A23 Attachment 07 DD Form 254 RRMC.pdf

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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PREVIOUS EDITION IS OBSOLETE.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:

May 31, 2022 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.)

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

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

Raven Rock Mountain Complex (RRMC) 450 Harbaugh Valley Road Fairfield, PA 17320-8922

Defense Pentagon, Rm 2C757, Washington DC20301,Tell RRMC PublicAuthority: RRMC Commander 717-878-2771, RRMC Security Office 717-878-2513

Escorts for Secret Locations:

Escorts must possess a minimum of an Interim Secret security clearance to escort contractor employees (Who do not possess a security clearance) within Secret rated project areas, who will not need access to classified information.

For contractor personnel that will require access to classified information:

They must possess a minimum of an Interim Secret Clearance level. All personnel must be United States Citizens and have a Secret or Interim Secret security clearance to gain access to RRMC (Encompasses Site R Main location, Site RT and C) without an escort.

The numbered paragraphs below have been marked “Applicable” or “Not Applicable” by the COR. Paragraphs marked “Applicable” will apply in all cases to performance of this contract.

Prior approval of the contracting activity and concurrence of the COR/CM is required for any subcontracting.

The use of cellular phones, hand-held radios, beepers, pagers, cordless phones, and cordless microphones shall be addressed in the Standard Operating Procedures of each computer facility where classified information processing is accomplished.

The following Security Classification Guide applies. Raven Rock Mountain Complex (RRMC) Sites R, RT, & C Security Classification Guide (SCG) January 1, 2017, issued by the Commander of RRMC. Additional classification guidance will be provided by the on-site Government representative. Classified information will be handled IAW the National Industrial Security Program, DoD 5220.22-M (Change 1 March 28, 2013).

CLASSIFICATION

8a. Actual Performance, Locations. Enter ALL locations of performance on the DD254. If there is more than one location, use the ADD ROW button to Enter ALL locations of performance on the DD254.

Location: Raven Rock Mountain Complex

10k. Performance in Government Facilities. (Mark block 10k yes) This contract requires personnel to perform work in direct support of, the RRMC staff and will require individuals to work within Government controlled facilities. All contractor personnel under this contract who have access to classified information must possess a U.S. clearance. The Contract Monitor will provide security classification guidance for the performance of this contract.

1 Applicable 0Not Applicable.

In and Out Processing: This contract requires personnel to perform work in direct support of, the RRMC staff and will require individuals to obtain and maintain government issued building access cards to enable performance within Government controlled facilities. As such, all contractor personnel are required to in-process with the Administration Directorate prior to reporting for work. As a condition of this contract, all personnel issued government access cards are required to ensure the card is returned to the RRMC SECURITY OFFICCE upon removal from the contract or termination of employment under this contract.

11c. Receive and Generate classified material. (Applies if block 11c is marked yes) This contract requires the contractor to generate or perform work in support of creating classified documents. Classified information and materials shall be protected in accordance with the policies and procedures established by DoD Directive 5200.1-R, National Industrial Security Program Operating Instruction (NISPOM), dated January 1995, and all other applicable Executive Orders. Specific classification guidance will be provided on individual tasks by the COR or CM. The contractor must ensure that applicable classification guidance and marking provisions are complied with IAW the NISPOM. In any case where classification guidance has not been provided, the contractor is to safeguard the information and seek written guidance from the COR or CM prior to release of the information to anyone except the COR or CM.

1Applicable 0Not Applicable.

1) 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 CM.

2) In cases where classified information is authorized to be stored or generated at the vendor facility, the contractor must ensure each employee having access to classified material is fully aware of the special security requirements for this material and shall maintain records in a manner that will permit the contractor to furnish, on demand, the names of individuals who have had access to this material in their custody.

3) Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified information (furnished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the COR.

4) The contractor must designate an individual who is working on the contract as custodian. The designated custodian shall be responsible for receipting and accounting for all classified material received under this contract. This does not mean that the custodian must personally sign for all classified material. The inner wrapper of all classified material dispatched should be marked for the attention of a designated custodian and must not be opened by anyone not working directly on the contract.

5) Within 30 days after the final product is received and accepted by the procuring agency, classified intelligence materials released to or generated by the contractor, must be returned to the originating agency through the contract monitor unless written instructions authorizing destruction or retention are issued. Requests to retain material shall be directed to the CM for this contract in writing and must clearly indicate the justification for retention and identity of the specific document to be retained.

