Attachment (11) III Corps MTCCS II Draft DD Form 254v2.pdf

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Attached to
Mission Training Complex Capabilities Support (MTCCS) II Solicitation Federal contract opportunity
Solicitation number
W900KK23R0006
Issued by
Department of the Army Materiel Command Contracting Command Orlando Contracting Center

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Other files attached to Mission Training Complex Capabilities Support (MTCCS) II Solicitation, newest first.
File Type Posted
MTCCS_II_MA_IDIQ_Contract_Task_Order_Acquisition_Timelines.xlsx XLSX spreadsheet
MTCCS II Solicitation QandA_Part2.xlsx XLSX spreadsheet
MTCCS II Solicitation QandA.xlsx XLSX spreadsheet
Attachment (1) MASTER MTCCS II LCATsv4.xlsx XLSX spreadsheet
Attachment (6) III Corps MTCCS II CDRLv5.docx DOCX document
Attachment (8d) III Corps MTCCS II TE 4 (Historical Workload)CUI.pdf PDF
Attachment (19) MTCCS II Base PWS 03NOV22_v4.docx DOCX document
List of Changes to MTCCS II Solicitation.docx DOCX document
MTCCS_II_Solicitation_W900KK23R0006_Amendment0001_08NOV22.pdf PDF
Attachment (4) MTCCS_Preaward_Survey.pdf PDF
Attachment (7) III Corps MTCCS II QASP.docx DOCX document
Attachment (8b) III Corps MTCCS II TE 2 (Est Workload)v2.docx DOCX document
Attachment (8e) III Corps MTCCS II TE 5 (Event Definitions) CUI.pdf PDF
Attachment (8f) III Corps MTCCS II TE 6 (Customer Hot Buttons).docx DOCX document
Attachment (9a) III Coprs MTCCS II Fort Carson WD Table 2015-5417.pdf PDF
Attachment (9b) III Corps MTCCS II Fort Hood WD Table 2015-5237.pdf PDF
Attachment (9d) III Corps MTCCS II Fort Sill WD Table 2015-5313.pdf PDF
Attachment (11) III Corps MTCCS II Draft DD Form 254v2.pdf PDF
Attachment (13) Leesville MTCCS II Sample CDRL CUI_signed_V2.pdf PDF
Attachment (16) Leesville MTCCS II Sample WD DOL_CUI.pdf PDF
Attachment (9c) III Corps MTCCS II Fort Riley WD Table 2015-5343.pdf PDF
Attachment (9e) III Corps MTCCS II Fort Bliss WD Table 2015-5229.pdf PDF
Attachment (9f) III Corps MTCCS II JBSA WD Table 2015-5253.pdf PDF
Attachment (10) III Corps MTCCS II_Price_Worksheetv3 CUI.xlsx XLSX spreadsheet
Attachment (12) Leesville MTCCS II Sample PWS_CUI.pdf PDF
Attachment (9f) III Corps MTCCS II JBSA WD Table 2015-5253.pdf PDF
Attachment (9c) III Corps MTCCS II Fort Riley WD Table 2015-5343.pdf PDF
Attachment (8a) III Corps MTCCS II TE 1 (PRS) CUI.pdf PDF
Attachment (5) III Corps MTCCS II PWSv4.docx DOCX document
Attachment (3)_Tech_Experience_Project_Examples_and_Guidance.xlsx XLSX spreadsheet
Attachment (8c) III Corps MTCCS II. TE 3 (Hub and Spoke)v3.docx DOCX document
Attachment (1) MASTER MTCCS II LCATsv3.xlsx XLSX spreadsheet
MTCCS_II_Solicitation_W900KK23R0006_21_Oct_22.pdf PDF
Attachment (4) MTCCS_Preaward_Survey.pdf PDF
Attachment (13) Leesville MTCCS II Sample CDRL CUI_signed.pdf PDF
Attachment (16) Leesville MTCCS II Sample WD DOL_CUI.pdf PDF
Attachment (9e) III Corps MTCCS II Fort Bliss WD Table 2015-5229.pdf PDF
Attachment (9d) III Corps MTCCS II Fort Sill WD Table 2015-5313.pdf PDF
Attachment (9a) III Coprs MTCCS II Fort Carson WD Table 2015-5417.pdf PDF
Attachment (5) III Corps MTCCS II PWSv5.docx DOCX document
Attachment (6) III Corps MTCCS II CDRLv4.docx DOCX document
Attachment (2) Past Performance Rating Form.pdf PDF
Attachment (8e) III Corps MTCCS II TE 5 (Event Definitions) CUI.pdf PDF
Attachment (20) MTCCS II SAMPLE Task Order 0001.docx DOCX document
Attachment (8b) III Corps MTCCS II TE 2 (Est Workload)v2.docx DOCX document
Attachment (15) Leesville MTCCS II Sample TE CUI.pdf PDF
Attachment (10) III Corps MTCCS II_Price_Worksheetv3 CUI.xlsx XLSX spreadsheet
Attachment (7) III Corps MTCCS II QASP.docx DOCX document
Attachment (19) MTCCS II Base PWS 14Jul21_v4.docx DOCX document
Attachment (8f) III Corps MTCCS II TE 6 (Customer Hot Buttons).docx DOCX document
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CLASSIFICATION (When filled in):

