ATTACHMENT J.1 DD 254, Contract Security Classification Specification.pdf

CLASSIFICATION (When filled in):

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DD FORM 254, APR 2018

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

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

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

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

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.

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 classified material is authorized for the period of:

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

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

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)

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

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.)

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

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Unclassified

Unclassified

Industrial Security Management System

Top Secret None

c. SOLICITATION NUMBER

19AQMM-20-R-0279

✔ 20200716

X

X

Indefinite Delivery/Indefinite Quantity contract to provide construction security monitoring services at overseas and domestic Department of State construction sites and storage areas

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DD FORM 254, APR 2018

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

b. RESTRICTED DATA

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

d. FORMERLY RESTRICTED DATA

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

h. FOREIGN GOVERNMENT INFORMATION

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instuctions.)

k. OTHER (Specify) (See instructions.)

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

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

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

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT THROUGH (Specify below) Public Release Authority:

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)

Unclassified

Unclassified

Industrial Security Management System k.1. SENSITIVE BUT UNCLASSIFIED INFORMATION (SBU) m.1. REQUIRE CONNECTIVITY TO DEPT. STATE COMPUTER SYSTEM

Overseas access to classified information at Department of State locations only

Department of State, DS/IS/IND, SA-20, 13th Floor, Washington, DC 20520

[ DD Form 254 Section 13 Security Guidance is provided separately starting on page 4. ]

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DD FORM 254, APR 2018

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.

No Yes 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)

a. GCA NAME

b. ACTIVITY ADDRESS CODE (AAC) OF THE

CONTRACTING OFFICE (See Instructions)

c. ADDRESS (Include ZIP Code) d. POC NAME

e. POC TELEPHONE (Include Area Code)

f. EMAIL ADDRESS (See Instructions)

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

b. TITLE

c. ADDRESS (Include ZIP Code)

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

f. TELEPHONE (Include Area Code)

g. EMAIL ADDRESS (See Instructions)

h. SIGNATURE

i. DATE SIGNED (See Instructions)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

Unclassified

Unclassified

Industrial Security Management System

Nisha Faumuina, WCSS Principal Team Lead

See Specific Human Intelligence (HUMINT) Threat Posts and COMSEC attachments.

X

Department of State

19AQMM

2201 "C" Street, NW Washington, DC 20520

Rachel Bibee

571-345-3023

BibeeR@state.gov for Kimberly A. Baugher

Division Chief

DS/IS/IND, SA-20, 13th Fl.

2201 C St. NW Washington, DC 20520

19AQMM

571-345-3032

BaugherK2@state.gov

13. SECURITY GUIDANCE.

DD FORM 254, SECURITY GUIDANCE Page 4 of 4 Industrial Security Management System

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.

Contractor personnel assigned to this contract shall possess TOP SECRET personnel security clearances issued by Defense Counterintelligence Security Agency (DCSA) prior to contract performance. All Contractor Site Security Personnel proposed for overseas deployment shall be initiated for a reciprocal DoS Top Secret personnel security clearance, based on their existing DCSA Top Secret personnel security clearance, and undergo a suitability review prior to their deployment. Personnel may attend training while the DoS reciprocal clearance is in process, but will not be eligible for deployment until a DoS Top Secret clearance is granted. Specifically designated personnel must also be eligible for access to COMSEC.

Certain domestic management personnel described in C.6.1.1 must possess DCSA SECRET personnel security clearances.

All Site Security Personnel who are selected for assignment at specific human intelligence (HUMINT) threat posts are required to undergo a counterintelligence assignment review. DS/IS/IND should be notified immediately upon identification of personnel to be assigned to these posts per contract section H.1.2.

Visit Authorization Requests (VARs) for all cleared personnel performing on the contract at DoS locations are to be e-mailed to DS/IS/IND (DSINDOBOVARS@state.gov) with the DS/IS/IND POC copied. A VAR is valid for 12 months;

an updated VAR is required 30 days prior to the current VAR expiring.

Requests for DD Forms 254 for subcontracts shall be emailed to DS/IS/IND (DS_IND_OBOTeam@state.gov) with the point of contact listed on Item 13 of the DD Form 254, copied prior to initial of reciprocal DoS clearances for deployment. DD Forms 254 issued by DS/IS/IND will be forwarded to the prime for distribution to subcontractors.

DCSA approved safeguarding is not required; therefore, no discussion, generation or storage of classified information shall take place at the contractor facility. However, the Security Classification Guide for Design and Construction of Overseas Facilities, dated July 2018, shall be utilized for identification and handling of SBU and SBU/NOFORN at the contractor's facility and handling of classified information at DOS locations.

