Attach_3_-_Draft_DD254.pdf

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DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(Please read Instructions BEFORE completing this application.) (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. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See instructions.)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL REQUIRED AT CONTRACTOR FACILITY

DUE DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER

b. SUBCONTRACT NUMBER

a. PRIME CONTRACT NUMBER (See instructions.)

DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.)

DATE (YYYYMMDD)

REVISION NO.

b. REVISED (Supersedes all previous specifications.)

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

(Preceding Contract Number) is transferred to this follow-on contract.

Classified material received or generated under YES. If Yes, complete the following:

NO

4. IS THIS A FOLLOW-ON CONTRACT?

, retention of the classified material is authorized for the period of:

In response to the contractor's request dated YES. If Yes, complete the following:

NO

5. IS THIS A FINAL DD FORM 254?

c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code.)

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Click button to add more subcontractors.)

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone) (If applicable, see instructions.)

b. CAGE CODE (If applicable, see instructions.)

a. LOCATION(S) (For actual performance, see instructions.)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT (Click here if more space is needed.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

d. FORMERLY RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

b. RESTRICTED DATA

e. NATIONAL INTELLIGENCE INFORMATION:

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

k. OTHER (Specify) (See instructions.)

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES (ACCM) INFORMATION

h. FOREIGN GOVERMENT INFORMATION

g. NORTH ATLANTIC TREATY ORGANIZATION (NATO) INFORMATION

DD FORM 254, NOV 2017

PREVIOUS EDITION IS OBSOLETE.

Adobe LiveCycle Designer ES4

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY (Applicable only if there is no access or storage required at contractor facility. See instructions.)

h. REQUIRE A COMSEC ACCOUNT

k. BE AUTHORIZED TO USE DEFENSE COURIERS

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

i. HAVE A TEMPEST REQUIREMENT

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION OR MATERIAL

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

e. PERFORM SERVICES ONLY

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT

THROUGH (Specify)

PUBLIC RELEASE AUTHORITY:

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. Click button to add additional pages as needed to provide complete guidance.)

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

Yes No (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. Use Item 13 or click button if additional space is needed.)

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. Click button or use Item 13 if additional space is needed.)

Yes No

e. POC TELEPHONE (Include Area Code.)

f. EMAIL ADDRESS (See instructions.)

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See instructions.)

d. AAC OF THE CONTRACTING OFFICE (See instructions.)

e. CAGE CODE OF THE PRIME CONTRACTOR (See instructions.)

d. POC NAME (See instructions.)

c. ADDRESS (Include ZIP Code.)

a. GCA NAME

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See instructions.)

f. TELEPHONE (Include Area Code.)

g. EMAIL ADDRESS (See instructions.)

i. SIGNATURE

h. DATE

b. TITLE

c. ADDRESS (Include ZIP Code.)

f. OTHERS AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

e. ADMINISTRATIVE CONTRACTING OFFICER

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

b. SUBCONTRACTOR

a. CONTRACTOR

DD FORM 254 (BACK), NOV 2017

CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Continued)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

8. ACTUAL PERFORMANCE (Continued)

9. GENERAL UNCLASSIFIED IDENTIFICATION OF THIS PROCUREMENT (Continued)

DD FORM 254, NOV 2017

Pages of Continuation Page CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

15. INSPECTIONS (Continued)

14. ADDITIONAL SECURITY REQUIREMENTS (Continued)

13. SECURITY GUIDANCE (Continued) Pages of Continuation Page

DD FORM 254, NOV 2017

Additional persons assisting with completion of form (signatures and titles) CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

9.0.0.2.20120627.2.874785

WHS/ESD/DD

DD 254, Nov 2017, "DoD Contract Security Classification Specification" Orig No No No Yes No

TBD

TBD

N/A 8.c. Cognizant security office (Name, address, and zip code).:

SEE ITEM 15

SEE ITEM 13

9. General unclassified description of this procurement.:

Provide the 46 TS/TGBB with flight test support services by providing aircraft and aircraft modifications as necessary for testing.

