Contract_Security_Form_DD_254.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

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:

20220531 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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

This DD 254 is for solicitation purposes only. An original DD 254 will be provided upon contract award.

List all locations where classified work will be performed.

CS, email:

Security, email: w_spsc_ssc_pac_securitycor_us@navy.mil

Block 12 Contiued: **Release of COMSEC, Restricted Data... is not authorized.

Security Classification Guide (SCG): SCG to be provided under separate cover by the COR. Example: ID # 06-011.1. All classified guides will be reviewed at the government site. Visit DTIC as noted below.

http://www.dtic.mil/dtic/

Log In with "Smart Card Access Only"

At the R&E Screen, scroll to bottom of page. In the middle of the page under "FAQ" click DTIC A to Z

Next screen in middle of page click on S

Under "S" on left side of page click on Security classification guides

Next screen, click on "Security classification guides 2018"

Next screen on left side of screen click on "Guides2018" = review the active tab and the cancelled tab.

Direct all questions to the Contracting Officer's Representative (COR) , Code , (619) 553- , email: @navy.mil.

The Contracting Specialist (CS) , Code , (619) 553- , email: @navy.mil.

-Prime contractor's are required to send copies of all subcontract DD Form 254s to obtain flow-down approvals as required to the distribution listed in block 17: NIWC Pacific Codes (COR), (CS) see above and 83310 - Security - w_spsc_ssc_pac_securitycor_us@navy.mil external address only.

Access Requirements:

10.a Further disclosure, to include subcontracting, of COMSEC information by a contractor requires prior approval of the NIWC Pacific COR. Access to any COMSEC information requires special briefings at the contractor facility. Access to classified COMSEC information requires a final U.S. Government clearance at the appropriate level. Use of COMSEC information is governed by the NSA Industrial COMSEC Manual, NSA/CSS Policy Manual 3-16. Contractors that will be designated CMS users must attend an initial CMS user training class that is given by the NIWC Pacific CMS office. If you have questions call (619) 553-5065. (Access is for COMSEC equipment/material)

10.b Access to Restricted Data requires a final U.S. government clearance at the appropriate level. NIWC Pacific COR approval required granted subcontractor access.

10.c Permission of the NIWC Pacific technical code/COR is required prior to subcontracting CNWDI. Special briefings and procedures are also required. Access to CNWDI requires a Final U.S. Government granted clearance at the appropriate level.

10.d Further disclosure, to include subcontracting, of Formerly Restricted Data by a contractor requires prior approval from NIWC Pacific technical code. special briefings and procedures are also required at the contractor’s facility. Access to Formerly Restricted Data requires a final U.S. government clearance at the appropriate level.

10.e(2) Prior approval from the NIWC Pacific COR and NIWC Pacific Code 874 is required for sub-contracting.

10.f Prior approval of NIWC Pacific COR is required for subcontracting. Access to SAP information requires a final U.S. Government granted clearance at the appropriate level.

10.g Discuss access with the GCA NATO Control Officer (619) 553-3005/3191.

10.h Prior approval of NIWC Pacific technical/COR is required for subcontracting. Access to any foreign government information requires special briefings at the contractor facility. Access is limited to information from (country).

10.i Contractors will require access to Alternate Compensatory Control Measures/Focal Point Program (ACCM/FPP). Contractors will only be given access to ACCM/FPP information after having “need to know” established and received the appropriate security briefings from the Focal Point Program Control Officer. Contractors will safeguard ACCM information as required by CJCSM 3213.02C.

10.j/11.l Contractors receiving, transmitting or accessing controlled unclassified technical information (CUI) on or through its contractor information system(s) must safeguard the information to avoid compromise, including but not limited to disclosure of information to unauthorized persons, unauthorized modification, destruction, or loss of an object, or the copying of information to unauthorized media, as required per DFARS Subpart 204.73 and Clauses 204.7304 and 252.204-7012. Contractors shall report to the DOD each Cyber incident that affects unclassified controlled technical information resident on or transiting contractor information systems in accordance with DFARS clause 204.7304 and 252.204-7012. Detailed reporting criteria and requirements are set forth in the clause at 252.204-7012, safeguarding of unclassified controlled technical information. For information on handling CUI see DOD M-5200.01, Volume 4.

10.k(2) Some contractor personnel may be required to receive the NATO Awareness Brief for the sole purpose of accessing SIPRnet. The special briefing is provided by the contracting company's Facility Security Officer (FSO). Note: For this awareness brief there is no requirement for the contractor to make an entry in JPAS. The contractor shall complete Derivative Classification training prior to being granted access to SIPRnet; training is provided by the company’s FSO. Policy: DOD M-5200.01 Volume 1, enclosure (3). Direct questions to the GCA NCO (619) 553-3005.

