DRAFT_RFP_Attachment_8_MPSCIV_DD254.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.

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.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:

May 31, 2022 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"

1899 Powers Ferry Road Ste 330 Atlanta, GA 30339 Main 777-370-3740

1. HQ USAFE/IP, Unit 3050 Box 135, APO AE 09094-135

2. HQ PACAF/IF, 25 E. Street, Suite H304C, Hickam AFB, HI 96835-5439

3. HQ ACC/IP, 114 Thompson Ave, JB Langley-Eustis, VA 23665-0218 for South America Regions.

4. Jessica Jones HAFB SSA

Ref. 10.a: COMSEC safeguarding requirements apply. For on-base performance, COMSEC is incumbent on the government. Access on a government installation is granted by the user agency. Access to COMSEC information is restricted to U.S. Citizens holding a final U.S. Government clearance at the appropriate level. Personnel must receive the required COMSEC briefing. Prior approval is required from the Government Contracting Activity prior to granting access to COMSEC information to a subcontractor. Contractor will comply with Air Force COMSEC guidance.

Ref. 10.b: *The contractor is permitted to access RESTRICTED DATA (RD) in performance of this contract. Access to RD requires a final U.S. Government clearance at the appropriate level. *Minot and Whiteman Location Only.

Ref. 10.c: *The contractor is permitted access to Critical Nuclear Weapon Design Information (CNWDI) in performance of this contract. Access to CNWDI requires a special briefing and debriefing. The government program manager or designated representative will ensure contractor employees are briefed for CNWDI. Prior to granting subcontractor’s access to CNWDI, approval must be obtained from the Government Contracting Activity. *Minot and Whiteman Location ONLY.

Ref. 10.d: The contractor is permitted access to FORMERLY RESTRICTED DATA (FRD) in the performance of this contract. Access to FRD requires a final U.S. Government clearance at the appropriate level.

Ref 10.f.: The Defense Counterintelligence and Security Agency (DCSA) has been relieved of inspection oversight responsibilities for SAP programs associated with this contract. The Air Force is identified as the Cognizant Security Authority (CSA) with the AFOSI PJ fulfilling the execution.

Ref. 10.g: The contractor is permitted access to classified North Atlantic Treaty Organization (NATO) information in performance of this contract. The government project manager is the designated representative that will ensure the contractor Facility Security Officer and concerned employees are NATO briefed prior to access being granted. Prior approval of the contracting office is required for subcontracting. See the NISPOM chapter 10, section 7 for additional security requirements. Access to NATO information requires final U.S. Government clearance at the appropriate level.

Ref. 10.i.: Contractor is directed to participate in ACCM; ACCM plan and guidance will be provided by the GCA under separate cover.

Ref. 10.h.: The contractor is permitted access to Foreign Government Information in performance of this contract. Access to Foreign Government Information requires a valid need-to- know and final U.S. Government clearance at the appropriate level. Prior approval of the contracting activity is required for subcontracting. Refer to the NISPOM chapter 10, section 3 for additional security requirements.

Ref. 10.j.: CUI information provided under this contract shall be safeguarded as specified in DoD Instruction 5200.48, DoD Information Security Program: Controlled Unclassified Information (CUI).

Ref. 11.a.: Contract performance is restricted to locations identified in Items 8.a. Contractor will abide by the following security classification guidance: (Insert applicable SCGs complete title, date, all changes, and dates). Security classification guidance has been provided and is available at this location for performance on the contract. Ref. 11.a.: Contract performance is restricted to locations identified in Items 8.a. Contractor will abide by the applicable SAP security classification guidance. Security classification guidance has been provided and is available at these locations for performance on the contract.

Ref. 11.e: Contract is for software services on equipment which processes classified information. Actual generation or production of classified information is not required for performance of this contract. Cleared personnel are required to perform this service because visual or aural access to classified information cannot be precluded by escorting personnel. Any classification guidance will be provided by the using activity.

Ref. 11.f: Overseas contract performance will be at various locations identified within the Item 13 attachment to DD Form 254. A copy of the DD Form 254 must be provided to the AF SSA responsible for overseas inspections and security oversight at the performance location. The Director for Information Protection for Headquarters U.S. Air Force in Europe (HQ USAFE/IP), Headquarters Pacific Air Force (HQ PACAF/IP) for Asia-Pacific Regions, and Headquarters Air Combat Command (HQ ACC/IP) for South America Regions) will be provided copies of the DD Form 254, as applicable. See the NISPOM, chapter 10 for additional security requirements involving foreign contracts.

Ref 11.m. The contractor is designated as a Integrated visitor Group and will adhere to the Hill AFB Visitor Group Security Addendum attached in Item 13 while performing on Hill AFB, and will request installation specific security policies from the Servicing Security Activities listed in Item 15 “Ref: 8.a”, at least 30 days prior to beginning operations.

