DD254_Operational Planning Support (1).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PREVIOUS EDITION IS OBSOLETE.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)

john.d.zimmer1@usmc.mil 504-697-7244 2000 Opelousas Ave.

New Orleans, LA. 70114

2000 Opelousas Ave.

New Orleans, LA. 70114

b. The Contractor will notify the MFR Security Manager and MFR Special Security Officer when detection of possible or actual compromise of government related data occurs.

c. All Contractor personnel assigned to this contract shall possess security clearances issued by the DoD Consolidated Adjudication Services (DoD CAS) commensurate with the level of required access to classified information that is directly in support of this contract. Contractors granted access to classified information are required to comply with all policies outlined in this DD 254 and report any personal changes to their Facility Security Officer, COR, MFR Special Security Officer, and MFR Security Manager.

d. MFR Security Manager restricts access to only those individuals who possess the necessary security clearance and to those who are providing services under this contract. Further dissemination to other contractors, sub contractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the releasing agency.

e. The Contractor will establish and maintain an access list of those employees working on this contract. The Contractor will advise MFR Security Manager and Special Security Officer, through the COR/COTR, immediately upon reassignment of personnel to other duties not associated with this contract.

f. Classified material will not be released to Contractor employees without a need-to-know identified in the performance work established in this contract. Release of classified information, documentation or other material concerning this contract will not be discussed with or released to any individual, subcontractor, agency (including Federal Government agencies and employees), and contractor employees not working on the contract without prior written approval from the COR/COTR. Further, classified material will not be released to foreign nationals or immigrant aliens, who may be employed by the contractor, regardless of the level of their security clearance or access authorization, except with the specific permission of the MFR Security Manager or Special Security Officer.

g. All classified information developed under this contract, to include working papers, presentations, final reports, and other classified documents extracted from information provided to the Contractor, will be properly classified, controlled, protected, transmitted and accounted for in accordance with Marine Corps Support Facility Order 5510.18. Any classified information generated under this contract classified using derivative source material will retain the same classification and handling caveats as originally source information.

h. All classified material received, generated, fabricated, or modified by this contract remains the property of the U.S. Government agency or component originator. Upon completion or cancellation of the contract, all material will be returned to the direct custody of the MFR Security Manager or destroyed in accordance with instructions outlined by this office.

Item 10 e.

(1) – Contractor personnel will require access to Top Secret/Sensitive Compartmented Information (TS/SCI) intelligence information to perform mission-related duties. This access may include the use of the Joint Worldwide Intelligence Communications System (JWICS) at government activities. All access will be certified by the COR via the MFR Security Manager. A final U.S. Government clearance and indoctrination at the TS/SCI level is required prior to being granted access to any SCI systems or information.

(2) – Non-SCI Contractor personnel will require access to Non-SCI Intelligence Information to perform mission-related duties. This access may include the use of the Secret Internet Protocol Router Network (SIPRNet) at government activities. All access will be certified by the COR via the MFR Security Manager. A final U.S. Government clearance, at the appropriate level, is required prior to being granted access to any Non-SCI intelligence information or systems.

Item 10 g. – North Atlantic Treaty Organization (NATO) Information: There is no valid requirement for access to NATO information; however, inadvertent access may occur because NATO information is available on SIPRNet and JWICS. Actual knowledge of, generation, or production of NATO information is not required for performance on this contract. A NATO SECRET indoctrination is still required.

Item 10 j.- Except where directed by the COR, Controlled Unclassified Information (CUI), CUI will be handled in accordance with DoDI 5200.48. Contractors handling unclassified but sensitive information will review, process, produce, and protect, destroy and store this information in accordance to applicable DoD/DoN and USMC instructions, regulations, policies and procedures.

Item 10 k.- Secret Internet Protocol Router Network (SIPRNet) access is required and provided by the government. While accessing the SIPRNet, the contractor is limited to information for which there is a Need-To-Know, and 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, or without the guidance and written permission of the COR. In the event that any special access is required, the COR must modify the contract requirements for issuance of a new modified DD Form 254. A final U.S. Secret clearance and access is the minimum level where access to the SIPRNet is required by a contract employee. A NATO awareness brief is also required for all contractor employees where NATO access is not present in DISS. SIPRNet Request Forms and training requirements must also be met prior to gaining a SIPRNet account. The contractor’s Facility Security Officer is responsible for ensuring (as a requirement) that all DISS visit requests are submitted to each organization where classified information will be discussed or accessed.

Item 11 a. – Have access to classified information only at another contractor’s facility or a Government activity: Classified contract performance is restricted to the location listed in Item 8. Security classification guidance will be provided on site.

Item 11 j. – Have Operations Security (OPSEC) Requirements: Operations Security (OPSEC) protection is required for classified and sensitive unclassified information (as defined in Public Law 100-236, 9 January 1988) developed or used in the performance of this contract. While performing aboard Navy/USMC installations, the Contractor shall comply with the provisions of OPNAVINST 3432.1; at all other sites the Contractor shall comply with local command and/or program OPSEC plans. OPSEC requirements are contained in National Security Decision Directive 298 dated 23 January 1988, DoD 5205.2 and OPNAVINST 3432.1. Prime Contractors may not impose OPSEC requirements on their subcontractors unless the Government Contracting Activity (GCA) approves the OPSEC requirements.

Item 11 l. – Receive, Store, or Generate Controlled Unclassified Information (CUI): In the performance of this contract, the Contractor may have a requirement to receive, store, and/or generate Controlled Unclassified Information (CUI). Such information will be handled and protected in accordance with DoDI 5200.48 and may include application of access vetting, distribution controls, and protective measures. Contractors are prohibited from releasing CUI to the public without approval of the contracting activity. Identification of CUI may be accomplished through applicable Security Classification Guides, Critical Information Lists (CIL), or identified directly by the Government. It is the responsibility of the contractor to afford such information the proper protection.

text:

For Collateral Review Only

Command Security Manager

The government organization identified in Item 15 as having inspection oversight carved-out and the DSS, CSO identified in Item 6.c.

Visit requests to activities not listed in the contract, SOW/PWS or this DD 254 should not be excepted at any additional worksites until the "Need to Know" and authorization for such a visit has been certified in writing by the COR or Project Officer. All requests shall contain the information required by the NISPOM (32 CFR Part 117) and shall not exceed a 12 month visit period.

All Government CAC, access badges, and tokens issued under this contract will be returned immediately upon termination of the contract, or individual termination. When an individual contractor is terminated, for any reason, it is the responsibility of the Facility Security Officer to immediately notify the Command Security Manager, and to recover and turn in all government items issued.

The Contractor will adhere to, but is not limited to, the following security guidance.

MCSF 5510.18;

MCO 5510.18B, USMC Information and Personnel Security Program;

SECNAVINST 5510.30C, DoN Personnel Security Program;

SECNAVINST 5510.36B, DoN Information Security Program;

DoD 5200.08-R, DoD Physical Security Program DoD 5220.22-M, Change 2, National Industrial Security Program Operating Manual;

DoDI 5200.48, DoD Controlled Unclassified Information (CUI) DoDM 5200.01, Volumes 1-3, DoD Information Security Program;

DoDM 5200.02, DoD Personnel Security Program;