Attachment 6 - DD254.pdf

UNCLASSIFIED

DEPARTMENT OF DEFENSE OMB No. 0704-0567 OBM approval expires Jun 30, 2025

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

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 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 I des not display a currently valid OMB number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION / MATERIAL

REQUIRED AT CONTRACTOR FACILITY

TOP SECRET None

2. THIS SPECIFICATION IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS: (X and complete as applicable)

X a. PRIME CONTRACT NUMBER (See instructions.)

TBD

X ORIGINAL (Complete date in all cases) DATE (YYYYMMDD)

20250422

b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specifications.)

REVISION NO.

DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER DUE DATE

(YYYYMMDD)

c. FINAL (Complete Item 5 in all cases) DATE (YYYYMMDD)

X 4. IS THIS A FOLLOW-ON CONTRACT? No Yes, If Yes, complete the following:

Classified material received or generated under _____________________________________ (Preceding Contract Number) is transferred to this follow-on contract.

X 5. IS THIS A FINAL DD FORM 254? No Yes, If Yes, complete the following:

In response to the contractor's request dated , retention of the identified classified material is authorized for the period of:

6. PRIME CONTRACTOR (Include Commercial and Government Entity (CAGE) Code.)

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE

TBD

c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone; Email Address optional)

TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone; Email Address optional)

8. ACTUAL PERFORMANCE

a. LOCATION(S)

Cyber Center of Excellence (CCoE), BLDG 25801, Fort Eisenhower, GA 30905

b. CAGE CODE

WOU566

c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone; Email Address optional)

Cyber Center of Excellence (CCoE) – BLDG 25801, Fort Eisenhower, GA 30905

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

This is a non-personnel services contract to provide technical Joint Targeting Analyst (JTA) Training Solution Developer (TSD) support for the U.S. Army Cyber School, Cyber Center of Excellence (CCoE), Fort Eisenhower, Georgia. The Government will provide operationally relevant information to the contractor based upon factors such as scheduling, events, and details that enable compliance with this PWS. Nevertheless, the Government will not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers will be accountable solely to the Contractor who, in turn is responsible to the Government.

DD Form 254, APR 2018 PREVIOUS EDITION IS OBSOLETE

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA

g. NORTH ATLANTIC TREATY ORGANIZATION (NATO)

INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

h. FOREIGN GOVERNMENT INFORMATION

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL

MEASURES (ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION: X

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) X

(1) Sensitive Compartmental Information (SCI) X

k. OTHER (Specify)

(2) Non-SCI

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR’S FACILITY OR A GOVERNMENT

ACTIVITY

g. BE AUTHORIZED TO USE THE SERVICES OF

DEFENSE TECHNICAL INFORMATION CENTER (DTIC)

OR OTHER SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

i. HAVE A TEMPEST REQUIREMENT

c. RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION

OR MATERIAL

j. HAVE OPERATIONS SECURITY (OPSEC)

REQUIREMENTS

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

k. BE AUTHORIZED TO USE THE DEFENSE COURIER

SERVICE

e. PERFORM SERVICES ONLY X

l. RECEIVE, STORE, OR GENERATE CONTROLLED

UNCLASSIFIED INFORMATION (CUI).

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

m. OTHER (Specify)

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 (INSPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public release 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)

DIRECT X

THROUGH (Specify below) PUBLIC RELEASE AUTHORITY:

PUBLIC RELEASE OF SCI IS NOT AUTHORIZED

PUBLIC RELEASE OF SCI IS NOT AUTHORIZED

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 classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any document/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

SEE SECTION 13 CONTINUATION SECTION AT THE BOTTOM OF THIS FORM

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

Section 13 Continuation: SECURITY GUIDANCE. The security classification guidance 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 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 document/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.

10e1: SCI Access required. No public release of information authorized, public disclosure or confirmation of any subject related to the support contract is not authorized without first obtaining written approval from the CM.

10e2: Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the CM is required prior to subcontracting. Access to Intelligence information required for performance.

10j: For Controlled Unclassified Information (CUI) generated and/or provided under this contract shall be safeguarded and marked as specified in AR 380- 5 and DoDI 5200.48.

