Attachment_2_DD254.pdf

PDF 1 MB Posted

Attached to
HC102818R0128 AMD 04 Federal contract opportunity
Solicitation number
HC102818R0128
Issued by
Defense Information Systems Agency

About this file

Attachment 2 - DD254

View the file

Other files for this federal contract opportunity

Other files attached to HC102818R0128 AMD 04, newest first.
File Type Posted
Answers_QA_AMD_04.xlsx XLSX spreadsheet
RFP_AMD_04.pdf PDF
Attachment_3_Pricing_Spreadsheet_AMD_04.xlsx XLSX spreadsheet
RFP_AMD_04.pdf PDF
Attachment_3_Pricing_Spreadsheet_AMD_04.xlsx XLSX spreadsheet
Answers_QA_AMD_04.xlsx XLSX spreadsheet
RFP_AMD_03.pdf PDF
Attachment_3_Pricing_Spreadsheet_AMD_03.xlsx XLSX spreadsheet
RFP_AMD_03_Conformed_copy.pdf PDF
Attachment_1_-_SOW_Security_Escort_Requirements_Table_AMD_03.xls XLS spreadsheet
Attachment_2-SOW_Security_Escorts_Duties_and_Responsibilities_AMD_03.docx DOCX document
Attach_4_LPTA_Eval_Table_AMD_03.doc DOC document
RFP_AMD_03.docx.pdf PDF
RFP_AMD_03_CONFORMED_COPY.docx.pdf PDF
Attachment_3_Pricing_Spreadsheet_AMD_03.xlsx XLSX spreadsheet
RFP_AMD_03.docx.pdf PDF
Attach_4_LPTA_Eval_Table_AMD_03.doc DOC document
Attachment_2-SOW_Security_Escorts_Duties_and_Responsibilities_AMD_03.docx DOCX document
Attachment_1_-_SOW_Security_Escort_Requirements_Table_AMD_03.xls XLS spreadsheet
RFP_AMD_03_CONFORMED_COPY.docx.pdf PDF
QA-_Escorts.xlsx XLSX spreadsheet
Attachment_7_TR_Scenario_-_REV.1.xls XLS spreadsheet
HC102818R0128_AMD_02.pdf PDF
Attachment_3_Pricing_Spreadsheet_LOCKED_V2.xlsx XLSX spreadsheet
HC102818R0128_AMD_01.pdf PDF
SOW_Attch_1_-_Security_Escort_Requirements_Table_-_REV.1.xls XLS spreadsheet
Attachment_6__Non-Disclosure_Agreement.pdf PDF
Attachment_3_Pricing_Spreadsheet_LOCKED.xls XLS spreadsheet
SOW_Attch_1_-_Security_Escort_Requirements_Table.xls XLS spreadsheet
HC102818R0128.docx DOCX document
Attach_5_Past_Performance_References.doc DOC document
Attach_4_LPTA_Eval_Table.doc DOC document
Attachment_1_QASP_Revised_10-10.docx DOCX document
SOW_Attch_2_-_Security_Escort_Duties_and_Responsibilites.docx DOCX document
Attachment_7_TR_Scenario.xls XLS spreadsheet
Show all 35

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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

PRIME CONTRACT NUMBER:

SUBCONTRACT 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 Approval

Name:

Title:

Security Office Approval

Fillable DD254 with Cont Security Page and Electronic Signature.pdf
DD254 Fillable with Security Page and Electronic Signature
ddform 254 cont
ddform254cont2
ddform 254 cont.pdf
ddform254cont1
ddform254cont2
ddform 254 cont.pdf
ddform254cont1
ddform254cont2
a_FACILITY_CLEARANCE_REQU: Top Secret
b_LEVEL_OF_SAFEGUARDING_R: None
FillText1: Off
FillText3: Off
FillText5: Yes
DUE_DATE_YYYYMMDD: 20180930
3_A: Original.
DATE_YYYYMMDD: 20180413
3_B: Off
REVISION_NO:
DATE_YYYYMMDD1:
3_C: Off
DATE_YYYYMMDD2:
4_Yes: Yes
4_No: Off
YES1: HC1028-15-F-0036
5_Yes: Off
5_No: No
FillText12:
FillText11:
a_NAME_ADDRESS_AND_ZIP_CO: TBD
b_CAGE_CODE: TBD
c_COGNIZANT_SECURITY_OFFI: TBD
a_NAME_ADDRESS_AND_ZIP_C1:
b_CAGE_CODE1:
c_COGNIZANT_SECURITY_OFF1:
a_LOCATION: See block 13.
b_CAGE_CODE2:
c_COGNIZANT_SECURITY_OFF2:
9_GENERAL_IDENTIFICATION: Security Escort Services: Security Escort Specialists with appropriate DoD security clearance, accompany and oversee other, non-cleared contractor personnel working within controlled access areas of DISA facilities.
12_Public_Release_Direct: Off
12_Public_Release_Through: Off
release: Public release is not authorized.
13_Rules:
13_2:
security: Reference Block 10k: NIPRNet access is required at the Government location.

