A23_Attachment_5_DD254_DRAFT.pdf

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DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(Please read Instructions BEFORE completing this application.) (The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567

OMB approval expires

October 31, 2020

The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

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

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See instructions.)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL REQUIRED AT CONTRACTOR FACILITY

DUE DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER

b. SUBCONTRACT NUMBER

a. PRIME CONTRACT NUMBER (See instructions.)

DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.)

DATE (YYYYMMDD)

REVISION NO.

b. REVISED (Supersedes all previous specifications.)

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

(Preceding Contract Number) is transferred to this follow-on contract.

Classified material received or generated under

YES. If Yes, complete the following:

NO

4. IS THIS A FOLLOW-ON CONTRACT?

, retention of the classified material is authorized for the period of:

In response to the contractor's request dated

YES. If Yes, complete the following:

NO

5. IS THIS A FINAL DD FORM 254?

c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

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

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Click button to add more subcontractors.)

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone) (If applicable, see instructions.)

b. CAGE CODE

(If applicable, see instructions.)

a. LOCATION(S) (For actual performance, see instructions.)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT (Click here if more space is needed.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

d. FORMERLY RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI)

(If CNWDI applies, RESTRICTED DATA must also be marked.)

b. RESTRICTED DATA

e. NATIONAL INTELLIGENCE INFORMATION:

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

k. OTHER (Specify) (See instructions.)

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES (ACCM) INFORMATION

h. FOREIGN GOVERMENT INFORMATION

g. NORTH ATLANTIC TREATY ORGANIZATION (NATO) INFORMATION

DD FORM 254, NOV 2017

PREVIOUS EDITION IS OBSOLETE.

Adobe LiveCycle Designer ES4

CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY (Applicable only if there is no access or storage required at contractor facility. See instructions.)

h. REQUIRE A COMSEC ACCOUNT

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE (DCS)

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

i. HAVE A TEMPEST REQUIREMENT

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION OR MATERIAL

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

e. PERFORM SERVICES ONLY

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions)

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial

Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address.

(See instructions)

DIRECT

THROUGH (Specify)

PUBLIC RELEASE AUTHORITY:

13. SECURITY GUIDANCE. The security classification guidance for classified information needed for this 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. Click button to add additional pages as needed to provide complete guidance.)

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

Yes

No

(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 CSO. Use Item 13 or click button if additional space is needed.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the CSO.

(If Yes, explain and identify specific areas and government activity responsible for inspections. Click button or use Item 13 if additional space is needed.)

Yes

No

e. POC TELEPHONE (Include Area Code.)

f. EMAIL ADDRESS (See instructions.)

b. ACTIVITY ADDRESS CODE (AAC) OF THE

CONTRACTING OFFICE (See instructions.)

d. AAC OF THE CONTRACTING OFFICE (See instructions.)

e. CAGE CODE OF THE PRIME

CONTRACTOR (See instructions.)

d. POC NAME (See instructions.)

c. ADDRESS (Include ZIP Code.)

a. GCA NAME

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

17. CERTIFICATION AND SIGNATURES. 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.

a. TYPED NAME OF CERTIFYING OFFICIAL

(Last, First, Middle Initial) (See instructions.)

f. TELEPHONE (Include Area Code.)

g. EMAIL ADDRESS (See instructions.)

h. SIGNATURE

h. DATE

b. TITLE

c. ADDRESS (Include ZIP Code.)

f. OTHERS AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

e. ADMINISTRATIVE CONTRACTING OFFICER

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

b. SUBCONTRACTOR

a. CONTRACTOR

DD FORM 254 (BACK), NOV 2017

CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Continued)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

8. ACTUAL PERFORMANCE (Continued)

9. GENERAL UNCLASSIFIED IDENTIFICATION OF THIS PROCUREMENT (Continued)

DD FORM 254, NOV 2017

Pages of

Continuation Page

CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

15. INSPECTIONS (Continued)

14. ADDITIONAL SECURITY REQUIREMENTS (Continued)

13. SECURITY GUIDANCE (Continued)

Pages of

Continuation Page

DD FORM 254, NOV 2017

CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

Additional persons assisting with completion of form (signatures and titles)

