Attachment 1 - DD254.pdf

CLASSIFICATION (When filled in): Unclassified

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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:

20220531

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Top Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

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)

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE 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

a. LOCATION(S) (For actual performance, see instructions.)

4800 Mark Center Dr.

Suite 08G08 Alexandria, VA 22350

b. CAGE CODE (If applicable, see Instructions.)

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

a. LOCATION(S) (For actual performance, see instructions.)

U.S. Africa Command – Stuttgart, Germany Kelley Barracks

APO AE 09751-9951

b. CAGE CODE (If applicable, see Instructions.)

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

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a. LOCATION(S) (For actual performance, see instructions.)

U.S. European Command – Stuttgart, Germany Unit 30400 Patch Barracks

APO AE 09131

b. CAGE CODE (If applicable, see Instructions.)

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

a. LOCATION(S) (For actual performance, see instructions.)

U.S. Central Command – Tampa, Florida 7115 South boundary blvd MacDill AFB, FL 33621-5101

b. CAGE CODE (If applicable, see Instructions.)

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

a. LOCATION(S) (For actual performance, see instructions.)

Northern Command – Colorado Springs, Colorado 250 Vandenberg St, Suite Bo16 Peterson AFB, CO 80914-3813

b. CAGE CODE (If applicable, see Instructions.)

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

a. LOCATION(S) (For actual performance, see instructions.)

U.S. Indo-Pacific Command – Honolulu, Hawaii Box 64010 Camp H.M. Smith, HI 96861-4010

b. CAGE CODE (If applicable, see Instructions.)

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

a. LOCATION(S) (For actual performance, see instructions.)

U.S. Southern Command - Miami, Florida Attn: SCJ7/9-LREC 9301 NW 33rd Street, Doral, FL 33172

b. CAGE CODE (If applicable, see Instructions.)

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

a. LOCATION(S) (For actual performance, see instructions.)

U.S. Special Operations Command 7701 Tampa Point Blvd MacDill AFB, FL 33621-5323

b. CAGE CODE (If applicable, see Instructions.)

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

a. LOCATION(S) (For actual performance, see instructions.)

U.S. Strategic Command 900 SAC Boulevard, Suite N1.164A Offutt AFB, NE 68113-6100

b. CAGE CODE (If applicable, see Instructions.)

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

a. LOCATION(S) (For actual performance, see instructions.)

U.S. Transportation Command 508 Scott Drive Scott AFB, IL 62225

b. CAGE CODE (If applicable, see Instructions.)

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

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The Language Readiness Index is a sub-component program within the Defense Readiness Reporting System (DRRS) that

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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.)

See Block 13

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.)

SCI addendum (Attached)

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) 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.)

- Requirements included within this DD Form 254 apply to both the Prime Contractor and all applicable subcontractors. Contract performance is restricted to authorized DHRA/DMDC facilities and other authorized government facilities as needed. Any classified information generate in the performance of this contract shall be classified according to the markings shown on the source material or the applicable security classification guide. The requirements, restrictions and other safeguards IAW 32 CFR Part 117 NISPOM.

-The Government has determined during the performance of this effort that work ordered may involve secure networks, facilities and sensitive information up to the level of Top Secret//SCI. DMDC requires a Tier 5 or Tier 3 investigation for all personnel DHRA identifies as needing access.

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- Contractor personnel shall not be required nor permitted to perform work prior to receipt of the required approval. Requirements apply to both the Prime Contractor and all applicable subcontractors. Contract performance is restricted to authorized DHRA facilities and other authorized government/contractor facilities as needed.

10. CONTRACTOR WILL REQUIRE ACCESS TO:

10.e.(1) SCI Requirement. Performance requiring access to or at the SCI level shall be governed by the SCI addendum titled “Release Of Sensitive Compartmented Information (SCI) Intelligence Information To Us Contractors”. Access to Intelligence information requires a final Top Secret U.S. Government clearance and SCI indoctrination. Contractor will require access to ICD 703 and ICD 710. The names of contractor personnel requiring access to SCI shall be submitted to the contracting officer's representative (COR) for approval. The COR will approve and coordinate visits by contractor personnel to insure satisfactory justification. Prior approval of GCA is required for subcontracting.

