Atch 4 - TCC DD Form 254 - as of 28 Jul.pdf

UnclassifiedCLASSIFICATION (When filled in):

PREVIOUS EDITION IS OBSOLETE. Page 1 of 12DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 1 of 12DD FORM 254, MAY 2019

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:

20220531

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

Top Secret

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

TBD

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

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

4. IS THIS A FOLLOW-ON CONTRACT? No Yes If yes, complete the following:

Classified material received or generated under H9222217D0013 (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? No Yes If yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of:

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

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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) Add Row Remove last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows

PRIME Contractor Location See block 13

a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

HQ USSOCOM

7701 Tampa Point Blvd MacDill AFB, FL 33621

(SEE ITEM 13)

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

N/A

b. CAGE CODE (If applicable, see Instructions.) HQ USSOCOM/SOCS-Z-SM

7701 Tampa Point Blvd MacDill AFB, FL 33621 813-826-4333 IndustrialSecurity@socom.mil

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

PREVIOUS EDITION IS OBSOLETE. Page 2 of 12DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 2 of 12DD FORM 254, MAY 2019

SOCNORTH

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

NA

b. CAGE CODE (If applicable, see Instructions.) Special Operations Command - North

575 Kincheloe Loop Peterson Air Force Base, CO 80914

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

SOCCENT

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

N/A

b. CAGE CODE (If applicable, see Instructions.) SOCCENT/J2

7561 Blackbird Street/Bldg 1041 MacDill AFB, FL 33621

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

SOCSOUTH

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Special Operations Command South

Attn: Security Manager 29401 SW125th Ave Bldg 600 Homestead ARB, FL 33039

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

SOCPAC

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Special Operations Command Pacific

Attn: SOJX Camp H.M. Smith, HI 96861-4046

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

SOCAFRICA

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Special Operations Command Africa

Attn: SSO, J22 Kelly Barracks, Bldg 3704 Stuttgart, Germany

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

SOCEUR

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Special Operations Command Europe

Attn: ECSO-J3 Patch Barracks 70569 Stuttgart, Germany

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

USASOC

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Commander, USASOC

Attn: AOIN-SOD 2929 Desert Storm Drive Stop A Ft. Bragg, NC 28310-9110

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

USASFC

(to include 1st, 3rd, 5th, 7th, 10th, 19th SFG, 20th SFG)

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Commander, USASFC

Attn: AOIN-SOD 2929 Desert Storm Drive Stop A Ft. Bragg, NC 28310-9110

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

USASOC SWCS

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

N/A

b. CAGE CODE (If applicable, see Instructions.) SWCS, Office of the G2

Bldg. 3915 RM C134 Ft. Bragg, NC 28310-9610

PREVIOUS EDITION IS OBSOLETE. Page 3 of 12DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 3 of 12DD FORM 254, MAY 2019

USASOC 75th RR

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Ranger Regiment

ATTN: Security Manager 6349 Ashly Ave, BLDG 334 Ft Benning, GA 31905

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

MARSOC East

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

(If applicable, see Instructions.) Marine Special Operations Command

PSC Box 20116 Camp Lejeune, NC 28542

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

MARSOC West

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

(If applicable, see Instructions.) Marine Special Operations Command

1st MRB PSC Box 555341 Camp Pendleton, CA 92055-5341

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

NSW East

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Naval Special Warfare Group Ten

Security Manager 1600 Seabee Drive, Bldg 3889 Virginia beach, VA 23464

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

NSW West

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

N/A

b. CAGE CODE (If applicable, see Instructions.) Special Reconnaissance Team One / SSO

Security Manager 262 Anaconda Rd San Diego, CA 92155

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

NSW Interagency Training Center (ITC)

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

N/A

b. CAGE CODE (If applicable, see Instructions.) TC Fort Washington

10530 Riverview Road Ft. Washington, MD 20744

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

NSWG-10

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

N/A

b. CAGE CODE (If applicable, see Instructions.) NSWG-10 Security Manager

1600 Seabee Drive, Bldg 3889 Virginia Beach, VA 23464

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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

N/A

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

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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

N/A

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

PREVIOUS EDITION IS OBSOLETE. Page 4 of 12DD FORM 254, MAY 2019

Technical Collection and Communications Field Service representative Technical Support and New Equipment Training Support POP: 1 May 2022-30 April 2027 DD254 to be reviewed annually

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

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 f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

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

d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

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

k. OTHER (Specify) (See instructions.)

