LI Li 1xi NYE COUNTY AGENDA INFORMATION FORM lxi

NYE COUNTY AGENDA INFORMATION FORM

Department: Nyc County Sheriffs OfficeAgenda Date:

Category: Regular Agenda Item June 15, 2010

Contact: Johanna Cody Phone: Continued from meeting of:

Return to: Location: Phone:

Action requested: (Include what, with whom, when, where, why, how much ($) and terms)

Discussion, deliberation, and possible decision to approve a modification to the contract with Department ofEnergy to provide services to NNSA/NSO. Modification is to incorporate Nevada Site Office (NSO) directiveNSO 0 412.X1E, Real Estate /Operations Permit, and add incremental funding in the amount of $335,000.00.There is no cost to Nye County.

Complete description of requested action: (Include, if applicable, background, impact, long-term commitment, existing county policy,future goals, obtained by competitive bid, accountability measures)

,

TF

1xi Action Li Presentation LI Presentation & Action

Any information provided after the agenda is published or during the meeting of the Commissioners will require you to provide 20 copies:one for each Commissioner, one for the Clerk, one for the District Attorney, one for the Public and two for the County Manager. Contractsor documents requiring signature must be submitted with three original copies.

Expenditure Impact byFY(s): (Provide detail on Financial Form)

1. Dept

3.

2.

Routing & Approval (Sign & Date)

5.

4.

lxi No financial impact

7. HR

inance

Board of County Commissioners Action

I Approved Disapproved I Amended as follows:

Clerk of the Board Date

U.S. DEPARTMENT OF ENERGYNATIONAL NUCLEAR SECURITY ADMINISTRATIONNEVADA SITE OFFICE

ORDER

NSO 0 412.X1E

Approved: 09-11-09Review Date: 09-11-13

REAL ESTATE/OPERATIONS PERMIT

V1National Nuclear Security Administration

INITIATED BY:Office of the Assistant Managerfor Safety and Operations

REAL ESTATE/OPERATIONS PERMITNSO 0 412.X1E9-11-09

OBJECTIVE. The objective of the Real Estate/Operations Permit (REOP) processis to ensure work performed on the Nevada Test Site (NTS) or offsite, under thecontrol of the National Nuclear Security Administration (NNSA) Nevada Site Office(NNSNNSO), is well defined; has well-defined geographical boundaries; hasidentified the hazards; has established and implemented controls to mitigate thosehazards; is properly authorized; and is effectively managed.

2. CANCELLATION. NSO M 412.X-1D, REAL ESTATE/OPERATIONS PERMIT,dated 5-23-06.

3. BACKGROUND.

a. The REOP process was established to provide effective management ofNNSA/NSQ real property assets and operations.

b. The REOP process complements and supports NNSAINSO’s:

(1) Review and approval of all work performed under the purview ofNNSAINSO.

(2) Approach to establishing line management responsibility for safety.

(3) Identifying risk and hazards associated with work activities.

4. APPLICABILITY.

a. The provisions of this directive apply to all NNSAINSO organizational elements.

b. Contractors, National Laboratories, other federal agencies, and other userorganizations requirements are contained in the Contractor RequirementsDocument (CRD), Attachment 1. Compliance with the CRD is required to theextent set forth in an NNSA/NSO contract or other agreements, (e.g.,Authorization Agreements, etc).

5. EXCLUSION. Classified, Unclassified Controlled Nuclear Information (UCNI), andOfficial Use Only (QUO) information associated with projects is excluded from therequirements for information input to the Management and Operating (M&O)contractor’s web-linked database. REOPs will be developed and input into theM&O contractor web-linked database for projects utilizing unclassified information.NNSAINSO REOP Managers will maintain classified, UCNI, and QUO informationconcerning these REOPs in a limited access file.

REAL ESTATE/OPERATIONS PERMITNSO 0 412.X1E

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6. REQUIREMENTS.

a. General.

(1) An approved REOP is the NNSNNSO authorization to conduct work oroperations within the specified facility/real estate.

(2) NNSNNSO prime contractors, the Joint Nevada Program Office (JNPO),and other organizations designated by the NNSAINSO Manager may holdprimary REOPs. Where there are multiple organizations working in thesame facility/real estate, only one will hold the primary REOP and theothers will hold a secondary REOP. Only one primary REOP can beissued to cover any defined geographical area. The primary REOP safetyenvelope is a living document, expanding and contracting as the Scope ofWork (SOW) at the location changes. The safety envelope of the primaryREOP is considered the summation of the approved primary andsecondary REOPs as a single entity.

(3) Secondary REOPs are a mechanism used to authorize additional andseparable work scope on real estate assigned to a REOP holder. Thisaugments the primary REOP for the time and scope specified in thesecondary REOP, and together with the primary REOP, comprises thetotal REOP Authorization Basis (AB). Multiple secondary REOPs can beprocessed for a single primary REOP; in such cases, the combined basisof authorization of the primary and secondary REOP(s) then comprise thetotal REOP. However, the activities of secondary REOPs must fall withinthe overall range of conditions and controls covered in specific safetydocumentation (e.g., safety envelope) of the primary REOPs.

• The REOP requires an organization to identify a single Point ofContact (POC), the REOP holder, responsible for safety coordinationand deconfliction of primary and secondary activities.

(4) Any organization performing work under the purview of NNSAINSO mayhold a secondary REOP.

(5) A secondary REOP requires review and concurrence by the applicableprimary REOP holder to ensure:

(a) SOW is well defined, including geographical boundaries andidentified hazards.

REAL ESTATE/OPERATIONS PERMITNSO 0 412.X1E9-11-09 3

(b) Controls have been established to mitigate the identified hazards.

(c) The safety envelope of the primary REOP is not exceeded by theactivities of the secondary REOP.

(6) All REOPs will be assigned an NNSA!NSO REOP Manager (with theexception of those held by and under the control of Department of Energy(DOE) Office of Civilian Radioactive Waste Management [OCRWM]).

(7) All new work, proposed changes to work, and newly identified risks!hazards not covered by an existing REOP must be analyzed inaccordance with CRD, Section 1 a(2), of this directive.

(8) The following will be maintained current and accurate:

(a) NNSNNSO REOP and Page A-i, Subpart A, Real PropertyIdentification.

(b) Subpart B, NTS Activity Coordination.

(c) Subpart C, Risk Management Checklist (RMC). All AB documentsare to be listed on Page C-i (e.g., Regulatory Requirements, SafetyAnalysis, Permits, Hazard Assessments, Operational Requirements,and Safety Basis [SB]).

(9) Overall safety coordination and deconfliction responsibilities aremaintained by the primary REOP holder.

(10) Primary and secondary REOP holders are responsible to provideassurance that the requirements and implementing documents ofparticipating organizations are sufficiently integrated to avoid adverseconsequences.

(ii) Primary REOP holders ensure each organization is prepared to takeappropriate emergency response actions to protect people and theenvironment, in accordance with the approved SB of the secondaryREOP.

(12) All NTS operations require M&O contractor Operations CoordinationCenter (CCC) coordination with the primary REOP holder; CCC must benotified at least 14 calendar days prior to ground operations and 45 daysprior to ground operations requiring air space. The above timeline is


4 9-11-09

associated with CCC scheduling requirements for air space, and failure tomeet it may preclude mission execution for the times requested. 0CCmust also be notified upon completion of operations.

(13) Operations involving hazardous materials transportation will be enteredinto the Hazardous Material Tracking System by the responsible REOPholder.

(14) All hazardous materials (e.g., chemicals, explosives, etc.) and anyhazardous waste generated is the responsibility of the REOP holder whoused or generated it and must be removed and properly disposed uponcompletion of the work.

(15) All real estate locations will be activated and deactivated in accordancewith the M&O contractor real estate activation/deactivation procedureunless other agreements are established with NNSAINSO.

(16) Any REOP may be rescinded for cause in writing by NNSA/NSO.

b. Nevada Facility User Model.

(1) Purpose. Establish NTS vision for the “user facility” concept in whichusers continue to pertorm hands-on programmatic work on theiractivities/experiments within National Security Technologies, LLC(NSTec)-managed facilities utilizing the REOP process.

(2) Background. The DOE/NNSA has directed that laboratory-managedNNSA/NSO facilities be turned over to the M&O. This describes the “endstate” and roles and responsibilities of implementing that objective. Itdescribes how the laboratories will be able to continue to use the NTS forwork, including high hazard experiments.

(3) Vision. NNSA/NSO, JNPO, and NSTec agree that the current model forauthorizing activities at the NTS, the REOP process, is the basis for theenvisioned user model. This is a two-tiered system where the primaryREOP holder is the facility manager and has responsibility for theauthorization basis for the facility, including activities and operations. Thesecondary REOP is used to authorize programmatic work and assignsafety responsibility at the activity level. NNSAINSO approves activitieson both the primary and secondary REOPs. This is depicted in thefollowing diagram of nested boxes.


NSO 0 412.X1E

9-11-09 5

User Facility Model

Federal and State Laws & RegsNTS Requirements 8 Directives

____________________________________

(DOE/NNSA/NSO)SiteWide Implementing Mechanisms

Facility X

_____________________

(Primary REOP) IFPj AB leg. DSA, TSR, USOD. 1

ProgrammaticAt’ —

_________

Program Execution (e.g. Plans.I Processes. Haza-d Assessments)

Facility X

_____________________

(Secondary REOP)

________________________________________________________

11(16,07

(4) For Hazard Category (HazCat) 2/3 nuclear facilities, the M&O contractorwill ensure compliance with and implementation of the SB requirements ofSubpart B of Title 10 Code of Federal Regulation (CFR), Part 830.Therefore, the M&O contractor will be responsible for developing the SBfor NTS nuclear facilities, including activities and operations.Implementation of specific SB controls and programs will be clearlydelineated in the primary and secondary REOPs.