Reference Block 8a/11a, Locations of Performance:

Chambersburg, PA: Letterkenny Army Depot, 1 Overcash Avenue, Chambersburg, PA 17201 Columbus, OH: 3990 E. Broad Street, Building 23 Columbus, OH 43216 Denver, CO 6261 S Willow Drive, Suite 200, Greenwood Village, CO 80111 Mechanicsburg, PA: 5450 Carlisle Pike, Building 309S, Mechanicsburg, PA 17050 Montgomery, AL: 401 E. Moore Drive, Building 857 Maxwell AFB Gunter Annex, AL 36114 Ogden, UT: 7879 Wardleigh Road, Building 891 Hill AFB, UT 84056 Oklahoma City, OK: 8705 Industrial Blvd., Building 3900 Tinker AFB, OK 73145 San Antonio, TX: 450 Duncan Drive, Building 200, San Antonio, TX 78226 Saint Louis, MO: 4300 Goodfellow Blvd., Building 103, St. Louis, MO 63120 Scott AFB, IL: 5534 Pryor Dr. Scott AFB, IL 62225 Ft Shafter, HI: 1942 Gaffney St. Pearl Harbor, HI 96860 Manama, Bahrain: NSA Bahrain, CP: 01197317858237 Stuttgart, Germany: Bldg 2340, Patch Barracks Kaserne, 70569 Stuttgart, Germany Wiesbaden, Germany: MCC Bldg 1000, Shli Center, US Army Garrison 66205 Wiesbaden, Germany Yokota AB, Japan: Unit 5062, APO AP 96328-5062

(additional comments are provided on continuation page #3 and #4)

14_Yes: Yes
14_No: Off
addit_sec: The contractor will be provided and will abide by ICD 503, “Intelligence Community Information Technology Systems Security Risk Management, July 21, 2015” and by ICD 705 Sensitive Compartmented Information Facilities, May 26, 2010, and DoDM 5105.21. Provided under separate cover.
15_Yes: Yes
15_No: Off
Inspections: All contractor SCI work and access, to include OCONUS work, will be at a designated Government SCI Facility (SCIF).
a_TYPED_NAME_OF_CERTIFYIN: Lucas Crumbacker
b_TITLE: Program Analyst
c_TELEPHONE_Include_Area: 717-267-9897
d_ADDRESS_Include_Zip_Cod: One Overcash Avenue

Chambersburg, PA 17201

e_SIGNATURE:
FillText21: Yes
FillText22: Yes
FillText23: Yes
FillText24: Yes
FillText25: Yes
FillText26: Off
f_OTHERS_AS_NECESSARY:
Reset:
FillText15:
FillText16:
13_cont2: General Information:

All classified visit requests by contractors shall be forwarded to the Contracting Officer Representative (COR) for approval and need -to-know certification before being sent to the facility to be visited.

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/ACOR 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 SM.

The COR/ACOR 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).

Prime Contractor FSO will provide the Government a copy of the DD Form 254 and PWS/SOW for all their subcontracts meeting review criteria via a SM to submit for approval.

Period of performance: one 12-month base, plus four 12-month options.

13_cont1: Reference Block 10e(1): This contract requires access to SCI.

All contractor SCI work and access will be at a designated government SCI Facility (SCIF).

a. The number of personnel required to have access to SCI is determined by the COR/ACOR and the contractor.

b. The Director, Defense Intelligence Agency (DIA) and Director, Defense Information Systems Agency (DISA), as the executive agent for DIA, have exclusive security responsibility for SCI released to the contractor or developed under this contract.

c. Contractor generated or Government furnished material may not be provided to the Defense Technical Information Center. Contract generated technical reports will bear the statement ‘Not Releasable to the Defense Technical Information Center per DoD Instruction 5230.24’.

d. All contractor personnel requiring access to SCI information must: be U.S. citizens, have been granted a final ICD 704 security clearance by the U.S. Government, and have been indoctrinated for the applicable compartments of SCI access prior to being given any access to such information released or generated under this contract.

e. Classified material released or generated under this contract is not releasable to foreign nationals without the expressed written permission of the Director, DISA (through the DISA SSO) and Director, DIA.

f. SCI received under this contract may not be released to subcontractors without permission of the DISA SSO.

g. The contractor and COR/TM will revalidate all SCI billets under this contract with the DISA SSO annually or when a revised DD Form 254 issued, whichever is sooner.

h. All SCI visit requests by contractors shall be forwarded to the COR/TM for approval and need-to-know certification before being sent through the DISA SSO to the facility to be visited.

