Attachment 11 DD-254 ISSC 4-5-11.pdf

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ATTACHMENT 11 - DD254

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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. AND SAFEGUARDING

a. CLEARANCE REQUIRED

b. LEVEL OF SAFEGUARDING REQUIRED

2. IS FOR: (X and complete as applicable)

a. CONTRACT NUMBER

b. SUBCONTRACT NUMBER

c. DUE DATE (YYYYMMDD)

3. IS: (X and complete as applicable)

a. (Complete date in all cases)

REVISION NO.

c. (Complete Item 5 in all cases)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specs)

DATE (YYYYMMDD)

DATE (YYYYMMDD)

4. THIS A FOLLOW-ON CONTRACT? YES NO. Yes, complete the following:

Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract.

5. THIS A FINAL DD FORM 254? YES NO. Yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of

6. (Include Commercial and Government Entity (CAGE) Code)

a. ADDRESS, AND ZIP CODE b. CAGE CODE c. SECURITY OFFICE (Name, Address, and Zip Code)

7.

a. ADDRESS, AND ZIP CODE b. CAGE CODE c. SECURITY OFFICE (Name, Address, and Zip Code)

8. PERFORMANCE

a. b. CAGE CODE c. SECURITY OFFICE (Name, Address, and Zip Code)

9. 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.

g. NATO INFORMATION

h. FOREIGN GOVERNMENT INFORMATION

i. LIMITED DISSEMINATION INFORMATION

j. FOR OFFICIAL USE ONLY INFORMATION

k. (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. 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. (Specify)

CLEARANCE

FACILITY

THIS SPECIFICATION

PRIME

SOLICITATION OR OTHER NUMBER

THIS SPECIFICATION

ORIGINAL

FINAL

IS If

IS If

CONTRACTOR

NAME, COGNIZANT

SUBCONTRACTOR

NAME, COGNIZANT

ACTUAL

LOCATION COGNIZANT

GENERAL

SPECIAL ACCESS INFORMATION

OTHER

HAVE

OTHER

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.

12. 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.

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. 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. 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. 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. questions shall be referred to the official named below.

b. TITLE c. (Include Area Code) e.

17. 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.

PUBLIC

TYPED NAME OF CERTIFYING OFFICIAL

SECURITY GUIDANCE.

ADDITIONAL SECURITY REQUIREMENTS.

INSPECTIONS.

All

TELEPHONE

SIGNATURE

REQUIRED

OTHERS AS NECESSARY

DD FORM 254 (BACK), DEC 1999

Attachment 1

Release of Non-SCI Intelligence Information to DoD Contractors

ATTACHMENT TO DD FORM 254 FOR CONTRACT NO:

CONTRACT EXPIRATION DATE: TBD

1. Requirements for access to non-SCI:

a. All intelligence material released to the contractor remains the property of the US Government and may be withdrawn at any time. Contractors must maintain accountability for all classified intelligence released into their custody.

b. The contractor must not reproduce intelligence material without the written permission of the originating agency through the Intelligence Support Office. If permission is granted, each copy shall be controlled in the same manner as the original.

c. The contractor must not destroy any intelligence material without advance approval or as specified by the contract monitor (CM). (EXCEPTION: Classified waste shall be destroyed as soon as practicable in accordance with the provisions of the Industrial Security Program).

d. The contractor must restrict access to only those individuals who possess the necessary security clearance and who are actually providing services under the contract with a valid need to know. Further dissemination to other contractors, subcontractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the originating agency through the CM.

e. The contractor must ensure each employee having access to intelligence material is fully aware of the special security requirements for this material and shall maintain records in a manner that will permit the contractor to furnish, on demand, the names of individuals who have had access to this material in their custody.

f. Intelligence material must not be released to foreign nationals or immigrant aliens whether they are consultants, US contractors, or employees of the contractor and regardless of the level of their security clearance, except with advance written permission from the originator. Requests for release to foreign nationals shall be initially forwarded to the contract monitor and shall include:

(1) A copy of the proposed disclosure.

(2) Full justification reflecting the benefits to US interests.

