Attachment 3 - Draft DD254.pdf

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PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, APR 2018

NEEDS DD67

(Updated 20250815)

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:

August 31, 2028 The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 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.)

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

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 Form 254, "DoD Contract Security Classification Specification" Show Attachment Bar

(See Instructions) - Select from drop-down list: 1

Address, State, Zip, Country Tel. xxx| Fax xxx www.contractor.com

(Name, Address, ZIP Code, Telephone required; Email Address optional): Defense Counterintelligence & Security Agency (DCSA) National Access Elsewhere Security Oversight Center P.O. Box 644 Hanover, MD 21076 410-689-2905

(Name, Address, ZIP Code, Telephone required; Email Address optional):

Mogadishu Mogadishu, Somalia

Unit 29952

APO, AE 09154-9952

Enter general unclassified description of this procurement.: Joint Special Operations Task Force - Somalia (JSOTF-SOM) Directorate of J4 support for execution of SOCOM cultural advisor needs at Mogadishu, Somalia. JSOTF-SOM cultural advisors contractors will perform routine duties and also solve complex issues within their respective areas in the understanding of local customs, history, cultural routines, tribal dynamics, local government, and the socio-cultural context in which operations are being planned and conducted.

(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.): SCI ADDENDUM (26 March 2026)

This supplement applies to:

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

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.

3. Item 13: Inquiries pertaining to classification guidance will be directed to the responsible USSOCOM Contracting Officer’s Representative/Program Manager/Contract Monitor.

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 3 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 HQ SOCAFRICA or 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 SOCAFRICA or 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. A T5 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 SOCAFRICA or 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 socafrica.hq.j2.security_team.mbx@socom.mil or DSN 324-379-9220/9221/9222/9213 so the SSO can remove their ownership of the contractor in DISS.

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. SOCAFRICA Mogadishu, Somalia.

11. Item 15: HQ SOCAFRICA 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 SOCAFRICA

Special Security Office (SSO) UNIT 30401, APO AE 09107, Telephone: DSN 324-379-9222/9213/9220/9221, Commercial: 071170779222/9213/9220/9221 SOCAFRICA.HQ.J2.SECURITY_TEAM.MBX@SOCOM.MIL

KELLEY BARRACKS, STUTTGART GERMANY

11J - Information Assurance Certification is required for system access.

Facility Clearance Required: A company with a Top Secret clearance, contractor personnel shall not courier Top Secret information outside of AFRICOM or SOCOM facilities ( Blocks 6a and 8a) without expressed written consent from the Contracting Officer (CO) or Contracting Officer Representative (COR). Once written consent is received, the Contractor shall provide a list of employee’s names that require courier authorization to the CO/COR. Once approved, and required training/briefings have been received, contractor personnel shall receive an issued Courier Authorization Card.

Ref 10.i: Individuals working with ACCM will be required to have additional training on the handling and safeguarding of ACCM material and shall comply with the following:

All ACCM work will be done "on-site" at the Government facility. No ACCM material will be stored/transferred/viewed at the contractor facility. The contractor will safeguard all ACCM information in accordance with CJCSM 3213.02 series, "Joint Staff Focal Point Program" and the Program Security Plan (PSP) for the specific program(s).

Ref 10.j: The Contractor is authorized and may have access to UNCLASSIFIED information/material identified as "For Official Use Only" (FOUO). The contractor is prohibited from further disclosure/dissemination of this information without the expressed written authorization of SOCAFRICA. FOUO Information provided under this contract shall be safeguarded as specified in DoDM 5200.01, Volume 4 (DoD Information Security Program: Controlled Unclassified Information (CUI) , February 24, 2012.” In addition, contractors or subcontractors must obtain written approval from CO/COR/COTR or SOCAFRICA Public Affairs prior to posting any unclassified information on any Web site or the Internet. This will also apply to any acknowledgment of association between the contractor/subcontractor and SOCAFRICA.

Ref 11.c: Classified information generated in the performance of this contract shall be classified according to the markings shown on the source material. All classified information received is the property of the U.S. Government. The U.S. Government will be contacted at the expiration or termination of this contract for proper disposition instructions. Any classified information generated in the performance of this contract shall be classified according to the markings shown on the source material.

Ref 11.c: Classified information received and/or generated under this contract is the property of the U.S. Government regardless of proprietary claims. Upon completion or termination of this contract, the U S. Government will be contacted for destruction or disposition instructions. Derivative classifications must be derived from existing classification source documents. The contractor cannot act as an Original Classification Authority. In the absence of a more specific localized guidance, the contractor can refer to and be guided by DoDI C-5240.08, 28 November 2011. The contractor is not authorized to release U.S. Government classified material to any activity or person, including subcontractors without the COR's written approval. Only with the expressed permission of the COR may the contractor reproduce any classified materials. All requirements for the control and accounting for original documentation and copies apply. Classified information will be protected IAW NISPOM, Chapter 5.

