Attachment 6 DD254.pdf
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- Solicitation number
- HQ0034-12-R-3022
- Issued by
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DOD Washington Headquarters Service
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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
DEPARTMENT OF DEFENSE CONTRACT SECURITY CLASSIFICATION SPECIFICATION--CONTINUATION
Item 13 Continuation Contract No.
10.j: For Official Use Only Information (FOUO). The following procedures will be used to protect FOUO materials:
1. HANDLING: Access to FOUO material shall be limited to those employees needing the material to perform their duties. The FOUO marking is assigned to material created by a DoD User Agency. FOUO is not a classification, but requires extra precautions to ensure it is not released to the public.
2. MARKING: Mark unclassified documents containing FOUO: “FOR
OFFICIAL USE ONLY” at the bottom of each page and back cover (if any). In a classified document:
a. Mark individual paragraph that contains FOUO, but not classified material by placing “FOUO” at the beginning of the paragraph.
b. Mark top and bottom of each page that has both FOUO and
Classified material with the highest security classification of the material on that page.
c. Mark “FOUO” at the bottom of each page that has FOUO but not classified material.
d. If a classified document also contains FOUO material or if the classified material become FOUO when declassified, place the following statement on the bottom of the cover or the first page under the classification marking: “NOTE: If declassified, review the document to make sure the material is not FOUO and not exempt under DoD Regulation 5400.7 before public release.
e. Mark other records such as computer print outs, photographs, films, tapes, or slides “FOR OFFICIAL USE ONLY” so the receiver or viewer knows the record contains FOUO material.
f. Mark each part of a message that contains FOUO material.
Unclassified messages containing FOUO material must show the abbreviation “FOUO” before the text begins.
g. Ensure documents that transit FOUO material call attention to any FOUO attachments.
h. FOUO material released to a contractor by a DoD user agency must have the following statement on the front page or cover: 11-
118 DOCUMENT CONTAINS MATERIAL EXEMPT FROM
MANADATORY DISCLOSURE UNDER THE FREEDOM OF
INFORMATION ACT. EXEMPTION(S)_________APPLY.”
3. STORAGE: During normal duty hours, place FOUO material in an out-of-sight location if your work area is accessible to persons who do not have a valid need for the material. After normal duty hours, store FOUO material to prevent unauthorized access. File with other unclassified records in unlocked files or desks when internal building security is provided. When there is no internal security, locked buildings or rooms usually provide adequate after hours protection.
For additional protection, store FOUO material in locked containers such as file cabinets, desks, or bookcases. Expenditure of funds for security containers or closed areas solely for the protection of FOUO material is prohibited.
4. TRANSMISSION: FOUO documents and materials may be transmitted via first class mail, parcel post or for bulky shipments-fourth class mail. Within the CONUS discussion of FOUO material on the telephone is authorized if necessary for the performance of the contract. Electronic transmission of FOUO information (voice, data or facsimile) should be by approved secure communications systems whenever practical.
5. RELEASE: FOUO material shall not be released outside of the contractor’s facility except to the representative of the DOD.
6. DESTRUCTION: When no longer needed FOUO material shall be disposed of by a method that precludes its disclosure to unauthorized individuals.
11.j: The contractor will comply with PFPA OPSEC Standards. The contractor may not publish or discuss program related activities, products, technical data, or analysis results developed during or derived from program sponsored efforts without written permission from PFPA CBRNE. Block 12 applies.
11.l: Classified Information Assurance (IA) processing at Government facilities will be involved. All provisions of the DoD Information Assurance Security Certification and Accreditation Process (DIACAP) apply. Classified IA processing at contractor facilities will be done in accordance with DCID 6/3, AISSM 200 (dated May 01), and NISPOM Chapter 8 (dated February 2006).