11.a Contract performance is restricted to **************. NIWC Pacific-COR will provide security classification guidance for performance of this contract.

11.b Any classified information generated in performance of this contract shall be marked according to Executive Order 13526 dtd 29 December 2009. Your Defense Security Service (DSS) Industrial Security Representative (IS Rep) should be contacted for assistance.

11.c Any classified information generated in performance of this contract shall be marked according to Executive Order 13526 dtd 29 December 2009. Your Defense Security Service (DSS) Industrial Security Representative (IS Rep) should be contacted for assistance. Approximately 2 cuft of GSA approved storage is needed on this contract to safeguard up to the Secret level.

11.d ?????will the contractor be required to "Fabricate, modify, or store classified hardware"????? (requires Storage over 1 GSA approved container).

11.e Contract is for engineering services. Cleared personnel are required to perform this service because escorting personnel or sanitization of the work space cannot preclude access to classified information. Any classification guidance needed will be provided by NIWC Pacific-COR.

11.f Access to classified U.S. government information may be required at the following overseas locations: . Other locations to be added in individual task orders as required. Antiterrorism/force protection briefing within one year of departure and a country specific briefing within 90 days of departure. Anti-terrorism/force protection (AT/FP) briefings are required for all personnel (military, DoD civilian, and contractor) per OPNAVINST F3300.53C. Contractor employees must receive the AT/FP briefing annually. The briefing is available at Joint Knowledge Online (JKO): https://jkodirect.jten.mil (prefix): course number: US007; title: Level 1 Anti-terrorism Awareness Training, if experiencing problems accessing this website contact the JKO Help Desk (24 hours a day/7 days a week, jkohelpdesk@jten.mil, 757-203-5654). Sere 100.2 Level A code of conduct training is also required prior to Oconus travel for all personnel. Sere 100.2 Level A training can be accessed at http://jko.jfcom.mil (recommended), https://jkodirect.jten.mil/atlas2/faces/page/login/login.seam, recommended course: prefix: J3T: course #: A-US1329, for civilian, military, and contractors. Personnel utilizing this site must have a CAC or contractor shall request a sponsored account to access the training. Specialized training for specific locations, such as SOUTHCOM human rights, or U.S. forces Korea entry training, may also be required; NIWC Pacific security personnel will inform you if there are additional training requirements. Finally, EUCOM has mandated that all personnel going on official travel to the EUCOM AOR must now register with the Smart Traveler Enrollment Program (STEP). When you sign up, you will automatically receive the most current information the State Department compiles about your destination country. You will also receive updates, including Travel Warnings and Travel Alerts. Sign up is one-time only, after you have established your STEP account, you can easily add official or personal travel to anywhere in the world, not just EUCOM. http://travel.state.gov/content/passports/en/go/step.html

11.g The contractor is authorized the use of DTIC regarding specific contract related information and will prepare and process DD Form 1540 in accordance with the NISPOM, Chapter 11, section 2. The COR/TR will certify need-to-know to DTIC.

11.h Contractor is required to have a COMSEC account at its contractor's facility.

11.i Tempest requirements attached.

11.j Contractors are required to take Operation Security training. Additional OPSEC information is attached.

11.k The NIWC Pacific COR/TR approves authorization for contractor to have a Defense Courier Service (DCS) account with prior validation. The contractor shall make arrangements to use the services of the DCS for transportation of qualified material. The contracting activity will request DCS services from NSA/CSS Industrial and Acquisitions Security Division, Attn: Operations Division, 9800 Savage Road, Suite 6670, Fort George Meade, MD 20755-6000. To obtain DCS guidance refer to the DOD Instruction 5200.33, Defense Courier Service located at http://www.dtic.mil/whs/directives/corres/pdf/520033p.pdf.

11.m See the Specific-On-site Attachment for reporting, security, and training requirements such as contractors performing on classified contracts are required to attend Counterintelligence (CI) training annually IAW DoDD 5240.06 (Counterintelligence Awareness and Reporting (CIAR)).

The NIWC Pacific-COR will specify which positions require a clearance.

No further entries on this page.

Information Technology (IT) Systems Personnel Security Program Requirements for Unclassified/Position of Trust (POT) Contractors and Must be Passed Down to Subcontractors.

Specific On-Site Security Requirements are Attached. This document contains reporting and training requirements. For authorized visits to other U.S. Government activities, the contractor must comply with all On-site Security requirements of the Host Command.

Intelligence requirement Attachment.

For Official Use Only (FOUO) guidance attached.

Operations Security (OPSEC) requirements attached and must be passed to all Subcontractors.

NIWC Pacific Code 53560 Hull Street San Diego, CA 92152-5001 Address: Commanding Officer NIWC Pacific Code 83310, 53560 Hull Street, CA 92152-5001