(5) For less than HazCat 3 and nonnuclear facilities, a similar process will beused with the primary REOP holder responsible for the development ofauthorization basis. Implementation of specific AB controls and programswill be clearly delineated in the primary and secondary REOPs.

(6) Activity-level work is best known and understood by user Subject MatterExperts (SME) and those performing the work. When user activity-levelwork is proposed within an M&O-managed nuclear facility (HazCat 2/3),user SMEs will provide activity-specific data as appropriate. The M&O willthen perform an Unreviewed Safety Question (USQ) evaluation todetermine if the work is bound by the existing Documented SafetyAnalysis (DSA). If a change in the existing safety analysis is required,

REAL ESTATE/OPERATIONS PERMITNSO 041 2.X1 E

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user SMEs will provide activity-specific data necessary to support hazardidentification, categorization, and evaluation. Subsequently, the M&Ocontractor will revise the DSA and develop any additional Technical SafetyRequirements (TSR). Likewise, if a new DSA is required, User SMEs willprovide the requisite activity-specific data necessary to support DSA andTSR development. At a minimum, users will develop their own activity-specific implementing procedures and mechanisms to ensure compliancewith the TSRs.

(7) Work at the activity level within <HazCat3 and nonnuclear facilities orprocesses will be implemented similarly, although graded appropriately,using a USQ-like process to integrate activity-level work into theauthorization basis. The facilities to which this applies are the BigExplosives Experimental Facility/Baker, RNCTEC, and Ula Complex. Forother facilities, the REOP process alone is adequate.

(8) The above discussion applies to the end state process, but there areissues associated with the transition from the current state. There areseveral SB efforts already underway and it is not practical to hand off workproducts in their intermediate states. Each nuclear facility SB will beevaluated independently and specific strategies will be developed with afocus on continuity of operations and easily discernable turnover points.

(9) The primary REOP holder serves as the design authority for the facility,including the programmatic equipment interface to the facility. The M&Ocontractor will be responsible for capturing and maintaining creditedstructures, systems, and components in the Master Equipment List (MEL)under configuration management, as delineated in REOPs.

(10) The secondary REOP holder serves as the design authority forprogrammatic equipment and is responsible for providing information oncredited structures, systems, and components to the M&O contractor.Users are responsible for maintaining programmatic equipment and theMEL for programmatic equipment in accordance with the DSA.

(11) The facility operator staffs to the mission-capable level; the user isresponsible for trained and qualified staff to support programmaticoperations.

(12) Corrective Action Planning and tracking will follow REOP process rolesand responsibilities.


(13) Following transition, the M&O will develop and implement, with users’concurrence, NTS site-wide Safety Management Programs (SMP) inaccordance with 10 CFR 830. These SMP5 will ensure efficient andconsistent implementation of specific characteristics necessary to ensurefacility safety as credited in the DSA.

c. REOP Review and Apjroval.

(1) The REOP holder will submit the completed RMC Control Documentation(NSO-1 23C, Attachment 2, page 9) with a new REOP or an updated RMC(Attachment 3) to an existing REOP to the M&O contractor, FacilitiesOversight, Real Estate Services, Mail Stop NTS251.

(2) All new work, proposed changes to work, and newly identifiedrisks/hazards not covered by an existing REOP will be evaluated inaccordance with the NNSA!NSO RMC, Attachment 3. Each REOP holderwill be responsible for completing the RMC for all new work, proposedchanges to work, or newly identified risks/hazards not covered by anexisting REOP.

(3) DOE OCRWM does not perform NNSAINSO-related mission work, andtheir Environment, Safety, and Health oversight is not the responsibility ofNNSAINSO under the Atomic Energy Act. The REOP limited scope anddeconfliction review will be performed by the Office of the AssistantManager (AM) for Safety and Operations (AMSO). AMSO will evaluateand concur on the REOP5 based on the following criteria:

(a) The proposed work scope; sufficient to define the work beingconducted.

(b) Potential impacts on NNSA/NSO personnel, operations, and the NTSenvironment; and infrastructure support (e.g., power, water, androads) will be evaluated.

(c) Potential impacts of NNSAINSO operations on the REOP holder’swork for non-NNSA related projects will be evaluated.

(4) Issues that cannot be resolved between the REOP holder and the REOPManager go to the NNSAJNSO Manager for final resolution.


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(5) All comments by reviewers and resolution of comments will bedocumented in writing by electronic mail or on Form NSO-284,COMMENT AND RESOLUTION SHEET, available through theNNSAINSO INTRANET FORMS website or equivalent.

(6) NNSAINSO approval authority, based on the RMC in Attachment 2, is asfollows:

(a) The NNSA/NSO Manager, if a Readiness Review (RR) action isrequired.

(b) The responsible AM, if any criteria of Subpart C, RMC, are met orexceeded, and no higher-level actions are required.

(c) Only the NNSAINSO REOP Manager when none of the RMC criteriahave been met or exceeded.

(7) The NNSAINSO REOP Manager will sign all REOPs, indicatingconcurrence and certifying that the REOP process has been followed,after the RMC is completed and comments have been resolved.

d. Records. The scanned approved REOP will be maintained by the M&Ocontractor. Electronic access to copies of all REOPs will be made available onthe M&O contractor intranet REOP tracking database (e.g., Facility DataWarehouse).

e. Start Work. Work may begin after all approval conditions are met, includingrequired NNSAINSO approval signatures.

f. Chancje Control Pacie (CCP), Attachment 2.

(1) All REOP changes must be accomplished using the REOP CCP.

(2) All changes to REOP documentation that affect the AG must be submittedwith the CCP to M&O contractor, Real Estate Services.

(3) REOP changes will require NNSA/NSO approval at the same level theoriginal REOP was approved, with the exception of administrativechanges. Administrative changes only require approval of the REOPManager.

REAL ESTATE/OPERATIONS PERMITNSO 0 412X1E9-11-09 9

f. Exceptions. NNSA/NSO AMs may deviate from these requirements, asappropriate, for activities involving special circumstances (e.g., special securityconcerns, etc.). However, any primary or secondary REOP holder whoseestablished AB may be impacted because of such activities must be advised ofthe potential impacts by the cognizant AM, and the deviation must be concurredby AMSO and approved by the NNSA/NSO Manager.

g. Product or Service. In the performance of work by a primary or secondaryREOP holder, it is common practice within the NNSAINSO complex to acquirethe support of another organization(s) to provide specific products or services.The requesting REOP holder specifies the requirements for the product orservice desired. Depending on the nature of the desired product or service, thesupporting organization may fulfill its obligation autonomously or in partnershipwith the requestor.

The organization providing such products or services is obligated tocommunicate the identified hazards and controls inherent in providing theproducts/services within the REOP. This communication is typically provided inthe form of documentation associated with the work package that is used todefine and authorize these services in accordance with NSO 0 412.X3C, orlatest edition. This gives the primary/secondary REOP holder the informationnecessary to ensure that the safety envelopes established by the respectiveREOP holders are maintained. The organization providing the requestedproducts/services maintains safety responsibility for its employees and isaccountable for the safe performance of their work to the NNSA/NSO Manager.Such product or service organizations do not possess secondary REOPs forthe facility or operation being serviced.

7. RESPONSIBILITIES.

a. Manager, NNSA/NSO.

(1) Approves the REOP or CCP for work that requires a RR action asindicated in the RMC.

(2) Approves on deviations to the requirements of this directive.

(3) Approves REOPs that contain conditions of approval or ApprovalConditions requirements.


10 9-11-09

b. AMs.

(1) Ensure a REOP Manager is assigned to each REOP.

(2) Coordinate with any primary or secondary REOP holders, whoseestablished AB may be impacted because of activities that may havespecial security concerns.

(3) AMs will designate Functional Area Representatives (FAR) personnel withresponsibility to perform technical and administrative reviews based onREOP’s Subpart C, RMC.

c. AMSO.

(1) Develops and issues, with input from the AMs, guidance for implementingthis directive to all NNSAINSO organizational elements, contractors,National Laboratories, other federal agencies, and other NTS userorganizations.

(2) Concurs on deviations to the requirements of this directive.

(3) Provides oversight of the administration of the REOP process by the M&Ocontractor.

(4) Assigns an individual to address and resolve any issues raised byNNSAINSO organizations related to this directive or the REOP process.

d. REOP Managers.

(1) Ensure contractor/user organizations develop and maintain currentREOPs and AB for work scopes involving real estate and/or operationsunder NNSA/NSO purview.

(2) Review proposed SOW and ensure REOP holders have adequatelyevaluated the hazards of their work in accordance with the NNSA/NSORMC, and have attached appropriate hazards analysis and operationsplan information. For work with high-hazard consequences, including thatbeing conducted in nuclear and nonnuclear hazardous facilities, ensureapproved AB is in place.


(3) Ensure REOPs contain all AB requirements including applicabledocumented references that define the specific hazard that exceeds theRMC and the specific controls in place that mitigate the hazard.

(a) References should be as detailed as possible giving titles, pagenumbers, sections, etc., to direct the FAR through a quick review.Ensure all required data entries are complete and accurate, and allrequired legible signatures are on the applicable documents.

(b) If documents are not attached to the REOP, web links must beprovided for access; a POC can be identified for classified, UCNI,and QUO documents.

(4) Ensure appropriate “NNSA!NSO approval conditions” are clearlyidentified in the REOP (e.g., commitments to state or local officials,requirements for RRs, etc.).

(5) Ensure REOP holders whose real estate includes a Land Use Restriction(LUR), as listed in the Facility Information Management System (FIMS)database, are responsible for knowing and abiding by the activitylimitations of the LUR.

