Attachment J1 - DD Form 254.pdf

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PREVIOUS EDITION IS OBSOLETE.

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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:

June 30, 2025 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.)

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

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"

2004 Turbot Landing Annapolis, MD 21402 Enter location(s).: DISA HQ 6910 Cooper Ave.

Ft. Meade, MD 20755

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.

All visit access requests (VARs) by contractors shall be sent via the Defense Information System for Security (DISS) to the DISA VAR Center (DISS SMO: DKAUAA and DKABAA10) 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 SM.

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 subcontractor DD Form 254 and subcontract memo for all their subcontracts meeting review criteria via a SM to submit for approval.

Period of performance: TBD

Reference Block 4: W52P1J18DA045/HC104720F0010, all classified material or information associated with this contract is authorized to be transferred to the contract number cited in Block 2a.

Reference Block 10e(1): This contract requires access to SCI.

a. The number of personnel required to have access to SCI is determined by the COR/ACOR and the contractor. Inquiries pertaining to classification guidance on SCI will be directed to the responsible Contracting Officer’s Representative (COR), Contracting Officer’s Technical Representative (COTR), or Government Program Manager (GPM), and the Government Special Security Officer (GSSO). SCI is limited to the executable term of the contract. Upon expiration of the SCI contract, all contractors with SCI accesses must be withdrawn, debriefed, and all SCI materials must be recovered.

b. The Director, Defense Intelligence Agency (DIA) and Director, Defense Information Systems Agency (DISA), as the executive agent for DIA, have exclusive security responsibility for SCI released to the contractor or developed under this contract.

c. Contractor generated or Government furnished material may not be provided to the Defense Technical Information Center. Contract generated technical reports will bear the statement ‘Not Releasable to the Defense Technical Information Center per DoD Instruction 5230.24’.

d. All contractor personnel requiring access to SCI information must: be U.S. citizens, have been granted a final ICD 703 and DCID 6/6 security clearance by the U.S. Government, and have been indoctrinated for the applicable compartments of SCI access prior to being given any access to such information released or generated under this contract. The FSO/CSSO will advise the GPM and GSSO immediately upon reassignment, dismissal, termination or revocation of need-to-know for SCI cleared personnel on this contract. A formal notice to the GSSO is required for processing debrief action. FSO/CSSO will notify the PM and SSO immediately when there is a change in status of SCI indoctrinated contractor personnel in accordance with (IAW) the security clearance adjudication guideline identified in ICD 704.

e. Classified material released or generated under this contract is not releasable to foreign nationals without the expressed written permission of the Director, DISA (through the DISA SSO) and Director, DIA.

f. SCI received under this contract may not be released to subcontractors without permission of the DISA SSO. The FSO/CSSO is responsible to establish and maintain an SCI personnel access list of those employees working on the contract to include subcontractors (if applicable/authorized to subcontract). The FSO/CSSOs will provide a copy of the list at least quarterly and/or upon request to the GPM and GSSO.

g. All SCI visit requests by contractors shall be forwarded to the COR/ACOR for approval and need-to-know certification before being sent through the DISA SSO to the facility to be visited. All SCI access required in the performance of this contract will be justified/authorized through the GPM and maintained/approved by the GSSO. The GPM will provide the Contractor Facility Security Officer (FSO) or Contractor Special Security Officer (CSSO) with written approval of personnel and the necessary data to submit request(s) for single scope background investigations (T5/T5R). Term certifications from any other Government agencies for contractors working SCI portions of the contracts are acceptable for the time between submission and approval of the contractor SCI access request. Contractor FSO/CSSO will be required to pass Personal Identifying Information (PII) to the GSSO; contractors must make provisions for approved electronic encryption methods to communicate the required information. The Senior Intelligence Officer (SIO) is the final authority for approval of contractor personnel SCI access. The GSSO will provide the SCI access nomination request form to the contractor FSO/CSSOs. Company shall not submit nomination requests or SCI access requests for individuals not directly supporting this specific contract.

h. CI Polygraph clearance required to support cybersecurity verification for the EMBM-J SA system on NIPRNet, SIPRNet, and JWICS. RMF activities are primarily performed on Xacta 360 on NGA JWICS.

Reference Block 10e(2): Non-SCI Intelligence Information: This contract requires access to Top Secret non-SCI intelligence information to support: Integration of military operational spectrum data into system development. Secret, Top Secret/SCI clearance required to access mission information required for program / technical lead activities for management of contract deliverables and reporting required across all fabrics. Access is also required to allow for necessary collaboration with the NGA, IC and EW community for requirements analysis, SCI data source assessments

1. Access to Non-SCI Intelligence information requires special briefings and a final U.S. Government clearance/eligibility at the appropriate level. An approved subcontracting plan and Government Contracting Officer written approval is required prior to granting Non-SCI Intelligence information access to a subcontractor.

2. ALL non-SCI documents and publications developed by the contractor under this contract require mandatory review by the GSSO and GPM.

3. Release of Non-SCI Intelligence Information to DoD Contractors (note: “release of Non-SCI Intelligence Information to US Contractors” only applies to those contracts marked ‘YES” to block 10e2 of the DD Form 254)

4. Requirements for access to non-SCI:

5. All intelligence material released to the contractor remains the property of the US Government and may be withdrawn at any time. Contractors must maintain accountability for all classified intelligence released to their custody.