Item 10.j. Controlled Unclassified Information(CUI). Controlled Unclassified Information including Covered Defense Information (meeting the definition of 48 CFR 252.204–7012(a)) generated and/or provided under this contract shall be marked and safeguarded as specified in DoD Instruction 5200.48 Controlled Unclassified Information (CUI). Any product containing Covered Defense Information shall be assigned the appropriate distribution statement using the criteria set forth in DoDI 5230.24 Distribution Statements on Technical Documents. All Covered Defense Information (CDI), and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Freedom of Information Act applies.

The following procedures will be used to protect Controlled Unclassified Information (CUI) documents and materials:

1) HANDLING: Access to CUI material shall be limited to those employees needing the material to perform their duties. The CUI marking is assigned to documents and material created by a DoD User Agency. CUI is not a classification, but requires extra precautions to ensure it’s properly safeguarded and disseminated and is not released to the public without government authorization.

2) MARKING: The Contractor shall mark unclassified documents containing CUI as follows: “CUI" at the top and bottom of each page, include the CUI warning box, and the CUI Designation Indicator Block as required in DoDI 5200.48. In a classified document:

a) Mark individual paragraph containing only CUI, but not classified material by placing “(CUI)" at the beginning of the portion.

b) Mark top and bottom of each page with classified material with the highest security classification of the material on the page.

c) If the document or material contains CUI under the category of Controlled Technical Information (CTI), use of distribution statements is required. See DoDI 5200.48.

d) If a classified document contains CUI material or if the classified material becomes CUI when declassified, place the following statement on the bottom of the cover or the first page under the classification marking: “NOTE: If declassified, review the document to make sure the material is not still CUI. If it does, then it must have the appropriate safeguarding, dissemination controls, and CUI markings applied.

e) Mark other records such as computer print outs, photographs, films, tapes, or slides in accordance with DoDI 5200.48 so the receiver or viewer knows the it contains CUI material.

f) Mark a message containing material in accordance with DoDI 5200.48. Unclassified messages containing CUI material must show the abbreviation (CUI) before the text begins.

g) Ensure documents transmitting CUI material call attention to any attachments containing CUI.

h) CUI material released to a contractor by a DoD user agency must have the following statement on the front page or cover:

THIS DOCUMENT CONTAINS CUI MATERIAL AND MUST BE REVIEWED BY A GOVERNMENT REPRESENTATIVE UNDER THE REQUIREMENTS OF DODI 5200.48, DODI 5230.09, and DODI 5230.29.

3) STORAGE: The Contractor shall, place CUI material in an out-of-sight location during normal work hours, if the work area is accessible to persons who do not have an authorized government purpose for access to the material. After normal duty hours, the Contractor shall store CUI material to prevent unauthorized access by filing it with other unclassified records in unlocked files or desks when internal building security is provided and the file is marked as CUI. When there is no internal security, locked buildings or rooms usually provide adequate after hours protection. For additional protection, store CUI material in locked containers such as file cabinets, desks, or bookcases. Expenditure of funds for security containers or closed areas solely for the protection of CUI material is prohibited.

4) TRANSMISSION: CUI documents and materials may be transmitted via first class mail, parcel post or, for bulky shipments, fourth class mail. Within the CONUS discussion of CUI material on the telephone is authorized if necessary for the performance of the contract and no alternative is available. Electronic transmission of CUI (voice, data, or facsimile) should be by approved secure communications systems whenever practical. If there is a fax transmission, the sender must ensure the intended receiver is available to receive it or a cover sheet will be used to allow carrying it to the final recipient to avoid unauthorized disclosure of the CUI.

5) RELEASE: CUI material shall not be released outside of the contractor’s facility except to the representative of DoD.