9.0.0.2.20120627.2.874785

WHS/ESD/DD

DD 254, Nov 2017, "DoD Contract Security Classification Specification"

Orig

No

No

No

No

No

a. Facility clearance level. Select one.: 1

b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 1

2.c. Due date (four digit year, two digit month, two digit day.:

2.c. Solicitation or other number.:

Mark X if solicitation or other number.: Off

2.b. Subcontract number.:

Mark X if Subcontract.: Off

2.a. Prime contract number.: HQ0034-18-R-0002

Date (4 digit year, 2 digit month, 2 digit day).:

Date (4 digit year, 2 digit month, 2 digit day).:

3.b. If revised, revision number.:

Date (Complete in all cases) (4 digit year, 2 digit month, 2 digit day).: 20180110.00000000

12. Public Release. Proposed public releases shall be submitted for approval prior to release: X first box if Direct, second box if Through.:

4. If yes: Classified material received or generated under. Enter the preceding contract number, (enter Preceding contract number) is transferred to this follow on contract.:

Retention of the classified material is authorized for the period of::

5. If yes, complete the following: In response to the contractors request dated::

6.c. Cognizant security office. (Name, address, and zip code).: Defense Security Service (xxxxxx) xxx xxxx xxxx xxxxx Arlington, VA 22202

6.b. CAGE code.: XXXXX

6. Contractor. a. Name, address, and zip code.: xxxxxx xxxx xxxxx xxxxx Inc xxxx xxxxxx, Suite xxx xxxxxxxx, xx xxxxx-xxxx

c. Cognizant security office. (Name, address, and zip code).: N/A

b. CAGE code.: N/A

7. Subcontractor(s). a. Name, address, and zip code.: N/A

8.c. Cognizant security office (Name, address, and zip code).:

8.b. CAGE code.:

8. Actual performance. a. Location.: See block 13, and continuation sheet (Attachment 1).

9. General unclassified description of this procurement.: The contractor shall provide comprehensive Cybersecurity (CS); Information Technology (IT); Information Enterprise (IE); Command, Control, Communications, and Computers and Information Infrastructure Capabilities (C4&IIC); IT Management Analytics and Data Analytics Support Services services in areas such as strategic planning, capital planning, technology performance, assessment, analysis, architectures, standards, and day-to-day security and administration to the Office of the DOD CIO and other elements in the community of interest.

10. Contractor will require access to: X if COMSEC information.: Yes

X if restricted data.: Yes

X if NATO information.: Yes

X if other.: Yes

X if CUI.: Yes

X if alternative compensatory control measures (ACCM) information.: Off

X if foreign government information.: Yes

X if formerly restricted data.: Yes

X if formerly restricted data.: Yes

X if formerly restricted data.: Yes

X if special access program (SAP) information.: Yes

X if CNWDI.: Yes

Specify other require;ments (see instructions).: NIPRNet; SIPRNet; JWICS & NC2 ESI Access See Item 13

Specify other require;ments (see instructions).: Classified ADP processing will be involved. All provisions of the DoD Risk Management Framework (RMF) apply.

Button1:

Button2:

Classification (when filled in).: UNCLASSIFIED

CheckBox1: 1

11. In performing this contract, the contractor will: X if have access to classified information only at another contractor's facility or a government activity.: Off

X if receive and store classified documents only.: Off

X if require a COMSEC account.: Yes

X if be authorized to use the Defense Courier Service.: Yes

X if have access to CUI.: Yes

X if have OPSEC requirements.: Yes

X if have a TEMPEST requirement.: Off

X if receive, store, and generate classified material.: Yes

X if have access to U.S. classified information outside the U.S., Puerto Rico, U.S. possessions and trust territories.: Yes

X if authorized to use the services of DTIC or other secondary distribution center.: Yes

X if perform services only.: Off

X if fabricate, modify, or store classified hardware.: Off

X if other.: Yes

If through, specify.: USD(I) SSO: DIA, Bolling AFB, Washington DC 20330 and OUSD(I)

Public release authority::

13. Security guidance.: See added page for section 13 information.

13. Security guidance.: Item 8. a: This project requires access up to the level of Top Secret / SCI only at the listed Government facilities/locations. This work will be accomplished at the DoD CIO offices in the Pentagon; in DoD CIO offices in Crystal City; in the Mark Center, Alexandria.

