Attachment 5_DD254.pdf

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PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 254, APR 2018

NEEDS DD67

(Updated 20250815)

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:

August 31, 2028 The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 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 Form 254, "DoD Contract Security Classification Specification"

(See Instructions) - Select from drop-down list: 1

General Information:

All classified visit requests by contractors shall be forwarded to the Contracting Officer Representative (COR) for approval and need -to-know certification before being sent to the facility to be visited.

All visit access requests (VARs) by contractors shall be sent via the Defense Information System for Security (DISS) to the DISA VAR Center (DISS SMO: DKABAA10) or appropriate SMO for the effort. The COR/ACOR must approve the VAR prior to sending the request to the facility being visited. Contractors must also provide a copy of the VAR to the SM.

VAR packages must be received via email and require pre-approval from the assigned DISA COR at a minimum of five business days in advance of the initial report date or renewal. For option years, VARs should only be renewed 30-90 days prior to the expiration date unless modified sooner for changes such as name, COR/sponsor, contract modification, etc.

The COR/ACOR must be notified and approve the receipt and/or generation of classified information under this contract.

All classified information received and/or generated under this contract is the property of the U.S. Government regardless of proprietary claims. Upon completion or termination of this contract, the U.S. Government will be contacted for destruction or disposition instructions.

Foreign Nationals will not perform on any area of the contract (classified or unclassified).

Prime Contractor FSO will provide the Government a copy of the subcontractor DD Form 254 and subcontract memo for all their subcontracts meeting review criteria via a SM to submit for approval.

Foreign Travel Requirements: DISA Contractors are required to submit their official and unofficial foreign travel and foreign contacts via the Corporate Management Information Systems (CMIS) which may require a dual reporting requirement in accordance with DISA Instruction 240-110-43; Security Executive Agent Directive 3 (SEAD 3), Reporting Requirements for Personnel With Access To Classified Information or Who Hold Sensitive Position.

Period of Performance:

Base Period: 31 Jul 2026 - 30 Jul 2027;

OY1 is from 31 Aug 2027 – 30 Aug 2028;

OY2 is from 31 Aug 2028 – 30 Aug 2029.

Annual Mandatory Security Training. All DISA Contractors are required to complete the initial and annual security training for the following IAW 32 CFR Part 117, “National Industrial Security Program Operating Manual (NISPOM), 24 February 2021):

a. Security Awareness

b. Level I Antiterrorism Awareness

c. Derivative Classification

d. Controlled Unclassified Information (CUI)

e. OPSEC Awareness for Military Members, DoD Employees, and Contractors

f. DISA Counterintelligence and Awareness Reporting (CIAR)

g. DISA Insider Threat Awareness: Contractors supporting DISA are required to complete the DISA Annual Insider Threat Awareness Training through the DISA Virtual Campus IAW the standards in DoD Instruction 5205.16, “The DoD Insider Threat Program,” December 20, 2024, regardless of insider threat awareness training provided by their employer.

Reference Block 4: HC102818D0041 / HC108425F0175 all classified material or information associated with this contract is authorized to be transferred to the contract number cited in Block 2a.

Reference Block 8:

*Other classified locations.

*Place of performance, DoD Installations worldwide. Below list in not all inclusive. Contract Support covers all DISA owned and/or managed devices at other Government locations (e.g., COCOMs, DAFAs) as required

Government locations:

CONUS

1) (Primary) DISA Headquarters 6910/6914, Cooper Ave., Ft Meade MD 20755

2) Columbus, OH: DISA Columbus, 3990 East Broad St., Bldg. 23, Columbus, OH 43213

3) Mechanicsburg, PA: DISA Mechanicsburg, Bldg. 308 North End, 5450 Carlisle Pike, Mechanicsburg, PA 17050-0975

4) Montgomery, AL: DISA Montgomery, 401 East Moore Drive, Bldg. 857, Maxwell AFB/Gunter Annex, Montgomery, AL 36114-3001

5) Ogden, UT: DISA Ogden, 7879 Wardleigh Road, Bldg. 891, Hill AFB, UT 84056-5996

6) Oklahoma City, OK: DISA Oklahoma City, Gate 33, Se59 And Air Depot Rd, 8705 Industrial Blvd., Bldg. 3900, Tinker AFB, Oklahoma City, OK 73145-3064

7) San Antonio, TX: DISA San Antonio, 3326 General Hudnell Dr, San Antonio, TX 78226-2023