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6) DESTRUCTION: When the CUI material no longer meets the threshold for safeguarding and dissemination, the Contractor shall immediately decontrol it, process it through the records management process, and destroyed by the approved methods identified in DoDI

5200.48 preclude its disclosure to unauthorized individuals by rendering it unreadable, indecipherable, and irrecoverable.

Item 10.k. NIPRNET access required. This contract requires the contractor to access and use the Unclassified government computer system known as the NIPRNET at locations identified by the government customer. All provisions of DoD Risk Management Framework (RMF) apply. This system is Unclassified only, and inappropriate or improper use of the system will result in a reportable incident to the DCSA.

NIPRNET as well as other unclassified systems or equipment (e.g. printers, facsimile) will not be used to process classified information.

NIPRNET systems will be used only for an official Government purpose. Inappropriate or improper use of the NIPRNET system will result in a reportable incident to the Defense Counterintelligence and Security Agency (DCSA).

10.k. Other: SIPRNET access required. This contract requires the contractor to access and use the Classified government computer system known as the SIPRNET at locations identified by the government customer. All provisions of DoD Risk Management Framework (RMF) apply. This system is authorized for use to but not exceeding the Secret-level only, and inappropriate or improper use of the system will result in a reportable incident to the Defense Counterintelligence and Security Agency (DCSA).

DERIVATIVE CLASSIFICATION training is required as a condition of access to SIPRNET. The contractor will maintain training certificates and provide copies to the GCA when requested. Annual training is required.

10.k. Other: JWICS access required. This contract requires the contractor to access and use the Classified government computer system known as the Joint Worldwide Intelligence Communication System (JWICS) at locations identified by the government customer. All provisions of DoD Risk Management Framework apply. This system is authorized for use up to but not exceeding the Top Secret level only, and inappropriate or improper use of the system will result in a reportable incident to the Defense Counterintelligence and Security Agency (DCSA).

11.a. Have access to classified information ONLY at another contractor’s facility OR at a government activity. The contractor WILL NOT receive or store classified at their facility. All classified information/material shall be provided by the contractor facility or Government Contracting Activity (GCA) and safeguarded at the approved actual performance site.

Item 11.j. Operations Security (OPSEC). Reference Item 14.

11.f. Have access to classified outside the U.S. When 11.f. is checked this indicates an actual work performance in a foreign country and shall require a statement indicating the unclassified facility and (country) and/or the name of the U.S. activity where the overseas performance will occur.

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

NAME & TITLE OF REVIEWING OFFICIAL

Richard Tulsie, Security Specialist

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.)

The Contractor is not required to develop an OPSEC Plan. However, the Contractor shall comply with DoD Directive 5205.02E and the requiring activity's OPSEC program. Contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter. The Contractor shall maintain all OPSEC training records and shall provide copies to the COR upon request.

15. INSPECTIONS

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

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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.)

10.e.(1) SCI Requirement. COR will ensure the contract and DD Form 254 are coordinated with the appropriate Special Security Officer/ Scientific Technical Intelligence Liaison Officer (SSO/STILO). Performance requiring access to or at the SCI level shall be governed by the SCI addendum titled “Release Of Sensitive Compartmented Information (SCI) Intelligence Information To Us Contractors”. Access to Intelligence information requires a final Top Secret U.S. Government clearance and SCI indoctrination. Contractor will require access to ICD 703 and ICD 710. The names of contractor personnel requiring access to SCI shall be submitted to the contracting officer's representative (COR) for approval. The COR will approve and coordinate visits by contractor personnel to insure satisfactory justification.

Prior approval of GCA is required for subcontracting.

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

a. GCA NAME

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

c. ADDRESS (Include ZIP Code) d. POC NAME

e. POC TELEPHONE (Include Area Code)

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.

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

Jimmy R. Wyrick

b. TITLE

Chief, Program Support

c. ADDRESS (Include ZIP Code) 800 Mark Center Drive, Suite 08G08 Alexandria, VA 22350-7000

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

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

f. TELEPHONE (Include Area Code)

+1 (571) 256-0681

g. EMAIL ADDRESS (See Instructions) jimmy.r.wyrick.civ@mail.mil

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.)