In addition, this project may require access to the Top Secret level at the Contractor facilities.

All locations will only access classified materials to the level of the location's facility clearance; all locations will only store classified material to the level of the location's storage clearance. Contractor personnel may occasionally have to work at other Government facilities for the purpose of briefings, etc. Any classified information generated in the performance of this contract shall be derivatively classified and marked consistent with the source material provided. All requirements for control and accounting for original documents and copies apply. All applicable provisions for National Industrial Security Program Operating Manual (NISPOM) (DoD 5220-22-M) and Industrial Security Regulation (DoD 5220.22-R) and Supplements apply.

Items 10 a. thru 10 k: See Attachment 1 Items 11a. thru 11m: See Attachment 1 Security Guidance 13a thru 13f: See Attachment 1.

15. Inspections. X first box if yes, second box if no.:

15. Inspections. X first box if yes, second box if no.:

15. Inspection. If yes is checked, explain and identify specific areas or elements carved out and the activity responsible for 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 the entire contract's SCIF documentation to ensure compliance with SCIF regulations. DSS retains oversight responsibility for collateral information.

14. Additional security requirements. If yes, identify.:

See added page for section 14 information.

14. Additional security requirements. If yes, identify.: See Intelligence Community Directive Number 704, "Personnel Security Standards & Procedures Governing Eligibility for Access to Sensitive Compartmented Information and Other Controlled Access Program Information, 1 October 2008; and Intelligence Community Directive Number 705, Sensitive Compartmented Information Facilities, 26 May 2010.

The contractor shall follow procedures in DoDM 5200.01 Volume 4 for safeguarding CUI, which includes For Official Use Only information; see also attached ‘FOUO Requirements For DoD Contractors’ (Atch 2). See attached Non-SCI/SCI Releases of Intelligence (Atch 3 and 4, respectively) for additional security requirements. And see attached ‘Controlled Unclassified Information & Proprietary Information Requirements for DoD Contractors’ (Atch 5). 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. DoD Directive 5400.07; FOIA Program.

e. POC telephone number (include area code).: 703-545-3376

f. Email address (see instructions).: kellie.e.buck.civ@mail.mil

d. Activity address code of the contracting office.: HQ0034

d. POC name (last, first, middle initial).: Kellie Buck

d. Cognizant security office. (Name, address, and zip code).: Mark Center 4800 Mark Center Drive, Suite 09F09 Alexandria, VA 22350-2900

16.a. Government contracting authority (GCA) name.: Washington Headquarters Services Acquisition Directorate (WHS/AD)

17.a. Typed name of government or contractor security official (last, first, middle initial).: Forcier, Bernard C

f. Telephone number (include area code).: 703-614-5675

g. Email address (see instructions).: bernard.c.forcier.civ@mail.mil

b. Title.: Senior Program Analyst

c. Address (include ZIP Code).: 6000 Defense Pentagon Washington DC 20301-6000

h. Date signed.: 2018-01-10

i. Signature (click to sign).:

Specify other distribution.:

17.f. Mark X if others as necessary.: Off

17.e. Mark X if administrative contracting officer.: Yes

17.d. Mark X if U.S. activity responsible for overseas security administration.: Yes

17.c. Mark X if Cognizant Security Office for prime and subcontractor.: Yes

17.b. Mark X if Subcontractor.: Off

17. Required distribution. a. Mark X if Contractor.: Yes

b. Activity address code of the contracting office.: HQ0034

e. CAGE code of the prime contractor.:

9. General identification of this procurement.:

Total number of pages.: 3.00000000

Page number of this page.: 3.00000000

Button3:

Signature.:

Title.:

Title.:

Title.:

Title.:

Signature.:

Signature.:

Signature.:

Attachment 1 to the DD Form 254.