96 TW/PA, 101 West D Ave, Suite 238, Eglin AFB, FL 32542

-AN/AAQ-24(V) LARGE AIRCRAFT INFRARED COUNTERMEASURES (LAICRM) SECURITY CLASSIFICATION GUIDE (SCG) 15 APR 2005, REVISED 1 JUNE 2011.

THIS DD FORM 254 HAS BEEN REVIEWED AND COORDINATED BY;

96 TW/IPIP (Industrial): ____________________________

96 TW/IPIP (OPSEC): ____________________________

96 CS/SCXSI: ____________________________

SEE ATTACHED CONTINUATION SHEETS. (Block 13 & 14).

Robert J. Rennie, Program Engineer, 96 CTG/TGS, 850-882-1811

13. Security guidance.: Item 8.a: Performance will be at the contractor’s facility and at other contractor facilities and government installations that will be provided at the time of tasking.

Item 10.j.: Protect “For Official Use Only” information the same as company proprietary information and as specified in the NISPOM, Chapter 5, Section 5. Also see Attachment 6 for additional guidance. (Add Attachment 6).

Item 11.c.: The contractor requires access and storage to classified source data up to and including SECRET. Any extracts or use of such data requires the contractor to apply derivative classifications and markings consistent with the source documents and Executive Order 13526. Use of “Multiple Sources” on the “Derived From” line necessitates compliance with Executive Order 13526, NISPOM paragraph 4-208, and use of bibliography. Classification, declassification, and markings will be in accordance with EO 13526 and Information Security Oversight Office (ISOO) Implementation Directive entitled “Classified National Security Information Directive No. 1”, effective 25 Jun 10.

Item 11.d.: The contractor must provide adequate storage for classified hardware and materials up to and including the SECRET level that exceeds two cubic feet and is of size and quantity that cannot be safeguarded in an approved GSA storage container.

Item 11.j.: The contractor must comply with any OPSEC requirement/clauses indicated in the contract. On Eglin AFB, follow the Eglin OPSEC Program guidelines as established by 96 TW/IPIP (OPSEC). The contractor will follow and adhere to OPSEC guidance when performance is conducted at other Air Force Installations.

Item 11.l.: Any transfer or processing of classified or sensitive information via electronic methods (e.g., facsimile, telemetry, voice, computer) must be protected by implementing an appropriate combination of countermeasures such as encryption devices and sound practices and procedures. For performance on Eglin AFB, the specific countermeasures used must be coordinated by the Project Manager for approval through the 96 CS/SCXSI, 102 North 2nd Street Suite 106, Eglin AFB FL 32542-6829. For performance on other government installations, coordination by the Project Manager with the appropriate communications activity is required.

SENSITIVE INFORMATION: Sensitive information is information that if lost, misused, compromised or accessed by unauthorized persons could adversely affect US national interest, the conduct of DoD programs, or the privacy of DoD personnel. It comes in many forms; personal data under the Privacy Act, personnel records, privileged data (chaplain and judge advocate records), investigative data, scientific and technical information (STINFO), export controlled data (critical technologies), proprietary data, or For Official Use Only (FOUO) data. Sensitive information meets the criteria for exemption from mandatory public disclosure under the Freedom of Information Act (FOIA). Sensitive information must be protected. During working hours, reasonable steps should be taken to minimize risk of access by unauthorized personnel. After working hours, sensitive information can be stored in unlocked containers, desks or cabinets if Government or Government-contract building security is provided. If Government or Government-contract

13. Security guidance.: EMISSIONS SECURITY (AKA TEMPEST) REQUIREMENTS

1. The contractor shall ensure that emissions security (EMSEC) conditions related to this contract are minimized.

2. When government furnished or contractor owned Information Systems (IS) are used on government installations EMSEC (aka TEMPEST) countermeasures will be applied by the government supporting activity. Classified processing shall not begin until accreditation iscompleted by appropriate government personnel.

3. The contractor is required to provide copies of the written approval/authorization to appropriate government personnel upon request.

4. Problems encountered in obtaining the written approval/authorization for classified processing should be brought to the attention of the Government Contracting Activity (GCA) and Government Program Manager.

