Attachment 24 DD254 Security Guidance Questionnaire.docx
DOCX document 53 KB Posted
- Attached to
- FACILITIES OPERATIONS AND MAINTENANCE (O&M) SERVICES Federal contract opportunity
- Solicitation number
- 19AQMM25R0151
About this file
The document is a DD Form 254 Security Guidance Questionnaire for a Department of State (DOS) Facilities Operations and Maintenance (O&M) contract (Solicitation Number 19AQMM25R0151). The questionnaire is designed to capture detailed security requirements for potential contractors, including access to classified information, facility clearance needs, and personnel security considerations. Key security aspects include potential access to communications security information, sensitive but unclassified (SBU) information, and requirements for personnel security clearances at Secret and Top Secret levels.
The contract seeks multiple companies to provide comprehensive facility management services for over 40 DOS buildings across the United States. Required services span a wide range of technical and maintenance areas, including electrical and mechanical systems, HVAC, plumbing, building automation, conveyance systems, custodial services, grounds maintenance, event support, snow removal, technical services, environmental health and safety, preventive maintenance, physical security maintenance, and recreational facility upkeep. The solicitation emphasizes the need for contractors with robust resources and strong understanding of facility management capabilities to support DOS infrastructure requirements.
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Text version
DD Form 254 Questionnaire 2024
This questionnaire reflects the data required for DS/IS/IND to provide the appropriate security guidance and to generate a DD Form 254, as applicable.
Part One – Data needed from Program Office Part One of the questionnaire is to be completed by the Program Office.
Please use Part One of this questionnaire to identify the security requirements for contract performance based on the scope of work documented in the Statement of Work (SOW).
If access to classified information/areas/systems is required, then DS/IS/IND will provide required security language and a Contract Security Classification Specification (DD Form 254) for inclusion in the contract documents.
Part Two – Data needed from Contracting Office Part Two of the questionnaire is to be completed by the Contracting Office.
Please use Part Two of this questionnaire to provide DS/IS/IND the pertinent details necessary to supply you with the DD Form 254 and/or security guidance attachments required inclusion in the contract documentation.
Part One – Data needed from Program Office Who is the Requestor?
Program Office:
POC:
POC info (phone/email):
DD Form 254 Type:
| Every request must include RFQ/RFP/GSA/Award/Task Order Number |
| Yes |
| No |
Is this a Bidders/Solicitation DD Form 254 (if yes, provide RFP/RFQ Number)?
| ☐ |
| ☐ |
| Do contractors need access to classified information to prepare their proposals? | |
| ☐ | ☐ |
| Is this an Award DD Form 254? (Include solicitation/RFP/RFQ) |
| ☐ |
| ☐ |
Is there a Task Order(s) associated with this contract? (Include TO number)
| ☐ |
| ☐ |
| Is this a modification/revision/novation DD Form 254? (SF-30 Required) |
| ☐ |
| ☐ |
| Is this an unclassified DD Form 254 (MRPTs needed)? |
| ☐ |
| ☐ |
| Facility Clearance and Safeguarding: |
| Yes |
| No |
(1a.) Are Moderate Risk Public Trust (MRPT) determinations required for contract performance?
| (1a.) Access to Information classified at the Secret level? |
| ☐ |
| ☐ |
| (1a.) Access to Information classified at the Top Secret level? (Must demonstrate need for TS) |
| ☐ |
| ☐ |
| (1b.) Will Safeguarding be required? |
| ☐ |
| ☐ |
| (1b.) Will Safeguarding be required at the Secret level? [See 12 FAM 540 for guidance regarding the Handling, Access, Dissemination, and Release of SBU.] |
| ☐ |
| ☐ |
| (1b.) Will Safeguarding be required at the Top Secret Level? [See 12 FAM 540 for guidance regarding the Handling, Access, Dissemination, and Release of SBU.] |
| ☐ |
| ☐ |
If this request is for a contract award, who is the Contract Awardee?
(6a.) Company Name:
(6a.) Company Address:
Company UEI Number:
(6b.) Company CAGE Code:
| (8) Actual Performance Location (APL), if applicable: |
| (use only if applicable) |
(8a.) APL Address:
(8b.) APL CAGE Code:
General unclassified description of this procurement. Provide a brief description of services, generally found in Title Block, from 2nd page of OF347/348
Description:
| (9) Attach current version of the *SOW or PWS in its entirety, including any supplemental attachments such as position descriptions and qualifications. |
| Yes |
| Contractor will require access to: |
| Yes |
| No |
| (10a.) Access to Communications Security Information (COMSEC) |
| ☐ |
| ☐ |
Communications Security Information (COMSEC) refers to: Accountable COMSEC material; Secure Telephone Equipment (STE) at the contractor’s facility; or Other key-able COMSEC devices at the contractor’s facility.
[Note: This is NOT APPLICABLE when work is performed at DOS locations and does not include NATO information.]
| (10b.) Access to Restricted Data (to include “Q” Clearances) |
| ☐ |
| ☐ |
| (10c.) Access to Critical Nuclear Weapon Design Information (CNWDI) |
| ☐ |
| ☐ |
| (10d.) Access to Formally Restricted Data (FRD) |
| ☐ |
| ☐ |
| (10e.1.) Access to Sensitive Compartmented Information (SCI) |
| ☐ |
| ☐ |
Sensitive Compartmented Information (SCI) is classified information concerning or derived from sensitive intelligence sources, methods, or analytical processes. [Note: Access to SCI will take place only at DOS facilities or as authorized by DS/IS/SSO. SCI access will NOT be provided at the company’s physical location.]
