Attachment 5 - DD Form 254.docx

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program Operating Manual apply to all security aspects of this effort)

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED: TOP SECRET

b. LEVEL OF SAFEGUARDING REQUIRED: SECRET

TBD

TBD

b. SUBCONTRACT NUMBER

Date (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER

Due Date (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? [ ] YES [X] NO, If yes, complete the following Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract

5. IS THIS A FINAL DD FORM 254 [ ] YES [X] NO, If yes, complete the following:

In response to the contractors request dated ,retention of the identified classified material is authorized for a period of:

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

a. NAME, ADDRESS, AND ZIP

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code) Defense Security Service Northern Region Office Defense Security Service (IOFN) 1 Tech Drive, Suite 335 Andover, MA 01810 Regional Director: Mike Halter Regional Operations Manager: Cheryl Matthew Main: 978-242-1800 Fax: 978-686-6204

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP

N/A

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Systems Engineering and Technical Assistance Support

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

X

b. RESTRICTED DATA

X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

d. FORMERLY RESTRICTED DATA

e. INTELLIGENCE INFORMATION

e. PERFORM SERVICES ONLY

X

f. HAVE ACCESS TO US CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

X

(2) Non-SCI

X

g. BE AUTHORIZED TO USE THE SERVICES OF THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

X

f. SPECIAL ACCESS INFORMATION

X

g. NATO INFORMATION

X

h. FOREIGN GOVERNMENT INFORMATION

i. LIMITED DISSEMINATION INFORMATION

X

l. OTHER (specify)

k. OTHER (Specify) (CLASSIFIED IS PROCESSING) Sensitive Security Information X

DD Form 254, DEC 99 Previous editions are obsolete

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 or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release

[ ] DIRECT [ X ] THROUGH (Specify)

USCG Research & Development Center 1 Chelsea Street New London, CT 06320-5506 to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.

*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.

13. SECURITY GUIDANCE. The security classification guidance needed for this classified effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended. (Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

Contractor shall abide by the security requirements of the following policies and instructions:

a. National Security Industrial Security Program Manual (NISPOM), DoD 5220.22-M

b. Classified Information Management Program Manual COMDTINST M5510.23 (Series)

c. Physical Security and Force Protection Program Manual COMDTINST M5530.1 (Series)

d. Operations Security Program Manual COMDTINST M5510.24 (Series)

e. Information Assurance Manual, COMDTINST M5500.13 (Series)

f. DHS Management Directive (MD) 11042.1 for the handling of Sensitive but Unclassified / For Official Use Only (SBU/FOUO) information

g. DHS MD 11056.1 for the handling of Sensitive Security Information (SSI) The NISPOM, DoD 5220.22-M is established as a “baseline” standard for safeguarding classified material in pursuant to E.O. 12928. The United States Coast Guard (USCG) and Department of Homeland Security (DHS) directives listed above are intended to aid the contractor for further explanation or procedures to safeguard USCG technologies and assets, when applicable. The contractor is responsible to maintain security compliance with any future changes to the NISPOM and other applicable directives. See attached sheet for additional guidance.

USCG Headquarters, Office of Security Policy and Management (DCMS-341) Mr. Dennis DeShields 2100 2nd ST SW STOP 7243 Washington DC 20593-7243

(202) 372-3711 E-mail Dennis.M.DeShields@uscg.mil

_______________________________ Date: ______________ Industrial Security Program Manager

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements, are established for this contract. [X] YES [ ] NO (If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies additional requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is required.)

See additional directives listed in item #13.

15. INSPECTIONS. ELEMENTS OF THIS CONTRACT ARE OUTSIDE THE INSPECTION RESPONSIBILITY OF THE COGNIZANT SECURITY OFFICE. (If yes, explain and [X] YES [ ] NO Identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if more space is needed.)

DSS is the security cognizance for this contract. The USCG will maintain oversight, control and supervision of the contractor’s classified work at government facilities.

16. CLASSIFICATION 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.

a. TYPED NAME OF CERTIFYING OFFICIAL

John R. Freda

b. TITLE

CCOR

c. TELEPHONE (Include Area Code)

(860) 271-2877

d. ADDRESS (Include Zip Code) USCG Research & Development Center 1 Chelsea Street New London, CT 06320-5506

17. REQUIRED DISTRIBUTION

[X] a. CONTRACTOR [ ] b. SUBCONTRACTOR [X] c. COGNIZANT SECURITY OFFICE FOR PRIME & SUBCONTRACTOR [ ] d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION [X] e. ADMINISTRATIVE CONTRACTING OFFICER [X] f. OTHERS AS NECESSARY

e. SIGNATURE

DD Form 254 (BACK), DEC 99

ITEM 13: SECURITY GUIDANCE

1. Portion of this contract involves access to classified source data up to and including SECRET. As stated in Items 1.b and 11.a, the contractor is authorized to generate or store classified material at its facility. The contractor shall also perform classified work at USCG designated facilities and/or other approved facility. The primary location is listed below:

USCG Research & Development Center 1 Chelsea Street New London, CT 06340-5506

2. Specifically designated personnel assigned to this contract shall possess up-to a SECRET clearance and have the “need-to-know” in accordance with the NISPOM.

3. Classified material developed under this contract shall be marked with highest level of classification. Additionally, all classified material derived from other classified sources will perpetuate the highest classification and any special caveats pertaining thereto. Classification, declassification, and markings will be in accordance with E.O. 13526, “Classified National Security Information.”

Questions regarding security classification, not governed by specific security classification guidance, will be addressed to the Contracting Officer Technical Representative (COTR).

4. The contractor shall ensure that any classified information disclosed to its employees is not further released or made available to other employees, or any other person who does not have appropriate clearance and a “Need-to-Know.”

5. As stated in Item 10.j, the contractor is responsible to control and safeguard FOUO in accordance with DHS MD 11042.1, “Safeguarding SBU/FOUO information.”

The contractor is required to train all employees under this contract on the appropriate handling of SBU/FOUO. Contractor shall provide an OPSEC Plan detailing how SBU/FOUO/SSI material will be handled, discussed, disseminated, and protected by their employee (i.e., Refer to Item 11.j). OPEC requirements are identified in USCG Operations Security Program Manual, COMDTINST M5510.24 (Series).

6. Contractor shall provide a description of how the contractor intends to conduct and certify the appropriate employee security briefings and certification that all employees have executed a current SF-312 in accordance with the NISPOM, Chapter 3.

7. As stated in Item 11.L, the contractor will access government furnished automated information system. The contractor shall receive appropriate training via USCG on user responsibilities. The contractor shall adhere to the USCG rules and regulations in order to protect the integrity of data on Coast Guard information systems.

DD Form 254 Continuation Sheet (Page 4 of 4) Contract Number: Insert No.

ITEM 13: SECURITY GUIDANCE

8. For operational matter, the contractor shall forward all visit requests to the place of performance via RDC CSO for certification of “Need-To-Know”. All requests shall contain the information required by the NISPOM and shall not exceed the completion date of the contract or a 12 month period, whichever is shorter. Use of the OPNAV Form 5527/27 is preferred. Fax the completed form to our unsecure fax 860-271-2792, or mail a PDF copy to Joe.T.Duddie@uscg.mil.

9. Documentation obtained for use with this contract shall not be used for any other purpose unless prior authorization has been obtained from the COTR as appropriate, in accordance with the NISPOM.

10. Biennial review will be conducted to ensure current guidance unless special circumstances occur.

11. Upon termination of this contract, all contractor deliverables shall be returned to USCG COTR at 1 Chelsea Street, New London, CT 06320-5506 as appropriate.