Continuation for Block 13, DD Form 254 for Contract Number:

1. General: This contract involves access to classified data/information up to and including TS/SCI (SI/TK/G/HCS), Special Access Program/ Special Access Required

(SAP/SAR). Contractors shall follow all applicable Standard Office Procedures.

a. All contractor personnel performing under this contract at the government site, i.e. in DoD CIO provided workspace, shall possess an active Top Secret clearance with SCI eligibility prior to reporting to any assignment within the offices of the DoD CIO.

b. The numbered paragraphs below have been marked “Applicable” or “Not

Applicable” by the COR. Paragraphs marked “Applicable” will apply in all cases to performance of this contract.

c. The use of cellular phones, hand-held radios, beepers, pagers, cordless phones, and cordless microphones shall be addressed in the Standard Operating

Procedures at each location where classified information processing is accomplished.

d. All contractor personnel performing under this contract shall be required to sign and execute a proprietary information non-disclosure statement. The proprietary information non-disclosure statement shall be required as part of the initial in-processing and must be executed prior to performing any work under this contract. The proprietary information non-disclosure will be maintained on file within the DoD CIO Security Office. Contractor personnel who refuse to sign the proprietary information non-disclosure statement will not be permitted to work within the offices of the DoD CIO. Procedures and requirements for handling Controlled Unclassified Information and

Proprietary Information are contained at Attachment 5.

2. Top Secret Clearance. (Item 1a must be marked Top Secret for this to apply)

Specified positions designated by the Contracting Officers Representative (COR) or contract monitor (CM) will require a Top Secret clearance.

__X__ Applicable _____Not Applicable.

3. Actual Performance. (Item 8a must be marked “See Item 13” and applies if 11a is marked yes)

4. COMSEC information. (Applies if block 10a is marked yes) The contractor will require administrative access to classified COMSEC material and may be required to serve as alternate COMSEC Responsible Officer. The contractor will not receipt, copy, or generate classified COMSEC material unless specifically authorized in writing by the COR or CM. The contractor must forward any request for COMSEC material/information through the government program manager to the COMSEC

Manager. Access to COMSEC is restricted to US citizens holding a final US

Government clearance. Such information is not releasable to personnel holding a reciprocal clearance. Access to COMSEC information at the contractor facility requires establishment of a COMSEC account. Contractor will coordinate with the

Defense Security Service and the NSA Central Office of Record. Contractor is responsible for accountable COMSEC information and must provide a complete inventory as required by the COMSEC manager. Clearances appropriate to the equipment classification level is required. COMSEC briefings will be provided by the government. COMSEC material/information may not be released to DoD contractors without OSD Program Managers approval. Contractor must forward requests for

COMSEC material/information to the COMSEC officer through the program office.

Contractor complies with NSA Manual 3-16 (U) in the control and protection of

COMSEC material/information. Access to COMSEC material is restricted to U.S.

citizens holding final U.S. Government clearances. Such information will not be released to personnel holding only reciprocal clearances.

5. Restricted Data. (Applies if block 10b is marked yes) Access to RESTRICTED

DATA, information which is classified and controlled under the Atomic Energy Act of 1954, or CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) is required. A final U.S. Government Top Secret clearance is required for this project. Information in this category relates to: (1) the design, manufacture or utilization of atomic weapons, (2) the production of special nuclear material; or, (3) the use of special nuclear material in the production of energy. Information of this category shall not be disseminated outside official and authorized channels without the consent of the originator. Access to and dissemination of this information shall be governed by DoD Instruction 5210.02 and DoD Directive C-5230.23.

_X_ Applicable ____Not Applicable.

6. CNWDI Information. (Applies if 10c is yes) Contract personnel are permitted access to CNWDI in the performance of this contract. The government program manager or designated representative will brief all contractors prior to granting access to CNWDI information. Contractor must be briefed by at appropriate government agent and follow the guidelines as outline in DoD Instruction 5210.02. Restricted Data shall be handled in accordance with the applicable guidance for Nuclear Weapons (Secret/RD)

_X__ Applicable ____Not Applicable.

7. Formerly Restricted Data. (Applies if block 10d is marked yes) Information that is removed from the Restricted Data category upon a joint determination by the

Department of Energy (or antecedent agencies) and the Department of Defense that such information relates primarily to the military utilization of atomic weapons and that such information can be safeguarded adequately as classified defense information. For Foreign Dissemination however, it is treated in the same manner as

Restricted Data. Information of this category shall not be disseminated outside official channels without the consent of the originator. Access to and dissemination of this information shall be governed by DoD Instruction 5210.02 and DoD Directive C-

5230.23. Access to FORMERLY RESTRICTED DATA requires a final U.S.

Government clearance at the XXXX level.

