ICPS_Solicitation__DD_Form_254__30Aug18.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PREVIOUS EDITION IS OBSOLETE.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)

TBD

TBD

467 Moore St., (Bldg. 2167) JBSA-Lackland, TX 78243

CSO: 67 CW/SO (SSO 24AF)

467 Moore St., (Bldg. 2167) JBSA-Lackland, TX 78243

3515 S. Gen McMullen Dr. (Bldg. 3) JBSA-Lackland, TX 78226 Location: 90 COS 250 Hall Blvd (Bldg 2058) JBSA-Lackland, TX 78243

(NOTE- Award version will require rerouting and re-signing by offices below)

Required Review/Coordination (Signatures at end of Blk 13)

67 CW/SO/(IP/SSR/NATO)

COMSEC (690 ISS/SCXS), Rm 131 24 AF/SSO/Bldg. 1 Bay 5, Rm 5004

See attached SCI/non-SCI Release of Intelligence Information (Attachment 1 and 2) and Protecting for Official Use Only Information (FOUO) (Attachment 3) for additional security requirements. Prior approval of the contracting activity is required for subcontracting. Access to intelligence information requires special briefings and a final U.S. Government clearance at the appropriate level.

The Contractor must:

• Maintain accountability for all classified material released to his or her custody.

• Not reproduce classified materials without the written permission of the releasing agency. If permission is granted, each copy will be controlled in the same manner as the original.

• Not destroy any classified without advance approval of the releasing agency.

• Restrict access to only those individuals who possess the required security clearance and who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, other government agencies, and private individuals or an organization is prohibited unless authorized in writing by the releasing agency.

• Not release classified material to foreign nationals or immigrant aliens whether or not they are consultants, US contractors, or employees of the contractor, and regardless of the level of their security clearance, except with advance written permission from the originator.

• Ensure that each employee having access to the classified material is fully aware of the special security requirements for this material and maintains records in a manner that permits the contractor to furnish on demand the name of individuals who have access to the material in their custody.

• Annually furnish the Contracting Office Representative (COR) classified material released to or generated by the contractor. The listing must be sent to the COR no later than 1 February.

• Upon completion or termination of the classified contract, or sooner, when the purpose of the release has been served, the contractor must return to the COR all classified material (furnished or generated), unless retention or destruction is authorized in writing by the originator of the classified, the Senior Intelligence Officer (SIO), or the releasing command.

• The use, operation, or connection of a telephone answering machine within the SCIF boundary of a contractor's facility performing work on a 67 CW contract must be pre-approved by 67 CW/SO in writing and may contain restrictions contractually binding on the contract.

• The contractor must obtain written approval from the 67 CW/SO or the National Security Agency (NSA) to use facsimile equipment to transmit information related to any 67 CW contract. This applies whether government or government derived, classified or unclassified, inside or outside the contractor's SCIF. The written approval may contain restrictions contractually binding on the contractor.

• For computer security direction, the Contractor shall comply with Joint DoDIIS/Cryptologic SCI Information Systems Security Standards for SCI AIS and AFI 33-202 Vol 1 for collateral AIS. This guidance will be used in its entirety or waivers must be obtained in writing from 67 CW/SO.

• If work under the terms of this contract requires access to NSA systems, the contractor may be required to take a Counter Intelligence (CI) polygraph test.

• All contractor personnel will be indoctrinated into SI/TK/G/HCS.

• (If applicable) Only validated contractor-supplied PEDs, which serve a justified mission requirement in support of this contract, will be considered and authorized by the appropriate Special Security Office (SSO) and/or Special Security Representative (SSR). All required contractor-supplied PEDs will be listed in the Statement of Work and identified below as part of the Department of Defense Form 254, Department of Defense Contract Security Classification Specification Security Guidance. Device listing must include Type, Make, Model, Serial Number, and justification for usage. Contractors utilizing contractor-supplied PEDs will be required to adhere to establish usage policies and procedures to include being issued a property pass to carry contractor- supplied PEDs in and out of facilities in support of an AF contract. Exception: Individuals issued a contractor-supplied fitness device must contact their assigned 67 CW Unit Security Manager prior to introducing the device into the facility. Members must submit the required information/documentation to the SSR for approval. Any/all fitness devices must be on the current NSA approved, Updated Fitbit Analysis listing, and/or meet the minimum AFSPC directed criteria.

o Required Contractor-Supplied PEDs:

Type Make Model Serial# Justification

ITEM 10:

Ref item 10a. COMSEC material/information may not be released to DoD contractors without CPSG approval. Contractor must forward requests for COMSEC material/information to the COMSEC officer through the program office. The contractor is governed by the DoD 5220.22-M National Industrial Security Program Operating Manual dated February 28, 2006 or as amended in the control and protection of COMSEC material/information. Access to COMSEC material by personnel is restricted to U.S. citizens holding final U.S. Government clearances. Such information is not releasable to personnel holding only reciprocal clearances.

