Attachment 5 DD254_Revised.pdf

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DD FORM 254 – SCI ADDENDUM

CONTRACT #:

SOLICITATION #:

(1)-This contract requires access to Sensitive Compartmented Information (SCI). The Commander, US Army Intelligence and Security Command (INSCOM), acting on behalf of the Department of the Army Deputy Chief of Staff (DCS), G-2 is the Cognizant Security Authority (CSA) for the US Army, and has exclusive security responsibility for all SCI released to the contractor or developed under the contract and held within the Contractor's SCI Facility (SCIF).

XXX (2)-The Defense Intelligence Agency (DIA) has security inspection responsibility for SCI and the Defense Counterintelligence and Security Agency (DSCA) retains responsibility for all collateral information released or developed under the contract and held within the DoD Contractor's SCIF. All DD Forms 254 prepared for contracts involving access to SCI under this contract must be processed through ACCS to the CM and Industrial Security Specialist for approval.

XXX (3)-The manuals, regulations, and directives checked below provide the necessary guidance for physical, personnel, and information security for safeguarding SCI, and are part of the security classification specification for this contract:

XXX (a)-ICD 503, Intelligence Community Information Technology Systems Security Risk Management, Certification and Accreditation

XXX (b)-ICD 704 Personnel Security Standards and Procedures Governing Eligibility for Access to Sensitive Compartmented Information and Other Controlled Access Program Information

XXX (c)-IC Tech Spec-for ICD/ICS 705, Technical Specifications for Construction and Management of Sensitive Compartmented Information Facilities

XXX (d)-Signals Intelligence Security Regulations (SISR) (Available from the CM) XXX (e)-Imagery Policy Series (Available from the CM) XXX (f)-DoDM 5105.21 Vols 1–3 SCI Administrative Security Manual.

(g)-AR 380-28, DA Special Security System (h)-AR 25-2, Information Assurance (i)-AR 380-381, Special Access Programs (j)-Army Handbook for SCI Contracts

XXX (k)-Other: USEUCOM Security Incident Reporting Memorandum dated 13 Nov 2019, ECI 5201.01B (USEUCOM Industrial Security Program), ECI 5201.06A (USEUCOM Access Control Requirements)____________________________________________________

XXX

(4)-Contract estimated completion date:

(5)-Security Personnel. The Contract Monitor and the contractor security officer must be registered in the Army Centralized Contracts and Security Portal (ACCS) at the level of contract, in order to process SCI actions.

(a) Contract Monitor

Name:

Telephone: Email:

Mailing Address:

SOLICITATION #: HC102823R0032

(b) Alternate Contract Monitor

Name:

Telephone: Email:

(c) Contractor Security POC

Name: Telephone: Email:

(6)-All DD Forms 254 prepared for contracts involving access to SCI under this contract must be processed through ACCS to the CM and Industrial Security Specialist for approval.

(7)-Visit certification to DoD locations is not required, as need to know and accesses is verified at the visiting facility. Non DoD locations the contractor must process request for SCI visit certification(s) through ACCS to the CM for approval and to Contractor Support Element (CSE) for review and processing. Visit certification request must be submitted at least ten (10) working days prior to the visit.

(8)-Debriefings: All FSOs/CSSOs must properly debrief all contractors from SCI through ACCS.

FSO/CSSOs must submit the debrief request NLT 7 days and NET 10 days before actual departure. FSOs/CSSOs will separate all contractors from the Joint Verification System (JVS) sub-system of the Defense Information Security System (DISS) after completion of debriefing.

(9)-The contractor will not reproduce any SCI related material without prior written permission of the CM.

(10)-Security Classification Guides or extracts are attached or will be provided under separate cover.

(11)-Electronic processing of SCI requires accreditation of the equipment in accordance with ICD 503 and AR 25-2. (Note: NATO security awareness briefing is required for access to JWICS indicated in blocks 10k or 11l of DD 254.).

(12)-This contract requires a contractor Controlled Space or CUA

(13)-Request for Indoctrination/Debrief Authority

14)-This contract requires: (SI) _X_ / (TK) _X_ / (G) _X_ / (HCS) _X_

(15)-The contractor will perform SCI work under this contract at the following locations (Name of government or contractor activity, SCI SMO or CAGE Code):

United States European Command, W092AA

(16)-The contractor identified in Block 6 is a Multiple Facility Organization (MFO) and is authorized to submit DD254 and SCI Addendum for the following SCI locations (Facility Name and CAGE Code).

SOLICITATION #: HC102823R0032

(17)- SCI Courier Requirement

1This contract requires access to Sensitive Compartmented Information SCI The:

gAR 38028 DA Special Security System:

hAR 252 Information Assurance:

iAR 380381 Special Access Programs:

jArmy Handbook for SCI Contracts:

Requirements:

7Visit certification to DoD locations is not required as need to know and accesses is verified:

11Electronic processing of SCI requires accreditation of the equipment in accordance with:

12This contract requires a contractor Controlled Space:

undefined: Off or CUA: Off

13Request for IndoctrinationDebrief Authority:

16The contractor identified in Block 6 is a Multiple Facility Organization MFO and is:

17 SCI Courier Requirement:

Text1:

Text2: TBD

Text3: HC102823R0032

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Text16: 20280731

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

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:

June 30, 2025 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.)

