Attachment D - DD254.pdf

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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PREVIOUS EDITION IS OBSOLETE.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 (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

2070 Chain Bridge Road Vienna, VA 22182

2070 Chain Bridge Road Vienna, VA 22182

Contracting Office/Office of Security PublicAuthority: Financial Crimes Enforcement Network (FinCEN) 2070 Chain Bridge Road, Vienna, VA 22182

The Contractor must have an active Facility Clearance at the level of SECRET. Interim facility clearances are not acceptable. FinCEN has restrictive security requirements for personnel assigned to perform work under this contract. All Contractor personnel employed by the Contractor or responsible to the Contractor for the performance of work under this contract shall possess a SECRET clearance based on a favorably adjudicated T3 (or equivalent) background investigation in accordance with Executive Order No. 12968. A final SECRET clearance by the start of the period of performance is required. Interim clearances are not acceptable.

All Contractor personnel supporting this contract are required to be actively enrolled in a Continuous vetting (CV) program consistent with current Trusted Workforce (TW) requirements, regardless of the date of the individual's last investigation or adjudication.

All Contractor employee investigative and security clearance actions are the responsibility of and shall be completed by the Contractor Company.

Failure of any Contractor to provide personnel with the appropriate clearance level means that the Contractor has failed to satisfy the contract's requirement to provide cleared personnel. Failure to meet the requirements to provide cleared personnel is grounds for termination of the contract. This policy applies to any personnel hired as replacements during the term of the contract. The Contracting Officer and the FinCEN Office of Security must approve all personnel replacements.

Classification guidance will be in accordance with source documents or the Treasury Classification Guide, dated September 21, 2021, provided at contract award. Controlled Unclassified Information (CUI) shall be the primary term used to mark sensitive but unclassified information originating within Treasury/bureau offices. Foreign Government Information, Limited Dissemination Information, Law Enforcement Sensitive, and For Official Use Only Information is CUI. CUI handling and protective measures shall be applied to any information labeled with these identifiers.

Approval is required from the FinCEN Office of Security prior to subcontracting any work associated with this contract that requires access to classified information or access to FinCEN facilities. Subcontractor DD254s will be submitted to the FinCEN Office of Security for concurrence prior to the subcontractor commencing work on the contract.

All Contractor personnel will comply with FinCEN’s Reporting Requirements, in accordance with Security Executive Agent Directive (SEAD) 3, Reporting Requirements for Personnel with Access to Classified Information or Who Hold a Sensitive Position. Failure by any Contractor employee to comply with FinCEN’s Reporting Requirements may result in administrative action to include removal from access to FinCEN facilities or information. In addition to the Contractor employee’s reporting requirements, the Contractor Facility Security Officer (FSO) is responsible for ensuring that a copy of any SEAD 3 reports or derogatory information reports are provided to the FinCEN Office of Security within 72 hours of receipt.

All Treasury and FinCEN policies are provided on the intranet following contract award.

8. Actual Performance: Additional performance locations may include:

Financial Crimes Enforcement Network (FinCEN), 1801 L Street NW, Washington, D.C. 20006

Any security questions or issues should be directed to Industrial.Security@fincen.gov.

All Treasury and FinCEN Policies are provided on the Intranet following Contract Award

Parkersburg, WV 26101 Address: Financial Crimes Enforcement Network 2070 Chain Bridge Road Vienna, VA 22182