Atch 3 DD254.pdf

CLASSIFICATION (When filled in): Unclassified

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

(The rwquirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.) May 31, 2022

The p<blic repoltS1Q burden for this collection o( infOffllation. 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching exist ing data -..:es, gathering and maintaining the data Meded, and completing and reviewing the coUedlon of infOffllation. Send comments regar<f,ng this burden estimate or any other asped of this collection o( infomlatlon, including suggestions for reducing the burden, to the Department of Defense. Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-<lod-infOffllation-collections@mail.mil. Respondents shOuld be aware that nolWithstanding lny other provision o( law, no person shall be subjed to any penalty for failing to comply with a collection of infOffllatlon ~ ~ 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/ MATERIAL REQUIRED AT CONTRACTOR FACILITY (See Instructions)

Top Secret Secret

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.)

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

20210526

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

• REVISION NO. DATI (YYYYMMDD)

e, IOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

~ W80YCG 10538000 20210915 • c. FINAL (Complete Item 5 in all cases.) DATI! (YYYYMMDD)

4. IS THII A FOLLOW-ON CONTRACT? 181 No D Yes If yes, complete the following:

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

5. IS THII A FINAL DD FORM 254? 181 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)

TO BE DETERMINED (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)

TO BE DETERMINED

(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)

Military Surface Deployment and Distribution Command (If applicable, (Name, Address, ZIP Code, Telephone required; Email Add,.ss optional) see lnstrucoons.) Defense Security Service (IOFSL) I Soldier Way 303 Fountains Parkway, Suite 303 Scott AFB, IL 62225-5006 ... Fairview Heights, lL 62208 Continued in item 13

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

GA TES support contract supports 4 major requirements identified by the G3S to include the Continuous Learning Environment (CLE), service tickets and Functional CAT. Support contract will provide functional support to over 1500 GA TES users worldwide, CAT support Include developing test plans for new systems, and providing metrics on software version being tested, CLE support includes developing test plans for new system software, providing metrics on software version_ being tested, development of training elements. CLE training support will provide the surface tenninal community and enterprise web accessible capability, and therefore the contractor shall provide functional support to Ft Lee and G3, via electronic means and service now tickets. Contract will also provide support to the GA TES kits and all peripherals located at Beaumont 842nd.

DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE.

CLASSIFICATION (When filled in): Unclassified

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CLASSIFICATION (\IVhen filled in): Unclassified

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

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

0 b. R~STRICTED DATA O g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

0 c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marl<ed.)

0 d. FORMERLY RESTRICTED DATA

e. NATIONAL INTELLIGENCE INFORMATION:

D (1) Sensitive Compartmented lnfonnation (SCI)

0 (2) Non-SCI

0 h. FOREIGN GOVERMENT INFORMATION

• I. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

[g! j . CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

0 k. OTHER (Specify) (See instructions.)

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. HA VE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

IZI ACTIVITY ,

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

S.. instructions.)

0 b. R~CEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

• c. R~CEIVE, STORE, AND GENERA TE CLASSIFIED INi:ORMATION OR MATERIAL

0 d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

0 e. PERFORM SERVICES ONLY

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

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

TERRITORIES

12. PUBLIC RELEASE

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE ·•• TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

0 h. REQUIRE A COMSEC ACCOUNT

0 I. HA VE A TEMPEST REQUIREMENT

[gJ j . HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

[gj k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

I. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

IZI INFORMATION (CUI).

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

[gJ m. OTHER (Specify) (See instructions.)

SIPRNET

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)

0 DIRECT cg] THROUGH (Specify below) Public Release Authority:

The contractor is responsible for obtaining the approval of the Any release must go through the Public Affairs Office and OPSEC contracting officer prior to the release of any information received.· Program Manager. (Bldg 1900W, Scott AFB, IL)

13. SECURITY GUIDANCE

The NCUrity 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 1ubmit 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 II 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. \Nhen 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 lnlemal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

Ref Sa: Ref Sb: Ref Sc:

Work will be done both on base and off base. Section to be completed upon contract award.

Ref I Oj: All Controlled Unclassified Information (CUI) will be handled, stored and protected IA W DoDI 5200.48 .

Ref I Ok: Controlled Unclassified Information (CUI) when commingled with classified information requires portion marking to facilitate information sharing and proper handling of the information. Not marking CUI would result in failure to adequately identify unclassified information requiring control which will lead to unauthorized disclosure and improper handling.

Ref I la: Contractors working on this contract require a SECRET security clearance. Government agency or activity will provide security classiflcation guidance for performance of this contract.

Ref J lj: Ensure Operations Security (OPSEC) measures are taken within your organization/company lA W DoD 5205.02-M.

DD FORM 254, APR 2018 PREVlbus EDITlo'N IS OBSOLETE.

CLASSIFICATION (\IVhen filled in): Unclassified

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Ref 111: CUI Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoDI 5200.48, Due to the sensitive nature of the data and information being worked with on a daily bases, completion of Non-Disclosure (NOA) statements will be required by contractor personnel to ensure information that is considered sensitive or proprietary is not compromised. All contractor personnel will be required to sign a NOA. The government will retain .. a copy of these documents.

HQ SDDC G2 Tracking # HQSDDCG2-005-2 l

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

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURI!

David Stewart or Tony Cameron Industrial Dili..U, ....,.Sby CAMERON.STAND CAMERON.STANDA.TONY.11

Security Manager A.TONY .1121365240 2136>2'° Datt: l01l.06.0< 14:22:11 -OSW

14. ADDITIONAL SECURITY REQUIREMENTS

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

• No r8:I 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 ii to shrink after the text has been deleted.

(See instructions for additional guidance or use of the fillable PDF.)

Contractor will comply with guidance set forth in AR 530- 1/0PSEC and SDDCR 530-1/SDDC Operations Security Program

15. INSPECTIONS . ,

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

r8:I No D 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 ii 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 c. ADDRESS (Include ZIP Code) d. POC NAME

508 Scott Drive Matthew Hellmann United States Transportation Command Scott AFB, IL 62225 e. POC TELEPHONE (Include Area Code)

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

HTC71 l matthew .j.hel lmann.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 thla 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) d. AAC OF THE CONTRACTING OFFICE h . SIGNATURE (See Instructions) (See Instructions)

CAMERO ~gillllly signed Standa "Tony" Cameron or David L. Stewart

N.STAND CAMERON.ST

b. TITLE e. CAGE CODE OF THE PRIME CONTRACTOR

ANDA.TONY. I

(See Instructions.) A.TONY. 12136S240

Security Specialist 12 1365240 Date: 2021.06.04 14:22:36 --0S'00'

c. ADDRESS (Include ZIP Code) f. TELEPHONE (Include Area Code) i. DATE IIGNED

HQ SDDC/02 ... + I (618) 220-6559

(See lnsl11Jctions)

I Soldier Way, Bldg 1900W g. EMAIL ADDRESS (See Instructions) 20210604 Scott AFB, IL 62225-5006 standa.t.cameron.civ@mail.mil

DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 3 ~f4

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CLASSIFICATION (W'hen filled in): Unclassified

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

0 a. CONTRACTOR

0 b. lUBCONTRACTOR

• c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

• d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

0 e. ADMINISTRATIVE CONTRACTING OFFICER

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

DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 4 of 4 AEM Liv.Cycle Designer

CLASSIFICATION (W'hen filled in): Unclassified