__X __ Applicable _____Not Applicable.

8. SCI Requirement. (Applies if 10e(1) is yes) Performance requiring access to or at the

SCI level shall be governed by the SCI addendum titled “Release of Sensitive

Compartmented Information (SCI) Intelligence Information To US

Contractors”. Access to Intelligence information requires SCI indoctrination and a final Top Secret U.S. Government clearance. Contractor will require access to ICD

703 and ICD 703.2. The names of contractor personnel requiring access to SCI shall be submitted to the task order monitor for approval. The task order monitor will obtain necessary approval and coordinate visits by contractor personnel to ensure satisfactory justification is provided.

9. Non SCI Intelligence. (Applies if 10e(2) is yes) Performance requiring access to

Non-SCI intelligence information shall be governed by the addendum titled “Release of Non-SCI Intelligence Information to DoD Contractors” Contractor will require access to DoDM 5200.01.

10. Special Access Provisions Apply. (Applies if block 10f is marked yes) Contract requires access to Special Access Programs. Security guidance for operating procedures will be provided under separate cover. All SAP material remains the property of the releasing Government User Agency. Upon completion or cancellation of this contract, SAP materials previously furnished will be returned to the direct custody of Director, OUSD(I) SAPCO, to include final reports produced at the SAP level. The SAP Program Manager will provide security classification guidance for the performance of the contract. Contractor personnel must adhere to the special access requirements/procedures developed by the SAP program/study manager. User agency managers will grant access when the need-to-know is established and required to accomplish the required efforts under this contract. SAP program/study manager must approve all requests for access. See Special Access Requirements/Procedures attachment for additional guidance. SAP security guidance is found DoDM 5205.07, vol 1-4.

__X__ Applicable __ __Not Applicable.

11. NATO Information. (Applies if block 10g is marked yes) The contractor is permitted access to North Atlantic Treaty Organization (NATO) information in performance of this contract. The government project manager is the designated representative that will ensure the Contractor Facility Security Officer (FSO) and concerned employees are NATO briefed prior to access being granted. The Prime contractor must receive approval from the Government Contracting Authority (GCA) to grant NATO accesses to a subcontractor. Access requires a final US Government clearance at the appropriate level. Forward NATO classified materials needed by the contactor only from a Service Sub-registry directly to the contractor concerned. Special briefings are required for access to NATO information. Prior approval of the government program manager is required for subcontracting. Access to NATO information requires a

FINAL U.S. Government clearance at the appropriate level and special briefings.

Individuals must have a briefing in accordance with United States Security Authority for NATO (USSAN) Affairs Instruction 1-69 (5100.55 Enclosure 2), "United States

Implementation of NATO Security Procedures", Section VI. The briefing ensures individuals with access to NATO information are aware of pertinent security regulations for safeguarding NATO classified information and the consequences of negligent handling. The use of the Central U.S. Registry (CUSR) is mandated for receiving and transferring NATO materials. The Government Contracting Activity must authorize the hand-carrying of NATO classified material across international borders. This will only be authorized when urgent situation exists. Designated couriers must have a NATO Courier Certificate. Access to the Joint Staff Information

Network (JSIN-C) requires the individual to be cleared for NATO Secret. Within 30 days of arrival at the Joint Staff, the contractor is required to attend the Security

Indoctrination Blocks of the Joint Staff Training Program, if they have not previously attended. The contractor is not authorized to destroy controlled classified material.

___ X___ Applicable ____Not Applicable.

12. Foreign Government Information. (Applies if block 10h is marked yes) The contractor is permitted access to Foreign Government Information in the performance of this contract. Access to Foreign Government Information requires a US

Government clearance at the appropriate level. Comply with the Foreign Government information requirements in the NISPOM, Chapter 10, section 3.