8) Pentagon VA , 6607 Army Pentagon Drive, Washington DC, DC 20301-1400

OCONUS

9) Stuttgart, GE: DISA DATA CENTER Stuttgart, Bldg. 2324, Patch Barracks, Stuttgart, Germany 70569

10) Wiesbaden, GE: DISA DATA CENTER Wiesbaden SEL4E3, MCC Gebaude 1000 Room OC01, Flugplatz Erbenheim, 65205 Wiesbaden, Germany

11) Ford Island, HI: Core Data Center-Hawaii, 477 Essex Street, Bldg. 77, Room 180, Pearl Harbor (Ford Island), HI 96860

12) Yokota Air Base, Japan: DISA Data Center – Yokota, Bldg. 650 Room B29, Bong Street, Yokota-kichiani, Fussa-shi, Tokyo-to, Japan 197-0001

13) Bahrain: TECC NSA Bahrain: PSC 451 Box 200, Kingdom of Bahrain

14) Al Udeid AB: 379/ECS/SCPF/GDIT AL UDEID AB, DOHA, QATAR 09309

Reference Block 10e(1): This contract requires access to SCI.

a. Top Secret SCI Requirements. Individuals located onsite at Government locations listed in the place of performance and supporting PWS Tasks / Subtasks that require(s) a final Top Secret security clearance will, immediately upon hire, require SCI access eligibility adjudicated by the Department of Defense (DoD) Trust Decision (Adjudications) [TD(A)] or other federal Adjudication and Vetting Services (AVS) facility to perform their duties. Individuals located offsite who cannot provide valid justification in support of PWS Tasks / Subtasks will not be eligible for SCI Indoctrination. Processing for SCI eligibility will be coordinated with the supporting Government Special Security Representative and will begin immediately upon start of duty performance under this contract/order. All SCI* work under this contract/order will be monitored by COR and ACOR.

b. IAW DoDM 5105.21-Volume 3: Contracting Officer’s Representative/Contract Monitor (COR/CM). The COR/CM must be a Government employee (military or civilian) who is appropriately cleared and SCI indoctrinated for all accesses required by the contract. An alternate COR/CM should be appointed to assist the COR/CM whenever the COR/CM is not available.

c. Access to Sensitive Compartmented Intelligence (SCI) information requires special briefings and a final U.S. Government clearance/eligibility at the appropriate level. The COR/ACOR must ensure that the Senior Intelligence Officer (SIO) or the DISA SSO is included in the SCI contract process in accordance with (IAW) DoDM 5105.21, Volume 3, Enclosure 3, Paragraph 4d. An approved subcontracting plan and Government Contracting Officer written approval is required prior to granting SCI Intelligence information access to a subcontractor.

d. The number of personnel required to have access to SCI is determined by the COR/ACOR and the contractor and vetted by the SIO. Inquiries pertaining to classification guidance on SCI will be directed to the responsible COR, Contracting Officer’s Technical Representative (COTR), or Government Program Manager (GPM), and the Government Special Security Officer (GSSO). SCI is limited to the executable term of the contract. Upon expiration of the SCI contract, all contractors with SCI accesses must be withdrawn, debriefed, and all SCI materials must be recovered.

e. The Director, Defense Intelligence Agency (DIA) and Director, Defense Information Systems Agency (DISA), as the executive agent for DIA, have exclusive security responsibility for SCI released to the contractor or developed under this contract.

f. Contractor generated or Government furnished material may not be provided to the Defense Technical Information Center. Contract generated technical reports will bear the statement ‘Not Releasable to the Defense Technical Information Center per DoD Instruction 5230.24’.

g. All contractor personnel requiring access to SCI information must: be a U.S. citizen and be supporting a contract with a DD Form 254 certifying the contract for which the work shall be performed requires SCI access, have received a favorable determination of eligibility IAW DoDM 5105.21, Volume 3, Enclosure 2, Paragraphs 4a and 4b. Reference (f) in paragraph 4a(3) refers to ICD 704, the need to know for SCI access is determined and approved by the SIO where the work shall be performed, the appropriate U.S. Government COR endorses the requirement, have completed a pre-nomination interview prior to SCI indoctrination, have signed a Non-Disclosure Agreement, and have been indoctrinated for the applicable compartments of SCI access prior to being given any access to such information released or generated under this contract. The FSO/CSSO will advise the GPM and GSSO immediately upon reassignment, dismissal, termination or revocation of need-to-know for SCI cleared personnel on this contract. A formal notice to the GSSO is required for processing debrief action. FSO/CSSO will notify the PM and SSO immediately when there is a change in status of SCI indoctrinated contractor personnel IAW the security clearance adjudication guideline identified in ICD 704.

