Attachment_2_A05_DD254.pdf

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Department of Defense (DoD) Consolidated Adjudications Facility (CAF) Personnel Security Support Services
Solicitation number
HQ0034-17-R-0014
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Attachment 2_DD Form 254

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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: Top Secret
safe_level: None
prime_no:
xprime: Off
sub_no:
xsub: Off
xsolic: Off
solic_no:
due_date:
xspec3: Orig
orig_date: 20160628
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: TBD
sub_cage: TBD
sub_ofc: TBD
perf_loc: Department of Defense Consolidated Adjudications Facility

600 10th Street Fort George G. Meade, MD 20755

perf_cage:
perf_ofc: Department of Defense Consolidated Adjudications Facility

Security Management Office 600 10th Street Fort George G. Meade, MD 2075

gen_id: Personnel Security Support Services
x10a: No
x10b: No
x10c: No
x10d: No
x10e1: No
x10e2: Yes
x10f: No
x10g: No
x10h: No
x10i: No
x10j: Yes
x10k: Off
other10k:
x11a: Yes
x11b: Yes
x11c: No
x11d: No
x11e: Yes
x11f: No
x11g: No
x11h: No
x11i: No
x11j: Yes
x11k: No
x11l: Off
other11l:
xrelease: No
release_thru: WHS Acquisitions Directorate

Public release of non-SCI information is not authorized unless granted by written approval from the USD(I).

guidance: All applicable provision for DoD 5220.22M & 5220.22R apply.

Top Secret Clearance is required for Common Access Card and IT-III (Authorized) IT access.

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 DoD 5200.1-R, Information Security Program and USD(I) guidance for safeguarding unclassified sensitive information. DoD 5400.7-R, DoD Freedom of Information Act Program applies.

11.a/e: Contract is for support services. Any classified information generated in the performance of this contract shall be classified according to the markings shown on the source material. The contractor is not authorized to release classified information to an activity or person, including sub-contractors, 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.

11.j: The Contractor, Contractor employees, any subcontractor and their employees, must complete Government sponsored and administered OPSEC training, as per section 1.6.7.2 Operations Security Awareness Training of the PWS. The Contractor, Contractor employees, and subcontractor and their employees, must also adhere to the OPSEC Plan prescribed in Technical Exhibit 4 of the PWS.

xaddlsec: Yes
addl_sec: 1. OPSEC Awareness Training (see section 13 above).

2. OPSEC Plan (see section 13 above).

xinsp: Yes
inspections: Defense Security Service retains oversight/inspection responsibilities for collateral information and facility clearance requirements.
cert_name: Tyrone E. Scott
cert_title: Alt Security Manager
cert_phone: 240-373-1514
cert_addr: Department of Defense Consolidated Adjudications Facility

600 10th Street Fort George G. Meade, MD 20755

x17a: Yes
x17b: Yes
x17c: Yes
x17d: Off
x17e: Yes
x17f: Off
other_dist:
2016-06-30T12:05:35-0400
SCOTT.TYRONE.E.1066056127

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