Attachment_2-_DD254.pdf
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- Attached to
- DISA Global IO&T Federal contract opportunity
- Solicitation number
- HC1028-14-R-0019
- Issued by
- Defense Information Systems Agency
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solicitation DD254- not finalized
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DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
1. CLEARANCE AND SAFEGUARDING
a. FACILITY CLEARANCE REQUIRED
b. LEVEL OF SAFEGUARDING REQUIRED
2. THIS SPECIFICATION IS FOR: (X and complete as applicable)
a. PRIME CONTRACT NUMBER
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)
REVISION NO.
c. FINAL (Complete Item 5 in all cases)
DATE (YYYYMMDD)
b. REVISED (Supersedes all previous specs)
DATE (YYYYMMDD)
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 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 OFFICE (Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
10. CONTRACTOR WILL REQUIRE ACCESS TO: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:YES NO YES NO
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION
b. RESTRICTED DATA
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
d. FORMERLY RESTRICTED DATA
e. INTELLIGENCE INFORMATION
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
f. SPECIAL ACCESS INFORMATION
g. NATO INFORMATION
h. FOREIGN GOVERNMENT INFORMATION
i. LIMITED DISSEMINATION INFORMATION
j. FOR OFFICIAL USE ONLY INFORMATION
k. OTHER (Specify)
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY
b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE AND GENERATE CLASSIFIED 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 TEMPEST REQUIREMENTS
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
l. OTHER (Specify)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.
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
a. TYPED NAME OF CERTIFYING OFFICIAL
Direct Through (Specify)
d. ADDRESS (Include Zip Code)
Yes No 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 classifiection 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; 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. Add additional pages as needed to provide complete guidance.)
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 No15. 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.)
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.
b. TITLE c. TELEPHONE (Include Area Code)
e. SIGNATURE
17. REQUIRED DISTRIBUTION
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. OTHERS AS NECESSARY
DD FORM 254 (BACK), DEC 1999
DD FORM 254 , SECURITY SIGNATURE PAGE
Contract Number:
CERTIFICATION AND SIGNATURES: “Security requirement stated herein are completed and adequate for safeguarding the classified information to be release or generated under this classified effort. All questions shall be referred to the official named below.”
Security Office Approved Date
Name:
Title:
Security Office Approved Date
Name:
Title:
| DD254 Fillable with Security Page and Electronic Signature |
| ddform 254 cont |
| ddform254cont1 |
| ddform254cont2 |
| a_FACILITY_CLEARANCE_REQU: Secret |
| b_LEVEL_OF_SAFEGUARDING_R: None |
| FillText1: Off |
| a_PRIME_CONTRACT_NUMBER: |
| FillText3: Off |
| b_SUBCONTRACT_NUMBER: |
| FillText5: Yes |
| c_SOLICITATION_OR_OTHER_N: HC1028-14-R-0019 |
| DUE_DATE_YYYYMMDD: September 5, 2014 |
| 3_A: Original. |
| DATE_YYYYMMDD: 2014/06/10 |
| 3_B: Off |
| REVISION_NO: |
| DATE_YYYYMMDD1: |
| 3_C: Off |
| DATE_YYYYMMDD2: |
| 4_Yes: Off |
| 4_No: No |
| YES1: |
| 5_Yes: Off |
| 5_No: No |
| FillText12: |
| FillText11: |
| a_NAME_ADDRESS_AND_ZIP_CO: |
| b_CAGE_CODE: |
| c_COGNIZANT_SECURITY_OFFI: |
| a_NAME_ADDRESS_AND_ZIP_C1: |
| b_CAGE_CODE1: |
| c_COGNIZANT_SECURITY_OFF1: |
| a_LOCATION: Work could be conducted in all DISA locations |
| b_CAGE_CODE2: |
| c_COGNIZANT_SECURITY_OFF2: |
| 9_GENERAL_IDENTIFICATION: Global Interior Outfitting and Transition (IO&T) FFE procurement, installation, and support services |
| a_COMMUNICATIONS_SECURIT1: Off |
| a_COMMUNICATIONS_SECURIT2: Yes |
| b_RESTRICTED_DATA1: Off |
| b_RESTRICTED_DATA2: Yes |
| c_CRITICAL_NUCLEAR_WEAPO1: Off |
| c_CRITICAL_NUCLEAR_WEAPO2: Yes |
| d_FORMERLY_RESTRICTED_DA1: Off |
