Attachment 4 - DD254 - 26 January 2024.pdf

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LAST REVIEWED/UPDATED

15 June 2022

ADDENDUM TO DD FORM 254 (BLOCK 10j)

Controlled Unclassified Information (CUI) (Reference: DODM 5400.48 DOD CUI Program

1. GENERAL: Controlled Unclassified Information (CUI) requires safeguarding measures identified by the CUI EA in Part 2002.14 of Title 32, CFR and, as necessary, in the law, regula-tion, or government-wide policy with which it is associated. DoD CUI may be disseminated to DoD personnel to conduct official DoD and U.S. Government business in accordance with a law, regulation, or government-wide policy.

a. No individual may have access to CUI information unless it is determined he or she has an authorized, lawful government purpose.

b. The person with authorized possession, knowledge, or control of CUI will determine whether an individual has an authorized, lawful government purpose to access designated CUI.

c. CUI information may be disseminated within the DoD Components and between DoD Component officials and DoD contractors, consultants, and grantees to conduct official business for the DoD, provided dissemination is consistent with controls imposed by a distribu-tion statement or limited dissemination controls (LDC). 2.

2. MARKING: At minimum, CUI markings for unclassified DoD documents will include the acronym “CUI” in the banner and footer of the document. If portion markings are selected, then all document subjects and titles, as well as individual sections, parts, paragraphs, or similar por-tions of a CUI document known to contain CUI, will be portion marked with “(CUI).” Use of the unclassified marking “(U)” as a portion marking for unclassified information within CUI docu-ments or materials is required.

a. There is no requirement to add the “U,” signifying unclassified, to the banner and footer as was required with the old FOUO marking (i.e., U//FOUO).

b. Banners, footers, and portion marking will only be marked “Unclassified” or “(U)” for un-classified information in accordance with the June 4, 2019 ISOO letter. If the document also con-tains CUI, it will be marked in accordance with CUI in the banner and footer of the document.

(1) The first page or cover of any document or material containing CUI, including a docu-ment with commingled classified information, will include a CUI designation indicator. This CUI designation indicator is similar to the classification-marking block used for CNSI docu-ments and materials. Documents and materials containing CUI will require a generic “CUI” marking at the top and bottom of each page.

(2) In accordance with Part 2002 of Title 32, CFR, the CUI designation indicator must con-tain, at minimum, the name of the DoD Component determining that the information is CUI. If letterhead or another standard indicator of origination is used, this line may be omitted.

(3) The second line must identify the office making the determination.

(4) The third line must identify all types of CUI contained in the document.

(5) The fourth line must contain the distribution statement or the dissemination controls ap-plicable to the document.

(6) The fifth line must contain the phone number or office mailbox for the originating DoD Component or authorized CUI holder.

CUI Designation Indicator for All Documents and Material Controlled by: [Name of DoD Component] (Only if not on letterhead) Controlled by: [Name of Office] CUI Category: (List category or categories of CUI) Distribution/Dissemination Control:

POC: [Phone or email address]

c. CUI markings in classified documents will appear in paragraphs or subparagraphs known to contain only CUI and must be portion marked with “(CUI).” “CUI” will not appear in the banner or footer.

d. There will be an acknowledgement statement added to the warning box on the first page of multi-page documents to alert readers to the presence of CUI in a classified DoD document, as shown in Figure 1 of DODM 5200.48. See Volume 2 of DoDM 5200.01 for further marking re-quirements.

4. DISSEMINATION: In accordance with this issuance, CUI access should be encouraged and permitted to the extent the access or dissemination:

a. Complies with the law, regulation, or government-wide policy identifying the information as CUI.

b. Furthers a lawful government purpose.

c. Is not restricted by an authorized Limited Dissemination Controls (LDC) established by the

CUI EA.

d. Is not otherwise prohibited by any other law, regulation, or government-wide policy.

e. Agencies may place limits on disseminating CUI for a lawful government purpose only us-ing the dissemination controls listed in Table 2 of DODM 5200.48 or methods authorized by a specific law, regulation, or government-wide policy.

