Attachment_1_-_DD254.pdf

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DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(Please read Instructions BEFORE completing this application.) (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. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See instructions.)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL REQUIRED AT CONTRACTOR FACILITY

DUE DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER

b. SUBCONTRACT NUMBER

a. PRIME CONTRACT NUMBER (See instructions.)

DATE (YYYYMMDD)

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

DATE (YYYYMMDD)

REVISION NO.

b. REVISED (Supersedes all previous specifications.)

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

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

Classified material received or generated under YES. If Yes, complete the following:

NO

4. IS THIS A FOLLOW-ON CONTRACT?

, retention of the classified material is authorized for the period of:

In response to the contractor's request dated YES. If Yes, complete the following:

NO

5. IS THIS A FINAL DD FORM 254?

c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

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

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Click button to add more subcontractors.)

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone) (If applicable, see instructions.)

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

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

8. ACTUAL PERFORMANCE (Click button to add more locations.)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT (Click here if more space is needed.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

d. FORMERLY RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

b. RESTRICTED DATA

e. NATIONAL INTELLIGENCE INFORMATION:

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

k. OTHER (Specify) (See instructions.)

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES (ACCM) INFORMATION

h. FOREIGN GOVERMENT INFORMATION

g. NORTH ATLANTIC TREATY ORGANIZATION (NATO) INFORMATION

DD FORM 254, NOV 2017

PREVIOUS EDITION IS OBSOLETE.

Adobe LiveCycle Designer ES4

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY (Applicable only if there is no access or storage required at contractor facility. See instructions.)

h. REQUIRE A COMSEC ACCOUNT

k. BE AUTHORIZED TO USE DEFENSE COURIERS

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

i. HAVE A TEMPEST REQUIREMENT

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION OR MATERIAL

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

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

e. PERFORM SERVICES ONLY

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT

THROUGH (Specify)

PUBLIC RELEASE AUTHORITY:

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. Click button to add additional pages as needed to provide complete guidance.)

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

Yes No (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. Use Item 13 or click button if additional space is needed.)

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. Click button or use Item 13 if additional space is needed.)

Yes No

e. POC TELEPHONE (Include Area Code.)

f. EMAIL ADDRESS (See instructions.)

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

d. AAC OF THE CONTRACTING OFFICE (See instructions.)

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

d. POC NAME (See instructions.)

c. ADDRESS (Include ZIP Code.)

a. GCA NAME

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See instructions.)

f. TELEPHONE (Include Area Code.)

g. EMAIL ADDRESS (See instructions.)

i. SIGNATURE

h. DATE

b. TITLE

c. ADDRESS (Include ZIP Code.)

f. OTHERS AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

e. ADMINISTRATIVE CONTRACTING OFFICER

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

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

b. SUBCONTRACTOR

a. CONTRACTOR

DD FORM 254 (BACK), NOV 2017

CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Continued)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

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

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

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

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

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

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

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

8. ACTUAL PERFORMANCE (Continued)

9. GENERAL UNCLASSIFIED IDENTIFICATION OF THIS PROCUREMENT (Continued)

DD FORM 254, NOV 2017

Pages of Continuation Page CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

15. INSPECTIONS (Continued)

14. ADDITIONAL SECURITY REQUIREMENTS (Continued)

13. SECURITY GUIDANCE (Continued) Pages of Continuation Page

DD FORM 254, NOV 2017

Additional persons assisting with completion of form (signatures and titles) CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

9.0.0.2.20120627.2.874785

WHS/ESD/DD

DD 254, Nov 2017, "DoD Contract Security Classification Specification" No No No No No

3000 Marine Corps Pentagon Washington, DC 20350-2000 703 693-6005

See item 13 Security Guidance - cont.