SEE ITEM 13

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.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

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

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

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.)

SEE ITEM 13

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 below)

SEE ITEM 13

Public Release Authority:

13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures

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.)

The Contracting Officer’s Representative/Program Manager will provide a copy of all applicable security directives for this contract.

Appropriate applicable HQ USSOCOM security directives, regulations, and standard operating procedures will be provided by the

PREVIOUS EDITION IS OBSOLETE. Page 5 of 12DD FORM 254, MAY 2019 requiring agency (normally through the Performance Monitor or Component/Theater Special Operations Command COR/PM). 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 (furnished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the USSOCOM Government Contracting Agency/Activity. Furthermore, the contractor will account for and return all Common Access Cards (CACs) to Contracting Officer's Representative, Program Manager, or Trusted Agent upon completion or termination of the classified contract, termination of employment, or suspension of classified clearance or access of any contractor employee. Security badges, installation entry passes/vehicle decals issued to contractor personnel will be returned to the appropriate issuing office as required.

Ref 2b: Subcontracting/Flow-Down of this effort requires a Subcontract DD FM 254. Subcontract DD FM 254 must be approved by HQ USSOCOM prior to award. Forward requests and draft Subcontract DD FM 254s to the Contracting Officer’s Representative/Program Manager and USSOCOM Industrial Security (IndustrialSecurity@socom.mil). IAW USSOCOM R 380-9, Industrial Security, please allow 10 duty days for review/approval.

Ref 2b. Subcontractors with performance at HQ USSOCOM. Forward subcontractor Visit Requests to HQ USSOCOM Personnel Security (PERSEC) via DISS/JPAS SMO Code MA3DF8X94. Visit Requests must not be submitted to HQ USSOCOM until the Subcontract DD FM 254 is approved. Failure to follow this guidance will result in the cancellation of the Visit Request.

Ref 7: See guidance in Ref 2b.

Ref 10a: Access to classified COMSEC information requires a final U.S. Government clearance at the appropriate level. Further disclosure of COMSEC information by a contractor, to include subcontracting, requires prior approval of the GCA. Non-accountable COMSEC information, though not tracked in the COMSEC material control system, may still require a level of control within a document control system. Refer to NSA/CSS Manual 3-16, Control of Communications Security Material, and the Committee on National Security Systems Instruction (CNSSI) 4001, Controlled Cryptographic Items, for guidance. If access to COMSEC information is required at Government Facilities, contractor personnel will follow the security requirements of the host government activity.

Ref 10b: The contractor is permitted access to Restricted Data (RD) in the performance of this contract. Access to RD requires a final U.S.

Government clearance at the appropriate level.

Ref 10e(1): See attached SCI Addendum.

Ref 10f: See attached SAP Addendum.

Ref 10g. The contractor is permitted access to North Atlantic Treaty Organization (NATO) information in performance of this contract.

Access to NATO information requires a final U.S. Government clearance at the appropriate level. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted. The contractor will maintain strict compliance in regards to NATO information IAW NISPOM Chapter 10, Section 7. Prior approval from the contracting activity is required for subcontracting.