Attachment # RELEASE OF SENSITIVE COMPARTMENTED INFORMATION (SCI) INTELLIGENCE INFORMATION TO US CONTRACTORS

Block 13, CONTINUATION: Ref. Block 10, Item e (1), Sensitive Compartmented Information (SCI)

Solicitation Number:

Preceding Contract Number:

1) Requirements for access to SCI:

a) All SCI will be handled in accordance with special security requirements, which will be furnished by the designated responsible special security office (SSO).

b) SCI will not be released to contractor employees without specific release approval of the originator of the material as outlined in governing directives; based on prior approval and certification of "need-to-know" by the designated contractor.

c) Names of contractor personnel requiring access to SCI will be submitted to the contract monitor (CM) for approval. Upon receipt of written approval from the CM, the company security officer will submit request(s) for special background investigations in accordance with the NISPOM, to the DIA/SSO. The entire personnel security questionnaire package should not be forwarded to the DIA/SSO. The Contractor Special Security Officer (CSSO) must follow the instructions provided by the DIA/SSO to the CSSO.

d) Inquiries pertaining to classification guidance on SCI will be directed through the CSSO to the responsible CM as indicated on the DD Form 254.

e) SCI furnished in support of this contract remains the property of the Department of Defense (DoD) department, agency, or command originator. Upon completion or cancellation of the contract, SCI furnished will be returned to the direct custody of the supporting SSO, or destroyed IAW instructions outlined by the CM.

f) SCI will be stored and maintained only in properly accredited government facilities.

2) The contract monitor (CM) will:

a) Review the SCI product for contract applicability and determine that the product is required by the contractor to complete contractual obligations. After the CM has reviewed the SCI product(s) for contract applicability and determined that the product is required by the contractor to complete obligations, the CM must request release from the originator through the DIA/SSO. Originator release authority is required on the product types below:

i) Documents bearing the control markings of ORCON, PROPIN.

ii) GAMMA controlled documents.

iii) Any NSA/SPECIAL marked product.

iv) All categories as listed in DoD 5105.21-M-1

b) Prepare or review contractor billet/access requests to insure satisfactory justification (need-to-know) and completeness of required information.

c) Approve and coordinate visits by contractor employees when such visits are conducted as part of the contract effort.

d) Maintain records of all SCI material provided to the contractor in support of the contract effort. By 15 January (annually), provide the contractor, for inventory purposes, with a complete list of all documents transferred by contract number, organizational control number, copy number, and document title.

e) Determine dissemination of SCI studies or materials originated or developed by the contractor.

f) Within 30 days after completion of the contract, provide written disposition instructions for all SCI material furnished to, or generated by, the contractor with an information copy to the supporting SSO.

g) Review and forward all contractor requests to process SCI electronically to the accrediting SSO for coordination through appropriate SCI channels.

h) Request for release of intelligence material to a contractor must be prepared by the contract monitor (CM) and submitted to the DIA/SSO. This should be accomplished as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirement and copies of the DD Form 254 and Statement of Work.

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 254, MAY 2019

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:

20220531 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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

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

Suite 08G08 Alexandria, VA 22350 Location: U.S. Africa Command – Stuttgart, Germany Kelley Barracks

APO AE 09751-9951

Location: U.S. European Command – Stuttgart, Germany Unit 30400 Patch Barracks

APO AE 09131

Location: U.S. Central Command – Tampa, Florida 7115 South boundary blvd MacDill AFB, FL 33621-5101 Location: Northern Command – Colorado Springs, Colorado 250 Vandenberg St, Suite Bo16 Peterson AFB, CO 80914-3813 Location: U.S. Indo-Pacific Command – Honolulu, Hawaii Box 64010 Camp H.M. Smith, HI 96861-4010 Location: U.S. Southern Command - Miami, Florida Attn: SCJ7/9-LREC 9301 NW 33rd Street, Doral, FL 33172 Location: U.S. Special Operations Command 7701 Tampa Point Blvd MacDill AFB, FL 33621-5323 Location: U.S. Strategic Command 900 SAC Boulevard, Suite N1.164A Offutt AFB, NE 68113-6100 Location: U.S. Transportation Command 508 Scott Drive Scott AFB, IL 62225

