2.02 - Attachment IV_DD-254 FORM+SCI Addendum.pdf

CLASSIFICATION (When filled in): UNCLASSIFIED

DEPARTMENT OF DEFENSE 0MB No. 0704-0567 CONTRACT SECURITY CLASSIFICATION SPECIFICATION 0MB approval expires:

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.) 20220531

The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/ (See Instructions) MATERIAL REQUIRED AT CONTRACTOR FACILITY

Top Secret None (See instructions)

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) 3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. PRIME CONTRACT NUMBER (See instructions.)

� a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

TBD

b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specifications.)

□ REVISION NO. DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? 0 No IZ] Yes If yes, complete the following:

Classified material received or generated under NOO 189-21-D-0008 (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? IZ] No D Yes If yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE b.CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

TBD (Name, Address, ZIP Code, Telephone required; Email Address optional)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors

- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

a. NAME, ADDRESS, AND ZIP CODE b.CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

TBD (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.) b.CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

U.S. Fleet Cyber Command/U.S. Tenth Fleet (FCC/CI OF) (If applicable, (Name, Address, ZIP Code, Telephone required; Email Address optional)

9800 Savage Road see Instructions.}

Ft Meade, MD 20755

NIA

a. LOCATION(S) (For actual performance, see instructions.) b.CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

IWTG San Diego (If applicable, (Name, Address, ZIP Code, Telephone required; Email Address optional)

335 Vought St.

see Instructions.}

San Diego, CA 92135

DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 1 of 6

CLASSIFICATION (When filled in): UNCLASSIFIED

Navy DD Form 254 SCI Addendum March 20, 2025

RELEASE OF SENSITIVE COMPARTMENTED INFORMATION (SCI) INTELLIGENCE

INFORMATION TO U.S. CONTRACTORS

ATTACHMENT TO DD FORM 254 FOR CONTRACT NO.: TBD

ORDER NO.: TBD

CONTRACT ESTIMATED COMPLETION DATE (ECD): TBD

SCI NETWORK ACCESS REQUIRED: NSANET

The Cognizant Senior Intelligence Officer (SIO) has exclusive security responsibility for all Sensitive Compartmented Information (SCI) classified material released to or developed under the contract and held within the Contractor’s SCI Facility (SCIF). Access to SCI Intelligence material requires adherence to the requirements set forth in the following: Department of Defense (DoD) Manual (DoDM) 5105.21, Volume 1, SCI Administrative Security Manual: Administration of Information and Information Systems Security; DoDM 5105.21, Volume 2, SCI Administrative Security Manual:

Administration of Physical Security, Visitor Control, and Technical Security; DoDM 5105.21, Volume 3, SCI Administrative Security Manual: Administration of Personnel Security, Industrial Security, and Special Activities; ICD 403, Foreign Disclosure and Release of Classified National Intelligence; ICD 701, Security Policy Directive for Unauthorized Disclosures of Classified Information; ICD 703, Protection of Classified National Intelligence Including Sensitive Compartmented Information; ICD 703-02, Reporting Requirements for Individuals with Access to Sensitive Compartmented Information;

ICD 703-03, Protection of Classified National Intelligence Including SCI Shared with Entities Outside the Intelligence Community; ICD 703-04, Foreign Ownership, Control, or Influence (FOCI); ICD 710, Classification Management and Control Markings Systems; ICPG 710.1, Application of Dissemination Controls: Originator Control (ORCON); DoD 5220.22-M, Change 2, National Industrial Security Program Operating Manual (NISPOM); and DoD 5220.22-R, DoD Industrial Security Program; and Security Executive Agent Directive (SEAD) 3, Reporting Requirements for Personnel with Access to Classified Information or who hold a Sensitive Position. Contractor’s will comply with all regulations/manuals/directives stated therein which provide the necessary security and classification guidance for personnel, information, physical, automated information security (AIS), and technical security measures and is a part of the SCI security specifications for the contract. Inquiries pertaining to SCI classification guidance or interpretations shall be directed to the Contracting Officer Representative

(COR).

