Attachment 24 DDForm254.pdf

Industrial Security Management System

19AQMM-25-R-0151

Top Secret None

c. SOLICITATION NUMBER

19AQMM-25-R-0151

20250407

1 20250407

X

X

Department of State locations

19AQMM

Facilities O & M

19AQMM-25-R-0151

k.1. SENSITIVE BUT UNCLASSIFIED INFORMATION (SBU) m.1. REQUIRE CONNECTIVITY TO DEPT. STATE COMPUTER SYSTEM

MRPTs are AUTHORIZED

Department of State, DS/IS/IND, SA-20, 13th Floor, Washington, DC 20520

[ DD Form 254 Section 13 Security Guidance is provided separately starting on page 4. ]

19AQMM-25-R-0151

Terrell D. Adams, Sr. Industrial Security Specialist

See Sensitive Compartmented Information and Personnel Background Investigation Procedures attachments

X

Department of State

19AQMM

2201 "C" Street, NW Washington, DC 20520

Fannie Gillespie

(571) 345-3022

GillespieFC@state.gov for Kim Colon

Division Chief

DS/IS/IND, SA-20, 13th Fl.

2201 C St. NW Washington, DC 20520

19AQMM

(571) 345-3032

ColonK@state.gov

TERRELL D

ADAMS

Digitally signed by TERRELL

D ADAMS

Date: 2025.04.11 08:14:54 -04'00'

TERRELL

D ADAMS

Digitally signed by

TERRELL D ADAMS

Date: 2025.04.11 08:15:21 -04'00'

13. SECURITY GUIDANCE.

DD FORM 254, SECURITY GUIDANCE Page 4 of 5 Industrial Security Management System

19AQMM-25-R-0151

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

****REV due to solicitation not being awarded in 2024. Upgraded solicitation number****

Contractor personnel assigned to this contract shall possess a TOP SECRET or SECRET personnel security clearance issued by the Defense Counterintelligence and Security Agency (DCSA) prior to contract performance.

Personnel specifically designated by the Contracting Officer Representative (COR) must also be eligible for access to Sensitive Compartmented Information (SCI). A FINAL TOP SECRET clearance is required for access to SCI programs.

Contractor personnel specifically designated by the Contracting Officer's Representative (COR) will be required to have a Moderate Risk Public Trust (MRPT) determination conducted by the Bureau of Diplomatic Security.

Visit Authorization Requests (VAR) are to be sent to Department of State (DOS), DS/IS/IND, Washington, DC 20520, via email: DS_IND_contractorVARS@state.gov. A VAR is valid for 12 months; an updated VAR is required 30 days prior to the current VAR expiring.

All DD Forms 254 for proposed subcontractors required to provide cleared personnel shall be forwarded to DS/ IS/IND for generation and certification prior to issuance to the subcontractor and prior to access to any classified information or controlled access areas. Proposed subcontractors must be reviewed by DS/IS/IND prior to contract performance. The prime contractor shall provide a current signed (by both parties) Subcontract Agreement (with subcontract number listed) between the entities outlining specific Statement of Work (SOW) to be performed by the subcontractor, to include all security requirements.

While at DOS locations, the contractor shall comply with applicable DOS regulations relative to protection of classified and/or sensitive information, including the National Industrial Security Program Operating Manual (NISPOM) (32 CFR Part 117) and 12 Foreign Affairs Manual (FAM) 500 and 600. DS/IS/IND is responsible for reviewing contractors assigned to DOS locations.

Security clearance requirements for contractors accessing DOS domestic or overseas information systems shall be in accordance with 12 FAM 600. Furthermore, citizens of specifically designated human intelligence and/or technical intelligence threat countries shall not develop, modify, or perform maintenance on software developed for use on DOS computer systems without approval by DS/CTS.

Contractors shall immediately report any adverse information concerning any cleared contractor employees performing on DOS contracts to DCSA in accordance with the NISPOM and to DS/IS/IND in accordance with 12

FAM 576.

Contractor personnel working on DOS contracts must report impending marriage, cohabitation and other continuing bonds of affection with foreign nationals to the COR and DS/IS/IND, in accordance with 12 FAM 275.

Classified storage is not required for performance on this contract; therefore, no discussion, storage, or generation of classified information shall take place at the contractor's facility.