While at DoS locations, the contractor shall comply with applicable DoS regulations relative to the protection of classified and/or sensitive information, the National Industrial Security Program Operating Manual (NISPOM) and section H.1.5 of the contract. DS/IS/IND is responsible for inspecting contractors assigned to DoS locations.

Security clearance requirements for contractors accessing DoS domestic or overseas information systems shall be in accordance with 12 FAM 600..

FSOs are required to implement a briefing and reporting program for cleared contractors (Section C.6.8).

Special reporting requirements for personnel including adverse information, unofficial travel, contact reporting, suspicious contacts and intent to marry, cohabitation or continuing bonds of affection are detailed in section H.1.8.

All FAM references can be viewed on the DoS website, www.state.gov.

CO (A/OPE/AQM/FDCD): Keith Westry / 703-875-6040 / WestryK@state.gov COR (OBO/CFSM/SM/ASD): Michael Skufca / 703-314-9612 / SkufcaMJ@state.gov DS/IS/IND Point of Contact: Elena Chamberlain / 571-345-3016 / chamberlainem@state.gov

MINIMUM PERSONNEL SECURITY REQUIREMENTS FOR SPECIFIC

HUMAN INTELLIGENCE THREAT POSTS

CONTRACT NUMBER:

Contractor personnel who will perform tasks at specific human intelligence (HUMINT) threat posts must meet specific requirements based on 12 FAM 570. The Contracting Officer’s Representative (COR) will notify the contractor when a task order is being issued for a specific HUMINT threat post. The contractor should immediately coordinate with DS/IS/IND to initiate the appropriate Diplomatic Security (DS) reviews for those individuals who are proposed to deploy to those posts.

1) Personnel traveling to specific HUMINT threat posts for short-term visits (less than 60 days cumulative in a “12-month period” for all posts) must have a minimum FINAL SECRET clearance and a favorable DS name check prior to deployment. INTERIM SECRET clearances are not acceptable for such travel. DS name checks will be conducted in conjunction with electronic country clearance request processing.

2) Personnel traveling in excess of 60 days must possess a final TOP SECRET personnel security clearance, based on a Single Scope Background Investigation (SSBI) conducted within the past five years, and undergo a DS Acceptability Review (A/R) and DS name check prior to approval for deployment. Personnel currently undergoing SSBI-Periodic Reviews (5 year updates) with Defense Security Service are not eligible for an A/R and should not be nominated for long-term assignment to HUMINT threat posts until their SSBI-PR has been favorably adjudicated and an updated Visit Authorization Request (VAR) submitted.

3) For those personnel who do not have a previous A/R, the contractor will be invited by DS/IS/IND to electronically submit the A/R via the Office of Personnel Management’s Electronic Questionnaire for Investigation Processing (e-QIP). e-QIP is a secure website that can be accessed from any computer system that has an Internet connection. In order to begin this process, the following information must be submitted by the Facility Security Officer, via email to DS_IND_OBOTeam@state.gov

SUBJECT Line of email: Acceptability Review for LAST, First-Country

Name Social Security Number Date of Birth and Place of Birth

Job Title Email address City/country for this trip

4) Upon receipt of the above, DS/IS/IND will:

initiate a DS name check to determine whether the individual could be eligible for deployment while the Acceptability Review is pending, initiate the Acceptability Review with DS/SI/PSS, notify the contractor and the COR of interim approval for deployment while results of the A/R are pending. Conversely, notify the contractor and the COR of interim denials. In these cases, deployment cannot begin until the A/R is favorably adjudicated, and notify the COR and contractor of the final results, upon adjudication of the A/R.

5) DS/IS/IND maintains a record of previous A/Rs and deployment records to specific HUMINT threat posts and will determine if a previous A/R is still valid for deployment. For those individuals who have a valid A/R, DS/IS/IND will accomplish the following:

DS Name Check Notify the contractor and the COR of approval/disapproval for deployment

6) Personnel approved for deployment while an A/R is pending can be immediately deployed. However, if the Acceptability Review is ultimately adjudicated unfavorably, upon notification by the COR, the individual must be immediately removed from the post at no expense to the U.S. Government.

7) Personnel not approved for immediate deployment may be assigned to non-specific HUMINT threat posts until the A/R has been completed and adjudicated. If the Acceptability Review is unfavorably adjudicated, the individual will not be authorized for future deployments to specific HUMINT threat posts, and may not be authorized for further performance on this contract.

mailto:DS_IND_OBOTeam@state.gov mailto:DS_IND_OBOTeam@state.gov

COMSEC ATTACHMENT TO DD FORM 254

1. This contract involves access to classified National Security and Communications Security (COMSEC) information. The contractor/subcontractor shall comply with the requirements of the National Industrial Security Program Manual (NISPOM) and the COMSEC Supplement where applicable. The highest level of access for the contract is TOP SECRET.

