Attachment 4 - DD-254 Aguada.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.

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

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)

ATTN: Security Manager Code N00SM 9625 Moffett Ave Norfolk, VA 23511

1710 Tablonal, Aguada PR, 00602

2. Requiring activity will provide security classification guidance for performance of this contract. Classification markings on the material to be furnished will provide the classification necessary for performance of this contract.

3. By memorandum dated 1 April, 2005, the Deputy Under Secretary of Defense Counterintelligence and Security) authorized the use of JPAS to verify personnel security clearance levels for personnel who require access to classified information within the DoD. Contractor personnel performing on this contract shall have their security access level and contract affiliation reflected in JPAS. The contractor shall make available to the Government requiring activity, as well as work location activity identified in this contract, all information necessary to enable verification of security clearance and access level/affiliation via JPAS. Government requiring activity/cognizant Security Office is NCTAMS LANT Norfolk, JPAS SMO = 702725. Work performance location activity is NCTAMS LANT NRTF AGUADA,PR , JPAS SMO = 687346.

4. Ref Block 10a. Contractor is authorized access to Government furnished cryptographic equipment and information. Access to COMSEC information per NSA Manual 90-1, requires a FINAL U.S. Government clearance and special briefings at the appropriate level. COMSEC information shall NEVER be provided to a subcontractor without specific authorization of the NCTAMS LANT Key Management Infrastructure (KMI) account manager. The contractor is authorized as an alternate manager of the Local Element (LE) User; the material/equipment/data/information issued to the contractor is for their specific use within the scope of the contract and cannot be forwarded or reissued outside of those parameters.

5. Ref item 10j: Controlled Unclassified Information (CUI) information provided under this contract shall be safeguarded as specified in SECNAVINST 5720.42F, Department of the Navy Freedom of Information Act Program, and DoD 5200.1 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI).

6. Ref Block 10k: Contractor personnel may require access to Secure Internet Protocol Router Network (SIPRNET) in order to perform functions of this contract. Per Chief of Naval Operations (CNO) Memorandum dated 09 SEP 2011, subject: "Interim Department of the Navy Policy Change for Documenting North Atlantic Treaty Organization (NATO) Security Briefing Requirement", the accreditation of the SIPRNET includes the hosting of NATO information. All personnel must receive a NATO security briefing prior to establishing a SIPRNET account. As such, per Office of the Under Secretary of Defense (OUSD) Memorandum dated 5 DEC 2001, subject: "Facilitating Necessary Access to NATO Classified Information", directs that all Department of Defense (DoD) military, civilian, and contractor personnel be briefed on their responsibilities for protecting U.S. classified military information, and shall be briefed simultaneously of the requirements for protecting NATO classified information. The Contractor Facility Security Officer (FSO) shall provide a NATO awareness briefing to cleared contractor personnel and shall maintain a written acknowledgment of the individual's receipt of the awareness briefing along with statement of understanding of responsibilities for safeguarding NATO classified information in personnel security/training record/folder. The contractor shall maintain, locally at the site, the documentation (i.e., security record, training folder, command database, etc.) for those personnel requiring access to SIPRNET; documentation is subject to inspection by the Government. The NATO awareness briefing is not a NATO access briefing and does not constitute approval for access to NATO.

7. Ref item 11a: Access to classified information shall only be at specified facilities located on U.S. Government controlled compounds. The contractor shall utilize facilities provided by the U.S. Government for secure storage of classified material up to and including SECRET only at specified U.S. Government activity work site noted in item 8a. All classified material generated in the performance of this contract will be derivatively classified IAW Executive Order 12958 as amended, based on existing source documents or applicable classified guides. If there are instances where more detailed classification guidance is necessary, the Government using activity will furnish such guidance. The Contractor is required to ensure classified hardware to the level the classification levels identified in item 1 of this DD254 is properly stored and safeguarded in Government furnished certified General Service Administration (GSA) security containers and/or Government furnished certified operational/storage spaces.

8. Ref item 11j: Contractor personnel shall comply with DoDD 5205.02 (series), all NCTAMS LANT NRTF Aguada Security Operating Procedures (SOPs), and Operational Security (OPSEC) regulations required.