| (10e. 2.) Non-SCI |
| ☐ |
| ☐ |
(10f.) Access to Special Access Program (SAP) Information
| ☐ |
| ☐ |
| (10h.) Access to Foreign Government Information (FGI) |
| ☐ |
| ☐ |
| Foreign Government Information (FGI) refers to information belonging to a foreign government that has been deemed sensitive or classified by that foreign government or information produced by the US Government pursuant to or as result of a joint arrangement with a foreign government which requires that the information, the arrangement, or both, are to be held in confidence. [Note: This is NOT APPLICABLE when work is performed at DOS locations and does NOT include NATO information.] |
| Foreign Government Information (FGI) refers to information belonging to a foreign government that has been deemed sensitive or classified by that foreign government or information produced by the US Government pursuant to or as result of a joint arrangement with a foreign government which requires that the information, the arrangement, or both, are to be held in confidence. [Note: This NOT APPLICABLE when work is performed at DOS locations and does NOT include NATO information.] |
| (10i.) Access to Alternative Compensatory Control Measures (ACCM) information |
| ☐ |
| ☐ |
| (10j.) Access to Controlled Unclassified Information (CUI) |
| ☐ |
| ☐ |
| (10k.) Sensitive but Unclassified Information (SBU) |
| ☐ |
| ☐ |
| In performing this contract, the contractor will: |
| Yes |
| No |
| (11a.) Have access to classified information only at another contractor’s facility or a government activity |
| ☐ |
| ☐ |
| (11b.) Receive and store classified documents only |
| ☐ |
| ☐ |
| (11c.) Receive, store, and generate classified information or material |
| ☐ |
| ☐ |
| (11d.) Fabricate, modify, or store classified hardware |
| ☐ |
| ☐ |
| (11e.) Perform services only |
| ☐ |
| ☐ |
| (11f.) Have access to U.S. classified information outside the US, Puerto Rico, US Possessions and Trust Territories? (If “yes”, indicate the U.S. activity where the overseas access will occur; to include city and country.) |
| ☐ |
| ☐ |
| (11g.) Be authorized to use the services of Defense Technical Information Center (DTIC) or other secondary distribution center |
| ☐ |
| ☐ |
| (11h.) Require a COMSEC account |
| ☐ |
| ☐ |
| (11i.) Have a TEMPEST requirement |
| ☐ |
| ☐ |
| (11j.) Have Operation Security (OPSEC) requirements |
| ☐ |
| ☐ |
| (11k.) Be authorized to use Defense Courier Service |
| ☐ |
| ☐ |
| (11l.) Receive, store, or generate controlled unclassified information (CUI) |
| ☐ |
| ☐ |
| (11m.) Other – Require connectivity to DOS computer systems/Proj-Net(C) |
| ☐ |
| ☐ |
| (11m.1.) Other – Overseas access to classified information at DOS locations only |
| ☐ |
| ☐ |
| (11m.1.) Other – MRPTs are authorized |
| ☐ |
| ☐ |
| Security Guidance: |
| Yes |
| No |
| Access to Sensitive But Unclassified (SBU) information, privacy information, or controlled information? [See 12 FAM 540 for guidance regarding the Handling, Access, Dissemination, and Release of SBU.] |
| ☐ |
| ☐ |
| Will contractors require Moderate Risk Public Trust (MRPT) determinations? |
| ☐ |
| ☐ |
| Will contractors require Personnel Security Clearances (PCLs) at the Secret level? |
| ☐ |
| ☐ |
| Will contractors require Personnel Security Clearances (PCLs) at the Top Secret level? |
| ☐ |
| ☐ |
| Will any contractor personnel performing on this contract require access to any classified systems? If so, please elaborate on the requirements. |
| ☐ |
| ☐ |
| Will this contract require travel to HUMINT Threat Post(s)? |
| ☐ |
| ☐ |
HUMINT Threat Post(s):
Locations identified as such in the Security Environment Threat List (SETL). The SETL is only available on ClassNet.
Non-US Citizen personnel performance:
| Will Third Country Nationals (TCNs) perform on the contract? |
| ☐ |
| ☐ |
Contractor must obtain prior approval of Diplomatic Security, in writing, prior to assigning any Non-U.S. citizens to any portion of this contract. Contractors must provide Non-U.S. citizen personal information to include full name, date/ place of birth, country of citizenship, country where passport is issued, passport number, date of issuance and expiration and job title directly to DS/IS/IND. DS/IS/IND will reply to each request in a timely manner. Non-U.S. citizens are not authorized access to Sensitive But Unclassified (SBU) NOFORN information under any circumstances.
| Will Local Nationals (LNs) perform on the contract? |
| ☐ |
| ☐ |
A Local National (LN) is defined as a citizen of the Host Country where work is being performed. For example, an Italian citizen working in Italy would be considered a Local National (LN) for the purposes of security vetting. [NOTE: A Local National is a Host Country National.]
Part Two – Data needed from Contracting Office OPE/AQM and INL Contacts:
Contracting Officer (CO):
(Full Name, Office Symbol, Phone number)
Contracting Officer’s Representative (COR):
If COR has not been designated, provide a POC that can answer questions about the SOW. If no name is provided, the CO’s name will be used until a COR is designated and that name provided.
Alternate POC (pending COR designation):
Government Technical Monitor (GTM):
If Contract Awardee has pre-approved subcontractors, provide Sub Company Name(s) & CAGE Code(s):
(if more than 6 Subs, continue on a separate page)
Company Name / CAGE Code:
Company Name / CAGE Code:
Company Name / CAGE Code:
Company Name / CAGE Code:
Company Name / CAGE Code:
Company Name / CAGE Code:
DS/IS/IND February 2024 Page 3 of 6
File details come from the government source that posted it. Updated .