A23 Attachment 06 DD Form 254 Pentagon.pdf

CLASSIFICATION (When filled in): Unclassified

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AEM LiveCycle Designer

DD FORM 254, APR 2018

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

HQ003419R0018

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20191219

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

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

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

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

5. IS THIS A FINAL DD FORM 254? No 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

TBD

b. CAGE CODE

TBD

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

TBD

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) Add Row Remove last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows

a. LOCATION(S) (For actual performance, see instructions.)

Pentagon Reservation 1155 Defense Pentagon Washington DC 20301-1155

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

a. LOCATION(S) (For actual performance, see instructions.)

Raven Rock Mountain Complex Adams County PA and vicinity

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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a. LOCATION(S) (For actual performance, see instructions.)

National Capital Region

b. CAGE CODE

(If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The work to be acquired under this contract is for design-build or design-bid-build construction of government facilities at various locations within Washington Headquarters Services’ (WHS) area of responsibility, including but not limited to, the District of Columbia, Maryland, Virginia, and Pennsylvania. It is anticipated that the majority of the work will be performed in the DC Metro Area including the Pentagon, Mark Center, and leased spaces in Arlington, VA. Projects will include Raven Rock Mountain Complex (RRMC) Area in Adams County, PA with outlying properties in Washington County, MD.

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.) h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

See item 13

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

See item 13

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)

DIRECT THROUGH (Specify below)

Defense Office of Prepublication and Security Review (DOPSR) 1155 Defense Pentagon Washington, DC 20301

Public Release Authority:

Coordinate with DOPSR

13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures

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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.)

ITEM 10.j. CONTROLLED UNCLASSIFIED INFORMATION (CUI)

• FOUO and/or other types of Controlled Unclassified Information (CUI) provided under this contract must be safeguarded as required by Volume 4 of the DoDM 5200.1.

• Contractor must ensure Personally Identifiable Information (PII) also a type of CUI, is protected as required by the Privacy Act and Government regulation.

• PII: enforce need to know; process on Government approved systems only; collect PII only when authorized; do not store PII on removable media; keep PII at authorized work locations; encrypt email containing PII; lock PII in desk drawers/file cabinets when not in use; dispose of PII using burn bags; report known or suspected failures to safeguard PII to the WHS Security Office.

PERSONALLY IDENTIFIABLE INFORMATION (PII) AND PROTECTED HEALTH INFORMATION (PHI)

Performance and Deliverables, specifically security clearance information will require knowledge of an individual’s PII (e.g. Social Security Number). An evaluation of existing statutory/regulatory/policy requirements to safeguard PII and PHI may also be necessary.

The Contractor:

• Will ensure any PII/PHI revealed is safeguarded as required by existing statutory; regulatory; and policy requirements.

• Will not intentionally view PII/PHI of any individual unless officially needed to aid in the understanding and evaluation of statutory/ regulatory/policy to safeguard the PII/PHI.

• Will not remove or copy by any means, any PII/PHI.

• Will not share PII/PHI with anyone.

• Will not store or process PII/PHI on any system/equipment.

• Will report immediately to the Government owner of the system storing PII/PHI and to the WHS Security Office any known or suspected failure to safeguard PII/PHI.

ITEM 10.k. OTHER

• Contractor will comply with Government security requirements specific to authorized work sites

• Contractor will immediately notify the COR and WHS Security Office of any issues affecting a person’s eligibility for access to classified information.

DOD INFORMATION ON NON-DOD INFORMATION SYSTEMS

• Approval is needed to process DoD information on non-DoD information systems.

• Adequate security must be provided for all unclassified DoD information (which includes CUI) on non-DoD information systems. A non-DoD information system is any information system that is not owned, controlled, or operated by the DoD and that is not used or operated by a contractor or other non-DoD entity exclusively on behalf of the DoD.

• For additional information refer to DoD Instruction 8582.01 “Security of Unclassified DoD Information on Non-DoD Information Systems.”