Ref 10i. Alternative Compensatory Control Measures (ACCM) Program information is governed by DoD M 5200.01-V3, DoD Information Security Program: Protection of Classified Information, Enclosure 2, Section 18; CJCS Manual 3213.02D, Joint Staff Alternative Compensatory Control Measures Program Management Manual, and supporting documentation for each ACCM sub-system, including security classification guides, program security plans, and governing directives. Inspections of ACCM information in USSOCOM, Component (JSOC, AFSOC, NSWC, MARSOC, or USASOC), or Theater Special Operation Command (SOCNORTH, SOCAFRICA, SOCCENT, SOCEUR, SOCPAC, SOCSOUTH, or SOCKOR) owned and operated facilities are under the auspices of the respective Command or Component ACCM Coordinator/ACCM Program Control Officer (ACCM Coord/ACCM PCO). If applicable, ACCM material maintained by the Contractor within their facility must be afforded protection commensurate with DOD requirements and strictly controlled based on need-to-know and required briefings. DSS personnel conducting inspections of the Contractor must be briefed on to the specific program by the appropriate government ACCM Coord/ACCM PCO responsible for the material prior to being granted access.

Ref 10j: Controlled Unclassified Information (CUI) provided under this contract shall be safeguarded as specified in the CUI Addendum included with this specification.

Ref 10k: NIPRNET/SIPRNET/JWICS access required at government facilities and SIPRNET access required at contractor facilities.

Ref 11c: The contractor requires access to classified source data up to and including SECRET in support of the work effort at contractor facilities and TOP SECRET at government facilities. Contractor will reference the appropriate security classification guidance when generating or deriving classified material or hardware. All classified information received or generated will be properly stored and handled according to the markings on the material. All classified information received or generated is the property of the U.S. Government. At the

PREVIOUS EDITION IS OBSOLETE. Page 6 of 12DD FORM 254, MAY 2019 termination or expiration of this contract, the U.S. Government will be contacted for proper disposition instructions.

Ref 11d: Contractor must provide adequate storage at their facility for classified hardware to the level of SECRET.

Ref 11f: Classified performance in locations other than the United States, Puerto Rico, U.S. Possessions and Trust Territories is restricted to SOCAFRICA and SOCEUR. Stuttgart, Germany.

Ref 11h: The contractor will require a "Classified COMSEC Account". See Item 10a instructions for further guidance on COMSEC involved contracts. The POC for Communications Security (COMSEC) at SOCOM is Ms. Rhonda Smith-Shields, (813) 826-4630, smithsr@socom.mil or Mr. Jere Long, (813) 826-8625, longj@socom.mil.

HQ, USSOCOM

ATTN: CA817169

7701 Tampa Point Blvd.

MacDill AFB, FL. 33621

Please include this guidance to Item 13, Ref 11h on the associated Subcontract DD254s.

Ref 11k: COMSEC material under this contract requires transmission via the Defense Courier Service (DCS). The USSOCOM Contracting Official will or has requested DCS services from:

Commander, Defense Courier Service Attn: Operations Division United States Transportation Command 508 Scott Drive Scott AFB, IL 62225

Ref 11l: Controlled Unclassified Information (CUI) provided under this contract shall be safeguarded as specified in the CUI Addendum included with this specification.

Ref 11m: Access to all USSOCOM facilities requires contractors to possess a minimum of a SECRET clearance.

Ref 11m: Contractor will be authorized to courier classified information up to the TOP SECRET level in performance of official duties upon approval of and designation by the COR, PM and/or Security Manager.

Ref 12: Requests must be forwarded through the responsible Contracting Officer’s Representative/Program Manager, Contracting Official (Item 16) and the HQ USSOCOM Special Operations Communication Office (SOCS-SOCO) prior to public release at Public.Affairs@socom.mil, (813) 826-4600, prior to public release.

SCI ADDENDUM

(14 SEPTEMBER 2020)

This supplement applies to:

Prime Contract Number: Subcontract Number: N/A Delivery/Task Order Number: N/A Expiration Date:

The following controls will apply to Sensitive Compartmented Information (SCI) provided under this contract.

1. Item 10e (2): Security clearances for contractors working within SCIF spaces must be adjudicated meeting Intelligence Community Policy Guidance (ICPG) 704.1, 704.2, 704.3, 704.4, 704.5 eligibility requirements. Prior approval of the contracting activity is required for sub-contracting. Access to intelligence information requires special briefings and a final U.S. Government clearance at the appropriate level.

