Attachment 0005 - DD 254.docx
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- Cost Analysis and Reporting Services
- Solicitation number
- W56HZV-20-R-0108
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DEPARTMENT OF DEFENSE
1. CLEARANCE AND SAFEGUARDING
| CONTRACT SECURITY CLASSIFICATION SPECIFICATION |
| a. FACILITY CLEARANCE REQUIRED |
SECRET
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
b. LEVEL OF SAFEGUARDING REQUIRED
SECRET
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable) |
| 3. THIS SPECIFICATION IS: (X and complete as applicable) |
| |_| |
| a. PRIME CONTRACT NUMBER |
a. ORIGINAL (Complete date in all cases) Date (YYYYMMDD) 20181127
| |_| |
| b. SUBCONTRACT NUMBER |
| |_| |
| b. REVISED (Supersedes all previous specs) |
| Revision No. |
Date (YYYYMMDD)
| |_| |
| c. SOLICITATION OR OTHER NUMBER |
Due Date (YYYYMMDD) 20200630
| |_| |
| c. FINAL (Complete Item 5 in all cases) |
| Date(YYYYMMDD) |
| 4. IS THIS A FOLLOW-ON CONTRACT? |
| |_| |
| YES |
| |_| |
| NO. If YES, Complete the following: |
| Classified material received or generated under |
| under (Preceding Contract No.) |
| is transferred to this follow-on contract. |
| 5. IS THIS A FINAL DD FORM 254? |
| |_| |
| YES |
| |_| |
| NO. 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 (Name, Address, and Zip Code)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
Cost analysis, analytical and technical services and products for the TACOM Cost and Systems Analysis (C&SA) Group.
10. CONTRACTOR WILL REQUIRE ACCESS TO:
ACCESS TO:
| YES |
| NO |
| 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: |
| YES |
| NO |
| a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION |
| |_| |
| |_| |
| a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR'S |
FACILITY OR A GOVERNMENT ACTIVITY
| |_| |
| |_| |
| b. RESTRICTED DATA |
| |_| |
| |_| |
| b. RECEIVE CLASSIFIED DOCUMENTS ONLY |
| |_| |
| |_| |
| c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION |
| |_| |
| |_||_| |
| c. RECEIVE AND GENERATE CLASSIFIED MATERIAL |
| |_| |
| |_| |
| d. FORMERLY RESTRICTED DATA |
| |_| |
| |_| |
| d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE |
| |_| |
| |_| |
e. INTELLIGENCE INFORMATION:
| e. PERFORM SERVICES ONLY |
| |_| |
| |_| |
| (1) Sensitive Compartmented Information (SCI) |
| |_| |
| |_||_| |
| f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., |
PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES
| |_| |
| |_| |
| (2) Non-SCI |
| |_| |
| |_||_| |
| g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION |
CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER
| |_| |
| |_| |
| f. SPECIAL ACCESS INFORMATION |
| |_| |
| |_||_| |
| h. REQUIRE A COMSEC ACCOUNT |
| |_| |
| |_| |
| g. NATO INFORMATION |
| |_||_| |
| |_||_| |
| i. HAVE TEMPEST REQUIREMENTS |
| |_| |
| |_| |
| h. FOREIGN GOVERNMENT INFORMATION |
| |_||_| |
| |_| |
| j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS |
| |_| |
| |_| |
| i. LIMITED DISSEMINATION INFORMATION |
| |_| |
| |_| |
| k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE |
| |_| |
| |_| |
| j. FOR OFFICIAL USE ONLY INFORMATION |
| |_| |
| |_| |
| l. OTHER (Specify) Current Secret Security Clearance is required. |
| |_| |
| |_| |
k. OTHER (Specify)
| |_| |
| |_| |
| |_| |
| |_| |
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE 805/340
| 12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial | |
| Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release |
| Direct |
| X |
| Through (Specify):TACOM Cost and Sytems Analysis Office, AMSTA-MSP-V |
to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.
*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.
| 13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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. Add additional pages as needed to provide complete guidance.) |
All security requirements necessary for the performance of this effort will be incorporated into the contract resulting from this solicitation. Questions concerning the security requirements and the duration of the contract shoud be addressed to the undersigned.
Name Date Mary Gross 27 November 2018 Cost and Systems Analysis Office, AMSTA-MSP-V Ph: 586.282.9582 mary.e.gross16.civ@mail.mil
| 14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. (If Yes, identify the |
| |_| |
Yes
No
| 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 cognizant security office. Use Item 13 if additional space is needed.) |
| 15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (if Yes, explain and identify specific |
| |_| |
Yes
No areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)
| 16. CERTIFICATION AND SIGNATURE. 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. |
a. TYPED NAME OF CERTIFYING OFFICIAL Donna Polite
b. TITLE Security Manager
c. TELEPHONE (Include Area Code) (586)282-8686
d. ADDRESS (Include Zip Code) Cost and Systems Analysis Office
AMSTA-MSP-V M/S #283
6501 East Eleven Mile Rd.
Warren, MI 48397-5000
17. REQUIRED DISTRIBUTION
|_| a. CONTRACTOR |_| b. SUBCONTRACTOR |_| c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR |_| d. U.S ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION |_| e. ADMINISTRATIVE CONTRACTION OFFICER |_| f. OTHERS AS NECESSARY
e. SIGNATURE
DD FORM 254 (BACK), DEC 1999
File details come from the government source that posted it. Updated .