DOD COMPUTER SECURITY

Contractor shall:

• Comply with Government policy and use only approved information systems to process DoD information and only for official purposes

• Process classified information only on systems approved at the appropriate classification (e.g. secret on secret)

• Not process classified information on unclassified systems

• Not remove Government equipment from the work site unless specifically approved by the COR

• Complete required initial and annual cyber security training

• Encrypt email containing sensitive information (i.e. CUI)

• Comply with acceptable use policy

• Remove CAC when walking away from a computer

• Not modify or connect Government equipment to non-approved devices (e.g. personal computer/printer, cell phone)

• Not email DoD information to personal computing devices or store the information in unauthorized locations (e.g. commercial web servers)

• Not introduce personal wireless hot spots or portable electronic devices (e.g. cell phone) into spaces where classified or sensitive information is processed/stored

• Use only government approved USB devices

• Not post DoD information to publicly accessible web sites

• Not process DoD information on personal devices (e.g. cell phone, laptop, camera, voice recorders)

• Not use thumb drives

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• Return government equipment when no longer required for performance on this contract.

ITEM 11.c. RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION OR MATERIAL

• Prior to the receipt/storage/generation of classified information at the facility listed in 6.a., the contractor shall ensure DSS has authorized SAFEGUARDING at the appropriate level and that the level approved is reflected in the DSS Industrial Security Facilities Database

(ISFD).

• Contractor shall ensure that any information system used to process classified under this contract is accredited by DSS PRIOR TO use, as required by the NISPOM.

• Contractor shall comply with the NISPOM for access to and safeguarding of classified information.

• Contractor shall not apply derivative classification until an approved Security Classification Guide is provided by the government customer.

• Contractor shall comply with the security classification guidance provided by the customer.

ITEM 11.m. OTHER

GOVERNMENT REGULATIONS

DoD security requirements can be found on the DoD issuances website: http://www.esd.whs.mil/DD/

IN/OUT PROCESSING

• Contractor personnel must complete in-processing upon entry to the contract and out-processing prior to departing from this contract.

• All government property and information must be returned at or before out-processing.

COMMON ACCESS CARD (CAC)

• A CAC will be issued as required for access to facilities and/or information systems.

• Personnel must meet and maintain investigative and adjudicative requirements specified in DoDI 5200.46, and immediately report to the WHS Security Office any issues affecting eligibility to possess a CAC.

• Government issued credentials are the property of the United States Government and must be returned when no longer required for performance on this contract. Return CACs to:

WHS Security Office 4800 Mark Center Drive, Suite 03F09-02 Alexandria, VA 22350

ORIGINAL CLASSIFICATION is not authorized

DERIVITIVE CLASSIFICATION is not authorized unless approved by the WHS Security Office for each person; training must be completed.

HAND CARRYING CLASSIFIED INFORMATION

• If required, hand carrying is limited to the NCR

• A courier card must be issued by the WHS Security Office

• Couriers must complete required training.

• Travel with classified information via aircraft is prohibited.

DESTRUCTION OF DOD INFORMATION

• Information not already officially approved for public release must be destroyed.

DISPOSITION OF DOD INFORMATION

• All information must be returned to the Government when no longer required for performance on the contract.

PHOTOGRAPHY/RECORDING

• The recording of DoD information, equipment, personnel, and facilities by any means is prohibited unless expressly permitted via a photo permit.

HAZARDOUS MATERIAL & WEAPONS are prohibited

CONTINUED RESPONSIBILITY

• Safeguarding classified information and CUI is a lifelong obligation.

• Contractor personnel will continue to safeguard DoD information to which they had access to or knowledge of.

SECURITY INCIDENTS

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• Any issues/concerns of workplace violence must be reported immediately to the WHS Security Office and Pentagon Force Protection Agency (PFPA).

• Any known or suspected failure to safeguard DoD information, equipment, facilities, or personnel must be reported to the WHS Security Office.

• Incidents involving computer systems/networks must be reported to the Pentagon Computer Incident Response Team (PENTCIRT), and WHS Security Office.

• Comply with instructions provided by PFPA, PENTCIRT, and WHS Security Office.

• If DoD information is found unprotected (e.g. unattended in a common area) take possession of the information, safeguard it, provide the information to the WHS Security Office.

• If classified information or CUI is found on publicly accessible websites, STOP and immediately notify the WHS Security Office. Report the website address; do not continue to look at the information; do not share the website with co-workers; do not acknowledge the validity of the information to inquiries from unauthorized persons (e.g. the media).

• If a data spill is encountered (e.g. secret information sent and received on unclassified email) STOP and immediately notify PENTCIRT.

Follow instructions provided.

• Provide only unclassified information when reporting.

PENTAGON FORCE PROTECTION AGENCY

Emergency: 703-697-5555 or 911 from office land-line Non-Emergency Phone: 703-697-1001

WHS SECURITY OFFICE

whs.pentagon.em.mbx.security-officers@mail.mil; or 571-372-0940; 571-372-0938

SAFEGUARDING COMPONENT INFORMATION, INCLUDING BY COMPILATION

• Contractor must ensure information collected from any DoD Component is safeguarded as prescribed by that component (e.g. classified, CUI, unclassified).

• Contractor must ensure proper safeguarding of Component information as it is compiled with information collected from other DoD Components. For example: compilations of information that are individually unclassified, may be classified if the information [combined] qualifies for classification.

• Classification by compilation requires an original classification decision by an authorized Original Classification Authority.

• Contractor must consider compilation initially and continually to ensure information is processed on appropriate computer systems (to prevent data spills) and information is not released to unauthorized persons

• For additional information refer to DoD Manual 5200.01-V1 “DoD Information Security Program: Overview, Classification, and Declassification.”

ITEM 12 PUBLIC RELEASE

• Release of DoD information to the public or other unauthorized recipient is prohibited.

• All DoD information intended for publication or dissemination must undergo a security and policy pre-publication review. This includes, but is not limited to: books, manuscripts and theses, biographies, articles, book reviews, audio/video materials, speeches, press releases, conference briefings, research papers, gaming materials and other media.

• The Government must initiate the release process and the proposed information must be reviewed by the WHS Security Office.

• Unauthorized releases must be reported to the WHS Security Office.

• For more information visit the DOPSR website: http://www.esd.whs.mil/DOPSR/

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Add Attachment View Selected Attachment Remove Selected Attachment

NAME & TITLE OF REVIEWING OFFICIAL

Mike Copeland Chief, Security Admin Branch

SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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

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DD FORM 254, APR 2018

Elements of this contract are outside the inspection responsibility of the CSO.

No Yes 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)

a. GCA NAME

WHS Acquisition Directorate

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

HQ0034

c. ADDRESS (Include ZIP Code) 4800 Mark Center Drive STE 09F09-02 Alexandria, VA 22350

d. POC NAME

Kyle Blake, Contracting Officer

e. POC TELEPHONE (Include Area Code)

+1 (703) 545-1037

f. EMAIL ADDRESS (See Instructions) kyle.r.blake5.civ@mail.mil

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

Powell, Kibby M.

b. TITLE

Contracting Officer's Representative

c. ADDRESS (Include ZIP Code) 100 Boundary Channel Drive Arlington, VA 22202

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

HQ0034

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

TBD

f. TELEPHONE (Include Area Code)

+1 (717) 878-5535

g. EMAIL ADDRESS (See Instructions) kibby.m.powell.civ@mail.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

Reviewing Official specified in block 13 and GCA POC specified in item 16.d. for distribution to offeror with RFP

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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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)

1155 Defense Pentagon Washington DC 20301-1155 Location: Raven Rock Mountain Complex Adams County PA and vicinity

1155 Defense Pentagon Washington, DC 20301

• FOUO and/or other types of Controlled Unclassified Information (CUI) provided under this contract must be safeguarded as required by Volume 4 of the DoDM 5200.1.

• Contractor must ensure Personally Identifiable Information (PII) also a type of CUI, is protected as required by the Privacy Act and Government regulation.

• PII: enforce need to know; process on Government approved systems only; collect PII only when authorized; do not store PII on removable media; keep PII at authorized work locations; encrypt email containing PII; lock PII in desk drawers/file cabinets when not in use; dispose of PII using burn bags; report known or suspected failures to safeguard PII to the WHS Security Office.

PERSONALLY IDENTIFIABLE INFORMATION (PII) AND PROTECTED HEALTH INFORMATION (PHI)

Performance and Deliverables, specifically security clearance information will require knowledge of an individual’s PII (e.g. Social Security Number). An evaluation of existing statutory/regulatory/policy requirements to safeguard PII and PHI may also be necessary.

The Contractor:

• Will ensure any PII/PHI revealed is safeguarded as required by existing statutory; regulatory; and policy requirements.

• Will not intentionally view PII/PHI of any individual unless officially needed to aid in the understanding and evaluation of statutory/regulatory/policy to safeguard the PII/PHI.

• Will not remove or copy by any means, any PII/PHI.

• Will not share PII/PHI with anyone.

• Will not store or process PII/PHI on any system/equipment.

• Will report immediately to the Government owner of the system storing PII/PHI and to the WHS Security Office any known or suspected failure to safeguard PII/PHI.

ITEM 10.k. OTHER

• Contractor will comply with Government security requirements specific to authorized work sites

• Contractor will immediately notify the COR and WHS Security Office of any issues affecting a person’s eligibility for access to classified information.

DOD INFORMATION ON NON-DOD INFORMATION SYSTEMS

• Approval is needed to process DoD information on non-DoD information systems.

• Adequate security must be provided for all unclassified DoD information (which includes CUI) on non-DoD information systems. A non-DoD information system is any information system that is not owned, controlled, or operated by the DoD and that is not used or operated by a contractor or other non-DoD entity exclusively on behalf of the DoD.

• For additional information refer to DoD Instruction 8582.01 “Security of Unclassified DoD Information on Non-DoD Information Systems.”

DOD COMPUTER SECURITY

Contractor shall:

• Comply with Government policy and use only approved information systems to process DoD information and only for official purposes

• Process classified information only on systems approved at the appropriate classification (e.g. secret on secret)

• Not process classified information on unclassified systems

• Not remove Government equipment from the work site unless specifically approved by the COR

• Complete required initial and annual cyber security training

• Encrypt email containing sensitive information (i.e. CUI)

• Comply with acceptable use policy

• Remove CAC when walking away from a computer

• Not modify or connect Government equipment to non-approved devices (e.g. personal computer/printer, cell phone)

• Not email DoD information to personal computing devices or store the information in unauthorized locations (e.g. commercial web servers)

• Not introduce personal wireless hot spots or portable electronic devices (e.g. cell phone) into spaces where classified or sensitive information is processed/stored

• Use only government approved USB devices

• Not post DoD information to publicly accessible web sites

• Not process DoD information on personal devices (e.g. cell phone, laptop, camera, voice recorders)

• Not use thumb drives

• Return government equipment when no longer required for performance on this contract.

ITEM 11.c. RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION OR MATERIAL

• Prior to the receipt/storage/generation of classified information at the facility listed in 6.a., the contractor shall ensure DSS has authorized SAFEGUARDING at the appropriate level and that the level approved is reflected in the DSS Industrial Security Facilities Database (ISFD).

• Contractor shall ensure that any information system used to process classified under this contract is accredited by DSS PRIOR TO use, as required by the NISPOM.

• Contractor shall comply with the NISPOM for access to and safeguarding of classified information.

• Contractor shall not apply derivative classification until an approved Security Classification Guide is provided by the government customer.

• Contractor shall comply with the security classification guidance provided by the customer.

ITEM 11.m. OTHER

GOVERNMENT REGULATIONS

DoD security requirements can be found on the DoD issuances website: http://www.esd.whs.mil/DD/

IN/OUT PROCESSING

• Contractor personnel must complete in-processing upon entry to the contract and out-processing prior to departing from this contract.

• All government property and information must be returned at or before out-processing.

COMMON ACCESS CARD (CAC)

• A CAC will be issued as required for access to facilities and/or information systems.

• Personnel must meet and maintain investigative and adjudicative requirements specified in DoDI 5200.46, and immediately report to the WHS Security Office any issues affecting eligibility to possess a CAC.