SBU Information: See 12 FAM 540 for guidance regarding Handling, Access, Dissemination, and Release of SBU

All FAM references can be viewed on the DOS website, www.state.gov

CO (A/GA/AMD/DMS/FAC/MO): Meghan E. Klipfel / (202) 431-7840 / KlipfelME@state.gov

COR (A/DOES/RP/FMS): Ellen M. Mitchell / (771) 205-2122 / MitchellEM3@state.gov

13. SECURITY GUIDANCE.

DD FORM 254, SECURITY GUIDANCE Page 5 of 5 Industrial Security Management System

19AQMM-25-R-0151

GTM (A/DOES/RP/FMS): Robert Keady / (202) 558-8614 / KeadyR@state.gov

DS/IS/IND Point of Contact: Terrell D. Adams / (571) 345-3020 / AdamsTD@state.gov

DS/IS/IND Alternate Point of Contact: William G. Hills / (571) 345-3014 / HillsWG@state.gov

PERSONNEL BACKGROUND INVESTIGATION PROCEDURES

Contractor personnel requiring a personnel background inves ga on prior to assignment to this contract/task order shall contact your Industrial Security Division (DS/IS/IND) representa ve and provide required employee informa on.

Domestic Team:

Mailbox: DSISINDqueries@state.gov

Overseas Buildings Operations (OBO) Team:

Mailbox: DS_IND_OBOTeam@state.gov

Special Projects Team:

Mailbox: DSIND_PSD@state.gov

Applicants will work directly with a Clearance Coordinator, a security professional, who will answer ques ons and address concerns. A ServiceNow interface will be used to create a case, and a Clearance Coordinator will use this informa on to determine if an applicant may be eligible for reciprocity, or if they require a full background inves ga on. If a full background inves ga on is required, the Clearance Coordinator will establish an eAPP link for the applicant to access and complete a SF-85P and SF-85PS. The applicant will work closely with a Clearance Coordinator in the comple on and submi al of the eAPP forms. The applicant must also submit the following: a signed Drug Cer fica on document, (2) completed FD-258 Fingerprint cards or electronic fingerprints, and a signed Fingerprints Privacy Statement. Some applicants may be required to provide addi onal documents; the Clearance Coordinator will work directly with the employees to obtain all necessary documents.

NOTE: DS/SI/PSS cannot conduct concurrent inves ga ons. If the applicant has an inves ga on underway with another agency, such as: OPM, DCSA, etc., the applica on will be rejected.

DS/SI/PSS will conduct preliminary checks in conjunc on with the inves ga on. If favorable, the individual will be granted an interim determina on and is authorized contract/task order performance while their final determina on is pending. An individual, who does not pass the preliminary checks, will be denied an interim determina on and is NOT authorized assignment to the contract/task order un l they receive a favorably adjudicated final determina on. If the contractor does not receive a favorable final determina on, the company must remove the individual from the contract/task order, at no cost to the government. A er receiving a favorably adjudicated final determina on, DS/SI/PSS may require an applicant to undergo periodic reinves ga on for con nued contract/task order performance.

The Facility Security Officer (FSO), or designated company security point of contact, must no fy DS/IS/IND withing 48 business hours when an employee terminates or resigns from the contract/task order. DS will terminate their access to all facili es. In addi on, DS/IS/IND will cancel the inves ga on, if s ll pending.

NOTE: Contractor employees possessing personnel security clearances or public trust determina ons with other agencies, or performing on a different Department of State contract, must be processed for reciprocity before allowed to perform on this contract.

The Clearance Coordinator will determine if an employee may qualify for reciprocity and will obtain a signed Drug Cer fica on. The Clearance Coordinator will forward the case to the appropriate team for ac on. If, a er submi ng a case for reciprocity, it is determined that a full background inves ga on is required, the Clearance Coordinator will contact the employee to start the process. Reciprocity must be granted prior to contract performance.

The FSO Facility Security Officer (FSO), or designated company security point of contact shall report any adverse informa on pertaining to contractor employees performing on the contract/task order.

Security requirements for contractors accessing the Department’s domes c or overseas unclassified informa on systems shall be in accordance with 12 Foreign Affairs Manual Sec on

600 (12 FAM 600).

Some contracts may require contrac ng companies to provide addi onal documents for their employees directly to DS/IS/IND. Your DS/IS/IND representa ve will let you know of any addi onal requirements.