2. Item 13: Department of Defense (DOD) Manual 5105.21, Volumes 1-3, Intelligence Community Policy Guidance (ICPG) 704.1, 704.2, 704.3, 704.4, 704.5, Intelligence Community Standard (ICS) 705-1&2 including the Technical Specifications for Construction and Management of Sensitive Compartmented Information Facilities (IC Tech Spec-for ICD/ICS 705), and Headquarters, United States Special Operations Command (HQ USSOCOM) 380-6, provide the necessary guidance for physical and information security measures and are part of the SCI security specifications for the contract.

PREVIOUS EDITION IS OBSOLETE. Page 7 of 12DD FORM 254, MAY 2019

3. Item 13: Inquiries pertaining to classification guidance will be directed to the responsible USSOCOM Contracting Officer’s Representative/Program Manager/Contract Monitor (Jerry Graybill (813-826-0074).

4. Item 13: All SCI furnished to the contractor in support of this contract / delivery / task order remains the property of the DOD or the agency or command that releases the information. Upon termination of the contract, all furnished SCI will be returned to the HQ USSOCOM Special Security Office (SSO) or the prime contractor.

5. Item 14: This contract / delivery / task order requires that SEVENTY-THREE (79) contract billets be established in order to fulfill the contractual obligations incurred. Access will be granted by the government agency. Upon completion or cancellation of the contract, the Contractor SSO (CSSO) will debrief or notify the HQ USSOCOM SSO to debrief all personnel not required for contract closeout and those billets will be disestablished.

6. Item 14: Names of contractor personnel requiring access to SCI and justification for SCI billets will be submitted to HQ USSOCOM SSO after contract monitor coordination. Billet justifications will include the contract statement of work. If a Single-Scope Background (SSBI) Investigation has not been completed upon approval of billets by the HQ USSOCOM SSO, the CSSO will submit necessary forms to the Vetting Risk Operations Center (VROC) for a T5 investigation. An SSBI and access to SCI will comply with the National Industrial Security Program Manual. Upon completion of the T5 investigation, a nomination for SCI access will be submitted to HQ USSOCOM

SSO.

7. Item 14: The CSSO will advise HQ USSOCOM SSO, through the contract monitor, upon reassignment of personnel to other duties not associated with this contract. The Contract Monitor will also notify the SSO Office at SOCOM.SSO.PERSEC@SOCOM.MIL or 813-826-1287 so the SSO can remove their ownership of the contractor in JPAS.

8. Item 14: The CSSO must coordinate with the SCI contract monitor before subcontracting any portion of SCI efforts involved in the contract. A separate DD Form 254 for the subcontractor will be processed and a copy provided to HQ USSOCOM SSO.

9. Item 14: The contractor will not use references to SCI access, even by unclassified acronyms, in advertisements, promotional efforts, or recruitment of employees.

10. Item 14: All SCI work will be performed at the locations specified below and in subsequent Task Orders.

a. HQ USSOCOM

b. MARSOC-(to include subordinate commands)

c. USASOC (to include subordinate commands)

d. NSWC (to include subordinate commands)

e. SOCAFRICA

f. SOCEUR

g. SOCSOUTH

h. SOCCENT

i. SOCNORTH

j. SOCPAC

k. USASOC (to include subordinate commands)

l. NSWC (to include subordinate commands)

11. Item 15: HQ USSOCOM SSO has exclusive security responsibility for all SCI released to the contractor or developed under this contract. Defense Intelligence Agency and HQ USSOCOM SSO retain authority for all inspections of the contractor to ensure compliance with SCI directives, regulations, and instructions.

