Attachment_4_DD254.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

DD FORM 254, APR 2018

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(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. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

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

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

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

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

e. NATIONAL INTELLIGENCE INFORMATION:

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.)

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)

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. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, 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 CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

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. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

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

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. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

TBD

Name:

N/A

TBD

All classified work will take place at Government approved facilities e.g. the Mark Center and/or Pentagon Block9:

Contractor will provide executive training facilitation, event planning, logistical coordination and administrative support to the Advanced Professional Executive (APEX) Senior Executive Service (SES) Orientation Program.

1155 Defense Pentagon Washington, DC 20301

The contractor must notify Defense Security Service (DSS) of this contract and maintain the level of FCL specified by maintaining compliance with NISPOM/DSS requirements. The contractor must notify the GCA/COR and WHS Security Office (WHS SO) if the FCL is not in place; suspended, inactive or otherwise not active. Contractor personnel must have a personnel security clearance at least equal to the level of FCL required and must execute the Standard Form 312 "Classified Information Nondisclosure Agreement." Personnel clearances/access must be posted to the DoD system of record (e.g. JPAS) prior to having access to classified information. The contractor/employees may not have access to classified information higher than the level specified in 1a.

ITEM 1b. LEVEL OF SAFEGUARDING Contractor is not authorized to have classified information at the contractor facility. All classified work will take place at Government facilities.

ITEM 7. SUBCONTRACTING

The contractor must obtain approval from the GCA prior to subcontracting. Subcontractor must notify DSS and have the appropriate facility and personnel clearance/access if classified work is involved. The contractor will provide a DD254 to the subcontractor if classified work is involved.

ITEM 10j CUI The contractor will have access to CUI which is not classified information, but does require protection from unauthorized disclosure. Refer to DoDM 5200.01, Volume 4, “DoD Information Security Program: Controlled Unclassified Information (CUI), available at: http://www.esd.whs.mil/DD/

PERSONALLY IDENTIFIABLE INFORMATION (PII)

The contractor will likely have access to PII (e.g. social security number). PII must be safeguarded as CUI. The Contractor:

- Will ensure PII is safeguarded as required by existing statutory; regulatory; and policy requirements.

- Will ensure all employees complete Privacy Act training provided via icompass.

- Will not intentionally view PII of any individual unless officially needed in performance of this contract.

- Will not share PII with anyone who does not have an official need to know.

- Will process PII only on government approved systems/equipment.

- Will report immediately to the Government owner of the system storing PII and to the WHS Security Office any known or suspected failure to safeguard PII.

The contractor must ensure DoD unclassified information/CUI is processed only on government approved systems or as specified below under DOD INFORMATION ON NON-DOD INFORMATION SYSTEMS. Although the contractor must comply with all requirements to safeguard CUI, common requirements include: Enforce need to know; access CUI only for an official purpose; do not store CUI on removable media; keep CUI at authorized work locations; encrypt email containing CUI; lock CUI in desk drawers/file cabinets when not in use; dispose of CUI using burn bags; do not post CUI to publically accessible websites.

DOD UNCLASSIFIED INFORMATION ON NON-DOD INFORMATION SYSTEMS

GCA/GPM approval is needed to process DoD unclassified information on non-DoD information systems. Adequate security must be provided for all unclassified DoD information (which includes CUI) on non-DoD information systems. A non-DoD information system is any information system that is not owned, controlled, or operated by the DoD and that is not used or operated by a contractor or other non-DoD entity exclusively on behalf of the DoD. For additional information refer to DoD Instruction 8582.01 “Security of Unclassified DoD Information on Non-DoD Information Systems.”

ITEM 10k. OTHER

SECURE FACILITIES AND NETWORK

DOD COMPUTER SECURITY

With GCA/GPM approval the contractor will have access to government provided unclassified systems (NIPRNET). With approval from the GCA/GPM the contractor will have access to classified systems (e.g. SIPRNET). The contractor must meet all requirements before accessing a particular information system. Information systems must be used only for the official government purpose specified in this contract. Although the contractor must comply with all government laws, rules, and regulations for use of information systems, common requirements include: do not process classified information on systems of a lower classification or unclassified level; complete mandatory initial and annual cyber awareness training; enforce need to know; do not allow others to use your access card or password to access a system; do not introduce hardware/software/USB devices to a government system unless specifically approved by the owner of the information system; follow procedures to address suspicious email (e.g. phishing); do not introduce personal wireless hot spots or portable electronic devices (e.g. cell phone) into spaces where classified or sensitive information is processed/stored; do not post DoD information to publicly accessible web sites; do not process DoD information on personal devices (e.g. cell phone, laptop, camera, voice recorders); use of thumb drives is prohibited; Government equipment must be returned when no longer required for performance on this contract.

CCOMMON ACCESS CARD (CAC)

With GCA/COR approval a CAC will be issued as required for access to facilities and/or information systems. Personnel must meet and maintain investigative and adjudicative requirements specified in DoDI 5200.46, and immediately report to the WHS Security Office any issues affecting CAC eligibility. Government issued credentials are the property of the United States Government and must be returned when no longer required for performance on this contract. Return CACs to: WHS Security Office, 4800 Mark Center Drive, Suite 10G07, Alexandria, VA 22350.

ITEM 11a. HAVE ACCESS TO CLASSIFIED ONLY AT ANOTHER CONTRACTOR’S FACILITY OR AT A GOVERNMENT FACILITY Contractor will follow DoD and on site specific security requirements to safeguard DoD information, personnel and equipment. Contractor will not store, receive, or generate classified information at the contractor’s facility.

ITEM 11l. RECEIVE, STORE, GENERATE CUI Refer to Item 10j.

