J-11_Solicitation_DD_Form_254_70B02C19R00000013.pdf
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- 70B02C19R00000013
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DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of AEM LiveCycle Designer
DD FORM 254, APR 2018
NEEDS DD67
DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)
OMB No. 0704-0567 OMB approval expires:
October 31, 2020 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 OMB control number.
RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.
1. CLEARANCE AND SAFEGUARDING
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)
3. THIS SPECIFICATION IS: (X and complete as applicable.)
a. ORIGINAL (Complete date in all cases.)
b. REVISED (Supersedes all previous specifications.)
4. IS THIS A FOLLOW-ON CONTRACT?
If yes, complete the following:
Classified material received or generated under
5. IS THIS A FINAL DD FORM 254?
If yes, complete the following:
6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)
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)
8. ACTUAL PERFORMANCE (Click button to add more locations.)
10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)
e. NATIONAL INTELLIGENCE INFORMATION:
11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)
12. PUBLIC RELEASE
Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)
13. SECURITY GUIDANCE
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.
(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)
14. ADDITIONAL SECURITY REQUIREMENTS
Requirements, in addition to NISPOM requirements for classified information, are established for this contract.
If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)
15. INSPECTIONS
Elements of this contract are outside the inspection responsibility of the CSO.
If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)
16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)
17. CERTIFICATION AND SIGNATURES
Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL
9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
| CurrentPage: |
| PageCount: |
| Classification: Unclassified |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2 |
| Choose Yes or No: 0 |
| Choose Yes or No: 1 |
| Prime: |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Sub: |
| Choose Yes or No: 1 |
| Choose Yes or No: 0 |
| Soli: 70B02C19R00000013 |
| DueDate: |
| dateA: 2019-03-15 |
| RevisionNum: |
| dateB: |
| Final: |
| dateC: |
| No: 1 |
| No: 1 |
| No: 1 |
| No: 1 |
| Yes: 0 |
| Yes: 0 |
| Yes: 0 |
| Yes: 0 |
| Enter your name here.: |
| ReqDated: |
| Enter your name here.: |
| Name: N/A |
| Name: N/A |
| Cage: N/A |
| CSO: |
| addrow: |
| Removerow: |
| Click to delete a row: |
| Location: Aviation Operational Sites (AOS) within Jacksonville, FL and Corpus Christi, TX |
Contractor Leased Sites
| Block9: To provide facility maintenance and custodial services at the AOS and all Contractor leased sites directly supporting this contract. |
| a: 1 |
| a: 0 |
| a: 1 |
| f: 0 |
| f: 0 |
| f: 0 |
| b: 0 |
| b: 0 |
| b: 0 |
| g: 0 |
| g: 0 |
| c: 0 |
| c: 0 |
| c: 0 |
| h: 1 |
| h: 1 |
| d: 0 |
| d: 1 |
| d: 0 |
| i: 0 |
| i: 0 |
| SCI: 0 |
| NonSCI: 0 |
| j: 1 |
| j: 1 |
| k: 0 |
| k: 0 |
| Enter your name here.: |
| e: 0 |
| e: 1 |
| l: 0 |
| m: 0 |
| direct: 0 |
| thru: 1 |
| Enter your name here.: None Authorized |
| PublicAuthority: |
| AddSig: |
| RemoveSig: |
| text: Reference Item 10a: Contractor is authorized to use U.S. Government cryptographic equipment. Access to classified COMSEC information requires a final U.S. Government clearance at the appropriate level. Further disclosure of COMSEC information by a contractor, to include subcontracting, requires prior approval of the contracting activity." Contractor shall contact the DHS COMSEC Control Office of Record (COR), at Commercial (540) 542-3848, to receive current COMSEC guidance. |
Reference Item 10h: The procedures shall ensure that the material can be located at all times and access is limited to those persons who require access for the specific purpose for which the information was provided by the originating government. Foreign Government Information (FGI) shall retain its original classification markings or shall be assigned a U.S. classification that provides a degree of protection at least equivalent to that required by the entity that furnished the information. Foreign government material shall be stored in a manner that will avoid commingling with other material which may be accomplished by establishing separate files in a storage container. Foreign Government Information, 32 C.F.R. Part 2001.554(b), establishes regulatory guidance; also given in the NISPOM, Chapter 10. Contractors with questions and all FGI actions shall be directed to CBP Office of Professional Responsibility, Security Management Division through their COR.
Reference Item 10j: Due to the absence of the implementation of CUI within DHS, the Contractors shall comply with the provisions of DHS Management Directive Number: 11042.1, "Safeguarding Sensitive but Unclassified (For Official Use Only) Information". All contract personnel should orient themselves with the CBP Information Security Handbook (HB1400-04A), July 2016, Safeguarding Sensitive But Unclassified (For Official Use Only) Information.
Reference Item 11d: The fabrication, modification, receipt of storage of classified hardware, data or material require the Contractor to establish and provide an Operations Security (OPSEC) Program as detailed in Department of Homeland Security Management Directive 11060.1 dated 9/25/2006. The OPSEC Program shall demonstrate the Contractor's comprehensive process incorporating the principles and practices of OPSEC into its organization. As a means of increasing effectiveness across the board, the contractor should address though an OPSEC Plan how the company plans to identify those activities likely to produce intelligence for an adversary. Contractors shall contact DHS OPSEC Division as 202-447-5422 for further OPSEC guidance. Contractors may not impose OPSEC on subcontractors without contracting activity approval.
Reference Item 11h: Contractor shall verify that a COMSEC clearance was approved and established by DHS, by contacting the DHS COMSEC Control Office of Records, at Commercial (540) 542-3848, Contractor shall request COMSEC guidance and verify that a copy of the CANISPOM was requested on their behalf from NSA.
Reference Item 11j: As a means of increasing effectiveness across the board, contractor should address through an OPSEC Plan how the company plans to identify those activities likely to produce intelligence for an adversary. Contractors shall contact CBP Office of Professional Responsibility, Security Management Division at 202-325-7500 for further OPSEC guidance.
Subcontracting: Contractors may not impose OPSEC on subcontractors without contracting activity approval.
| attachmentsList: |
| AddAttachment: |
| ViewAttachment: |
| RemoveAttachment: |
| rep: Frank Tagg |
Program Manager rep: Reginald Washington Security Specialist
| Sig: |
| Enter your name here.: |
| GCAName: USCBP/AMBTCD |
| AAC: 70B02C |
| Address: 1300 Pennsylvania Avenue NW |
NP1350
Washington DC 20229
| POCName: Joquita Marie Wheeler |
| Phone: 2023441044 |
| Email: joquita.m.wheeler@cbp.dhs.gov |
| Title: |
| Enter the date using the format DD-Mon-YYYY: |
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