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 11e: Contract is for cleared security escorts in classified processing areas. Actual knowledge, generation, or production of classified information is not required for performance of this contract. Cleared personnel are required to perform this service because cleared escorts are required to prevent unauthorized access to classified information by non-cleared contractors. Any classification guidance needed will be provided by the using activity.

Reference Block 11f: OCONUS performance will be in the following locations: Manama, Bahrain; Stuttgart, Germany; Wiesbaden, Germany; and Yokota, Japan. Contractors when performing or traveling outside the United States under this contract will obtain an AOR specific foreign travel brief within 90 days of travel and will provide proof of training to the COR/ACOR.

Reference Block 11l: IT-II access requires at least a Tier 3 (formerly ANACI and NACLC), NACI, or NAC investigation.

(additional comments are provided on continuation page #4)

a_PRIME_CONTRACT_NUMBER:
b_SUBCONTRACT_NUMBER:
Signature3Name:
Signature5Name:
Signature6Name:
Signature7Name:
c_SOLICITATION_OR_OTHER_N: 831812255
13_cont3:
13_cont4:
13_cont5:
10a_COMMUNICATIONS_SECURIT1: Off
10c_CRITICAL_NUCLEAR_WEAPO1: Off
10d_FORMERLY_RESTRICTED_DA1: Off
10e1_Sensitive_Compartmente1: Yes
10e2_NonSCI1: Yes
10f_SPECIAL_ACCESS_INFORMA1: Off
10g_NATO_INFORMATION1: Off
10h_FOREIGN_GOVERNMENT_INF1: Off
10i_LIMITED_DISSEMINATION_1: Off
10j_FOR_OFFICIAL_USE_ONLY_I: Yes
10a_COMMUNICATIONS_SECURIT2: Yes
10b_RESTRICTED_DATA2: Yes
10c_CRITICAL_NUCLEAR_WEAPO2: Yes
10d_FORMERLY_RESTRICTED_DA2: Yes
10e1_Sensitive_Compartmente2: Off
10f_SPECIAL_ACCESS_INFORMA2: Yes
10g_NATO_INFORMATION2: Yes
10h_FOREIGN_GOVERNMENT_INF2: Yes
10i_LIMITED_DISSEMINATION_2: Yes
10j_FOR_OFFICIAL_USE_ONLY_1: Off
10k_OTHER_Specify1: Off
10k_OTHER_Specify: Yes
10kother1: NIPRNet
11a_COMMUNICATIONS_SECURIT3: Yes
11a_COMMUNICATIONS_SECURIT4: Off
11b_RESTRICTED_DATA3: Off
11b_RESTRICTED_DATA4: Yes
11c_CRITICAL_NUCLEAR_WEAPO3: Off
11c_CRITICAL_NUCLEAR_WEAPO4: Yes
11d_FORMERLY_RESTRICTED_DA3: Off
11d_FORMERLY_RESTRICTED_DA4: Yes
11e_INTELLIGENCE_INFORMATI3: Yes
11e_INTELLIGENCE_INFORMATI4: Off
11f_Sensitive_Compartmente4: Off
11e_Sensitive_Compartmente3: Yes
11g_NonSCI3: Off
11g_NonSCI4: Yes
11h_SPECIAL_ACCESS_INFORMA3: Off
11h_SPECIAL_ACCESS_INFORMA4: Yes
11i_NATO_INFORMATION3: Off
11i_NATO_INFORMATION4: Yes
11j_FOREIGN_GOVERNMENT_INF3: Off
11j_FOREIGN_GOVERNMENT_INF4: Yes
11k_LIMITED_DISSEMINATION_3: Off
11k_LIMITED_DISSEMINATION_4: Yes
11_OTHER_Specify: IT-II access is required.
11i_Other1: Yes
11i_Other2: Off
10e2_NonSCI2: Off
10b_RESTRICTED_DATA1: Off
13c_SOLICITATION_OR_OTHER_N_1: 831812255
pageC_3:
pageC_4:
pageC_5:
pageC_2: 4
pageC_1: 3
SignatureTitle3Name:
SignatureTitle5Name:
SignatureTitle6Name:
SignatureTitle7Name:
Button2:

File details come from the government source that posted it.