Attachment 0006- DD 254.pdf

UnclassifiedCLASSIFICATION (When filled in):

PREVIOUS EDITION IS OBSOLETE. Page 1 of 4

AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

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:

October 31, 2020

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

Secret

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

None (See instructions)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

TBD

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

W52P1J-20-R-0093

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

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

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

5. IS THIS A FINAL DD FORM 254? No 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)

TBD

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE

TBD

c. COGNIZANT SECURITY OFFICE(S) (CSO) (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) Add Row Remove last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows

Security Access & Control Contract U.S. Army Kwajalein Atoll, Republic of Marshall Islands

APO AP 96555-2526

a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.) See item 15

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

United States Army Garrison-Kwajalein Atoll and Ronald Reagan Test Site (USAG-KA/RTS) Security and Access Control Contract

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

PREVIOUS EDITION IS OBSOLETE. Page 2 of 4

AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 2 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

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

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

b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.) h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

TARP Requirement

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. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

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

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

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

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

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

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

m. OTHER (Specify) (See instructions.)

1. Cyber Reporting – See Item/Block 13

2. Use of non-U.S. Citizens

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)

DIRECT THROUGH (Specify below)

USAG-KA PAO 805-355-4848 or IMCOM-P PAO UNIT 17001, Box 19

APO, AP 96555-0100

Public Release Authority:

13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures

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.)

1. The contractor shall comply with the following:

a. Any incident of possible compromise or security violations will be reported to USAG-KA Security Manager immediately.

b. All Automated Information Systems (AIS) will be operated, maintained, and accredited IAW AR 25-2 and Army Best Business Practices (BBP’s). Copies of theses documents will be provided to the contractor upon request.

c. All on-site contractor personnel will attend initial security training, annual security refresher training, TARP training, OPSEC training, Automated Information Systems training, Personally Identifiable Information (PII) training at the government location.

d. See DD254/Continuation Page 3, for a list of security references.

e. The application of Operations Security (OPSEC) will be in accordance with AR 530-1, Operations Security. OPSEC violations or concerns either reported or observed will be reported to the USAG-KA OPSEC Officer, Jason Randall or future appointee at 805-355-2110.

f. Contractor will provide a DSS-certified Facility Security Officer to perform duties on USAG-KA/RTS. The FSO must reside in the United States. The contractor will have a local security representative on the island.

2. For additional security guidance & requirements see enclosed DD254 Continuation Pages & Protecting FOUO Information Addendum (Enclosure 3 to DD254).

PREVIOUS EDITION IS OBSOLETE. Page 3 of 4

AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 3 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

SEE ATTACHED PAGES FOR ADDITIONAL SECURITY GUIDANCE

Reference Item 11m; Cyber Reporting. In addition to regulatory reporting requirements, the detection or discovery of any unauthorized access, denial of service, or compromise of a contractor’s classified or unclassified network, information system or data contained thereon will be reported within 24 hours to the USAG-KA Security Manager (SM), Jason Randall, or future appointed SM at Telephone Number:

805-355-2110, jason.m.randall.civ@mail.mil. The prime contractor will include this requirement in all subcontracts awarded in support of this procurement effort.

USAG-KA Security Manager: Jason M. Randall, 805-355-2110, e-mail address: jason.m.randall.civ@mail.mil

Contracting Officer’s Representative (COR): SFC Jonathan Debates, e-mail address: jonathan.j.debates.mil@mail.mil

List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Add Attachment View Selected Attachment Remove Selected Attachment

Mr. Jason M. Randall

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

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

No 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 it to shrink after the text has been deleted.

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

NON-SCI Intelligence Information, TARP, OPSEC, Cyber Reporting – See Item 13 and Enclosed DD254 Continuation Pages

15. INSPECTIONS

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

No 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 it to shrink after the text has been deleted.

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

Defense Security Service (DSS) is relieved of inspection responsibilities for activities at USAG-KA/RTS. Commander, USAG-KA, assumes inspection responsibilities IAW 5220.22-M, NISPOM, para 1-103(b).

