Attch_5_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PREVIOUS EDITION IS OBSOLETE.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)

CurrentPage:

PageCount:

Classification: Unclassified

SerialNum:

a. Facility clearance level. Select one.: 2

b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4

Choose Yes or No: 0

Choose Yes or No: 1

Prime:

Choose Yes or No: 0

Choose Yes or No: 0

Sub:

Choose Yes or No: 1

Choose Yes or No: 0

Soli: FA4452-18-R-0037

DueDate: 20190901 dateA:

RevisionNum:

dateB:

Final:

dateC:

No: 1

No: 1

No: 0

No: 1

Yes: 0

Yes: 0

Yes: 1

Yes: 0

Enter your name here.:

ReqDated:

Enter your name here.:

Name: To be completed upon award

Cage: TBD

CSO: TBD

CSO: HQ AMC/IP, 501 POW MIA Drive, Scott AFB IL 62225

618-229-0957 // 618-229-0998 (DSN 779)

addrow:

Removerow:

Click to delete a row:

Location: Bldg 859 859 Buchanan Street Scott AFB, IL 62225 and as otherwise designated by the COR

Block9: The Communications, Operations and Maintenance Function (COMF) contractor shall provide operations and maintenance including help desk, system administration, network administration, database administration, web page support, and configuration management in support of the AMC Command and Control (C2}, In-Transit Visibility (ITV}, and business systems.

a: 0 a: 1 a: 1 f: 0 f: 1 f: 1 b: 0 b: 0 b: 0 g: 0 g: 0 c: 0 c: 0 c: 1 h: 0 h: 0 d: 0 d: 0 d: 0 i: 0 i: 0

SCI: 0

NonSCI: 0 j: 1 j: 1 k: 1 k: 0

Enter your name here.: SIPRNET access required - see block 13

Enter your name here.: See block 13 e: 0 e: 1 l: 1 m: 1 direct: 0 thru: 1

Enter your name here.: AMC Public Affairs and your local OPSEC Manager/Office

PublicAuthority: Unless already authorized by the NISPOM, approval of the GCA must be obtained, before released through Public Affairs.

AddSig:

RemoveSig:

text: 1a/b – (1) The contractor shall not be authorized to receive, handle, store any classified material, e.g., data (hardcopy or electronic) at any contractor owned or leased facilities or produce/manufacture any classified hardware at any contractor owned/leased facility under this contract. Work with any classified material or hardware will take place only at Government facilities or where directed by the PMO.

(2) The contractor shall provide the individuals with the appropriate level of security clearances and within the limitations cited in the DD Form 254, to perform the services required by the contract. The highest level of security clearance required for contract performance is SECRET.

(3) Contractor employees, cleared at the appropriate levels, will require access to secure areas, as well as, secure networks on US Government installations. Access to Government facilities will be authorized to personnel who possess the clearance and need-to-know requirement. On Scott AFB, Contractor personnel will be under the security policies and procedures of the US Government installation cognizant security office.

(4) The contractor, within the confines of federal government facilities, shall provide the necessary policies, procedures and oversight to comply with the security requirements of this contract.

8c – When on Scott AFB, cognizant security oversight comes under HQ AMC/IP (618) 229-0957/0998 10g – Actual knowledge of, generation, or production of NATO information is not required for performance of the contract. A NATO awareness briefing, including annual refresher briefings, shall be required, at a minimum, for those with SIPRNET access.

10j – Controlled Unclassified Information (CUI) includes categories such as “FOR OFFICIAL USE ONLY” (FOUO), Sensitive but Unclassified (SBU) and Law Enforcement Sensitive (LES). DoD components will refer to DoDM 5200.01, Volume 4, DoD Information Security Program for specific guidance. Reference DoD 5400.7-R, DoD Freedom of Information Act program for additional guidance in controlling Government information.

10k - A limited number of personnel will require access to the Secret Internet Protocol Router Network (SIPRNET).

11a - Releasing contractor or Government activity will furnish complete classification guidance for the service to be performed or information provided. The contractor may be required to attend classified meetings which may involve resolution/mitigation of security vulnerabilities to Government software. Contractor personnel will be assigned to Scott AFB and require access to classified information. Contractor personnel deployed to overseas locations may have access to classified information under the control of U.S. Military, Host Nation Military or Embassy personnel.

11f – Additional CONUS/OCONUS locations worldwide will be stipulated by the Government Program Management Office.