13. FOUO Information. (Applies if block 10j is marked yes) Performance requiring access to For Official Use Only information (FOUO) shall be governed by

Attachment 2, “FOUO Requirements for DoD Contractors”

__ X____ Applicable ____Not Applicable.

14. Performance in Government Facilities. (Mark block 10k yes and reference

Attachment 1 for specifics) This contract requires personnel to perform work in direct support of the DoD CIO staff and will require individuals to work within Government controlled facilities. All contractor personnel under this contract who have access to classified information must possess a U.S. clearance. The DoD CIO Security Office will provide security classification guidance for the performance of this contract.

a. In and Out Processing This contract requires personnel to perform work in direct support of the offices of the DoD CIO and will require individuals to obtain and maintain government issued building access cards to enable performance within Government controlled facilities. As such, all contractor personnel are required to in-process with the DCIO (Resources and Analysis)

Administrative Division prior to reporting for work. As a condition of this contract, all personnel issued government access cards are required to ensure the card is returned to the DoD CIO Security office upon removal from the contract or termination of employment under this contract. Applies in all cases where paragraph 14 above is marked applicable.

15. Common Access Cards. This contract requires personnel to obtain the Government issued Common Access Card in order to provide identification or to access government computer systems. As such, all contractor personnel are required to in-process with the DCIO(Resources and Analysis) Administrative Division Badge and

CAC Coordinator immediately (within 24 hours) of reporting for work. As a condition of this contract, all personnel issued Government Common Access Cards are required to ensure the card is returned to the DoD CIO Security Office or the CAC

Coordinator upon removal from the contract or termination of employment under this contract.

16. NIPRNET access required. (Mark block 10k yes and reference Attachment 1 for specifics) This contract requires the contractor to access and use the Unclassified government computer system known as the NIPRNET at locations identified by the government customer. All provisions of DoD Risk Management Framework apply.

This system is Unclassified only, and inappropriate or improper use of the system will result in a reportable incident to the Defense Security Service.

__X__ Applicable _____Not Applicable

17. SIPRNET access required. (Mark block 10k yes and reference Attachment 1 for specifics) This contract requires the contractor to access and use the Classified government computer system known as the SIPRNET at locations identified by the government customer. All provisions of DoD Risk Management Framework apply.

This system is authorized for use up to but not exceeding the Secret level only, and inappropriate or improper use of the system will result in a reportable incident to the

Defense Security Service.

18. NC2 ESI access required. (Mark block 10k yes and reference Attachment 1 for specifics) The DoD CIO COR/Task Manager will forward to DoD CIO Security, via an Interoffice Memorandum, a request to process certain employees of the company for NC2-ESI access. The request will be marked with the appropriate markings (i.e., FOUO, Privacy Act Protected, etc.) and/or classification as may be required per the security classification guide. This request will contain the following for each individual:

a. Name and Social Security Number of the employee.

b. Company name, address, CAGE code, telephone number.

c. Date and place of birth for employee.

d. Citizenship of employee.

e. Citizenship of employee’s spouse.

f. NC2-ESI Category required: (e.g., NC2-ESI Category A; NC2-ESI Category B;

NC2-ESI Category C; or NC2-ESI Category D – as needed. [See Enclosure A of

CJCSI 3231.01, “Safeguarding Nuclear Command and Control Extremely

Sensitive Information”]).

g. Employee's clearance level and date, investigation type and date.

h. Inclusive dates NC2-ESI access will be required.

i. Contract number.

j. Contract expiration date.

k. Justification for requesting NC2-ESI access

__X__ Applicable _____Not Applicable

19. Receive Classified Documents. (8a applies if 11b is marked yes) Contract performance is restricted to: Contractor’s facility listed in 8a and various government sites located in the National Capital Region; specified locations will be determined by the government contract monitor. The DoD CIO Security Office will provide security classification guidance under performance of this contract. Contractor will receive classified documents only. Cleared personnel are required to perform this service because access to classified information cannot be precluded. The contractor is not authorized to release classified information to any activity or person, including sub-contractors, without the government Contracting Officer Representative's (COR) written approval. Only with the expressed permission of the government COR may the contractor reproduce any classified information/material. All requirements for control and accounting for original documentation and copies apply. All classified information must be marked in accordance with DoDM 5200.01. All applicable provisions of DoD 5220.22M, National Industrial Security Program Operating

Manual (NISPOM) and supplements apply.

