Attachment 4 - DD254.pdf

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Attachment 1 – DD Form 254 Continuation

13. Security Guidance:

The restrictions and other safeguards prescribed in the Security Agreement (DD Form 441), the National Industrial Security Program

Operating Manual (NISPOM), DoD 5220.22-M, any revisions to that manual and Executive Order 13526 applies to all classified contract performance.

Task ordering should require additional security classification guidance. Additional security guidance will be provided, maintained and used by the contractor as required. Security classification guidance on information, hardware, and equipment not included in security classification guides will be furnished to the contractor through the Contracting Officer or authorized representative at the time the contractor is tasked with a classified project, furnished information, hardware and equipment, or when classification changes occur.

Task ordering requiring additional security classification guidance as indicated above independent of other changes will not require updating or revising the DD Form 254.

Visitor Group Security Agreement (VGSA): The COR, FSO and Certifying Official (listed in Block 17) will execute a Visitor Group

Security Agreement (VGSA) after the contract is awarded.

Item 10a: The contractor will require administrative access to classified COMSEC material. The contractor will not receipt, copy, or generate classified COMSEC material. Access will be at government installations and will be granted by the user agency activity.

Item 10e(2): Contractor requires access to Non-SCI intelligence materials and must comply with AR 381-10 and AR 381-20. In the event publications access cannot be obtained by the internet, publications will be provided under separate cover by the Contracting

Officer. For additional guidance contact the local Senior Intelligence Officer (SIO).

Item 10h: The contractor is not permitted access to Foreign Government Information in the performance of this contract.

Item 10j: Protect “Controlled Unclassified Information” the same as company proprietary information and as specified in the NISPOM

Chapter 5, Section 5. Also see attachment 2 (For Official Use Only (FOUO) Addendum) for additional guidance.

Item 10k: Contractor requires access to the SIPRNET for contract performance at Fort Rucker only. Prior to granting SIPRNET access the contractor's employees shall comply with all required training IAW Fort Rucker Regulation 380-1.

Item 11a: Contract performance is restricted to government installations, government organizations and other contractor facilities that will be identified at the time of tasking. Using government or contractor activity will provide security classification guidance for performance of this contract.

Item 11e: Contract is for the execution of Government approved Program of Instructions, some of which contain up to SECRET classified information. Actual generation, or production of classified information is not required for performance of the contract. Cleared personnel are required to perform these services because access to classified information cannot be precluded by escorting personnel.

Item 11j: At Fort Rucker the contractor will comply with the OPSEC Requirements IAW AR 530-1, Fort Rucker OPSEC Program, 1st

Avn Bde OPSEC Program, and any OPSEC clauses of the contract. The contractor will also comply with the Threat Awareness

Reporting Program (TARP) requirements IAW AR 381-12 and local User Agency Policies and Programs.

Item 14 Continued: Program Security Directives (PSDs) and Security Classification Guides (SCGs) for each individual program accessed; Facility Security Operating Procedures (SOPs) and Automated Information Systems Security Procedures (AISSPs).

- The contractor is not authorized to release any US Government information (Classified Military Information (CMI), Controlled

Unclassified Information (CUI) or Unclassified Information).

-The use of cellular phones, hand held radios, beepers/pagers, cordless telephones and cordless microphones to include all wireless electronic devices is prohibited in a classified environment and will be addressed in the Standard Operating Procedures (SOP) or

Information Security (IS) procedures for each computer facility where classified processing is accomplished.

-Contract can require access to sensitive unclassified government automated information systems (AIS) in categories IT-II and III. As a minimum contractor employees must be the subject of a completed favorable National Agency Check with Local and Credit checks prior to being granted access and performing in category AIS-II or III positions. Reference AR 25-2.

-The contractor is required to report credible adverse information that is disclosed or received regarding their employees who hold a security clearance, under the contract, to the US Government (military/DAC) 1st Avn Bde Security Manager..." organization security manager for the organization in block 8a and the Fort Rucker Security

Division identified in block 8c.

This DD Form 254 was prepared by CPT Aimee Cota, COR, SERE Detachment, 1AB, Comm: (334) 255-0414 and reviewed by

Ms. Deborah Railsback, Supervisory Security Specialist, Security Division, DPTMS, Fort Rucker, AL, Comm: (334) 255-

2972/2200.

Attachment 2

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

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:

October 31, 2020 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 List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) DD 254 Con't Solicitation FY23 SERE DD 254 Attachments.pdf

DPTMS- Security Division, ATTN: IMRC-PLS Building 5700, Room 260 Ft Rucker, AL 36362-5000

S.E.R.E Detachment, 1st Aviation Brigade Fort Rucker, AL 36362 TAC-X Site, Fort Rucker Reservation and Training Areas

2. Contract performance is restricted to training areas within Ft. Rucker, AL and TAC-X (Tactical Training Site), Samson, AL

3. Contractor personnel must comply with all security procedures at Ft. Rucker, AL

4. Army Regulatory requirements: AR 380-5, Department of the Army Information Security Program; AR 380-49, Industrial Security Program; AR 25-2, Information Assurance; AR 350-1, Operational Security; AR 381-12, Threat Awareness and Reporting Program; AR 381-20, Army Counterintelligence Program; and Ft Rucker Regulation 380-1, Security Procedures

5. Contractor is subject to announced and/or unannounced security inspection by cognizant Installation Security Division, Ft Rucker, AL

6. Contractor is responsible for determining if a subcontractor will require access to classified material and if so, will provide the appropriate DD Form 254, Contract Security Classification Specification. A copy of the DD Form 254 will be provided to the Installation Security Division, Ft Rucker, AL

7. Contractor employees working on this contract may have access to Field Manuals and other publications approved by the proponent for release, in order to teach SERE Level-C Full Spectrum training. The request for future release mist be submitted to the proponent on behalf of USAACE Installation Security Office. The Installation Security Division will provide the government organization approval/disapproval of the release and maintain a copy.

All other questions regarding security requirements indicated herein will be referred to the Contracting Officer Representative (COR) or the Contracting Officer.