Attachment 8 Draft DD 254 ESS Maintenance.pdf
PDF 195 KB Posted
- Solicitation number
- W91QF426RA010
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 11- Historic ESS Maintenance Tracker.xlsx | XLSX spreadsheet | |
| Attachment 3_Sterilized Combined Equipment List (Updated 20260318).xlsx | XLSX spreadsheet | |
| Atachment 12- System ID Serial Numbers (20260318).xlsx | XLSX spreadsheet | |
| Solicitation Amendment W91QF426RA0100001 SF 30.pdf | ||
| ESS MS Ft. Leavenworth_QA.xlsx | XLSX spreadsheet | |
| Solicitation - W91QF426RA010.pdf | ||
| Attachment 1 - Performance Requirements Summary (PRS) ESS.xlsx | XLSX spreadsheet | |
| Attachment 3- Sterilized Combined Equipment List.xlsx | XLSX spreadsheet | |
| Attachment 5 - Service Order Form.xlsx | XLSX spreadsheet | |
| Attachment 2 - Combined Deliverables and Project Schedule Requirements.xlsx | XLSX spreadsheet | |
| Attachment 6 - UFGS 28 10 05 - IDS.pdf | ||
| Attachment 7 - TRADOC_928-R_Submittal_Form.pdf | ||
| Attachment 9-PPQ-ESS.pdf | ||
| Attachment 10- SCA Wage Determination.pdf | ||
| Attachment 4 - Service Log.xlsx | XLSX spreadsheet |
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ADDENDUM #1
SAFEGUARDING
"CONTROLLED UNCLASSIFIED
INFORMATION" (CUI) INFORMATION
1. The “CUI” marking is assigned to controlled unclassified information at the time of its creation in a DOD User Agency. It replaces the “FOR OFFICIAL USE ONLY” or “FOUO” marking for controlled unclassified information. It is not authorized as a substitute to a security classification marking but it is used to protect official Government Information withheld from the public until a review by the cognizant security authority determines it may be released to the public.
2. Other non-security markings such as “Limited Official Use” and “Official Use Only” are used by non-DOD User Agencies for the same type of information and should be safeguarded and handled in accordance with instructions received from such agencies.
3. Use of the above markings does not mean that the information cannot be released to the public, only that it must be reviewed by the Government prior to its release, to determine whether a significant and legitimate Government purpose is served by withholding the information portions of it.
4. IDENTIFICATION MARKINGS :
a. An unclassified document containing CUI information will be marked "CUI" at the bottom of the front cover (if any), on the first page, on each page containing CUI information, on the back page, and on the outside of the back cover (if any).No portion marking will be shown.
b. Within a classified document, an individual page that contains CUI and classified information will be marked at the top and bottom with the highest security classification appearing on the page. If an individual portion contains CUI information but no classified information, the portion will be marked CUI.
c. Any document, image, slide deck, presentation, etc., containing CUI will have a CUI designation indicator on the front cover, or front page. The designation indicator will contain the following information appended to the lower right-hand corner of the document prior to transfer:
Controlled by: (Agency) Controlled by: (Subordinate Office of Agency) CUI Category(ies):
Limited Distribution Control:
Point of Contact: (POC):
d. Removal of the "CUI" marking can only be accomplished by the originator or other competent authority. When CUI status is terminated, all known holders will be notified to the extent possible.
5. DISSEMINATION: Contractors may disseminate CUI to their employees and subcontractors who have a need for the information in connection with a contract.
6. STORAGE: During working hours CUI shall be placed in an out-of-sight location if the work area is accessible to persons who do not have a need for the information.
During non-working hours, the information shall be stored to preclude unauthorized access. Filing such material with other unclassified records in unlocked files or desks is adequate when internal building security is provided during non-working hours. When such internal security control is not exercised, locked buildings or rooms will provide adequate after hours protection or the material can be stored in locked receptacles such as file cabinets, desks or book cases.
7. TRANSMISSION: CUI may be sent via first-class mail or parcel post, bulky shipments may be sent fourth-class mail.
8. Legacy “FOR OFFICIAL USE ONLY” or “FOUO” information will be protected as in the same manner as CUI.
9. CONTRACTOR OWNED IT SYSTEMS: The NIST SP 800-171 identifies the baseline CUI system security requirements for industry established by Part 2002 of Title 32, CFR. Additionally, Section 252.204-7012 of the DFARS specifies a waiver process for defense contractors in accordance with NIST SP 800-171 for contractor IT or networks.
10. AGGREGATION AND COMPILATION: Contractors must monitor CUI for aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information. The DoD requires contractors to report the potential classification of aggregated or compiled CUI to a DoD representative.
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 [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) CUI_ADDENDUM.pdf
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| Classification: Unclassified |
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| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
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| Location: |
| Block9: To provide preventative and corrective maintenance to Fort Leavenworth's s vast complex of Electronic Security Systems on Fort Leavenworth. |
This contract will provide 1 CME on-site technician to provide this service. Work will require the technician access to areas where classified information is processed and stored. Additionally, the technician will have access to systems intended to protect these facilities and must ensure any information related to these systems, though unclassified, is afforded the appropriate level of security.