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

Ashlee G. Asplund

a. GCA NAME

W52P1J

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

3055 Rodman Avenue Rock Island, IL

c. ADDRESS (Include ZIP Code)

Ashlee G. Asplund

d. POC NAME

+1 (309) 782-2008

e. POC TELEPHONE (Include Area Code) ashlee.g.asplund.civ@mail.mil

f. EMAIL ADDRESS (See Instructions)

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.

PREVIOUS EDITION IS OBSOLETE. Page 4 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

Danielle M. Gainey

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

Contracting Officer

b. TITLE

3055 Rodman Avenue, Rock Island Arsenal Rock Island, IL 61299-5000

c. ADDRESS (Include ZIP Code)

W52P1J

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

TBD

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

+1 (309) 782-4153

f. TELEPHONE (Include Area Code)

g. EMAIL ADDRESS (See Instructions)

h. SIGNATURE

i. DATE SIGNED (See Instructions)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

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

SECURITY GUIDANCE (ITEM 13) CONTINUATION:

This addendum identifies additional security guidance and requirements for contractor operations at Kwajalein Atoll.

REFERENCES;

The contractor shall comply with the following and all references contained therein:

a. DCID 6/6, Security Controls on the Dissemination of Intelligence Information.

b. Department of Defense Manual Number 5200.01, Volume 1, DoD Information Security

Program: Overview, Classification, and Declassification.

c. Department of Defense Manual Number 5200.01, Volume 2, DoD Information Security Program:

Marking of Classified Information.

d. Department of Defense Manual Number 5200.01, Volume 3, DoD Information Security Program:

Protection of Classified Information.

e. Department of Defense Manual Number 5200.01, Volume 4, DoD Information Security Program:

Controlled Unclassified Information (CUI)

f. DOD 5400.7-R, DOD Freedom of Information Act Program.

g. Army Regulation (AR) 25-2, Information Assurance.

h. AR 25-55, The Department of the Army Freedom of Information Act Program.

i. AR 380-5, Department of the Army Information Security Program.

j. AR 530-1, Operations Security (OPSEC).

k. USAG-KA Command Security Procedure, U.S. Army Kwajalein Atoll/Reagan Test Site.

Reference Item 11a; Access to Classified Information Only at another Contractor Facility/Government Activity. Contract performance is restricted to USAG-KA and other cleared contractor/government locations as identified by the Government Contracting Officer's Representative (COR). Using agency will provide complete classification guidance for the service to be performed. The highest level of classification for this contract is SECRET.

REFERENCE ITEM 11e; Perform Services Only. Contract is for security guard access control and assistance, as identified by the contract Performance Work Statement, to the USAG-KA.

REFERENCE ITEM 11f; Access to U.S. Classified Information Outside the U.S., Puerto Rico, U.S.

Possessions and Trust Territories. The contractor will have access to U.S. classified information at the USAG-KA, Republic of the Marshall Islands.

REFERENCE ITEM 11j; Have OPSEC Requirements.

a. This contract requires the application of Operations Security (OPSEC) in accordance with the Contract Data Requirements List (CDRL) attachment to Section J of the contract.

b. The contractor shall submit an OPSEC plan to the Government Contracting Officer within 30 days of contract award.

REFERENCE ITEM 11m:

a. Use of Non-U.S. Citizens:

(1) Prior written approval to use or employ non-U.S. citizens on this contract must be obtained from the Contracting Officer (KO), USAG-KA Security Manager, and the USASMDC Foreign Disclosure Officer (FDO). When requesting non-U.S. citizens access to USASMDC technical data or data not in the public domain in support of the contract, the contractor will initiate a background check from the Host Country law enforcement office, or equivalent, verifying that the individual has been cleared from their country of residence (i.e., no outstanding warrants, not on a/their watch list, not on any sexual offender list, etc.).

This background check will also include submission of a fingerprint Special Agreement Check (SAC), where the results will be returned to the USAG-KA Security Manager. The contractor will submit the results of the background check (as an attachment to a memorandum) to the KO and USASMDC FDO.

