Attachment 2 - DD254.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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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" Hide Attachment Bar

TBD

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

TBD

TBD

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

TBD

9000 Defense Washington, DC Enter location(s).: Mark Center 4800 Mark Center Drive Alexandria, Virginia Enter location(s).: Suffolk Building 5611 Columbia Pike Falls Church, Virginia Enter location(s).: Defense Advanced Research and Projects Agency (DARPA) 475 North Randolph St Arlington, Virginia Enter location(s).: Parkridge II 10803 Parkridge Boulevard Reston, Virginia Enter location(s).: Wilson 1500 1500 Wilson Boulevard Arlington, Virginia Enter location(s).: Defense Headquarters Health Headquarters (DHHQ) 7700 Arlington Boulevard Falls Church, Virginia Enter location(s).: One Liberty Center 875 North Randolph St Arlington, Virginia Enter location(s).: National Center II 2521 South Clark Street Arlington, Virginia 22202 Enter location(s).: National Center III 2531 Crystal Drive Arlington, Virginia Enter location(s).: Tech Road AKA Armed Forces Health Surveillance Branch 503 Robert Grant Avenue Silver Spring, Maryland Enter location(s).: Meadows 1 Facility 4755 Meadow Wood Lane Chantilly, VA 20151

Rm. 2A534 Pentagon, Washington, DC 20301-1155

All contractor personnel performing under this contract shall possess a minimum of an interim Secret clearance, and a minimum active final Top Secret clearance with SCI eligibility for 33 personnel prior to reporting to assignment.

Cellular phones, hand-held radios, beepers, pagers, cordless phones, iWatches, and cordless microphones are banned from the Meadows 1 Facility. PFPA hand held radios will be prepositioned and used only during emergencies.

All contractor personnel performing under this contract shall be required to sign and execute a proprietary information non-disclosure statement. The proprietary information non-disclosure statement shall be required as part of the initial in-processing and must be executed prior to performing any work under this contract. The proprietary information non-disclosure will be maintained on file within the vendor's NCR Security Office. Contractor personnel who refuse to sign the proprietary information non-disclosure statement will not be permitted to work on this contract.

10.e.(1) SCI Requirement. NOTE: When 10.e(1) is selected, Block 15. shall also be checked and the TPOC/COR will ensure the contract and DD Form 254 are coordinated with the appropriate Special Security Officer/ Scientific Technical Intelligence Liaison Officer (SSO/STILO). Performance requiring access to or at the SCI level shall be governed by the SCI addendum titled “Release Of Sensitive Compartmented Information (SCI) Intelligence Information To Us Contractors”. Access to Intelligence information requires a final Top Secret U.S. Government clearance and SCI indoctrination. Contractor will require access to ICD 703 and ICD 710. The names of contractor personnel requiring access to SCI shall be submitted to the contracting officer's representative (COR) for approval. The COR will approve and coordinate visits by contractor personnel to insure satisfactory justification. Prior approval of GCA is required for subcontracting.

10.e.(2) Non SCI Intelligence. Performance requiring access to Non-SCI intelligence information shall be governed by the addendum titled “Release of Non-SCI Intelligence Information to DoD Contractors” Contractor will require access to ICD 503. Prior approval of GCA is required for subcontracting.

10.f. Special Access Provisions Apply. Contract requires access to Special Access Programs (SAP). All SAP material remains the property of the Government Contracting Activity (GCA) and is considered non-releasable. Upon completion or cancellation of this contract, the government Program Security Officer (PSO) will provide specific direction regarding the disposition of SAP materials received or generated under the contract. The SAP PSO or Program Manager will provide security classification guidance for the performance of the contract. Contractor personnel must adhere to the special access security classification and SAP procedural guidance provide for programs or studies. SAP access must be requested by a person knowledgeable of the activity and approved by a designated access approval authority. Public release of information related to this activity is not permitted. Contact the PSO for any request for release of information. Prior approval of GCA is required for subcontracting.