1. Requirements for access to SCI:

a. All SCI will be handled in accordance with special security requirements, which will be furnished by the Command Special Security Officer (SSO).

b. SCI will not be released to contractor employees without specific release approval of the originator of the material as outlined in governing directives; based on prior approval and certification of "need-to-know" by the designated COR.

c. The contractor must restrict access to only those individuals who possess the necessary security clearance and who are actually providing services under the contract with a valid need to know. Further dissemination to other contractors, subcontractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the originating agency through the COR.

d. Names of contractor personnel requiring access to SCI will be submitted to the COR for approval. Upon receipt of written approval from the COR, the company security officer will submit request(s) for special background investigations, in accordance with the NISPOM, to the Defense Security Service (DSS).

e. SCI material must not be released to foreign nationals or immigrant aliens whether they are consultants, U.S. contractors, or employees of the contractor and regardless of the level of their security clearance, except with advance written permission from the originator. Requests for release to foreign nationals shall be initially forwarded to the COR and shall include:

i. A copy of the proposed disclosure.

ii. Full justification reflecting the benefits to U.S. interests.

iii. Name, nationality, particulars of clearance, and current access authorization of each proposed foreign national recipient.

f. Contractor personnel must maintain accountability for all intelligence materials released to their custody.

g. SCI material will not be reproduced without prior approval of the originator of the material. All SCI material shall bear a prohibition against reproduction while in the contractor’s custody.

h. Inquiries pertaining to classification guidance on SCI will be directed through the Command SSO to the responsible COR as indicated on the DD Form 254.

i. SCI released to cleared DoD Contractors, all reproductions thereof, and all other information generated based on, or incorporating data from, in support of this contract, remains the property of the U.S. Government. Upon completion or cancellation of the contract, all SCI material furnished will be returned to the direct custody of the supporting SSO, or destroyed IAW instructions outlined by the COR.

j. SCI will be stored and maintained only in properly accredited facilities meeting the physical security requirements in ICD 705, SCI Facilities and ICS 705, Technical Specifications for Construction and Management of SCI Facilities

k. The U.S Fleet Cyber Command SSO will recognize the above noted estimated completion date (ECD) as the completion date for the contract. The SSO will initiate action to debrief contractor personnel with access to this contract unless extensions or modifications to the contract are received by the SSO office no later than 30 days after the established completion date.

l. The contractor is governed by ICD 704, ‘Personnel Security Standards and Procedures Governing Eligibility for Access to Sensitive Compartmented Information (SCI) And Other Controlled Access Program Information’ and may be supplemented by additional SSO Navy guidance.

Contractor personnel that are eligible for access to SCI or currently possess an SCI personnel security clearance with another non-DoD agency must have their SCI eligibility accepted and entered into DISS by the Defense Counterintelligence and Security Agency prior to having access to SCI information retained by U.S Fleet Cyber Command unescorted access to U.S Fleet Cyber Command spaces, and receipt of an U.S. Fleet Cyber Command issued contractor badge. The Facility Security Officer (FSO) will identify, in writing, contractor personnel assigned to this contract by NAME, SSN, Date and Place of Birth, and provide this documentation to the COR identified. The COR will identify the SCI caveats for the contract and forward a copy of this documentation to the SSO for processing. This documentation will be marked and protected under the Privacy Act of 1974.

m. Electronic processing of SCI must be accomplished on equipment accredited in accordance with DoDM 5105.21 Volumes 1- 3, ICD 503, Information Technology System Security Risk Management, Certification and Accreditation, and the DoDIIS Joint Security Implementation Guide (DJSIG), Appendix D.

n. SCI security management issues shall be directed to U.S Fleet Cyber Command, SSO Peggy Dehart, (240) 373-3415 or peggy.g.dehart.civ@us.navy.mil .

o. In accordance with Director of National Intelligence Memorandum 5 May 2017, Access to North Atlantic Treaty Organization (NATO) Information by Intelligence Community (IC) Personnel and Naval Intelligence Security Policy Directive 17-008 Revision, Mandate for North Atlantic Treaty Organization (NATO) Information by Intelligence Community (IC) Personnel, all DoN Contractors with SCI access and access to JWICS, NSA net or SIPRNet must be briefed into NATO Secret Information.

**NOTE**: ADDITIONAL SECURITY GUIDANCE SPECIFIC TO THE SCI CONTRACT WILL BE

PROVIDED BY THE COR AND COMMAND SSO TO IDENTIFY SECURITY CLASSIFICATION

GUIDES AND PROGRAM SPECIFIC SECURITY GUIDANCE THAT DEFINE TECHNICAL AND

SAFEGUARDING REQUIREMENTS IDENTIFIED IN THE SOW/PWS/SOO.

mailto:peggy.g.dehart.civ@us.navy.mil