11j – OPSEC is an analytic process that identifies, and mitigates indicators of U.S. intentions, capabilities, operations, and activities. In compliance with DoD Operations Security Program Directive (DoD Directive 5205.02E and DoDM 5205.02-M), DoD OPSEC requirements; OPSEC measures shall be employed to deny indicators to adversaries that reveal critical, or classified information about DoD missions and functions. At a minimum, within 90 days of employment, then annually thereafter, personnel with access to Government networks under this contract shall receive recurring DoD ADLS Cyber Awareness Challenge course training (ZZ133098). To augment provided training, at initial employment and annually thereafter, the company shall provide a briefing, oral or written, summarizing contract specific OPSEC awareness information.

11l – (1) Classified Defense Information may be encountered during normal conduct of the contract and will be protected using policy and guidance of DoD 5220.22M, the National Industrial Security Program Operating Manual (NISPOM), Chapter 5, and the NISPOM Supplement. The NISPOM does not provide guidance concerning CUI. Contractor personnel shall comply with all AMC security requirements pursuant to DODD 5200.2, DOD Personnel Security Program, and DODI 8500.2 Information Assurance Implementation. The contractor will enter into a Visitor Group Security Agreement (VGSA) and fall under the information security program of the using organization at Scott AFB.

(2) Licensing network users and certifying network professionals shall be IAW AFI 33-115, Volume 2 implementing DoD 8570.01-M requirements.

(3) Contractor personnel having access to US Government Automated Networks will be required to take Information Awareness Training and other security classification training and testing, as deemed necessary by the Government.

(4) For access to unclassified Air Force networks the contractor must, at a minimum, have completed a verifiable Federal Investigative Standards (FIS) Tier 1 (Replaces National Agency Check with Written Inquires - NACI) or higher level investigation.

(5) When required, the Government will provide classified 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, AMC and local Base instructions and policies. Sponsoring Government agency will provide Information Assurance training prior to contractor access to network services.

(6) When contractors are designated as Visitor Groups on Air Force installations, industrial security reviews for collateral classified information will be conducted by the servicing IPO, HQ AMC/IP. For this contract, all security inspection elements are on Scott AFB and are the responsibility of HQ AMC/IP (IPO and cognizant security office) and therefore have no elements outside the IPO’s responsibility. Defense Security Service retains cognizance over the cleared contractor facility.

This is continuation page 3 of 4 for contract FA4452-18-R-0037 - Update at award attachmentsList:

AddAttachment:

ViewAttachment:

RemoveAttachment:

rep: Richard J. Bonelli A6I Contracts Manager - A&AS Contractor Paragon Technology Group, Inc.

rep: William D. Frick Jr., HQ AMC/IP Industrial Security Program Manager

Sig:

Enter your name here.: Visitor Group contractors are required to enter into a security agreement with the host base IPO. Provide the information requested by the Notification of Government Security Activity Clause, AFFARS 5352.204.9000 and VGSA’s clause. Visitor Groups will safeguard all collateral classified information IAW DoD 5200.01, Vol 1-4, Information Security Program; AFI 16-1404, Information Security Program Management; AFI 16-1406, Industrial Security Program Management and other directives deemed necessary by the servicing IPO. Prior approval of the contracting activity is required for subcontracting. In addition, certain specific security requirements levied on subcontractors, must be approved in writing by the Contracting Officer, e.g. OPSEC. Contractor personnel shall complete Anti-terrorism Force Protection Level I Training, as required by DODI 2000.16, available through Advanced Distributed Learning Services (ADLS), Force Protection Course (ZZ133079).

GCAName: 763 SCONS

AAC: FA4452

AAC: FA4452

Address:

POCName:

Phone:

Email:

Title: Contracting Officer

Enter the date using the format DD-Mon-YYYY:

FA4452-18-R-0037

COM-F III

Attachment 5

DD 254

Version 1.0

Communications, Operations, & Maintenance Functions (COM-F)

Procuring Office: 763d Specialized Contracting Squadron (763 SCONS)

510 POW/MIA Drive

Building P40

Suite E1001

Scott Air Force Base, IL 62225-5420

Requiring Office: HQ AMC Directorate of Operations and Training Division (A6I)

203 West Losey Street

Room 3610

Scott Air Force Base, IL 62225

Project Management Office: 375th Communication Support Squadron (CSPTS)

859 Buchannan Street

Scott Air Force Base, IL 62225

02 Jan 2019