(6) Ensure work execution that requires NNSA/NSO approval is notinitiated until the required AB has been approved; the approved REOPand funding have been received; adequate operational coordination andscheduling (ground and airspace) is completed (if on the NTS); andapproval conditions are met.

(7) Upon receipt, ensure the REOP has been signed by the primary and/orsecondary REOP holder(s); ensure NNSA/NSO technical reviews areconducted per the RMC; obtain NNSAINSO concurrence signatures(legible and dated); and forward originals to M&O contractor for officialfiling by Real Estate Services, Mail Stop, NTS251.

(8) Ensure REOP holders perform an annual review of REOPs and ABdocumentation to ensure they are current. Primary REOP holders verifysecondary REOPs are still active; if not, they will be closed after12 months of inactivity by the primary REOP holder, if the secondaryREOP holder is not available.


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8. REFERENCES.

a. DOE 0 414.1C, QUALITY ASSURANCE, dated 6-17-05.

b. DOE 0 425.1C, STARTUP AND RESTART OF NUCLEAR FACILITIES,dated 3-13-03.

c. DOE 0 430.1B, REAL PROPERTY ASSET MANAGEMENT, dated 9-24-03,and Changes thereto.

d. NSO 0 111 .XH, FUNCTIONS, RESPONSIBILITIES, AND AUTHORITIES,dated 5-1 1-09.

e. NSO 0 41 2.X3C, ACTIVITY LEVEL WORK CONTROL, dated 8-1 3-08.

f. NSO 0421 .X1 C, NUCLEAR FACILITY SAFETY MANAGEMENT,dated 6-9-09.

g. NSO M 450.4-X, INTEGRATED SAFETY MANAGEMENT SYSTEMDESCRIPTION, dated 4-23-08.

h. 10 CFR 830, Nuclear Safety Management.

i. 10 CFR 851, Worker Safety and Health Program.

j. DOE-STD-1027-92, Hazard Categorization andAccidentAnalysis Techniquesfor Compliance with DOE Order 5480.23, NUCLEAR SAFETY ANALYSISREPORTS.

9. DEFINITIONS.

a. Activity Level Work. NNSAINSO activity level work is any job, task, orsubtask (e.g., any activity, step, or action that is part of an instruction,procedure, process, sequence of steps, or evolution) performed in the fieldor on the floor where hazards are present that are either associated with thework or the work environment (regardless of who is performing the work orthe organization with which they are affiliated). The hazards involved couldpotentially adversely affect worker health or safety (e.g., result in workerinjury or sickness) if the worker is exposed to them, and include radiological,chemical, industrial, biological, and other types of hazards.


(Reference: NNSA Activity Level Work Planning and Control ProcessesAttributes, Best Practices, and Guidance for Effective Incorporation ofIntegrated Safety Management and Quality Assurance, January 2006).

b. Approval Conditions. NNSAINSO requirements that must be met prior tothe performance of work within the bounding safety envelope of the RealEstate/Operations Permit (REOP).

c. Authorization Basis (AB). The collection of documentation that supports thedecision to allow a facility or activity to operate. It includes regulatoryrequirements, permits (e.g., air, water, etc.), SB {e.g., DSA, HazardsAssessment, etc.), and corporate operational requirements (e.g., policies,procedures, etc.).

Balance of Plant. A term used to designate the NNSA/NSO real estate forwhich no other primary REOP has been issued.

e. CCP. The mechanism by which all REOP changes and/or annual reviewsare documented.

f. Change to Existing Work. Any proposed change to authorized work,requires a change to the REOP to incorporate the changed work scope andany changes to the REOP AB.

g. Contractor/User Organization. Organizations that are contracted toNNSAINSO, have an agreement with NNSAINSO, or utilize NNSAINSOfacilities.

h. Facility. Land, buildings, tunnels, and other structures, their functionalsystems and equipment, and other fixed systems and equipment installedtherein, including site development features outside the plant such aslandscaping, roads, walks, parking areas, outside lighting, andcommunications systems.

i. Facility Information Management Systems (ElMS). The corporate realproperty database for DOE.

j. Functional Area Representative (FAR). An NNSA/NSO employee who isassigned responsibility to monitor the performance of one or more functionsthat support multiple NNSAINSO missions and/or projects. The FARensures that assigned functions satisfy defined requirements and areperformed in a manner that adequately controls associated risks.


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k. High-Hazard Consequences. Potential results of uncontrolled hazards thatmay result in severe injury or death; have a major adverse impact on theenvironment, property, programmatic funding, or public relations.

I. LURs. Information recorded in ElMS to protect the public health and safetyon contaminated land or the surrounding property when there is residualcontamination on a property.

m. Intelligence/Intelligence-Related Activities. Any activity conducted on theNTS, by or on behalf of agencies, within the Intelligence Community (IC).Such activities include (but are not limited to) the following collectiondisciplines: imagery (including photography); signals (includingcommunications); measurements and signatures; training of human assets;contributions to intelligence production efforts, research, development, ortesting; and the evaluation of collection assets requested by members of theIC.

n. Line Management. The unbroken chain of responsibility for a given workscope from the top executive in an organization, to the lowest level ofmanagement, who are all accountable for the safe performance of the workscope.

o. M&O. There is only one M&O type contract, with authority to act as M&Ocontractor for the NTS.

p. Oversight/Tailored Oversight by REOP Holder. The process used to ensureactivities continue to operate within the approved safety envelope asdefined in the REOP. The depth of oversight shall take into consideration atailored approach when reviewing the hazard assessment and/or safetydocumentation.

q. Prime Contract. A prime contract is any contract that is between thegovernment and another entity (contractor/company). There are varioustypes of contracts depending upon the requirements (e.g., supply, service,construction, Architectural and Engineering, M&O).

r. New Work. Any proposed programmatic SOW that is not covered by anexisting REOP.

s. RR. Methods used by NNSAINSO and contractor/users to determinereadiness of operations. Reviews for nuclear facilities will be conducted per


NSO 0 421 .X1C and DOE 0425.10. Reviews required by NNSA/NSO fornonnuclear activities will use a graded approach.

t. Real Estate. Term used to collectively refer to NNSA/NSO facilities and/oropen or vacant land area without buildings/structures.

u. Real Property. Buildings and structures that are permanently affixed to theland and/or which are used for storage of radiological or hazardousmaterials and/or which have a connected utility. Real property under thepurview of NNSA/NSO is identified by a building number and an assetidentifier. Real properly also includes land and tunnels that are defined inthe REOP utilizing Global Positioning System coordinates.

v. REOP. Form NSO-123 (Attachment 2) having three subparts completed bythe organization to perform work under NNSA/NSO purview that documentsfreferences the data and information necessary for NNSA/NSO to authorizework.

w. REOP Documentation. The data or information contained in the REOP,attached to the REOP, or identified as web link references. Such new orrevised documentation is subject to change control when updating theREOP.

x. REOP Holder. The representative of an organization, including NNSAJNSO,who obtains a REOP (primary or secondary) authorizing a SOW on adesignated piece of real estate, facility usage, or an operation underNNSA/NSO’s purview and maintains responsibility for coordination of safety,work control, emergency response, and other actions assigned by thisdirective.

y. REOP Manager. A federal employee identified by management as beingqualified to represent NNSA/NSO as the REOP Manager. For purposes ofthis directive, this term includes Federal Project Directors, FederalSubproject Directors, Functional Area Representatives, On-Site ProgramRepresentatives, and Task Managers per NSO 0 111 .XH.

z. Responsible Reviewing Organizational Element. An organizational elementof NNSA/NSO responsible to review REOP documentation consistent withtheir assigned functions in NSO 0 111 .XH.

REAL ESTATE/OPERATIONS PERMITNSO 041 2.X1 E

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aa. SB. A subset of AB that focuses on analyzing hazards and identifyingcontrols, in conformance with principles and functions of Integrated SafetyManagement graded for the hazard level of work. The SB can include theDSA, TSR set, Safety Evaluation Report, Nuclear Explosive Safety StudyGroup Report, job task analysis or job hazard analysis, and standardoperating procedures to ensure operations remain within specifiedparameters (e.g., skill of the worker).

bb. Risk. The product of probability and consequences. For the purposes ofthis directive, probability is considered an eventuality and consequences areevaluated against the RMC to determine if the risk is of particular concernto NNSA/NSO management. A state of uncertainty where some of thepossibilities involve a loss, catastrophe, or other undesirable outcome.

cc. Safety Envelope. The range of conditions and collection of controls coveredin specific safety documentation (identified by RMC [Subpart C]) associatedwith specific facility operation, or projects.

dd. Technical Review. Process established to review the proposed SOW andensure adequate identification and mitigation of associated risk and hazardsare identified if activities exceed RMC requirements. The burden lies withthe REOP holder to provide documentation of sufficient detail and clarity tocomplete the technical review in a timely manner.

ee. Facility User Model. Establish NTS vision for the “user facility” concept inwhich users continue to perform hands-on programmatic work on theiractivities/experiments within facilities under the purview of NNSA/NSOutilizing the REOP process

10. TRAINING. AMs’ POCs are required to read the current procedure and the entireNNSA/NSO staff must complete REOP overview computer based training.

11. RELATIONSHIP TO OTHER DIRECTIVES. DOE, NNSA, and NNSNNSOhave other directives, in addition to the requirements of this directive, which specifywork authorization requirements. This directive in conjunction with other directivesprovides for operational awareness and oversight of site work control practices asperformed by contractors and work for others.

REAL ESTATE/OPERATIONS PERMITNSO M 412.X-1E

17 (and 18)

12. CONTACT. Questions concerning this directive will be directed to the AssistantManager for Safety and Operations (AMSO) at (702) 295-3424.