13. Security guidance.: a. The Headquarters Marine Corps Special Security Office (HQMC SSO) is the Cognizant Security Authority (CSA) for this level of effort within the contract. The Contractor is responsible for implementing the provisions of the DoDM 5105.21, and its Navy Supplement, is support of this effort. Failure of the contractor to maintain and administer a security program, fully compliant with these added security requirements, constitutes grounds for termination for default. If, subsequent, to the date of this contract, the security requirements under this contract are changed by the Government, as provided in this clause, and the security costs or time required for delivery under this contract are thereby increased or decreased, the contract price, delivery schedule, or both, and any other provision of this contract may be affected, shall be subject to an equitable adjustment. Any equitable adjustment required by virtue of this clause shall be accomplished in the same manner as equitable adjustments negotiated under the Changes clause of this contract.

b. Whenever the Contractor, in performance of the work under this contract, finds that the requirements of any of the clauses of the contract are in conflict with security instructions issued to the Contractor, the Contractor shall notify the Contracting Officer or his duly authorized representative for security matters. The Contracting Officer shall: (1) Modify or rescind such security requirements, or (2) issue to the contractor written instructions concerning compliance of the clauses or provisions conflicting with such security requirements. Any waiver of compliance with the clauses or provisions of the contract issued by the Contracting Officer shall be in writing and approved by the HQMC SSO in advance. In the event a conflict occurs between the various security manuals, the contractor will utilize the most restrictive guidance and immediately refer the matter to the HQMC SSO.

c. The Contractor will notify the HQMC SSO when detection of possible or actual compromise of government related data occurs.

d. All Contractor personnel assigned to this contract shall possess security clearances issued by the DoD Consolidated Adjudication Facility (DoD CAF) commensurate with the level of required access to classified information that is directly in support of this contract. Contractors must be nominated, screened, hold the appropriate clearance eligibility, and approved by the local Senior Intelligence Officer before being granted access to classified material. Contractors granted access to classified information are required to comply with the "Personal Status Change" reporting criteria identified in the ICD 704, and report any personal status changes to the HQMC SSO.

e. HQMC SSO restricts access to only those individuals who possess the necessary security clearance and to those who are actually 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.

13. Security guidance.: Item 10e.a. In the performance of this contract, access to Top Secret/Sensitive Compartmented Information (TS/SCI) material may be required. Access to TS/SCI material is strictly controlled. Contractors must be nominated, screened, hold the appropriate clearance eligibility, and be approved by the local Senior Intelligence Officer before being indoctrinated and granted access to SCI. Upon approval for access, each Contractor will receive an indoctrination briefing, complete a series of required training courses, and are responsible for reporting personal status changes and/or security incidents to the HQMC SSO.

b. Contractors cleared on an interim basis (eligibility) will not be eligible for access to SCI under this contract. Contractors specifically identified to perform duties requiring access to SCI must be eligible under the provisions of ICD 704 without exception, waiver or deviation, and adjudicated by the DoD Consolidated Adjudications Facility (DoD CAF).

c. Requests for SCI billets will originate from the contract program manager, routed through the government project officer, to the HQMC SSO (the format for such requests is provided under separate cover). Contractor personnel supporting this effort who require SCI access will be briefed by, and their personnel security records managed by the HQMC SSO. Individuals briefed by the SSO are required to report changes in personal status, as defined by DoDM 5105.21 to HQMC SSO as well as the Contractor SSO (CSSO).

Item 10g. There is no valid requirement for access; however, inadvertent access may occur because NATO information is available on SIPRNet and JWICS. A final U.S. Government clearance, at the appropriate level, is required for access to NATO information. All NATO briefings/read-ins will be conducted at the Government facility.

Item 10j. This item refers to unclassified information that is exempt from automatic release under the Freedom of Information Act (FOIA). Such is formation shall be identified as "For Official Use Only" (FOUO) and will be handled in accordance with DoD 5200.01. 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 10k. SIPRNet and JWICS access is required. While accessing SIPRNet and JWICS, 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 final U.S. Top Secret/SCI clearance and access is the minimum level where access to the JWICS is requried by a contract employee. A NATO awareness brief is also required for contractor employees where NATO access in not in JPAS.

13. Security guidance.: SIPRNet/JWICS Request Forms and training requirements must also be met prior to gaining a SIPRNet/JWICS account. The Contractor's Facility Security Officer is responsible for ensuring (as a requirement) that all JPAS visit requests are submitted to each organization where classified information will be discussed or accessed.

