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Security requirements check list #5

Security requirements check list #5 [PDF - 876 KB]

Part A: Contract information

5a. Will the supplier require access to Controlled Goods?
 No  Yes
5b. Will the supplier require access to unclassified military technical data subject to the provisions of the Technical Data Control Regulations?
 No  Yes

6. Indicate the type of access required: 

6a. Will the supplier and its employees require access to Protected and/or Classified information or assets?
(Specify the level of access using the chart in Question 7. c)
 No  Yes
6b. Will the supplier and its employees (for example cleaners, maintenance personnel) require access to restricted access areas? No access to Protected and/or Classified information or assets is permitted.
 No  Yes
6c. Is this a commercial courier or delivery requirement with no overnight storage?
 No  Yes
7a. Indicate the type of information that the supplier will be required to access: 
 Canada  NATO  Foreign
7b. Release restrictions: 
Canada for Release restrictions
 No release restrictions for Canada  Not releasable for Canada  Restricted to for Canada
NATO for Release restrictions
 All NATO countries for NATO  Restricted to for NATO

Foreign for Release restrictions
 No release restrictions for Foreign  Restricted to for Foreign
7c. Level of information: 
Canada for Level of information
 Protected A for Canada  Protected B for Canada  Protected C for Canada  Confidential for Canada  Secret for Canada  Top Secret for Canada  Top Secret (SIGINT) for Canada
NATO for Level of information  NATO Unclassified  NATO Restricted  NATO Confidential  NATO Secret  COSMIC Top Secret for NATO
Foreign for Level of information  Protected A for Foreign  Protected B for Foreign  Protected C for Foreign  Confidential for Foreign  Secret for Foreign  Top Secret for Foreign  Top Secret (SIGINT) for Foreign
8. Will the supplier require access to Protected and/or Classified COMSEC information or assets?
 No  Yes
9. Will the supplier require access to extremely sensitive INFOSEC information or assets?
 No  Yes

Part B: Personnel (supplier)

10. Personnel security screening level required : 

Note

If multiple levels of screening are identified, a security classification guide must be provided.

 Reliability status  Confidential  Secret  Top Secret  Top Secret – SIGINT  NATO Confidential  NATO Secret  COSMIC Top Secret  Site access
10b. May unscreened personnel be used for portions of the work?
 No  Yes
If yes, will unscreened personnel be escorted?
 No  Yes

Part C: Safeguards (supplier)

Information / assets

11a. Will the supplier be required to receive and store Protected and/or Classified information or assets on its site or premises?
 No  Yes
11b. Will the supplier be required to safeguard COMSEC information or assets?
 No  Yes

Production

11c. Will the production (manufacture, and/or repair and/or modification) of Protected and/or Classified material or equipment occur at the supplier’s site or premises?
 No  Yes

Information technology media

11d. Will the supplier be required to use its IT systems to electronically process, produce or store Protected and/or Classified information or data?
 No  Yes
11e. Will there be an electronic link between the supplier’s IT systems and the government department or agency?
 No  Yes

Note

For users completing the form manually use the summary chart below to indicate the category(ies) and level(s) of safeguarding required at the supplier’s site(s) or premises.

For users completing the form online (via the Internet), the summary chart is automatically populated by your responses to previous questions.

Summary chart: Protected

Summary chart: Protected

Category

A

B

C

Information / assets

Production

IT media

IT link
Summary chart: Classified

Category

Confidential

Secret

Top Secret

Information / assets

  

Production

IT media

  

IT link
Summary chart: NATO

Category

NATO

Restricted

NATO

Confidential

NATO

Secret

COSMIC

Top Secret

Information / assets

Production

IT media

IT link
Summary chart: COSMEC

Category

Protected

A

Protected

B

Protected

C

Confidential

Secret

Top

Secret

Information / assets

Production

IT media

IT link
12a. Is the description of the work contained within this SRCL Protected and/or Classified?

Note

If yes, classify this form by annotating the top and bottom in the area entitled “Security classification”.

 No  Yes
12b. Will the documentation attached to this SRCL be Protected and/or Classified?

Note

If yes, classify this form by annotating the top and bottom in the area entitled “Security classification” and indicate with attachments (for example Secret with Attachments).

 No  Yes

Part D: Authorization

13. Organization project authority: 

Signature:

14. Organization security authority: 

Signature:

15. Are there additional instructions (for example Security Guide, Security classification Guide) attached?

16. Procurement officer: 

Signature:

17. Contracting security authority: 

Signature:

Digitally signed by Saumur, Jacques 0 Date: 2019.09.17 13:08:24 -04'0'0
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2026-01-29