Stephen A. Mellington———— Manager

REAL ESTATE/OPERATIONS PERMITNSO 0 41 2.X1 E Attachment 19-11-09 Page 1

CONTRACTOR REQUIREMENTS DOCUMENT (CRD)

Contractors, National Laboratories, other federal agencies, and other userorganizations performing activity level work under the purview of the NationalNuclear Security Administration Nevada Site Office (NNSAINSO) must:

a. General.

(1) Prepare a Real Estate/Operations Permit (REOP) in accordance with thisCRD. A REOP is not required of organizations performing product orservice-type work in support of a primary or secondary REOP (eg.,delivering supplies or materials services or providing other services).

(2) Evaluate all new work, changes to existing work, and newly identifiedrisks/hazards in accordance with the Risk Management Checklist (RMC)(Attachment 3).

(3) Ensure cognizant NNSAINSO representatives are advised of anytechnical changes to Authorization Basis (AB)/Safety Basis (SB)documentation utilized to mitigate risks associated with approved workactivities. These changes will require submittal of a change control to theREOP.

(4) NNSAINSO, NNSA/NSO prime contractors, the Joint Nevada ProgramOffice, and other organizations designated by the NNSAINSO managermay hold primary and secondary REOPs. All other organizations mayonly hold secondary REOPs.

(5) Submit REOP documentation to NNSAINSO for final approval. Allapproved REOPs are to be submitted to the Management and Operating(M&O) contractor for Real Estate REOP record keeping.

(a) The M&O contractor will assign a REOP number to the REOPdocument.

(b) The original REOP documentation will be signed by the REOP holderand provided to the M&O contractor Real Estate Services for REOPadministration.

REAL ESTATE/OPERATIONS PERMITAttachment 1 NSO 0 41 2X1 EPage 2 9-11-09

(c) The M&O contractor will review the REOP documentation foradministrative compliance with this directive and will provideassistance in the correction of REOP documentation errors ifrequested.

(d) The M&O contractor will confirm and verify that primary REOPboundaries do not overlap. Where multiple organizations work at acommon location, only one of the aforementioned organizations willbe designated as the primary REOP holder.

(e) The M&O contractor will enter summary information into an onlineREOP tracking database within three working days after receipt ofthe approved REOP documentation.https://ntsweb.nv.qov/facilitvDW/rerortsFl M .cfm

(f) All real estate locations will be activated and deactivated inaccordance with the M&O contractor real estate activation!deactivation procedure unless other agreements are established withNNSAINSO.

(g) The M&O contractor will establish and implement administrativecontrols to archive completed, original REOPs, and maintain acurrent and accurate online REOP tracking database with “read only”access.

(6) Prepare a secondary REOP for work (not considered a “product orservice”) conducted within the real estate boundary covered by one ormore primary REOPs.

(a) The primary REOP holder(s) must concur with in the secondaryREOP to ensure the proposed work does not conflict with the primaryREOP(s).

(b) One or more secondary REOPs may exist for a single primary REOP.In such cases, the combined basis of authorization of the primary andsecondary REOP(s) then comprise the total REOP. However, theactivities of the secondary REOPs must fall within the overall safetyenvelope of the primary REOP(s) for the geographic areas authorizedunder the secondary REOP.

REAL ESTATE/OPERATIONS PERMITNSO 0 412.X1E Attachment 19-11-09 Page 3

(c) The primary REOP(s) holder must ensure that a technical review hasbeen conducted on all secondary REOPs where the proposed workmeets or exceeds the RMC performed by an organization notspecified in paragraph 1 a(4) above. The results of the review are tobe submitted to the REOP Manager(s) for resolution.

(d) A single secondary REOP may extend to the geographic area of morethan one primary REOP. In such cases, reviews and concurrence ofthe secondary REOP must be completed by all impacted primaryREOP holders.

b. Primary and secondary REOP holders provide safety coordination foroperations identified within their respective REOPs to include the followingrequirements:

(1) Ensure the activities of one organization do not present unknown hazardsto another organization through written concurrence in and communicationof participants’ hazard assessments. Deconfliction is the responsibility ofthe primary REOP holder. All secondary REOP holders communicatehazards to the primary REOP holder.

(2) Ensure requirements and implementing documents of all organizationsare sufficiently managed to avoid adverse consequences. The primaryand secondary REOP holder must:

(a) In conjunction with the Functional Area Representatives and REOPManager, evaluate and resolve potential conflicts between standards!requirements utilized by participating organizations. Procedures andcontrols authorized by NNSA!NSO (e.g., Title 10 Code of FederalRegulations (CFR), Part 851, 10 CFR 835, etc.) must serve asadequate controls unless the conflict in controls or monitoring causesconditions adverse to safety of the workers or the facility.

(b) Evaluate the various risk thresholds used by organizationsperforming work to ensure hazards have been properly analyzed.

(3) Ensure each organization is prepared to take appropriate emergencyresponse actions to protect people and the environment.

REAL ESTATE/OPERATIONS PERMITAttachment 1 NSO 0 41 2.X1 EPage 4 9-11-09

(4) Primary REOP holders must:

(a) Be informed by the secondary REOP holder when conflictingactivities may impact another organization or is reportable, such asfire events, aviation operations, and medical evacuation.

(b) Perform tailored oversight based on hazards and risk of thoseorganizations not authorized to hold primary REOPs.

(c) Implement plan-of-the-day, plan-of-the-week, or other mechanisms tocommunicate potential hazards among all organizations performingwork.

c. REOP holders will coordinate with the M&O contractor when initiating and/orterminating a primary or secondary REOP. A secondary REOP cannot bereleased by the holder without wriffen concurrence of the NNSA/NSO REOPauthorizing official that the real estate has been returned to acceptable reusablecondition.

d. For work to be performed at the Nevada Test Site (NTS), REOP holders willnotify the Operations Coordination Center (0CC), and the primary REOP holderfor secondary REOPs, (via Subpart B of the REOP) no later than 14 calendardays prior to the commencement of ground activities. For ground activities thatrequire air space, an initial Subpart B is to be submitted to CCC 45 calendardays prior to commencement of operations. This is to be followed up withadditional Subpart B being submitted at 30 and 14 calendar days prior tocommencement of operations. Any changes to the REOP regarding schedulesor locations must be coordinated with CCC, and the primary REOP holder forsecondary REOPs, utilizing an updated Subpart B. The CCC must also benotified upon completion of the operations.

e. REOP holders must perform an annual review of their REOP to ensure theREOP documentation, including AB, is current and consistent with the Scope ofWork and the risks/hazards.

f. Work may not be initiated until:

(1) The REOP is completed/revised with appropriate signatures and a REOPnumber has been assigned in accordance with the REOP administrativeprocess described in paragraph la(5) above.

REAL ESTATE/OPERATIONS PERMITNSO 0 412.X1E Attachment 19-11-09 Page 5

(2) Approval conditions (if required) are met.

(3) Funding has been received.

(4) REOP holders comply with applicable requirements and controls asdefined in the REOP (e.g., laws, regulations, contract requirements, etc)for all planning and execution of work.

g. REOP Documentation.

(1) Provide a completed REOP form (Attachment 2) with original signatures.Attachment 2 provides REOP form instructions, including Subparts Aand C details. The official form (NSO-123, REAL ESTATE/OPERATIONSPERMIT) is available on the NNSA/NSO Home Page athttp:llnvhome/ambcm/forms/default.aspx. This is a Word file format. Useof a Microsoft Word file format with expandable fields, obtainable from theM&O contractor, is authorized.

(2) Subpart A. Provide the information requested in Attachment 2, Subpart A,page A-i, for all real property and work activities.

(3) Subpart B. Complete a “NTS Activity Coordination (schedule!deconfliction)” (Attachment 2), if required. A Subpart B is required if workis being done on the NTS.

(4) Subpart C. Complete Subpart C, RMC (Attachment 2). For classified,Unclassified Controlled Nuclear Information, Official Use Only, orunusually large documents, a Point of Contact may be specified instead.Referenced documentation will be identified by REOP number and REOPname, title, date, and revision number; any future changes to suchdocumentation will be subject to change control.

(a) Define work scope in sufficient detail, such that risks of interest toNNSA/NSO (e.g., RMC, Attachment 2) can be identified. Attach aSafety Plan or Operations Plan for non-Department of Energy-relatedwork.

(b) After comparing the work scope to the criteria identified in the RMC,list the specific RMC criterion number (e.g., 4a, i2b, i2c, etc.) that ismet or exceeded. For each criterion, identify the specificdocumentation that describes the analysis of the risk, identification


of controls, and where the information can be found (attachdocumentation or list web link address, document title, referencesection, and page number).

(c) Identify the REOP approval authority.

(d) AB Documentation. It includes regulatory requirements, permits(e.g., air, water, etc.), SB (e.g., Documented Safety Analysis,Hazards Assessment, etc.), and corporate operational requirements(e.g., policies, procedures, etc.).

h. Chancie Control.

(1) All changes to a REOP will be processed like an original primary orsecondary using the REOP Change Control Page (CCP) (Attachment 2),except:

(a) Routine or periodic construction/maintenance activities that do notmeet or exceed the RMC (Attachment 2).

(b) Subpart B Schedule changes that will be provided directly to theNNSA/NSO CCC and primary REOP holder for secondary REOPs.

(c) Administrative changes to Sections 3-15 on the REOP form(Attachment 2). Such changes will be processed using the CCP(Attachment 2) by the REOP holder and provided directly to the M&Qcontractor. Administrative changes must be approved by theNNSA/NSQ REOP Manager. These changes are limited to names,telephone numbers, charge numbers, organization codes,square footage corrections, and average number of occupants.

(2) A CCP will be used to document all changes to REOP documentation,including AB.

