Attachment J5 - DD254 editable.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

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:

20220531 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.)

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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

TBD

Turbot Landing Annapolis, MD 21402-5064 See Block 13 for Additional Locations

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: DKAUAA) 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 subcontractor DD Form 254 and subcontract memo for all their subcontracts meeting review criteria via a SM to submit for approval.

Pre-award access is not required, however, the awarded contractor is required to have access to perform duties by the completion of the transition period. This DD Form 254 reflects the security requirements for the contract when awarded.

Specific security guides will be used for specific security classification guidance.

Period of performance: 5 years from the start of the contract. Each Task Order will identify its own PoP.

Reference Block 8a: The primary place of performance for task orders up to and including SECRET classification will be at the DSO 2004 Turbot Landing, Annapolis, MD. 21402 with periodic local travel to DISA facilities within the National Capitol Region. The DISA sites are 2004 Turbot Landing, Annapolis, MD and 6916 Cooper Avenue, Fort G. Meade, MD 20755-7901. The secondary place of performance for task orders up to and including SECRET classification will be at the contractor facility, located at XXX. The primary place of performance for Top Secret/Sensitive Compartmented Information (TS/SCI) task orders will be at the task order sponsor’s government facility. The SCIF ID numbers are to be determined dependent on the sponsor that requires DSO support. The secondary place of performance for TS/SCI task orders will be at the DSO site at 2004 Turbot Landing, Annapolis, MD.

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

h. 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.

Reference Block 10f:

a. To execute this contract, additional security requirements in addition to DoD 5220.22-M will be required. The contractor shall comply with the security provisions of these programs. Marking and/or classification guidance for material originated or generated under this contract will be provided through the SAP Management Office under separate cover. Any material generated by the contractor (including correspondence, drawings, models, mockups, photographs, schematics, progress, special and inspection reports, engineering notes, computations and training aids) shall be classified according to content. Guidance for classification shall be derived from the applicable Security Classification Guides, documents, or special instructions. Such material shall not contain contractor logos or similar identifiers which identify the specific contractor or team members.

b. The Contractor Special Security Officers shall coordinate with the MP6 and SAP Management Office prior to subcontracting any portion of this contract.

c. All personnel requiring access to SAP information must be U.S. citizens, have been granted a final U.S. Government security clearance, and have been indoctrinated for the applicable SAP prior to being given access to such information generated or received under this contract.

d. Contractor generated or Government furnished material may not be provided to the Defense Technical Information Center. Contractor generated reports will bear the statement: “Not Releasable to the Defense Technical Information Center” per DoD Instruction 5230.24.

e. Upon expiration of this contract, the contractor is required to have a close-out inspection by the DISA SSO and/or SAP Management Office to ensure proper disposition of material and equipment. The contractor shall request disposition instructions for all classified and unclassified project material. The contractor may be directed to properly destroy the material or return it. If classified or unclassified project material is to be retained by the contractor, every effort should be taken to transfer it to a follow-on contract or similar effort, if applicable. This must be done, however, with the contracting officer’s (KO) approval. The material shall be returned or destroyed as instructed, unless written authorization by the KO to retain specific material for a specific period of time is received. Any exception to security policy shall be referred to the Cognizant Security Office and the DISA Security Office (MP6) for coordination with the appropriate agency(s) and the KO.

f. The contractor is required to have a close-out inspection.

Reference Block 10g: Access up to and including NATO SECRET material will be required for reference at DSO 2004 Turbot Landing, Annapolis, MD. 21402. Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, NATO COSMIC, 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 NATO ATOMAL 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. The contractor will maintain strict compliance in regards to NATO information IAW NISPOM Ch 10, Section 7. Prior approval from the KO is required for subcontracting.

Reference Block 10j: Contractor will be provided with and will abide by DoDM 5400.07, DoD Freedom of Information Act Program, and DoDM 5200.01, Volume 4, DoD Information Security Program: CUI

Reference Block 10k: SIPRNet/JWICS Access is required at the Government facility. NATO briefing required prior to access.

Reference Block 11c: Contractor will reference the appropriate security classification guidance when generating or deriving classified material or hardware. All classified information received or generated will be properly stored and handled according to the markings on the material. All classified information received or generated is the property of the U.S. Government. At the termination or expiration of this contract, the U.S. Government will be contacted for proper disposition instructions. Contractor will abide by the security classification guidance provided by program office being supported.

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.

Reference Block 11j: The contractor will comply with OPSEC requirements contained in the contract or attached under separate cover.

Reference Block 11k: Contractors required to courier classified information or equipment, up to 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 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.

Reference Block 11l: Contractor will be provided with and will abide by DoDM 5200.01-V4, Information Security Program: Controlled Unclassified Information (CUI). Guidance provided under separate cover.

Reference Block 11M: IT-II access required.

Reference Block 15: All contractor SCI work and access will be at a designated government SCI Facility (SCIF).

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

PO Box 549 Fort Meade, MD 20755-0549 Address:

Joint Spectrum Center 2004 Turbot Landing Annapolis, MD 21402-5064