HC1047-16-R-4016-Attachment_6-DD254.pdf
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- HC1047-16-R-4016
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Defense Information Systems Agency
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Attachment 6 - DD 254
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| File | Type | Posted |
|---|---|---|
| HC1047-16-R-4016-_Amendment_1.pdf | ||
| HC1047-16-R-4016_-_Attachment_5_-_Pricing_Template.xlsx | XLSX spreadsheet | |
| HC1047-16-R-4016_-_Attachment_7_-_Contractor_NDA.pdf | ||
| HC1047-16-R-4016_RFP.pdf | ||
| HC1047-16-R-4016_-_Attachment_1_-_Question_Template.docx | DOCX document | |
| HC1047-16-R-4016_-_Attachment_3_-_Past_Performance_Questionnaire.docx | DOCX document | |
| HC1047-16-R-4016_-_Attachment_4_-_Sample_Consent_Letter.docx | DOCX document | |
| HC1047-16-R-4016-_Attachment_2_-_Past_Performance_Information_Template.docx | DOCX document |
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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
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
| DD254 Fillable with Security Page and Electronic Signature |
| ddform 254 cont |
| ddform254cont1 |
| ddform254cont2 |
| 12_Public_Release_Direct: Off |
| 12_Public_Release_Through: Through. |
| release: Public release of SCI/SAP material is not authorized. |
| 13_Rules: |
| 13_2: |
| security: General Information:All classified visit request 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/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).
13a. Contractor personnel performing IT sensitive duties are subject to investigative and assignment requirements IAW DoD 8570.0 and Service/Agency regulations.
13b. Classified information will be protected IAW the NISPOM, Chapter 5. All security incidents involving classified information will be reported to the KO and forwarded to the PM so a program damage assessment can be conducted.
13c. Contractor will only be required to maintain the ability to process and store classified information up to TOP SECRET (to include storage of NATO TOP SECRET). The contractor will require access to and will produce and process up to SCI as well as NC2-ESI information – however this will only occur at Pentagon NMCC and Pentagon NMCC Alternate location.
13d.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 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. All Classified visit requests by contractors shall be forwarded to the COR for approval and need-to-know certification before being sent to the facility to be visited. The COR/Task Monitor must be notified and approve the receipt and/or generation of classified information under this contract.
| 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, Certification and Accreditation, September 15, 2008” and by ICD 705 Sensitive Compartmented Information Facilities, May 26, 2010. Provided under separate cover. See Continuation Sheet |
| 15_Yes: Off |
| 15_No: No |
| Inspections: |
| a_TYPED_NAME_OF_CERTIFYIN: |
| b_TITLE: Contracting Officers Representative |
| c_TELEPHONE_Include_Area: |
| d_ADDRESS_Include_Zip_Cod: 6914 Cooper Rd Rm A5H57F |
FT Meade MD, 20755-7090
| e_SIGNATURE: |
| FillText21: Yes |
| FillText22: Off |
| FillText23: Yes |
| FillText24: Off |
| FillText25: Yes |
| FillText26: Yes |
| f_OTHERS_AS_NECESSARY: HQ DISA Security Office |
| Reset: |
| FillText15: |
| FillText16: |
| a_PRIME_CONTRACT_NUMBER: |
| b_SUBCONTRACT_NUMBER: |
| 13c_SOLICITATION_OR_OTHER_N_1: 621600001 |
| Signature3Name: |
| SignatureTitle3Name: |
| Signature5Name: |
| SignatureTitle5Name: |
| Signature6Name: |
| SignatureTitle6Name: |
| Signature7Name: |
| SignatureTitle7Name: |
| Button2: |
| a_FACILITY_CLEARANCE_REQU: Top Secret |
| b_LEVEL_OF_SAFEGUARDING_R: None |
| FillText1: Off |
| FillText3: Off |
| FillText5: Yes |
| c_SOLICITATION_OR_OTHER_N: 621600001 |
| DUE_DATE_YYYYMMDD: |
| 3_A: Original. |
| DATE_YYYYMMDD: 20160112 |
