Attachment 13 STAAS PWS DD254.pdf

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

PREVIOUS EDITION IS OBSOLETE.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"

8444 Westpark Drive, Suite 700 McLean, VA 22102

2331 Mill Road, 4th Floor Alexandria, VA 22314

985 Macon Street Robins AFB, GA 31098 478-222-1977 Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 94 AW/IP 1430 First Street Dobbins ARB, GA 30069-4606 678-655-4833

555 Robins Parkway, Bldg 555 South Robins AFB, GA 31098 Enter location(s).: 94th CS/SCO 1392 Second Street, Bldg 827 Rm 107 Dobbins ARB, GA 30069

Ref Item 10a: Access to COMSEC material by personnel is restricted to U.S. Citizens holding final U.S. Government clearances. Such information is not releasable to personnel holding reciprocal clearances. For on base COMSEC access see AFMAN 17-1302-O, COMSEC Operations for guidance.

Ref Item 10j: For Official Use Only (FOUO) information provided under this contract shall be safeguarded as specified in DoDM 5200.01-V4, DoD Information Security Program: Controlled Unclassified Information.

Ref Item 10k: IT Level II access requires a favorably completed National Agency Check Local Agency Check (NACLC)/Tier 3 personnel security investigation. IT Level III access requires a favorably completed Tier I personnel security investigation. Actual knowledge of, generation, or production of NATO information is not required for performance on the contract. Each on-site contractor personnel shall receive a NATO awareness briefing since SIPRNET access is required for contract performance.

Ref Item 11j: Contractor personnel will participate in the OPSEC program administered locally by the AF activity. 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.

Ref Item 11l: Refer to DODM 5200.01 VOL 4 only for specific CUI protection guidance.

Ref Item 11m: See block 14.

Ref Item 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. (T-1) Information requiring AF or DoD-level review will be reviewed by the unit's OPSEC Program Manager of 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.

Ref Item 18f: Ensure certification and signatures are completed by contracting officer and distribution is accomplished to locations identified in 8a and 8c above and to the following:

78 ABW/IP HQ Defense Cyberintelligence and Security Agency 985 Macon Street 27130 Telegraph Rd Robins AFB, GA 31098 Quanitco, VA 22134

HQ AFRC/IP

555 Robins Parkway, Bldg 555 Robins AFB, GA 31098

1. These security requirements, promulgated by DoDM 5220.22V2_AFMAN 16-1406V2 (DoDM 5220.32V1), National Industrial Security Program, Industrial Security Procedures for Government Activities, and 32 CFR Part 117, National Industrial Security Program Operating Manual (NISPOM), § 117.7(a), are issued for cleared contractors who will be entrusted to have access to classified information. This guidance is applicable for contractor performance as a visitor group (VG) under the 78th Air Base Wing Information Protection Office (IPO) security cognizance, Robins AFB GA. For performance on other installations, prior to the start of performance, the contractor shall contact the host IPO to execute an agreement and/or security requirements as mandated by the above referenced documents.

2. Storage of Classified Material/Information: The government program manager (GPM) may authorize VG to store and handle classified material required for performance on this contract. All classified information shared with the VG must be stored in an approved government-owned and controlled security container. The number of VG employees authorized access to the security container will be kept to the minimum number required for efficient contract performance. When authorized, the VG shall comply with DoDM 5200.01V1_AFMAN 16-1404V1, Information Security Program: Overview, Classification & Declassification, DoDM 5200.01V2_AFMAN 16-1404V2, Information Security Program: Marking of Classified Information, and DoDM 5200.01V3_AFMAN 16-1404V3, Information Security Program: Protection of Classified Information and the government activity’s security program operating instruction (OI). The VG is prohibited from establishing and/or maintaining a separate classified information system. All classified material/information must be returned and secured in the government security container at the end of the duty day.

3. Reproduction of Classified Material: The VG may be authorized to reproduce classified information, as required for contract performance. Authorization must be accomplished IAW DoDM 5200.01V3_AFMAN 16-1404V3 and only AF-approved and controlled equipment can be used.

4. Guard Services: The host government activity will provide guard services.

5. Security Forms: Security forms and publications are accessible at: Air Force publications: https://www.e-publishing.af.mil/ DoD publications: https://www.esd.whs.mil/DD/. Local forms will be provided by the government activity.

6. Security Inspections:

a. The VG shall participate in the host Commander’s self-inspection programs IAW DoDM 5200.01V1_AFMAN 16-1404V1. Deficient items will include a corrective action plan.

b. The security focal point (SFP) will maintain the following documentation and have available for security reviews:

(1) A signed copy of the current prime DD Forms 254, and all subcontractors DD Forms 254, if applicable.

(2) Copy of the Security Agreement for visitor groups under 78 ABW/IP security cognizance.

(3) Documentation the Security Agreement was provided to all subcontractors, if applicable.

(4) Documentation of the last program review and self-inspection.

(5) Consultant Agreements, if applicable.

(6) Current list of all employees identifying their security clearance access level, including subcontractors, if applicable.

