25RE025_ATT3_DD254_081225.pdf
PDF 68 KB Posted
- Attached to
- DoDEA Travel Support Services
- Solicitation number
- HE125425RE025
- Issued by
-
Department of Defense Education Activity
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DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of AEM LiveCycle Designer
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:
October 31, 2020 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 List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
| CurrentPage: |
| PageCount: |
| Classification: |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Choose Yes or No: 1 |
| Choose Yes or No: 1 |
| Prime: TBD |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Sub: |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Soli: |
| DueDate: |
| dateA: |
| RevisionNum: |
| dateB: |
| Final: |
| dateC: |
| No: 0 |
| No: 1 |
| No: 0 |
| No: 1 |
| Yes: 1 |
| Yes: 0 |
| Yes: 1 |
| Yes: 0 |
| Enter your name here.: |
| ReqDated: |
| Enter your name here.: |
| Name: TBD |
| Name: Turnbull, Hillary L. |
| Cage: HE1254 |
| CSO: |
Alexandria3 Field Office, dcsa.ncr.dcsa-isfo.mbx.dss-alexandria-3-fo@mail.mil, Phone Number: 571-551-7960, Fax: 703-617-3198
| CSO: |
| CSO: |
Alexandria3 Field Office, dcsa.ncr.dcsa-isfo.mbx.dss-alexandria-3-fo@mail.mil, Phone Number: 571-551-7960, Fax: 703-617-3198
| addrow: |
| Removerow: |
| Click to delete a row: |
| Location: Department of Defense Education Activity (DoDEA) |
4800 Mark Center Drive Alexandria, VA 22350-1400 Block9:
Project Management: The objective of Project Management is to include a Summary of the Key Personnel in charge of designing and leading the initiative to maintain and/or sustain processing of travel requirements such as Travel Authorizations and Travel Vouchers for DoDEA personnel located worldwide for Renewal Agreement Travel (RAT), Educational Travel (EDT), and Permanent Change of Station (PCS).
| a: 0 |
| a: 1 |
| a: 1 |
| f: 0 |
| f: 0 |
| f: 0 |
| b: 0 |
| b: 0 |
| b: 0 |
| g: 0 |
| g: 0 |
| c: 0 |
| c: 0 |
| c: 1 |
| h: 0 |
| h: 0 |
| d: 0 |
| d: 0 |
| d: 0 |
| i: 0 |
| i: 0 |
| SCI: 0 |
| NonSCI: 0 |
| j: 1 |
| j: 1 |
| k: 1 |
| k: 0 |
| Enter your name here.: Proprietary/Sensitive Data Belonging to DoDEA |
| Enter your name here.: See Block 13. |
| e: 1 |
| e: 0 |
| l: 1 |
| m: 1 |
| direct: 0 |
| thru: 1 |
| Enter your name here.: Department of Defense Education Activity |
4800 Mark Center Drive, Alexandria, VA 22350-1400
| PublicAuthority: |
| AddSig: |
| RemoveSig: |
| text: 10 j. The marking "For Official Use Only" is legacy and is being phased out of use. Controlled Unclassified Information (CUI) is formerly known as Unclassified for Official Use Only (U//FOUO), these markings applied to information shall not be removed or altered unless approved in writing by the Cognizant Security Office. 1) In accordance with DoDI 5200.48, "Controlled Unclassified Information (CUI)," March 6, 2020, no individual may have access (audio, visual, physical, or logical) to CUI unless he or she has an authorized, lawful government purpose. 2) CUI may only be shared to conduct official DoD business and must be secured at all times IAW DoDI 5200.48, and processed on approved DoD systems to prevent unauthorized access, misuse, or unauthorized disclosure. 3) Misuse, unauthorized disclosure, or unauthorized access to CUI may result in administrative, civil, and/or criminal penalties, depending on the category of CUI in question. 4) As outlined in DoD Instructions, manuals and memorandums, DoD Contractors must not use personal e-mail to exchange official information and must not auto-forward official messages to personal, corporate, or any non-government accounts. 11 a. Access to classified information will only occur at other cleared government facilities. The highest level of eligibility and access for this contract is SECRET. 11 j. IAW Secretary of Defense (SECDEF) memo, "Reinforcing Operations Security and the Importance of Preventing Unauthorized Disclosures," dated July 20, 2020, the following four courses (OPSEC Awareness, Unauthorized Disclosure of Classified Information for DoD and Industry, Insider Threat Awareness, and Introduction to Information Security) are mandatory to reinforce operations security and to prevent unauthorized disclosures. DoD on-site contractors are required to: View the SECDEF video (https://securityawareness.usalearning.gov/2020-dod-security-stand-down/watch.html), complete mandatory training courses, or component equivalent training. 11 l. Contractors shall ensure CUI provided under this contract is safeguarded as required by government policy. Contractors are not authorized to store CUI information. Contractors should consult the CUI registry for all information, guidance, policy, and requirements on handling CUI, including everything issued by the CUI Executive Agent other than 32 CFR Part 2002. 