10.j. CUI Information. Controlled Unclassified Information under this contract shall be safeguarded as specified in DoDI 5200.48 "DoD Controlled Unclassified Information (CUI)". Contractor will have access to unclassified information requiring safeguarding and dissemination control in alignment with specific laws, regulations, or government-wide policies (Formerly identified as For Official Use Only (FOUO), Privacy Act information, Sensitive but Unclassified, or Law Enforcement Sensitive). Contractor shall follow the safeguarding requirements in DoDI 5200.48. DoD Freedom of Information Act Program applies.

10.k. Performance in Government Facilities. This contract requires personnel to perform work in direct support of the PFPA staff and will require individuals to work within Government controlled facilities. All contractor personnel under this contract who have access to classified information must possess a U.S. clearance. The Contracting Officer’s Representative (COR) will provide security classification guidance for the performance of this contract.

In and Out Processing: This contract requires personnel to perform work in direct support of, the PFPA staff and will require individuals to obtain and maintain government issued building access cards to enable performance within Government controlled facilities. As a condition of this contract, all personnel issued government access cards are required to ensure the card is returned to PFPA/CSMB upon removal from the contract or termination of employment under this contract.

10.k. Common Access Cards. This contract requires personnel to obtain the Government issued Common Access Card (CAC) in order to provide identification for access government computer systems and physical access to facilities. Personnel must meet and maintain investigative and adjudicative requirements specified in DoDI 5200.46, and immediately report to the Government Contracting Activity (GCA) any issues affecting CAC eligibility. Government issued credentials are the property of the United States Government and must be returned when no longer required for performance on this contract. Return CACs to: PFPA/CSMB. CACs will not be used to access information systems, facilities, or installations that are outside the performance requirements of this contract. CACs will be used only by the individual to whom it was issued and will not be used for or by any other person. The contractor will immediately notify the GCA if a CAC is lost, stolen, or otherwise missing. Replacement CACs will require the contractor employee to obtain a signed memo from the PFPA/CSMB, requesting a new CAC be issued.

10.k. NIPRNet access required. This contract requires supervisory contractors to access and use the Unclassified government computer system known as the NIPRNet at all facilities. All provisions of DoD Risk Management Framework (RMF) apply. This system is Unclassified only, and inappropriate or improper use of the system will result in a reportable incident to the Defense Counterintelligence and Security Agency (DCSA). NIPRNet as well as other unclassified systems or equipment (e.g. printers, facsimile) will not be used to process classified information. NIPRNet systems will be used only for an official Government purpose. Inappropriate or improper use of the NIPRNet system will result in a reportable incident to the DCSA.

11.e. Perform Services Only. Check this Block if the contractor is performing an unclassified services only and is not expected to generate a deliverable item or access or generate classified information in accordance with the contract. When Actual knowledge of classified information in NOT required, but reasonable physical security measures cannot be employed to prevent aural or visual access to classified information, the GCA will specifically note this requirement in Block 13.

The Contract Security Officer (CSO) Contract requires approximately 33 CSOs to be read in to SCI, this is a CLASSIFIED Briefing, no other classified information will be accessed on a routine basis. Due to the nature of the work of all CSOs, they may find unsecured classified spaces or receive calls for service in classified spaces to include active shooter response, there are no reasonable measures that be be taken to preclude inadvertent access to classified information. Inadvertent disclosure briefings will be conducted if needed. No security classification guidance is required when 11.e. is checked.

11l. Receive, Store or Generate CUI Information. Controlled Unclassified Information under this contract shall be safeguarded as specified in DoDI 5200.48, "DoD Controlled Unclassified Information (CUI)". Contractor will have access to unclassified information requiring safeguarding and dissemination control in alignment with specific laws, regulations, or government-wide policies (Formerly identified as For Official Use Only (FOUO), Privacy Act information, Sensitive but Unclassified, or Law Enforcement Sensitive). Contractor shall follow the safeguarding requirements in DoDI 5200.48. DoDM 5400.07, DoD Freedom of Information Act Program applies.