12. In accordance with DODM 5105.21 Volume 1-3, the following activity is designated User Agency Special Security Office for SCI requirement:

HQ USSOCOM

Special Security Office (SSO) 7701 Tampa Point Boulevard Telephone: DSN 299-1287 SOCOM.SSO.INDUSEC@SOCOM.MIL MacDill AFB, Florida 33621-5323 Commercial: (813) 826-1287

PROTECTING SPECIAL ACCESS PROGRAM (SAP) INFORMATION

PREVIOUS EDITION IS OBSOLETE. Page 8 of 12DD FORM 254, MAY 2019

SAP ADDENDUM

(7 August 2019 Edition)

Special Access Program (SAP) discussion, storage, and processing associated with this effort will be conducted in SAP Facilities (SAPF) specifically approved, in writing, by the USSOCOM SAPCO or designated USSOCOM Program Security Officer (PSO). Contact the individual in Item 13 for approved SAPF locations.

SAP activities are governed by DOD Manual 5200.01 (DOD Information Security Program) Volumes 1-4, DOD Directive 5205.07 (Special Access Program Policy); DOD Manual 5205.07 (DOD Special Access Program Security Manual), Volumes 1-4; DOD Instruction 5205.11, (Joint SAP Implementation Guide (JSIG)); USSOCOM Manual 380-2 (SAP Security Guide); USSOCOM Manual 380-7 (USSOCOM Arms Control Readiness Inspection Program) and applicable program security classification guides and subsequent versions.

Applicable documents will be provided to the contractor by the PSO under separate cover.

Access to SAP information requires employees to undergo additional personnel security screening and meet the requirements of DoD SAP accessing directives and policies in accordance with DODM 5205.07, Volume 2. The individual must meet applicable eligibility requirements and possess a final Secret or Top Secret security clearance depending on the level of access required in performance of this contract. Program Access Requests (PAR) for contractor personnel must be submitted by the Contractor’s Program Security Officer (CPSO) to the PSO for approval by the designated Access Approval Authority (AAA). Personnel approved for access will receive a program indoctrination briefing and must sign a SAP Indoctrination Agreement (PIA) prior to receiving access to program information or material. The CPSO will maintain the signed PIA and forward a copy to the PSO for entry into the appropriate database system.

SAP inspections and security oversight while in USSOCOM or Component government facilities are under the cognizance of the USSOCOM PSO or SAPCO representative, as appropriate. Additional Component SAP security requirements may apply for activities conducted at Service Component or Sub-unified command locations. The Performance Monitor or component command COR at these locations/facilities will provide specific or additional guidance. SAP reviews conducted at contractor facilities are under the security oversight of the Defense Counterintelligence and Security Agency (DCSA) unless officially relieved of oversight responsibilities.

OPSEC-sensitive or classified communication will be conducted via PSO-approved secure channels from within the SAPF. Transmission of documents via secure facsimile between terminals within SAPFs may be approved by the PSO. Only the U.S. Postal Service Register or Certified mail, if authorized, will be used to mail program material unless an alternate method is approved by the PSO. Briefed personnel are authorized to courier classified information within the continental United States with written approval from the CPSO or PSO. Two (program briefed) personnel are required to courier Top Secret material unless prior approval is obtained from the PSO. Couriers will be in the possession of PSO-issued courier authorization letters prior to travel. All material, to be mailed or carried, will be wrapped and transmitted in accordance with DODM 5205.07, Volume 1.

Prior to processing SAP information on any Automated Information System (AIS), the contractor will provide the PSO with a System Security Plan (SSP) and other documentation required in JSIG for Assessment & Authorization (A&A) from the Authorizing Official (AO), or subsequent policy. The PSO will issue program specific Security Authorization following verification of the A&A process.

USSOCOM Special Access Program (SAP) Policy Memorandum: Removable Media and Two-Person Integrity Control Policy is applicable for this contract.

Destruction of program material will be conducted only by program indoctrinated personnel using destruction equipment and procedures approved by the PSO. A single person may destroy non-accountable classified material. Accountable material must be destroyed, and documented, by two program cleared individuals.