5. The EMSEC authority at Eglin AFB is 96 CS/SCXSI, located in Building 249, Room 106.

6. Use of any telecommunications systems or devices (on Eglin AFB and range facilities) to include, but not limited to; government issued cellular phones, hand-held radios, beepers/pagers,cordless telephones, cordless microphones, facsimile machines and computers constitutes consent to monitoring in accordance with AFI 10-712.

13. Security guidance.: ATTACHMENT 6

FOR OFFICIAL USE ONLY (FOUO) ADDENDUM

The following procedures will be used to protect FOR OFFICIAL USE ONLY (FOUO) material:

1. HANDLING. Access to FOUO material shall be limited to those employees needing the material to do their jobs. The FOUO marking is assigned to material created by a DOD useragency. FOUO is not a classification, but requires extra precaution to ensure it is not released tothe public.

2. MARKING. An unclassified document containing FOUO information shall be marked “For Official Use Only” at the bottom on the outside of the front cover (if any), on each page containing FOUO information, and on the outside of the back cover (if any). Each paragraph containing FOUO information shall be marked as such.

a. Within a classified document, an individual page that contains both FOUO and classified information shall be marked at the top and bottom with the highest security classification of information appearing on the page. Individual paragraphs shall be marked at the appropriate classification level, as well as unclassified or FOUO, as appropriate.

b. Within a classified document, an individual page that contains FOUO information but no classified information shall be marked “For Official Use Only’ at the top and bottom of the page, as well as each paragraph that contains FOUO information.

c. If a classified document also contains FOUO material, or if the classified material becomes FOUO when declassified, place the following statement on the bottom of the cover or the first page under the classification marking: “NOTE: If declassified, review the document to make sure material is not FOUO and not exempt under DOD Regulation 5400.7/Air Force Supplement, 24 June 2002 before public release.”

d. Mark other records such as computer print outs, photographs, films, tapes, or slides “FOR OFFICIAL USE ONLY” so the receiver or viewer knows the record contains FOUO material.

e. Mark each part of a message that contains FOUO material. Unclassified messages containing FOUO material must show the abbreviation “FOUO” before the text begins.

f. Ensure documents that transmit FOUO material call attention to any FOUO attachments.

g. FOUO material released to a contractor by a DOD user agency must have the following statement on the front page or cover: “THIS DOCUMENT CONTAINS MATERIAL EXEMPT FROM MANDATORY DISCLOSURE UNDER THE FREEDOM OF INFORMATION ACT. EXEMPTION(S) _________APPLY.”

building security is not provided after working hours sensitive information shall be stored in locked desks, file cabinets, book cases, locked rooms, or similar items. Storage in a safe designed to secure classified information is not required. Sensitive records may be destroyed by any method that will prevent disclosure of contents or reconstruction of the document. For paper items, strip shredding is recommended with 3/16” being the maximum strip width.

Item 15 (Con’t): When performance of contract is conducted at other Air Force Installations the contractor will follow the guidance from the Installation Information Protection Office to include Government inspection oversight.

14. Additional security requirements. If yes, identify.: Attachment 6 (con't)

3. STORAGE. During normal duty hours, place FOUO material in an out-of-sight location, if your work area is accessible to persons who do not have a valid need for the material. After normal duty hours, store FOUO material to prevent unauthorized access. File with other unclassified records in unlocked files or desks when internal building security is provided. When there is no internal security, locked buildings or rooms usually provide adequate after hours protection. For additional protection, store FOUO material in locked containers such as file cabinets, desks, or bookcases. Expenditure of funds for security container or closed areas solely for the protection of FOUO material is prohibited.

4. TRANSPORTING FOUO INFORMATION. Records containing FOUO information shall be transported in a manner that prevents disclosure of the contents. When not co-mingled with classified information, FOUO information may be sent via first-class mail or parcel post. Bulk shipments, such as distributions of FOUO Directives or testing materials, that otherwise qualify under postal regulations, may be sent by fourth-class mail.

5. RELEASE. FOUO material shall not be released outside the contractor’s facility except to representatives of the DOD.

6. DESTRUCTION. When no longer needed, FOUO material shall be disposed of by a method that precludes its disclosure to unauthorized individuals.

Eglin AFB, FL 32542