(3) Name, nationality, particulars of clearance, and current access authorization of each proposed foreign national recipient.

g. Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified intelligence (furnished or generated) to the source from which received unless retention or other disposition instructions (see DCID 6/1) are authorized in writing by the CM.

h. The contractor must designate an individual who is working on the contract as custodian. The designated custodian shall be responsible for receipting and accounting for all classified intelligence material received under this contract. This does not mean that the custodian must personally sign for all classified material. The inner wrapper of all classified material dispatched should be marked for the attention of a designated custodian and must not be opened by anyone not working directly on the contract.

i. Within 30 days after the final product is received and accepted by the procuring agency, classified intelligence materials released to or generated by the contractor, must be returned to the originating agency through the contract monitor unless written instructions authorizing destruction or retention are issued. Requests to retain material shall be directed to the CM for this contract in writing and must clearly indicate the justification for retention and identity of the specific document to be retained.

j. Classification, regrading, or declassification markings of documentation produced by the contractor shall be consistent with that applied to the information or documentation from which the new document was prepared. If a compilation of information or a complete analysis of a subject appears to require a security classification other than that of the source documentation, the contractor shall assign the tentative security classification and request instructions from the contract monitor. Pending final determination, the material shall be safeguarded as required for its assigned or proposed classification, whichever is higher, until the classification is changed or otherwise verified.

2. Intelligence material carries special markings. The following is a list of the authorized control markings of intelligence material:

a. “Dissemination and Extraction of Information Controlled by Originator (ORCON).”

This marking is used, with a security classification, to enable a continuing knowledge and supervision by the originator of the use made of the information involved. This marking may be used on intelligence which clearly identifies, or would reasonably permit ready identification of an intelligence source or method which is particularly susceptible to countermeasures that would nullify or measurably reduce its effectiveness. This marking may not be used when an item or information will reasonably be protected by use of other markings specified herein, or by the application of the “need-to-know” principle and the safeguarding procedures of the security classification system.

b. “Authorized for Release to (Name of Country(ies)/International Organization.” The above is abbreviated “REL ________.” This marking must be used when it is necessary to identify classified intelligence material the US government originator has predetermined to be releasable or has been released through established foreign disclosure channels to the indicated country(ies) or organization.

3. The following procedures govern the use of control markings.

a. Any recipient desiring to use intelligence in a manner contrary to restrictions established by the control marking set forth above shall obtain the advance permission of the originating agency through the CM. Such permission applies only to the specific purposes agreed to by the originator and does not automatically apply to all recipients.

Originators shall ensure that prompt consideration is given to recipients’ requests in these regards, with particular attention to reviewing and editing, if necessary, sanitized or paraphrased versions to derive a text suitable for release subject to lesser or no control markings.

b. The control marking authorized above shall be shown on the title page, front cover, and other applicable pages of documents, incorporated in the text of electrical communications, shown on graphics, and associated (in full or abbreviated form) with data stored or processed in automatic data processing systems. The control marking also shall be indicated by parenthetical use of the marking abbreviations at the beginning or end of the appropriate portions. If the control marking applies to several or all portions, the document must be marked with a statement to this effect rather than marking each portion individually.

c. The control markings shall be individually assigned at the time of preparation of intelligence products and used in conjunction with security classifications and other marking specified by E.O. 12958 as amended and it’s implementing security directives.

The marking shall be carried forward to any new format in which the same information is incorporated including oral and visual presentations.

4. Request for release of intelligence material to a contractor must be prepared by the contract monitor (CM) and submitted to the Intelligence Support Office. This should be accomplished as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirements and copies of the DD Form 254 and Statement of Work.

Attachment 2

RELEASE OF SENSITIVE COMPARTMENTED INFORMATION (SCI)

INTELLIGENCE INFORMATION TO US CONTRACTORS

ATTACHMENT TO DD FORM 254 FOR CONTRACT NO:

SCI BILLETS AUTHORIZED: TBD

CONTRACT EXPIRATION DATE: TBD

1. Requirements for access to SCI:

a. All SCI will be handled in accordance with special security requirements, which will be furnished by the designated responsible special security office (SSO).

b. SCI will not be released to contractor employees without specific release approval of the originator of the material as outlined in governing directives; based on prior approval and certification of "need-to-know" by the designated contractor.

c. Names of contractor personnel requiring access to SCI will be submitted to the contract monitor (CM) for approval. (The contract monitor is identified on the reverse side of the DD Form 254.) Upon receipt of written approval from the CM, the company security officer will submit request(s) for special background investigations in accordance with the NISPOM, to the Intelligence Support Office. The entire personnel security questionnaire package should not be forwarded to the Intelligence Support Office. The Contractor Special Security Officer (CSSO) must follow the instructions provided by the Intelligence Support Office to the CSSO.

d. Inquiries pertaining to classification guidance on SCI will be directed through the CSSO to the responsible CM as indicated on the DD Form 254.

e. SCI furnished in support of this contract remains the property of the Department of Defense (DoD) department, agency, or command originator. Upon completion or cancellation of the contract, SCI furnished will be returned to the direct custody of the supporting SSO, or destroyed IAW instructions outlined by the CM.

f. SCI will be stored and maintained only in properly accredited facilities at the contractor location.

