Attachment__4_-_DD-254.pdf
PDF 418 KB Posted
- Attached to
- Multimedia Specialist Support Federal contract opportunity
- Solicitation number
- HQ0034-12-R-3134
- Issued by
- DOD Washington Headquarters Service
About this file
DD-254 Security Classification
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| HQ0034-12-R-3141_-_AMD_0001.pdf | ||
| Attachment__2_-_PPQ_(MS_Word).doc | DOC document | |
| Attachment__1_-_NDA_-_MM_Specialist.pdf | ||
| HQ0034-12-R-3141_-_Solicitation.pdf | ||
| Attachment__3_-_SF-1449.pdf | ||
| Attachment__2_-_PPQ.pdf |
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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. Adobe Professional 7.0
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 classification 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
| fac_clear: Top Secret |
| safe_level: N/A |
| prime_no: |
| xprime: Off |
| sub_no: |
| xsub: Off |
| xsolic: Yes |
| solic_no: HQ0034-12-R-3134 |
| due_date: 20121017 |
| xspec3: Orig |
| orig_date: 20120827 |
| rev_no: |
| rev_date: |
| final_date: |
| xfollowon: Yes |
| prec_no: |
| xfinal: No |
| req_dated: |
| period: |
| ctr_name: TBD |
| ctr_cage: |
| ctr_ofc: TBD |
| sub_name: TBD |
| sub_cage: |
| sub_ofc: TBD |
| perf_loc: See Block 13 |
| perf_cage: |
| perf_ofc: |
| gen_id: This contract will procure multi-media support services for OUSD(I), ISR TF. |
| x10a: No |
| x10b: No |
| x10c: No |
| x10d: No |
| x10e1: Yes |
| x10e2: Yes |
| x10f: No |
| x10g: No |
| x10h: No |
| x10i: No |
| x10j: Yes |
| x10k: Yes |
| other10k: NIPRnet, SIPRNet, JWICs |
| x11a: Yes |
| x11b: Yes |
| x11c: Yes |
| x11d: Yes |
| x11e: Yes |
| x11f: Yes |
| x11g: Yes |
| x11h: Yes |
| x11i: Yes |
| x11j: Yes |
| x11k: Yes |
| x11l: Yes |
| other11l: Classified ADP processing will be involved. All provisions of DoD Information Technology Security Certification and Accreditation Process (DITSCAP) apply |
| xrelease: No |
| release_thru: Public release of SCI/non-SCI information is not authorized unless granted by written approval from the USD(I). SSO: DIA, Bolling AFB, Washington DC 20330 and OUSD(I) |
| guidance: 8a. Contract performance is restricted to Pentagon and various government sites located in the National Capital Region. Provisions of DoD 5220.22M and MISPOM Supplements apply. |
10e. (1) See attached SCI Release of Intelligence information for additional security requirements. Access to Intelligence information requires TS/SCI indoctrination and a final U.S. Top Secret Government Clearance. Contractor will require access to access to DCID 6/6 and 6/1.
10e. (2). See attached Non-SCI Release of Intelligence Information for additional security requirements. Contractor will require DCID 6/5.
10j. FOUO Information under this contract shall be safeguarded as specified in DoD 5400.7-R "Protecting For Official Use Only (FOUO) Information". Contractor will have access to unclassified sensitive information normally identified as FOUO, Privacy Act information, Sensitive but Unclassified and Law Enforcement Sensitive. Contractor shall follow the safeguarding requirements in DoDM 5200.01, Information Security Program and USD(I) guidance for safeguarding unclassified sensitive information. DoD 5400.7-R, DoD Freedom of Information Act Program applies.
10k. All contractor personnel to be granted access to classified information released or generated under this contract must be United States citizens granted a Final US Top Secret security clearance. In addition, access to classified material will be limited to those personnel having not only an appropriate security clearance, but a valid need to know. Unrestricted access to SIPRNet, NIPRNet and JWICS is required for this contract.
Special Security Office/Security Services:______________________________ Signature
| xaddlsec: Yes |
| addl_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.
| xinsp: Yes |
| 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. |
| cert_name: LT. Colonel Michael Olsen |
| cert_title: COR |
| cert_phone: 703-604-1867 |
| cert_addr: 5000 Defense Pentagon, Room 3C915 |
Washington, DC 20301-5000
| cert_sign: |
| x17a: Yes |
| x17b: Off |
| x17c: Yes |
| x17d: Off |
| x17e: Yes |
| x17f: Yes |
| other_dist: |
| Reset: |
File details come from the government source that posted it. Updated .