Attach 6 - DD Form 254.pdf

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PREVIOUS EDITION IS OBSOLETE.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:

June 30, 2025 The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 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"

(See Instructions) - Select from drop-down list: 1

HERNDON FIELD OFFICE 1 (M-HRN1)

13873 Park Center Road, Suite 225 Herndon, VA, 20171 Phone Number: 571-373-5250 Email: dcsa.midatlantic.region-is.mbx.herndon-field-office-1@mail.mil

1958 Scott Drive Building 7918, Suite 117 Ellsworth AFB, SD 57706

28 OSS/IN, 1958 Scott Dr, Ellsworth AFB, SD

1000 Ellsworth Street, Ellsworth AFB, SD 57706

(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.): Period of Performance: 120 Days after notice to proceed (NTP) Designated contract monitor is Designated SSO is Marissa Krejci, 28 OSS/INS, 605-385-5787

The National Industrial Security Program Operating Manual, 32 CFR Part 117, applies to this contract. Task orders issued under this contract may vary in classification from unclassified to TS/SCI. TS/SCI tasks will be issued with an SCI Addendum with the DD 254. Appropriate local service/component command security directives, regulations, and standard operating procedures will be provided by the requiring agency (normally through the Performance Monitor or component command COR). 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 Government Contracting Activity. Furthermore, the contractor will account for and return to the appropriate issuing office, all identification badges and/or entry passes/vehicle decals issued to contractor personnel upon completion or termination of the classified contract, termination of employment, or suspension of classified clearance or access of any contractor employee. This contract involves handling and storage of classified material. Contractor has responsibility for alarmed areas (except SCI facilities unless approved by 28 OSS/SSO) and properly escorting both contractor and government ensuring compliance to include OPSEC requirements. Contractors will be subject to investigation and potential adverse actions in the event of security deviations and violations.

Ref 10b: The contractor is permitted access to Restricted Data. Access to Restricted Data requires a final U.S. Government clearance at the appropriate level.

Ref 10c: The contractor is permitted access to CNWDI in performance of this contract. Access to CNWDI requires a final US Government clearance at the appropriate level and contractor personnel must be briefed for CNWDI prior to access. The government program manager or designated representative will ensure the contractor security supervisor is briefed for CNWDI.

Ref 10d: The contractor is permitted access to Formerly Restricted Data. Access to Formerly Restricted Data requires a final U.S. Government clearance at the appropriate level.

Ref 10e (1) & (2): The contractor is permitted access to intelligence information. See attachment entitled Release of Sensitive Compartmented Information and/or Non-Sensitive Compartmented Intelligence Information to DoD Contractors for additional guidance.

Ref 10g: The contractor is permitted access to North Atlantic Treaty Organization (NATO) Secret or Top Secret information. This means information belonging to, and circulated by, NATO. Prior approval of the Government Contracting Activity is required for subcontracting. Access to classified NATO information requires a special briefing and a final U.S. Government clearance at the appropriate level. If a contractor is read into ATOMAL, an annual re-brief is required.

Ref 10h: Access to foreign government information requires a final US Government clearance at the appropriate level. Prior approval of the contracting activity is required for subcontracting. This includes any foreign government information except NATO. Foreign government information provided to the U.S. by a foreign government or governments, an international organization of governments, or any element thereof with the expectation, expressed or implied, that the information, the source of the information or both, are to be held in confidence; or produced by the U.S. pursuant to, or as a result of, a joint arrangement with a foreign government or governments, an international organization of governments, or any element thereof, requiring that the information, the arrangement, or both are to be held in confidence.

Ref 10j: The contractor is permitted access to Controlled Unclassified Information (CUI) in performance of this contract. CUI provided under this contract shall be safeguarded as specified in DoDI 5200.48p, Controlled Unclassified Information (CUI). Release of unclassified information, associated with this contract, is prohibited without approval of the contracting activity, clause 252.204-7000 of the Defense Federal Acquisition Regulation Supplement (Reference (i)). When no longer needed, CUI must be disposed of by any of the means approved for the destruction of classified or by any other means that would make it difficult to recognize or reconstruct the information.

Ref 10k: The contractor is permitted access to Voice Over Internet Protocol, Joint Worldwide Intelligence Communication System, and Non-Secure Internet Protocol Router Network (NIPRNET). Contractors will be held accountable for actions they initiate on the network and will conduct business IAW USAF, AFGSC, 28 OSS, and local base instructions and policies. Sponsoring government agency will provide Information Assurance training prior to contractor access to network services.

Ref 11a: Contract performance will primarily occur at 28 OSS/IN, Building 7918, Suite 117, Ellsworth AFB, SD 57706. Using activity will provide security classification guidance for performance of this contract. The highest level of security clearance required for contract performance is Top Secret. Contractors will receive and analyze classified information at the performance location. The government will oversee the handling and storage of classified information in support of this contract. The government will provide storage capability for all classified material required for this contract.

Ref 11j: Protect information listed in the Critical Information List and any other "sensitive but unclassified" information that may be useful to our adversaries. Abide by OPSEC policies and procedures as directed by the OPSEC Manager/Officer or an OPSEC representative. Accomplish initial OPSEC training within 90 days of in-processing and complete OPSEC training annually. Notify 28 BW OPSEC Manager/Officer of recommendations for the OPSEC program or potential OPSEC concerns.

Ref 11l: The contractor is permitted access to Controlled Unclassified Information (CUI) in performance of this contract. CUI provided under this contract shall be safeguarded as specified in DoDI 5200.48p, Controlled Unclassified Information (CUI). Release of unclassified information, associated with this contract, is prohibited without approval of the contracting activity, clause 252.204-7000 of the Defense Federal Acquisition Regulation Supplement (Reference (i). When no longer needed, CUI must be disposed of by any of the means approved for the destruction of classified or by any other means that would make it difficult to recognize or reconstruct the information.

Ref 12. Public Release:

Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. Information requiring AF or DoD–level review will be reviewed by the unit’s OPSEC Program Manager or Coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330-1690.

Chief, Information Protection

When contractors are designated as Visitor Groups the contractor will be provided a written copy of relevant local security policies IAW DoDM 5220.32 / AFMAN 16-1406, Section 2, 2.8.e.(4)(Added)(AF).

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.): 28 OSS/SSO has security cognizance for all SCI/Non-SCI material released to or developed under this contract and if applicable, held within the contractor’s Sensitive Compartmented Information Facility (SCIF). Defense Counter-Intelligence Security Agency (DCSA) is relieved of all inspection responsibilities for contractor performance within the contractor’s SCIF, but retains oversight/inspection responsibilities for collateral information outside of SCI accredited areas at the cleared facility.

Industrial Security Reviews for collateral classified contractor activities, at each installation, which are outside of the SCIF, will be conducted by the host Wing Information Protection Office. Defense Counter-Intelligence Security Agency (DCSA) is relieved of all inspection responsibilities for contractor performance on the military installation(s), but retains oversight/inspection responsibilities for collateral information at the contractor’s cleared facility.

Ellsworth AFB, SD 57706