Attachment 1 - DD254_Programmatic W91CRB-24-R-0016.pdf

CLASSIFICATION (When filled in): Unclassified

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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

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

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

W91CRB-24-R-0016

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

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)

U.S. Army Security Assistance Command Building 4402 Redstone Arsenal, AL 35898 United States

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

U.S. Army Security Assistance Command 54 M Avenue New Cumberland, PA 17070 United States

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

Washington Field Office (WFO) 9875 Michie Place Fort Belvoir, VA 22060 United States

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

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a. NAME, ADDRESS, AND ZIP CODE

U.S Arny Security Assistance Training Management Office (SATMO) 3832 Ardennes Street Fort Liberty, NC 28310 United States

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

a. NAME, ADDRESS, AND ZIP CODE

OPM-SANG

Al Nakhla Residential Resort Qurtubah, Riyadh Saudi Arabia 13244

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

a. NAME, ADDRESS, AND ZIP CODE

USAMAG

Al Nakhla Residential Resort Qurtubah, Riyadh Saudi Arabia 13244

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.)

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

USARMY North/South 2108 Wilson Way JBSA Fort Sam Houston, TX 78234 United States

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

U.S. Army Central (USARCENT) 1 Gabreski Dr.

Shaw AFB, SC 29152 United States

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

c. COGNIZANT SECURITY OFFICE(S) (CSO)

United States European Command (EUCOM) .

Panzer Kaserne, Building 2308 Stuttgart, AE 09131 United States

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

c. COGNIZANT SECURITY OFFICE(S) (CSO)

U.S. Army Pacific (USARPAC) APPA Building T100 Fort Shafter, HI 96858 United States

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

c. COGNIZANT SECURITY OFFICE(S) (CSO)

U.S. Army Europe-Africa Clay Kaserne Wiesbaden, AE 09014 United States

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

c. COGNIZANT SECURITY OFFICE(S) (CSO)

Security Assistance Group - Ukraine (SAG-U) Clay Kaserne Wiesbaden, AE 09014 United States

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

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U.S. Army Medical Materiel Agency (USAMMA) 693 Neiman Street Fort Detrick, MD 21702 United States

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

Programmatic Support Services - See PERFORMANCE WORK STATEMENT (PWS) attached.

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.)

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.)

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)

Commander, U.S. Army Security Assistance Command (USASAC) 4402 Martin Road, Redstone Arsenal, AL 35898

Public Release Authority:

ACC-APG, Division D, BLDG 4310, 6515 Integrity Court, Aberdeen Proving Grounds, MD 21005 (520)671-2492

13. SECURITY GUIDANCE

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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.)

Facility Security Clearance: The Contractor shall possess and maintain a facility clearance granted by the Defense Counterintelligence and Security Agency (DCSA). The Contractor's employees, performing work in support of this contract (not technician as stated below) will require security clearance/eligibility determination based on a favorably adjudicated T3/T3R within investigation scope and/or currently enrolled in Continuous Evaluation (CE)/ Continuous Vetting (CV) at the time of contract award and throughout the life of the contract to include all potential option years identified in this PWS. The DD 254 will be housed within the NCCS through the life of the contract. The Contractor shall be registered within NCCS at time of award to gain access to the DD 254. It is incumbent upon the Contractor to ensure that the necessary Personnel Clearance (PCL) documents are submitted in sufficient time to enable each individual to be cleared prior to beginning work on this contract. In the event that the NCCS is superseded by another System of Record, the same requirements apply. The Contracting Officer will maintain the DD254 in the Official Contracts Records. Contractor personnel performing or assigned under this contract must be U.S. persons. Security Classification Guide (SCG) requests should be presented to the U.S. Government (USG) Sponsor, if required, subsequent to contract award. All classified information received or generated under this contract is the property of the USG.

The USG shall provide disposition instructions. No release of classified information or controlled unclassified information under this contract is authorized. All requirements for control and accounting of original documentation and copies apply. All applicable provisions of the NISPOM and its supplements and 32 CFR, part 117 apply. Any classified information shall be transmitted IAW DOD 5200.01-M, DOD Information Security Program: Protection of Classified Information. The contractor shall adhere to Chapter 8, NISPOM, which applies to 11011-DoD IT systems. Contractor is not authorized to subcontract on this effort without an approved subcontracting plan with written GCA/COR authorization. The Contractor shall comply with (1) Security Agreement (DD Form 441/DD Form 441-1), including the National Industrial Security Program Operating Manual (NISPOM), DoDI 5220.31 and any revisions and (2) 32 CFR, Part. 117. Provisions of the Privacy Act apply to all records and reports maintained by the contractors. All programs and materials developed at USG expense during the performance period of this contract are the property of the USG. Prior to granting an employee access to classified information and/or materials, the contractor shall brief employees with regard to their obligation to comply with the NISPOM, to include any changes and/or amendments and 31 CFR, Part 117. The contractor's employees shall be debriefed when access to the material is no longer needed or is terminated. A list of all employees who have had access to classified information during the period of this contract shall be maintained by the contractor company and be available for Defense Counterintelligence and Security Agency (DCSA) Inspection Access to General Protection/Security Policies and Procedures. All contractor employees, including subcontractor employees stationed or assigned on a USG facility shall comply with applicable installation, facility access procedures and local security policies provided the by the USG security personnel. The contractor workforce shall comply with all personal identification verification requirements as directed by local policy. In addition to the changes otherwise authorized by the changes clause in this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the USG may require changes in the contractor security processes or procedures. Contractors requiring access to USG Information Technology (IT) systems must adhere to all USG requirements. All contractor employees and any associated subcontractor employees shall annually complete the DoD Information Assurance Training and sign an Acceptable Use Policy (AUP). The training certificate and AUP must be provided to the designated personnel at USG facilities before issuance of network access and annually thereafter. Contractor employees shall abide by USG Security Regulations and Security Standard Operating Procedures when working on-site at USG facilities/installations and shall annually attend USG mandatory training including Operational Security, Security Awareness, Subversion and Espionage, Ethics and Prevention of Sexual Harassment, and any/all other training as directed by the USG.

