Attachment 1 DD254 Security Classification KSH.pdf

PDF 73 KB Posted May 11, 2022

Attached to: MICROSOFT SERVICES PREMIER SUPPORT Federal contract opportunity
Solicitation number: 15JPSS22R00000006
Issued by: Department of Justice Offices Boards and Divisions Justice Management Division

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Other files for this federal contract opportunity

Other files attached to MICROSOFT SERVICES PREMIER SUPPORT, newest first.
File	Type	Posted
Attachment 3 - Pricing Table V2.xlsx	XLSX spreadsheet	May 25, 2022
15JPSS22R00000006 A0001.pdf	PDF	May 23, 2022
Attachment 3 - Pricing Table V2.xlsx	XLSX spreadsheet	May 23, 2022
DOJ QA.pdf	PDF	May 23, 2022
Attachment 8 PIB 2021-01 Personnel Security Requirements.pdf	PDF	May 11, 2022
Attachment 7 - Whistleblower Flyer.pdf	PDF	May 11, 2022
15JPSS22R00000006.pdf	PDF	May 11, 2022
Attachment 3 - Pricing Table V2.xlsx	XLSX spreadsheet	May 11, 2022
Attachment 6 - MS Premier Brand Name Justification Redacted.pdf	PDF	May 11, 2022
Attachment 4 - Felony - Tax Certification.docx	DOCX document	May 11, 2022
Attachment 2 Non-Disclosure Agreement KSH.docx	DOCX document	May 11, 2022
Attachment 5 - Past Performance Questionnaire KSH.docx	DOCX document	May 11, 2022

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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PREVIOUS EDITION IS OBSOLETE.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.: Top Secret

SerialNum:

a. Facility clearance level. Select one.: 1

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.: 15JPSS22R0000XXXX

Enter due date in format YYYYMMDD.:

Enter date in format YYYYMMDD.:

Enter revision number.:

Enter date in format YYYYMMDD.:

Enter final specification.:

Enter date in format YYYYMMDD.:

Select for "no.": 1

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Select for "no.": 1

Select for "yes.": 0

Select for "yes.": 1

Select for "yes.": 0

Enter preceding contract number.:

Enter contractor's request date in format YYYYMMDD.:

Enter period.:

Enter typed name of certifying official (last, first, middle initial).: Microsoft Corporation

One Microsoft Way Redmond, Washington 98052

Enter CAGE code of the prime contractor.:

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

Select to add row to locations.:

Select to remove last row from locations.:

Select to delete all signatures.:

Enter location(s).: Various U. S. Department of Justice facilities and other Federal Government facilities.

Enter general unclassified description of this procurement.:

The contractor will provide premier support for enterprise wide services in support of the United States Department of Justice, including its Bureaus, Components, Task Forces and other related organizations. The contractor will require access to National Security Information (NSI) and Sensitive Compartmented Information (SCI) in performance of this contract.

Select for "a. CONTRACTOR.": 0

Select for "a. CONTRACTOR.": 1

Select for "f. OTHER AS NECESSARY.": 0

Select for "f. OTHER AS NECESSARY.": 1

Select for "b. SUBCONTRACTOR.": 0

Select for "b. SUBCONTRACTOR.": 1

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 "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1

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

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

Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1

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).": 1

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 1

Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1

Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 0

Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1

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

Enter infomration for "other.":

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

Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1

Select for "m.OTHER.": 0

Select for "direct.": 0

Select for ": 0

Enter specification for "through".:

Enter public release authority.: PUBLIC RELEASE IS NOT AUTHRIZED.

Select to add signature.:

Select to remove last signature.:

text: All contractor employees requiring access to classified information will be processed by Counterintelligence And Security Agency (DCSA) in accordance with the National Industrial Security Program (NISP). The Contractor will not be permitted to commence performance under this contract until a sufficient number of its personnel, as determined by the SPM in consultation with the Contracting Officer’s Representative if one is appointed, have received the requisite NSI Clearance.

National security investigations will be accepted from other federal agencies under reciprocity guidelines provided all of the following are true: (i) The new position does not require a higher eligibility than what the Subject currently possesses; (ii) the existing eligibility is not granted on an interim or temporary basis, or limited or one-time basis; (iii) the covered individual’s eligibility is not currently denied, revoked, or suspended; (iv) the favorable adjudication was based on the 13 Adjudicative Guidelines (SEAD 4) and E.O. 12968. Agencies may accept eligibility recorded with an exception based on their own risk assessment; (v) the most recent background investigation is not more than seven years old; (vi) there is no new derogatory information of national security adjudicative relevance that has been reported/developed since last investigation; (vii) the Bond Amendment disqualifier (SEAD 4) does not apply and individual requires SCI, SAP or restricted access; and (viii) the subject does not have a break in federal service of 24 months or longer.

All contractor employees requiring access to classified information must appear in person at least once before an official of the Contractor possessing the facility clearance, who is responsible for checking the identification documents. (Acceptable documents are listed in Form I 9, Employment Eligibility Verification, and at least one document must be a valid State or Federal government issued picture ID). This identity proofing must be completed prior to commencement of work by the contractor employee under this contract and badge issuance (as applicable) and must be documented by the contractor official.

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

rep: Carol Yang

Enter signature.:

Explain and identify specific areas and government activity responsible for inspections.: See Attachment 5 (REFERENCE DOJ CLAUSE NUMBER for SECURITY REQUIREMENTS instead of to an attachment.)

Enter GCA name.: DOJ Procurement Services Staff

Enter AAC of the contracting office.: 15JPSS

Enter address (include zip code).:

Two Constitution Square 145 N Street, NE Washington, DC 20530

Enter POC name.: Fitzgerald Escalona

Enter telephone number (include area code).: 2025325373

Enter email address.: fitzgerald.escalona2@usdoj.gov

Enter title.:

Enter the datesigned in format YYYYMMDD.:

File details come from the government source that posted it. Updated May 11, 2022.