PREVIOUS EDITION IS OBSOLETE. Page 1 of 4DD 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:

June 30, 2025

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

Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

W900KK-23-HOOD

DUE DATE (YYYYMMDD)

20220926

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) Defense Counterintelligence and Security Agency (DCSA) (IOFCS3) Alexandria Field Office 2331 Mill Road, 4th floor Alexandria, VA 22314

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.)

Fort Hood Mission Training Complex 22044 Spearhead Dr.

Fort Hood , TX, 76544

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

W0VCAA

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) DOD CAF , Ft. Meade, Maryland 20755

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The scope of this document includes technical support and training, facilities management functions, operational activities, logistical activities, and security support. The Contractor shall support III Corps MTC operations at Fort Hood, Texas and designated spoke sites MTCs at Forts Carson, Riley, Bliss and Sill to include Live, Virtual, Constructive and Gaming environments in order to train Soldiers, leaders and military units. Access to SCI materials is limited to Forts Hood, Bliss, Carson, and Riley MTCs only.

PREVIOUS EDITION IS OBSOLETE. Page 2 of 4DD FORM 254, APR 2018

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 CONTINUATION SHEET

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 DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

SEE CONTINUATION SHEET

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)

All Public Releases and request for Public Release will be cleared and approved in-tum by the Contracting Officer's Representative

Public Release Authority:

PUBLIC RELEASE OF SCI IS NOT AUTHORIZED

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.)

10e1: Contractors performing services under this contract must possess security level of Secret. Some contractors must be granted up to Top Secret level access. Contractors shall follow all security regulations. SCI Access required. No public release of information authorized, public disclosure or confirmationof any subject related to the support contract is not authorized without first obtaining written approval from the CM. The contractor shall provide operational support and management for the Sensitive Compartmented Information Facility (SCIF) within the MTC and support the III Corps SSO for SSR/CSSR within the MTCs SCIF.

10e2: Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level.

Written concurrence of the CM is required prior to subcontracting. Access to Intelligence information required for performance. Additional notes: Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level.

Written concurrence of the CM is required prior to subcontracting. Access to Intelligence information required for performance.

10f: The Company will have a law enforcement background check completed for all employees who will be entering Army-controlled installations or facilities. Documentation of these checks will be made available to the COR upon request. The contractor is responsible for ensuring employees meet (and continue to meet) the security criteria from this contract, and incur all cost associated with obtaining the required clearances. Contractor personnel will ensure their clearance investigations do not expire (i.e. periodic Reinvestigations [PRs]

PREVIOUS EDITION IS OBSOLETE. Page 3 of 4DD FORM 254, APR 2018 submitted prior to the 5 year point f or Top Secret and sensitive positions requiring SSBI and 10 years for Secret).

10g: Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, NATO COSMIC, NATO Secret or access to the NATO accredited SIPRNET terminals, must possess the equivalent FINAL or Interim U.S. Security Clearance based upon the appropriate personnel security investigation required. Personnel with access to NATO ATOMAL information must have the appropriate level FINAL U.S. Security Clearance. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted. The contractor will maintain strict compliance in regards to NATO information IAW NISPOM Ch 10, Section 7. Prior approval from the CM is required for subcontracting. Additional notes: Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, NATO COSMIC, NATO Secret or access to the NATO accredited SIPRNET terminals, must possess the equivalent FINAL or Interim U.S.

Security Clearance based upon the appropriate personnel security investigation required. Personnel with access to NATO ATOMAL information must have the appropriate level FINAL U.S. Security Clearance. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted.

The contractor will maintain strict compliance in regards to NATO information IAW NISPOM Ch 10, Section 7. Prior approval from the CM is required for subcontracting.

10h: Foreign Government Information (FGI) is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the CM is required prior to subcontracting. Additional notes: Foreign Government Information (FGI) is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level.