ITEM 11m. OTHER

DoD REGULATION DoD security requirements can be found on the DoD issuances website: http://www.esd.whs.mil/DD/

SITE SECURITY

The contractor will comply with government security requirements specific to authorized locations of performance.

SECURITY EXECUTIVE AGENT DIRECTIVE 3

The contractor must comply with “Reporting Requirements for Personnel with Access to Classified Information or Who Hold a Sensitive Position”

IN/OUT PROCESSING

The contractor personnel must complete security in-processing upon entry to the contract and security out-processing prior to departing from this contract. All government property and information must be returned at or before out-processing.

ORIGINAL CLASSIFICATION AUTHORITY

Original Classification is not authorized. If the contractor believes information not currently classified, requires classification, the contractor will immediately notify the GCA/GPM/WHS SO.

DERIVITIVE CLASSIFICATION

Derivative Classification is not authorized unless specifically approved by the GCA/GPM/WHS SO for each person who has a demonstrated need for the requirement; initial training must be completed using the Defense Security Service website and bi-annually thereafter. Training certificates must be provided to the WHS SO.

SAFEGUARDING CLASSIFIED INFORMATION & CUI DURING MEETINGS/PRESENTATIONS

Classified information must be protected from unauthorized disclosure. Classified meetings/training/conferences (presentations) must be pre-approved by the GCA/GPM/WHS SO; must serve a specific U.S. Government purpose; dissemination of classified information by other means is not sufficient; must take place only at an approved U.S. Government facility. A prime contractor not having safeguard requirements may not grant safeguarding to a sub-contractor. The contractor must comply with all safeguarding requirements during classified presentations. Classified presentations at non approved Government locations (e.g. hotel) are prohibited.

CUI must be protected from unauthorized disclosure. CUI presentations must be pre-approved by the GCA/GPM and must serve a specific U.S. Government purpose. CUI presentations must not occur in locations where there is risk of unauthorized disclosure to foreign personnel/governments or others who do not have an official “need to know.”

ALL DoD unclassified information MUST BE REVIEWED AND APPROVED FOR RELEASE through standard DoD Component processes before it is provided to the public (including via posting to publicly accessible websites) in accordance with DoDD 5230.09. See Item 12 for additional information.

For additional information refer to the NISPOM and DoDM 5200.01 Volumes 1 through 4.

HAND CARRYING CLASSIFIED INFORMATION

If required, hand carrying is limited to the National Capitol Region; a courier card must be issued by the WHS SO; couriers must complete required training. Travel with classified information via aircraft is prohibited.

CLASSIFIED INFORMATION or CUI IN THE PUBLIC DOMAIN If the contractor discovers classified information or CUI on a publicly accessible website, the contractor must immediately notify the GCA/COR. The contractor must not continue to view the information; do not share the information with co-workers; do not print or save the information; do not email the information to anyone or to a personal device; and do not acknowledge the validity of the information to unauthorized persons who may inquire (e.g. the media).

TELEWORK

If approved by the GCA to telework, use of classified information is prohibited. Unclassified information must be accessed via Government approved equipment and DoD network. Personal software/equipment must not be introduced/connected to DoD equipment or used to process DoD information.

DESTRUCTION OF DOD INFORMATION

The contractor must comply with on-site security procedures to dispose of DoD Information. Destruction is normally by use of approved burn bags.

DISPOSITION OF DOD INFORMATION/EQUIPMENT

All information/equipment must be returned to the Government when no longer required for performance on this contract.

PHOTOGRAPHY/RECORDING

The recording of DoD information, equipment, personnel, and facilities by any means is prohibited.

HAZARDOUS MATERIAL & WEAPONS

Hazardous materials and weapons are prohibited from entry on/into government facilities. Examples of items prohibited include but are not limited to: firearms; knives/daggers; billy clubs/black jacks; brass knuckles; martial arts weapons; explosive or explosive parts; irritant gases; any other weapon, device, instrument, material, or substance animate or inanimate that is used for or is readily capable of causing death or serious bodily injury. Any weapon the possession of which is prohibited under the laws of the state in which the facility is located.

CONTINUED RESPONSIBILITY

Safeguarding classified information and CUI is a lifelong obligation. Contractor personnel will continue to safeguard DoD information to which they had access to/knowledge of.

SECURITY INCIDENTS

The contractor will immediately report to the GCA/GPM and appropriate security office, or law enforcement agency any known or suspected incident in which government information/equipment is not properly safeguarded or has been disclosed to unauthorized persons; data spills on information systems; or concerns of workplace violence. Do not provide actual classified information when reporting.

..WHS Security Office: Whs.pentagon.em.mbx.security-officers@mail.mil, or 571-372-0921/0938/0936/0940.

..PENTCIRT: Hotline (703) 695-CIRT(2478) to report dataspills.

..Pentagon Force Protection Agency (law enforcement): Emergency: 703.697.5555 or 911 from Office Landline; Non-Emergency Phone: 703.697.1001

ITEM 12 PUBLIC RELEASE

Defense Office of Prepublication and Security Review (DOPSR) 1155 Defense Pentagon Washington, DC 20301

Release of DoD information to the public or other unauthorized recipient is prohibited. All DoD information intended for publication or dissemination must undergo a security and policy pre-publication review. This material includes, but is not limited to: books, manuscripts and theses, biographies, articles, book reviews, audio/video materials, speeches, press releases, conference briefings, research papers, gaming materials and other media. The Government must initiate the release process and the proposed information must be reviewed by the WHS Security Office. Unauthorized releases must be reported to the WHS Security Office. For more information visit the DOPSR website: http://www.esd.whs.mil/DOPSR/

4800 Mark Center Drive, Suite 09F09-02 Alexandria, VA 22350 Address: WHS Security Office 4800 Mark Center Drive Alexandria, VA 22350