_____ Applicable __X__Not Applicable.

20. Receive, Store, and Generate Classified Material. (Applies if block 11c is marked yes) This contract requires the contractor to generate or perform work in support of creating classified documents. Classified information and materials shall be protected in accordance with the policies and procedures established by DoD 5220.22-M, National Industrial Security Program Operating Instruction (NISPOM), dated

February 2006, and all other applicable Executive Orders. Specific classification guidance will be provided on individual tasks by the COR or CM. The contractor must ensure that applicable classification guidance and marking provisions are complied with IAW the NISPOM. In any case where classification guidance has not been provided, the contractor is to safeguard the information and seek written guidance from the contract monitor prior to release of the information to anyone except the contract monitor.

a. 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 contract monitor. Applies in all cases where paragraph 20 above is marked applicable.

b. In cases where classified information is authorized to be stored or generated at the vendor facility, the contractor must ensure each employee having access to classified 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. Applies in all cases where paragraph 20 above is marked

c. 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 information (furnished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the contract monitor. Applies in all cases where paragraph 20 above is marked applicable.

d. 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 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.

e. 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 contract monitor for this contract in writing and must clearly indicate the justification for retention and identity of the specific document to be retained. Applies in all cases where paragraph 20 above is marked

f. Classification, re-grading, 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. Applies in all cases where paragraph 20 above is marked applicable.

21. Fabricate, Modify, or Store Classified Hardware. (Applies if 11d is marked yes)

Contracts will fabricate, modify, receive, and generate classified information and hardware. Contractor is authorized to process and store up to and incoming (Top

Secret, Secret) information and hardware at contract facility listed in 6a. Actual knowledge and production 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 information to any activity or person, including sub-contractors, without the government Contracting Monitor's written approval. Only with the expressed permission of the government's Contracting Monitor may the contractor reproduce any classified information/material. All requirements for control and accounting for original documentation and copies apply.

____ Applicable __X__Not Applicable.

22. Perform Services Only. (Mark block 11e yes and reference Attachment 1 for specifics)

Actual knowledge and production 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 information to any un-cleared activity or person. Only with the permission of the government's contracting monitor 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.

______ Applicable __ X __Not Applicable.

23. Have access to classified outside the U.S. (Applies if 11f is marked yes) Contractor will require access to classified information outside the U.S. to include its possessions and Trusted Territories.

___X____ Applicable ____Not Applicable.

24. Government Travel. (Applies if 11f is marked yes) As required by the Government

Program Manager, contractors will be authorized travel/Temporary Duty (TDY) outside the NCR region for official government business. Note that if 11c is marked yes then 1b must have level of storage at contract facility. The government program manager will provide travel orders and direction prior to departure; contractors will require anti-terrorism and force protection briefings as well.

___X__ Applicable ____Not Applicable.

25. DTIC Access Required. (Mark block 11g is marked yes) Contractor is authorized to use the services of the Defense Technical Information Center (DTIC) and is required to prepare and process DD Form 1540. Contracting Officials, with concurrence from the program manager/project manager, must review and approve contractors need-to-know and ensure all identified DTIC information requirements are within Scope of

Work prior to approving the DD Form 1540. Certification of need-to-know and use of DTIC field of interest register for the acquisition of reference materials classified through Top Secret/RD, disclosures authorizations, and visits clearance approvals, fall under the responsibility of the contract monitor.

26. Require a COMSEC Account. (Mark block 11h yes and reference Attachment 1 for specifics) Contractor must forward request for COMSEC material/information through government program manager to COMSEC monitor. Contractor is responsible for accountable COMSEC information and must provide a complete inventory as required by COMSEC account manager.

__X__ Applicable ______Not Applicable.

27. Emissions Security (AKA) TEMPEST. (Applies if block 11i is marked yes) The contractor shall ensure that emissions security (EMSEC) conditions related to this contract are minimized.

_____ Applicable __X__Not Applicable.

28. Operations Security. (Applies if block 11j is marked yes) The contractor shall comply with OPSEC requirements specified in DoD 5220-22-M, National Industrial

Security Program Operating Manual (NISPOM). OPSEC requirements are applicable to the contractor’s SAP procedures but only if specified by the SAP Program Office.

