DD254_-_Solicitation_JSOMTC_Medical_Instruction.pdf

FOR OFFICIAL USE ONLY

DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION SPECIFICATION a. FACILITY CLEARANCE REQUIRED

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

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)

20130701

b. SUBCONTRACT NUMBER

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

Date (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER Due Date (YYYYMMDD) c. FINAL (Complete Item 5 in all cases) Date (YYYYMMDD)

H92239-13-R-0004

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 identified 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 (Name, Address, and Zip Code)

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICES ( Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code) Joint Special Operations Medical Training Center (JSOMTC)

U.S. Army JFK Special Warfare Center and School

Fort Bragg, NC 28310 9610

Defense Security Service (S21VB)

293 Independence Blvd, Suite 532

Virginia Beach, VA 23462-5400

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Provide instruction in the Special Operations Forces (SOF) Medical Courses offered by the Joint Special Operations Medical Training

Center (JSOMTC); perform administrative support for the JSOMTC, US Army John F Kennedy Special Warfare Center and School, US

Army Special Operations Command, Fort Bragg, NC. The Period of Performance will be determined upon contract award.

10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: 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 OUTSIDE THE U.S., PUERTO

RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

(2) Non-SCI g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL

INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

f. SPECIAL ACCESS INFORMATION h. REQUIRE A COMSEC ACCOUNT

g. NATO INFORMATION i. HAVE A TEMPEST REQUIREMENT

h. FOREIGN GOVERNMENT INFORMATION j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

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

j. FOR OFFICIAL USE ONLY INFORMATION l. OTHER (Specify). For OPSEC Requirements, see Item 13.

k. OTHER Specify)

IA Computer Requirements: Use of Government-owned Computers only at

JSOMTC.

IA Position Requirements: IT-III (normal user) Positions only.

IA Network Requirements: Access to Enterprise NIPRNet only at

JSOMTC.

DD Form 254, DEC 1999 Previous editions are obsolete

FOR OFFICIAL USE ONLY

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 release shall be submitted for approval prior to release

Direct

Through (Specify):

The User Organization COR/TRep/FRep/POC is responsible to forward the contractor’s request for public release of information relating to Army classified contracts or programs through their security office (G-2/S-2) to their Public Affairs (PA) Office. The PA processes the request in accordance with AR 360-1, The

Army Public Affairs Program. Information requiring HQDA or DoD level review is forwarded by entry-level public affairs office to the HQDA, Office of the

Chef of Public Affairs (OCPA), 1500 Army Pentagon, Washington, DC 20310-1500. The OCPA forwards the request, as required, to the Directorate for

Freedom of Information and Security Review, Washington Headquarters Service, Department of Defense, Pentagon, Washington DC 20601-1400.

To the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* (Office of Freedom of Information; 1155 Defense Pentagon, Room 2C757; Washington, DC 20301-1155) 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 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 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 document/guides/extracts referenced herein.

Add additional pages as needed to provide complete guidance.

ATTACHMENT # 1, (continuation sheet) for “Additional Guidance/Requirements.”

ATTACHMENT # 2 Protecting "FOR OFFICIAL USE ONLY" (FOUO) Information.

ATTACHMENT # 3 “Contractor Visits To USASOC (CSCs/CSUs) (Government) Locations/Facilities.”

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, 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 cognizant security office. Use Item 13 if additional space is needed.)

Yes No

ATTACHMENT # 1, (continuation sheet) for “Additional Guidance/Requirements.”

ATTACHMENT # 2 Protecting "FOR OFFICIAL USE ONLY" (FOUO) Information.

ATTACHMENT # 3 “Contractor Visits To USASOC (CSCs/CSUs) (Government) Locations/Facilities.”

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (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.

Yes No

(Ref Item 8.a. and 13) For Classified Contracts: DSS is relieved of all Industrial Security review/inspection responsibility for all classified materials/contract performance at Government Owned and Government Operated (GOGO) Facilities/Locations identified in the Contract Requirements

Document (PWS/SOW/SOO) and Items 8.a. & 13. The HQ USASOC DCS, G-2, Security Operations Division, Information Systems Security Branch

(AOIN-SOD-SS), Industrial Security Office shall be responsible to provide Cognizant Security Oversight (CSO) over all Industrial Security issues, matters, and concerns for this contract at all GOGO Location(s)/Facility(ies) identified in the Contract Requirements Document and Items 8 & 13.

The User Organization COR/TRep/FRep/POC shall ensure the HQ USASOC DCS, G-2 Industrial Security Office is kept apprised at all times concerning all security issues/problems noted/identified for this contract.

The USAJFKSWCS G-2 is responsible for the Industrial Security Program at their respective location(s).

The HQ USASOC DCS, G-2 Industrial Security Office assumes responsibility for the:

o Administration of the Industrial Security Program on behalf of the Cognizant Security Agency (CSA) IAW HQ USASOC’s ASCC NISP; and all applicable Security Directives, Regulations, and Policies.

o Oversight of all Controlled Unclassified Information (CUI), or Classified Military Information (CMI) material released to or developed under the contract.

o Conducting periodic security inspections/reviews for contract performance and compliance with the ASCC’s NISP and the contract’s DD Form 254.

The User Organization’s Security Officer shall be responsible to report all Security Matters and Concerns, to include Adverse Information, Security

Infractions/Violations, etc. to the HQ USASOC Industrial Security Office in a prompt manner.

The HQ USASOC DCS, G-2 Industrial Security Office will ensure the USAJFKSWCS G-2 and contract COR/TRep/FRep/POC are kept informed on

Industrial Security issues and matters concerning this contract.

16. CERTIFICATION AND SIGNATURE. 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.

a. TYPED NAME OF CERTIFYING OFFICIAL

b. TITLE

c. TELEPHONE (Include Area Code)

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

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

DD Form 254 (BACK), DEC 1999