF 1080 TO (Payment will be made by) Defense Intelligence Agency ATTN: OC-4 Washington, DC 20340-3035 14. FUNDS FOR PROCUREMENT ARE PROPERLY CHARGEABLE TO THE ALLOTMENTS SET FORTH BELOW, THE AVAILABLE BALANCES OF WHICH ARE SUFFICIENT TO COVER THE ESTIMATED TOTAL PRICE. ACRON APPROPRIATION LIMIT/ SUBHEAD SUPPLEMENTAL ACCOUNTING CLASSIFICATION ACCTG STA DODAAD AMOUNT 9710400 44 7M1 6F0301 1222 503744 $250,000.00 WAR SG1J 15. AUTHORIZING OFFICER (Type name and title) 16. SIGNATURE 17. DATE CH, Logistics DO TYM 4, 448 PREVIOUS EDITION IS OBSOLETE. S/N 0102-LF-004-6501 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 c d SG1J THE MIPR ESTIMATE IN BLOCK 11 MAY NOT BE EXCEEDI ON 30 SEPTEMBER 19 92 . Accounung Tecampan DIA POINT OF CONTACT: SG1J ATTN: RUEXXA RTS-6B1 Washington, DC 20340-3205 FOR CAT I ACCEPTANCE: MAIL SF 1080 BILLING TO DIA, ATTN: 20340-3035 1.
Approved For Release 2000/08/08 - CIA-RDP96-00789R003000420006-7 MILITARY INTERDEPARTMENTAL PURCHASE REQUEST PAGE 1 2. FSC 3. CONTROL SYMBOL NO. 4. DATE PREPARED 12 JULY 1991 5. MIPR NUMBER HHM440 -1-0240 6. AMEND NO. BASIC 7. TO: U.S. Department of Energy Intelligence Dissemination Division ATTN: Barbara Moyers, (IN-40) P.O. Box 23865, GA-301 Washington, DC. 20026 8. FROM: (Agency, name, telephone number of originator) Defense Intelligence Agency ATTN: Logistics (RDEADAY RTS-6B] Washington, DC 20340-3205 Phone: (202) 373-2890 Autovon 243-2890 ] ARE ARE NOT INCLUDED IN THE INTERSERVICE SUPPLY SUPPORT PROGRAM AND REQUIRED INTERSERVICE 9. SCREENING HAS HAS NOT BEEN ACCOMPLISHED. ITEM NO. DESCRIPTION (Federal stock number, nomenclature, specification and/or drawing No., etc.) QTY UNIT ESTIMATED UNIT PRICE 0 ESTIMATED TOTAL PRICE f Funds are hereby certified available in the amount of $250,000.00 for external Research and Analysis. "This agreement is entered into pursuant to the requirements and authority of the Economy Act of 1932, as amended (31 U. S.C. 1535), and adheres to Federal Acquisition Requlation (FAR) 6.002 and other applicable federal laws and requlations. To the best of our knowledge, the work requested will not place the DOE and its contractor in direct competition with the private sector." Los Alamos National Laboratory (LANL) for biophysical research and analysis. ENCL: Statement of work MIPR Control Provisions and Guidance THE MIPR ESTIMATE IN BLOCK 11 MAY NOT BE EXCEEDE ON 30 SEPTEMBER 19 92 . MIPR ACCEPTANCE: PROVIDE FOUR COPIES AS FOLLOWS Deputy Comptroller for Financial SG1J FOUR COPIES TO: Director, Defense Intelligence Agency ATTN: RIXXKA RTS-6B1 DIA POINT OF CONTACT: NAME SG1A Washington, DC 20340-3205 FOR CAT I ACCEPTANCE: MAIL SF 1080 BILLING TO DIA, ATTN: 20340-3035 0℃-4 WASHINGTON, DC FOR CAT II ACCEPTANCE: ADD TO CONTRACT DISTRIBUTION LIST (FAR 4.201(c)) ONE COMPLETE COPY OF THE CONTRACT AND ALL MODIFICATIONS FOR EACH APPROPRIATION CITED HEREIN AND ONE COPY OF EACH RECEIVING REPORT TO: DIA, ATTNE OC-4 WASHINGTON, DC ! 20340-3035 INVOICES WILL BE FORWARDED IN ACCORDANCE WITH THE CONTRACT. 