5. TRANSMISSION: CUI information and material may be transmitted via first class mail, parcel post, or, bulk shipments. When practical, CUI information may be transmitted electroni-cally (e.g., data, website, or e-mail), via approved secure communications systems or systems utilizing other protective measures such as Public Key Infrastructure or transport layer security (e.g., https). Avoid wireless telephone transmission of CUI when other options are available.

CUI transmission via facsimile machine is permitted; however, the sender is responsible for

6. STORAGE: During working hours, steps will be taken to minimize the risk of access by un-authorized personnel, such as not reading, discussing, or leaving CUI information unattended where unauthorized personnel are present. After working hours, CUI information will be stored in unlocked containers, desks, or cabinets if the government or government-contract building provides security for continuous monitoring of access. If building security is not provided, the information will be stored in locked desks, file cabinets, bookcases, locked rooms, or similarly secured areas. The concept of a controlled environment means there is sufficient internal security measures in place to prevent or detect unauthorized access to CUI. For DoD, an open storage en-vironment meets these requirements.

7. DESTRUCTION: Guidance for destroying CUI documents and materials is provided in the CUI Registry, and ISOO Notice 2019-03.

a. Record and non-record copies of CUI documents will be disposed of in accordance with Chapter 33 of Title 44, U.S.C. and the DoD Components’ records management directives. When destroying CUI, including in electronic form, agencies must do so in a manner making it unread-able, indecipherable, and irrecoverable. If the law, regulation, or government-wide policy speci-fies a method of destruction, agencies must use the method prescribed.

b. Record and non-record CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecov-erable the original information such as those identified in NIST SP 800-88 and in accordance with Section 2002.14 of Title 32, CFR.

8. Direct questions concerning CUI to the 1 SOW/IPI Office at 884-4322.

ADDENDUM TO DD FORM 254 (BLOCK 10k)

AUTOMATED INFORMATION SYSTEMS

1. This section outlines the requirements, procedures and Air Force publications that must be ad-hered to by contractors as a condition of use of Hurlburt Field Automated Information Systems (AIS) and Local Area Networks (LAN).

2. Cybersecurity practices are the actions that protect information and information systems by ensuring their continued availability, integrity, confidentiality, and non-repudiation. This in-cludes providing for restoration of information systems by incorporating disaster recovery capa-bilities to ensure continuity of operations under all conditions.

3. Key publications governing the use and security of AF AIS are listed below. Many include additional publications by reference, which are equally applicable.

• AFSSI 7700, Emission Security

• CNSSI 7003, Protected Distribution Systems

• AFI 33-200, Air Force Cybersecurity Program Management

• AFI 33-210, Air Force Certification and Accreditation (C&A) Program (AFCAP)

• AFMAN 33-152, User Responsibilities and Guidance for Information Systems

• AFI 10-701, OPERATIONS SECURITY (OPSEC)

4. All personnel are required to safeguard information and information systems against unau-thorized access, modification, destruction or disclosure.

5. Per the Hurlburt Field NIPRnet System Security Authorization Agreement (SSAA), contrac-tor owned hardware and software will not be connected to Hurlburt Field classified LAN.

6. Only Air Force approved wireless network devices are permitted on Hurlburt Field.

7. All portable electronic devices (PED) are prohibited from use or possession within Hurlburt Field buildings where classified information is processed, stored or discussed.

8. All information systems, software, and/or enclaves operating on Hurlburt Field must be certi-fied and accredited through the Risk Management Framework (RMF) by the Wing Cyber Secu-rity Office prior to being implemented or connected to a network.

9. The 1 SOW Cybersecurity Office is the source for cybersecurity related information.

• Email: 1sow.cybersecurity@us.af.mil

• Contact: 1 SOCS/SCXS at (850) 884-6605 mailto:1sow.ia@hurlburt.af.mil

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:

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" Hide Attachment Bar

1 SOW/IP

212 Lukasik, Room 230, Hurlburt Field, FL. 32544 850-884-5143, 1SOW.IPC.IndustrialSecurity@us.af.mil

616 Cruz Ave.

Hurlburt Field, FL 32544 Enter general unclassified description of this procurement.: Air Combat Command, 16th Air Force, 363d Intelligence Surveillance and Reconnaissance Wing (ISRW) has a requirement for clinical psychologist services. This effort will provide unique medical capabilities to support the ISR Special Operations Forces. This contract seeks to provide the medical and behavioral health expert to ensure operators receive the right physical training, support, and treatment.

