Attachment J-01 DD 254 - Draft.pdf

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Attachment 1 ADDENDUM TO DD FORM 254 (Block 10e(2))

GENERAL INTELLIGENCE MATERIAL/FOREIGN DISCLOSURE

1. Special requirements for general and foreign intelligence material In addition to the requirements and controls for classified material, the Director, Central Intelligence sets up additional requirements and control for intelligence in the possession of contractors. The contractor must:

a. Maintain accountability for all Intelligence released in his or her custody.

b. Not reproduce any intelligence without the written permission of the releasing agency. If permission Is granted, each copy is controlled in the same manner as the original.

c. Not destroy any intelligence without advance approval of the releasing agency.

d. Restrict access to only those individuals who possess the required security clearances and who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, other government agencies, and private individuals or organizations Is prohibited unless authorized in writing by the releasing agency.

e. Not release any intelligence material to foreign nationals or immigrant aliens whether or not they are also consultants, U.S. contractors, or employees of the contractors, and regardless of the level of their security clearance except with advance written permission from the originator.

f. Ensure that each employee having access to any intelligence material Is fully aware of the special requirements hr this material and maintains records in a manner that permits the contractor to furnish on demand, the names of individuals who have had access to the material In their custody.

g. Not transfer and/or use intelligence information in any IR&D efforts without written authorization from the releasing agency.

2. Returning intelligence to the Government. Upon completion or termination of the classified contact, or sooner, when the purpose of the release has been served, the contracting officer must ensure that the contractor returns all intelligence (furnished or generated), unless retention or destruction is authorized in writing by the originator of the intelligence or Senior Intelligence Officer (SIO) of the releasing command.

3. RELEASE OF CLASSIFIED AND UNCLASSIFIED INFORMATION RELATED TO THIS CONTRACT TO FOREIGN

GOVERNMENTS AND THEIR REPRESENTATIVES: Any military activity or defense contractor receiving a request from a foreign government, or a representative thereof, for classified and/or unclassified information about this program shall forward the request to the Senior Intelligence Officer (SIO) of the command, for guidance. Information released under Foreign Millitary Sales (FMS) must comply with the specific USAF disclosure guidance issued for the specific FMS customer. For the avoidance of doubt, information not directly related to this contract and/or used in the course of GF US 2’s commercial business is not subject to the release procedures identified herein.

USE OF SPECIAL INTELLIGENCE MARKINGS

1. Authorized Control Markings of Intelligence Information

a. “Dissemination and Extraction of Information Controlled by Originator (ORCON)”.

This marking is used, with a security classification, to enable a continuing knowledge and supervision by the originator of the use made of the information involved. This marking may be used only on intelligence which dearly Identifies or would reasonably permit ready justification of an intelligence source or method which is particularly susceptible to counter-measures that would nullify or measurably reduce its effectiveness. This marking may not be used when an item of information will reasonably be protected by use of other markings specified herein, or by the application of the “need-to-know” principle and safeguarding procedures of the security classification system.

b. “Not Releasable to Foreign Nationals (NOFORN)”

This marking must be used with a security classification to identify intelligence that may not be released in any form to foreign governments, foreign nationals, or non-US citizens without permission of the US Government originator, and then only when released in compliance with the National Disclosure Policy.

c. “Authorized for Release to {Name of country(ies)/ international organization}”

The above is abbreviated “REL_______________.”

This masking must be used when it is necessary to identify classified Intelligence material that the US Government originator has predetermined to be releasable or has been released through established foreign disclosure channels to the indicated country(ies) or organization.

2. Procedures Governing Use of Control Markings

a. Any recipient desiring to use intelligence in a manner contrary to the restrictions established by the control markings set forth above shall obtain the advanced permission of the originating agency. Such permission applies only to the specific purposes agreed to by the originator and does not automatically apply to all recipients. Originator should insure that prompt consideration is given to recipient’s requests in these regards, with particular attention to reviewing and editing if necessary, sanitized or paraphrased versions to derive a test suitable for release subject to lesser or no control markings.

b. The control markings authorized above shall be shown on the title page, front cover, and other applicable pages of documents, incorporated In the text of electrical communications, shown on graphics, and associated (in full or abbreviated form) with data stored or processed in automatic data processing systems. The control markings also shall be indicated by parenthetical use of the markings abbreviations at the beginning or end of the appropriate portions. If the control markings apply to several or all portions, the document may be marked with a statement to this effect rather than marking each portion individually.

c. The control markings in Paragraph 1 shall be individually assigned at the time of preparation of intelligence products and used in conjunction with security classifications and other markings specified by EO 12958 and its implementing ISOO Directive. The markings shall be carried forward to any new format which the same information is incorporated including oral and visual presentations.

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) Attachment1.pdf

4234 54th St., McClellan Park, CA, 95652, USA

Ref 10j: Controlled Unclassified Information (CUI) generated and/or provided under this contract shall be safeguarded and marked as specified in DoD Instruction 5200.48. Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the source material.

Section 11c: The contractor requires access to classified information. Any extracts must apply derivative classifications and markings consistent with the source documents. Use of "Multiple Sources" on the "Derived From" line necessitates compliance with the NISPOM, paragraph 4-208b. : Any classified information generated in the performance of this contract shall require the contract to apply derivate classification and marking consistent with the source material.

Section 11d: Contractor must provide adequate storage at their facility for classified hardware to the level of required safeguarding (See Block 1b above). : Contractor may generate, modify or store classified hardware. This hardware includes dies, wafers, or packaged Integrated Circuit (IC).

Section 11.l: Authorized to process CUI material.

Section 11.m: Authorized Classified Automated Information System (IS) processing at the performance location in accordance with NISPOM. IS maybe required for ASIC Trusted Services.

Max Subcontracting Level: NONE

4234 54th St., McClellan Park, CA, 95652, USA