h. Classified material released or generated under this contract is not releasable to foreign nationals without the expressed written permission of the Director, DISA (through the DISA SSO) and Director, DIA.

i. SCI received under this contract may not be released to subcontractors without permission of the DISA SSO. The FSO/CSSO is responsible to establish and maintain an SCI personnel access list of those employees working on the contract to include subcontractors (if applicable/authorized to subcontract). The FSO/CSSOs will provide a copy of the list at least quarterly and/or upon request to the GPM and GSSO.

j. All SCI visit requests by contractors shall be forwarded to the COR/ACOR for approval and need-to-know certification before being sent through the DISA SSO to the facility to be visited. All SCI access required in the performance of this contract will be justified/authorized through the GPM and maintained/approved by the GSSO. The GPM will provide the Contractor FSO or Contractor Special Security Officer (CSSO) with written approval of personnel and the necessary data to submit request(s) for single scope background investigations (T5/T5R). Term certifications from any other Government agencies for contractors working SCI portions of the contracts are acceptable for the time between submission and approval of the contractor SCI access request. Contractor FSO/CSSO will be required to pass Personal Identifying Information (PII) to the GSSO; contractors must make provisions for approved electronic encryption methods to communicate the required information. The SIO is the final authority for approval of contractor personnel SCI access. The GSSO will provide the SCI access nomination request form to the contractor FSO/CSSOs. Company shall not submit nomination requests or SCI access requests for individuals not directly supporting this specific contract.

Reference Block 10j: Controlled Unclassified Information (CUI) / Receive, Store, or Generate Controlled Unclassified Information (CUI): Contractor will be provided with and will abide by DoDM 5400.07, DoD Freedom of Information Act Program, DoD 5200.01-M, Information Security Program, and DoDI 5200.48 Controlled Unclassified Information (CUI), Section 3.4. Guidance provided under separate cover. In accordance with (IAW) DoD Instruction 5200.48 (DoDI 5200.48) dated March 6, 2020, Contractors are required to ensure all personnel receive and complete Initial and Annual Refresher CUI education and training and maintain documentation of this training for audit purposes. Initial and Annual Refresher CUI security education, training and awareness on the required topics identified in Section 2002:30 of Title 32 CFR Part 117, including protection and management of CUI, to DoD personnel and contractors through the Center for Development of Security Excellence.

Reference Block 10k: NIPRNet, and SIPRNet Access required at the Government facility.

A NATO Secret briefing is required for SIPRNet access.

Reference Block 11a: Classified contract performance is restricted to the government locations. See Block 8. The contractor or Government activity will provide security classification guidance for the performance of this contract.

Reference Block 11f: Any classified information obtained, generated, or modified outside of the U.S. will be given the same level of protection as stated within this document. Contractors when performing or traveling outside the United States under this contract will:

a. All personnel will obtain an AOR specific foreign travel brief within 90 days of travel and will provide proof of training to the COR/ACOR.

b. All personnel will receive the Antiterrorism Level I Awareness training within one year prior to travel.

Reference Block 11L: 1. DoD Components: Refer to DoDI 5200.48 Controlled Unclassified Information (CUI), Section 3.4 when considering specific requirements to be imposed on the contractor for the protection of CUI. 2. Non-DoD Components must consult with your Component-specific information security policy office to determine if you have any existing authority by law. 3. In accordance with DoD Instruction 5200.48 (DoDI 5200.48) dated March 6, 2020, Contractors are required to ensure all personnel receive and complete Initial and Annual Refresher CUI education and training and maintain documentation of this training for audit purposes. Initial and Annual Refresher CUI security education, training and awareness on the required topics identified in Section 2002:30 of Title 32 CFR, including protection and management of CUI, to DoD personnel and contractors through the Center for Development of Security Excellence (CDSE).

Reference Block 15: All contractor SCI work and access will be at a designated government SCI Facility (SCIF).

When SCI task(s) are required, the DD Form 254 must be sent to the DISA Industrial Security PM and be processed through the DISA SSO for approval.