Attachment J.3 DD Form 254.pdf
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- Solicitation number
- W91CRB-21-R-0010
About this file
This document contains a Department of Defense Contract Security Classification Specification and related federal contract opportunity solicitation. The Contract Security Classification Specification outlines classified information access requirements for a prime contractor supporting the Headquarters, Department of the Army (HQDA), Deputy Chief of Staff, Army G-3/5/7 designated Army Staff (AFSTAF) Treaty Compliance and Surety Program Oversight Manager (DAMO-SSD), including a final Top Secret facility clearance and access to Special Access Programs, NATO, and Sensitive Compartmented Information.
The related federal contract opportunity solicitation seeks proposals for strategic analysis, policy support, and program oversight for DAMO-SSD, the U.S. Army Nuclear and Countering Weapons of Mass Destruction Agency, and the Assistant Secretary of the Army for Installations, Energy and Environment. The requirements include implementation and compliance with arms control treaties and surety obligations, as well as resource management, planning, programming, budgeting, and execution support for Army counter-proliferation and countering weapons of mass destruction activities. The period of performance includes a base year plus four option years.
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DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
1. CLEARANCE AND SAFEGUARDING
a. FACILITY CLEARANCE REQUIRED
b. LEVEL OF SAFEGUARDING REQUIRED
2. THIS SPECIFICATION IS FOR: (X and complete as applicable)
a. PRIME CONTRACT NUMBER
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)
REVISION NO.
c. FINAL (Complete Item 5 in all cases)
DATE (YYYYMMDD)
b. REVISED (Supersedes all previous specs)
DATE (YYYYMMDD)
DATE (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? YES NO. 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? YES NO. 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 (Name, Address, and Zip Code)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
10. CONTRACTOR WILL REQUIRE ACCESS TO: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:YES NO YES NO
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION
b. RESTRICTED DATA
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
d. FORMERLY RESTRICTED DATA
e. INTELLIGENCE INFORMATION
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
f. SPECIAL ACCESS INFORMATION
g. NATO INFORMATION
h. FOREIGN GOVERNMENT INFORMATION
i. LIMITED DISSEMINATION INFORMATION
j. FOR OFFICIAL USE ONLY INFORMATION
k. OTHER (Specify)
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY
b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE AND GENERATE CLASSIFIED 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 TEMPEST REQUIREMENTS
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
l. OTHER (Specify)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7.0
12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release
a. TYPED NAME OF CERTIFYING OFFICIAL
Direct Through (Specify)
d. ADDRESS (Include Zip Code)
Yes No to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.
*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.
13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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. Add additional pages as needed to provide complete guidance.)
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, 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 cognizant security office. Use Item 13 if additional space is needed.)
Yes No15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office.
(If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)
16. CERTIFICATION AND SIGNATURE. 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.
b. TITLE c. TELEPHONE (Include Area Code)
e. SIGNATURE
17. REQUIRED DISTRIBUTION
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. OTHERS AS NECESSARY
DD FORM 254 (BACK), DEC 1999
| fac_clear: Top Secret |
| safe_level: None |
| prime_no: TBD |
| xprime: Yes |
| sub_no: |
| xsub: Off |
| xsolic: Off |
| solic_no: |
| due_date: |
| xspec3: Orig |
| orig_date: 20200603 |
| rev_no: |
| rev_date: |
| final_date: |
| xfollowon: No |
| prec_no: |
| xfinal: No |
| req_dated: |
| period: |
| ctr_name: TBD |
| ctr_cage: TBD |
| ctr_ofc: TBD |
| sub_name: |
TBD
| sub_cage: TBD |
| sub_ofc: TBD |
| perf_loc: |
See Block 13
| perf_cage: |
| perf_ofc: |
| gen_id: |
| x10a: No |
| x10b: Yes |
| x10c: Yes |
| x10d: Yes |
| x10e1: Yes |
| x10e2: Yes |
| x10f: No |
| x10g: Yes |
| x10h: No |
| x10i: No |
| x10j: Yes |
| x10k: Yes |
| other10k: SIPRNet and NATO Brief required |
| x11a: Yes |
| x11b: Yes |
| x11c: Yes |
| x11d: Yes |
| x11e: Yes |
| x11f: Yes |
| x11g: Yes |
| x11h: Yes |
| x11i: Yes |
| x11j: Yes |
| x11k: Yes |
| x11l: Yes |
| other11l: |
| xrelease: No |
| release_thru: The Contracting Officer Representative (COR) Timothy J. Russell HQDA G-3/5/7 (DAMO-SSD) |
NO PUBLIC RELEASE OF SCI IS AUTHORIZED. Requests for other than SCI must be approved through the COR and appropriate channels prior to release.
guidance: Requiring Activity (RA) will provide security classification guidance (SCG) for classified material generated in performance of this contract. All applicable provisions of DOD 5220.22M and its supplements apply. See attached Security Addendums.
The Contractor will be required to have a final Top Secret facility clearance (FCL) granted by the Defense Security Service (DSS) prior to contract implementation.
COR and SCI Contract Monitor: Timothy J. Russell, GS-15, ODCS, G-3/5/7 400 Army Pentagon Washington, DC 20310-0400; (703) 545-4204; timothy.j.russell24.civ@mail.mil Alternate COR: Glen L. Scott, GS-14, ODCS, G-3/5/7 400 Army Pentagon Washington, DC 20310-0400; (571) 515-9973 glen.l.scott3.civ@mail.mil
Place of Performance will be conducted at:
Work on SCI classified material and collateral classified material up to TOP SECRET will be at Government facilities in the NCR
- ODCS G-3/5/7 ATTN: DAMO-SSD 2530 Crystal City Dr, Arlington, VA 22202: CAGE Code - 49G71
- ODCS G-3/5/7 ATTN: U.S. Army Nuclear & CWMD Agency, 5915 16th Street, Bldg 238, Ft Belvoir, VA 22060: CAGE Code - W1YY10
| xaddlsec: Yes |
| addl_sec: Access to intelligence information requires a special briefing and a FINAL U.S. Government clearance at appropriate level for access. Foreign nationals are prohibited from access to any classified information unless sanctioned by an international or cooperative program agreement. |
| xinsp: Yes |
| inspections: |
See SCI Addendum
| cert_name: David G. Howe |
| cert_title: Security Manager |
| cert_phone: (703) 614-1317 |
| cert_addr: ODCS G-3/5/7 |
400 Army Pentagon Washington, DC 20310-0400
| cert_sign: |
| x17a: Off |
| x17b: Off |
| x17c: Off |
| x17d: Off |
| x17e: Yes |
| x17f: Yes |
| other_dist: COR |
| Reset: |
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