10k: IF PROVIDED THIS TEXT SHOULD PROVIDE A COMPLETE DESCRIPTION FOR (OTHER) Additional notes: SIPRNET, JWICS and COURIER CARD - Secret Internet Protocol Network (SIPRNET) and Joint Worldwide Intelligence Communications System (JWICS) access will only be as directed by the Government requirement activity and at government facilities only. Contractors requiring access to the SIPRNET must have a final Secret clearance or Interim TS clearance. Contractors requiring access to JWICS must have final TS clearance and be indoctrinated for Sensitive Compartmented Information access. SIPRNET/JWICS may contain NATO information, and a NATO awareness brief and acknowledgment is required for all personnel prior to being granted access to the SIPRNET/JWICS. A written acknowledgment shall be maintained by the COR. Contractors requiring courier card must have as a minimum final Secret clearance, pass all required training and coordinate with their government COR or local government POC if TDY for their request to be submitted for approval. The contractor shall not access, download or further disseminate any classified information from SIPRNET/JWICS which is outside the execution of the defined contract requirements unless specifically authorized in writing by the Government Program Manager and the KO. In the event that any special access is required, KO must modify the requirements and DD 254.

11a: Contractor performance is restricted. A government agency or activity will provide security classification guidance for the performance of this contract.

Visit request to the CM and/or Security Management Office for need-to-know verification is done through JCAVS IAW Oct 2005 memo.

11l: (a) The Contractor shall not release to anyone outside the Contractor's organization any unclassified information, regardless of medium (e.g., film, tape, document), pertaining to any part of this contract or any program related to this contract, unless (1) The Contracting Officer has given prior written approval; (2) The information is otherwise in the public domain before the date of release; or (3) The information results from or arises during the performance of a project that has been scoped and negotiated by the contracting activity with the contractor and research performer and determined in writing by the contracting officer to be fundamental research in accordance with National Security Decision Directive 189, National Policy on the Transfer of Scientific, Technical and Engineering Information, in effect on the date of contract award and the USD (AT&L) memoranda on Fundamental Research, dated May 24, 2010, and on Contracted Fundamental Research, dated June 26, 2008, (available at DFARS PGI 204.4 (DFARS/PGI view)). (b) Requests for approval under paragraph (a)(1) shall identify the specific information to be released, the medium to be used, and the purpose for the release. The Contractor shall submit its request to the Contracting Officer at least 10 business days before the proposed date for release. (c) The Contractor agrees to include a similar requirement, including this paragraph (c), in each subcontract under this contract. Subcontractors shall submit requests for authorization to release through the prime contractor to the Contracting Officer. (d) IAW DoDM 5200.01-Vol 4, Feb 24, 2012, Contractors with access to CUI shall receive an initial orientation to the DoD Information Security Program. At a minimum, on-site contractors with access to CUI shall receive annual refresher training that reinforces that policies, principles, and procedures covered in their initial CUI training and specialized CUI Training.

X (7) - All DD Forms 254 prepared for contracts involving access to SCI under this contract must be processed through ACCS to the CM and Industrial Security Specialist for approval and to Contractor Support Element, USAINSCOM, ACofS Security, G2 for review and concurrence of the awarded contract.

X (8) - Visit certification to DoD locations is not required, as need to know and access is verified at the visiting facility. Non DoD locations the contractor must process request for SCI visit certification(s) through ACCS to the CM for approval and to Contractor Support Element (CSE) for review and processing. Visit certification requests must be submitted at least ten (10) working days prior to the visit.

X (9) - Debriefings: All FSO’s/CSSO’s must properly debrief all contractors from SCI through ACCS.

FSO/CSSO’s must submit the debrief request NLT 7 days and NET 10 days before actual departure.

FSO’s/CSSO’s will separate all contractors from JCAVS after completion of debriefing.

X (10) - The contractor will not reproduce any SCI related material without prior written permission of the CM.

(11) - Security Classification Guides or extracts are attached or will be provided under separate cover.

(12) - Electronic processing of SCI requires accreditation of the equipment in accordance with ICD

503 and AR 25-2. (Note: NATO security awareness briefing is required for access to JWICS indicated in blocks 10k or 11l of DD 254.).

(13) - This contract requires a contractor Controlled Space or CUA

(14) - Request for Indoctrination/Debrief Authority

X (15) - This contract requires (SI) (TK) (G) (HCS) (Add others as required)

X (16) - The contractor will perform SCI work under this contract at the following location (Name of government or contractor activity, SCI SMO or CAGE Code):

Agencies: W0U566 - Cyber Center of Excellence (CCoE),

(17) - The contractor identified in Block 6 is a Multiple Facility Organization (MFO) and is authorized to submit DD254 and SCI Addendum for the following SCI locations (Facility Name and CAGE Code).

(18) - SCI Courier Requirement