29. Authorized to use Defense Courier Service. (Applies if 11k is marked yes)

Contractor must obtain written approval from the contracting activity and provide the request for DCS services to Commander, Defense Courier Service, Attn: Operations

Division, Fort George G. Meade, MD. 20755-5370.

30. Courier authorizations. (Mark block 11m yes and reference Attachment 1 for specifics) This contract requires personnel to obtain the Government issued Courier

Authorization. All courier authorizations will be in accordance with the NISPOM. As such, all contractor personnel are required to in-process with the DCIO (Resources and Analysis) Administration Division Security Office to obtain courier cards.

Instructions for obtaining the courier card are available in the DoD CIO security office and must be adhered to in order to obtain the courier card. As a condition of this contract, all personnel issued Courier Cards are required to ensure the card is returned to the Security Office or the CAC Coordinator upon removal from the contract or termination of employment under this contract.

31. Performance as Office Security Managers. (Mark block 11l yes and reference

Attachment 1 for specifics) Contractor may require performance as alternate Office

Security Manager. Responsibilities of the Office Security Manager are available in the

DoD CIO Security Office and must be adhered to.

____ Applicable __X___Not Applicable.

32. Performance as Terminal Area Security Officer. (Mark block 11l yes and reference Attachment 1 for specifics) Contractor may require performance as alternate Terminal Area Security Officer. Responsibilities of the Terminal Area

Security Officer are available from the DoD CIO Security Office and must be adhered to.

____ Applicable __ X __Not Applicable.

33. Security Guidance. (Block 13, items 13a thru 13f:

13a. Contractor personnel performing IT sensitive duties are subject to investigative and assignment requirements DoD 8570.01-M and affiliated regulations.

13b. Foreign subcontractors, foreign vendors, and/or visitors that are not cleared US

Companies, disclosure issues will be handled in accordance with applicable policy, directives, instructions, and other guidance.

• All disclosures (i.e. oral, visual, briefing, documents) to foreign nationals require prior approval by the foreign disclosure officer.

• All requests for non-US cleared Foreign subcontractor and/or Foreign own companies to perform on this contract must be requested from the Prime

Contract to the KO through Program Office and approved by Foreign

Disclosure Officer.

13c. Classified information will be protected IAW the NISPOM, Chapter 5. All security incidents involving classified information will be reported to the DoD CIO

Security Manager’s Office, and to the DSS Industrial Security Representative.

Information will be forwarded to KO and the PM for a program damage assessment to be conducted IAW applicable policy and guidance.

13d. Any Contractors/subcontractors owned by Foreign Companies and that have a clearance issued by the Defense Security Service under a Special Security Agreement need to have a National Interest Determination (NID) approved if access is required to: Top Secret; COMSEC; Restricted Data; SCI and/or SAP. NID requirements and justification must be sent through the DoD CIO Security Manager’s Office to be forwarded to the approving agencies. Only after a NID approval is received will a

FOCI contracting firm be authorized to work on the program.

13e. The contractor FSO will include Threat Awareness and Reporting Program

(TARP) requirements in their initial and refresher training IAW accordance with applicable policy, directives, instructions, and other guidance.

13f. 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. (see separate Coordination signature page)

34. Anti-Terrorism Level 1 Training. (Mark block 10k yes and reference Attachment 1 for specifics) All on-site contractors will take the annual mandatory Pentagon Force

Protection Agency Anti-Terrorism Level 1 Training on line. Once completed, the contractor will provide a copy of the training certificate/form to the DoD CIO

Security Office.

__X__ Applicable _____Not Applicable. .

COORDINATION:

DoD CIO Security Manager, and

Government NATO Program Manager ________________________Date_______

PFPA Industrial Security ___________________________________Date_______

Government SAP Program Manager ___ ____________________Date______

PFPA COMSEC Office ___________________________________Date_______

Attachment 2 to the DD Form 254.

FOUO REQUIREMENTS FOR DOD CONTRACTORS

The following procedures will be used to protect FOR OFFICIAL USE

ONLY (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 becomes 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…