11 m. Additional Security Requirements: 1) All contractors providing services under this contract/PWS hold equivalent Position Sensitivity designation: Non-Critical Sensitive; Risk Level: Moderate Risk. 2) These positions are Automatic Data Processing (ADP)/Information Technology (IT) Level II, and require access and processing of proprietary/sensitive data on USG furnished/approved information systems. Compliance with DoD security policies, training requirements instructions, and regulations are mandatory for these positions. 3) ADP/IT Level II designated positions require a Tier 3 background investigation, formerly known as a National Agency Check with Law and Credit (NACLC) prior to performing on this contract. 4) IAW DoD 5200.2-R, a facility clearance is required commensurate with eligibility/access: Secret, as required in the PWS. 5) Contract performance is restricted to approved DoD locations, systems and sites (incl Cloud storage) per direction and approval of the government Contracting Officer or Contracting Officer Representative. 6) Contractors will have access to CUI and sensitive information requiring protection under the Privacy Act of 1974. Contractors remain responsible for proper treatment and safeguarding of proprietary DOD information. All contractors having access to PII shall take DoD Privacy Act/PII training. The contractor shall retain all Privacy Act and PPI/PII training certificates. 7) The contractor facility security officer shall provide a Visit Access Request via the Defense Information System for Security (DISS) to SMO Code: HE1254, for the period of performance, prior to any work on a DoDEA contract. Security Management Division POC Information: Kevin Rogers: kevin.rogers@dodea.edu. 8) Prior to performance on this contract: all contractors must be United States citizens and possess a favorably adjudicated SECRET or Interim SECRET security clearance. 9) IAW DoDM 5200.01-V3, DoD on-site support contractors with access to classified/sensitive information shall complete Information Security refresher training annually. Contractors will be required to sign a SF 312 Non-Disclosure Agreement and computer/Internet access agreements. 10) Contractors will comply with DoDEA security access control policies and instructions. 11) All PIV/CAC cards, credentials, or badges issued by or through DoDEA shall be returned to DoDEA, upon termination/completion of this contract, or whenever a contractor ceases work on this contract, whichever comes first. 12) Installation access requirements may change without notice based on various threat based scenarios as dictated by the Installation Commander. 13) The contractors shall provide for safety and security of students, personnel, and facilities. The contractors may be responsible for safety/security and training requirements as required by service components and installation commanders. 14) All information provided under this contract shall be safeguarded in accordance with the noted document security classification as specified in DoD Regulations, Guidance and the CUI registry. 15) If working in a DoDEA sanctioned program involving children under the age of 18, per Public Law No 101-647, Section 231, Pub. L. No. 102-190, Section 1094, and DoDI 1402.05, child care checks must also be completed. |
| text: Security Management Division |
Industrial Security Program Manager
| attachmentsList: |
| AddAttachment: |
| ViewAttachment: |
| RemoveAttachment: |
| rep: Kevin Rogers |
| Sig: |
| Enter your name here.: 9. All contractor employees issued a CAC card will complete Antiterrorism level 1 training within 14 days and annually thereafter, providing training certificates to the COR. 10. DoDEA-sponsored contractors shall comply with Country, Theater, and Special Area clearance requirements ICW DoDEA Administrative Instruction 5205.02, Volume 4, the DoD Foreign Clearance Guide & Manual. |
| GCAName: Department of Defense Education Activity |
| AAC: HE1254 |
| AAC: HE1254 |
| Address: |
Department of Defense Education Activity - Procurement Div DoDEA Americas, 700 Westpark Drive Peachtree City, GA 30269-3554 Address: Department of Defense Education Activity - Procurement Div DoDEA Americas, 700 Westpark Drive Peachtree City, GA 30269-3554
| POCName: Hillary L. Turnbull |
| Phone: 4704602059 |
| Phone: 4704602059 |
| Email: hillary.turnbull@dodea.edu |
| Email: hillary.turnbull@dodea.edu |
| Title: Contracting Officer |
| Enter the date using the format DD-Mon-YYYY: |
File details come from the government source that posted it. Updated .