Written concurrence of the CM is required prior to subcontracting.

10j: For Official Use Only (FOUO) Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoD 5200.1-R.

11a: Contractor performance is restricted. Government agency or activity will provide security classification guidance for performance of this contract. Visit request to the CM and/or Security Management Office for need-to-know verification is done through JCAVS IAW Oct 2005 memo.

11f: Contractors performing services under this contract must possess personal security level of Secret. Some contractors must be granted up to Top Secret level access to perform their duties. Contractors shall follow all security regulations.

11j: Per AR 530-1, Operation Security, new contractor employees must complete Level 1 OPSEC Training within 30 calendar days of reporting for duty. This training is online and is accessed by URL: https://iatraining.us.army.mil/ . This training usually takes less than one

(1) hour to complete. The contractor shall develop an OPSEC Standard Operating Procedure (SOP)/Plan within 60 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 5301, Operations Security. This SOP/ Plan will include the governments critical information, why it needs to be protected, where it is located, who is responsible for it, how it will be protected, and how the information will be disposed of or returned to the government agent after the information is no longer needed. Unauthorized release of critical/sensitive information can result in criminal or civil prosecution.

11l: The For Official Use Only (FOUO) marking is assigned to information at the time of its creation in DoD User Agency. It is not authorized as a substitute for s security classification marking, but is used on official government information that may be withheld from the public under exemptions 2 through 9 of the Freedom of Information Act (FOIA).

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form) Show Attachment Bar

NAME & TITLE OF REVIEWING OFFICIAL 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.)

See SCI addendum / Contractors may or may not be hand receipt holders. Within the Army, COMSEC custodians are either DA civilians or military members. Contractors are considered hand receipt holders. See AR 380-40 for further guidance on COMSEC.

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.)

SCI addendum / HQDA, G2

PREVIOUS EDITION IS OBSOLETE. Page 4 of 4DD FORM 254, APR 2018

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

a. GCA NAME

U.S. Contracting Command - Orlando

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

W900KK

c. ADDRESS (Include ZIP Code) U.S. Contracting Command – Orlando 12211 Science Drive Orlando, FL 32826-3224

d. POC NAME

Daniel Steinhauer

e. POC TELEPHONE (Include Area Code)

+1 (140) 720-8582

f. EMAIL ADDRESS (See Instructions) daniel.j.steinhauer.civ@mail.mil

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)

Route, Sonya M.

b. TITLE

Government

c. ADDRESS (Include ZIP Code) Mission Training Complex Bldg 22044, Spearhead Dr Fort Hood, TX 76544

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

W900KK

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (254) 287-6798

g. EMAIL ADDRESS (See Instructions) sonya.m.route.civ@army.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.)

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:

June 30, 2025 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:
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Select classification from drop-down list.:
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b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2
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Enter CAGE code of the prime contractor.: W0VCAA
Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: Defense Counterintelligence and Security Agency (DCSA) (IOFCS3) Alexandria Field Office 2331 Mill Road, 4th floor Alexandria, VA 22314
Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: DOD CAF , Ft. Meade, Maryland 20755
Select to add row to locations.:
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Enter location(s).: Fort Hood Mission Training Complex

22044 Spearhead Dr.

Fort Hood , TX, 76544

Enter general unclassified description of this procurement.: The scope of this document includes technical support and training, facilities management functions, operational activities, logistical activities, and security support. The Contractor shall support III Corps MTC operations at Fort Hood, Texas and designated spoke sites MTCs at Forts Carson, Riley, Bliss and Sill to include Live, Virtual, Constructive and Gaming environments in order to train Soldiers, leaders and military units. Access to SCI materials is limited to Forts Hood, Bliss, Carson, and Riley MTCs only.
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Select for "h. REQUIRE A COMSEC ACCOUNT.": 1
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 "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.": 1
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.": SEE CONTINUATION SHEET
Enter infomration for "other.": SEE CONTINUATION SHEET
Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0
Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1
Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1
Select for "m.OTHER.": 1
Select for "direct.": 0
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Enter specification for "through".: All Public Releases and request for Public Release will be cleared and approved in-tum by the Contracting Officer's Representative
Enter public release authority.: PUBLIC RELEASE OF SCI IS NOT AUTHORIZED
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text: 10e1: Contractors performing services under this contract must possess security level of Secret. Some contractors must be granted up to Top Secret level access. Contractors shall follow all security regulations. SCI Access required. No public release of information authorized, public disclosure or confirmationof any subject related to the support contract is not authorized without first obtaining written approval from the CM. The contractor shall provide operational support and management for the Sensitive Compartmented Information Facility (SCIF) within the MTC and support the III Corps SSO for SSR/CSSR within the MTCs SCIF.

