Attachment 1 DD Form 254.pdf

PDF 126 KB Posted Feb 22, 2023

Attached to: HQMC AV Capabilities Integration Services Federal contract opportunity
Solicitation number: M00264-23-Q-0016-Request-For-Quotes
Issued by: United States Marine Corps

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Other files for this federal contract opportunity

Other files attached to HQMC AV Capabilities Integration Services, newest first.
File	Type	Posted
Attachment 6A Question and Answer (Additional Questions).pdf	PDF	Apr 3, 2023
M00264-23-Q-0016 Amendment 0003.pdf	PDF	Apr 3, 2023
Attachment 6 Question and Answer.pdf	PDF	Mar 24, 2023
Attachment 3 Task Order One PWS for (4D328 SM) P and R.pdf	PDF	Mar 24, 2023
Attachment 7 4D328SM Conference Room Layout.pdf	PDF	Mar 24, 2023
M00264-23-Q-0016 0002 .pdf	PDF	Mar 24, 2023
Attachment 5 Assessor Past Performance Questionnaire Revised.pdf	PDF	Mar 24, 2023
Attachment 5 Assessor Past Performance Questionnaire Revised.docx	DOCX document	Mar 20, 2023
M00264-23-Q-0016-0001.pdf	PDF	Mar 20, 2023
M00264-23-Q-0016.pdf	PDF	Feb 22, 2023
Attachment 3 Task Order One PWS.pdf	PDF	Feb 22, 2023
Attachment 4 Past Performance Questionnaire.docx	DOCX document	Feb 22, 2023
Attachment 5 Assessor Past Performance Questionnaire.docx	DOCX document	Feb 22, 2023
Attachment 6 - Question and Answer.xlsx	XLSX spreadsheet	Feb 22, 2023
Attachment 2 Pricing Template.xlsx	XLSX spreadsheet	Feb 22, 2023

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

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"

CurrentPage:

PageCount:

Select classification from drop-down list.: Unclassified

SerialNum:

a. Facility clearance level. Select one.: 2

b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4

Select for "original.": 0

Select for "original.": 1

Enter prime contract number.:

Select for "revised.": 0

Enter subcontract number.:

Select for "final.": 1

Select for "final.": 0

Enter solicitation or other number.: Pre-Solicitation

Enter due date in format YYYYMMDD.: 20220215

Enter date in format YYYYMMDD.: 20220215

Enter revision number.:

Enter date in format YYYYMMDD.:

Enter final specification.:

Enter date in format YYYYMMDD.:

Select for "no.": 0

Select for "no.": 1

Select for "no.": 0

Select for "no.": 1

Select for "yes.": 1

Select for "yes.": 0

Select for "yes.": 1

Select for "yes.": 0

Enter preceding contract number.: M00264-18-A-0001

Enter contractor's request date in format YYYYMMDD.:

Enter period.:

Enter typed name of certifying official (last, first, middle initial).: Barnes, Shameica, S

Enter CAGE code of the prime contractor.:

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: HQMC, ARS

3000 Marine Corps Pentagon, Rm 2A288A Washington, DC 20380-3000

Select to add row to locations.:

Select to remove last row from locations.:

Select to delete all signatures.:

Enter location(s).: The Pentagon, Arlington Service Center, Henderson Hall, Marine

Barracks Washington, Marine Corps Base Quantico, Raven Rock Mountain Complex, and Marine Corps installations within the National Capitol Region (NCR).

Enter general unclassified description of this procurement.: Provide classified and unclassified audiovisual equipment and services for Headquarters, U.S. Marine Corps on an as-required basis.