| 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: 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 Continuation Page 4 |
| b_CAGE_CODE2: |
| c_COGNIZANT_SECURITY_OFF2: |
| 9_GENERAL_IDENTIFICATION: Chairman Joint Chiefs of Staff (CJCS) Emergency Action Procedures (EAP) Operational Assessment and Certification Program Support. Contractor produces scenario based assessment support and materials for classified high level Joint Staff Nuclear Command and Control (NC2) operational assessments and related simulations (commonly called SAVs and CAVs). |
| 10a_COMMUNICATIONS_SECURIT1: Off |
| 10a_COMMUNICATIONS_SECURIT2: Yes |
| 11a_COMMUNICATIONS_SECURIT3: Yes |
| 11a_COMMUNICATIONS_SECURIT4: Off |
| 10b_RESTRICTED_DATA1: Off |
| 10b_RESTRICTED_DATA2: Yes |
| 11b_RESTRICTED_DATA3: Off |
| 11b_RESTRICTED_DATA4: Yes |
| 10c_CRITICAL_NUCLEAR_WEAPO1: Off |
| 10c_CRITICAL_NUCLEAR_WEAPO2: Yes |
| 11c_CRITICAL_NUCLEAR_WEAPO3: Off |
| 11c_CRITICAL_NUCLEAR_WEAPO4: Yes |
| 10d_FORMERLY_RESTRICTED_DA1: Yes |
| 10d_FORMERLY_RESTRICTED_DA2: Off |
| 11d_FORMERLY_RESTRICTED_DA3: Off |
| 11d_FORMERLY_RESTRICTED_DA4: Yes |
| 11e_INTELLIGENCE_INFORMATI3: Off |
| 11e_INTELLIGENCE_INFORMATI4: Yes |
| 10e1_Sensitive_Compartmente1: Yes |
| 10e1_Sensitive_Compartmente2: Off |
| 11e_Sensitive_Compartmente3: Off |
| 11f_Sensitive_Compartmente4: Yes |
| 10e2_NonSCI1: Yes |
| 10e2_NonSCI2: Off |
| 11g_NonSCI3: Yes |
| 11g_NonSCI4: Off |
| 10f_SPECIAL_ACCESS_INFORMA1: Off |
| 10f_SPECIAL_ACCESS_INFORMA2: Yes |
| 11h_SPECIAL_ACCESS_INFORMA3: Off |
| 11h_SPECIAL_ACCESS_INFORMA4: Yes |
| 10g_NATO_INFORMATION1: Yes |
| 10g_NATO_INFORMATION2: Off |
| 11i_NATO_INFORMATION3: Off |
| 11i_NATO_INFORMATION4: Yes |
| 10h_FOREIGN_GOVERNMENT_INF1: Off |
| 10h_FOREIGN_GOVERNMENT_INF2: Yes |
| 11j_FOREIGN_GOVERNMENT_INF3: Off |
| 11j_FOREIGN_GOVERNMENT_INF4: Yes |
| 10i_LIMITED_DISSEMINATION_1: Off |
| 10i_LIMITED_DISSEMINATION_2: Yes |
| 11k_LIMITED_DISSEMINATION_3: Yes |
| 11k_LIMITED_DISSEMINATION_4: Off |
| 10j_FOR_OFFICIAL_USE_ONLY_I: Yes |
| 10j_FOR_OFFICIAL_USE_ONLY_1: Off |
| 10kother1: NC2-ESI CAT A, B, & E |
| 10k_OTHER_Specify: Yes |
| 10k_OTHER_Specify1: Off |
| 11_OTHER_Specify: IT-II access. |
| 11i_Other1: Yes |
| 11i_Other2: Off |
| 13_cont2: |
Reference Item 10d: The contractor requires access to Formerly Restricted Data. Access requires a final U.S. Government clearance at the appropriate level.
Reference Block 10e(1): All contractor SCI work and access will be at a designated government SCI Facility (SCIF).
Reference Item 10e (1): This contract requires access to SCI.
a. Number of personnel required to have access to SCI is determined by the COR and DISA SSO.
b. The Director, Defense Intelligence Agency (DIA) and Director, DISA, as the executive agents 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 (DTIC). 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 ( Personnel Security Standards and Procedures Governing Eligibility for Access to Sensitive Compartmented Information and Other Controlled Access Program Information, October 1, 2008) 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 (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 re-validate 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 14. (Continuation of Block 10e(1) When SCI or SAP task are sub-contracted, the sub-contractor DD254 must be sent to the DISA Industrial Security PM and be processed through the DISA SSO and or Program Security Officer for approval.
Reference Item 10e(2). 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.
Reference Block 10g: Access up to and including (NATO TOP SECRET) material will be required for reference at the Pentagon/National Military Command Center (NMCC) and the Alternate NMCC location..
Reference Item 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 Item 10k: Contractor will require access to SIPRNet, NCCS ( Joint Staff JWICS equivalent), and GOLD networks at the Pentagon/National Military Command Center (NMCC) and the Alternate NMCC location facilities.