| d_FORMERLY_RESTRICTED_DA2: Yes |
| 1_Sensitive_Compartmente1: Off |
| 1_Sensitive_Compartmente2: Yes |
| 2_NonSCI1: Yes |
| 2_NonSCI2: Off |
| f_SPECIAL_ACCESS_INFORMA1: Off |
| f_SPECIAL_ACCESS_INFORMA2: Yes |
| g_NATO_INFORMATION1: Off |
| g_NATO_INFORMATION2: Yes |
| h_FOREIGN_GOVERNMENT_INF1: Off |
| h_FOREIGN_GOVERNMENT_INF2: Yes |
| i_LIMITED_DISSEMINATION_1: Off |
| i_LIMITED_DISSEMINATION_2: Yes |
| j_FOR_OFFICIAL_USE_ONLY_I: Yes |
| j_FOR_OFFICIAL_USE_ONLY_1: Off |
| k_OTHER_Specify: Off |
| k_OTHER_Specify1: Yes |
| other1: |
| a_COMMUNICATIONS_SECURIT3: Yes |
| a_COMMUNICATIONS_SECURIT4: Off |
| b_RESTRICTED_DATA3: Off |
| b_RESTRICTED_DATA4: Yes |
| c_CRITICAL_NUCLEAR_WEAPO3: Off |
| c_CRITICAL_NUCLEAR_WEAPO4: Yes |
| d_FORMERLY_RESTRICTED_DA3: Off |
| d_FORMERLY_RESTRICTED_DA4: Yes |
| e_INTELLIGENCE_INFORMATI3: Yes |
| e_INTELLIGENCE_INFORMATI4: Off |
| 1_Sensitive_Compartmente3: Yes |
| 1_Sensitive_Compartmente4: Off |
| 2_NonSCI3: Off |
| 2_NonSCI4: Yes |
| f_SPECIAL_ACCESS_INFORMA3: Off |
| f_SPECIAL_ACCESS_INFORMA4: Yes |
| g_NATO_INFORMATION3: Off |
| g_NATO_INFORMATION4: Yes |
| h_FOREIGN_GOVERNMENT_INF3: Off |
| h_FOREIGN_GOVERNMENT_INF4: Yes |
| i_LIMITED_DISSEMINATION_3: Off |
| i_LIMITED_DISSEMINATION_4: Yes |
| FillText13: Yes |
| FillText14: Off |
| 1_OTHER_Specify: IT II |
| 12_Public_Release_Direct: Off |
| 12_Public_Release_Through: Off |
| release: Public Release is not Authorized |
| 13_Rules: |
| 13_2: |
| security: - All visit access requests (VARs) by contractors shall be sent via the Joint Personnel Adjudication System (JPAS) to the DISA VAR Center (JPAS SMO:DKABAA10) or appropriate SMO for the effort. The COR/TM must approve the VAR prior to sending the request to the facility being visited. Contractors must also provide a copy of the VAR to the security manager. |
- The COR/TM must be notified and approve the receipt and/or generation of classified information under this contract.
- All 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.
- Foreign Nationals will not perform on any area of the contract (classified or unclassified).
- Reference Block 10j: Contractor will be provided with and will abide by DoD Regulation 5400.7, DoD Freedom of Information Act Program, and DoD 5200.01-M, Information Security Program. Guidance provided under separate cover.
- Reference Block 11a: Contract performance is restricted to DISA facilities (global, see attachment A). The using contractor or Government activity will provide security classification guidance for the performance of this contract.
- Reference Block 11e: Contract is for Interior Outfitting and Transition (IO&T) services. Classification and markings on the material to be furnished will provide the classification guidance necessary for performance of this contract.
-Reference Block 11f: Contractors when performing or traveling outside the United States under this contract will:
a) All personnel will obtain an AOR specific foreign travel brief within 90 days of travel and will provide proof of training to the COR/TM.
b) All personnel will receive the Antiterrorism Level I Awareness training within one year prior to travel.
- Reference Block 11l: IT-II requires at least a NACLC, NACI, ANACI, or NAC investigation.
| 14_Yes: Yes |
| 14_No: Off |
| addit_sec: |
- Costs incurred due to additional security requirements are subject to negotiation between the contractor and DISA.
| 15_Yes: Off |
| 15_No: No |
| Inspections: |
| a_TYPED_NAME_OF_CERTIFYIN: Idalia Rodriquez |
| b_TITLE: COTR |
| c_TELEPHONE_Include_Area: 301-225-1255 |
| d_ADDRESS_Include_Zip_Cod: 6910 Cooper Ave |
Fort Meade, MD 20755
| e_SIGNATURE: | |
| FillText21: Yes | |
| FillText22: Off | |
| FillText23: Yes | |
| 2014-06-10T14:31:54-0400 | |
| RODRIGUEZ.IDALIA.C.1275093730 |
| FillText24: Yes |
| FillText25: Yes |
| FillText26: Off |
| f_OTHERS_AS_NECESSARY: |
| Reset: |
| FillText15: |
| FillText16: |
| 13_cont2: Reference Item 14 - -The contractor will abide by DCID 6/6 (formerly 1/7), Security Controls on the Dissemination of Intelligence Information, 11 July 2001. Provided under separate cover. |
| solic_con2: |
| page2: |
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