Select for "a. CONTRACTOR.": 0

Select for "a. CONTRACTOR.": 1

Select for "f. OTHER AS NECESSARY.": 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 "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0

Select for "h. REQUIRE A COMSEC ACCOUNT.": 0

Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0

Select for "i. HAVE A TEMPEST REQUIREMENT.": 0

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.": 0

Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0

Enter infomration for "other.": SIPRNET ACCESS

Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1

Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0

Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 0

Select for "m.OTHER.": 1

Select for "direct.": 1

Select for ": 0

Enter specification for "through".:

Enter public release authority.: Headquarters, U.S. Marine Corps, Office of Marine Corps Communication (CD), Room 4A532, Comm: (703) 614-8010

Select to add signature.:

Select to remove last signature.:

text: Contractors may be required to review classified information. Contractors will only access classified information at the Pentagon or at other U.S. Government facilities such as Arlington Service Center, Henderson Hall, Marine Barracks Washington, MCB Quantico, Raven Rock Mountain Complex, and other Marine Corps installations world-wide when determined by the Contracting Officer's Representative as necessary. Classified material will not be allowed at contractor facilities or contractor sites. Contractors will handle, safeguard, store and protect classified information in accordance to standard DoD, Marine Corps, and Navy policies and procedures at U.S. Government facilities only. Contractors can courier classified material from government site to government site with courier letters issued by the HQMC Security Office.

IAW Federal Acquisition Codes 2005-19, Sept 17, 2009 - Subpart 52.2, Paragraph 52.204-9, Personal Identity Verification of Contract Personnel. PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL (SEPT 2007); (a) The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive - 12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24 and Federal Information Processing Standards Publication (FIPS PUB) Number 201. (b) The Contractor shall insert these clauses in all subcontracts when the subcontractor is required to have routine physical access to a Federally-controlled information system. Contractors will adhere to all policy outlined in the National Industrial Security Operating Manual (NISPOM), HSPD-12, SECNAV M-5510.30/36 and HQMC IPSP SOP. All classified work will be done at the Pentagon , other government facilities and contractor facility with the proper security permissions. Contractors can courier classified material from government site to government site and contractor facility with courier letters issued by HQMC Security Office. The Contractors will handle, safeguard, store, and protect all government equipment, information and property provided for contractor use in accordance to standard NISPOM, HSPD-12, DoD M-5200.01, SECNAV M-5510.30/36, and HQMC IPSP SOP policies and procedures. Government SIPRNET computers will be used to conduct classified work. The contractor requires access to the SIPRNET, a NATO awareness brief and Derivative Classification training is required. The SIPRNET contains NATO information and a NATO awareness briefing is required for everyone who needs access to the SIPRNET. The purpose of providing a NATO awareness briefing is to inform personnel how to protect NATO information in the event they come across it while on the SIPRNET. Contractor personnel shall attend the annual Security Briefing and complete all Security training requirements including but not limited to Orientation, Refresher, Marking, Cyber Awareness and Counterintelligence training.

Click on this button to attach a file(s).:

rep:

Enter signature.:

Explain and identify specific areas and government activity responsible for inspections.: Contractor personnel shall attend the annual Security Briefing and complete all Security training requirements including but not limited to Orientation, Refresher, Marking, Cyber Awareness and Counterintelligence training. The Contractors will handle, safeguard, store, and protect all government equipment, information and property provided for contractor use in accordance to standard NISPOM, HSPD-12, DoD M-5200.01, SECNAV M-5510.30/36, and HQMC IPSP SOP policies and procedures. All contractors shall possess proper clearance prior to preforming duties on this contract, Tier 3 or equivalent investigations according to MCO 5510.18/DoDM 5200.02. FSO will grant proper access and send visit request via DISS or successor system.

Defense Counterintelligence and Security Agency (DCSA), Ref 6.c., may conduct inspections at will for "Contractor Sites" as required per DoD5220.22M, DoD National Industrial Security Program Operating Manual. Contractors working at Government approved facilities will comply to local instructions and procedures as determined by the Cognizant Security Officer.

Enter GCA name.: Regional Contracting Office (RCO)

Enter AAC of the contracting office.:

Enter address (include zip code).: 2010 Henderson Road

Quantico VA 22134-5000 Enter address (include zip code).: HQMC, ARS 3000 Marine Corps Pentagon, Rm 2A288A Washington, DC 20380-3000

Enter POC name.: Mr. Joel M. Miro Marquez

Enter telephone number (include area code).: 7037841931

Enter telephone number (include area code).: 7036143609

Enter email address.: joel.miro@usmc.mil

Enter email address.: shameica.barnes1@usmc.mil

Enter title.: Headquarters Marine Corps Security Manager

Enter the datesigned in format YYYYMMDD.:

File details come from the government source that posted it. Updated Feb 22, 2023.