7. Transmission of Classified Material/Information:

a. Receipt and dispatch of classified material is the responsibility of the government. The VG is not authorized to perform these activities unless they are specifically contracted for and identified in the Statement of Work or Performance Work Statement. When this service is required for contract performance, the designated VG employee shall comply with DoDM 5200.01V1_AFMAN 16-1404V1, DoDM 5200.01V2_AFMAN 16-1404V2, DoDM 5200.01V3_AFMAN 16-1404V3 and the government activity’s security program OI. The security assistant (SA) will provide VG personnel training on mail handling procedures, to include proper securing of Registered, Certified, USPS Express and FedEx Mail and/or First Class mail. However, under no circumstances will the VG be authorized to open a classified package beyond the outer wrapper to determine further distribution or sign the classified document receipt.

b. The VG is not authorized for direct receipt or dispatch of classified material at RAFB GA through US postal channels or commercial carrier.

c. Classified material transmitted via U. S. postal channels or approved commercial carrier, direct from the government activity, must be prepared IAW DoDM 5200.01V3_AFMAN 16-1404V3 and processed through the classified information control system of RAFB GA.

d. Classified material may be hand carried onto or off RAFB by an appropriately cleared and briefed VG courier, provided the employee is so designated in writing by his/her company FSO as a courier and the activity Director or designee IAW DoDM 5200.1-V3_AFMAN 16-1404V3.

8. Security Badges: The government activity will issue security badges. The contractor shall return security badges to the issuing office upon the period of performance end date, termination of the contract, or when an employee is no longer supporting the contract, whichever is sooner. Transfer of security badges to another contract is not authorized.

9. Visitor Control: The contractor shall comply with DoDM 5200.08V3_AFMAN 31-101V3, Installation Perimeter Access Control, and the host installation commander’s visitor control procedures for access to the installation and the government activity’s visitor control procedures to access facilities.

10. Security Incidents: The contractor shall report security incidents to the unit’s SA and the host IPO. The government shall conduct the preliminary inquiry for security incidents occurring on the installation IAW DoDM 5200.01V1_AFMAN 16-1404V1.

11. Security Checks: Government personnel shall conduct end-of-day security checks unless the contract specifically identifies contractors to conduct end-of-day security checks.

12. Internal Security Controls: The contractor shall comply with the government activity’s security operating instructions.

13. Emergency Procedures to Protect Classified Material: The contractor shall implement emergency procedures to protect classified material as identified in the host government activity’s operating instruction.

14. Training: The contractor shall participate in the host government activity’s initial and reoccurring information protection security awareness and training education programs.

15. Subcontract DD Form 254: Should a subcontract be issued under this effort, whereas the subcontractor will require access to classified information and be physically located on RAFB GA for a minimum of 90 days, the VG must issue a subcontract DD Form 254, IAW the NISPOM, and comply with the following:

a. Provide a signed copy of the subcontract DD Form 254 to the GPM, SA and the SFP and 78 ABW/IPD.

b. Ensure the subcontractor complies with this security agreement or enter into a separate agreement with the subcontractor. The agreement to comply must be documented and a copy of the documentation provided to GPM, SA, SFP and 78 ABW/IPD. If a separate agreement is prepared, a copy shall be provided to the GPM, SA, SFP and 78 ABW/IPD.

16. Consultants: Should a consultant be acquired who will require access to classified information and be physically located on RAFB GA, a copy of the Consulting Agreement must be provided to the GPM, SA, SFP and 78 ABW/IPD.

17. Reporting Requirements: VG employees report shall report adverse information, suspicious contacts, espionage, sabotage, and subversive activities to government activity’s SA IAW DoDM 5220.22V2_AFMAN 16-1406V2 (DoDM 5220.32V1), para 4.14 (Added)(AF). The contractor shall furnish a copy of adverse information reports required by 32 CFR Part 117, National Industrial Security Program Operating Manual, § 117.8(c)(1)(i), SEAD 3 and CSA-provided guidance. Reports will be submitted to the installation commander through the 78th ABW Industrial Security Office, 78 ABW/IPD at email: 78abw.ipworkflow@us.af.mil text: HQ AFRC A6XP 555 Robins Parkway, Bldg 555S Robins AFB, GA 31098 text: HQ AFRC A6CX 555 Robins Parkway, Bldg 555S Robins AFB, GA 31098 text: HQ AFRC IP 555 Robins Parkway, Bldg 555S Robins AFB, GA 31098 text: 78 ABW/IP 985 Macon Street Robins AFB, GA 31098

Compute & Store Portfolio Manager rep: Cameron Echols, MSgt, USAFR Section Chief, Enterprise Management rep: Jacqueline Shular, SMSgt, USAFR AFRC Security Manager rep: Samuel Hynes, CIV AFMC Security Specialist

Refer to the contract document for this clause.

Explain and identify specific areas and government activity responsible for inspections.: Industrial security reviews for long term visitor groups will be conducted by the SSA while operating on Air Force Installations.

The contractor will comply with the visitor group security agreement provided by the USAF Program/Project Manager at the performance location.

549 Pine Street, Bldg 549, Rm 207 Robins AFB, GA 31098-1635 Enter address (include zip code).: HQ AFRC/PKA 549 Pine Street, Bldg 549, Rm 207 Robins AFB, GA 31098-1635