Draft DD254.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

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:

October 31, 2020 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 List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Updated Period of Performance: 9/25/2015 to 01/31/2024 Original Award

DHS

CG-9311, CGAS E-City, ALC

2. Designated contractor personnel must hold U.S. citizenship and posses a Personnel Clearance (PCL) at the SECRET level. Contractor personnel must maintain a SECRET clearance for the life of the contract; and therefore the contractor shall provide staff cleared at the appropriate level to perform the work. The contractor must provide a list of personnel PCL assigned functions to the COR. The contractor shall advise the COR immediately upon reassignment of personnel to other duties not associated with this contract.

3. Per Item 8.a, the contractor is required to perform classified work at their facility and must ensure all security controls are in place to receive, generate and store SECRET material/hardware in accordance with the NISPOM, 32 CFR Part 117.

4. Per Item 10.a and Item 11.h, the contractor is authorized to use classified COMSEC material (KEYMAT and hardware) to support this contract. The contractor shall have a COMSEC account to receive or take custody of accountable COMSEC material/equipment at its facility. Access to classified COMSEC information requires a final U.S. government clearance and briefing at the appropriate level. COMSEC material must be handled and safeguarded based on its assigned classification level. Further disclosure of COMSEC information by a contractor, to include subcontracting, requires approval of the USCG.

4.a. Non-accountable COMSEC information, though not tracked in the COMSEC material control system, may still require a level of control within a document control system. Refer to NSA/CSS Manual 3-16, "Control of Communications Security Material," and the committee on National Security Systems Instruction (CNSSI) 4001, "Controlled Cryptographic Items," for guidance. If access to COMSEC information is required at Government facilities, contractor personnel shall follow the security requirements of the host government activity.

4.b. CMS-1 (series) COMSEC Policy and Procedures Manual: Outlines policy and procedures for receipting, safeguarding, issuing, destroying, inventorying and transferring COMSEC material. Questions regarding security classification, not governed by specific security classification guidance, shall be addressed to the COR.

5. Per Item 10.j, Sensitive but Unclassified information is used in lieu of CUI. The contractor is responsible to control and safeguard FOUO in accordance with DHS MD 11042.1, "Safeguarding SBU/FOUO information." All contractor employee with access to sensitive information (i.e, FOUO, etc.) shall execute a Non-Disclosure Agreement (NDA), DHS Form 11000-6, as a condition of access to such information. Further, the contractor shall adhere to the appropriate DHS HSAR Class Deviation 15-01 clauses to safeguard sensitive information.

6. Contractor must provide a training plan of how procedures are implemented for employee's security briefings and certification that the appropriate employees have executed a current SF-312 according to NISPOM Chapter 3. On-site contractor's employees shall require attending and participating in the USCG Security Education and Awareness Training program as appropriate to the responsibilities associated with assigned duties.

7. Contractor shall implement procedures whereby any loss, compromise, or suspected loss or compromise of classified, or sensitive but unclassified information or material issued under this contract is promptly reported to both the DCSA Cognizant Security Office and designated COR. The COR shall provide a complete report of the loss to the servicing USCG CSO and KO.

8. Per Items 11.c and 11.d, the contractor is authorized to receive, generate, and store classified material/hardware at its facility, as previously mentioned. Material developed by the Contractor under this contract containing classified information must be marked with the highest level of classification and safeguarded in accordance with the classification guidance identified in the source material. Classification, declassification, and markings shall be in accordance with E.O. 13526, "Classified National Security Information, which guidance is also given IAW NISPOM. Questions regarding security classification, not governed by specific security classification guidance, shall be addressed to the COR.

Note: Any processing of classified information at the contractor facility shall meet Defense Counterintelligence and Security Agency (DCSA) accreditation standards IAW NISPOM.

9. Transmission (i.e. mail/handcarry) of classified material shall be IAW NISPOM. Per Item 11.k, the contractor may utilize the Defense Courier Service based on the USCG approval via United States Transportation Command's (USTRANSCOM) Defense Couriers Division (TCJ3-C), Scott AFB, IL 62225-5357. Prior approval is also required before the prime contractor can authorize a subcontractor to use the services of USTRANSCOM's Defense Couriers.

10. The contractor is responsible for safeguarding all government equipment, information and property provided for contractor use. The contractor shall ensure that any classified information disclosed to its employees is not further released or made available to other employees, or any other person who does not have appropriate clearance and need-to-know. Per Item 12, documentation obtained for use with this contract shall not be used for any purpose unless prior authorization has been obtained from the U.S. Coast Guard, Headquarters, Washington, D.C.

11. The contractor's FSO is responsible to submit (VAL) for off-site classified visits to the government locations, if required. All requests shall contain the information required by the NISPOM and shall not exceed the completion date of the contract or a 12 month period, whichever is shorter. Additionally, the VAL shall note the applicable government COR or Technical Assistant (TA) responsible for coordinating the visit so that the host location can verify “Need-To-Know,” as necessary. (AKA: VAR).

11. Subcontractor's DD Form 254s (if applicable) are prepared by the prime contractor and are forwarded to the USCG POC for concurrence. The contractor is obligated to pass on the security requirements IAW NISPOM, tailored to the task being sought.

12. Biennial review shall be conducted to ensure current guidelines unless special circumstances occur. A revised DD Form 254 shall be issued as necessary only upon any changes to the security requirements.

13. Upon termination of this contract, all government furnished material, equipment, documentation/materials or any deliverable items shall be returned to the USCG COR, as appropriate. Contractor shall dispose of classified information according to disposition and retention procedures IAW NISPOM. SBU/FOUO information shall be destroyed IAW DHS MD 11042.1.

14. The designated COR is LCDR Lauren Gillikin, U.S. Coast Guard, HQ, COMDT (CG-9311), 2703 Martin Luther King Jr. Ave, Washington, D.C. 20593, Ph: (202) 475-3802, Email: Lauren.M.Gillikin@uscg.mil

Note: Contractor is bound by the contract, non-disclosure agreements and clauses, such as the FAR 52.204-2, Security Requirements Clause (Aug 1996). The classification level is SECRET.

[End of Item 13] text:

LRS Program Manager rep: OSS2 Raymond J. Anderson Command Security Officer (CSO) rep: Jacqueline D. Garrett Industrial Security Program Mgr, DCMS-34

a). Coast Guard Industrial Security Program - COMDTINST 5520.13A b) Operations Security Program - COMDTINST M5510.24 (series) c). DHS Management Directive (MD) 11042.1 for the handling of Sensitive but Unclassified/FOUO Information d). U.S. Insider Threat Security Classification Guide, Version 1.0 (series) e) COMSEC Manual, Naval Communications Security Material System, CMS-1 (series)

Per Item 11.j, OPSEC requirements apply. The contract must abide by guidelines outlined in the DHS Management Directive (MD) 11042.1, as well as COMDINST M5510.24 (series). OPSEC plans are required to be approved by the GCA.

COMDT (CG-9313)

2703 Martin Luther King, Jr. Ave SE Washington, D.C. 20593-7800 Address: U.S. Coast Guard, Headquarters 2703 Martin Luther King, Jr. Ave SE Washington, D.C. 20593-7828