DCSA

363 ISRW/SSO

TBD

2. Classified markings on all working, draft, and final copies of deliverable material shall be in accordance with DODM 5200.01, Vol 2, and applicable instructions contained in the respective security classification guides.

3. All classified material provided will be safeguarded at all times and returned by the contractor at contract completion.

4. Use only AF certified Automated Information Systems (AIS) for performance on base. Contractor will comply with all AF AIS procedures.

Item 10e (1 & 2): Intelligence – Contractor will require access to security directives specified in the attached SSO Addendum. Regulatory compliance is mandatory unless otherwise specified in writing by SSO ACC.

Item 10g: Special briefings are required for access to NATO IAW AFMAN 16-1404, Air Force Information Security Program. Prior approval of the contracting activity is required for subcontracting. Access to classified NATO information requires a final U.S. Government clearance at the appropriate level.”

Item 10j: Controlled Unclassified Information (CUI) – CUI information provided under this contract shall be managed and safeguarded IAW DoDI 5200.48 and AFMAN 16-1403. Additionally, see attached CUI Addendum, which provides basic protection measures.

Item 10k: The government will provide classified/unclassified (SIPR/NIPR) network access to include e-mail and web browser. Contractors will be held accountable for actions they initiate on the network and will conduct business IAW USAF, ACC, and local base instructions and policies. Sponsoring government agency will provide Information Assurance training prior to contractor access to network services.

The government will only provide JWICS network access to include email and web access provided the contractor meets ‘all’ SCI eligibility and training requirements and maintains the appropriate SCI access level. Contractors will be held strictly accountable for all actions they initiate on the network and will conduct business IAW USAF, ACC, and local base instructions and policies. JWICS privileges will be terminated if contractor does not maintain a current TS investigation. STE/Secure VOIP access is required for contract performance. Access will be controlled by the sponsoring agency. Contractor will follow requirements IAW AFMAN 33-283, Communications Security (COMSEC) Operations.

Item 11a: Contract performance is restricted to the locations identified in item 8a. The highest level of security clearance required for contract performance is Top Secret. Using activities will provide security classification guidance for performance of this contract. The government will oversee the handling and storage of classified information in support of this contract. The government will provide storage capability for all classified material required for this contract. All classified information shall be returned to the government upon termination of the contract.

Item 11j: : Contractor will follow base and unit Operations Security guidance (SOPs, OIs, etc) for the locations identified in item 8a. A copy of the local guidance will be provided to the contractor.

Ref Item 12: Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide 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 affairs 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.

**See attached addendums for items 10j and k** text: 363 ISRW/FM 757-225-9384 363ISRW.FM_FINANCIALMANAGEMENT@us.af.mil text: 363 ISRW/SO 757-225-2674 363isrw.sso@us.af.mil text: 1 SOW/IPC 850-884-5143 1SOW.IPC.IndustrialSecurity@us.af.mil

COR

rep: BRENDA ADAMS, DAF Deputy Director, Security Opperations rep: PARRISH HOLLINGSWORTH, GS-11 Chief, Industrial Security

See SSO addendum for Release of SCI Intelligence/Non-Intelligence Information (Part A & B) for additional security requirements. Prior approval of the contracting activity is required for subcontracting. All DD FMs 254 prepared for a subcontract by the prime contract will be forwarded to the government contracting monitor and SSO ACC for review and concurrence prior to award of the subcontract. Access to intelligence information will require special briefings and final U.S. Government Top Secret clearance with ICD 704 eligibility.

Hurlburt Field, FL 32544-5810 Enter address (include zip code).: 350 Tully Street Bldg 90339 Hurlburt Field, FL 32544