Atch_2_MEAUS_IV_Draft_DD_Form_254.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PREVIOUS EDITION IS OBSOLETE.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)

PSC 831 BOX 0012 FPO AE 09363-0012

CSO: HQ CJSOTF

SSO

Bagram Airfield, Afghanistan

APO, AE 09354

CSO: CJSOTF-AP

Security Manager

MNF-I STRATOPS C2 FWD

APO AE 09316

CSO: Special Operations Command Central Attn: SOC-J2 7561 Blackbird St.

MacDill AFB, FL 33621-5101 CSO: Special Operations Command Central Attn: SOC-J2 7561 Blackbird St.

MacDill AFB, FL 33621-5101

CSO: HQ JSOAD

SSO

Incirlik AB

APO, AE 09824

DD 254 VALID: TBD (ANNUAL DD FM 254 REVIEW REQUIRED)

Period of Performance: TBD

Ref 2b: Subcontracting of this effort 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 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 10e(1): See attached SCI Addendum.

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 FOUO Addendum included with this specification.

Ref 10k: NIPRNET/SIPRNET access required at government facilities only.

Ref 10k: Secure/encrypted telephone devices for communications up to the SECRET level authorized at contractor facilities.

Ref 11c: The contractor requires access to classified source data up to and including SECRET in support of the work effort. 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 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 Afghanistan, Iraq, Horn of Africa, Yemen, Lebanon and EUCOM Areas of Responsibility.

Ref 11h: See Item 10a instructions for further guidance on COMSEC involved contracts. The POCs 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

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 FOUO 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 is not authorized to courier classified information.

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.

SCI ADDENDUM

This supplement applies to:

Prime Contract Number: H92222-17-D-0010 REV 3 Subcontract Number: N/A Delivery/Task Order Number: N/A 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 (Major James Hardwick, 813-826-0082).

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 FOUR (4) 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 Personnel Security Management Office for Industry (PSMO-I) for an SSBI. An SSBI and access to SCI will comply with the National Industrial Security Program Manual. Upon completion of the SSBI, 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.

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. AFRICOM AOR SCIFs

b. CENTCOM AOR SCIFs

c. EUCOM AOR SCIFs

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 CNP@SOCOM.MIL MacDill AFB, Florida 33621-5323 Commercial: (813) 826-1287

This supplement applies to:

Prime Contract Number: TBD Delivery/Task Order Number: N/A text: HQ USSOCOM/SOF AT&L-FW

813-826-0082/DSN 299-0082

james.w.hardwick.mil@socom.mil

MEUAS IV Program Manager

Michelle K. Bayless HQ USSOCOM SSO Industrial Security

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.

Contractor meetings or visits will be accomplished IAW NISPOM Ch. 6.

7701 Tampa Point Blvd MacDill AFB FL 33621 Address: HQ USSOCOM/SOCS-Z-M 7701 Tampa Point Blvd MacDill AFB, FL 33621