10e2: Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the CM is required prior to subcontracting. Access to Intelligence information required for performance. Additional notes: Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the CM is required prior to subcontracting. Access to Intelligence information required for performance.

10f: The Company will have a law enforcement background check completed for all employees who will be entering Army-controlled installations or facilities. Documentation of these checks will be made available to the COR upon request. The contractor is responsible for ensuring employees meet (and continue to meet) the security criteria from this contract, and incur all cost associated with obtaining the required clearances. Contractor personnel will ensure their clearance investigations do not expire (i.e. periodic Reinvestigations [PRs] submitted prior to the 5 year point f or Top Secret and sensitive positions requiring SSBI and 10 years for Secret).

10g: Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, NATO COSMIC, NATO Secret or access to the NATO accredited SIPRNET terminals, must possess the equivalent FINAL or Interim U.S. Security Clearance based upon the appropriate personnel security investigation required. Personnel with access to NATO ATOMAL information must have the appropriate level FINAL U.S. Security Clearance. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted. The contractor will maintain strict compliance in regards to NATO information IAW NISPOM Ch 10, Section 7. Prior approval from the CM is required for subcontracting. Additional notes: Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, NATO COSMIC, NATO Secret or access to the NATO accredited SIPRNET terminals, must possess the equivalent FINAL or Interim U.S. Security Clearance based upon the appropriate personnel security investigation required. Personnel with access to NATO ATOMAL information must have the appropriate level FINAL U.S. Security Clearance. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted. The contractor will maintain strict compliance in regards to NATO information IAW NISPOM Ch 10, Section 7. Prior approval from the CM is required for subcontracting.

10h: Foreign Government Information (FGI) is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the CM is required prior to subcontracting. Additional notes: Foreign Government Information (FGI) is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the CM is required prior to subcontracting.

10j: For Official Use Only (FOUO) Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoD 5200.1-R.

11a: Contractor performance is restricted. Government agency or activity will provide security classification guidance for performance of this contract. Visit request to the CM and/or Security Management Office for need-to-know verification is done through JCAVS IAW Oct 2005 memo.

11f: Contractors performing services under this contract must possess personal security level of Secret. Some contractors must be granted up to Top Secret level access to perform their duties. Contractors shall follow all security regulations.

11j: Per AR 530-1, Operation Security, new contractor employees must complete Level 1 OPSEC Training within 30 calendar days of reporting for duty. This training is online and is accessed by URL: https://iatraining.us.army.mil/ . This training usually takes less than one (1) hour to complete. The contractor shall develop an OPSEC Standard Operating Procedure (SOP)/Plan within 60 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 5301, Operations Security. This SOP/Plan will include the governments critical information, why it needs to be protected, where it is located, who is responsible for it, how it will be protected, and how the information will be disposed of or returned to the government agent after the information is no longer needed. Unauthorized release of critical/sensitive information can result in criminal or civil prosecution.

11l: The For Official Use Only (FOUO) marking is assigned to information at the time of its creation in DoD User Agency. It is not authorized as a substitute for s security classification marking, but is used on official government information that may be withheld from the public under exemptions 2 through 9 of the Freedom of Information Act (FOIA).

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Explain and identify specific areas and government activity responsible for inspections.: See SCI addendum / Contractors may or may not be hand receipt holders. Within the Army, COMSEC custodians are either DA civilians or military members. Contractors are considered hand receipt holders. See AR 380-40 for further guidance on COMSEC.
Explain and identify specific areas and government activity responsible for inspections.: SCI addendum / HQDA, G2
Enter GCA name.: U.S. Contracting Command - Orlando
Enter AAC of the contracting office.: W900KK
Enter AAC of the contracting office.: W900KK
Enter address (include zip code).: U.S. Contracting Command – Orlando 12211 Science Drive Orlando, FL 32826-3224
Enter address (include zip code).: Mission Training Complex

Bldg 22044, Spearhead Dr Fort Hood, TX 76544

Enter POC name.: Daniel Steinhauer
Enter telephone number (include area code).: 1407208582
Enter telephone number (include area code).: 2542876798
Enter email address.: daniel.j.steinhauer.civ@mail.mil
Enter email address.: sonya.m.route.civ@army.mil
Enter title.: Government
Enter the datesigned in format YYYYMMDD.:

File details come from the government source that posted it. Updated .