Attachment 2 DD254 ILMBM.pdf
PDF 126 KB Posted
- Solicitation number
- HQ003425R0009
- Issued by
-
DOD Washington Headquarters Service
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Based on the associated metadata, this file is meant to be a DD Form 254 (Department of Defense Contract Security Classification Specification) for an International Loan Modeling Budget Management (ILMBM) contract opportunity from the Defense Security Corporation Agency, posted under solicitation number HQ003425R0009. However, the actual form content is not visible in this placeholder page.
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PREVIOUS EDITION IS OBSOLETE.
Page of
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:
June 30, 2025 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.)
List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)
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"
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: CUI |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 0 |
| Select for "final.": 0 |
| Enter solicitation or other number.: HQ003425R0009 |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: 20250930 |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 0 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
Enter typed name of certifying official (last, first, middle initial).:
| Enter typed name of certifying official (last, first, middle initial).: Robinson-Leach, Kim |
| Enter CAGE code of the prime contractor.: TBD |
| Enter CAGE code of the prime contractor.: HQ0013 |
| Enter CAGE code of the prime contractor.: 1P3C5 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: CHARISSE SWANN |
DEFENSE SECURITY COOPERATION AGENCY
201 12th STREET SOUTH
ARLINGTON, VA 22202
(703) 697-9237
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: DEFENSE SECURITY COOPERATION AGENCY |
201 12TH STREET SOUTH
ARLINGTON, VA 22202
(703) 397-9701
| Enter general unclassified description of this procurement.: This is a non-personal services contract to provide International Loan Modeling & Budget Management (ILMBM) in support of DSCA. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. DSCA works in coordination with the Department of State (DoS), Department of Treasury (DoT), and Office of Management and Budget (OMB) to provide direct loans to partner nations (PN) using Foreign Military Financing (FMF) funds. These loans abide by the regulations set forth in the Federal Credit Reform Act (FCRA) OMB Circular 129. The DSCA needs support with loan establishment and modeling. The Contractor shall provide all personnel, equipment, supplies, transportation, tools, materials, supervision, and other items and non-personal services necessary to complete ILMBM as defined in this Performance Work Statement except for those items specified as Government furnished property and services. The Contractor will perform technical, professional, and administrative support services tasks that will enable the DSCA’s FMF Direct Loan program to operate. |
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Enter infomration for "other.": FOUO/NIPR/CAC |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 0 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: Director for Freedom of Information and Security Review Room |
2C757, 1155 Defense Pentagon, Washington, DC 20301
| Enter public release authority.: |
| Select to add signature.: |
| Select to remove last signature.: |
| text: The overall classification of work associated with this PWS is at the SECRET level. The Contractor shall have a current facility clearance of SECRET at the time of proposal to work this effort. All personnel assigned to this contract must be U.S. citizens. |
- Contract employees unable to satisfy clearance requirements will not be allowed to perform on this contract or access the work site.
- Personnel and service performed in the execution of this contract must also adhere to the following regulatory guidance:
a. DoD 5220.22-M " Nations Industrial Security Program Operating Manual (NISPOM)
b. DoD Manual 5200.01, Vol 1-3, DOD Information Security Program, 24 February 2012
c. DoD Manual 5200.02, Procedures for the DoD Personnel Security Program, 3 April 2017
c. DoD Instruction 5200.48, Controlled Unclassified Information (CUI). 6 March 2020
d. All applicable DOD Regulations, Instructions as well as any DSCA Administrative Instructions
Ref 10j: Controlled Unclassified Information (CUI) generated and/or provided under this contract shall be safeguarded and marked as specified in DOD Instruction 5200.48.
Ref 10k: Secret Internet Protocol Network (SIPRNET) access required. The contractor shall not access, download or further disseminate any special access data (i.e. intelligence, NATO, COMSEC, etc.) outside the execution of the defined contract requirements and without the guidance and written permission of the KO. In the event that any special access is required, the KO must modify the requirements for the DD Form 254.
Ref 11a: Contractor performance is restricted to the Defense Security Cooperation Agency, 201 12th Street South, Arlington, VA 22202. The government agency or activity will provide security classification guidance for performance of this contract. Submit visit request to the KO and the DSCA Security Office for need-to-know verification.
Ref 11e: Contractor is not allowed to Fabricate, Modify or Store Classified Hardware. Perform services only listed in Section 9 of the DD254.
Ref 11j: The contractor will comply with Operations Security (OPSEC) requirements contained in applicable portions of the NISPOM. The contractor will Operations Security (OPSEC) requirements contained in the applicable DSCA Administrative Instruction published pursuant to DOD Directive 5205.E, "DOD Operations Security Program"
Ref 11l: Controlled Unclassified Information (CUI) / Receive, Store, or Generate Controlled Unclassified Information (CUI): Contractor will be provided and will abide by DoD Regulation 5400.7, DoD Freedom of Information Act Program, and DoD 5200.01-M, Information Security Program. Guidance provided under separate cover. In accordance with DoD Instruction 5200.48 (DoDI 5200.48) dated March 6, 2020, Contractors are required to ensure all personnel receive and complete Initial and Annual Refresher CUI education and training and maintain documentation of this training for audit purposes. Initial and Annual Refresher CUI security education, training and awareness on the required topics identified in Section 2002:30 of Title 32 CFR, including protection and management of CUI, to DoD personnel and contractors through the Center for Development of Security Excellence (CDSE).