Item 11a. Classified contract performance is restricted to the location listed in Item 8. Security classification guidance will be provided on site.

Item 11j. 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 OPNAVI NST 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.

Item 12. Regardless of classification level, the Government considers the existence of the access approval to be sensitive. Contractor personnel should discuss or disclose information regarding the contract only to individuals with need to know. It is a material condition of this contract that the contractor shall not use, or allow to be used, any aspect of this contact for publicity, advertisement, reference or any other public purposes without specific approval. This includes statements of "SCI work" in corporate marketing tools or personal resume's. The Contractor agrees not to use or allow to be used any aspect of this contract for publicity, advertisement, references or any other public purposes. It is further understood that this obligation shall not expire upon completion of this contract, but will continue until rescinded by the U.S. Government. The Contractor may request a waiver or release from the foregoing but shall not deviate there/from unless authorized to do so in writing by the Contracting Officer or CSA. Unless otherwise stated in this contract, the Contractor is not prohibited from identifying the existence of a Government contract pursuant to federal statute or regulations, e.g., Securities Exchange Commission filings, if consistent with security requirements. A copy of all such filings or disclosures shall be promptly forwarded to the Contracting Officer.

Item 13f. The Contractor will establish and maintain an access list of those employees working on this contract. A copy of this list will be furnished to the COR/COTR and HQMC SSO on a quarterly basis. The Contractor will advise the HQMC SSO through the COR/COTR immediately upon reassignment of personnel to other duties not associated with this contract.

13. Security guidance.: Item 13g. 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 HQMC SSO.

Item 13h. 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 the provisions listed in item 14. Any classified information generated under this contract classified using derivative source material will retain the same classification and handling caveats as originally source information. Inquiries pertaining to classification guidance will be directed to the local Special Security Officer.

Item 13i. 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 supporting SSO, or destroyed in accordance with instructions outlined by this office.

MCINCR-MCBQO 5200.1, Photography Policy;

MCINCR-MCBQO 5530.2, Access Control Policy;

MCO 5510.18B, USMC Information and Personnel Security Program;

SECNAV M-5510.30, DoN Personnel Security Program;

SECNAV M-5510.36, DoN Information Security Program;

DoDIIS DJSIG, DoD Intelligence Information System (DoDIIS) Joint Security Implementation Guide (DJSIG) DoD 5200.08-R, DoD Physical Security Program DoD 5220.22-M, Change 2, National Industrial Security Program Operating Manual;

DoD 5240.1-R, Procedures Governing the Activities of DoD Intelligence Components that Affect U.S. Persons;

DoDM 5105.21, Volumes 1-3, DoD SCI Administrative Security Manual;

DoDM 5200.01, Volumes 1-4, DoD Information Security Program;

DoDM 5200.02, DoD Personnel Security Program;

DoDM 5240.01, Procedures Governing the Conduct of DoD Intelligence Activities;

ICD 119, Media Contacts;

ICD 403, Foreign Disclosure and Release of Classified Nation Intelligence;

ICD 700, Protection of National Intelligence;

ICD 701, Security Policy Directive for Unauthorized Disclosures of Classified Information;

14. Additional security requirements. If yes, identify.: ICD 703, Protection of Classified National Intelligence, Including SCI;

ICD 704, Personnel Security Standards and Procedures Governing Eligibility for Access to SCI;

ICD 705, Sensitive Compartmented Information Facilities;

ICD 706, Security Standards For Protecting Domestic IC Facilities;

ICD 710, Classified Management and Control Markings System;

ICD 710.1, Application of Dissemination Controls: Originator Control;

ICS 500-18, Removable Media Management;

ICS 703-02, Reporting Requirements for Individuals with Access to Sensitive Compartmented Information;

ICS 703-03, Protection of Classified National Intelligence Including SCI Shared with Entities Outside the IC;

ICS 704-01, IC Badge System; and the Security Markings Program (SMP) Register and Manual (current editions).