J-2 DD 254 - BCO_FA8075-20-R-0001.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PREVIOUS EDITION IS OBSOLETE.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)

88ABW.IPD.Industrial.security@us.af.mil.

Wright-Patterson AFB, OH 45433-7002 Location: Defense Technical Information Center (DTIC) 8725 John J. Kingman Road Fort Belvoir, VA 22060 Block9: Operation of the DoD IAC Basic Centers of Operation (BCO).

he Department of Defense Information Analysis Centers (DoD IAC) operate in accordance with (IAW) DoD Manual 3200.14 Volume 1 . Its mission is chartered by the Under Secretary of Defense for Research and Engineering (USD (R&E)) and sponsored by the Defense Technical Information Center (DTIC). The DoD IAC provides expert research and analysis services through integrated Scientific and Technical Information (STI) development and dissemination, studies and analysis, and other unique scientific and technical activities to advance DoD’s warfighting capabilities.

The BCO leverages the best expertise from industry, other Government agencies, and academia to solve the government’s toughest scientific and technical problems and enhance the knowledge bases of those communities across the entire spectrum of the DoD IAC domains. The primary functions of the BCOs are to Collect Scientific and Technical Information (STI), Conduct Research and Analysis and Synthesize scientific information, and Disseminate domain-related STI to stakeholders throughout DoD, reducing duplication of effort, in terms of avoiding the creation of duplicate holdings of STI as well as duplicate analytical capabilities among various R&D support components.

DoD IAC COR

88 ABW/IPD 88ABW.IPD.Industrial.security@us.af.mil.

704th TG/OL-AC (Attn: Peggy Wagner, Security Manager Peggy.Wagner@us.af.mil.)

-The National Industrial Security Program Operating Manual (NISPOM), February 2006, applies.

- Orders requiring access to Sensitive Compartmented Information or Special Access Program information shall include a separate and tailored DD Form 254 IAW agency procedures.

-While performing duties within DTIC owned and operated facilities, the contractor must also adhere to all service/component command/ local security directives, regulations,and standard operating procedures at different contract performance locations. The Certifying Official listed in block 16 will provide a copy of all applicable security directives for this contract upon request.

-Appropriate local service component command security directives, regulations, and standard operating procedures will be provided by the requiring agency (normally though the Performance Monitor or component command COR). Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified information (finished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the DTIC Government Contracting Activity. Furthermore, the contractor will account for and return to the appropriate issuing office all identification badges and/or entry passes/vehicle decals issued to contractor personnel upon completion or termination of the classified contract, terminations of employment, or suspension of classified clearance or access of any contractor employee.

-All development of databases, hardware, and graphics (when conducted at the contractor's location) will be done upon Defense Security Service approved automated information security (AIS) equipment. Any classified information developed will be classified pursuant to derivative classification procedures or as any applicable classification guide so dictates (NISPOM Ch 4, Sec 2) and Exec Order 12958 as amended. Meetings or visits conducted by the contractor will be done IAW NISPOM Ch 6.

See continuation pages

Deputy Director, DoD IAC

Offutt AFB NE 68113 Address: 8725 John J. Kingman Drive Fort Belvoir, Virginia 22060