DD254ContractSecurityClassificationSpecification.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PREVIOUS EDITION IS OBSOLETE.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)

77 River Road Clifton, NJ 07014-2099

Atrium 1 1000 Atrium Way, Suite 310 Mt. Laurel NJ 08054-3906 Phone: 856-914-8650

Atrium 1 1000 Atrium Way, Suite 310 Mt. Laurel NJ 08054-3906 Phone: 856-914-8650

77 River Road Clifton, NJ 07014-2099

Prior to declassifying or downgrading information marked with a date or event on the “declassify on” line: The Contractor will confirm the OCA has not extended the classification period by reference to the applicable Security Classification or Declassification Guide or by consulting with the Program Office with the OCA. Pre-contract award access to classified is not required.

The Contractor will notify the Government Contracting Activity and the Government Security Manager within 48 hours of any incident involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessment of potential impact pending formal inquire/investigation. Actual or suspected compromise of Covered Defense Information will be reported IAW DFARS Clause 252.204-7012.

Ref Blks. 8a and 11c: Contract performance will occur at the Contractor’s facility. The following security classified guide applies to this effort: AN/ALQ-172 (V) Electronic Countermeasures (ECM) System Security Classification Guide date 1 Dec 2006, Revision 8 February 2018. Contractor work efforts under this task order may vary in classification from unclassified to SECRET. The Contractor will not reproduce any information/material related to this contract without the written approval of the Program Manager.

Ref Blks. 10a and 11h: Access to COMSEC information is authorized to the prime contractor only. Further release requires prior approval from the owner of the COMSEC information. COMSEC/Cryptographic Safeguarding requirements apply. See NSA/CSS Policy Manual 3-16, Control of COMSEC Material for guidance. NSA has oversight for COMSEC.

Ref Blk. 10b: Access to Restricted Data (RD) requires a final U.S. Government clearance at the appropriate level.

Ref Blk.10d: Access to RESTRICTED and FORMERLY RESTRICTED DATA is required and requires a final U.S. government clearance at the appropriate level.

Ref Blk. 10e(2): The Contractor will require access to intelligence information and must comply with directions provided by the Program Manager. The Program Manager has determined that disclosure does not create an unfair competitive advantage for the contractor or a conflict of interest with the contractor’s obligation to protect the information. In accordance with paragraph 8.9.2.2 of AFMAN 14-403, the Program Manager will identify what intelligence information is required for the contractor to satisfy the contract and will submit that information to the Servicing Sensor Intelligence Office (SIO) for approval prior to granting access.

Ref Blk. 10h: Access to Foreign Government Information (FGI) by cleared U.S. persons is based on the individuals having a valid need-to-know and a personnel security clearance (interim or final).

Ref Blk. 10j: See DoDM 5200.1, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoDM 5400.07/Air Force Manual 33-302, DoD Freedom of Information Act (FOIA) Program, and AFI 16-1404, Air Force Information Security Program, for requirements.

Ref: Blk. 10k: Program Protection Plan (PPP) will be provided by the Government activity. Access to Secret Internet Protocol Router Network (SIPRNET) is authorized. SIPRNET users shall receive the Air Force North Atlantic Treaty Organization (NATO) Security Awareness Briefing, and sign and acknowledgement, prior to SIPRNET access. A formal NATO briefing is required when (1) the SIPRNET enclave, or other classified networks, is approved for NATO and no additional security measures are in place to preclude access or (2) access to NATO information is authorized. Formal NATO briefings shall be accomplished IAW NISPOM, Para 10-706.

Contractor employees who need access to government information technology (IT) assigned to national security positions or required to perform national security duties will be subject to investigation to determine whether they are and will remain reliable, trustworthy, of good conduct and character, and loyal to the United States and whether granting or continuing national security eligibility is clearly consistent with the national interest.

Ref Blk. 11c: Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the source material to be governed by the current version of the Security Classification/Declassification Guide (SCDG), Original date (10 October 2017), OPR: Michael Schmidt (AFLCMC/WW). SCDG will be provided under a separate cover.

Ref Blk. 11d: The Contractor must provide adequate storage for classified hardware to the level of SECRET, which because of size or quantity cannot be safeguarded in an approved storage container.

Ref Blk 11m: The Following FARS and DFARS Clauses apply: Far Clause 52.204-2, FAR Clause 52.204-21, DFARS Clause 252.204-7012, DFARS 252.204-7000, DFARS 252.204-7008 and DFARS 252.204-7009.

Ref Blk. 11j: OPSEC requirement apply. See Statement of Work (SOW) for requirements and PPP, Annex E.

Ref Blk. 11k: Go to https://www.ustranscom.mil/cmd/associated/dcd/ for Defense Courier Service points of contacts and guidance.

Ref Blk. 12: Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contractor Officer will provide the contractor with written approval/disapproval. Information requiring AF or DoD level review will be reviewed by the unit’s OPSEC Program Manager or Coordinator who will in-turn forward to the entry-level public affair office through the AFIMSC Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330-1690.

Ref Blk. 18f: Ensure certifications and signatures are completed by the Contracting Officer and distribution is made to the following organizations:

AFLCMC IP

2145 Monahan Way

WPAFB, OH 454-7629

AFLCMC.IPDDForm254.Workflow@us.af.mil

21 IS/INS

SSO WPAFB

2450 D Street, Bldg. 20, Area B

WPAFB, OH 45433-7629

WPAFBSpecialSecurityOffice.Mailbox@us.af.mil

21 IS/INI

Bldg. 20 2450 D Street

WPAFB, OH 45433-7629

AFLCMC.21is.21is254workflow@us.af.mil

AFLCMC/INGS

235 Bryon Street, Suite 19A Robins AFB, GA 31098-1670 robins.sso@us.af.mil

AFLCMC/INMS

101 West D Avenue Suite 102 Eglin AFB, FL 32542

AFLCMC/INHS

102 Barksdale Street Hanscom AFB, MA 01731-1801

AFICC/KVD

DTIC IAC Contracting 101 Washington, Sq. Bldg. 40 Offutt AFB, NE

AFLCMC/WNY

235 Byron Street, Ste. 19A Robins AFB, GA 31098

78 ABW/IPD

985 Macon Street Robins AFB, GA 31098

ALQ-172 Logistics Manager rep: Jucal Higgs-Bradford Security Specialist / OPSEC Coordinator rep: Sean McCaslin USAF Servicing Security Activity

Robins, AFB GA, 31098 Address: 235 Byron Street, Suite 19A Robins, AFB GA, 31098