The PSO will be advised of any reports which affect the baseline facility clearance or any incident that has an adverse impact on a personnel security clearance. All briefed personnel are required to report any information that could have an impact on their ability to protect classified information. Reportable items include: foreign travel, contacts, or associations; criminal, civil, financial, or mental health issues; and changes in personal status such as marriage, divorce, or employment. CPSOs are reminded of their responsibilities to diligently report any significant action or any change in an employee’s eligibility to the PSO immediately.

Per DOD Manual 5205.07 Volume 1, Encl. 11, Sec 3. : “Any (contractual) relationship with a prospective subcontractor requires prior approval by the PSO.” All security requirements levied upon the prime contractor will “flow-down” to the subcontractor. SAP access and other requirements must be pre-coordinated and approved by the PSO prior to implementation.

IAW DODM 5200.01, Vol 3, Encl. 6, any security incident involving the potential loss, compromise, or suspected compromise of classified information must be reported to the PSO immediately using appropriate secure channels. Security infractions will be documented in the individuals personal security file and made available for review during PSO visits.

PREVIOUS EDITION IS OBSOLETE. Page 9 of 12DD FORM 254, MAY 2019

PROTECTING “CONTROLLED UNCLASSIFIED INFORMATION” (CUI)

CUI ADDENDUM

(Updated 23 April 2020)

1. GENERAL:

a. Controlled Unclassified Information (CUI) is not a security classification, but designates unclassified information that requires any safeguarding or dissemination control per DoD Instruction 5200.48, “Controlled Unclassified Information” (6 March 2020).

b. With the implementation of DoDI 5200.48, DoDI 5200.01, Volume 4, “DoD Information Security Program: Controlled Unclassified Information” (24 February 2012, as amended), has been cancelled and “For Official Use Only” (FOUO) and is no longer authorized. All new documents shall be marked in accordance with the guidance below.

c. In order to balance the need to safeguard CUI with the public interest the CUI Registry, established by DoDI 5200.48, lists categories of CUI Basic/Specified and identifies basis for controls, and includes guidance on handling procedures.

d. There are two subsets of CUI.

i. CUI Basic is the subset of CUI for which law, regulation, or government policy does not set out specific handling or dissemination controls. CUI Basic handling and dissemination controls are the same as previously used for FOUO.

ii. CUI Specified is the subset of CUI for which law, regulation, or government policy contains specific handling controls that differ from CUI Basic. The government will provide marking and handling guidance separately for CUI Specified.

e. Remarking legacy FOUO documents is not required as long as they remain under DoD control. When needed, FOUO information does not automatically become CUI, so the material must be reviewed by the information owner to determine if it meets the CUI requirements and marked appropriately.

f. When responding to FOIA requests, the responsible DoD agency must base its decision on the content of the information and applicability of any of the FOIA statutory exemptions regardless of whether an agency designates or marks the information as CUI.

2. DESIGNATION as CUI: Designating CUI occurs when an authorized holder, consistent with DoDI 5200.48 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory. The information must be designated as either CUI Basic or CUI Specified and the authorized holder must ensure that appropriate markings are applied to documents to ensure recipients are aware of the CUI status. See the associated Security Classification Guide (SCG) or other guidance provided by the Government Contracting Agency (GCA) for specific categories of CUI related to this contract and guidance on storage, handling, and dissemination.

3. MARKING:

a. Unclassified documents containing CUI will be marked CUI at the top and bottom of each page. Each “portion” (i.e. titles, subject lines, paragraphs, bullets, charts, graphs, etc.) containing CUI will be Portion Marked (CUI). Unclassified portions will be Portion Marked (U). Do not use (U//CUI).

b. The government will provide marking, handling, and dissemination guidance separately for any CUI Specified information. For classified contracts, this guidance will be contained in the associated SCG.

c. The following CUI Designation Indicator information will be included on the first/title page or cover of all unclassified documents containing CUI:

