B08_Attachment 0003_DD254 SEPM W15P7T23R0004.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

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:

20220531 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.)

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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

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

Alexandria Field Office 2331 Mill Road, 4th Floor, Alexandria, VA 22314 571-551-7960

Aberdeen Proving Ground, MD, Camp Dodge, IA, China Lake, CA, Fort Hood, TX, Fort Belvoir, VA, Fort Benning, GA, Fort Bliss, TX, Fort Bragg, NC, Fort Campbell, KY Fort Carson, CO Fort Drum, NY Location: Fort Eustis, VA, Fort Gordon, GA, Fort Huachuca, AZ Fort Indiantown Gap, PA, Fort Irwin, CA Fort Leavenworth, KS, Fort Leonard Wood, MO, Fort Meade, MD, Fort Monroe, VA, Fort Polk, LA, Fort Riley, KS Fort Sill, OK, Fort Stewart, GA Fort Washington, PA Location: Fort Wainwright, AK, Joint Base Elmendorf-Richardson, AK, Joint Base Lewis-McChord, WA Joint Base McGuire-Dix-Lakehurst, NJ, Pentagon, Washington DC, Quantico, VA, Redstone Arsenal, AL, Schofield Barracks, HI, Tobyhanna Army Depot, PA Location: White Sands, NM, Yuma Proving Ground, AZ OCONUS Locations:

Afghanistan, Africa, Australia, Bulgaria, China, Croatia, Cuba, Egypt, France, Germany, Hungary, Italy, Japan, Korea, Kuwait, Pakistan, Poland, Qatar, Romania, Taiwan

CM, Richard E. Greel, Jr. richard.e.greel.civ@army.mil PublicAuthority: Paul Mehney, paul.d.mehney.civ@army.mil Director Public Communications

10a. Classified COMSEC material is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. COMSEC access shall be IAW DoD 5220.22-M and AR 380-40. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by Command policy and procedures. Written concurrence of the KO is required prior to subcontracting.

10e(1). SCI Access required. Reference SCI addendum. 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 KO.

10e(2). Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting. Access to Intelligence information required for performance.

10g. NATO Information: shall be marked if the contract requires access to information or documents belonging to the NATO. The prime contractor must receive approval from the KO to grant NATO access to a subcontractor.

10j. Controlled Unclassified Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoDI 5200.48 10k. PEO C3T Security Classification Guide (SCG) for WINT-T Inc 1 dated 15 Feb 2012.

10k. Secret Internet Protocol Network (SIPRNET) access required. The contractor shall not access, download or further disseminate any special access data (i.e. 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 for the DD Form 254.

10k. JWICS access is required.

11a. Contractor performance is restricted to Government facility(ies). Government agency or activity will provide security classification guidance for performance of this contract. Submit visit request to the KO and/or Security Management Office for need-to- know verification.

11f. The contractor will have access to classified information at OCONUS locations.

11g. The contractor will be authorized to use the services of Defense Technical Information Center (DTIC) or other secondary distribution center.

11j. PEO C3T OPSEC Plan dated 22 Sep 2018 11l. Controlled Unclassified Information (CUI) for example, For Official Use Only (FOUO) information generated and/or provided under this contract shall be safeguarded and marked as specified in AR 25-55 and DoD 5200.1-M (Marking is in Volume 2).

11m. see Item 13.

13a. Base contract only. Specific security requirements, e.g., SCG, place of performance, access, etc., are contingent upon each task order and shall be stipulated in the task order’s DD254.

13b. Contractor personnel will hold a security clearance commensurate with the classification level of the Information Technology (IT) system granted access to. The Facility Security Officer will clear contractor personnel if privileged access investigation requirements do not exceed the clearance requirements listed on the DD Form 254, Item 1a. For situations requiring higher clearances than listed on the DD Form 254, item 1a the government security manager will initiate the requisite security investigation required by the Information System Security Manager/Officer. Detailed privileged users access can be referenced in AR 25-2, paragraph 2-38.

13c. Classified and covered defense information, as defined in DFARS 252.204-7012, information, will be protected IAW the NISPOM and DFARS 252.204-7012. All security and cyber incidents involving classified and covered defense information, e.g., spillage, shall be immediately reported to the RA Security Specialist and to their DSS Industrial Security Representative. A spillage occurs whenever or covered defense information is transferred onto an information system not authorized for the appropriate security level or exploited by external/malicious sources. Information will be forwarded to KO/COR and the Program Manager for a program damage assessment to be conducted IAW AR 380-49. Contractors responsible for a willful or negligent spillage of information shall pay enterprise service providers for the associated cleanup costs across the enterprise to restore the affected network or networks to a normal operating configuration.

13d. PWS, SOW, or SOO shall be provided to the contractor’s FSO and/or CSSO along with the DD Form 254 and associated Continuation Pages. This is to ensure that the FSO and/or CSSO are aware of all contractual requirements relating to security within the effort.

13e. All cleared contractor personnel shall obtain a NATO Security Awareness Briefing from their FSO and/or from their program security specialist. NATO Awareness Briefing can be found at the following CAC enabled link: http://www.cdse.edu/documents/toolkits- fsos/NATO Brief.pdf 13f. Contractors traveling to OCONUS locations for either official or unofficial travel may require a defensive counterintelligence briefing prior to their departure. Requirement for defensive travel brief will be based on threat and will remain at the discretion of the G2 and/or organization’s security manager.

13g. The generation of classified material includes derivatively classified information.

13h. 13h. Security Trainings/Briefings. Several training requirements exist for contractor personnel per DoD and Army regulation/directives. On-site contractors may receive training briefs from the government appointed Security Manager; however, contracting companies will be required to provide training to off-site contractor employees. Training is tailored to the organization’s requirements as well as local policy and other approved government training. Some examples of Security training provided to integrated/embedded contractors may include, but is not limited to, the following:

Threat Awareness Reporting Program (required for all contractors with security clearances) -Per AR 381-12 Threat Awareness and Reporting Program (TARP), cleared contractoremployees must receive annual TARP training by a CI agent or other trainer as specified in2-4b.

Initial Security Orientation: Online training available on the Army Learning ManagementSystem (ALMS) site, reference ALARACT 207-2103 - Initial training Annual Security Orientation: Online training available on the Army Learning ManagementSystem (ALMS) site, reference ALARACT 207-2103 - Annual training requirement Derivative Classification Training, reference DoD 5200.01-V3- Annual training requirement Foreign travel training, AR 525-13 - Required when traveling abroad Department of the Army (DA), Army Material Command (AMC), and/or commander directedsecurity stand-downs, e.g., ad-hoc refresher trainings.

13i. Per AR 380-49, the RA is required to identify by title, functional office of primary responsibility, and approval date, the SCGs applicable to the contract on the DD Form 254 within item 13.The requirement for SCG(s) must also be annotated on DD Form 254, block 10k. Due to the mission and its reimbursable nature, it is impossible to proactively identify all SCGs associated with contract efforts. However, upon identification, the RA shall immediately provide SCGs related to the classified information associated with the execution of this contract.

APG, MD 21005-1846

Address: U.S. Army Acquisition Support Center (USAASC) G2-6 Division, Fort Belvoir, VA. 22060