Additionally, the memorandum must include the following information: individual's full name, country of citizenship, nationality, date and place of birth, and any official status within the U.S. Attach a legible copy of the individual's passport, the job description for which the individual is being considered and a statement identifying the Information Technology (IT) level of access required for the position. This applies to all non-U.S. citizens to whom employment is being offered, to include on-island hires. If at any time an employee is being considered for a different position this process must be repeated.

However, if approval is granted, and the employee is not in a U.S. person status as defined by the ITAR, U.S. Export Laws still apply and the contractor must obtain required export licenses. The contractor will include this requirement in all subcontracts awarded in support of this procurement effort.

(2) Unless the contractor has an approved export license or exemption, written approval is required from the KO & USASMDC FDO to release technical data or data not in the public domain to foreign nationals or foreign representatives.

(3) Partnering or sub-contracting with foreign industry will require a 30 day advanced notification by the U.S contractor to the KO and the USASMDC FDO. Notification also applies to companies with dual national and third-country national employees.

(4) Registrants and other persons subject to ITAR, EAR, and similar U.S. controls remain obligated to maintain awareness of and compliance with the applicable regulations and the latest Federal Register publications that affect exports of munitions or dual-use articles.

(5) The contractor will include the above "Use of non-U.S. citizens" requirements in all subcontracts awarded in support of this procurement effort.

b. Threat Awareness Reporting Program (TARP). In accordance with Army Regulation 381-12, Threat Awareness and Reporting Program (TARP), persons employed by Army contractors will report threat-related incidents, behavioral indicators, and other matters of Cl interest specified in chapter 3, to the Facility Security Officer, the nearest Military Cl Office, the Federal Bureau of investigation, or the Defense Security Service. Contractor employees working as an integral part of an Army organization are required to complete annual Threat Awareness training in conjunction with Army personnel. Contractor FSOs will ensure that all applicable AR 381-12 requirements are implemented for personnel who work at contractor facilities.

c. All questions regarding security requirements indicated herein will be referred to the Contracting

Officer's Representative (COR), if one is appointed, or the Contracting Officer.

DD Form 254 "For Official Use Only Addendum" Contract Number: To Be Determined

PROTECTING "FOR OFFICIAL USE ONLY" (FOUO) INFORMATION

I.GENERAL:

a. The "For Official Use Only" (FOUO) marking is assigned to information at the time of its creation in a DoD User Agency. It is not authorized as a substitute for a security classification marking but is used on official government information that may be withheld from the public under exemptions 2 through 9 of the Freedom of Information Act (FOIA).

b. Other non-security markings, such as "Limited Official Use" and "Official Use Only" are used by non-DoD User Agencies for the same type of information and should be safeguarded and handled in accordance with instruction received from such agencies.

c. Use of the above markings does not mean that the information cannot be released to the public under FOIA, only that the Government must review the information prior to its release to determine whether a significant and legitimate government purpose is served by withholding the information or portions thereof.

d. The World Wide Web shall be equated with "Public Access." Information must be reviewed by

IMCOM Pacific Public Affairs Office and officially approved for public release before placing on publicly-accessible Web pages or electronic bulletin boards.

2. MARKINGS:

a. Documents containing FOUO information will be marked in accordance with Department of

Defense (DoD) Manual Number 5200.01, Volume 4, February 24, 2012. Contact the USASMDC/ ARSTRAT Industrial Security Specialist (ISS) for a copy of the aforementioned manual.

Refer to DD254, Page 2, and Item/Block 16 for the ISS's address/e-mail address/telephone number.

b. Any "'For Official Use Only" information released to a contractor by a DoD User Agency is required to be marked with the following statement prior to transfer.

"This document contains information EXEMPT FROM MANDATORY DISCLOSURE UNDER

THE FOIA. Exemptions apply."

c. Removal of the "For Official Use Only" marking can only be accomplished by the originator or other competent authority. When the "For Official Use Only" status is terminated, all known holders will be notified to the extent practical.

3. DISSEMINATION: Contractors may disseminate "For Official Use Only" information to their employees and subcontractors who have a need for the information in connection with a classified contract. Contractors must ensure employees and subcontractors are aware of the special handling instructions detailed below.

