HSHQDC-17-R-00020_Amendment_1_ATTACHMENT_J_DRAFT_DD_FORM_254.pdf

AMENDMENT 1

DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION

SPECIFICATION

a. FACILITY CLEARANCE REQUIRED

TOP SECRET

(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)

b. LEVEL OF SAFEGUARDING REQUIRED

SECRET

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

a. PRIME CONTRACT NUMBER

TBD X

a. ORIGINAL (Complete date in all cases)

Date (YYYYMMDD)

20160826

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs)

Revision No.

X c. SOLICITATION OR OTHER NUMBER

TBD

Due Date (YYYYMMDD)

c. FINAL (Complete item 5 in all cases)

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 contractor’s request dated , retention of the identified 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

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

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE

N/A

8. ACTUAL PERFORMANCE

Department of Homeland Security (DHS) Science and Technology Directorate (S&T) various locations within the Washington, DC metropolitan area and (see item 13).

9. GENERAL IDENTIFICATION OF THE PROCUREMENT

(U) Provide Systems Engineering and Technical Assistance (SETA) to the Department Homeland Security (DHS) Science and Technology Directorate (S&T).Research and Development Program Support.

10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR

WILL:

YES NO

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION X a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR’S

FACILITY OR A GOVERNMENT ACTIVITY X

b. RESTRICTED DATA X b. RECEIVE CLASSIFIED DOCUMENTS ONLY X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION X c. RECEIVE AND GENERATE CLASSIFIED MATERIAL X

d. FORMERLY RESTRICTED DATA X d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE X

e. INTELLIGENCE INFORMATION: e. PERFORM SERVICES ONLY X

(1) Sensitive Compartmented Information (SCI) X f. HAVE ACCESS TO U.S. 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 DEFENSE TECHNICAL INFORMATION

CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER X

f. SPECIAL ACCESS INFORMATION X h. REQUIRE A COMSEC ACCOUNT X

g. NATO INFORMATION X I. HAVE TEMPEST REQUIREMENTS X

h. FOREIGN GOVERNMENT INFORMATION X j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS X I. LIMITED DISSEMINATION INFORMATION X k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE X

j. FOR OFFICIAL USE ONLY INFORMATION X l. OTHER (Specify) See Block #13. X

k. OTHER (Specify) X DD Form 254, DEC 1999 Previous editions are obsolete RESET

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

NONE AUTHORIZED

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.)

Reference Item 10e (1) Personnel: All contractor personnel assigned to this contract shall possess security clearance issued by the Defense Security Service (DSS) commensurate with the level of required access to classified information is directly in support of this contract. Immigrant aliens, personnel cleared on an interim basis, or personnel holding contractor-generated Confidential clearances are not eligible for access to classified information released or generated this contract. Contractor personnel who are specifically designated as requiring access to Sensitive Compartmented Information (SCI) must be eligible under the provisions of the Intelligence Community Directive (ICD) 704 without exception. Personnel will be submitted for access by their DHS manager and verified by their Contract Technical Representative. If approved for access, they will receive an indoctrination briefing by DHS security staff prior to bein granted access to SCI. All personnel security reporting requirements of the ICD 704 will be made directly to the DHS Prior to leaving this contract, personnel will be scheduled for debriefing with the DHS SSO or by calling (202) 282-86 Note 10e (1) and 11a. Access to all SCI will be at DHS facilities only. For the purposes of this contract, the contrac not authorized to process and/or store any Sensitive Compartmented Information at contractor locations.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements identify the pertinent contracted clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed.)

Yes X No

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use item 13 If additional space is needed.)

X

Yes No

All personnel assigned by the contractor for SCI access must meet Intelligence Community Directive (ICD) 704 eligibility requirements. Subcontracting: Subcontracting requires prior approval of the GCA. Facilities: No storage or processing of SCI is authorized at contractor location.

16. 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.

a. TYPED NAME OF CERTIFYING OFFICIAL

CHRISTAL FULTON

christal.fulton@hq.dhs.gov

b. TITLE

Chief, Industrial Security Program Branch

c. TELEPHONE (Include Area Code)

(202) 447-5347

d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION

Department of Homeland Security X a. CONTRACTOR

301, 7th & D Street S.W. b. SUBCONTRACTOR

Washington D.C. 20528 X c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

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

X e. ADMINISTRATIVE CONTRACTING OFFICER

X f. OTHERS AS NECESSARY

DD Form 254, (BACK) DEC 1999

CONTINUATION SHEET FOR BLOCK 13.

Note 10e (1) and 11a: Access to all sensitive compartmented information (SCI) will be at DHS facilities only.

For the purposes of this contract, the contractor is not authorized to process and/or store any SCI at contractor locations.

a. All SCI will be handled in accordance with special security requirements, which will be furnished by the designated responsible special security office (SSO).

b. SCI will not be released to contractor employees without specific release approval of the originator of the material as outlined in governing directives; based on prior approval and certification of "need-to-know" by the designated contractor.

c. All Contractor personnel requiring access to SCI as part of this contract effort must be approved and indoctrinated by DHS. Requests for Access will be submitted by the government project manager who can validate the justification for access.

d. Inquiries pertaining to classification guidance on SCI will be directed to the Special Security Officer (SSO).

e. SCI furnished in support of this contract remains the property of the Department of Homeland Security (DHS), agency, or component originator. Upon completion or cancellation of the contract, SCI furnished will be returned to the direct custody of the supporting SSO, or destroyed IAW instructions outlined by the Contract Officer.

f. Visits by contractor employees will only be certified by DHS when such visits are conducted as part of the contract effort.

Reference Item 10j: “The Contractor is responsible for handling and marking FOUO information in accordance with DHS Directive (MD 11042.1) "Safeguarding Sensitive but Unclassified (For Official Use Only) Information," dated January 6, 2005; Furthermore contractors must sign a special Non-Disclosure Agreement before receiving access to unclassified FOUO information. Contractors with questions on handling DHS FOUO shall contact DHS OCSO ASD at (202) 447-5341.”

Reference Item 11c & d: The contractor shall derivatively classify newly created information associated with this effort based on the classification guidance provided through existing classified sources. All classified information shall be marked in accordance with the NISPOM. The ISOO Pamphlet on “Marking Classified National Security Information dated December 2010” may be used as a guide on the proper marking of classified information. Questions relating to Marking Classified National Security Information can be addressed to DHS Office of the Chief Security Officer Administrative Security Division, at telephone (202) 447-5341.

NOTE: Contract performance is restricted to DHS S&T, 1120 Vermont Ave, Washington, DC 20005 and alternate S&T locations within the greater Washington, DC metropolitan area; and the contractor’s site. Cleared personnel are required to perform this service. All contractor personnel must: be U.S. citizens, have been granted a security clearance by the U.S. Government (Interim Top Secret clearances are not accepted by DHS), have been approved as meeting criteria by DHS OCSO, and have been indoctrinated by a Non Disclosure Agreement, Standard Form 312 for this specific program prior to being given any access to such information released or generated under this contract.

Classified material released or generated under this contract is not releasable to foreign nationals without the expressed written permission of the OCSO. Recipients of classified information under this contract may not be released to subcontractors without permission of the DHS OCSO.