Common Access Cards (CACs) are authorized for contractor employees that work on-site at USG facilities. CACs are the property of the USG and shall be giving to the Contractor Facility Security Officer upon termination of employment with the company, expiration of the CAC, replacement of a CAC, or upon contract completion. The FSO shall immediately return the CACs to the USG Security Office, USG Contracting Officer, or Contracting Officer Representative. The loss of a CAC shall be reported on the first business day following the discovery of the lost CAC to your chain of command and to the issuing agency. Unauthorized possession of a CAC can be prosecuted criminally under section 701, title 18, United States Code. Photocopying of USG Identification (CAC) is a violation of Title 18, US Code Part 1, Chapter 33, Section 01 and punishable by both fine and imprisonment. Although the asking for military/government identification is totally permissible by commercial establishments, there is a prohibition on duplication of government identification. A state issued driver license or other form of photo identification should be provided to be photocopied if an establishment insists on a photocopy of the traveler's identification. Contractor is required to ensure that all employees are aware of this law. Contractor personnel shall utilize USG or official company e-mail for transmitting official USG business. Official USG business shall NOT be transmitted via personal, private, and/ or commercial e-mail accounts, i.e., YAHOO, HOTMAIL, GMAIL, VERIZON, etc. Contractor is prohibited from using reference to this contract, classification, clearances, accesses, even by unclassified acronyms, in advertisements, websites, capabilities fliers, promotional efforts, or recruitment of employees.

Additional Information:

USASAC Work Locations.

10e(2): FSO must submit visit requests to the KO and/or Security Management Office for the clearance eligibility verification and access control for performance location. Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting. Access to Intelligence information required

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for performance. 10g and 10h. Foreign Government Information (FGI) and NATO information is not releasable to contractor employees who have not received a FINAL security clearance at the appropriate security level referred to in the PWS. Written concurrence of the KO is required prior to subcontracting. Contractor employees must complete a NATO SECRET briefing. 10j. Controlled Unclassified Information (CUI) I Receive, Store, or Generate Controlled Unclassified Information (CUI): Contractor will be provided and will abide by DoD 5400.7-M, DoD Freedom of Information Act Program, and DoD 5200.01-M, Information Security Program. Guidance provided under separate cover. In accordance with DoD Instruction 5200.48 (DoDI 5200.48) dated March 6, 2020, Contractors are required to ensure all personnel receive and complete Initial and Annual Refresher CUI education and training and maintain documentation of this training for audit purposes. Initial and Annual Refresher CUI security education, training, and awareness on the required topics identified in Section

2002.30 of Title 32 CFR, including protection and management of CUI, to DoD personnel and contractors through the Center for Development of Security Excellence (CDSE). 11a: Contractor performance is restricted to work performance locations cited in 8a or other authorized locations, and includes the receipt and derivative classification of classified information as needed for job performance to include SIPR.net access. Government agency or activity will provide security classification guidance for performance of this contract. l lj:

See PWS for OPSEC requirements. Information will not be released without GCA approval. 111: See PWS for additional information to include handling of Controlled Unclassified Information (CUI). All contractor employees shall complete the identified security training listed in the PWS and IAW the NISPOM (DoDM 5220.22).

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

PWS_ Programmatic Services_W91CRB-24-R-0016_Final_No Track Changes_26 Mar 2024.docx

NAME & TITLE OF REVIEWING OFFICIAL

James Eversole, 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.)

All required Security Related Training Requirements are in the PWS.

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.)

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

a. GCA NAME

ACC-APG

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

W91CRB

c. ADDRESS (Include ZIP Code)

ACC-APG-W91CRB

BLDG 4310

6515 INTEGRITY COURT

ABERDEEN PROVING GROUND MD

21005-3013

d. POC NAME

Shelby A. Saum

e. POC TELEPHONE (Include Area Code)

+1 (520) 671-2492

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)

Hassell, Teri A.

b. TITLE

Contracting Officer Representative

EVERSOLE.JAMES.D

WIGHT.1294158746

Digitally signed by

EVERSOLE.JAMES.DWIGHT.1

294158746 Date: 2024.03.26 12:19:39 -05'00'

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c. ADDRESS (Include ZIP Code)

4402 Martin Rd Redstone Arsenal, AL 35898

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

W25P02

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

N/A

f. TELEPHONE (Include Area Code)

+1 (256) 450-5853

g. EMAIL ADDRESS (See Instructions) teri.a.hassell.civ@army.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20240326

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.)

HASSEL

L.TERI.A

LISA.104

6658333

Digitally signed by

HASSELL.TERI

.ALISA.104665

Date: 2024.03.26 12:45:57 -05'00'