Ref. 10.e.(2). The contractor will require access to, and receipt of, classified intelligence documents in the performance of this contract. Contractor shall restrict access to those individuals with a valid need-to-know who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, or other government agencies and private individuals or organizations is prohibited unless authorized in writing by the COR with prior approval of SSO HILL. See Non-Sensitive Compartmented Information (SCI) Clauses in attachment within Item 13 for details.

Ref. 10.f: A SECRET, National Agency Check with Local Agencies Check and Credit (NACLC), current within 5 years, will be required for personnel who have SAP access. Personnel security clearances will be processed through the contractor and will be re-investigated at intervals not to exceed 5 years. The contractor shall not reveal the specific nature of work being performed under this contract, or any details thereof, except when authorized in writing by the Government Program Manager (GPM). The Contractor is prohibited from subcontracting to other contractors, organizations, private individuals or government agencies without the express written consent of the GPM.

All Program Access Requests (PARs) for personnel at Hill AFB will be made through the 309 SMXG, Advanced Programs Office (APO) at Hill AFB via the SAP Personnel Security Officer (SPO). The SPO can be reached at 309 SMXG/APO, Bldg. 1515, Rm 276, 6137 Wardleigh Rd., Hill AFB, UT 84056 or (801) 777-6860/ DSN: 777-6860. PARs for MPSC-IV personnel not at Hill AFB will be submitted through their local APO.

Personnel Security Files (PSFs) for cleared contractors will be maintained and kept by the 309 SMXG SPO at the location mentioned above. Continued contractor access to SAPs requires initial and recurring (annual) SAP security education training. The local GSSO will conduct the training where the contractor is located and transmit the training records to the 309 SMXG SPO.

Ref 10.f.: Special Access Program (SAP) security requirements apply, see SAP Information Addendum attachment within Item 13 for details.

Ref 11.f.: Disclosure of information related to this contract to citizens, or representatives, of multiple countries shall be in accordance with DoDD 5230.11 and the most current version of the applicable Delegation of Disclosure Letter.

Ref. 14: Baseline guidance includes the National Industrial Security Program Operating Manual (NISPOM), Joint Air Force, Army, Navy Manuals (JAFAN 6/0, 6/3, and 6/9), Air Force Special Access Program Nomination Process (AF SAPNP), Physical Security Standards for Special Access Program Facilities, applicable Program Security Directives (PSDs), Security Classification Guides (SCGs), directives and local Standard Operating Procedures. The PSM will provide a copy of applicable guidance to the contractor. For performance on a government installation, the contractor will provide the information requested by the Notification of Government Security Activity & Visitor Group Security Agreement Clause, AFFAR Supplement 5352.204-9000, to the appropriate SSA/Industrial Security Program Manager at the installation's (See “Actual Performance” Items 8.a – 8.c pages 1-4).

he training where the contractor is located and transmit the training records to the 309 SMXG SPO.

Ref 10.f.: Special Access Program (SAP) security requirements apply, see SAP Information Addendum attachment within Item 13 for details.

Ref 11.f.: Disclosure of information related to this contract to citizens, or representatives, of multiple countries shall be in accordance with DoDD 5230.11 and the most current version of the applicable Delegation of Disclosure Letter.

Ref 11.j. The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Hill AFB, and (specify organization information) Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced in attachment within Item 13.

Ref. 14: Baseline guidance includes the National Industrial Security Program Operating Manual (NISPOM), Joint Air Force, Army, Navy Manuals (JAFAN 6/0, 6/3, and 6/9), Air Force Special Access Program Nomination Process (AF SAPNP), Physical Security Standards for Special Access Program Facilities, applicable Program Security Directives (PSDs), Security Classification Guides (SCGs), directives and local Standard Operating Procedures. The PSM will provide a copy of applicable guidance to the contractor. For performance on a government installation, the contractor will provide the information requested by the Notification of Government Security Activity & Visitor Group Security Agreement Clause, AFFAR Supplement 5352.204-9000, to the appropriate SSA/Industrial Security Program Manager at the installation's (See “Actual Performance” Items 8.a – 8.c pages 1-4).

See DD FRM 254 Attachment for Security Guidance Continued.

NOTE: CNWDI and NC2-ESI is at only 2 locations: Minot AFB, ND and Whiteman, MO. See DD FRM 254 Attachment.

Explain and identify specific areas and government activity responsible for inspections.: Defense Security Service to Defense Counterintelligence and Security Agency (DSCA) is relieved of all industrial security review responsibilities for contractor performance on government installations identified in Items 8.a. The SSAs identified in the attachment located within Item 13 have exclusive oversight responsibilities while operating on the installations.

Ref. 10.e(1). DCSA is relieved of security inspection responsibility for all SCI material related to this contract. The SSO maintains inspection responsibility for all SCI material related to this contract.

Room 29 Hill AFB, UT 84056 Enter address (include zip code).: AFLCMC/PZZKB 6039 Wardleigh Road, Bldg 1206 Hill AFB UT 84056-5819