CUI REQUIREMENTS FOR DOD CONTRACTORS

The following procedures will be used to protect Controlled Unclassified Information (CUI) documents and materials:

1) HANDLING: Access to CUI material shall be limited to those employees needing the material to perform their duties. The CUI marking is assigned to documents and material created by a DoD User Agency. CUI is not a classification, but requires extra precautions to ensure it properly safeguarded and disseminated and is not released to the public without government authorization.

2) MARKING: Mark unclassified documents containing CUI: “CUI" at the top and bottom of each page, include the CUI warning box, and the CUI Designation Indicator Block as required in DoDI 5200.48 and PFPA CUI Interim Guidance SOP, VOL 2. In a classified document:

a) Mark individual paragraph containing only CUI, but not classified material by placing “(CUI)" at the beginning of the portion.

b) Mark top and bottom of each page with classified material with the highest security classification of the material on the page.

c) If the document or material contains CUI under the category of Controlled Technical Information (CTI), use of distribution statements is required. See DoDI 5200.48 and PFPA CUI Interim Guidance SOP, VOL 2.

d) If a classified document contains CUI material or if the classified material becomes CUI when declassified, place the following statement on the bottom of the cover or the first page under the classification marking: “NOTE: If declassified, review the document to make sure the material is not still CUI. If it does, then it must have the appropriate safeguarding, dissemination controls, and CUI markings applied.

e) Mark other records such as computer print outs, photographs, films, tapes, or slides in accordance with DoDI 5200.48 and PFPA CUI Interim Guidance SOP, VOL 2 so the receiver or viewer knows the it contains CUI material.

f) Mark a message containing material in accordance with DoDI 5200.48 and PFPA CUI Interim Guidance SOP, VOL 2. Unclassified messages containing CUI material must show the abbreviation (CUI) before the text begins.

g) Ensure documents transmitting CUI material call attention to any attachments containing CUI.

h) CUI material released to a contractor by a DoD user agency must have the following statement on the front page or cover:

THIS DOCUMENT CONTAINS CUI MATERIAL AND MUST BE REVIEWED BY A GOVERNMENT REPRESENTATIVE UNDER THE REQUIREMENTS OF DODI 5200.48, DODI 5230.09, and DODI 5230.29.

3) STORAGE: During normal duty hours, place CUI material in an out-of-sight location if your work area is accessible to persons who do not have an authorized government purpose for access to the material. After normal duty hours, store CUI material to prevent unauthorized access. File with other unclassified records in unlocked files or desks when internal building security is provided and the file is marked as CUI. When there is no internal security, locked buildings or rooms usually provide adequate after hours protection. For additional protection, store CUI material in locked containers such as file cabinets, desks, or bookcases. Expenditure of funds for security containers or closed areas solely for the protection of CUI material is prohibited.

4) TRANSMISSION: CUI documents and materials may be transmitted via first class mail, parcel post or for bulky shipments-fourth class mail. Within the CONUS discussion of CUI material on the telephone is authorized if necessary for the performance of the contract and no alternative is available. Electronic transmission of CUI (voice, data, or facsimile) should be by approved secure communications systems whenever practical. If there is a fax transmission, the sender must ensure the intended receiver is available to receive it or a cover sheet will be used to allow carrying it to the final recipient to avoid unauthorized disclosure of the CUI.

5) RELEASE: CUI material shall not be released outside of the contractor’s facility except to the representative of DoD or PFPA.

6) DESTRUCTION: When the CUI material no longer meets the threshold for safeguarding and dissemination, it shall be immediately decontrolled, be processed through the records management process, and destroyed by the approved methods identified in DoDI 5200.48 and PFPA CUI Interim Guidance SOP, VOL 1 precluding its disclosure to unauthorized individuals by rendering it unreadable, indecipherable, and irrecoverable.

