Attachment 10 Contract Security Classification DD254.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

DD FORM 254, APR 2018

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

October 31, 2020 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

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

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

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

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

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

14. ADDITIONAL SECURITY REQUIREMENTS

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

If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

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

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

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

17. CERTIFICATION AND SIGNATURES

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

15 S. Muroc Drive Edwards AFB, CA 93524

195 POPSON AVE

EDWARDS AFB, CA 93560

Reference DD254 Block 10a

Item 10a:

Access to classified COMSEC requires a final U.S. Government clearance at the appropriate level. Further disclosure of COMSEC information by a contractor, to include subcontracting, requires prior approval of the GCA. Non-accountable COMSEC information though not tracked in the COMSEC material control system, may still require a level of control within a document control system. Refer to NSA/CSS Manual 3-16, Control of Communication Security Material,” and the Committee on National Security Systems Instruction (CNSSI) 4001, “Controlled Cryptographic Items,” for guidance. If access to COMSEC information is required at a Government facility, contractor personnel will follow the security requirements of the host government activity

Reference DD 254 Block 10e(1)

Item 10e(1): Contact SSO for current verbiage.

No public release of Special Compartmental Information Required (SCI) or SCI related information or material is authorized without approval from SSO.

Reference DD 254 Block 10e (2) No public release of Non-Sensitive Compartmented Information (Non-SCI) or Non-SCI related information or material is authorized without approval from SSO.

Reference DD 254 Block 10f

Reference DD 254 Block 10k

Ref Blk 10k: Program Protection Plans (PPP) will be provided by the Government activity.

If contractor needs access to SIPRNet to perform required task add:

SIPRNet accounts are authorized on a case-by-case basis to contractors. Task Order Manager/Task Element Leader must provide written approval to the site security manager and contractor must complete required training AFI 16-1404 Chapter 6. Local security manager will assist in obtaining access

Reference DD 254 Block 11c SIPRNet accounts are authorized on a case-by-case basis to contractors. Program manager must provide written approval to the site security manager and contractor must complete required training AFI 16-1404 Chapter 6. Local security manager will assist in obtaining access.

Item 11c: The contractor requires access to classified source data up to and including SECRET data in support of the work effort. Any extracts or use of such data requires the contractors to apply derivative classifications and markings consistent with the source documents. Use of “Multiple Sources” on the “Classified By” line necessitates compliance with the NISPOM, paragraph 4-208, and must attach a bibliography.

Reference DD 254 Block 11j

On Edwards:

The contractor must comply with any OPSEC requirement/clauses indicated in the contract. On Edwards AFB, follow the Edwards OPSEC Program guidelines as established by 412 TW/IPAO (OPSEC) and guidance set forth in DoD Directive 5205.02E, DoD Operations security (OPSEC) Program and AFI 10-701, Operations Security, as supplemented. Protect Critical Information (CI) and other sensitive unclassified information and activities, which could compromise the mission or operations or degrade the planning and execution of military operations performed by the contractor in support of the mission. These OPSEC requirements pertain to performance on government installations only.

The contractor (as Prime)/subcontractor and its employees will fully participate in the AF host activity OPSEC Program (Unit OPSEC Plan/Critical Information and Indicators List). The host military unit or contractor security representative will provide contractor employees with an initial briefing on the host unit Critical Information and Indicators List (CIIL) and the installation Critical Information and Indicators List (CIIL). Critical information (CI) will be safeguarded in a manner akin to contractor proprietary information; regardless if in paper format or digital format (encrypted).

Compliance with NISPOM, other DOD and AF Instructions, DCIDs, ICDs publications, including future revisions and publications as applicable, is required.

For SAR programs follow OPSEC requirements of the Program Security Officer (PSO).

Off Edwards contracts:

OPSEC requirements apply. Critical Information and Indicators List (CIILs) will be provided to contractor under separate cover and updated as required.” Sensitive unclassified/classified work must be protected not only by physical security and information security, but also by exercising the "need-to-know" policy, releasing operational information to only those personnel having a need-to-know. Prime contractors may not impose OPSEC requirements on their subcontractors unless the GCS approves the OPSEC requirements.

Ref DD Fm 254 Block 12:

“Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. Information requiring AF or DoD–level review will be reviewed by the unit’s OPSEC Program Manager or Coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330-1690.” MAJCOM/DRUs will send information requiring AF or DoD-level review directly to SAF/PAX.

If COMSEC, SCI, NON-SCI, NATO, Foreign Government Information, and OPSEC is marked on the 254 add as required.

Access to COMSEC, SCI, NON-SCI, NATO, Foreign Government Information, and OPSEC on DD Form 254 for subcontractors is not authorized without prior coordinating of the PCO.

For SIPRNET access:

Access to SIPRNET is authorized, contractor must complete required training IAW AFI 16-1404 Chapter 6, before being granted access.

Edwards AFB, CA 93551 Address: 5 S. Wolfe Ave, B2800 Edwards AFB CA 93551