(3) Closure or cancellation of a REOP will be accomplished by processing aCCP. This closure or cancellation is to be completed within 60 days ofcompletion of the work covered by the REQ P. Primary REOP holdershave the authority to request closure of secondary REOPs afterconcurrence by all related primary REOP holders and approval of NSOREOP Manager. Closure of any associated facilities will requireadherence to the M&O contractor facility closure procedures. Asecondary REOP cannot be released by the holder without concurrence of

REAL ESTATE/OPERATIONS PERMITNSO 0 412.X1E.DMC Attachment 1DRAFT Page 7 (and 8)

the primary holder that the real estate has been returned to acceptablereusable condition.

(4) A CCP will be used to document an annual review of the REOP. TheREOP holder is required to perform an annual review if no other CCP hasbeen submitted for the REOP during the previous 12 months.

(5) Upon submittal of a CCP, all REOPs will be updated to a new formatfollowing the promulgation of a new NSO-1 23 and/or subpart formats.

(6) Affected REOP pages (those on which data has changed) will be attachedto the CCP that documents those changes. The REOP itself must alwaysbe updated to the latest CCP.

(7) The M&Q contractor will maintain a file of all completed CCPs for eachREOP, but will not post CCPs in the online REOP database. A CCP logwill be posted online as the first page of each REOP to display applicableCCPs (number, date, brief summary of change).

2. The M&O contractor will maintain a primary “Balance of Plant” REOP for allNNSA/NSO real estate not specifically covered by another primary REOP.


NSO 0 412.X1E

9-11-09

Attachment 2

Page 1

1. REOP Name:

____________________

2. REOP Number:

_______________________

(Provided by Management and Operating [M&O]contractor, Facilities Oversight, Real EstateServices, Mail Stop NTS251)

3. Date:

5. Subpart B is required if work is beingconducted at the Nevada Test Site (NTS).

YesLI NoEl(If yes, contact the Operations Coordination Center[CCC] at 702-295-4015 to coordinate.)

(Date submitted to NNSAINSO for approval)

4. Primary LI Secondary LIRelated Primary REOP Numbers:

6. Facility Activation Involved? Yes LI No LI

7. Planned Operational Dates (5 Years Max.):

From

To

8. Site Designation: NTS LI NLV LI RSL LI Other Location (identify here) LI

9. Area Designation (for NTS only):(Example: 01, 02, 06, 18 etc.)

___________________________________________________

10. Perimeter Boundaries (use Global Positioning System coordinates longitude/latitude to define landareas. Building or Room Numbers may be used for real property listed on Subpart A:

11. Description of Work Scope/Safety Envelope Involving Use of Real Property Under NNSAINSOPurview:

Authorization basis documentation required? Yes LI No LI If yes, see supplemental documentationattached Subpart C.

Signature:

Organization:

_______________________________

Org. Code:

Duty Phone:

______________________________

Radio Net:

Pager Number: E-Mail Address:

Off-Duty Phone: (emergencies only)

NSO-1 23(08/2009)All other editions obsolete.

SUBPART A: NATIONAL NUCLEAR SECURITY ADMINISTRATIONNEVADA SITE OFFICE (NNSNNSO)

REAL ESTATE/OPERATIONS PERMIT (REOP)(Indicate N/A for all items that are not applicable)

Page 1 of 2

12. REOP Holder:Name: Date:

Facility Manager Name if Different From REOP Holder:


Attachment 2 NSO 0 41 2.X1 E

Page 2 9-11-09

NSO-123 Page2of2(08/2009)All other editions obsolete. SUBPART A: NNSA/NSO REOP

(Continued) REOP No.:

___________________

REOP Name:

_________________

SITE:

13. Concurrence of Primary REOP Holder if Application Is for a Secondary REOP:

Printed Name Signature Organization Date

Printed Name Signature Organization Date

14. M&0 Contractor 0CC Concurrence of CoordinationlDeconfliction (if Subpart B required):

Printed Name Sianature Title Date

15. NNSAINSO REOP Manager Approval:

Printed Name Signature Title Date

16. NNSAINSO Approval:

Readiness Review Required: Yes LI No LI. If yes, NNSA/NSO LI Contractor LINNSA/NSO Approval Conditions: Yes LI No LI. If yes, identify comments below:


17. Received by M&0 Contractor Representative:

Printed Name Sicinature Title Date

18. Cancel REOP:

NNSAINSO REOP Manager:


M&0 Contractor Deactivation:


REAL ESTATEIOPERATIONS PERMITNSO 0 41 2.X1 E Attachment 29-11-09 Page 3

SUBPART A: NNSA/NSO REOP FORM INSTRUCTIONS

Item 1. REOP Name. Provide a unique name that will permit future identification and communicationsconcerning this REQ P.

Item 2. REOP Number. Contact the M&O contractor, Real Estate Services, NTS251, to obtain a REOPnumber. A REOP number can be reserved up to 60 days in advance in order to cite the number in otherdocuments before the REOP is approved.

Item 3. Date. The date the REOP is submitted to NNSA/NSO REOP Manager for approval.

Item 4. Primary/Secondary. The REOP holder will identify this REOP as either a primary or a secondaryREOP. If it is a primary REOP withdrawing real estate from a Balance of Plant REOP, the applicableBalance of Plant REOP number will be identified. If it is a secondary REOP, the related primary REOPnumber(s) will be identified.

Item 5. Subpart B is required if work is being conducted at the NTS. Check “Yes” or “No.” If yes, contactthe M&O 0CC at (702) 295-4015 or [email protected], to determine if a Subpart B isrequired.

Item 6. Facility Activation Involved? Check “Yes” if this REOP includes a building(s) that requireactivation. This item indicates the need for the M&O contractor to accommodate utility needs, fireprotection, custodial services, and physical/environmental hazards control.

Item 7. Planned Operational Dates (Five-Year Maximum). Identify the approximate dates for the workscope. A REOP may be approved for no longer than five years without revision.

Item 8. Site Designation. Check the appropriate box.

Item 9. Area Designation (for NTS only). Identify the two-digit area number where this REOP is located.If the perimeter boundary intersects more than one area, chose the area that is best representative. If thework scope is located at other than the NTS, enter “N/A.”

Item 10. Perimeter Boundaries. Identify the longitude/latitude Global Position System coordinates forland area(s) under a primary REOP or a secondary REOP. The coordinates will be provided in aclockwise manner beginning at the most southeast coordinate. This information is used by the M&Ocontractor to ensure estate is clearly assigned to one, and only one organization. Any unique issues withthis information will be negotiated with the M&O contractor (e.g. NSTec Real Estate Services).

Item 11. Description of Work Scope Involving Use of Real Property Under NNSA/NSO Purview. Brieflydescribe the authorized operations/activities that are to be conducted.

Item 12. REOP Holder. This block is for the signature of the organizational representative (as defined inthe REOP directive, page 15, paragraph 9W).

Item 13. Concurrence of Primary REOP Holder(s) if Application Is for a Secondary REOP. Documentsthe concurrence of related primary REOP holder identified in Item 4.

Item 14. M&0 Contractor CCC Coordination/Deconfliction (if Subpart B required). Subpart B is requiredif work is being done on the NTS so that DCC is aware of the work and deconflicts the proposed activityin the NTS operations schedule. CCC is aware for deconfliction of proposed activity and has NTSoperations schedule.


Item 15. NNSAINSO REOP Manager Approval. This signature block is to ensure the assignedNNSAINSO REOP Manager is aware of the work and has made sure controls for risks that are of interestto NNSAINSO are in place.

Item 16. NNSAINSO Approval.

Readiness Review Required? Check “Yes” or “No.” If yes, indicate either an NNSAINSO ReadinessReview (RR) or a contractor readiness review. The requirement for a RR is derived from the RiskManagement Checklist (Attachment 3).

NNSA/NSO Approval Conditions. Check “Yes” or “No.” This section provides a means of identifying anyitems that must be accomplished before, during, or after operations that are considered important toNNSAINSO and, therefore, a condition of approval. The approval level for this block is defined inparagraph 6b(5) of this directive.

Item 17. Received by M&O Contractor Representative. This block will be signed and dated by arepresentative of the M&O contractor when the completed REOP is received from the NNSA/NSO REOPPoint of Contact.

Item 18. Cancel REOP. This block will be signed and dated by:

• The NNSA/NSO REOP Manager to document concurrence with REOP cancellation.

• An M&O contractor representative to document accomplishment of the deactivation process andupdate of the REOP database and website.

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NSO 0 41 2.X1 E Attachment 2

9-11-09 Page 7

NSO-123B Page B-i(08/2 009)All other editions obsolete. REOP No.

__________________________________

REOP Name:

___________________________

SUBPART B: NTS ACTIVITY COORDINATIONSchedule/Deconfliction

Type of Request: Mark only one per form.

Q Schedule Activity D Delete InformationPreparer name Phone #:

Q Cancel Activity Q Change Information

___________________ ____________________

Yes No General Questions

D D Are Foreign Nationals associated with this activity? Contact NNSNNSO AMSS.

D 0 Will any road closures be required, if yes where?

_____________________

If any road closures are due to security concerns, please contact AMSS.

0 0 Any off-hours or Weekend/Holiday work? Contact 0CC prior to start at 295-4015 or 295-2467.

Q 0 Aviation-related work, complete/submit “NTS Aviation Activity Coordination” (NSTec FRM-2087) with thisSubpart B, available from 0CC at 295-4015 or 295-2467.

