Attachment 0001_ DD254 Contract Security Classification Specification.pdf
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- Reactive Armor Tiles (RAT)
- Solicitation number
- W56HZV-21-R-0202
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PREVIOUS EDITION IS OBSOLETE.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:
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" Hide Attachment Bar
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: Unclassified |
| SerialNum: 21-R-0202 |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: TBD |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: W56HZV-21-R-0202 |
| Enter due date in format YYYYMMDD.: TBD |
| Enter date in format YYYYMMDD.: 20220501 |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 1 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: Mitchell, Diane M. |
| Enter CAGE code of the prime contractor.: |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: |
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: TBD - contractors facility |
| Enter general unclassified description of this procurement.: Armored Multi-Purpose Vehicle (AMPV) Reactive Armor Tile (RAT) production to include First Article Tests and Lot Acceptance Tests. |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 1 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 1 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Enter infomration for "other.": Threat Awareness and Reporting Program (TARP) |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 1 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: PM VPS Security Manager |
See Block 17 for contact information
| Enter public release authority.: The PCO |
| Select to add signature.: |
| Select to remove last signature.: |
| text: Unclassified information shall be protected IAW the Security Classification Guide, OPSEC Plan, and Attachment A. |
Item 10.a – COMSEC: Contractor personnel requiring COMSEC access must be U.S. Citizens and possess a final clearance at the appropriate level. COMSEC information/material will be accessed and/or processed IAW NISPOM Rule, NSA/CSS Policy Manual 3-16, AR 380-40 (Policy for Safeguarding and Controlling Communications Security), and additional security Guidelines for COMSEC (Attachment B). When access is required at Government facilities, contractor personnel shall adhere to COMSEC rules and regulations as mandated by Command policy and procedures. All contractors shall be briefed before access to COMSEC is granted. The contractor may be subject to the Department of Army Cryptographic Access Program (DACAP) if contractor employees handle unencrypted SECRET crypto keying material. Written concurrence of the Government Contracting Officer is required prior to subcontracting.
Item 10.j –CUI: CUI shall be safeguarded and marked in accordance with Guidelines for CUI (Attachment A). Mandatory CUI markings for unclassified documents include: the acronym “CUI” at the top and bottom of each page and the CUI designation indicator. Portion markings are optional on unclassified documents. However, if annotated, they must be applied to all portions, to include subjects, titles, paragraphs, subparagraph's, bullet points, figures, charts, tables, etc. Do not apply portion markings to the CUI designation indicator.
Item 11.c – RECEIVE, STORE, AND GENERATE: The contractor requires access to classified source data up to and including Secret in support of the work effort. Any extracts or use of such data requires the contractor to apply derivative classifications and markings consistent with the source documents. All classified information received is the property of the U.S. Government. At the termination or expiration of this contract, the U.S. Government will be contacted for the proper disposition instructions. Contractor will abide by the following security classification guides: VPS Security Classification Guide, dated 29 June 2020.
Item 11.h – COMSEC ACCOUNT: Contractor is authorized the use of secure telephones with fax, encryption equipment and keying material for classified program requirements.
Item 11.i – TEMPEST: Refer to scope of work that addresses the submission of this requirement, IAW AR 380-27. This requirement shall be flowed down to all U.S. subcontractors that use Information Systems to process classified material.
Item 11.j – OPSEC: Refer to scope of work and the CDRL that address the submission of this requirement. These requirements, OPSEC Plan and training, shall be flowed down to all U.S. subcontractors with access to CUI and/or classified material.
Item 11.l. – CUI: CUI shall be safeguarded and marked in accordance with Guidelines for CUI (Attachment A).
Item 11.m.(1) – TARP: ICW NISPOM 1-301, the contractor shall report threat-related incidents, behavioral indicators, and other matters of counterintelligence (CI) interest specified in AR 381-12, Chapter 3, through the facility security officer to the government security officer, the nearest military CI office, the Federal Bureau of Investigation, and the Defense Security Service. Annually, train personnel who handle classified information IAW AR 381-12, Chapter 2. This requirement shall be flowed down to all U.S. subcontractors that have access to classified information/material. Contact the individual in Block 17 to obtain local CI office information.
Item 12. - PUBLIC RELEASE:
“An electronic copy of the request with full text and graphics must be provided through the Contracting Officer at least forty-five (45) working days prior to the requested release date using the PEO STA Form 7114-2. If all or part of the information was generated by another organization, their written release authorization must accompany the request.”
Notification of loss or compromise of collateral classified information shall be provided to the individuals identified in Blocks 16 and 17 within 72 hours of the incident, in addition to the reporting requirements outlined in the NISPOM Rule.
| Click on this button to attach a file(s).: |
| rep: CPT(P) Coppola, Vince |
APM, Passive/Reactive Armor Tile
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: See Block 13 for additional requirements. |
| Explain and identify specific areas and government activity responsible for inspections.: The Defense Counterintelligence Security Agency (DCSA) has cognizance over this contract. The Government Security Manager reserves the right to inspect compliance with the DD254 and Guidelines for CUI. |
| Enter GCA name.: PEO GCS, PdM VPS |
| Enter AAC of the contracting office.: W56HZV |
| Enter AAC of the contracting office.: W56HZV |
| Enter address (include zip code).: |
6501 East Eleven Mile Road
SFAE-GCS-IVP / MS 263B
Detroit Arsenal, MI 48397-5000 Enter address (include zip code).: 6501 East Eleven Mile Road
SFAE-GCS-IVP / MS 263B
Detroit Arsenal, MI 48397
| Enter POC name.: MAJ Thenn, Ron |
| Enter telephone number (include area code).: 5862824816 |
| Enter telephone number (include area code).: 5862829635 |
| Enter email address.: ronald.n.thenn.mil@army.mil |
| Enter email address.: diane.m.mitchell.civ@army.mil |
| Enter title.: VPS Security Manager |
| Enter the datesigned in format YYYYMMDD.: 20220404 |
File details come from the government source that posted it. Updated .