ATT 002 SEC - DD 254 12.17.2024.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

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:

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 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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

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

AOIN-G22

E2929 Desert Storm Dr.

Fort Liberty, NC 28310-9110

TF 4025, Fort Liberty HQ, USASOC, Fort Liberty (See Item 13) Block9: USASOC BPA Ceremonies Contract

Period of Performance 1 June 2025 - 31 May 2030

(A biennial review of the DD Form 254 will be conducted per DoDM 5220.22, VOL 2, see item 13)

Biennial review Required: 2027

Controlled by: USASOC

E-2929 Desert Storm Drive Stop A, Fort Liberty, NC 28310-9110

The contractor is responsible for tracking and returning all government information (see CUI addendum for safeguarding CUI) furnished or generated under this contractor.

The contractor will account for and return all Common Access Cards (CACs) to Contracting Officer's Representative, Program Manager, or Trusted Agent upon completion or termination of the classified contract, termination of employment, or suspension of classified clearance or access of any contractor employee.

The contractor will out-process with organization security office (S2/G2) upon completion/termination of the classified contract, termination/resignation of employment or suspension of classified clearance/access of any contractor employee. Security badges, installation entry passes/vehicle decals issued to contractor personnel will be returned to the appropriate issuing office as required.

(Ref 7) The Prime Contractor is responsible to prepare the DD Form 254 for subcontracting and to ensure all security requirements identified in the government provided DD Form 254 (for the prime contract) are reflected in the contractor prepared DD Form 254 for subcontracting. Forward requests and draft subcontract DD Form 254s for review/approval/signature to the Contracting Officer’s Representative (COR)/Program Manager (PM) and USASOC Industrial Security Specialist (ISS) (sasha.burgos@socom.mil) prior to award.

(Ref 8) Any other CONUS/OCONUS locations as required for contract performance under this contract shall be directed in writing by the Contracting/User Organization COR.

Contractors shall NOT represent themselves as a government (GG, GS, etc) employee (of HQ USASOC, HQ USSOCOM, the Department of the Army, or of any other government agency).

UA/RA Security POCs shall utilize DISS (Defense Information System for Security) to verify the contractor's "access" and correct category in relation to their visit.

The Contractor Company FSO/Contract POC must notify the UA/RA Security Office of Personnel Terminations and/or transfers to additional contracts/task orders/delivery orders.

(Ref 9) Unless DD FORM 254 revision is required due to change in the security requirements of the effort or there is a change in the contractor’s Facility Clearance (FCL) status, the responsible Contracting Officer’s Representative/Program Manager (COR/PM) must conduct a review of the DD FORM 254 and associated Individual Work Plan, Performance Work Statement/Statement of Objectives/Statement of Work every 24 MONTHS (BIENNIALLY) in order to validate and/or update the requirements of the effort as required by DoDM 5220.22-V2, National Industrial Security Program: Industrial Security Procedures for Government Activities. Documentation of review (email is sufficient) should be forwarded to HQ USASOC Industrial Security via NIPRNet at sasha.burgos@socom.mil.

(Ref 10.e(1)) The contractor will require access to Sensitive Compartmented Information (SCI) materials; SCI security requirements apply.

Access to SCI is a determination made by the granting authority by the applicable USG granting authority See U.S. Army SCI Addendum for details.

Due to the sensitive nature of the end user and its mission, the contractor FSO is responsible to report all Foreign Travel and / or Contact with Foreign Nationals to the User Organization Special Security Officer within 72 hours. PM and COR will be made aware of any Foreign Travel.

Company Facility Security Officers will be required to acquire an ACCS account for all Army SCI contracts. Guidance may be requested from the SCI Contract Monitor.

No public release of information authorized, public disclosure or confirmation of any subject related to the support contract is not authorized without first obtaining written approval from the KO.

(Ref 10.e(2)) Contractor will require access to Non-SCI. Non-SCI is not releasable to contractor employees who have not received a clearance at the appropriate security level. Contractor will be appropriately briefed IAW 32 CFR Part 117, other appropriate DoD, and Army directives.

(Ref 10.g.) The contractor is permitted access to North Atlantic Treaty Organization (NATO) information in performance of this contract. This is information under the control of, belonging to, and circulated by, NATO.

