DD254.pdf
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- Attached to
- Amendment 08 September 2016
- Solicitation number
- HQ0034-16-R-0210
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DOD Washington Headquarters Service
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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. 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 X
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: Secret |
| safe_level: None |
| prime_no: TBD |
| xprime: Yes |
| sub_no: |
| xsub: Off |
| xsolic: Off |
| solic_no: |
| due_date: |
| xspec3: Orig |
| orig_date: |
| rev_no: |
| rev_date: |
| final_date: |
| xfollowon: No |
| prec_no: |
| xfinal: No |
| req_dated: |
| period: |
| ctr_name: TBD |
| ctr_cage: TBD |
| ctr_ofc: TBD |
| sub_name: |
| sub_cage: |
| sub_ofc: |
| perf_loc: See Item #13 |
| perf_cage: |
| perf_ofc: |
| gen_id: Business analysis support and DoD subject matter expertise within the core business mission areas to include human resource management; financial management and audit compliance; acquisition and procurement; logistics and supply chain to perform portfolio analyses, inform business process re engineering across functional portfolios, and enable process improvement and contribute to the execution of efficiency project initiatives within the Department |
| x10a: No |
| x10b: No |
| x10c: No |
| x10d: No |
| x10e1: No |
| x10e2: No |
| x10f: No |
| x10g: No |
| x10h: No |
| x10i: No |
| x10j: Yes |
| x10k: Yes |
| other10k: Requires access to OSD/DCMO Secure rooms |
| x11a: Yes |
| x11b: No |
| x11c: No |
| x11d: No |
| x11e: Yes |
| x11f: No |
| x11g: No |
| x11h: No |
| x11i: No |
| x11j: No |
| x11k: No |
| x11l: Yes |
| other11l: Classified ADP processing will be involved. All provisions of DoD DIACAP only. |
| xrelease: No |
| release_thru: Directorate of Freedom of Information and Security Review |
1155 Defense Pentagon Washington, DC 20301-1155 guidance: 8a/11a: Contract performance shall primarily occur in the Office of the Secretary of Defense, Deputy Chief Management Officer (OSD/DCMO) located at the Pentagon, Mark Center, and other CONUS/OCONUS locations as required by the government Contracting Officer Representative (COR) All provisions of DoD 5220.22M and its supplements apply.
10j: FOR OFFICIAL USE ONLY (FOUO): FOUO information provided under this contract shall be safeguarded as specified in DOD 5400.7-R "Protecting for Official use Only (FOUO) information." See enclosed "For Official Use Only" Addendum."
10k: OTHER/SIPRNET: All prime and subcontractors required access to the OSD/DCMO or other government cleared facilitates must obtain/maintain a Secret clearance for all task orders issues under this contract. An interim Secret clearance granted by DISCO will be accepted for this effort. Additional contractors supporting this contract will comply with the DoD Information Assurance policy. A limited number of personnel providing support will be required to obtain/maintain a final Top Secret clearance. The OSD/DCMO will provide security classification guidance for the performance under each task order for this contract.
11e: The contractor shall provide DoD subject matter expertise within the core business mission areas to include human resource management; financial management and audit compliance; acquisition and procurement; logistics and supply chain to perform portfolio analyses, inform business process re-engineering across functional portfolios, and enable process improvement and contribute to the execution of efficiency project initiatives within the Department.
| xaddlsec: No |
| addl_sec: |
| xinsp: No |
| inspections: |
| cert_name: |
| cert_title: |
| cert_phone: |
| cert_addr: |
| x17a: Off |
| x17b: Off |
| x17c: Off |
| x17d: Off |
| x17e: Off |
| x17f: Off |
| other_dist: |
File details come from the government source that posted it. Updated .