9. Ref item 11.l: Controlled Unclassified Information (CUI) information provided under this contract shall be safeguarded (including reporting of actual or suspected spillage) as specified in SECNAVINST 5720.42F, Department of the Navy Freedom of Information Act Program, and DoD 5200.1 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI).

10. Ref item 11m: Contractor personnel shall have the required security clearances and/or personnel security investigations as specified in this contract at work performance start date.

Per ALNAV 005/16, Implementation of the 2012 Federal Investigative Standards; the Tier 3, requested on SF86, is the minimum background investigation required for all contractors who occupy a non-critical sensitive position and/or have access to classified information. The attached table identifies the minimum requirements defined by SECNAVINST M-5510.30 for contractor personnel position designations providing services for each PWS tasking element noted in the table below. The criterion for investigative requirements is based on the need for continuous and un-escorted access to classified and/or critical infrastructure in the performance of their duties/tasks.

Contractor employees shall not operate the following personal equipment within NCTAMS LANT NRTF Aguada: radios (portable or otherwise), tape recorders, television sets, transmitting equipment, cameras, cellular phones, laptop computers, automated hand-held office assistants (PDAs, Cell Phones), and equipment containing electronic oscillators. All government or contractor owned portable electronic equipment shall be controlled IAW NSTISSAM TEMPEST/2/95 Red/Black Installation Guidance NMCI Information Advisory 12-3 and NCTAMSLANT 5530.4 (series.).

Completion and approval of a System Authorization Access Request Navy (SAAR-N) form is required for all individuals accessing Navy Information Technology resources. The decision to authorize access to a government IT system/network is inherently governmental. The contractor supervisor is not authorized to sign the SAAR-N; therefore, the government employee with knowledge of the system/network access required or the COR shall sign the SAAR-N as the "supervisor". The SAAR-N shall be forwarded to the NCTAMS LANT Information Systems Security Manager prior to being granted access to any DOD/DON information systems.

(continued)

Ref item 11m (continued): The Commanding Officer, NCTAMS LANT shall also maintain Cybersecurity, physical security/force protection, and information personnel security inspection responsibilities.

Contractor shall ensure an active continuous evaluation program for the continuous evaluation of personnel eligibility for access or assignment to sensitive duties is conducted. Contractor shall report to the NCTAMS LANT Security Manager and COR/ACOR, all questionable or unfavorable information that becomes available concerning individual(s) who have been granted access to classified and/or assigned to sensitive duties. The contractor will coordinate and assist the Government Cognizant Security Offices with obtaining any and all documentation necessary for submission of required incident report for determination of continued access by the Commanding Officer, NCTAMS LANT while incident is undergoing the DoD Central Adjudicative Facility review for continued eligibility. The subsequent termination of employment of an employee does not obviate the requirement to submit this report. If the individual is employed on a Federal installation, the contractor shall furnish a copy of the report and its final disposition to the commander or head of the installation.

All contractor employees shall in-process with the Navy Command's Security Manager upon arrival to the Navy command and shall out-process prior to their departure at the completion of the individual's performance under the contract. The contractor will be responsible for completing required security documentation identified by the Navy Commands's Security Manager for the completion of the security vetting process.

Contractor personnel shall have the required security clearances and/or personnel security investigations as specified in this contract at work performance start date, as well as Defense Cyberspace Workforce (DCWF) requirements. The following table identifies the DCWF and minimum security requirements defined by for contractor personnel position designations providing services for each PWS tasking element noted in the table below. The criterion for investigative requirements is based on the need for continuous and unescorted access to Secret areas in the performance of their duties/tasks.

10. Ref item 11m(continued): Reference DoDD 8140.1 Cyberspace Workforce Management Position DON/IT Position DCWF Specialty Access Level Minimum Sensitivity Levels Code/Level required Investigation Site Manager IT-II/NCS 411/Intermediate Secret Tier 3 Lead Electronics Technician IT-II/NCS 411/Intermediate Secret Tier 3 Electronics Technician IT-II/NCS 411/Basic Secret Tier 3 Operators IT-II/NCS 411/Basic Secret Tier 3 System Administrator IT-II/NCS 451/Intermediate Secret Tier 5 text: Mary Carter 9625 Moffett Ave Bldg. M-51 Norfolk, VA 23511

Norfolk, VA 23511 Address: Naval Radio Transmitter Facility Aguada 1710 Tablonal, Aguada PR, 00602