Estimated # of personnel working in Area:

_____

A. Organization (mark all that apply):

0 NNSA/NSO 0 LLNL 0 LANL B. Requester:

____________________________

0 SNL 0 WSl 0 DTRA Phone/Pager:

_____________________________

0 M&0 0 EM Service Contractor 0 DRI Backup POC:

_______________________________I

0 State of NV 0 OCRWM 0 JNPO Radio Net:

________________________________

0 Other:

________________________________________

Call Sign:

________________________________________

C. Please list dates and times personnel will actually be in each area. If work will occur Friday/Saturday/Sunday or holiday,please note as such, ora four-day workweek will be assumed. For activities spanning more than one month, please prepareforms in one-month intervals. If additional space is needed, use “Remarks” section below:

Date Start/Stop:

______________________________

Time Start/Stop:

______________________________

Date Start/Stop:

______________________________

Time Start/Stop:

______________________________

Date Start/Stop:

______________________________

Time Start/Stop:

______________________________

D. Location:

NTS Area(s)

NTS Grid Coordinates

___________________________

If known, Lat. & Long.

____________________________


REOP No:

___________________

REOP Name:

___________________

E. Brief Description (use separate blank sheet(s) for additional data):

F. 0CC Remarks Only (use separate blank sheet(s) for additional data):

WHEN SUBPART B FORM IS COMPLETE, E-MAIL TO THE OPERATIONS COORDINATION CENTER([email protected]) OR FAX TO (702) 295-3852, AND THEN SUBMIT UPDATED COPY TO ALL PRIMARYREOP HOLDERS.

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REAL ESTATE/OPERATIONS PERMITNSO 0 41 2.X1 E Attachment 29-11-09 Page 11 (and 12)

NSO-123D NATIONAL NUCLEAR SECURITY ADMINISTRATION(08/2009) NEVADA SITE OFFICE (NNSA/NSO)All other editions obsolete.

REAL ESTATE/OPERATIONS PERMIT(REOP)CHANGE CONTROL PAGE Page of

1. REOP INFORMATION:

REOP No: Revision No.:

REOP Name:

Type REOP: Primary Q Secondary Q2. PROPOSED CHANGE:Changed Initiated By: Type Change:

Q Technical 0 Schedule Change(Printed Name)

Q Annual Review Q Other: explain below

0 Closure/Cancellation(Real Estate returned to Balance of Plant)

(Organization)Q Revised Format Only, changes that do not require RMC

(attachment 3) risk reviewDescription of Change:

Effective Date of Change: (This entry cannot be back-dated)

Attachments (list and attach all changed REOP pages and/or Subpart A, B, or C documents):Documents are scanned in with signatures, for posting on online database.

3. CHANGE APPROVAL:REOP Holder:

(Printed Name) (Signature) (Date)Concurrence of Primary REOP Holder: Q N/A (check if not applicable

(Printed Name) (Signature) (Date)M&O ContractorOperations Coordination Center Coordination/Operations Scheduling: D N/A (check if not applicable

(Printed Name) (Signature) (Date)NNSAINSO REOP Manager: Q N/A (check if not applicable

(Printed Name) (Signature) (Date)NNSAINSO Authorization Official: Q N/A (check if not applicable

(Printed Name) (Signature) (Date)4. RECEIVED BY M&O CONTRACTOR REPRESENTATIVE:

(Printed Name) (Signature) (Date)

REAL ESTATEIOPERATIONS PERMITNSO 0 412.X1E9-11-09

Attachment 3Page 1

REOP No:

REOP Name:

NATIONAL NUCLEAR SECURITY ADMINISTRATION (NNSA)NEVADA SITE OFFICE (NNSAINSO)

RISK MANAGEMENT CHECKLIST (RMC)’

a. Use of any aerial assets in service toNNSNNSO.

b. Use of any unmanned aerial vehicle.

c. Use of NNSAINSO aviation assets that couldbe contaminated with hazardous materials(e.g., rad, beryllium, etc.).

AM)forNationalSecurity(AMNS)

AM for Safetyand

Operations(AMSO)AM for

Safeguardsand Security

(AMSS)

1 Identify any RMC criteria where the work scope meets or exceeds the specified criteria. Any safety criteriasection will be evaluated by Point of Contact (POC)/Functional Area Representative (FAR) without regard tohazard mitigation.

2 The following Assistant Managers (AM) need to review (prior to signature) all Real Estate/Operations Permits(REOP) that exceed the specified criteria as identified in this checklist. Only for Federal Staff (POC/FAR) use.

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSA/NSO or May Require NNSNNSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element21. Aviation Management and Safety

AnyD

D

D

2. Classification

________________________

Production or handling of Department of AnyEnergy (DOE), NNSA, and/or othergovernment agencies’ classified andunclassified-sensitive information.

AMSS D

REAL ESTATEIOPERATIONS PERMIT

Attachment 3Page 2

NSO 0 412.X1E

9-11-09

Proposed action that may cause an impacton any aspect of the environment (thisincludes modifications to existing facilities toaccommodate a new or expanded use);submit a completed National EnvironmentalPolicy Act (NEPA) Environmental Checklist(Form NSO-16) with REOP application forany proposed action that has not previouslyreceived a NEPA determination as requiredby 10 CFR 1021. Every REOP will berequired_to_have_a_Form_NSO-16.

______________________

b. Proposed action/project/activity to be Anyconducted in Nevada Test Site (NTS) deserttortoise range. An “effects analysis” musthave been completed to determine ifaction/project/ activity needs to be appendedto_the_NTS_Biological_Opinion.

_______________________

AMSO D

AMSO D

AMSO D

AMSO DAMSS D

AMSO D

AMfor QinvironmentalManagement

(AMEM)

AMEM C

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSNNSO or May Require NNSA/NSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element23. Construction

a. Exemptions or deviations from applicable Anybuilding codes and standards (e.g.,International Code Council Uniform BuildingCode, Uniform Plumbing Code, and NationalElectric Code).

b. New construction work and/or constructionrelated activities that are not covered underan existing NSO approved Title 10 Code ofFederal Regulations (CFR), Part 851,Worker Safety and Health Program (WSHP).

c. Demolition/closure facilities with hazards orconditions in facilities that are or will bepermanently closed or demolished, thatinvolve deviations from the technicalrequirements_of_10_CFR_851.23.

4. Emergency Management

a. Hazardous materials (radioactive materials, Anychemicals, hazardous biological agents andtoxins) transported, stored, or used, which (Plan for disposition ofexceed the thresholds identified in leftover chemicals afterDOE 0 151.1 C, Chapter III. project completion)

b. Work performance that could potentially Anyresult in a classifiable event in accordancewith DOE 0 151.1C (e.g., Alert, Site AreaEmergency,_or General_Emergency).

5. Environmental Protection, Monitoring, and Compliancea. Any


NSO 0 41 2.X1 E Attachment 39-11-09 Page 3

Activities That Present Risks, Which Are of aConcern to NNSA/NSO or May Require NNSNNSO Review andCoordination Comment

c. Any action/activity that could affect Anyarchaeological and historic sites. AmericanIndian cultural areas, Cold War artifacts,structures, or sites that may have historical orcultural_significance.

________________________

d. Any release of radioactivity. Any

e. Property/scrap/waste that is intended to Anyremain on NNSNNSO real estate afterthe completion of the work that was not thereprior to_the_beginning_of_work.

______________________

f. Ground surface disturbance (including off- Anyroad driving); open burning of material/fuel;potential to emit pollutants (includingradioactive) to the air; use of diesel- orgasoline-powered electric generator(s);explosive_operations.

______________________

g. Disturbance of springs, seeps, ponds, playas Any(dry lakes), intermittent drainages (e.g., drywashes)_with_defined_banks.

______________________

h. Development of a new or modification of an Anyexisting drinking water system at the NTS;proposal to drill a well or borehole; proposalto construct or modify a septic sewagesystem.

_______________________

i. Access to any NTS well, which intersects the Anygroundwater table.

6. Environmental Restoration

a. Activities to be performed at any of the Anycurrent Decontamination andDecommissioning_facilities.

b. Activities that may potentially result in a need Anyto restore the environment to its preusecondition.

c. Any activities that may affect an Federal AnyFacility Agreement and Consent Order(FFACO) site, as listed in Appendices ll-IV ofthe FFACO. Including sites that have beenclosed_in_place_with_a_Land_Use_Restriction.

Required Action if Activity Is to Be Performed

Conduct ReadinessReview

CheckmarkResponsibleReviewing

OrganizationalElement2

AMEM D

AMEM D-‘rSafety D

(NST)

AMEMAMSO

AMEM

AMEM D

AMSO 0AMEM 0

AMEM 0

AMEM 0

AMEM 0

AMEM 0


Attachment 3 NSO 0 41 2.X1 EPage 4 9-11-09

8. Industrial Hygienea. Disturbance of asbestos or lead-based paint. Any

b. Use of airline or self-contained breathing Anyapparatus_respiratory_protection.

_______________________

c. Use of lasers> Class 3b American National AnyStandards Institute ([ANSI] Z136.1).

d. Use of non-ionizing radiation emitters Any> 10 Milliwatts per Square Centemeter(ANSI/Institute of Electrical and ElectronicEngineers C95.1).

e. Potential to generate particulates/fumes/ Anychemical vapors greater than 50 percent ofthe published levels (Threshold Limit Values(TLV) or Permissible Exposure Limits)(American Council of Government IndustrialHygenists TLVs for Chemical and PhysicalAgents and Biological Indices booklet).

1. Use of chemical agents or simulants, Anybiological warfare agents or simulants, or anychemical used in training exercises.

g. Use of beryllium or working in areas Anypreviously identified as being contaminated(legacy sites).

h. Potential to lower oxygen concentration Anywithin an occupied area below 19.5 percent.

i Potential to generate flammable gas vapor or Anymist above 10 percent Lower FlammableLimit.