Reference 10k: This contract requires that specified contractor employees be granted access to Nuclear Command and Control - Extremely Sensitive Information (NC2-ESI). Employees requiring NC2-ESI access will be processed as follows:
a. The DISA COR/TM will forward to the DISA NC2-ESI Coordinator (MPS6), via an Interoffice Memorandum, a request to process certain employees of the company for NC2-ESI access. The request will be marked with the appropriate markings (i.e., FOUO, Privacy Act Protected, etc.) and/or classification as may be required per the security classification guide. This request will contain the following for each individual:
(1) Name and Social Security Number of the employee.
(2) Company name, address, CAGE code, telephone number.
| pageC_2: 3 |
| 13_cont3: (3) Date and place of birth for employee. |
(4) Citizenship of employee.
(5) Citizenship of employee’s spouse.
(6) NC2-ESI Category required.
(7) Employee's clearance level and date, investigation type and date.
(8) Inclusive dates NC2 access will be required.
(9) Contract number.
(10) Contract expiration date.
(11) Contract review date.
(12) Justification for requesting NC2-ESI accesses (include referring Joint Chiefs of Staff (JCS) office or JCS POC).
b. The DISA NC2-ESI Coordinator (MPS6) prepares a memorandum, which includes a temporary access roster, justification from the government security official, and a copy(s) of the security clearance records from the Joint Adjudication Personnel System. This memorandum will be forwarded to the approval authority Joint Chiefs of Staff (JCS).
c. When temporary access to NC2-ESI has been approved by the JCS, the DISA NC2-ESI Coordinator (MPS6) will forward this information to the government security official and authorize the employee(s) to be briefed for access.
d. The government security official is responsible for notifying the DISA NC2-ESI Coordinator (MPS6) when the employee is transferred from one facility to another within the company, when the employee's employment is terminated, when they resign, or have been transferred and do not require continued access.
e. The Facility Security Office (FSO) is responsible for ensuring that the employees complete the required security forms for submission to DSS Facility Security Branch in a timely manner.
f. Information that an individual has been granted access to NC2-ESI is unclassified.
Item 8 & Item 11a. Contract performance is restricted to the Pentagon CJCS/J33, 3000 Joints Staff, Pentagon, Wash. DC 20318 and Site R, Rm 3D32B, 450 Harbaugh Valley Rd., Fairfield, PA 17320.
Reference Item 11g:
a. Technical information on file at the Defense Technical Information Center will be made available to the contractor if the contractor requires such information.
b. The contractor must prepare and forward a DD Form 1540 to the COR/TM for authorization BEFORE the services may be requested.
c. Contractors requiring to courier classified information or equipment, up to Top Secret shall receive a Government Issued Collateral Courier card from the Government Security office prior to couriering classified information or material in support of official duties. The contractor will only be issued a collateral courier card to hand carry classified information or equipment if there are no other means of safely and securely transporting or sending the classified information or equipment.
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| 13_cont4: |
Reference Item 11g (continued); The contractors must also have a requirement to courier any classified information or equipment on a weekly basis. A courier letter can be issued by the Government Security Manager if there is a requirement to courier periodically. All contractors will follow the DoD Manual 5200.01, Information Security and the collateral courier card standard operating procedures (SOP) that is issued by the DISA Security Office. A collateral courier card or letter will only be issued up to the clearance level of the individual contractor.
Item 11k. Contractors requiring to courier classified information or equipment, up to Top Secret shall receive a Government Issued Collateral Courier card from the Government Security office prior to couriering classified information or material in support of official duties. The contractor will only be issued a collateral courier card to hand carry classified information or equipment if there are no other means of safely and securely transporting or sending the classified information or equipment. The contractors must also have a requirement to courier any classified information or equipment on a weekly basis. A courier letter can be issued by the Government Security Manager if there is a requirement to courier periodically. All contractors will follow the DoD Manual 5200.01, Information Security and the collateral courier card standard operating procedures (SOP) that is issued by the DISA Security Office. A collateral courier card or letter will only be issued up to the clearance level of the individual contractor.
Reference Item 11k: Contractor is authorized to use Defense Courier Service (DCS). The KO must obtain written approval from the Commander, Defense Courier Service, Attn: Operations Division, Fort George G. Meade, MD. 20755-5370. Only certain information qualifies for shipment by DCS. Prior approval of the KO is required before a prime contractor can authorize a subcontractor to use the services of DCS.
Reference Item 11l: : IT-II requires at least a NACLC, NACI, ANACI, or NAC investigation. Contractor personnel required to have SCI access which requires SSBI. Therefore personnel meet investigation requirements for IT-II.
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| 13_cont5: |
| pageC_5: 7 |
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