10. SEE ATTACHED PAGES FOR DELIVERY SCHEDULES, PRESERVATION AND PACKAGING INSTRUCTIONS, SHIP- PING INSTRUCTIONS AND INSTRUCTIONS FOR DISTRIBUTION OF CONTRACTS AND RELATED DOCUMENTS. . GRAND TOTAL $250,000.00 12. TRANSPORTATION ALLOTMENT (Used if FOB Contractor's plant) 13. MAIL SF 1080 TO (Payment will be made by) Defense Intelligence Agency ATTN: OC-4 Washington, DC 20340-3035 14. FUNDS FOR PROCUREMENT ARE PROPERLY CHARGEABLE TO THE ALLOTMENTS SET FORTH BELOW. THE AVAILABLE BALANCES OF WHICH ARE SUFFICIENT TO COVER THE ESTIMATED TOTAL PRICE. ACTION APPROPRIATION LIMIT/. SUBHEAD SUPPLEMENTAL ACCOUNTING CLASSIFICATION ACCTG STA DODAAD AMOUNT 9710400 44 7M1 6F0301 1222 503744 $250,000.00 WA 17. DATE - KE TITHORIZING OFFICER (Type name and title) 16. SIGNATURE CH, Logistics DD , JUN 72 PREVIOUS EDITION IS OBSOLETE. S/N 0102-LF-004-6501 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 SG1J SG1J OFFICE: DIA/ DI-JA PHONE: BLIGATION 7,12,91 Accounting Policy and Accounting SG1J b C d OF 06 PAGES ITEMS
- DT-5AU0 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 1/13/92 VOUCHER FOR TRANSFERS BETWEEN APPROPRIATIONS AND/OR FUNDS BILL IN LIEU OF SF-1080 Page 1 of OFFICE BILLING: US DEPT OF ENERGY FINANCE DIVISION P.O. BOX 5400 ALBUQUERQUE, NM 87115 BILL #B2010595 SCHEDULE # DATE ISSUED: 11/12/91 20340 DESCRIPTION OF SERVICES AGRHHM44010240 $221,365.45 AMOUNT TOTAL : $221,365.45 REMITTANCE IN PAYMENT SHOULD BE SENT TO: U S DEPARTMENT OF ENERGY FINANCE DIVISION P.O. BOX 5400 ALBUQUERQUE, NM 87115 ACCOUNTING CLASSIFICATION (BILLING OFFICE) CERTIFICATE OF OFFICE BILLED I CERTIFY THAT THE ABOVE ARTICLES WERE RECEIVED AND ACCEPTED OR THE SERVICES PERFORMED AS STATED AND SHOULD BE CHARGED TO THE APPRO- PRIATION (S) AND/OR FUND (S) AS INDICATED BELOW; OR THAT THE ADVANCE PAYMENT REQUESTED IS APPROVED AND SHOULD BE PAID AS INDICATED. 28 Jan 1992 IVE OFFICER) (DATE) (TITLE) ACCOUNTING CLASSIFICATION (OFFICE BILLED) SG1J 9710400.44 7M1 6F0301 1222 503744 $221,365.45 I CERTIFY THAT THE GOODS/CERVICES DESCRIBED IN THIS DOCUMENT HAVE BEEN RECEIVED, AND WERE PROVIDED IN ACCORDANCE WITH THE TERMS IN THE CONTRACT OD QUELAD DOCUMENT. NAME SG1J TITLE DIA OFFICE SYMBOL NOI- 5 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 Bal: 28,634,55 OFFICE BILLED: DEFENSE INTELLIGENCE AGCY ATTN: OC-4 WSHINGTON, DC
Amendment 1. Date of request PUBCHOSEd' FOY Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 INSTRUCTIONS - ORIGINAL AND & COPIES 4A. Authorized Approving Official or Designee (DIAM 44-2) HoBerbrück 7 JUNE Signature JOHN T. BERBRICH, Asst Dep Dir, DT 5A. Funds are certified available and have been committed Accounting classification 5B. Amount 50,000.00 INCREASE ) 4B. Name, Ext, and Signature of Designated Supply Coordinator (DIAM 25-1) SG1J Type Name Date Type Name Date Office Symbol DT-5A 7A. Ship To: Director DIA Washington, D.C. 20340-6150 7B. Mark for: SG1J 8A. Stock/Item No. Description of Supplies or Services Quantity Unit Price Amount RELEASE OF FUNDS FOR EXTERNAL RESEARCH AND . ANALYSIS 50,000.00 (INCREASE) Sole Source Contract with SAIC for Phenomenological Research 9. Recurring requirement GSA Schedule Number (if known) Acquisition Plan No. Source: 8B. Total $ 50,000.00 ( INCREASE) 10. Action Office if External to DIA: Interservice Support Agreement No: Other: External POC: 11. Justification/Remarks The purpose of this request is to pursue general phenomenological research via the Science Applications International Corporation (SAIC). Funds for this effort are in the approved FY91 DIA budget as line item 917.033 for Congressionally Directed Programs. THIS AMENDMENT PROVIDES AN ADDITIONAL $50K O&M FUNDS FOR CONTRACT COMPLETION. 12A. Requisition Number/Other 0159 91 AM 01 13A. Coordinations VP-SF h 010 CRRB GC SADPO OC-4 USC-2 UC-5 RIS-6BXX RTS-673 OC-2 RSQ 13B. Approvals Not required (DIAR 44-4) 13C. Budget Reporting Code R400 CRRB SADPO Yes No 12D. Received By: (Signature) SG1J Date 14A. Action Assigned To: Contract Specialist: Telephone No: 14B. Date DIA FORM 520 (5-82) Previous Edition is Obsolete. Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 enri 2 to 12-20.542/DT-5 Phone No. (2890 Date 6/12/91 Contracting and Acquisition Office Other: 6 Jun 91 2. Delivery required by 3. Purchase request number 330/0012Z/91/001 Type Name Date O/M: 9710100.44 7Y1 6F0301 1221 503744 5C. Name and signature of Certifying Official Signature Signature SG1A DT-5A Estimated
