Attachment_2_DD_254_H92222-12-R-0072FINALx.pdf

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

1. CLEARANCE AND SAFEGUARDING

(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)

a. FACILITY CLEARANCE REQUIRED

TOP SECRET

b. LEVEL OF SAFEGUARDING REQUIRED

NONE

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

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases) Date (YYYYMMDD)

20120917

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs) Revision No.

NA

Date (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER H92222-12-R-0072

DUE DATE (YYYYMMDD)

2012/11/06

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

4. IS THIS A FOLLOW-ON CONTRACT? YES NO If YES, complete the following

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

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

In response to the contractor’s request dated , retention of the classified material is authorize d for the period of

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

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION Contractor Facility TBD

b. CAGE CODE

TBD

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

TBD

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

The contractor shall provide all personnel and services necessary to perform Preservation of the Force and Family (POTFF) Resilency and Human Perofrmance Programs support.

Period of Performance: 1 March 2013 – 29 February 2018 (Annual Review Required).

10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WIL L: YES NO

a. COMMUNICATIONS SECURITY (COMSEC)

INFORMATION

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY

b. RESTRICTED DATA

b. RECEIVE CLASSIFIED DOCUMENTS ONLY

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

d. FORMERLY RESTRICTED DATA

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. INTELLIGENCE INFORMATION e. PERFORM SERVICES ONLY

(1) Sensitive Compartmented Information (SCI)

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUT SIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

(2) Non-SCI

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TE CHNICAL

INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION

CENTER

f. SPECIAL ACCESS INFORMATION

h. REQUIRE A COMSEC ACCOUNT

g. NATO INFORMATION

i. HAVE TEMPEST REQUIREMENTS

h. FOREIGN GOVERNMENT INFORMATION

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

i. LIMITED DISSEMINATION INFORMATION k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVIC E

j. FOR OFFICIAL USE ONLY INFORMATION WILL BE HANDLED IAW FOUO Addendum

l. OTHER (Specify )

k. OTHER (Specify)

DD Form 254, DEC 1999 PREVIOUS EDITION IS OBSOLE TE

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release. Direct Through (Specify)

Requests must be forwarded through the certifying official (block 16), USSOCOM Office of Public Affairs (SOCS-PA), and the Contracting Officer

To the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.

* In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency

13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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. The contractor may also challenge guidance or the classification assigned to any information or material furnished or generated under this contract; and may submit questions for interpretation of the 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. Add additional pages as needed to provide complete guidance.)

The Program Manager listed in block 16 will provide a copy of all applicable security directives for this contract. Appropriate applicable command security directives, regulations, and standard operating procedures will be provided by the requiring agency (normally through 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 (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 to the appropriate issuing office, all Common Access Cards (CAC), security badges, installation entry passes/vehicle decals issued to contractor personnel upon completion or termination of the classified contract, termination of employment, or suspension of classified clearance or access of any contractor employee.

SEE CONTINUATION PAGE

Reviewed/Approved Michael Cauble USSOCOM Industrial Security 18 Sep 2012

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. YES NO (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 Cognizant Security Office. Use Item 13 if additional space is needed.)

SEE CONTINUATION PAGE

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the Cognizant Security Office. YES NO (If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete an d adequate for safeguarding the classified informat ion to be released or generated under this classified e ffort. All questions shall be referred to the offi cial named below.

a. TYPED NAME OF CERTIFYING OFFICIAL Kevin M. Reed

b. TITLE Acquisition Program Manager

c. TELEPHONE (Include Area Code) 813-826-3478

d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION

HQ USSOCOM

7701 Tampa Point Blvd

MacDill AFB, FL 33621

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE D. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

E. ADMINISTRATIVE CONTRACTING OFFICER

F. OTHERS AS NECESSARY USSOCOM SSO

DD FORM 254 (BACK), DEC 1999

X

THIS DD FORM 254 IS ESTABLISHED FOR THE BASE CONTRA CT. INDIVIDUAL TASK ORDERS WILL IDENTIFY TASK ORDER SPECIFIC SECURTY REQUIREMENTS AND INCLUDE A T ASK ORDER SPECIFIC DD FORM 254.

ITEM 8 (PERFORMANCE LOCATIONS):

The following locations are identified as expected baseline potential performance locations: USSOCOM, USASOC, AFSOC, NSWC, MARSOC, and JSOC. Additional locations may be required upon coordination of contracting officer, program manager, and contracting officer representative (COR) and will be specifically identified in the task order specific Performance Work Staement (PWS).

SECTION 13 (SECURITY GUIDANCE):

Ref 10j: FOUO information/provided under this contract shall be safeguard as specified in the attachment, Protecting for Official Use Only (FOUO) Information.

Ref 11b: Contractor will receive classified documents for reference only; however, if any classified information is generated in performance of this contract, it shall be derivatively classified and marked consistent with the source material.

SECTION 14 (ADDITIONAL SECURITY REQUIREMENTS):

Contractor Team will be authorized to courier classified information up to the “Secret” level in performance of official duties upon approval of and designation by the officially appointed COR and in accordance with approved SOCOM and DoD security procedures.

All security incidents/violations will be reported to the responsible cognizant security office, facility security officer, contracting officer, and primary contracting officer representative (PCOR/COR) for the contract.

Contractor will be required to enter into a Visitor Group Security Agreement (VGSA) for any contract performance at Air Force installations except MacDill AFB. Contractor will provide the information requested by the Notification of Government Security Activity clause and VGSA Clause, AFFARS 5352.204-9000, to the Servicing Security Activity. The visitor group will operate per DoD 5200.1-R, AFI 31-401, AFI 31- 601, Hurlburt Field supplements and unit security program operating instructions, plans and procedures.