Ref item 10e. SCI work will be done in an appropriately accredited SCI facility (SCIF).

Ref. item 10e.(1). Contractor will require access to DCID 6/1, Security Policy for Sensitive Compartmented Information and Security Policy Manual and DCID 6/6, Security Controls on the Dissemination of Intelligence Information (S//NF)

Ref. item 10e.(2). Contractor will require AFI 14-302, Control, Protection, And Dissemination Of Sensitive Compartmented Information (DCID 6/6) and AFI 14-303, Release Of Intelligence To U.S. Contractors.

Ref item 10g. Contractor personnel will require NATO indoctrination in order to perform on this contract. Special briefings are required for access to NATO. 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.

Ref item 10j. See DoDM 5200.01, Volume 4, DoD Information Security Program:

Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoD 5400.7 R/Air Force Manual 33 302, DoD Freedom of Information Act (FOIA) Program, for requirements. See Attachment 3.

Ref item 10k. Contractors require SIPRnet & JWICS.

ITEM 11:

Ref item 11a. Contract performance is restricted to (Add Unit and address of work locations here and remove this statement). Using activity will provide security classification guidance for performance of this contract.

Ref item 11e. Contract is for engineering services. Classification markings on the material that is furnished provides the classification guidance necessary to perform the contract.

Ref item 11g. The contractor is authorized to use the services of the DTIC and is required to prepare and process a DD Fm 1540 and DD Form 1541.

Ref item 11j. On base contractor employees will comply with AFI 10-701, Operations Security, available on the Air Force’s e-publishing web site at URL: http://www.e-publishing.af.mil/. They will also participate in the assigned unit’s OPSEC program, complete the local specific OPSEC training upon assignment and annually thereafter.

Ref item 11l. DoD Components: Refer to DoDM 5200.01, Volume 4 when considering specific requirements to be imposed on the contractor for the protection of CUI.

Ref item 11m: AFFARS 5352.204-9000 notification of government security activity and visitor Group security agreements (Apr 2003) Applies. The contractor is authorized to access, view, possess, process and/or use classified information, information systems and workspaces to function. The contractor personnel must work DoD facilities and other CONUS/OCONUS sites as directed. Contractor personnel must have access to SCI documentation and data communications systems (e.g., JWICS) at government sites. The contractor shall meet with Government agency personnel at Government SCI facilities to discuss related security requirements.

Primary COR: Full Name, Grade, Ofc Sym, Full Address (including Bldg. and zip code) and Phone Number - TBD Alternate COR: Full Name, Grade, Ofc Sym, Full Address (including Bldg. and zip code) and Phone Number - TBD

SSO: 24 AF/SSO: 3515 S. Gen. McMullin, Port San Antonio, TX 78226, (210) 395-0342

Provide the information requested by AFFARS 5352.204-9000, Notification of Government Security Activity Clause, and AFI 31-601, Industrial Security Program Management, to the Information Protection Office (IP). Refer to the contract document for these clauses. Shipments of classified or sensitive equipment shall be handled, transported, transmitted and protected IAW NISPOM, DoD 5220.22M and as specified by unit directives. The contractor shall execute a VGSA with the government.

1. All Sensitive Compartmented Information (SCI) and material will be handled according to special security requirements furnished by the responsible Special Security Representative (SSR) designated in item 13.

2. Upon completion of this contract, all Sensitive Compartmented Information (SCI) material provided to or generated by the contractor will be returned to the Air Force activity. If the material has been superseded or is no longer applicable, the Air Force activity will provide disposition instructions to the SSR designated in item 13.

3. E.O. 13526, Classified National Security Information, contains new classification, declassification, and marking requirements that are not found in the current DoD 5220.22M, National Industrial Security Program Operating Manual (NISPOM). Refer to E.O.13526 for guidance until the NISPOM is revised.

4. The contractor will follow all applicable security guidance related to the protection of classified information. Baseline guidance includes the National Industrial Security Program Operating Manual (NISPOM), applicable Program Security Directives (PSDs) Director of National Intelligence (DNI) established Intelligence Community Directives (ICDs), and Security Classification Guides (SCGs), Department Of Defense Intelligence Information System (DoDIIS) – Joint Security Implementation Guide (DJSIG), and Standard Operating Procedures. Task specific security classification guidance at a minimum will include: Cyberspace Operations Security Classification Guide (SCG), dated Jun 14, to include all revisions and changes thereto. The unit of assignment is responsible to ensure any other section specific applicable SCGs are available and provided to assigned contractors.

Enter your name here.: While operating on an Air Force installation, Industrial Security reviews will be conducted by the Information Protection Office (IPO).

IP/SSR: 67 CW/SO: 467 Moore St., San Antonio, TX 78243, (210) 977-6758/977-6654.

Tinker AFB, OK 73145 Address: 4004 Hilltop Rd Tinker AFB, OK 73145