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 254, "DoD Contract Security Classification Specification" Hide Attachment Bar

TBD

Enter typed name of certifying official (last, first, middle initial).:

N/A

TBD

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).:

N/A

ECPA: +49-711-7080-4986, SSO: +49-711-7080-2120

Ref 8(a): Actual Performance Locations listed in the accompanying PWS:

• United States Army Garrison (USAG) Stuttgart, Germany

• Shore installations in USEUCOM’s AOR: https://www.eucom.mil/about/the-region

• Royal Air Force Molesworth, United Kingdom

• NIWC Atlantic, Joint Base Charleston, South Carolina

• NIWC Atlantic, Stuttgart, Germany

• Contractor’s Facilities

Ref 10a: (COMSEC) When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by Command policy and procedures. The contractor is authorized to use Government furnished cryptographic equipment at the work locations specified by the contract. Access to classified COMSEC requires a final U.S. Government clearance at the level at least equivalent to the equipment being used. 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.

Ref 10e(1): (SCI) SCI eligibility and access required. See attached SCI addendum for specific requirements.

Ref 10e(2): (Non-SCI) Access to non-SCI intelligence information is required. In addition to the requirements found in 32 CFR Part 117 (NISPOM Rule), the contractor is responsible for following and implementing the requirements set forth in DoDM 5200.01 Vols 1-3 (Information Security Program). Adherence to EUCOM local policies, directives and SOPs also apply.

Ref 10(g): (NATO) The contractor is authorized access to information belonging to and circulated by NATO. Personnel not assigned to a NATO staff position, but requiring access to NATO classified information (Secret or higher) or EUCOM SIPRNET terminals, must possess the equivalent FINAL U.S. Security Clearance based upon the appropriate personnel security investigation required. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted. The contractor will maintain strict compliance in regards to NATO information IAW NISPOM Ch 10, Section 7. NATO information provided under this contract shall be safeguarded IAW USSAN 1-07, DoDM 5200.01 (Vol 1-3), Information Security Program, and locally produced USEUCOM policies and SOPs.

Ref 10(j): (CUI) CUI generated and/or provided under this contract shall be safeguarded and marked as specified in DoDI 5200.48. All CUI shall be marked, safeguarded, transmitted, and disclosed in accordance with DoDM 5200.01 (Vol 1-3), the EUCOM Information Security Program. Unclassified contractor networks/domains which are used for the transmission of CUI relating to this contract must comply with the DoDI 5200.48 (Controlled Unclassified Information), DoDM 5200.01 V1-3 (DoD Information Security Program), DoDI 8582.01 (Security of Non-DoD Information Systems Processing Unclassified Non-Public DoD Information) and NIST Special Publication 800-171 (Protecting Controlled Unclassified Information in Nonfederal Systems and Organizations).

Ref 10(k): (Other) Physical access to equipment authorized to process RD, FRD, CNWDI, NATO, FGI and/or ACCM may be required as part of this contract. It is the responsibility of the government customer to ensure that all written materials have been properly secured and discussions involving these types of information have ceased prior to the contractor's entry into the space. This contract does not permit unfettered or automatic access to RD, FRD, CNWDI, NATO, FGI and/or ACCM. Prior to the contractor receiving briefings or written materials involving this information, written approval from the USEUCOM SSO, ACCM Program Manager (as required) and COR must be provided. Additionally, an update to the PWS and/or DD254 may be warranted.

Ref 11(a): Contractor performance and any related access to classified information is restricted to the Government Activity locations identified in block 8a and Ref 8(a).

Ref 11(f): Contract requires access to classified information at the U.S. European Command Headquarters located near Stuttgart, Germany and other locations as specified in block 8a, Ref 8(a), and the accompanying PWS.

Ref 11(j): All contractors working this contract will comply with Department of Defense and European Command Instructions (ECI) OPSEC program requirements and measures established at the government site/program. ECI 3206.03A "USEUCOM OPSEC Program" is the applicable policy for this contract.

Ref 11(l): Protection of CUI requires compliance with DoDI 5200.48, Controlled Unclassified Information. Unclassified contractor networks/domains which are used for the transmission of CUI relating to this contract must comply with the DoDI 5200.48 (Controlled Unclassified Information), DoDM 5200.01 V1-3 (DoD Information Security Program), DoDI 8582.01 (Security of Non-DoD Information Systems Processing Unclassified Non-Public DoD Information) and NIST Special Publication 800-171 (Protecting Controlled Unclassified Information in Nonfederal Systems and Organizations).

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