Attachment J.2 - Contract Security Classification Specification; DRAFT DD Form 254.pdf

CLASSIFICATION (When filled in): Unclassified

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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:

May 31, 2022

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)

Top Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

22-844

DUE DATE (YYYYMMDD)

20240311

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20240311

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

TBD

b. CAGE CODE

TBD

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

TBD

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.)

See Block 13.

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

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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 GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

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

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:

Public release 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 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.)

Reference Block 8a. The primary place of performance is the Pentagon, 1400 Defense Way, Washington, DC 22202. The contractor may be required to provide support at locations within the NCR, such as the Pentagon, Mark Center and Crystal City Government facilities.

Pentagon 7010 Defense Pentagon Washington, DC 20301

Mark Center 4800 Mark Center Alexandria, VA 22350

Crystal Gateway 1 (CG1) 2515 Crystal Drive

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Arlington, VA 22202

Taylor Building 2530 Crystal Drive Arlington, VA 22202

Carlisle Barracks Carlisle PA USA Fort A.P. Hill Bowling Green VA USA Fort Belvoir Fort Belvoir VA USA Fort Bliss Fort Bliss TX USA Fort Bragg Fayetteville NC USA Fort Campbell Fort Campbell KY USA Fort Carson Fort Carson CO USA Fort Detrick Frederick MD USA Fort Drum Fort Drum NY USA Fort Gordon Fort Gordon GA USA Fort Hamilton Brooklyn NY USA Fort Hood Fort Hood TX USA Fort Huachuca Fort Huachuca AZ USA Fort Jackson Fort Jackson SC USA Fort Knox Fort Knox KY USA Fort Leavenworth Leavenworth KS USA Fort Lee Fort Lee VA USA Fort Leonard Wood Fort Leonard Wood MO USA Fort Meade Fort Meade MD USA Fort Riley Fort Riley KS USA Fort Rucker Fort Rucker AL USA Fort Stewart Fort Stewart GA USA Joint Base Myer- Henderson Hall (JBMHH) Fort Meyer VA USA Presidio of Monterey Monterey CA USA Redstone Arsenal Huntsville AL USA USAG Alaska/ Fort Wainwright Fairbanks AK USA USAG Detroit Arsenal Warren MI USA USAG Dugway Proving Ground Dugway UT USA USAG Hawaii Wahiawa HI USA USAG Miami Doral FL USA USAG Natick Natick MA USA USAG Rock Island Arsenal Rock Island IL USA USAG West Point West Point NY USA USAG Daegu Daegu South Korea USAG Yongsan-Casey Seoul South Korea Camp Zama Zama Japan USAG Okinawa Yomitan Japan USAG Italy Vicenza/Pisa Italy USAG Bavaria Bavaria Germany USAG Rheinland-Pfalz Kaiserslautern Germany USAG Wiesbaden Wiesbaden Germany

Reference Block 10e2: Contractor will require access to non-SCI intelligence information.

Reference Block 10j: Contractor will be provided with and will abide by DoDM Regulation 5400.07, DoD Freedom of Information Act Program, DoDM 5200.01, Volume 4, DoD Information Security Program: CUI. Guidance provided under separate cover.

Reference Block 11a: Contract performance is restricted to the Government activity. The Government activity will provide security classification guidance for the performance of this contract.

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Reference Block 11e: Contract is for support services. Actual knowledge of generation, or production of classified info is not required for performance of this contract. Cleared personnel are required to perform this service because the security measures that are enforced do not preclude access to classified information. The contractor is not authorized to release classified information to an activity or person, including sub-contractors, without the government Contracting Officer's written approval. Only with the expressed permission of the government's Contracting Officer may the contractor reproduce any classified information/material. All requirements for control and accounting for original documentation and copies apply.

Reference Block 11j: This contract requires the application of OPSEC. JSP will provide OPSEC guidance/requirements. The contractor is not required to provide an OPSEC Plan in support of this effort. The contractor will comply with OPSEC requirements contained in the contract or attached under separate cover.

General Information:

All classified visit requests by contractors shall be forwarded to the Contracting Officer Representative (COR) for approval and need -to-know certification before being sent to the facility to be visited.

Prime Contractor FSO will provide the Government a copy of the subcontractor DD Form 254 and subcontract memo for all their subcontracts meeting review criteria via a SM to submit for approval.

All visit access requests (VARs) by contractors shall be sent via the Defense Information Security System (DISS) to the (DISS SMO:

W6APAA6) or appropriate SMO for the effort. The COR/ACOR must approve the VAR prior to sending the request to the facility being visited. Contractors must also provide a copy of the VAR to the security manager.

The COR/ACOR must be notified and approve the receipt and/or generation of classified information under this contract.

All classified information received and/or generated under this contract is the property of the U.S. Government regardless of proprietary claims. Upon completion or termination of this contract, the U.S. Government will be contacted for destruction or disposition instructions.

Foreign Nationals will not perform on any area of the contract (classified or unclassified). Prime Contractor FSO will provide the Government a copy of the DD Form 254 and PWS/SOW for all their subcontracts meeting review criteria via a SM to submit for approval.

Period of performance: The period of performance shall be for a base period of 12 months with 2 twelve-month option periods, as follows:

Base Period: TBD Options: with 2 Options

a. DoD Manual 5200.01, Vol 1-4 Information Security Program, 24 February 2012

b. DoD Manual 5200.02, Procedures for the DoD Personnel Security Program, 3 April 2017

Contractor employees with an incident report in JPAS who have had their access to classified suspended will not be permitted to fill positions requiring access to classified information on a DISA contract/order

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

NAME & TITLE OF REVIEWING OFFICIAL

DeNeal, Suzanne M.

Security Specialist, G-8 and FM&C

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.)

OPSEC requirements apply. Guidance provided in Block 13 as reference Block 11j.

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

Digitally signed by

DENEAL.SUZANNE.MARIE.11

73587887 Date: 2024.04.18 10:14:00 -04'00'

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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

ACC - APG - Div D

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

W91CRB

c. ADDRESS (Include ZIP Code)

6515 Integrity Court, Bldg 4310 Aberdeen Proving Ground, MD 21005

d. POC NAME

Alexandra Bryant

e. POC TELEPHONE (Include Area Code)

+1 (410) 278-5017

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)

Susnaia M. Baker

b. TITLE

Service Acquisition Program Manager/COR

c. ADDRESS (Include ZIP Code)

Financial Management and Comptroller (FM&C) Room 3E320 Pentagon Washington DC 20301

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

W81MR3

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

TBD

f. TELEPHONE (Include Area Code)

+1 (703) 697-4670

g. EMAIL ADDRESS (See Instructions) susnaia.m.baker.civ@army.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20240311

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.)

BAKER.S

USNAIA.

MILLER.1

060561423

Digitally signed by

BAKER.SUSNA

IA.MILLER.106

0561423 Date: 2024.03.11 12:06:32 -04'00'