2. The contract monitor (CM) will:

a. Review the SCI product for contract applicability and determine that the product is required by the contractor to complete contractual obligations. After the CM has reviewed the SCI product(s) for contract applicability and determined that the product is required by the contractor to complete obligations, the CM must request release from the originator through the Intelligence Division. Originator release authority is required on the product types below:

(1) Documents bearing the control markings of ORCON, PROPIN.

(2) GAMMA controlled documents.

(3) Any NSA/SPECIAL marked product.

(4) All categories as listed in DoD 5105.21-M-1

a. Prepare or review contractor billet/access requests to insure satisfactory justification (need-to-know) and completeness of required information.

b. Approve and coordinate visits by contractor employees when such visits are conducted as part of the contract effort.

c. Maintain records of all SCI material provided to the contractor in support of the contract effort. By 15 January (annually), provide the contractor, for inventory purposes, with a complete list of all documents transferred by contract number, organizational control number, copy number, and document title.

d. Determine dissemination of SCI studies or materials originated or developed by the contractor.

e. Within 30 days after completion of the contract, provide written disposition instructions for all SCI material furnished to, or generated by, the contractor with an information copy to the supporting SSO.

f. Review and forward all contractor requests to process SCI electronically to the accrediting SSO for coordination through appropriate SCI channels.

g. Request for release of intelligence material to a contractor must be prepared by the contract monitor (CM) and submitted to the Intelligence Support Office. This should be accomplished as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirement and copies of the DD Form 254 and Statement of Work.

ADP92.tmp
CONTRACT EXPIRATION DATE: TBD
ADP9A.tmp
CONTRACT EXPIRATION DATE: TBD
a_FACILITY_CLEARANCE_REQU: Top Secret
b_LEVEL_OF_SAFEGUARDING_R: N/A
FillText1: Off
a_PRIME_CONTRACT_NUMBER:
DATE_YYYYMMDD: 20110310
FillText3: Off
b_SUBCONTRACT_NUMBER:
REVISION_NO:
DATE_YYYYMMDD1:
FillText5: Yes
c_SOLICITATION_OR_OTHER_N: HQ0034-12-R-0006
DUE_DATE_YYYYMMDD: 20120105
DATE_YYYYMMDD2:
YES1:
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 item # 13
b_CAGE_CODE2:
c_COGNIZANT_SECURITY_OFF2:
9_GENERAL_IDENTIFICATION: Integrated Security Services Contract (ISSC). Providing commercial off the shelf (COTS) security systems for security upgrade of the Pentagon and other DoD activities.
a_COMMUNICATIONS_SECURIT1: Off
a_COMMUNICATIONS_SECURIT2: Yes
b_RESTRICTED_DATA1: Off
b_RESTRICTED_DATA2: Yes
c_CRITICAL_NUCLEAR_WEAPO1: Off
c_CRITICAL_NUCLEAR_WEAPO2: Yes
d_FORMERLY_RESTRICTED_DA1: Off
d_FORMERLY_RESTRICTED_DA2: Yes
1_Sensitive_Compartmente1: Yes
1_Sensitive_Compartmente2: Off
2_NonSCI1: Yes
2_NonSCI2: Off
f_SPECIAL_ACCESS_INFORMA1: Off
f_SPECIAL_ACCESS_INFORMA2: Yes
g_NATO_INFORMATION1: Off
g_NATO_INFORMATION2: Yes
h_FOREIGN_GOVERNMENT_INF1: Off
h_FOREIGN_GOVERNMENT_INF2: Yes
i_LIMITED_DISSEMINATION_1: Off
i_LIMITED_DISSEMINATION_2: Yes
j_FOR_OFFICIAL_USE_ONLY_I: Yes
j_FOR_OFFICIAL_USE_ONLY_1: Off
k_OTHER_Specify: Yes
k_OTHER_Specify1: Off
a_COMMUNICATIONS_SECURIT3: Yes
a_COMMUNICATIONS_SECURIT4: Off
b_RESTRICTED_DATA3: Off
b_RESTRICTED_DATA4: Yes
c_CRITICAL_NUCLEAR_WEAPO3: Off
c_CRITICAL_NUCLEAR_WEAPO4: Yes
d_FORMERLY_RESTRICTED_DA3: Off
d_FORMERLY_RESTRICTED_DA4: Yes
e_INTELLIGENCE_INFORMATI3: Yes
e_INTELLIGENCE_INFORMATI4: Off
1_Sensitive_Compartmente3: Off
1_Sensitive_Compartmente4: Yes
2_NonSCI3: Off
2_NonSCI4: Yes
f_SPECIAL_ACCESS_INFORMA3: Off
f_SPECIAL_ACCESS_INFORMA4: Yes
g_NATO_INFORMATION3: Off
g_NATO_INFORMATION4: Yes
h_FOREIGN_GOVERNMENT_INF3: Off
h_FOREIGN_GOVERNMENT_INF4: Yes
i_LIMITED_DISSEMINATION_3: Off
i_LIMITED_DISSEMINATION_4: Yes
1_OTHER_Specify: See item #13
FillText13: Yes
FillText14: Off
a_TYPED_NAME_OF_CERTIFYIN:
b_TITLE:
c_TELEPHONE_Include_Area:
d_ADDRESS_Include_Zip_Cod:
FillText21: Yes
FillText22: Off
FillText23: Yes
FillText24: Off
FillText25: Yes
FillText26: Off
f_OTHERS_AS_NECESSARY:
FillText15:
FillText16:
other1: See item #13
release: Public release of SCI information is not authorized