Release of Non-SCI Intelligence Information to DoD Contractors

1) Requirements for access to non-SCI:

a) All intelligence material released to the contractor remains the property of the US Government and may be withdrawn at any time. Contractors must maintain accountability for all classified intelligence released into their custody.

b) The contractor must not reproduce intelligence material without the written permission of the originating agency through the DIA/SSO. If permission is granted, each copy shall be controlled in the same manner as the original.

c) The contractor must not destroy any intelligence material without advance approval or as specified by the contract monitor (CM). (EXCEPTION: Classified waste shall be destroyed as soon as practicable in accordance with the provisions of the Industrial Security Program).

d) The contractor must restrict access to only those individuals who possess the necessary security clearance and who are actually providing services under the contract with a valid need to know. Further dissemination to other contractors, subcontractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the originating agency through the CM.

e) The contractor must ensure each employee having access to intelligence material is fully aware of the special security requirements for this material and shall maintain records in a manner that will permit the contractor to furnish, on demand, the names of individuals who have had access to this material in their custody.

f) Intelligence material must not be released to foreign nationals or immigrant aliens whether they are consultants, US contractors, or employees of the contractor and regardless of the level of their security clearance, except with advance written permission from the originator. Requests for release to foreign nationals shall be initially forwarded to the contract monitor and shall include:

i) A copy of the proposed disclosure.

ii) Full justification reflecting the benefits to US interests.

iii) Name, nationality, particulars of clearance, and current access authorization of each proposed foreign national recipient.

g) Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified intelligence (furnished or generated) to the source from which received unless retention or other disposition instructions (see DCID 6/1) are authorized in writing by the CM.

h) The contractor must designate an individual who is working on the contract as custodian. The designated custodian shall be responsible for receipting and accounting for all classified intelligence material received under this contract. This does not mean that the custodian must personally sign for all classified material. The inner wrapper of all classified material dispatched should be marked for the attention of a designated custodian and must not be opened by anyone not working directly on the contract.

i) Within 30 days after the final product is received and accepted by the procuring agency, classified intelligence materials released to or generated by the contractor, must be returned to the originating agency through the contract monitor unless written instructions authorizing destruction or retention are issued. Requests to retain material shall be directed to the CM for this contract in writing and must clearly indicate the justification for retention and identity of the specific document to be retained.

j) Classification, regrading, or declassification markings of documentation produced by the contractor shall be consistent with that applied to the information or documentation from which the new document was prepared. If a compilation of information or a complete analysis of a subject appears to require a security classification other than that of the source documentation, the contractor shall assign the tentative security classification and request instructions from the contract monitor. Pending final determination, the material shall be safeguarded as required for its assigned or proposed classification, whichever is higher, until the classification is changed or otherwise verified.

2) Intelligence material carries special markings. The following is a list of the authorized control markings of intelligence material:

a) “Dissemination and Extraction of Information Controlled by Originator (ORCON).” This marking is used, with a security classification, to enable a continuing knowledge and supervision by the originator of the use made of the information involved. This marking may be used on intelligence which clearly identifies, or would reasonably permit ready identification of an intelligence source or method which is particularly susceptible to countermeasures that would nullify or measurably reduce its effectiveness. This marking may not be used when an item or information will reasonably be protected by use of other markings specified herein, or by the application of the “need-to-know” principle and the safeguarding procedures of the security classification system.

b) “Authorized for Release to (Name of Country(ies)/International Organization.” The above is abbreviated “REL ________.” This marking must be used when it is necessary to identify classified intelligence material the US government originator has predetermined to be releasable or has been released through established foreign disclosure channels to the indicated country(ies) or organization.