SG1J SECRET Approved For Release 2000/08m08 PURCHASE REQUEST 1. Date of request 11 Jul 91 2. Delivery required by 30 Sep 92 3. Purchase request number 330/028Z/91 4A. A ee (DIAM 44-2) JOHN 'T. BERBRICH, Asst Dep Dir for S&T Type Name Date 4B. Name, Ext, and Signature of Designated Supply Coordinator (DIAM 25-1) 5C. Name and signature of Certifying Official SG1A Signature SG1J Type Name Date Type Name Date Office Symbol DT-5A TA. SHIP TOY 7B. Mark for: SG1J 8A. Stock/Item No. Description of Supplies or Services Quantity Unit Price Amount RELEASE OF FUNDS FOR EXTERNAL RESEARCH AND ANALYSIS. $250,000.00 Sole Source Contract with Los Alamos National Laboratory (LANL), for biophysical research and analysis. 9. Recurring requirement GSA Schedule Number (if known) Acquisition Plan No. Source: 8B. Total $250,000.00 10. Action Office if External to DIA: HQ DOE/LANL Other: Barbara Moyers Interservice Support Agreement No: External POC: HQ DOE/IN/40 (202) 586-8297 11. Justification/Remarks The purpose of this request is to conduct biophysical research via the Los Alamos National Laboratory (LANL), Los Alamos, NM. Funds for this effort are in the approved FY 91 DIA budget as line item 1.004 for Congressional Directed Programs. 12A. Requisition Number/Other 13A. Coordinavons VP-SF 4/12 CRRB GC SADPO OC-4 OSC-2 OC-5 RTS-6B RTS-6B OC-2 RSQ 12C. Method 13B. Approvals Not required (DIAR 44-4) 13C. Budget Reporting Code R400 CRRB SADPO Yes No 12D. Received By: (Signature) 14A. Action Assigned To: Contract Specialist: 14B. Date Approved For Release 2000/08/08 : CIX HDP06 00789R003000420006-7 Previous Edition is Obsolete. DIA FORM 520 (5-82) Store 5A. Funds are certified available and have been committed Accounting classification R/D: 9710400.44 7M1 6F0301 1222 503744 | $250,000.00 5B. Amount Signature DIA Washington, D.C. 20340-6150 (DT-5A) Estimated 12.B Logistics Branch Action Officer/Phone No. Date Contracting and Acquisition Office Other: REGRADED UNCLASSIFIED WHEN SEPARATED FROM RDP96-00789R003000420006-7 INSTRUCTIONS - ORIGINAL AND 8 COPIES.
3 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000420006-7 15. OBLIGATION RECORD AMOUNT OF COMMITMENT $ DATE REFERENCE NUMBER OBLIGATIONS INCURRED UNOBLIGATED BALANCE REMARKS DATE REFERENCE NUMBER OBLIGATIONS INCURRED UNOBLIGATED BALANCE REMARKS XXXXXXXXXXXXXXX XXX ********************** x RECAP: £ Basic $250,000.00 17. List of Enclosures: Uniform Contract Format (over $25K) 1 Statement of Work/Specifications 2 sốNé>SourdeXJustification for other than full and open competition SADPO Acquisition Authority Emergency Justification Services Questionnaire List of Recommended Sources DTIC/NTIS Statement (R&D) Economic Analysis/Cost Comparison Analysis (DIAR 45-8) $50K+ DD 254, Security Classification Specification DD 1423, Contract Data Requirements List with Data Item Description (DD Form 1684) Technical Evaluation Criteria Technical Evaluation Plan Logistical Support Plan (DIAR 25-4) 3 Other(s) Statement 4 Approved For Release:2000/08/08 daGIA-RDP96-00789R003000420006-7 .