- Requirements included within this DD Form 254 apply to both the Prime Contractor and all applicable subcontractors. Contract performance is restricted to authorized DHRA/DMDC facilities and other authorized government facilities as needed. Any classified information generate in the performance of this contract shall be classified according to the markings shown on the source material or the applicable security classification guide. The requirements, restrictions and other safeguards IAW 32 CFR Part 117 NISPOM.

-The Government has determined during the performance of this effort that work ordered may involve secure networks, facilities and sensitive information up to the level of Top Secret//SCI. DMDC requires a Tier 5 or Tier 3 investigation for all personnel DHRA identifies as needing access.

- Contractor personnel shall not be required nor permitted to perform work prior to receipt of the required approval. Requirements apply to both the Prime Contractor and all applicable subcontractors. Contract performance is restricted to authorized DHRA facilities and other authorized government/contractor facilities as needed.

10. CONTRACTOR WILL REQUIRE ACCESS TO:

10.e.(1) SCI Requirement. Performance requiring access to or at the SCI level shall be governed by the SCI addendum titled “Release Of Sensitive Compartmented Information (SCI) Intelligence Information To Us Contractors”. Access to Intelligence information requires a final Top Secret U.S. Government clearance and SCI indoctrination. Contractor will require access to ICD 703 and ICD 710. The names of contractor personnel requiring access to SCI shall be submitted to the contracting officer's representative (COR) for approval. The COR will approve and coordinate visits by contractor personnel to insure satisfactory justification. Prior approval of GCA is required for subcontracting.

Item 10.j. Controlled Unclassified Information(CUI). Controlled Unclassified Information including Covered Defense Information (meeting the definition of 48 CFR 252.204–7012(a)) generated and/or provided under this contract shall be marked and safeguarded as specified in DoD Instruction 5200.48 Controlled Unclassified Information (CUI). Any product containing Covered Defense Information shall be assigned the appropriate distribution statement using the criteria set forth in DoDI 5230.24 Distribution Statements on Technical Documents. All Covered Defense Information (CDI), and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Freedom of Information Act applies.

The following procedures will be used to protect Controlled Unclassified Information (CUI) documents and materials:

1) HANDLING: Access to CUI material shall be limited to those employees needing the material to perform their duties. The CUI marking is assigned to documents and material created by a DoD User Agency. CUI is not a classification, but requires extra precautions to ensure it’s properly safeguarded and disseminated and is not released to the public without government authorization.

2) MARKING: The Contractor shall mark unclassified documents containing CUI as follows: “CUI" at the top and bottom of each page, include the CUI warning box, and the CUI Designation Indicator Block as required in DoDI 5200.48. In a classified document:

a) Mark individual paragraph containing only CUI, but not classified material by placing “(CUI)" at the beginning of the portion.

b) Mark top and bottom of each page with classified material with the highest security classification of the material on the page.

c) If the document or material contains CUI under the category of Controlled Technical Information (CTI), use of distribution statements is required. See DoDI 5200.48.

d) If a classified document contains CUI material or if the classified material becomes CUI when declassified, place the following statement on the bottom of the cover or the first page under the classification marking: “NOTE: If declassified, review the document to make sure the material is not still CUI. If it does, then it must have the appropriate safeguarding, dissemination controls, and CUI markings applied.

e) Mark other records such as computer print outs, photographs, films, tapes, or slides in accordance with DoDI 5200.48 so the receiver or viewer knows the it contains CUI material.

f) Mark a message containing material in accordance with DoDI 5200.48. Unclassified messages containing CUI material must show the abbreviation (CUI) before the text begins.

g) Ensure documents transmitting CUI material call attention to any attachments containing CUI.

h) CUI material released to a contractor by a DoD user agency must have the following statement on the front page or cover:

THIS DOCUMENT CONTAINS CUI MATERIAL AND MUST BE REVIEWED BY A GOVERNMENT REPRESENTATIVE UNDER THE REQUIREMENTS OF DODI 5200.48, DODI 5230.09, and DODI 5230.29.