SSO DIA, 3100 Clarendon Blvd, Arlington, VA 22201-5300 security: 8a/11a. Contract performance is restricted to: Pentagon Force Protection Agency, 9000 Defense Pentagon, Washington DC 20301 and government locations in the NCR.

10e (1). See attached SCI Release of Intelligence Information for additional security requirements. Prior approval of contracting activity is required for subcontracting. Access to Intelligence information requires SCI indoctrination and a final Top Secret U.S. Government clearance. Names of contractor personnel requiring access to SCI shall be submitted thought the COR for approval.

10e (2). See attached Non SCI Release of Intelligence Information for additional security requirements.

10.j. For Official Use Only Information (FOUO): FOUO information provided under this contract shall be safeguarded as specified in DoD 5400.7-R, "Protection For Official Use Only (FOUO) Information." All unclassified documents, when no longer needed, shall be destroyed as classified waste. All unclassified documents, when not under direct control, will be stored in a locked desk drawer or file cabinet.

10k. All contractor personnel to be granted access to the Pentagon active alarm system panels (located outside of the network control center) must be United States citizens granted an interim or final US Secret clearance. All systems administrators and database analysts shall have a final US Top Secret clearance and meet ICD 704.2 eligibility requirements for SCI access. All other contractor personnel must be United States citizens granted an interim or final US Secret clearance and meet requirements for obtaining and maintaining a DoD building pass IAW DoD Administrative Instruction 30(AI-30).

11e. Contract is for engineering and equipment maintenance services. Cleared personnel are required to perform these services because access to classified information can not be precluded. The contractor is not authorized to release classified information to any activity or person, including subcontractors, without the COR's written approval. All applicable provisions for DoD 5220.22M and NISPOM supplements apply.

11l. Classified ADP processing will be involved. All provisions of DoD Information Technology Security Certifications and Accreditation Process (DITSCAP) apply.

PFPA Security Manager Government Program Manager

addit_sec: See attached SCI/Non-SCI Releases of Intelligence for additional security requirements. Access to intelligence information requires special briefings and a U.S. Government clearance at appropriate level TS/SCI as designated by government program manager. Prior approval by contracting activity is required for subcontracting.
Inspections: SSO DIA has exclusive security responsibility for all SCI classified material release to or developed under this contract. DSS is

relieved of security inspection responsibility for all such material. DIA is responsible for reviewing all the contract's SCIF documentation to ensure compliance with SCIF regulations DSS retains oversight responsibility for collateral information.

Reset:
4_Yes: Yes
4_No: Off
5_Yes: Off
5_No: No
12_Public_Release_Direct: Off
12_Public_Release_Through: Through.
13_Rules:
13_2:
14_Yes: Yes
14_No: Off
15_Yes: Yes
15_No: Off
3_A: Original.
3_B: Off
3_C: Off

File details come from the government source that posted it. Updated .