Please address any ques ons or concerns to your DS/IS/IND representa ve.

SENSITIVE BUT UNCLASSIFIED

ACCESS (SCI) DEPARTMENT OF STATE ONLY

DS SPECIAL SECURITY OPERATIONS DIVISION

This contract involves access to National Security and Sensitive Compartmented Information (SCI). The highest level of access for this contract is TOP SECRET/SCI. Access to SCI will take place only at Department of State (DOS) facilities or as authorized by DS/IS/SSO. No SCI is to be provided to the contractor's facility.

At the request of the Contracting Officer Representative (COR) or DOS Project Manager, the Industrial Security Division, DS/IS/IND, will process all access authorization requests for SCI under this contract upon receipt of the following documents from the contractor:

- Letter from company on company letterhead stating employee has been nominated by COR for SCI access;

- SCI Nomination Memo for Contractor from COR;

- Visitor Authorization Request (VAR);

- DS-4002 (Disclosure and Authorization Pertaining to Consumer Reports);

- An SF-86C or copy of the subject’s SF-86 may be required depending on subject’s SCI eligibility (verified by DS/IS/SSO)

The contractor shall comply with the National Industrial Security Program Operating Manual (NISPOM) and Intelligence Community Directives (ICDs), and Director of Central Intelligence Directives (DCIDs) regarding the safeguarding of SCI information, automated systems, and networks.

All contractor personnel who require SCI access must have had a Single-Scope Background Investigation (SSBI) or a Tier 5 (T5) investigation conducted by the U. S. Government within the last seven (7) years (from the last investigation date). If the background investigation is older than seven (7) years, subject must be enrolled into Continuous Evaluation with a Deferred PR.

Investigative criteria for SCI access is set forth in ICD 704.

Contractor personnel not possessing a current SSBI or T5 (issued within the last seven (7) years) and/or not presently holding SCI access are required to be processed for a T5 investigation. All investigation requests are to be submitted directly to the Defense Counterintelligence and Security Agency (DCSA).

Investigations conducted by government agencies other than the Department of Defense may also be accepted. In instances where there is an investigation conducted by an agency other than DOD, if this information is not reflected in the Defense Information Security System (DISS), formerly JPAS, the contractor must provide DOS with the name of the agency that conducted the SSBI or T5 investigation.

SENSITIVE BUT UNCLASSIFIED

Investigations on contractor personnel that have been conducted within the past seven (7) years, which meet the investigative requirements and adjudicative standards set forth in ICD 704, may serve as a basis for granting access approval. They will be acceptable provided there has been no break in the individual's access to classified information greater than 24 months.

The Contractor is responsible for reporting any and all information that could adversely affect the security clearance status of an employee working under this contract requiring access to SCI, to the Special Security Office (DS/IS/SSO). Questionable or suspicious incidents that might indicate hostile intelligence collection activity must also be reported.

The Contractor shall not release classified information to any activity or individual of the contractor's organization not directly engaged in providing services under the contract.

SCI security violations and suspected/possible compromises will be reported as follows: The contractor will make an immediate telephonic notification to the Department of State of any incident or violation of the requirements of these security provisions, the NISPOM, ICDs, or DCIDs, regardless of the contractor's judgment as to whether or not a compromise or possible compromise has occurred. If secure voice capability is not available, the contractor will make an unclassified telephone notification to the Department of State, DS/IS/SSO, by calling (202) 647- 8863. Follow-up reports will be required.

Reproduction of SCI to include any and all types of mediums will only occur at the Department of State with the authorization of the DS/IS/SSO.

Any information generated by the contractor including but not limited to correspondence, drawings, models, mock-ups, photographs, schematics, status, progress, special inspection reports, engineer notes, computations, training and manufacturing aids shall be controlled according to classification guidance taken from other source documents and is not authorized for release without prior approval of DS/IS/SSO.

The contractor shall not divulge to any individual, organization or other U.S. Government agencies any information (classified or unclassified) pertaining to this contract without prior written approval from the Department of State. All questions concerning the SCI requirements for this contract are to be directed to the Department of State, DS/IS/SSO, (202) 647-8863.

The contractor is responsible for notifying the Department of State, DS/IS/SSO, (202) 647-8863, prior to the reassignment or separation of all SCI indoctrinated contractor personnel so required debriefings can be administered. The contractor must also cancel any VARs previously submitted to DS/IS/IND.