Ref 11.f: Contractor and its subcontractors, when performing or traveling outside the United States under this contract shall:

1. Affiliate with the Overseas Security Advisory Council, if the contractor or subcontractor is a U.S. entity;

2. Ensure personnel who are in-country on a non-transitory basis, register with the U.S. Embassy, and contractor and subcontractor personnel who are third country nationals comply with security related requirements of the Embassy of their nationality;

3. Provide personnel with anti-terrorism/force protection awareness information commensurate with DoD military and civilian personnel, to the extent such information can be made available prior to travel outside the United States.

4. Obtain and comply with the most current anti-terrorism/force protection guidance for contractor personnel.

5. Overseas places of performance are expected to include: List overseas areas where contract will be performed.11J - Information Assurance Certification is required for system access.

Facility Clearance Required: A company with a Top Secret clearance, contractor personnel shall not courier Top Secret information outside of AFRICOM or SOCOM facilities ( Blocks 6a and 8a) without expressed written consent from the Contracting Officer (CO) or Contracting Officer Representative (COR). Once written consent is received, the Contractor shall provide a list of employee’s names that require courier authorization to the CO/COR. Once approved, and required training/briefings have been received, contractor personnel shall receive an issued Courier Authorization Card.

Ref 10.i: Individuals working with ACCM will be required to have additional training on the handling and safeguarding of ACCM material and shall comply with the following:

All ACCM work will be done "on-site" at the Government facility. No ACCM material will be stored/transferred/viewed at the contractor facility. The contractor will safeguard all ACCM information in accordance with CJCSM 3213.02 series, "Joint Staff Focal Point Program" and the Program Security Plan (PSP) for the specific program(s).

Ref 10.j: The Contractor is authorized and may have access to UNCLASSIFIED information/material identified as "For Official Use Only" (FOUO). The contractor is prohibited from further disclosure/dissemination of this information without the expressed written authorization of SOCAFRICA. FOUO Information provided under this contract shall be safeguarded as specified in DoDM 5200.01, Volume 4 (DoD Information Security Program: Controlled Unclassified Information (CUI) , February 24, 2012.” In addition, contractors or subcontractors must obtain written approval from CO/COR/COTR or SOCAFRICA Public Affairs prior to posting any unclassified information on any Web site or the Internet. This will also apply to any acknowledgment of association between the contractor/subcontractor and SOCAFRICA.

Ref 11.c: Classified information generated in the performance of this contract shall be classified according to the markings shown on the source material. All classified information received is the property of the U.S. Government. The U.S. Government will be contacted at the expiration or termination of this contract for proper disposition instructions. Any classified information generated in the performance of this contract shall be classified according to the markings shown on the source material.

Ref 11.c: Classified information received and/or generated under this contract is the property of the U.S. Government regardless of proprietary claims. Upon completion or termination of this contract, the U S. Government will be contacted for destruction or disposition instructions. Derivative classifications must be derived from existing classification source documents. The contractor cannot act as an Original Classification Authority. In the absence of a more specific localized guidance, the contractor can refer to and be guided by DoDI C-5240.08, 28 November 2011. The contractor is not authorized to release U.S. Government classified material to any activity or person, including subcontractors without the COR's written approval. Only with the expressed permission of the COR may the contractor reproduce any classified materials. All requirements for the control and accounting for original documentation and copies apply. Classified information will be protected IAW NISPOM, Chapter 5.

Ref 11.f: Contractor and its subcontractors, when performing or traveling outside the United States under this contract shall:

1. Affiliate with the Overseas Security Advisory Council, if the contractor or subcontractor is a U.S. entity;

2. Ensure personnel who are in-country on a non-transitory basis, register with the U.S. Embassy, and contractor and subcontractor personnel who are third country nationals comply with security related requirements of the Embassy of their nationality;

3. Provide personnel with anti-terrorism/force protection awareness information commensurate with DoD military and civilian personnel, to the extent such information can be made available prior to travel outside the United States.

4. Obtain and comply with the most current anti-terrorism/force protection guidance for contractor personnel.

5. Overseas places of performance are expected to include: List overseas areas where contract will be performed.

PLEINEGER STR 289

STUTTGART-MORINGEN DE 70567

Unit 29952

APO AE 09154-9952