Attachment 2_DRAFT DD Form 254_SETA.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

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:

20220531 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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

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

2. 316 WG/IP

(2) Joint Base Andrews (JBA)

(3) Pentagon

(4) Air Force National Capital Region Geographic Separated Units

Ref Item 10.a.: Communications Security: COMSEC information includes accountable or non-accountable COMSEC information and controlled cryptographic items (CCI). If accountable COMSEC material is involved, the Visitor Group must have a COMSEC account.

NOTE: COMSEC custodians are DAF civilians or military members. Visitor Groups are considered hand receipt holders.

Ref Item 10.a.: Classified COMSEC material is not releasable to Visitor Group employees who have not received a FINAL clearance at the appropriate security level. COMSEC access shall be IAW DoD 5220.22-M. When access is required at Government facilities, Visitor Group personnel will adhere to COMSEC rules and regulations as mandated by Command policy and procedures. Prior written approval from the CO is required in order for a prime Visitor Group to grant COMSEC access to a subcontracting Visitor Group.

Ref Item 10.e.(2):

1. Special Requirements of Intelligence Information: The contractor will require access to, and receipt, of classified intelligence documents in the performance of this contract. In addition to the requirements and controls for classified material in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), the contractor shall adhere to the following requirements and controls of intelligence, per AFI 14-303 and applicable supplements.

2. Contact 844 CG Security Assistants, 1558 Alabama Avenue, Room 36, JB Andrews MD 20762, for permission to make extra copies of intelligence data required by the contractor if approval has not previously been stipulated above, or been stipulated in the release letter. The Contract Monitor (CM) then maintains accountability of copies and ensures all information is returned to the Air Force upon contract termination/expiration.

3. Maintain a record of all intelligence materials released to the contractor, and ensure all data is returned to the CM within two years after final delivery of goods and services or after completion or termination of the classified contract, whichever comes first. If retention is required beyond the two-year period, the contractor must request and receive written authority from the CM.

4. The contractor shall maintain accountability for all intelligence released in his/her custody. Contractors must agree that all intelligence data released to them, all reproductions, and all other material generated (including authorized reproductions) is the property of the US Government and will be returned upon request of the sponsoring agency or expiration date of the contract, whichever comes first.

5. Contractor shall not reproduce intelligence data without permission from the 844 CG Security Assistants through the CM. If approved, the contractor must control each copy in the same manner as the original.

6. Contractor shall not reproduce intelligence data without advance approval from the CM, except for working papers and derivative material produced in the publication process. Working papers and derivative material produced in the publication process do not need destruction approval.

7. Contractor shall restrict access to those individuals with a valid need-to-know who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, other Government agencies, private individuals or other organizations is prohibited unless authorized in writing by the CM with prior approval of the 844 CG Security Assistants and Contracting Activity.

8. Contractor shall not release intelligence data to foreign nationals or immigrant aliens regardless of their security clearance or contract status without advance written permission from the CM, 844 CG Security Assistants, Foreign Disclosure Policy Office, and 316 WG/IP.

9. Contractor shall ensure that each employee having access to intelligence material is fully aware of the special security requirements for this material and maintain records in a manner that permits the contractor to furnish on demand the names of individuals who have access to the material in their custody.

Ref Item 10.g: Access to NATO information requires a final U.S government clearance at the appropriate level and a NATO access briefing/debriefing.

Ref Item 10.j.: CUI The GCA is responsible for providing the contractor with the guidance necessary for the protection of the information. Controlled unclassified information (CUI) provided under this contract shall be safeguarded as specified in DoD 5400.7-R, DoD Freedom of Information Act Program and DoDM 5200.01, Vol 4. The contractor is responsible for incorporating safeguards in this contract.

Ref Item 11.e.: Systems Engineering and Technical Assistance Support. Contract is for equipment maintenance and technical services on equipment which processes classified information. Actual knowledge of, generation, or production of classified information is not required for performance of the contract. Cleared personnel are required to perform this service because visual or aural access to classified information cannot be precluded by escorting personnel. Any classification guidance will be provided by the using activity.

Ref Item 11.j.: OPSEC All contractors, subcontractors, their employees, associates, and consultants who have access to critical information must comply with the Air Force-sponsored Operations Security (OPSEC) program. OPSEC is a systematic means of identifying and protecting information which an adversary could use to their advantage or to our disadvantage. Critical Information (CI) is generally unclassified but sensitive information which has been identified by the OPSEC program as requiring protection. OPSEC Measures (OM) are control standards which all personnel must comply in order to protect critical information.

Responsibilities:

1. The 844 CG Security Assistants and/or OPSEC coordinator must provide/approve OPSEC training curriculum for use by the contractor. Training must provide listings of critical information that must be protected by all personnel, listings of OPSEC measures, which must be used by all personnel to protect critical information, and current foreign intelligence and industrial espionage threats. The contractor must ensure all personnel working on the contract or having access to critical information attend initial and annually recurring refresher training and that the approved curriculum is presented. Training must be provided before personnel are allowed access to critical information. All personnel must comply with OPSEC standards and practices as trained. Additional training may be required based on updates to critical information, OPSEC measures, intelligence threat, or other fundamental changes to the OPSEC program.

2. The contractor must track OPSEC training statistics to include the personnel working on the contract, when each individual received the required OPSEC training, and when refresher training is due. Training statistics must be forwarded to 844 CG Security Assistants or OPSEC Coordinator at the end of each calendar quarter and upon request.

3. Prior to seeking approval through AFDW Public Affairs, any information to be released outside of official U.S. Government channels, via any media, must be approved through an OPSEC review by 844 CG OPSEC COORDINATOR Coordinator. All personnel must promptly report OPSEC related incidents, issues, and concerns to 844 CG Security Assistants and OPSEC Coordinator.

Ref Item 11j. Contractors should contact 844 CG Security Assistants and/or refer to DoDI 5200.48, CUI guidance.

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. 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.

844 CG Security Assistant rep: JOSEPH K. KELIIKOA, JR., Civ Chief, Information Protection, JBA

Suite 2750 Andrews AFB, Md. 20762 Address: 1500 West Perimeter Drive Suite 1500 Andrews Air Force Base, MD 20762