Controlled by: [Name of DoD Component and Office] CUI Category: [List of Category or Categories of CUI] Distribution/Dissemination Control: [Use “None” for CUI Basic/As required for CUI Specified) POC: [Phone Number and/or E-mail]

d. Classified documents containing CUI will NOT include CUI in the banner marking at the top and bottom of each page. Each paragraph that contains only CUI will be portion marked (CUI). All other paragraphs will be marked according to their classification. Do not “co-mingle” CUI with classified information. The above CUI Designation Indicator information must be included on the first page or cover (same as unclassified documents). Additionally, the following statement must be included on the first page of documents that contain both CUI and classified information:

PREVIOUS EDITION IS OBSOLETE. Page 10 of 12DD FORM 254, MAY 2019

This content is classified at the [insert highest classification level of the document] level and may contain elements of Controlled Unclassified Information (CUI), unclassified, or information classified at a lower level than the overall classification displayed. This content shall not be used as a source of derivative classification; refer to [cite specific reference or applicable Security Classification Guide]. It must be reviewed for both Classified National Security Information (CNSI) and CUI in accordance with DoDI 5230.09 prior to public release.

4. PROCESSING: Unclassified Automated Information Systems (AIS) used to process CUI under this contract must meet the basic security requirements listed in the NIST SP 800-171 REV 2, “Protecting Controlled Unclassified Information in Non-Federal Systems and Organizations”, 21 February 2020. AIS accredited and approved for processing classified information under this contract are also approved to process DoD CUI.

5. DISSEMINATION: CUI may be disseminated between officials of DoD Agencies, DoD contractors, consultants and grantees to conduct official business for the DoD provided the dissemination is consistent with controls imposed by a Distribution Statement or Limited Dissemination Controls (LDC). Guidance on Distribution Statements and LDCs will be provided separately by the government for any prescribed CUI Specified information. For classified contracts, this information will be contained in the program SCG. CUI always requires Foreign Disclosure Decision before release outside of DoD Agencies, DoD contractors, consultants and grantees.

6. STORAGE: During working hours, to prevent unauthorized access, do not leave CUI unattended, read or discuss around unauthorized personnel. CUI shall be placed in an out-of-sight location if the work area is accessible to persons who do not have a need for the information. During non-working hours, the information shall be stored to preclude unauthorized access. Filing such material with other unclassified records in unlocked files or desks, is adequate when internal building security is provided during non-working hours. When such internal security control is not exercised, locked buildings or rooms will provide adequate after-hours protection or the material can be stored in locked receptacles such as file cabinets, desks, or bookcases.

7. TRANSMISSION: CUI may be transmitted using the following:

a. Mail – CUI may be sent via first class mail or parcel post. Bulk shipments may be sent by fourth class mail. Contents must be properly marked, but no markings will appear on the outer wrapper.

b. Fax – Normally CUI may be sent via Facsimile equipment. To prevent unauthorized disclosure, coversheets should be used, the locations of both fax machines should be considered, and availability of an authorized recipient at the receiving end should be confirmed.

Secure classified fax machines may be used without the above verifications.

c. E-Mail/Web Sites – E-mail may be used on approved secure communication systems or systems using other protective measures such as Public Key Infrastructure (PKI) or transport layer security (e.g., https). E-mail messages must be appropriately marked to identify CUI status. Personnel will not use unofficial or personal email accounts, messaging systems, or other non-DoD information systems, except approved government contractor systems to conduct official business involving CUI.

d. Video Teleconferencing – Only use Government Agency approved secure, encrypted video conferencing and collaborative platforms (i.e. SVTC, etc.). CUI may not be discussed over commercially available video conferencing applications.

e. Avoid wireless transmission unless no other means are available.

8. DESTRUCTION: When no longer needed, CUI must be disposed of in a way that will make it unreadable, indecipherable, and irrecoverable. Use of approved sensitive/classified material destruction devices is recommended. (ISOO CUI Notice 2019-03, “Destroying Controlled Unclassified Information in Paper Form”, 15 July 2019)

9. UNAUTHORIZED DISCLOSURE: Report misuse, mishandling, or Unauthorized Disclosure of CUI to the Unauthorized Disclosure Program Management Office, the Controlling Agency and the appropriate Military Department Counterintelligence Organization. While Unauthorized Disclosure of CUI does not constitute a security violation, a formal security inquiry/investigation is required if disciplinary action will be taken against the individual(s) responsible. Unauthorized Disclosure of certain CUI, such as export controlled-technical data, may also result in civil and criminal sanctions against responsible persons based on procedures codified in relevant law, regulation, or government-wide policy.

