Attachment_1_DD254.pdf

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

See Block 13

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 under this IDIQ contract is a five (5) year ordering period and also includes the six-month extension

Risk Management, Certification and Accreditation, July 21, 2015” and by ICD 705 Sensitive Compartmented Information Facilities, May 26, 2010 and DoDM 5105.21. Provided under separate cover.

FortMeade,MD 20755

4800 Mark Center Drive, Alexandria, VA 22311

Yokota Air Base Yokosuka Naval Base Fussa-Shi, Tokyo 197 PSC 473 Box 116 FPO, AP Japan 96349

Kadena Air Base Hickam AFB Douglas Boulevard 850 Ticonderoga St Kadena, AB Pearl Harbor, HI 96860 Okinawa-City APO-Ap 936-68

Andersen Air Force Base Camp Smith Arc Light Boulevard Box 64022 Yigo, Guam 96543 Camp H.M. Smith HI 96861-4022

Osan Air Base Ft. Shafter Pyeongtaek, Korea, Republic Of 459-122 HQ US Army Pacific APO, AP 96278-2097 Ft. Shafter, HI

Reference Block 10a: Contractor is authorized to receive Government furnished cryptographic equipment. 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 Government contracting activity. Non-accountable COMSEC information, though not tracked in the COMSEC material control system, may still require a level or control within a document control system. Refer to NSA/CSS Manual 3-16, Control of Communications Security Material, page E-4 for guidance.

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

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.

Block 10e(1) Section 14 When SCI or SAP task(s) are subcontracted, the subcontractor DD Form 254 must be sent to the DISA Industrial Security PM and and be processed through the DISA SSO and/or Program Security Officer for approval.

Reference Block 10g: Access up to and including [highest level needed NATO SECRET material will be required for reference 8a in section 13 Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, NATO Secret or access to the NATO accredited SIPRNET terminals, must possess the equivalent FINAL or Interim U.S. Security Clearance based upon the appropriate personnel security investigation required. Personnel with access to information must have the appropriate level FINAL U.S. Security Clearance.The Government program/project manager is the designated representative that will ensure the contractor SM and concerned employees are NATO briefed prior to access being granted.

13_cont1:

Reference 8a - Location and 11a - Have access to classified information only at another Contractor's facility or a Government activity, which includes (Tampa, FL, Suffolk, VA), EUCOM (Stuttgart, Germany), PACOM (Oahu, Hawaii), PACOM PACAF (Hickam AFB), AFRICOM (Stuttgart, Germany), CENTCOM (Tampa, FL; Kuwait; Bahrain; Afghanistan), SOUTHCOM.

DISA

6910 Cooper Avenue Fort George G. Meade, MD 20755

Joint Staff (J6) C4 Cyber interoperability Division 6000 Joint Staff Room 1D1057 The Pentagon Washington, D.C. 20318-0001

United States Central Command (CENTCOM) 7115 South Boundary Boulevard MacDill AFB, FL 33621-5101

United States Southern Command (SOUTHCOM) 9301 NW 33rd Street Doral, FL 33172-1217

United States Strategic Command (STRATCOM) (J673) 901 Sac Blvd Suite 2B28 Offutt AFB, NE 68113

Joint Coalition Support Element (JCSE) and Joint COMSEC Management Office (JCMO) 8532 Marina Bay Drive MacDill AFB, FL 33621-5504

United States Pacific Command (PACOM) Box 64029 Camp H.M. Smith, HI 96861-4029

United States European Command (EUCOM) Unit 30400

APO AE 09131

United States Africa Command (AFRICOM) Unit 29951

APO AE 09751-9951

United States Northern Command (NORTHCOM) 250 Vandenberg Street Peterson AFB, CO 80914-3814

Joint Staff Support Center (J7) 116B Lake View Parkway Suffolk, VA 23435-2659

United States Special Operations Command (SOCOM) 7701 Tampa Point Boulevard MacDill AFB, FL 33621

JAC Molesworth Unit 5805

APO AE 09469

Department of Defense Washington Headquarter Services Pentagon DOD CIO Security Office in Rm. 3B1056, Pentagon

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 (Remove this sentence if guidance is provided in the contract package).

(SIPRNet /JWICS) Access required at the Government facility.

Reference Block 11a: Contract performance is restricted to the Government facilities listed in block 13, reference 8a. The using contractor or Government activity will provide security classification guidance for the performance of this contract.

Reference Item11e:

a) Equipment Maintenance Services – Reference Block 11e: Contract is for equipment maintenance services on equipment which processes classified information. Actual knowledge of, generation, or production of classified information is not required for performance of the contract. Cleared personnel are required to perform this service because access to classified information cannot be precluded by escorting personnel.

b) Engineering Services – Reference Block 11e: Contract is for engineering 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 Anti-terrorism Level I Awareness training within one year prior to travel.

Reference Block 11g:

a. Technical information on file at the DTIC 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/ACOR for authorization BEFORE the services may be requested.

Block 11k Contractors required to courier classified information or equipment, up to Secret or Top Secret (add correct level) 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 SM 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 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.

IT-I access required. The number of S IT-I billets required are ___.

IT1 number will be given at the time of award .

13_cont4:

IT-II Access Required