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| Enter your name here.: See Block 13. |
| Enter your name here.: Electronic Security System Designs and maintenance codes. |
| Enter your name here.: Contract Monitor and COR |
Command Industrial Security Specialist
| e: 0 |
| e: 1 |
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| Enter your name here.: MICC Fort Leavenworth |
535 Kearney Avenue, Fort Leavenworth, KS 66027 PublicAuthority: CAC PAO Office (913-684-8681) Fort Leavenworth, KS 66027
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| text: CONTINUATION OF BLOCK 13 OF THE DD FORM 254 |
Solicitation or Contract #
All applicable provisions of Part 117 of Title 32, Code of Federal Regulations apply.
Contractor is required to obtain and maintain a DOD facility security clearance at the "SECRET" level requirement for the life of the contract. Contract employees must obtain/maintain a "SECRET" security clearance to perform under this contract.
Eligibility for access to classified information is predicated upon the contractor meeting personnel security adjudicative guidelines as outlined in AR 380-67, Appendix I; para I-2c. When information of security concern becomes known about a contractor, the cognizant security office must report the information to the government. The government will determine whether the reported action is or is not serious enough to warrant a recommendation for revocation of the contractor's eligibility to maintain a security clearance.
8a: The work to be performed under this contract will be performed at Fort Leavenworth, KS.
10j: "Controlled Unclassified Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoDI 5200-48 For Official Use Only (FOUO) Information generated and/or provided under this contract shall be safeguarded as specified in DoDD 5400.07 (DoD Freedom of Information Act Program) and marked as specified in DoDM 5200.01, (Information Security Program, Marking of Information), Vol. 2, AR 380-5 or AR 25-55."(See CUI Addendum #1)
10k: "Non-Secure Internet Protocol Router network (NIPRNET) required to perform this contract. The contractor is not authorized to access, download, or further disseminate any classified information which is outside the scope of the defined contract requirements unless specifically authorized in writing by the Government Program Manager and the KO. For access to NIPRNET, a DD Form 2875 must be submitted to the Network Enterprise Center (NEC), through the supporting organizations Information Assurance Manager (IAM) and U.S. Government site security manager.”
NOTE: For access to the NIRPNET/SIPRNET, the requester must complete Cyber Awareness training within 30 days of contract award and annually thereafter. The requester must have a registered AKO-S account prior to, and indication of the DD Form 2875. Additionally, the requester must read and sign/date a NIPRNET/SIPRNET AUP and an annual NATO Acknowledgement Briefing to be attached with the DD Form 2875 submission."
11a: Contractor performance is restricted to Fort Leavenworth, KS. The Government Requiring Activity will provide security classification guidance for performance of this contract. Processing of classified material will be performed only at properly accredited facilities on properly accredited Automated Information Systems.
11j: The application of Operations Security (OPSEC) is required IAW DoD 5205.02-M (Operation Security Program) and local agency policies.
11m: All classified documents shall be returned to the government upon completion of the contract. Contractor is not authorized to release any data to foreign nationals/representatives or other U.S. Citizens not associated with this contract.
11m: Submit visit request to the Security Management Office for need-to-know verification. POC for visit request will be the organization Security Manager, SMO:_________. Include in the additional information block in DISS visit request, COR/phone number and contract number.
11m: Contractor must comply with requirements of AR 381-12, Threat Awareness and Reporting Program (TARP).
11m: Security Incidents Involving On-Site Contractors.
Security incidents, including any inquiries or investigations required, involving on-site contractors shall be handled in accordance with Part 117 of Title 32, Code of Federal Regulations, National Industrial Security Program Operating Manual (NISPOM), host activity security rules and procedures apply. Disciplinary action and sanctions are the responsibility of the contractor’s company unless specific contract provisions address such actions. Security managers shall furnish the results of inquiries to the company, with a copy to Defense Security Service, in order to facilitate such action. Specified U.S. Government officials retain the ability, when appropriate and in accordance with the authorities and requirements of Part 117 of Title 32, Code of Federal Regulations, National Industrial Security Program Operating Manual (NISPOM), to deny access to classified information, to revoke or suspend security clearances, and to take certain other administrative actions, such as to deny an individual continued access to the facility.
11m: Contract company will agree to and sign a Visitor Group Security Agreement (VGSA) at award and return it to the organizational Security Manager.
"The COR has reviewed this Security Specification and certifies the requirements are complete and adequate for performance of the contract. The COR understands the provisions and will ensure that it is complied with within the limits of his/her responsibility, and that any violations are brought to the attention of the Contracting Officer."
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| GCAName: MICC Fort Leavenworth |
| AAC: W91QF4 |
| AAC: W91QF4 |
| Address: 535 Kearny Ave |
Fort Leavenworth, KS 66027 Address: 628 McClellan Avenue Bldg 197, Room 628-4 Fort Leavenworth, KS 66027
| POCName: |
| Phone: 9136841790 |
| Email: |
| Title: USACAC, Industrial Security Specialist |
| Enter the date using the format DD-Mon-YYYY: |
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