| Click on this button to attach a file(s).: |
| rep: Charisse Swann |
DSCA, Security Specialist
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: The Contractor shall have a current facility clearance, granted by the Defense Counterintelligence and Security Agency (DCSA), of SECRET at the time of proposal to work this effort and maintain the facility clearance for the life of the contract. All personnel assigned to this contract must be U.S. citizens. The Contractor's employees, performing work in support of this contract (not technicians as stated below) will require security clearance determination based on a favorably adjudicated T3; be within investigation scope and/or currently enrolled in Continuous Evaluation (CE) / Continuous Vetting (CV) at the time of contract award and throughout the life of the contract to include all potential option years identified in this PWS. The Contracting Officer will maintain the DD254 in the Official Contracts Records. |
Security Classification Guide requests should be presented to the Government Sponsor, if required, subsequent to contract award. All classified information received or generated under this contract is the property of the U. S. Government. The U. S. Government shall provide disposition instructions. No release of classified information or controlled unclassified information under this contract is authorized. All requirements for control and accounting of original documentation and copies apply. All applicable provisions of the NISPOM and its supplements and 32 CFR, part 117 apply. Any classified information shall be transmitted IAW DOD 5200.1-R, DOD Information Security Program Regulations. The contractor shall adhere to Chapter 8, NISPOM, which applies to non-DoD IT systems.
Contractor is not authorized to subcontract on this effort without an approved subcontracting plan with written GCA/COR authorization
All Common Access Cards (CACs), building access badges, and parking passes must be returned immediately at the end of the period of performance date.
The Contractor shall comply with (1) Security Agreement (DD Form 441/DD Form 441-1), including the National Industrial Security Program Operating Manual (NISPOM), DoD 5220.22-M and any revisions and (2) 32 CFR, Part 117. Provisions of the Privacy Act apply to all records and reports maintained by the contractors.
All programs and materials developed at government expense during the performance period of this contract are the property of the US Government.
Prior to granting an employee access to classified information and/or materials, the contractor shall brief employees with regard to their obligation to comply with the NISPOM, to include any changes and/or amendments, and 32 CFR, Part 117. The contractor’s employees shall be debriefed when access to the material is no longer needed or is terminated. A list of all employees who have had access to classified information during the period of this contract shall be maintained by the contractor company and be available for Defense Counterintelligence and Security Agency inspection.
Access to General Protection/Security Policies and Procedures. All contractor employees, including subcontractor employees stationed or assigned on a US Government facility shall comply with applicable installation, facility access procedures and local security policies (provided by the US Government security personnel). The contractor workforce shall comply with all personal identification verification requirements as directed by local policy. In addition to the changes otherwise authorized by the changes clause in this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the US Government may require changes in the contractor security processes or procedures.
Contractors requiring access to US Government Information Technology (IT) systems must adhere to all US Government requirements. All contractor employees and any associated subcontractor employees shall annually complete the DoD Information Assurance Training and sign an Acceptable Use Policy (AUP). The training certificate and AUP must be provided to the designated personnel at US Government facilities before issuance of network access and annually thereafter.
Contactor employees shall abide by US Government Security Regulations and Security Standard Operating Procedures when working on-site at US Government facilities/installations and shall annually attend Government mandatory training including Operational Security, Security Awareness, Subversion and Espionage, Ethics and Prevention of Sexual Harassment, and any/all other training as directed by the US Government.
Common Access Cards (CACs) are authorized for contractor employees that work on-site at Government facilities. CACs are the property of the US Government and shall be giving to the Contractor Facility Security Officer upon termination of employment with the company, expiration of the CAC, replacement of a CAC, or upon contract completion. The FSO shall immediately return the CACs to the Government Security Office, Government Contracting Officer, or Contracting Officer Representative. The loss of a CAC shall be reported on the first business day following the discovery of the lost CAC to your chain of command and to the issuing agency. Unauthorized possession of a CAC can be prosecuted criminally under section 701, title 18, United States Code. Photocopying of US Government Identification (CAC) is a violation of Title 18, US Code Part 1, Chapter 33, Section 01 and punishable by both fine and imprisonment. Although the asking for military/government identification is totally permissible by commercial establishments, there is a prohibition on duplication of government identification. A state issued driver license or other form of photo identification should be provided to be photocopied if an establishment insists on a photocopy of the traveler’s identification. Contractor is required to ensure that all employees are aware of this law.
Contractor personnel shall utilize US Government e-mail for transmitting official US Government business. Official US Government business shall NOT be transmitted via personal, private, and/or commercial e-mail accounts, i.e., YAHOO, HOTMAIL, GMAIL, VERIZON, etc.
| Enter GCA name.: WHS Acquisition Directorate |
| Enter AAC of the contracting office.: HQ0034 |
| Enter AAC of the contracting office.: HQ0034 |
| Enter address (include zip code).: Washington Headquarter Services (WHS) Acquisition Directorate |
4800 Mark Center Drive Suite 09F09 Alexandria, VA 22350-0002 Enter address (include zip code).: WHS - ACQUISTION DIRECTORATE 4800 Mark Center Drive; Suite 09F09 Alexandria, VA 22350-0002
| Enter POC name.: Kim Robinson-Leach |
| Enter telephone number (include area code).: 5717224559 |
| Enter telephone number (include area code).: 5717224559 |
| Enter email address.: kim.m.robinson-leach.civ@mail.mil |
| Enter email address.: kim.m.robinson-leach.civ@mail.mil |
| Enter title.: Contracting Officer |
| Enter the date signed in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .