B08 - Attachment 8 DD Form 254.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PREVIOUS EDITION IS OBSOLETE.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)

2 International Plaza, Suite 340 Philadelphia, PA 19113 610-537-1060

8198 Blackhawk Road Aberdeen Proving Ground, MD 21010-5424

10.k.(1) Access to Automated Information Systems (AIS). IAW AR-25-2, AR 380-67 and affiliated regulations, if access to AIS is a requirement, a favorable investigation is required to access the DEVCOM Mainframe Systems and all Local Area Network Server Accounts. Interim access prior to the completion of investigations will be considered on a case-by-case basis. The Contracting Officer's Representative and DEVCOM Chemical Biological Center Security Office will make interim access determinations.

10.k.(2) Use of computer equipment for classified processing shall be approved by the Defense Counterintelligence Security Agency and/or the DEVCOM Chemical Biological Center Security Office. Contractor employees accessing this computer equipment shall be U.S. citizens and have an approved security clearance in place.

11.a. The contractor is authorized to access classified information ONLY at a government activity. Contract employees requiring access to classified information related to this contract are approved/authorized access only up to the SECRET level. Contract employees accessing classified information shall be US citizens and have a valid security clearance in place prior to access of Classified Information.

11.e. Contractor will perform information technology equipment maintenance and services on equipment which processes classified information as required under this contract.

11.g. The contractor will prepare DD Forms 1540 and 2345 for authorized access to DTIC and provide them to the Contracting Officer's Representative or Task Manager for processing.

11.j. The contractor shall prepare, obtain approval for, execute and maintain an OPSEC plan IAW contract terms and CDRLs. The Contractor shall comply with OPSEC requirements in AR 530-1 and/or local User Agency policies and programs (unclassified technology). The DEVCOM Chemical Biological Center Security Manager will be provided a copy of the approved OPSEC plan within thirty (30) days of contract award. Prime contractors may not impose OPSEC requirements on their sub-contractors unless the GCA approves the OPSEC requirements.

11.l. Contractor is authorized to receive, store, or generate CUI in the performance of this contract. Information designated as CUI, e.g., FOUO generated under this contract shall be controlled, handled, stored, marked, safeguarded, transmitted and destroyed IAW DoDM 5200.01, DoDM 5400.07, AR 380-5, AR 25-2, AR 25-55, and the following guidance:

• Electronically transmitted CUI shall be sent via: 1) encrypted email, 2) password protected/encrypted document, 3) AMRDEC Safe Access File Exchange at https://safe.amrdec.army.mil/safe/Welcome.aspx, or 4) an accredited information system with proper security controls.

• The contractor may disseminate CUI to their employees and subcontractors that have a need-to know.

• Disposal/destruction shall be by means of shredding when no longer needed. If shredding capabilities are unavailable on contractor site – contractor may coordinate with government representative for shredding services.

• The contractor shall report any unauthorized disclosure of CUI to the KO/COR, CM, or ISS.

11.m.(I) The contractor shall not use foreign nationals on this contract unless approved by the Procuring Contracting Officer with DEVCOM Chemical Biological Center Security Office concurrence. Any foreign nationals must be approved prior to initiating work under this project or subcontract. The following information is required when requesting approval for foreign national support: full name, date of birth. place of birth, citizenship, registration number, port of entry, and description of position in which employee will be utilized, photo copy of the work visa, permanent resident card or green card, abbreviated Curriculum Vitae, and a sole source justification. These documents will be submitted to the DEVCOM Chemical Biological Center Security Office for approval. Previously approved foreign nationals must be re-approved if the nature of their work under this contract differs from that performed under the prior year's contract.

11.m.(2) In accordance with Block 12 above, the contractor shall ensure that prior to the release of any information outside the Government, that a request for release is submitted through the Procuring Contracting Officer to the DEVCOM Chemical Biological Center Security Office for review and approval.

11.m (3) The contractor shall return all classified/sensitive material, to include program material to the Government at the completion of this contract.

11.m.(4) If this contract involves work with chemical surety material, then employees must be certified in the Chemical Personnel Reliability Program.

11.m (5) Contract personnel working on this contract are required to take the following training as defined in the Performance Work Statement not later than 30 days after contract award: AT Level 1 Training; iWatch Training; Army Training Certification Tracking System DoD Information Assurance Awareness Training before issuance of network access to Government Information Systems; Level I OPSEC Awareness training; Threat Awareness and Reporting Program (TARP) training; and derivative classification training concerning protection, handling, and proper marking of classified information.

Acquisition Support Specialist

Aberdeen Proving Ground, MD 21010 Address: DEVCOM Chemical Biological Center 8198 Blackhawk Road

APG, MD 21010-5424