PREVIOUS EDITION IS OBSOLETE. Page 11 of 12DD FORM 254, MAY 2019

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Add Attachment View Selected Attachment Remove Selected Attachment

HQ USSOCOM/SOF AT&L-SR

813-826-6912/DSN 299-6912

brittany.boucher@socom.mil

Brittany Boucher Deputy Program Manager, TVS/RSTA

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

HQ USSOCOM/J2-SSO

813-826-1287/DSN 299-1287

SOCOM.SSO.INDUSEC@socom.mil

William C. M. Layton HQ USSOCOM SSO Industrial Security

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

HQ USSOCOM/SOCS-CORB

813-826-4977/DSN 299-4977

SAPCO@socom.mil

Deana Clark-Moller HQ USSOCOM SAPCO Industrial Security

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.)

While performing duties at USSOCOM, Component (JSOC, AFSOC, NSWC, MARSOC, or USASOC), Theater Special Operation Command (SOCNORTH, SOCCENT, SOCEUR, SOCPAC, SOCSOUTH, SOCAFRICA, or SOCKOR) or other U.S. Government owned and operated facilities, the contractor will adhere to the applicable Information Security Program, ADP and DODIIS Programs, Physical Security Program, Industrial Security Program, and SCI/SAP Program (if applicable). Prior approval of the contracting activity is required for subcontracting. Access to intelligence information requires special briefings and a U.S. Government clearance at the appropriate level.

Training Requirement: Contractors performing on this contract at military installations are required to conduct command and unit specific security training (Initial/Refresher INFOSEC, OPSEC, EMSEC, AT/FP, Intelligence Oversight, etc.). This training will be provided by the responsible military organization.

IA requirements: Specific Information Assurance requirements may be mandated and are authorized by the responsible command/unit where primary performance location is identified.

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

No Yes 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.)

Defense Counterintelligence and Security Agency (DCSA) is relieved of all inspection responsibility within USSOCOM, Component (JSOC, AFSOC, NSWC, MARSOC, or USASOC), Theater Special Operation Command (SOCNORTH, SOCCENT, SOCEUR, SOCPAC, SOCSOUTH, SOCAFRICA, SOCKOR) and other U.S. Government owned and operated facilities but retains responsibility for all non-SCI classified material released to or developed under the contract and held within the contractor's facility.

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

HQ USSOCOM/SOF AT&L-KH

a. GCA NAME

H92222

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

HQ USSOCOM/SOF AT&L-KH

7701 Tampa Point Blvd MacDill AFB, FL 33621

c. ADDRESS (Include ZIP Code)

Christina M. McMurty

d. POC NAME

+1 (813) 826-6967

e. POC TELEPHONE (Include Area Code) christina.m.mcmurtry.civ@socom.mil

f. EMAIL ADDRESS (See Instructions)

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.

PREVIOUS EDITION IS OBSOLETE. Page 12 of 12DD FORM 254, MAY 2019

Fredette, John T.

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

Industrial Security Program Manager

b. TITLE

HQ USSOCOM/SOCS-Z-SM

7701 Tampa Point Blvd MacDill AFB, FL 33621

c. ADDRESS (Include ZIP Code)

N/A

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N/A

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

+1 (813) 826-4333

f. TELEPHONE (Include Area Code) john.fredette@socom.mil

g. EMAIL ADDRESS (See Instructions)

h. SIGNATURE

i. DATE SIGNED (See Instructions)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

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

HQ USSOCOM SMO/SSO/SAPCO

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 254, MAY 2019

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:

20220531 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.