Contract No. Expiration:
PFPA-CBRNE Security Manager Pentagon Force Protection Agency 9000 Defense Pentagon Washington DC 20301-9000
PFPA SSD Servicing Security Manager Pentagon Force Protection Agency 9000 Defense Pentagon Washington DC 20301-9000
| a_FACILITY_CLEARANCE_REQU: Secret |
| b_LEVEL_OF_SAFEGUARDING_R: Secret |
| FillText1: Off |
| a_PRIME_CONTRACT_NUMBER: |
| DATE_YYYYMMDD: |
| FillText3: Off |
| b_SUBCONTRACT_NUMBER: |
| REVISION_NO: |
| DATE_YYYYMMDD1: |
| FillText5: Yes |
| c_SOLICITATION_OR_OTHER_N: |
| DUE_DATE_YYYYMMDD: |
| DATE_YYYYMMDD2: |
| YES1: HQ0034-07-D-1009 |
| FillText12: |
| FillText11: |
| a_NAME_ADDRESS_AND_ZIP_CO: TBA |
| b_CAGE_CODE: |
| c_COGNIZANT_SECURITY_OFFI: TBA |
| a_NAME_ADDRESS_AND_ZIP_C1: |
| b_CAGE_CODE1: |
| c_COGNIZANT_SECURITY_OFF1: |
| a_LOCATION: Pentagon Force Protection Agency spaces located on the Pentagon Reservation and in the National Capital Region and in contractor owned location. See Block 13 |
| b_CAGE_CODE2: |
| c_COGNIZANT_SECURITY_OFF2: |
| 9_GENERAL_IDENTIFICATION: Laboratory environmental sample analysis and environmental sampling unit collection in support of the CBRNE Directorate of the Pentagon Force Protection Agency. |
| 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: Off |
| 1_Sensitive_Compartmente2: Yes |
| 2_NonSCI1: Off |
| 2_NonSCI2: Yes |
| 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: Off |
| a_COMMUNICATIONS_SECURIT4: Yes |
| b_RESTRICTED_DATA3: Off |
| b_RESTRICTED_DATA4: Yes |
| c_CRITICAL_NUCLEAR_WEAPO3: Yes |
| c_CRITICAL_NUCLEAR_WEAPO4: Off |
| d_FORMERLY_RESTRICTED_DA3: Off |
| d_FORMERLY_RESTRICTED_DA4: Yes |
| e_INTELLIGENCE_INFORMATI3: Off |
| e_INTELLIGENCE_INFORMATI4: Yes |
| 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 Block 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: Yes |
| f_OTHERS_AS_NECESSARY: CBRNE HQ & DISCO |
| FillText15: |
| FillText16: |
| other1: See Block 13. |
| release: FOIA: Office of Freedom of Information, 1155 Defense Pentagon, Washington, D.C. 20301-1155 |
Security Review for Public Release: Office of Security Review, 1155 Defense Pentagon, Washington, D.C. 20301-1155 security: 8a/11c: Contract performance is restricted to Pentagon Force Protection Agency CBRNE Laboratory, contractor owned location, and other locations as directed by Government Program Manager. The contractor's employees supporting this contract require unescorted entry into the user agency's facility,wherein special entry controls have been established to protect classified information.
10j: 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. See Block 13 Continuation Page.
10.k: Individuals performing on this contract must meet all personnel security eligibility requirements in accordance with NISPOM, Chapter 2, Section 2. All contractor personnel under this contract must obtain and maintain a U.S. Secret clearance and have U.S. citizenship. Contractor personnel shall comply with PFPA CBRNE Laboratory SOP. PFPA CBRNE Program Manger will provide security classification guidance for the performance of this contract. Contractor Facility Security Officer shall provide and keep updated contractor visit requests listing all employees performing work under this contract.
11c.: Contractor will provide laboratory support for PFPA/CBRNE in the areas of sample collection, testing/analysis, tracking; data review; preparation of reports, documents and correspondence; and meeting support. Actual knowledge of classified information is required for performance of this contract. Cleared personnel are required to perform this service because access to classified information cannot be precluded. The contractor is not authorized to release classified/unclassified information to any activity or person, including subcontractors, without the Government Contracting Officer's written approval. Only with the expressed permission of the Government's Contracting Officer may the contractor reproduce any classified information/material. All requirements for control and accounting for original documentation and copies apply. All applicable provisions for DoD 5220.22M and NISPOM supplements apply. See Block 13 Continuation Page.
Program Manager: Ms. Mary Sue Miranda, 703-692-9632
| addit_sec: |
| Inspections: |
| 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: Off |
| 14_No: No |
| 15_Yes: Off |
| 15_No: No |
| 3_A: Original. |
| 3_B: Off |
| 3_C: Off |
File details come from the government source that posted it. Updated .