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSA/NSO or May Require NNSA/NSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element27. Fire Protection

a. Construction projects that must be Anyconstructed to National Fire ProtectionAgency (NFPA) standards and/or involve fireprotection_systems.

b. Construction projects that complete a fire Anyhazards analysis in accordance withNFPA 801.

c. Exemptions or deviations from applicable fire Anyprotection codes.

NST D

NST D

. NST D

AMSOAMEM

D

AMSO DAMSO

AMSO D

AMSO D

AMNSAMSO DAMSS D

AMSO D

AMSO D

AMSO D


NSO 041 2.X1 E

9-11-09

Attachment 3

Paqe 5

a. Any activity/operation that cannot be Anysupported by the Management andOperating_contractor medical_department.

_______________________

b. All projects involving human subject Anyresearch, as defined by 10 CFR 745,Protection of Human Subjects:

(1) All research projects that involve humansubjects in human machine interface testing.

(2) All research projects that involve collection ofdata from living individuals throughintervention or interaction.

AMNS DAMSO DAMSS D

AMNSAMSOAMSS

DDD

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSNNSO or May Require NNSAINSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element29. NTS Operations

a NTS operational activities on the ground, Anyunderground, or within NTS air space(excludes infrastructure maintenance!utilization), not currently being performedwithin_an_existing_authorization_basis.

b NTS activities requiring road closures and/or Anyairspace restrictions (excluding infrastructuremaintenance! utilization, not currently beingperformed within an existing authorizationbasis.

c Any activities planned to utilize, access, or be Anyscheduled that may impact the U.S. Air ForceNevada Test and Training Range (NTTR)airspace and/or ground areas, including anyland areas or airspace in the Tonopah TestRange_portion_of the_NTTR.

d. Department of Defense (DoD) activities Anyinvolving DoD aircraft and ground operations.

10. Nuclear Safety

a. Facilities/activities categorized as 1, 2, 3, or Any Any Nuclear Facility AMNS Qradiological. Startup/Restart NST Q

AMEM Db. Facilities/Activities involving nuclear criticality Any Nuclear Facility AMNS D

safety hazards. Startup/Restart NST Q

AMEM U

c. Activities involving structure, system, or Any Any Nuclear Facility AMNS Qcomponent at a Hazard Category 1, 2, or 3 Startup/Restart NST Qnuclear facility. AMEM U

1 1. Occupational Medicine

AMSO UAMSS UAMNS U

Air Force ULiaison Office(AFLO)!DOE

AFLO/DOE UAMNS UAMSS UAMSO U

AMSO U

AMSO U


Attachment 3

Page 6

NSO 0 412.X1E

9-11-09

d. Use of any pyrophoric materials. Any

e. Trenching/Excavation activities four feet or Anymore_in_depth.

_______________________

f. Hoist, crane, or other load lifts greater than Any10 tons.

______________________

g. Activities on energized power Anytransmission/distribution systems (live workabove_1000_volts).

______________________

h. Facilities or activities where personnel may Any(routinely) be exposed to lightning during thenormal course of their duties.

i. Work activities that are not covered under an Anyexisting NNSNNSO-approved 10 CFR 851,WSHP.

________________

13. Packaging and Transportation (Facility Only)

____________________

a. Projects involving the handling of hazardousmaterial, as defined in 49 CFR.

b. Transportation of materials of nationalsecurity interest.

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSA/NSO or May Require NNSNNSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element2(3) All research projects that involve collection of

bodily material.

(4) All research projects that identify individuals.

(5) All research projects that gain generalizedknowledge_about_human_subjects.

c. Use of firearms.

12. Occupational Safetya. Construction of a new tunnel complex. Anyb. Involves energetic materials, including Any Other Than Standard

explosives and munitions. Industrial Use ofEnergetic Material

Any

AMSO

AMNS 0AMSO 0AMSS 0AMSO 0AMSS 0

AMSO 0

AMSO 0

AMSO 0

AMSO 0

AMSO 0

Any

AMSO 0

Any

AMEM

c. Transportation of Nuclear Explosives-Like AnyAssemblies.

0

AMNS 0AMSS 0AMEM 0AMNS 0AMSS 0AMEM 0


NSO 041 2.X1 E

9-11-09

Attachment 3

Page 7

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSA/NSO or May Require NNSAINSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element214. Property/Infrastructure

a. Infrastructure needs (e.g., vehicles, power, Anyroads, facilities, water systems, AMSO Ccommunications, housing/feeding services)that may have a significant impact onavailable resources by requiring a change toexisting processes or capabilities.

b. Transfer, lease, disposition, or acquisition of Anyinterest in NNSAINSO controlled real AMSO Cproperty (e.g., permanent structure, andland) that may be contaminated withradiological or toxic materials/metals.

c. Any change to the use of a facility or land or Anyuses that may affect adjacent facilities or AMSO Cland.

d. Activities requiring shared assets, transfer of Anyassets, or agreements on support or AMSO Cresources with state, local government, or Office of Cother federal agencies. Public Affairs

(OPA)e. Activation or deactivation of any facilities Any

under_NNSA!NSO’s_purview.

15. Public Affairs

• Activities that could cause significant public Anyconcern during normal operations, regardlessof the NNSAINSO location, and which mayincur interaction with the public, governmental(local, county, state, tribal, andcongressional) entities, the media, or otheraffected_stakeholders.

16. Radiological Safety

a. Activities estimated or predicted to involve: Any Any Nuclear FacilityStartup NST C

(1) Whole Body Dose> 100 millirem (mrem). (Category 1, 2,or 3)

(2) Collective Whole Body Dose > 500 mrem.

(3) Individual Extremity Dose > one rem.

b. Personnel entry to a radiation area, high Any Any Nuclear Facilityradiation area, very high radiation area, Startup NST Cairborne radioactivity area, contamination (Category 1, 2,or 3)area, or high contamination area.

c. Personnel entry to a radioactive material Any Any Nuclear Facilityarea or underground radioactive material Startup NST Carea. (Category 1, 2,or 3)

AMSO C

OPA C


Attachment 3

Page 8

NSO 0 412.X1E

9-11-09

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSA/NSO or May Require NNSAJNSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element2d. Use of a sealed radioactive source or special Any Any Nuclear Facility

nuclear material. Startup NST [](Category 1, 2,or 3)

e. Use of a radiation-generating device. Any Any Nuclear Facility NST QStartup

(Category 1, 2,or 3)17. Safeguards and Securitya. Request for any new clearances or transfer Case-by-Case Basis

of clearances. AMSSb. All foreign national access to NNSA/NSO Case-by-Case Basis

facilities. AMSS 0c. Special permits for cameras, binoculars, Any

recording devices, weapons, cell phones. AMSS 0d. Production or handling of DOE and NNSA Any

classified documents. AMSS 0e. Production or handling of other government Case-by-Case Basis

agencies’ classified information. AMSS 0f. Use and storage of special nuclear material. Any

AMSS 0(1) Materials control and accountability.

(2) Safeguards and Security.

g. Required modification of protective force, Case-by-Case Basisalarm systems, or security procedures. AMSS 0

h. Requirement for erection of barricades, Anyrequests for security services, e.g., security AMSO 0patrols, area closures. AMSS 0

18. Mission Impacts

a. Activities that may potentially affect the Any Case-by-Case Basis AMNS 0Device Assembly Facility/Ui a/Big Explosives AMSO 0Experimental Facility/Joint Actinide Shock NST 0Physics Experimental Research/ AMSS 0Baker/RadNucCTEC operations or theirauthorization basis.

b. Activities that may potentially affect nuclear Any Case-by Case Basis AMEM 0and nonnuclear hazardous facilities. AMSO 0

NST 0AMSS 0

c. Nuclear explosives safety operations. Any Any Nuclear Facility AMNS 0Startup/Restart AMSS 0

NST 0d Activities that may require any NTS area Any AMNS 0

closure AMSO 0AMSS 0


NSO 0 412.X1E

9-11-09

Attachment 3

Page 9

a. Any intelligence collection disciplineproposed for use on the NTS, by any entity:Human Resources (HUMINT), Imagery, toinclude photography—ground and aerial(IMINT), Signals Intelligence (SIGNET), andMeasurement and Signature Intelligence(MAISINT).

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSNNSO or May Require NNSAJNSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element2e. Any experimental use of: high explosive or Any Any Facility Startup AMNS D

energetic materials. AMSO DAMSS Q

19. Telecommunications

a. Use of NNSAINSO telecommunications! Anyinformation systems that exceed orpotentially may conflict with existingcapabilities.

b. Use of wireless services on the NTS using Anynon-NTS radio_frequencies.

c. Use of nongovernment telecommunications Anyresources on the NTS.

AMSS D

AMSS D

AMSS 0

AMEM 0

20. Waste Management

a. Activities that will identify or create a Anyhazardous and/or radiological waste and thepurchase, use, disposition of hazardousmaterials:

(1) Hazardous—40 CFR 261.3, NevadaAdministrative Code (NAC) 444.8565,NAC 444.843.

(2) Radioactive—DOE M 435.1-1 Chg 1,Attachment 1, Number 35,Radioactive Waste, and Numbers 22, 25, 27,and 49. An Radioactive Waste ManagementBasis must be submitted and approved priorto approval of the REOP.

(3) Asbestos—NAC 444.966, Nevada RevisedStatutes 618.750, NAC 444.973(5)(a),40 CFR 61 .141.

(4) Polychlorinated Biphenyls—NAC 444.9435,40 CFR 761.3.

(5) Is final project disposition of left overchemicals needed?