Access to NATO information requires a final (not interim) eligibility at the appropriate level and special briefings.

A NATO Briefing is required prior to granting access to NATO Information.

The government program/project manager is the designated representative that shall ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted.

The contractor shall maintain compliance regarding NATO information IAW 32 CFR Part 117.19(g).

(Ref 10.j.) Controlled Unclassified Information (CUI) provided under this contract shall be safeguarded as specified in the CUI Addendum included with this specification.

(Ref 10.k.) Applicable Security Classification Guides (SCGs) will be provided by the program KO/COR.

o IAW AR 380-49, the minimum background investigation requirement for access to Government information systems will be determined in accordance with AR 25–2.

(Ref 11.a.) Cleared contractor personnel are required by 32 CFR Part 117, National Industrial Security Program Operating Manual (NISPOM), to provide supplemental controls.

Releasing DoD (Government) activity shall furnish complete classification guidance on this contract if required.

All classified information received or generated is the property of the U.S. Government. At the termination or expiration of this contract, the U.S. Government will be contacted for proper disposition instructions.

Classified Materials shall be marked, handled, stored and protected IAW AR 380-5 and the appropriate classification guide(s). If any classified information is generated in the performance of this contract at the identified location(s), the contractor shall apply derivative classification and markings consistent with the source material.

IAW 32 CFR Part 117.13(c)(4), all employees authorized to make derivative classification decisions will be sufficiently trained annually. The FSO will retain records of the date of the most recent training (initial or refresher) and the type of training received. Annual Security Refresher Training is also required IAW the 32 CFR Part 117.12. Training can be taken at the GOV customer location or via the CDSE website.

Any classification questions beyond the scope of the classification guide, or that cannot be derivatively classified shall be directed to the User Organization COR.

Contractor performance is restricted to locations identified in Item 8. Government agency or activity will provide security classification guidance for performance of this contract as required. FSO will submit a Visit Authorization Request (VAR) to the appropriate Security Management Office (SMO) via DISS.

(Ref 11.l.) Controlled Unclassified Information (CUI) provided under this contract shall be safeguarded as specified in the CUI Addendum.

(Ref 11.m) Access to all USASOC facilities require contractors to possess a minimum of a SECRET clearance.

Contractors performing on this contract at government installations are required to conduct command and unit specific security training. This training will be provided by the responsible government agency but may be supplemented with FSO directed training if supporting documentation can be provided. The COR will ensure all personnel supporting this contract are in compliance with the following training requirements:

Initial/Refresher Information Security (INFOSEC) Derivative Classification Controlled Unclassified Information (CUI) Operations Security (OPSEC) Antiterrorism/Force Protection (AT/FP) Threat Awareness and Reporting (TARP) Cyber Awareness Additional requirements may be mandated and are authorized by the responsible command/unit where primary performance location is identified.

(Ref 13) User Organizations COR Responsibilities: The User Organization COR is responsible for ensuring contractor employees are briefed (as required) on Local / Applicable Directives, Regulations, Policies and Procedures concerning classified contract performance, materials, information, and “need-to-know” for contract performance under this contract.

(Ref 17) Certification and Signatures: The certification of this DD FORM 254 confirms it has been prepared and distributed in accordance with DoD policy guidance for those agencies covered by the NISP. Once certified this is a legal document and should not be altered in any way.

***Verify Signatures of the DD FORM 254 to ensure there have been no alterations***

(Ref 18) Required Distribution: In accordance with Army Regulation 380-49 and the Federal Acquisition Regulation (FAR) -- Part 4, Subpart 4.4 - Safeguarding Classified Information Within Industry, the Contracting Officer is responsible for the disbursement of the DD FORM 254 to the Contractor, User Agency, and other locations as identified in Item 8(a). Security personnel DO NOT possess the authority to release the form to the vender.

Ensure a copy of the DD Form 254 is provided to the government supporting security office for all designated performance locations listed in item 8.

text: CUI Addendum SCI Addendum

Fort Liberty, NC 28310 Address: 3004 ARDENNES STREET, STOP A

FORT LIBERTY, NC 28310-9607