2. Access to all classified information, including COMSEC information, shall take place only at Department of State facilities. No classified information is to be stored or discussed at anytime at the contractor's facility.

3. All classified telephonic discussions pertaining to this contract shall be via secure voice. At no time is any classified aspect of the contract to be discussed on the open telephone line. Government provided equipment will be made available to provide a secure voice capability if determined to be necessary by the government.

4. All contractor/subcontractor personnel to be granted access to classified COMSEC information released or generated under this contract must be U.S. citizens granted a final security clearance by the Government.

Foreign nationals, immigrant aliens, interim secret cleared personnel or personnel holding a contractor granted CONFIDENTIAL clearance are not eligible for access to classified COMSEC information released or generated under this contract. Additionally, no individual shall be granted access unless the briefing requirements outlined in the COMSEC Supplement are complied with; except that the government will provide appropriate briefings if requested by the contractor.

5. Questionable or suspicious contacts which might indicate hostile intelligence collection activities with contractor/subcontractor employees who have been cleared and assigned to this contract shall be reported through the facility security officer to the Department of State, Communications Security Division, regardless of where the contact occurs. Any foreign travel reports shall be in accordance with the NISPOM.

6. Reproduction of classified COMSEC information generated as a result of this contract shall be held to the minimum necessary and shall be accomplished only as required for this contract. For this effort, reproduction shall be performed by the government.

7. Any information developed regarding the TEMPEST characteristics or relating to the TEMPEST security features of the Department of State, technical control facility, and/or telecommunications network, shall be classified at least at the SECRET level and shall not be discussed on open telephones.

8. Any information generated by the contractor/subcontractor (at a government location) including, but not limited to correspondence, drawings, models, mock-ups, photographs, and schematics; status, progress, special, and inspection reports; engineering notes and computations and training and manufacturing aids shall be classified according to any source documents or appropriate security classification guidance. Additionally, guidance may be derived from government furnished equipment or data or special instructions issued by the contracting officer or his representative. Any unclassified information generated as a result of this contract shall be controlled within the contractor facility and may not be released to the public without prior Department of State approval.

9. Any subcontract that may result from this contract shall require incorporation of the appropriate security provisions of this DD Form 254. Complete classification guidance in any subcontract shall be provided by the prime contractor in accordance with the NISPOM. All DD Forms 254 shall be submitted to the Department of State, DS/IS/IND, for review and approval.

10. If a document contains information relating to the TEMPEST characteristics or cryptographic capabilities of the Department of State, it must indicate the following caveat on the cover: "COMSEC

MATERIAL, ACCESS BY CONTRACTOR PERSONNEL RESTRICTED TO U.S. CITIZENS HOLDING

FINAL GOVERNMENT CLEARANCES."

11. The contractor/subcontractor shall not divulge to any individual, organization or other U.S. government department or agency any information either classified or unclassified pertaining to the design or capabilities of the facility being recommended, produced or provided as government furnished equipment and under this and/or previous contracts without the prior approval of the Department of State.

12. Classified COMSEC information released or generated (at a government location) under this contract does not become the property of the contractor/subcontractor and can be withdrawn by the Department of State at any time. Upon expiration of the contract all classified documentation in the possession of the contractor (at a government location) relative to this contract shall be disposed of as directed by the contracting officer.

13. The contractor/subcontractor shall not release any classified information to any activity or individual of the contractor's organization not directly engaged in providing service under the contract. All classified COMSEC information that may be provided or generated by the contractor shall be placed under appropriate accountability controls in accordance with the NISPOM.

14. All dissemination of unclassified COMSEC information shall be restricted to contractor and/or subcontractor and government personnel involved in a contract. Any proposed release into public domain of information pertaining to this contract shall be forwarded to the Department of State, DS/IS/IND, for review and approval. The term release includes, but is not limited to newspaper articles, company newsletters, contract announcements, advertisements, brochures, photographs, motion picture films, technical papers, unclassified presentations at symposia, speeches, displays, etc., on any phase of this contract.

15. The contractor shall make an immediate telephonic notification to the Department of State of any incident or violation of the requirements of those security provisions, the NISPOM or COMSEC supplement, regardless of the contractor's judgement as to whether or not a compromise or possible compromise has occurred. If secure voice capability is not available, contractor shall make an unclassified telephone notification to the Department of State by calling (202) 647-1223. If necessary, a follow-up routine report will be required.

16. Clarification and guidance for security requirements under this contract should be directed to the Department of State, Communications Security Division at (202) 647-1223.

17. Visit requests are to be faxed to: DoS, DS/IS/IND at 571-345-3000.

18. COMSEC information may not be provided to those individuals holding reciprocal clearances.