A23 - Attachment D Travel Pay DD Form 254.docx

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions) Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/ MATERIAL REQUIRED AT CONTRACTOR FACILITY None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.) 20231011

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

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

4. IS THIS A FOLLOW-ON CONTRACT? No Classified material received or generated under

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

5. IS THIS A FINAL DD FORM 254? No 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

TBD

b. CAGE CODE

TBD

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

TBD

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)

a. NAME, ADDRESS, AND ZIP CODE N/A

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) N/A

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

DFAS Indianapolis, 8899 E. 56th Street, Indianapolis, IN 46249

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) N/A

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The contractor will support the DFAS Travel Pay Processing System.

CLASSIFICATION (When filled in): Unclassified

DD FORM 254, APR 2018

PREVIOUS EDITION IS OBSOLETE.

CLASSIFICATION (When filled in): Unclassified

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

(See instructions.)

(1) Sensitive Compartmented Information (SCI) k. OTHER (Specify) (See instructions.)

(2) Non-SCI

(Applicable only if there is no access or storage required at contractor facility.

See instructions.) h. REQUIRE A COMSEC ACCOUNT

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY i. HAVE A TEMPEST REQUIREMENT

INFORMATION (CUI).

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

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 below) Defense Finance and Accounting Service, Office of Corporate Communications Public Release Authority:

Public release of classified information or controlled unclassified information (CUI) is not authorized.

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.)

Contract Period of Performance: February 4, 2024 to October 3, 2024 plus five Option Periods (10/4/24 - 2/3/2029).

Ref 10j/11l: Controlled Unclassified Information (CUI) generated and/or provided under this contract shall be safeguarded and marked as specified in DoD Instruction 5200.48, "Controlled Unclassified Information," and DFAS 5200.1-I, "Information Security Program."

Ref 11a: The highest level of security clearance required for contract performance is Secret. DFAS will provide security classification guidance for performance of this contract when needed. DFAS will oversee the handling and storage of classified information in support of this contract. DFAS will provide storage capability for all classified material required for this contract.

Ref 11j: Contractors working at DFAS sites will follow DFAS OPSEC requirements IAW DFAS 2000.1-I, "Force Protection Mission," Enclosure 9.

Note. When applicable, copies of all subcontractor DD Form's 254 must be provided to the distribution list in block 18.

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

Date: 2023.10.11 14:31:02 -04'00'

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.)

Contractors working at DFAS sites will safeguard classified information IAW DoDM 5200.01, Volume 3, "DoD Information Security Program: Protection of Classified Information," DFAS 5200.1-I, "Information Security Program," and other directives deemed necessary by the servicing security office. All contractor employees working at DFAS sites will receive initial, continuous and refresher security education training IAW DoDM 5200.01, Volume 3, Enclosure 5, and DFAS 5200.1-I, Enclosure 8. Contractor employees with network access are also required to accomplish all training courses identified in the Performance Work Statement.

15. INSPECTIONS

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

No Yes 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)

a. GCA NAME

Defense Finance and Accounting Service

c. ADDRESS (Include ZIP Code) Bldg. 21/2B218 3990 East Broad Street Columbus, OH 43213

d. POC NAME Melissa D. Adams

e. POC TELEPHONE (Include Area Code) +1 (614) 701-3580

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

f. EMAIL ADDRESS (See Instructions)

HQ0423

melissa.d.adams.civ@mail.mil

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions) Adams, Melissa, D.

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

HQ0423

h. SIGNATURE ADAMS.M Digitally signed ELISSA.DI by

ADAMS.MELIS

CATALDO SA.DICATALD

.105830862 O.1058308621 Date: 2023.10.11 1 14:59:50 -04'00'

b. TITLE Contracting Officer

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

c. ADDRESS (Include ZIP Code) Bldg. 21/2B218 3990 East Broad Street Columbus, OH 43213

f. TELEPHONE (Include Area Code) +1 (614) 701-3580

i. DATE SIGNED (See Instructions)

20231011

g. EMAIL ADDRESS (See Instructions) melissa.d.adams.civ@mail.mil

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

e. ADMINISTRATIVE CONTRACTING OFFICER image1.png image2.png