6) Classification, re-grading, or declassification markings of documentation produced by the contractor shall be consistent with that applied to the information or documentation from which the new document was prepared. If a compilation of information or a complete analysis of a subject appears to require a security classification other than that of the source documentation, the contractor shall assign the tentative security classification and request instructions from the contract monitor. Pending final determination, the material shall be safeguarded as required for its assigned or proposed classification, whichever is higher, until the classification is changed or otherwise verified.

11j. Operations Security. (Applies if block 11j is marked yes) The contractor shall comply with OPSEC requirements specified in DoD 5220-22-M, National Industrial Security Program Operating Manual (NISPOM). OPSEC requirements are applicable to the contractor’s SAP procedures but only if specified by the SAP Program Office.

1Applicable 0Not Applicable.

11m. Courier authorizations. (Mark block 11m yes) This contract requires personnel to obtain the Government issued Courier Authorization. All courier authorizations will be in accordance with the NISPOM. As such, all contractor personnel are required to in-process with the Administration Directorate Security Office to obtain courier cards. Instructions for obtaining the courier card are available in the RRMC Security Office and must be adhered to in order to obtain the courier card. As a condition of this contract, all personnel issued Courier Cards are required to ensure the card is returned to the Security Office or the CAC Coordinator upon removal from the contract or termination of employment under this contract.

1Applicable 0Not Applicable.

CUI/FOUO (LEGACY) REQUIREMENTS FOR DOD CONTRACTORS

The following procedures will be used to protect Controlled Unclassified Information (CUI) materials:

**Note: Controlled Unclassified Information (CUI) has replaced For Official Use Only (FOUO). FOUO documents previously generated can still be used with the understanding they are legacy documents. For all new generated documents contractor shall label as CUI whereas before the marking would have been FOUO.

1) HANDLING: Access to CUI material shall be limited to those employees needing the material to perform their duties. The CUI marking is assigned to material created by a DoD User Agency. CUI is not a classification, but requires extra precautions to ensure it is not released to the public.

2) MARKING: Mark unclassified documents containing CUI: “Controlled Unclassified Information” at the bottom of each page and back cover (if any). In a classified document:

a) Mark individual paragraph that contains CUI, but not classified material by placing “CUI at the beginning of the paragraph.

b) Mark top and bottom of each page that has both CUI and classified material with the highest security classification of the material on that page.

c) Mark “CUI at the bottom of each page that has CUI but not classified material.

d) If a classified document also contains CUI material or if the classified material becomes CUI when declassified, place the following statement on the bottom of the cover or the first page under the classification marking: “NOTE: If declassified, review the document to make sure the material is not CUI and not exempt under DoD Regulation 5400.7 before public release.

e) Mark other records such as computer print outs, photographs, films, tapes,, Or slides “Controlled Unclassified Information” so the receiver or viewer knows the record contains CUI material.

f) Mark each part of a message that contains CUI material. Unclassified messages containing CUI material must show the abbreviation “CUI before the text begins.

g) Ensure documents that transmit CUI material call attention to any CUI attachments.

h) CUI material released to a contractor by a DoD user agency must have the following statement on the front page or cover:

11-118 DOCUMENT CONTAINS MATERIAL EXEMPT FROM MANDATORY DISCLOSURE UNDER THE FREEDOM OF INFORMATION ACT. EXEMPTION(S)________APPLY.”

3) STORAGE: During normal duty hours, place CUI material in an out-of-sight location if your work area is accessible to persons who do not have a valid need for the material. After normal duty hours, store CUI material to prevent unauthorized access. File with other unclassified records in unlocked files or desks when internal building security is provided. When there is no internal security, locked buildings or rooms usually provide adequate after hours protection. For additional protection, store CUI material in locked containers such as file cabinets, desks, or bookcases. Expenditure of funds for security containers or closed areas solely for the protection of CUI material is prohibited.

4) TRANSMISSION: CUI documents and materials may be transmitted via first class mail, parcel post or for bulky shipments-fourth class mail. Within the CONUS discussion of CUI material on the telephone is authorized if necessary for the performance of the contract. Electronic transmission of CUI information (voice, data or facsimile) should be by approved secure communications systems whenever practical.

5) RELEASE: CUI material shall not be released outside of the contractor’s facility except to the representative of the DOD.

6) DESTRUCTION: When no longer needed CUI material shall be disposed of by a method that precludes its disclosure to unauthorized individuals.