4. STORAGE: During working hours, "For Official Use Only" information shall be placed in an out-of-sight location if the work area is accessible to persons who do not have a need for the information. During nonworking hours, the information shall be stored to preclude unauthorized access. Filing such material with other unclassified records in unlocked files or desks, is adequate when internal building security is provided during nonworking hours. When such internal security control is not exercised, buildings or rooms will provide adequate after- hours protection or the material can be stored in locked receptacles such as file cabinets, desks, or bookcases.

5. TRANSMISSION: "For Official Use Only" information may be sent via first-class mail or parcel post.

Bulky shipments may be sent by fourth-class mail. DoD components, officials of DoD components, and authorized DoD contractors, consultants, and grantees send FOUO information to each other to conduct official DoD business . Tell recipients the status of such information, and send the material in a way that prevents unauthorized public disclosure. Make sure documents that transmit FOUO material call attention to any FOUO attachments. Normally, you may send FOUO records over facsimile equipment. To prevent unauthorized disclosure, consider attaching special cover sheets, the location of sending and receiving machines, and whether authorized personnel are around to receive FOUO information. FOUO information may be passed to officials in other departments and agencies of the executive and judicial branches to fulfill a government function. Mark the records "For Official Use Only" and tell the recipient the information is exempt from public disclosure under the FOlA and requires special handling.

6. DISPOSITION: When no longer needed, FOUO information must be destroyed in the same manner as classified material.

7. UNAUTHORIZED DISCLOSURE: Unauthorized disclosure of "For Official Use Only" information does not constitute a security violation but the releasing agency should be informed of any unauthorized disclosure. The unauthorized disclosure of FOUO information protected by the Privacy Act may result in criminal sanctions and disciplinary action may be taken against those responsible.

SECURITY GUIDANCE (ITEM 13) CONTINUATION:

REFERENCE ITEM 11m:

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

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:

October 31, 2020 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 List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) DD254 Continuation SACC 2020 1.pdf

U.S. Army Kwajalein Atoll, Republic of Marshall Islands

APO AP 96555-2526

2. Use of non-U.S. Citizens

APO, AP 96555-0100

a. Any incident of possible compromise or security violations will be reported to USAG-KA Security Manager immediately.

b. All Automated Information Systems (AIS) will be operated, maintained, and accredited IAW AR 25-2 and Army Best Business Practices (BBP’s). Copies of theses documents will be provided to the contractor upon request.

c. All on-site contractor personnel will attend initial security training, annual security refresher training, TARP training, OPSEC training, Automated Information Systems training, Personally Identifiable Information (PII) training at the government location.

d. See DD254/Continuation Page 3, for a list of security references.

e. The application of Operations Security (OPSEC) will be in accordance with AR 530-1, Operations Security. OPSEC violations or concerns either reported or observed will be reported to the USAG-KA OPSEC Officer, Jason Randall or future appointee at 805-355-2110.

f. Contractor will provide a DSS-certified Facility Security Officer to perform duties on USAG-KA/RTS. The FSO must reside in the United States. The contractor will have a local security representative on the island.

2. For additional security guidance & requirements see enclosed DD254 Continuation Pages & Protecting FOUO Information Addendum (Enclosure 3 to DD254).

SEE ATTACHED PAGES FOR ADDITIONAL SECURITY GUIDANCE

Reference Item 11m; Cyber Reporting. In addition to regulatory reporting requirements, the detection or discovery of any unauthorized access, denial of service, or compromise of a contractor’s classified or unclassified network, information system or data contained thereon will be reported within 24 hours to the USAG-KA Security Manager (SM), Jason Randall, or future appointed SM at Telephone Number: 805-355-2110, jason.m.randall.civ@mail.mil. The prime contractor will include this requirement in all subcontracts awarded in support of this procurement effort.

USAG-KA Security Manager: Jason M. Randall, 805-355-2110, e-mail address: jason.m.randall.civ@mail.mil

Contracting Officer’s Representative (COR): SFC Jonathan Debates, e-mail address: jonathan.j.debates.mil@mail.mil

Rock Island, IL Address: 3055 Rodman Avenue, Rock Island Arsenal Rock Island, IL 61299-5000