Attachment 1-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PREVIOUS EDITION IS OBSOLETE.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)

IFC History, Relevance and Current Status Current and Developmental Technologies Public Perception, Political, and Ethical Issues Legal Implications Human Effects Characterization IFC Relevance for Contemporary Operations IFC in Defense Support of Civil Authorities (DSCA) IFC Considerations for TRANSCOM & Maritime Environments Differences between Civilian and Military IFC Group Preparations/Presentations on IFC Capabilities Range/Demonstration Day Capstone assignment, Course Review and Survey Completion

-DoDM 5200.01 Vol. 3, DoD Information Security Program: Protection of Classified Information -DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM) -DoDI 5200.48, Controlled Unclassified Information (CUI) -SECNAVINST 5510.36A, Department of Navy (DON) Information Security Program -Homeland Security Presidential Directive 12 (HSPD-12) -DoD 5230.24, Distribution Statements on Technical Documents

Additional Security Guidance All visit requests for other activities shall be submitted via DISS or as identified in the NISPOM. All request shall contain the information required by Chapter 6, NISPOM, and shall not exceed the contract expiration date. Need-to-Know will be validated by the appropriate government security officer or facility security officer granting classified access in their facilities.

All forms of government owned or sponsored identification, badges or decals issued in support of this contract will be returned to the sponsoring government agency upon an employee leaving the contract or the contract completion.

Classified Information will only be processed at other government agency or located only in government facilities.

Copies of all subcontract DD Form 254’s should be faxed or mailed to the JIFCO Security Manager, at 703-432-0901. Signed, scanned copies can also be emailed to JIFCO_Security@usmc.mil.

Contractor is authorized to access to COMSEC only at government facilities or other approved contractor facilities.

Access to non-SCI intelligence information via SIPRNET is authorized at JIFCO or various locations where personnel are assigned in support of the JIFCO effort. Per U.S. Marine Corps SIPRNET Policy, access to NATO Secret is required prior to being granted access to SIPRNET computer systems.

NATO information will be handled and controlled as directed by guiding directives. Access requires a final U.S. Government clearance and NATO access briefings for the appropriate level of access. Prior approval from the Director, JIFCO is required for subcontracting.

Access to Foreign Government Information requires a final U.S. Government clearance at the appropriate level. This information will not be released to any activity or person not directly engaged in the task requiring access nor to another contractor, to include subcontractors, government agency, Reproduction and destruction of NATO and Foreign Government material, regardless of the classification is prohibited without approval from the Task Sponsor, the Director, JIFCO or higher authority. Destruction of electronic mail is excluded from this requirement.

All reports containing scientific/technical information (both classified and unclassified) will be marked on both the cover and title page with the appropriate distribution statement from DoD 5230.24 (Distribution Statements on Technical Documents).

Due to program requirements, all unclassified material produced will be reviewed for Freedom of Information Act applicability, and the appropriate exemption statement will be attached. DoDM 5400.7 (DoD Freedom of Information Act Program) dated April 5, 2019 applies. No classified material received or generated under this contract will be transferred to any other contractor or agency without the approval of the Director, JIFCO.

All material will be properly marked, the contractor shall refer to NISPOM, Information Security Oversight Office (ISOO) Marking Guide, DoDD 5200.01 Vol 2 or SECNAV M-5510.36 to ensure material is appropriately marked to provide adequate protection of CUI and classified information. Any questions regarding classification markings will be forwarded to the JIFCO Security manager for resolution.

There is no separate OPSEC plan required as a result of this DD Form 254 and the work associated with it, the contractor must maintain an awareness of the DoD OPSEC posture to ensure they do not expose sensitive operational aspects of the DoD. While performing work on government installations the contractor shall comply with the provisions of the installations directives and local command instructions for Operations Security; at contractor facilities the NISPOM guidance for OPSEC will apply.

All of the above security requirements will automatically be applied to any subcontractors supporting this contract.

Quantico, VA 22134 Address: Joint Intermediate Force Capabilities Office (JIFCO) 3097 Range Rd, Quantico, VA, 22134