Release of Non-SCI Intelligence Information to DoD Contractors

ATTACHMENT TO DD FORM 254 FOR CONTRACT NO:

CONTRACT EXPIRATION DATE:

1) Requirements for access to non-SCI:

a) All intelligence material released to the contractor remains the property of the US Government and may be withdrawn at any time. Contractors must maintain accountability for all classified intelligence released into their custody.

b) The contractor must not reproduce intelligence material without the written permission of the originating agency through the DIA/SSO. If permission is granted, each copy shall be controlled in the same manner as the original.

c) The contractor must not destroy any intelligence material without advance approval or as specified by the contract monitor (CM). (EXCEPTION: Classified waste shall be destroyed as soon as practicable in accordance with the provisions of the Industrial Security Program).

d) 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 CM.

e) The contractor must ensure each employee having access to intelligence material is fully aware of the special security requirements for this material and shall maintain records in a manner that will permit the contractor to furnish, on demand, the names of individuals who have had access to this material in their custody.

f) Intelligence material must not be released to foreign nationals or immigrant aliens whether they are consultants, US 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 contract monitor and shall include:

i) A copy of the proposed disclosure.

ii) Full justification reflecting the benefits to US interests.

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

g) Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified intelligence (furnished or generated) to the source from which received unless retention or other disposition instructions (see DCID 6/1) are authorized in writing by the CM.

h) The contractor must designate an individual who is working on the contract as custodian. The designated custodian shall be responsible for receipting and accounting for all classified intelligence material received under this contract. This does not mean that the custodian must personally sign for all classified material. The inner wrapper of all classified material dispatched should be marked for the attention of a designated custodian and must not be opened by anyone not working directly on the contract.

i) Within 30 days after the final product is received and accepted by the procuring agency, classified intelligence materials released to or generated by the contractor, must be returned to the originating agency through the contract monitor unless written instructions authorizing destruction or retention are issued. Requests to retain material shall be directed to the CM for this contract in writing and must clearly indicate the justification for retention and identity of the specific document to be retained.

j) Classification, regrading, or declassification markings of documentation produced by the contractor shall be consistent with that applied to the information or documentation from which the new document was prepared. If a compilation of information or a complete analysis of a subject appears to require a security classification other than that of the source documentation, the contractor shall assign the tentative security classification and request instructions from the contract monitor. Pending final determination, the material shall be safeguarded as required for its assigned or proposed classification, whichever is higher, until the classification is changed or otherwise verified.

2) Intelligence material carries special markings. The following is a list of the authorized control markings of intelligence material:

a) “Dissemination and Extraction of Information Controlled by Originator (ORCON).” This marking is used, with a security classification, to enable a continuing knowledge and supervision by the originator of the use made of the information involved. This marking may be used on intelligence which clearly identifies, or would reasonably permit ready identification of an intelligence source or method which is particularly susceptible to countermeasures that would nullify or measurably reduce its effectiveness. This marking may not be used when an item or information will reasonably be protected by use of other markings specified herein, or by the application of the “need-to-know” principle and the safeguarding procedures of the security classification system.

b) “Authorized for Release to (Name of Country(ies)/International Organization.” The above is abbreviated “REL ________.” This marking must be used when it is necessary to identify classified intelligence material the US government originator has predetermined to be releasable or has been released through established foreign disclosure channels to the indicated country(ies) or organization.

3) The following procedures govern the use of control markings.

a) Any recipient desiring to use intelligence in a manner contrary to restrictions established by the control marking set forth above shall obtain the advance permission of the originating agency through the CM. Such permission applies only to the specific purposes agreed to by the originator and does not automatically apply to all recipients. Originators shall ensure that prompt consideration is given to recipients’ requests in these regards, with particular attention to reviewing and editing, if necessary, sanitized or paraphrased versions to derive a text suitable for release subject to lesser or no control markings.

b) The control marking authorized above shall be shown on the title page, front cover, and other applicable pages of documents, incorporated in the text of electrical communications, shown on graphics, and associated (in full or abbreviated form) with data stored or processed in automatic data processing systems. The control marking also shall be indicated by parenthetical use of the marking abbreviations at the beginning or end of the appropriate portions. If the control marking applies to several or all portions, the document must be marked with a statement to this effect rather than marking each portion individually.

c) The control markings shall be individually assigned at the time of preparation of intelligence products and used in conjunction with security classifications and other marking specified by E.O. 13526 and its implementing security directives. The marking shall be carried forward to any new format in which the same information is incorporated including oral and visual presentations.

d) Request for release of intelligence material to a contractor must be prepared by the contract monitor (CM) and submitted to the DIA/SSO. This should be accomplished as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirements and copies of the DD Form 254 and Statement of Work.

Alexandria, VA 22350 Address: 1155 Defense Pentagon

SMOC 104B

Washington, D.C. 20301-1155