3) STORAGE: The Contractor shall, place CUI material in an out-of-sight location during normal work hours, if the work area is accessible to persons who do not have an authorized government purpose for access to the material. After normal duty hours, the Contractor shall store CUI material to prevent unauthorized access by filing it with other unclassified records in unlocked files or desks when internal building security is provided and the file is marked as CUI. When there is no internal security, locked buildings or rooms usually provide adequate after hours protection. For additional protection, store CUI material in locked containers such as file cabinets, desks, or bookcases. Expenditure of funds for security containers or closed areas solely for the protection of CUI material is prohibited.

4) TRANSMISSION: CUI documents and materials may be transmitted via first class mail, parcel post or, for bulky shipments, fourth class mail. Within the CONUS discussion of CUI material on the telephone is authorized if necessary for the performance of the contract and no alternative is available. Electronic transmission of CUI (voice, data, or facsimile) should be by approved secure communications systems whenever practical. If there is a fax transmission, the sender must ensure the intended receiver is available to receive it or a cover sheet will be used to allow carrying it to the final recipient to avoid unauthorized disclosure of the CUI.

5) RELEASE: CUI material shall not be released outside of the contractor’s facility except to the representative of DoD.

6) DESTRUCTION: When the CUI material no longer meets the threshold for safeguarding and dissemination, the Contractor shall immediately decontrol it, process it through the records management process, and destroyed by the approved methods identified in DoDI 5200.48 preclude its disclosure to unauthorized individuals by rendering it unreadable, indecipherable, and irrecoverable.

Item 10.k. NIPRNET access required. This contract requires the contractor to access and use the Unclassified government computer system known as the NIPRNET at locations identified by the government customer. All provisions of DoD Risk Management Framework (RMF) apply. This system is Unclassified only, and inappropriate or improper use of the system will result in a reportable incident to the DCSA. NIPRNET as well as other unclassified systems or equipment (e.g. printers, facsimile) will not be used to process classified information. NIPRNET systems will be used only for an official Government purpose. Inappropriate or improper use of the NIPRNET system will result in a reportable incident to the Defense Counterintelligence and Security Agency (DCSA).

10.k. Other: SIPRNET access required. This contract requires the contractor to access and use the Classified government computer system known as the SIPRNET at locations identified by the government customer. All provisions of DoD Risk Management Framework (RMF) apply. This system is authorized for use to but not exceeding the Secret-level only, and inappropriate or improper use of the system will result in a reportable incident to the Defense Counterintelligence and Security Agency (DCSA).

DERIVATIVE CLASSIFICATION training is required as a condition of access to SIPRNET. The contractor will maintain training certificates and provide copies to the GCA when requested. Annual training is required.

10.k. Other: JWICS access required. This contract requires the contractor to access and use the Classified government computer system known as the Joint Worldwide Intelligence Communication System (JWICS) at locations identified by the government customer. All provisions of DoD Risk Management Framework apply. This system is authorized for use up to but not exceeding the Top Secret level only, and inappropriate or improper use of the system will result in a reportable incident to the Defense Counterintelligence and Security Agency (DCSA).

11.a. Have access to classified information ONLY at another contractor’s facility OR at a government activity. The contractor WILL NOT receive or store classified at their facility. All classified information/material shall be provided by the contractor facility or Government Contracting Activity (GCA) and safeguarded at the approved actual performance site.

Item 11.j. Operations Security (OPSEC). Reference Item 14.

11.f. Have access to classified outside the U.S. When 11.f. is checked this indicates an actual work performance in a foreign country and shall require a statement indicating the unclassified facility and (country) and/or the name of the U.S. activity where the overseas performance will occur.

Alexandria, VA 22350-7000