• Government issued credentials are the property of the United States Government and must be returned when no longer required for performance on this contract. Return CACs to:

WHS Security Office 4800 Mark Center Drive, Suite 03F09-02 Alexandria, VA 22350

ORIGINAL CLASSIFICATION is not authorized

DERIVITIVE CLASSIFICATION is not authorized unless approved by the WHS Security Office for each person; training must be completed.

HAND CARRYING CLASSIFIED INFORMATION

• If required, hand carrying is limited to the NCR

• A courier card must be issued by the WHS Security Office

• Couriers must complete required training.

• Travel with classified information via aircraft is prohibited.

DESTRUCTION OF DOD INFORMATION

• Information not already officially approved for public release must be destroyed.

DISPOSITION OF DOD INFORMATION

• All information must be returned to the Government when no longer required for performance on the contract.

PHOTOGRAPHY/RECORDING

• The recording of DoD information, equipment, personnel, and facilities by any means is prohibited unless expressly permitted via a photo permit.

HAZARDOUS MATERIAL & WEAPONS are prohibited

CONTINUED RESPONSIBILITY

• Safeguarding classified information and CUI is a lifelong obligation.

• Contractor personnel will continue to safeguard DoD information to which they had access to or knowledge of.

SECURITY INCIDENTS

• Any issues/concerns of workplace violence must be reported immediately to the WHS Security Office and Pentagon Force Protection Agency (PFPA).

• Any known or suspected failure to safeguard DoD information, equipment, facilities, or personnel must be reported to the WHS Security Office.

• Incidents involving computer systems/networks must be reported to the Pentagon Computer Incident Response Team (PENTCIRT), and WHS Security Office.

• Comply with instructions provided by PFPA, PENTCIRT, and WHS Security Office.

• If DoD information is found unprotected (e.g. unattended in a common area) take possession of the information, safeguard it, provide the information to the WHS Security Office.

• If classified information or CUI is found on publicly accessible websites, STOP and immediately notify the WHS Security Office. Report the website address; do not continue to look at the information; do not share the website with co-workers; do not acknowledge the validity of the information to inquiries from unauthorized persons (e.g. the media).

• If a data spill is encountered (e.g. secret information sent and received on unclassified email) STOP and immediately notify PENTCIRT. Follow instructions provided.

• Provide only unclassified information when reporting.

PENTAGON FORCE PROTECTION AGENCY

Emergency: 703-697-5555 or 911 from office land-line Non-Emergency Phone: 703-697-1001

WHS SECURITY OFFICE

whs.pentagon.em.mbx.security-officers@mail.mil; or 571-372-0940; 571-372-0938

SAFEGUARDING COMPONENT INFORMATION, INCLUDING BY COMPILATION

• Contractor must ensure information collected from any DoD Component is safeguarded as prescribed by that component (e.g. classified, CUI, unclassified).

• Contractor must ensure proper safeguarding of Component information as it is compiled with information collected from other DoD Components. For example: compilations of information that are individually unclassified, may be classified if the information [combined] qualifies for classification.

• Classification by compilation requires an original classification decision by an authorized Original Classification Authority.

• Contractor must consider compilation initially and continually to ensure information is processed on appropriate computer systems (to prevent data spills) and information is not released to unauthorized persons

• For additional information refer to DoD Manual 5200.01-V1 “DoD Information Security Program: Overview, Classification, and Declassification.”

ITEM 12 PUBLIC RELEASE

• Release of DoD information to the public or other unauthorized recipient is prohibited.

• All DoD information intended for publication or dissemination must undergo a security and policy pre-publication review. This includes, but is not limited to: books, manuscripts and theses, biographies, articles, book reviews, audio/video materials, speeches, press releases, conference briefings, research papers, gaming materials and other media.

• The Government must initiate the release process and the proposed information must be reviewed by the WHS Security Office.

• Unauthorized releases must be reported to the WHS Security Office.

• For more information visit the DOPSR website: http://www.esd.whs.mil/DOPSR/

Chief, Security Admin Branch

Alexandria, VA 22350 Address: 100 Boundary Channel Drive Arlington, VA 22202