. The contractor must not reproduce intelligence material without the written permission of the originating agency through the Intelligence Support Office. If permission is granted, each copy shall be controlled in the same manner as the original.

7. The contractor must not destroy any intelligence material without advance approval from or as specified by the Contracting Officer’s Representative (COR).

8. The contractor must restrict/limit access to only those individuals who possess the necessary security clearance and/or who are actually providing services under the contract with a valid need-to-know. Further dissemination to other contractors, subcontractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the originating agency through the COR.

9. The contractor must ensure each employee having access to intelligence material is fully aware of the special security requirements for this material and shall maintain records in a manner that will permit the contractor to furnish, on demand, the names of individuals who have had access to this material in their custody.

10. Intelligence material must not be released to foreign nationals or immigrant aliens whether they are consultants, US contractors, or employees of the contractor and regardless of the level of their security clearance/eligibility, except with the *advance written permission* from the originator. Requests for the release to foreign nation shall be initially forwarded to the COR and shall include:

a. A copy of the proposed disclosure

b. Full justification reflecting the benefits to US interests.

c. Name, nationality, particulars of clearance/eligibility, and current access authorizations of each proposed foreign national recipient

11. Upon completion or termination of the contract, or sooner, when the purpose of the release has been served, the contractor will return all classified intelligence (furnished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the COR. Access to Top Secret non-SCI intelligence information is required to support: Integration of military operational spectrum data into system development.

12. The contractor must designate an individual who is working on the contract as custodian. The designated custodian shall be responsible for receiving and accounting for all classified material received or generated under this contract. This does not mean that the custodian must personally sign for all classified material. The inner wrapper of all classified material dispatch should be marked for the attention of the designated custodian and must not be opened by anyone not working directly on the contract..13. Within 30 days after the final product is received and accepted by the procuring agency, classified intelligence materials released to or generated by the contractor, must be returned to the originating agency through the COR. Requests to destroy or retain must be directed to the COR for this contract in writing and must clearly indicate the justification for destruction and/or retention and must include the identity of the specific documents for which destruction is being requested and include the proposed method of destruction; requests to retain must include the identity of the specific documents and indicate the justification.

14. Classification, regrading, or declassification markings of documentation produced by the contractor shall be consistent with those that apply to the information and/or documentation for which the new document was prepared. The User agency shall review and provide direction to include the assigned tentative security classifications by the COR. Furthermore, pending final determination, the material shall be safeguarded as required for its assigned or proposed classification, whichever is higher, until a classification is changed or otherwise verified.

15. Request for release of intelligence material to a contractor must be prepared by the COR and submitted to the Intelligence Support Office and should be accompanied as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirement and copies of the DD Form 254 and/or Statement of Work (SOW) and/or Performance Work Statement (PWS).

Reference Block 10j: Contractor will be provided with and will abide by DoDM 5400.07, DoD Freedom of Information Act Program, DoD 5200.01-M, Information Security Program, and DoDI 5200.48 Controlled Unclassified Information (CUI), Section 3.4. Guidance provided under separate cover

Reference Block 10k: NIPRNet, SIPRNet, JWICS, NGANet SBU Access required at the Government facility. A NATO Secret briefing is required for SIPRNet and/or JWICS access.

Employees requiring DISA YLAN (JWICS) access will be processed as follows:

a. Be cleared for minimum of TS/SCI/G/HCS

b. Be NATO Secret briefed (updated in CMIS/DISS)

c. Have a signed End User Access Agreement, uploaded into CMIS and approved by the listed supervisor/COR

d. Have current/completed Cyber Awareness Challenge training documented in CMIS (if CMIS won't update, provide copy of certificate)

e. A completed DD2875

f. YLAN General user agreement signed

Reference Block 11a: Contract performance is restricted to the PEO Spectrum 2004 Turbot Landing, Annapolis, MD, 21402, DISA HQ, 6910 Cooper Avenue, Fort George G. Meade, MD 20755 locations. The contractor or Government activity will provide security classification guidance for the performance of this contract.

Reference Block 11L: 1. DoD Components: Refer to DoDI 5200.48 Controlled Unclassified Information (CUI), Section 3.4 when considering specific requirements to be imposed on the contractor for the protection of CUI. 2. Non-DoD Components must consult with your Component-specific information security policy office to determine if you have any existing authority by law. 3. In accordance with DoD Instruction 5200.48 (DoDI 5200.48) dated March 6, 2020, Contractors are required to ensure all personnel receive and complete Initial and Annual Refresher CUI education and training and maintain documentation of this training for audit purposes. Initial and Annual Refresher CUI security education, training and awareness on the required topics identified in Section 2002:30 of Title 32 CFR, including protection and management of CUI, to DoD personnel and contractors through the Center for Development of Security Excellence (CDSE).

Reference Block 15: All contractor SCI work and access will be at a designated government SCI Facility (SCIF).

When SCI or SAP task(s) are subcontracted, the subcontractor DD Form 254 must be sent to the DISA Industrial Security PM and be processed through the DISA SSO and/or Program Security Officer for approval.

Fort Meade, MD 20755-7090 Enter address (include zip code).: 2004 Turbot Landing Annapolis, MD 21402