DD254 Signed.pdf

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

PREVIOUS EDITION IS OBSOLETE.

Page of

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"

950 Jefferson Ave.

Ft. Eustis, VA 23604 520-713-7975

2221 Adams Avenue Fort Gregg-Adams, VA 23801

Sustainment CDID security manager: robert.a.lewis22.civ@army.mil

Ref 10j: Contractor personnel will protect classified information and controlled unclassified information (CUI), in accordance with (IAW) 32 CFR part 117 NISPOM; DoDI 5200.48; AR 380-5; AR 380-49 and AR 25-55. The Contractor will also adhere to security program requirements within FCC for the protection of both classified and CUI information to include reproduction, destruction and marking.

Ref 10k: Secret Internet Protocol Network (SIPRNET) access required to perform this contract. The contractor is not authorized to access, download or further disseminate any classified information from the SIPRNET which is outside the scope of the defined contract requirements unless specifically authorized in writing by the Government Requiring Activity and the Contracting Officer. The Contractor must complete and forward to the Government, a SIPRNET System Access Request Form (DD Form 2875) for approval by the Requiring Activity Information Assurance Manager (IAM) prior to receiving access. A NATO awareness briefing and acknowledgment is required for all personnel prior to JWICS and/or SIPRNET access.

Ref 11a:Contractor’s performance involving access to classified information is restricted to the locations identified in item 8a of this form. The contractor’s Facility Security Officer (FSO) will submit a visit request via the Defense Information System for Security (DISS) (or ACCS for SCI contracts) to the security office associated with this contract. SMO codes include but are not limited to W3U2AA6A1 for collateral and W3U2AA3 for SCI. The visit request will be sent in advance of contractor personnel reporting for their first day of work on the contract. Contractor personnel may be subject to CONUS TDY travel as determined and authorized by the COR in writing and in advance of travel. If classified access is required at the TDY site, the COR will coordinate with the company FSO or with their Organization Security Manager (OSM) to submit the visit request in DISS.

Ref11l: Contractor personnel will protect classified information and controlled unclassified information (CUI), in accordance with 32 CFR part 117 NISPOM; DoDI 5200.48; AR 380-5; AR 380-49 and AR 25-55. This may include information formerly marked "For Official Use Only." For guidance on CUI, see DoDI 5200.48, AR 380-5, or dodcui.mil.

Ref. 11m: Security Training: The COR and the government requiring activity’s security manager will ensure security training is documented annually on all contractor personnel IAW AR 380-49. Training requirements for contractor personnel as provided by the Government include but is not limited to;

DoD Initial Security Orientation and Awareness Training: https://securityawareness.usalearning.gov/initialorientation/index.htm Information Security: https://Ims.army.mil/learnerview Controlled Unclassified information (CUI): https://securityhub.usalearning.gov/ Derivative Classification Training: https://securityhub.usalearning.gov/ Anti-Terrorism Awareness: https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf Operation Security (OPSEC) Awareness: Currently slides on FCC training portal DoD Cyber Awareness Training and a signed Acceptable Use Policy (AUP): https://cs.signal.army.mil/ Threat Awareness and Reporting Program (TARP): https://www.lms.army.mil/learnerview/

All contractor personnel will attend in-person TARP training annually. All Contractors will report threat-related incidents, behavioral indicators, and other matters of Counterintelligence (CI) interest, to their FSO, or the Defense Counterintelligence and Security Agency, and to the supporting Army Counterintelligence (ACI) office. Reporting requirements are covered in Chapter 3, AR 381-12, Threat Awareness and Reporting program.

CAC Issuance: The contractor will not be processed for a Common Access Card (CAC) until FCC G2 has received both the 380-1 from the Organization Security Manager and a DISS or NBIS Visit Authorization Request (VAR) from the FSO corresponding to the appropriate FCC SMO code. For FCC collateral contracts submit to SMO code W3U2AA6A1 and for SCI contracts submit to SMO code W3U2AA3. Contractor personnel shall obtain a CAC through the Mission Partner Identity, Credential, and Access Management (MP ICAM) Mission Partner Affiliation Sponsor (MPAS). Contractors shall follow MP ICAM instructions for initiating and obtaining a CAC.

Security Incidents: All security incidents involving contractors and classified information/CUI will be reported to the KO/COR who must then notify FCC G2 and any program office that has responsibility for the information or the contractor. FCC G2 office will ensure the appropriate government security managers, the prime contractor’s FSO, and DCSA Industrial Security Representatives are informed. A damage assessment is conducted by the government.

Classified Storage: All classified material/information will be provided by the government requiring activity and shall be maintained and safeguarded at the government activity. If storage is authorized at the contractor site it must meet 32 CFR Part 117 NISPOM standard.

Security Classification Guidance (SCG): The government requiring activity will provide the appropriate security classification guidance for the performance of this contract.

Subcontracting: If subcontracting is authorized for this contract, the prime contractor is responsible for issuing a subcontractor DD Form 254 for any classified work or material that the sub-contractor will have access to while working for the prime contractor. The prime contractor FSO is responsible for preparing the subcontractor DD Form 254. NOTE: the FSO will coordinate to have the prepared DD Form 254 reviewed by the COR and FCC G2 Industrial Security Program Manager (ISPM) before certifying and signing the DD Form 254 at Block 17. The COR and ISPM will sign Block 13 as part of their document review. The prime contractor FSO will provide the KO and/or COR with a copy of all subcontractor DD Form 254s to be attached to the prime contract. The KO/COR will provide a copy of all subcontract DD Form 254s to FCC G2 ISPM and the government requiring activity’s security manager. The prime contractor is responsible for providing oversight of their subcontracts and must identify and report to the COR any security measures or requirements that are bound both to be inadequate or excessive, and request a revision to the DD Form 254, if needed. All Subcontractor FSOs are responsible for providing FCC G2 a DISS/NBIS visit request for all members of the contract who will be working inside a government facility.

Transmission of Classified Information: Every effort should be made to transmit all classified through secure information technology means, e.g., Secure Internet Protocol Router Network (SIPRNet). If hand carrying of classified (Secret and below) information is required within CONUS, advanced written approval by the COR is required. FCC G2 will verify security clearance eligibility and access and issue either a DD Form 2501, Courier Authorization Card or a Courier letter. The contractor will be briefed on procedures to protect, transmit and package the material via a courier briefing.

NATO: Actual knowledge of, generation, or production of NATO information is not required for performance on the contract. A NATO awareness briefing is required since SIPRNet access is required for contract performance. Personnel who require access to NATO classified information, NATO COSMIC, NATO Secret or access to the NATO accredited SIPRNET terminals, must possess a FINAL clearance based upon the appropriate personnel security investigation required. The government program/project manager will ensure the contractor personnel are NATO briefed prior to access. Prior approval from the KO is required for subcontracting.

Visitor Group Security Agreement: Contractor personnel working on a military installation shall read and sign that installation's Integrated Visitor Group Security Agreement as a condition of classified access, and as part of security in-processing.

Contractor Project Manager/on-site contract lead: TBD (NAME, EMAIL, PHONE) COR: James Higdon, james.e.higdon.civ@army.mil, 520-713-9523

As the ISS, I certify the validity of the security requirements in this DD Form 254.

Building 7124 Fort Gregg-Adams VA 23801 Enter address (include zip code).: 950 Jefferson Ave.

Ft. Eustis, VA 23604