3) The following procedures govern the use of control markings.

a) Any recipient desiring to use intelligence in a manner contrary to restrictions established by the control marking set forth above shall obtain the advance permission of the originating agency through the CM. Such permission applies only to the specific purposes agreed to by the originator and does not automatically apply to all recipients. Originators shall ensure that prompt consideration is given to recipients’ requests in these regards, with particular attention to reviewing and editing, if necessary, sanitized or paraphrased versions to derive a text suitable for release subject to lesser or no control markings.

b) The control marking authorized above shall be shown on the title page, front cover, and other applicable pages of documents, incorporated in the text of electrical communications, shown on graphics, and associated (in full or abbreviated form) with data stored or processed in automatic data processing systems. The control marking also shall be indicated by parenthetical use of the marking abbreviations at the beginning or end of the appropriate portions. If the control marking applies to several or all portions, the document must be marked with a statement to this effect rather than marking each portion individually.

c) The control markings shall be individually assigned at the time of preparation of intelligence products and used in conjunction with security classifications and other marking specified by E.O. 13526 and its implementing security directives. The marking shall be carried forward to any new format in which the same information is incorporated including oral and visual presentations.

d) Request for release of intelligence material to a contractor must be prepared by the contract monitor (CM) and submitted to the DIA/SSO. This should be accomplished as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirements and copies of the DD Form 254 and Statement of Work.

RELEASE OF SENSITIVE COMPARTMENTED INFORMATION (SCI) INTELLIGENCE INFORMATION TO US CONTRACTORS

SCI BILLETS AUTHORIZED: 33

1) Requirements for access to SCI:

a) All SCI will be handled in accordance with special security requirements, which will be furnished by the designated responsible special security office (SSO).

b) SCI will not be released to contractor employees without specific release approval of the originator of the material as outlined in governing directives; based on prior approval and certification of "need-to-know" by the designated contractor.

c) Names of contractor personnel requiring access to SCI will be submitted to the contract monitor (CM) for approval. Upon receipt of written approval from the CM, the company security officer will submit request(s) for special background investigations in accordance with the NISPOM, to the DIA/SSO. The entire personnel security questionnaire package should not be forwarded to the DIA/SSO. The Contractor Special Security Officer (CSSO) must follow the instructions provided by the DIA/SSO to the CSSO.

d) Inquiries pertaining to classification guidance on SCI will be directed through the CSSO to the responsible CM as indicated on the DD Form 254.

e) SCI furnished in support of this contract remains the property of the Department of Defense (DoD) department, agency, or command originator. Upon completion or cancellation of the contract, SCI furnished will be returned to the direct custody of the supporting SSO, or destroyed IAW instructions outlined by the CM.

f) SCI will be stored and maintained only in properly accredited facilities at the contractor location.

2) The contract monitor (CM) will:

a) Review the SCI product for contract applicability and determine that the product is required by the contractor to complete contractual obligations. After the CM has reviewed the SCI product(s) for contract applicability and determined that the product is required by the contractor to complete obligations, the CM must request release from the originator through the DIA/SSO. Originator release authority is required on the product types below:

i) Documents bearing the control markings of ORCON, PROPIN.

ii) GAMMA controlled documents.

iii) Any NSA/SPECIAL marked product.

iv) All categories as listed in DoD 5105.21-M-1

b) Prepare or review contractor billet/access requests to insure satisfactory justification (need-to-know) and completeness of required information.

c) Approve and coordinate visits by contractor employees when such visits are conducted as part of the contract effort.

d) Maintain records of all SCI material provided to the contractor in support of the contract effort. By 15 January (annually), provide the contractor, for inventory purposes, with a complete list of all documents transferred by contract number, organizational control number, copy number, and document title.

e) Determine dissemination of SCI studies or materials originated or developed by the contractor.

f) Within 30 days after completion of the contract, provide written disposition instructions for all SCI material furnished to, or generated by, the contractor with an information copy to the supporting SSO.

g) Review and forward all contractor requests to process SCI electronically to the accrediting SSO for coordination through appropriate SCI channels.

h) Request for release of intelligence material to a contractor must be prepared by the CM and submitted to the DIA/SSO. This should be accomplished as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirement and copies of the DD Form 254 and Performance Work Statement.

text:

PFPA SSD SAB

PFPA Industrial Security PM

Suite 09F09 Alexandria, VA 22350-3400 Enter address (include zip code).: 9000 Defense Pentagon Room 5B890 Washington, DC 20331-9000