21. Intelligence Activity

AnyAMNSAMSS

00


Attachment 3 NSO 041 2.X1 E

Page 10 9-11-09

Required Action if Activity Is to Be Performed CheckmarkActivities That Present Risks, Which Are of a ResponsibleConcern to NNSNNSO or May Require NNSA/NSO Review and Conduct Readiness ReviewingCoordination Comment Review Organizational

Element2b. Any intelligence Work for Others projects on Any AMNS D

NTS. AMSS Q

REAL ESTATE/OPERATIONS PERMITNSO 0 41 2.X1 E Attachment 49-11-09 Paciel

ACRONYMS

AB Authorization BasisAFLO Air Force Liaison OfficeAM Assistant ManagerAMEM Assistant Manager for Environmental ManagementAMNS Assistant Manager for National SecurityAMSO Assistant Manager for Safety and OperationsAMSS Assistant Manager for Safeguards and SecurityANSI American National Standards Institute

CCP Change Control PageCFR Code of Federal RegulationsCRD Contractor Requirements Document

DoD Department of DefenseDOE Department of EnergyDSA Documented Safety Analysis

FAR Functional Area RepresentativesFFACO Federal Facility Agreement and Consent OrderFIMS Facility Information Management Systems

HazCat Hazard Category

IC Intelligence Community

JNPO Joint Nevada Program Office

LUR Land Use Restriction

M&O Management and OperatingMEL Master Equipment Listmrem Millirem

NAC Nevada Administrative CodeNEPA National Environmental Policy ActNFPA National Fire Protection AgencyNNSA National Nuclear Security AdministrationNNSAINSO NNSA Nevada Site Office


NST Nuclear Safety TeamNSTec National Security Technologies, Inc.NTS Nevada Test SiteNTTR Nevada Test and Training Range

CCC Operations Coordination CenterOCRWM Office of Civilian Radioactive Waste ManagementCPA Office of Public AffairsQUO Official Use Only

POC Point of Contact

REOP Real Estate/Operations PermitRMC Risk Management ChecklistRR Readiness Review

SB Safety BasisSME Subject Matter ExpertSOW Scope of WorkSMP Safety Management Programs

TLV Threshold Limit ValueTSR Technical Safety Requirements

UCNI Unclassified Controlled Nuclear InformationUSQ Unreviewed Safety Question

WSHP Worker Safety and Health Program

AMENDMENT OF SOLICITATONIMOD1FLCATION OF CONTRACT1, CONTRACT ID CODE FACE OF PACES

I 42. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. RBOUISIT!ON/PURCKASE REQ. NO 5. PROJECT NO. (if applicable)

002 See Block 16C 10NA0013396. ISSUED flY CODE 500]. 7 ADMINISTEIflEDSY(Ifotherthanlfem5) CODE 05001NNSA Service Center NNSA Service CenterU.S. Department of Energy U.S. Department of EnergyNNSA Service Center NNSA Service CenterP.O. Box 5400 P.O. Box 5400Albuquerque NM 87185—5400 Attn: Raymond E Cruz/505—845—4772

Albuquerque NM 87195—5400S. NAME AND ADDRESS OP CONTRACTOR (No.. alesef, cewrty. Stale arid ZIP Code) (x) 9A. AMENDMENT OF SOLICITATION NO

COUNTY OF NYEAttn: RON WILLIAE4S, NYF COUNTY MANAGER 96.DATED(SEEITEMII)

1210 East Basin RdU 0

— 10,4 MODICATtON OF CONTRACT!OROER NO.TONOFAH NV 890490000 X DE—AC52—09NA28739

106. DATED (SfE ITEM 13)

CODE 064813926 {FACILI]CODE 03/25/200911. THiS ITEM ONLY APPLIES TO 4..,JL.DMENTS OF SOLICiTATIONS

[] The above numbered Solicitation iS amended as set forth in Item 14. The hour and date specifIed for receipt of Offers [215 extended, flis not extended.Offers must aclrsrowtedge receipt of this amendment prior to the hour and date specified in tIle sOlicitation or as amended, by one of the following methods: (a) By completingItems B end 15, and retxt’nirrg copies of the amendment, (b) By achnoaledging receipt of this amendment on each copy of the offen submitted, or (C) Byseparate letter or telegram wttich intudes a reference to file solicitation and amendment rxtmbers FAILURE OF YOUR ACKNOIMEDGEMENT TO BE RECEIVED ATTHE PLACE DESIGNATED FOR ThE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. It bynirtue of this amendment you desire to change an offer alrearif submitted, srid’i change may be made by Ielegrarr or letter, prnde0 each telegram or teller makes referenceto the solicitation and this wner,dment, and is received prior In the npenerg hour and date specrfed

12 ACCOUNTINGANOAPPRQPRIATION DATAilfrwquired) Net Increase: $335r000.00See Schedule

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTSIORDER.S. IT MODIFIES THE CONTRAC1IORDER NO. AS DESCRIBED IN ITEM 14.

cecx ONE I A, THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify aufhority) ThE CHANCES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACTORDER NO. IN ITEM iDA.

S. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (Such as changes in paying office,appcopnatiotr date, efc.) SET FORTH IN ITEM 14. PURSUANT TO THE AIJTI-IORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUThORITY OF:

D. OTHER (Specify type of modification aOd authority)

X Bilateral lAW FAR 52.243—02 “Changes”

E. IMPORTANT: Contractor Ci is riot. jis required to sign this documenl and return 1 copies to the issuing 015 ce

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Orgarri2erlby UCF section headings. Including sofi’citatioa’contractstilijectmatferwhere feasible)

Subject; Incorporate NSO directive NSO 0 412.X1E, Real Estate/Operations Permit, Approvea:

9—11—09 and add incremental funding

Change in Task Order Value: $0.00

Change in. Obligation Mio’nt: $335,000.00

FOB: Destination

Period of Performance: 03/23/2009 to 03/23/2014

Except as provided herein, aS terms and conditions of the document referenced in Item PA or iDA, as heretofore changed, remains unchanged and in full force and effect

iSA. NAME AND TITLE OF SIGNER (Type or pthr lEA NAME AND TITLE OF CONTRACTING OFFICER (Type cipr/nV

Catherine I. Waters

15B CONTRACTORJOFFEROR 180. DATE SIGNED 168. UNITED STATES OF AMERICA 160 DATE SIGNED

ISgnalroo a!perxxo ardherizedto sei’rJ (Sig-radas afCorre’acflegOriNeO -

NSN 7540-01-152-8070 STANDARD FORM 30 (REV 10-63)Presvous edition unusable Prescribed by GSA

RAR (46 CFRI 53243

DOLLARPRIOR AMOUNT CURRENT CHANGE TOTAL AMOUNTTOTALS

AwardVahie $ 333069000 $ 0.00 $ 3,330,690.00

Funding$ 655,000.00 $ 335,000.00 $ 990,000.00

Obligation

BLOCK 14 CONTINUATION

Subject; Incorporate NSO directive NSO 0 412XIE, Real Estate/Operations Permit, Approved: 9-11-09 and add incrementalfunding

Change in Task Order Value; $000Change in Obligation Amount; $33500000

BODY FOR DE-AC52-09NA28739 002 PAGE 01 PAGES2 4

CONTRACT SPECIALIST

RAY E. CRUZ

United States Department of EnergyNNSA Service CenterAttn: Ray E. Cruz, Bldg 388 / FAD/S+SDP. 0. Box 5400Albuquerque, NM 87 185-5400

Phone: 505-845-4772EMail: [email protected]

CONTRACTING OFFICERS REPRESENTATIVE

CRAIG M MAKIPhone: 702-295-0082EMail: [email protected]

SCHEDULE OF CHANGES

1. The purpose of this bilateral modification is to incorporate Nevada Site Office (NSO) directive NSO 0412.XIE, Real Estate/Operations Permit, Approved 9-11-09, and add incremental funding

As a result of this action, the contract is modified in the following particulars:

2. Total Contract Amount is unchanged at $3,330,690.00

3. Total Funded Amount changed from $655,000.00 to $990,000.00 an increase of $335,000.00.

4. CHANGES TO THE CONTRACT: Changes to the contract are as follows:

(1) “LIST OF APPLICABLE DIRECTIVES is incorporated into Section J Attachment 6

Add/Update the following SubCLIN information as indicated:

Unit PriceTotal Item Amount

AB00911.2010.01

ACRN Change.100260.61000000.25105.1721310.0000000.1027909.0000000.000000New ACRN Amount: $635,000.00Funding breakdown: On CLIN 000102: +$335,000.00

PRIM/PR: IONAOOI 339 $335,000.00

÷$335,000.O0

5. Clause B008 “Estimated Cost - No Fee” paragraph (C) has been replaced with the following:

(C) Pursuant to FAR Clause 52.23222, “Limitation of Funds” the total amount of incremental fundingallotted to this contract is $990,000.00. It is estimated that this amount is sufficient to cover performancethrough May 2011.

6. The parties agree that this Supplemental Agreement establishes the consideration for modificationseffected herein. The parties specifically acknowledge and agree that this Supplemental Agreementconstitutes full satisfaction of the parties’ rights to equitable adjustment, under any clause of this contractrelating to the modification effected herein. There are no further changes as a result of this modification.All other terms and conditions remain unchanged.

QtyPurh UnitITEM SUPPLIES OR SERVICES

000102 CLIN ChangeNoun: Funding Info OnlyACRN: AS +$335,000.00PRIM/PR: 52-1 0NA28739.502 $335,000.00

(2) Update the following ACRN information:

ObligationACRN Appropriation/Lmt Subhead/Supplemental Accounting Data Amount

DF.-AC52O9NA28739 002

PAGE 3 OF 4

LIST OF ATTACHMENTS

PP.c4NI .. IIJ1E

ATTACHMENT 6 1 19 MAY2010 LIST OF APPLICABLE DIRECTIVES

DE-ACS2-09NA28739 002

PAGE 4 OF 4

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