Attachment V - DD254.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PREVIOUS EDITION IS OBSOLETE.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 36 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"

(See Instructions) - Select from drop-down list: 1

3450 Massachusetts Ave, NW Washington, DC 20392-5420

(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.): See SCI Addendum attached - Item 1 a) - p) See also SCI Addendum attached - Item 1 a) - k) Sensitive Compartmented Information (SCI) Ref 1 : SCI Access required. No public release of information authorized, public disclosure or confirmation of any subject related to the support contract is not authorized without first obtaining written approval from the COR: See SCI Addendum attached Ref 2: Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level.

Contract Monitor (CM) for this SCI contract is: Dr. Rachel Dudik, (202) 762-1519, rachel.dudik2.civ@us.navy.mil, United States Naval Observatory, 3450 Massachusetts Avenue NW, Washington, DC, 20392. The COR/Government POC is: Dr. Rachel Dudik, (202) 762-1519, rachel.dudik2.civ@us.navy.mil. The SIO POC is: William Ballenger, (202) 762-0901, william.r.ballenger.civ@us.navy.mil, United States Naval Observatory, 3450 Massachusetts Avenue NW, Washington, DC, 20392. The SSO is: William Ballenger, (202) 762-0901, william.r.ballenger.civ@us.navy.mil. The CMs and SIO are cleared at the highest performance level of the contract.

SEE SECTION 13 CONTINUATION SECTION AT THE BOTTOM OF THIS FORM

-Ref 10a: COMSEC information/material will be processed IAW DoD 5220.22-M, Chapter 9, Section 4, and any additional security guidelines. Contractor personnel requiring COMSEC access must be U.S. Citizens and possess a final clearance at the appropriate level. All contractors shall be briefed before access to COMSEC is granted. Written concurrence of the USNO CM is required prior to subcontracting.

- Ref 10e1: SCI Access required. No public release of information authorized, public disclosure or confirmation of any subject related to the support contract is not authorized without first obtaining written approval from the GCA.: See SCI Addendum attached -Ref 10e2: Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level.

-Ref 10g: NATO Access up to NATO SECRET is authorized for this contract. Protection of NATO information shall be in accordance with USAAN 01-07 and its applicable enclosures. Access to NATO requires a final U.S. Government National Security Clearance and must have a NATO security briefing from the Facility Security Officer (FSO). The prime contractor must receive approval from the individual identified in Item 17(a) of this DD 254 to impose NATO requirements or grant NATO access to a sub-contractor. Requests shall be submitted in writing.

-Ref 10h: Foreign Government Information(FGI) is not released to Contractor employees who have not received a FINAL Clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting. Exposure to FGI is based on access to SIPR and JWICS networks.

-Ref 10j: CUI encompasses what was previously stated as FOUO and PII. DoD components refer to DoDM 5200.01, VOL 4, "DoD Information Security Program: Controlled Unclassified Information (CUI)," available at http://www.esd.whs.mil/DD/DoD-Issuances/ when considering protection for CUI.

-Ref 10k: SIPR and JWICS access required. The contractor shall not access, download or further disseminate any special access date (e.g. intelligence, NATO, COMSEC, etc.) outside the execution of the defined contract requirements and without the guidance and written permission of the KO. In the event that any special access is required, the KO must modify the requirements of the DD Form 254.

- Ref 11a - Contract performance is restricted to United States Naval Observatory and other designated Navy and Department of Defense locations necessary to execute individual delivery orders.

-Ref 11e - Perform Services only. Classification markings on the material to be furnished will provide the guidance necessary for performance of the contract.