NGB-Historian Solicitation Contract_DD_254.pdf

CLASSIFICATION (When filled in): Unclassified

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AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

W9133L20Q2502

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20200110

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

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

4. IS THIS A FOLLOW-ON CONTRACT? No Yes 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? No Yes If yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of:

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

a. NAME, ADDRESS, AND ZIP CODE

THIS DD 254 IS FOR SOLICITATION PURPOSES

ONLY. AN ORIGINAL DD 254 WILL BE PROVIDED

UPON CONTRACT AWARD.

b. CAGE CODE

TBD

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

TBD

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) Add Row Remove last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE

N/A

b. CAGE CODE

N/A

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows

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

National Guard Bureau Temple Army Readiness Center 111 South George Mason Drive Arlington, Virginia 22204

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

N/A

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

The Pentagon Washington, DC 22202

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

N/A

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

Camp Dawson 1001 Army Road Kingwood, WV 26537-1092

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

N/A

TBD

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The product is to supply Applied History Support Services to the NGB History Office. Service include writing and researching white papers and special studies, preparing responses to requests for information, maintaining a historical reference collection and library, and providing expertise and labor to process US Army lineage, honors, and heraldry actions at the Template Army Readiness center and Pentagon in Arlington, Virginia for the National Guard Bureau. The contractor must provide experience and expertise in researching and writing historical papers and monographs, in organizing and maintaining a historical reference library and research collection, and in US Army National Guard lineage, honors, and heraldry.

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 f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

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

d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

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

k. OTHER (Specify) (See instructions.)

FOUO

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.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

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

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

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 below)

NGB Contracting Office and Public Affairs Office, Directorate for Freedom of Information & Security Review, 111 S. George Mason

Public Release Authority:

In all cases, public release of any SCI information is strictly prohibited.

13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures

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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.)

Point of contact: Dr. Dennis H. Clark, NGB History Office, 703-607-1300, dennis.h.clark.civ@mail.mil

List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Add Attachment View Selected Attachment Remove Selected Attachment

NAME & TITLE OF REVIEWING OFFICIAL

Dennis H Clark, Chief, NGB History

SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.

No Yes 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)

a. GCA NAME

NGB Operational Contracting Division

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

W9133L

c. ADDRESS (Include ZIP Code) 111 George Mason Drive, 4th Floor, Arlington, VA 22204-1373

d. POC NAME

MAJ Michael S Wade

e. POC TELEPHONE (Include Area Code)

+1 (703) 607-1260

f. EMAIL ADDRESS (See Instructions) michael.s.wade.mil@mail.mil

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.

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

WHIDBEE, ROLFINI A

b. TITLE

INDUSTRIAL SECURITY OFFICER

c. ADDRESS (Include ZIP Code)

111 SOUTH GEORGE MASON DRIVE

ARLINGTON, VA 22204-1382

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

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

f. TELEPHONE (Include Area Code)

+1 (703) 607-9742

g. EMAIL ADDRESS (See Instructions) rolfini.a.whidbee.civ@mail.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20200405

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18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

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

SOLICITATION # W9133L20Q2502

BLOCK 13 CONTINUATION:

10.j Controlled and classified information (CUI) provided under this contract shall be safeguarded as specified in the FOUO addendum included with the specification.

11.a Contractor performance is restricted to government facilities owned and operated or otherwise approved by NGB, and it will provide security classification guidance by performance of this country. Submit visit request to core and/or security management office (SMO) will need to know verification.

11.j The contractor will apply Operations Security (OPSEC) to enhance protection for classified and unclassified critical information. While the documents identified in references below provide details on the development of OPSEC programs and implementation of OPSEC analyses, the requirements below provide the minimum standards for OPSEC application directed on this contract. Personnel will comply with OPSEC measures and program requirements established at the government site/program. The contract PM will identify an OPSEC coordinator and keep the COR apprised of current contract information.).

All personnel supporting the contract will receive initial and recurring (at least annually) OPSEC awareness training that identifies relevant threat information including techniques used by adversaries to obtain classified and unclassified critical information, directed OPSEC measures, OPSEC coordinator contact information, and reporting requirements. The OPSEC coordinator will maintain training records reviewed during assessments or compliance inspections.

Additional supplements may be added by DIA on a case-by-case basis.

11.l Controlled and classified information (CUI) provided under this contract shall be safeguarded as specified in the FOUO addendum included with the specification.

The use of cellular phones, hand-held radios, beepers and/or pagers, cordless telephones, and cordless microphones in any space where classified processing is accomplished is not prohibited. All removable electronic media must be labeled (unclassified, etc.) to the highest classification of data stored, and/or for the classification of the system in which it is used. If classified, any removable electronic media must be tracked and stored appropriate to the level of classification. In accordance with the NISPOM requirements, the contractor will report a loss or compromise of classified information to: G2 SSO, 111 South George Mason Drive, Arlington, VA 22202-1382 or Phone 703-607-3654 and NG-JS-COS, Industrial Security Officer, designated below. Whidbee, Rolfini A CIV NG NGB (US), NGB-JS-COS, (703) 607-9742.

Anti-terrorism/force protection AT/FP briefings are required for all personnel military, DOD civilian, and contract. Contract employees must receive the (AT/FP) briefing annually and forward a copy of the training certificate to their COR.

The contracting officer’s representative (COR) will specify which positions require any additional clearance and the contractor is authorized to carry your classified information and equipment in support of the NGB only up to the secret level.

The security requirements for personnel assigned and this task shall be in accordance with the requirements of the NISPOM. The highest level security required but this task is secret. The work performed by contract will include access to unclassified and up to secret information, and spaces. The contractor may be required to attend meetings classified up to the secret level.

Personnel performing classified work or requiring access to classified material or spaces under this delivery order/task order shall possess both a DoD security clearance at the appropriate level and the need to know. Request one visit authorization show me some milk in it coordinates with the DOD 5200.22M industrial security manual for safeguarding classified information not later than one week prior to the visit via JPAS.

As required by the NISPOM, Chapter 1, Section 3, contractors are required to report certain events that have an impact on the status of the facility clearance (FCL), the status of employees’ personal clearance (PCL), the proper safeguarding classified information, or an indication that classified information has been lost or compromised. Contractors working under NGB contracts will ensure information pertaining to assign contractor personnel are reported to the program manager COR and Security Manager along with notifying the appropriate agencies such as CSA, CSO, or DoDCAF when related to the denial, suspension, or revocation of a security Clarence any assigned personnel, any adverse information on inside employees continued suitability for continued access to classified access; any instance of loss or compromise, or suspected loss or compromise of classified information; actual, probable or possible espionage, sabotage or subversive information; or any other circumstances I’ll be security nature that would affect Contractor’s operation lava forming under this NGB contract.

Upon completion termination of this classified contract, or sooner, the contractor shall return all classified information furnished or generated to the source from which received unless retention or other disposition instructions are authorized in writing by the government contracting agency/activity. The contractor shall account for in return to the appropriate issuing office, or in a date identification badges and/or entry passes/vehicle decals issued to contractor personnel upon completion or termination of the classified contract/termination of employment, or suspension of classified clearance or excess of any contractor employees. The contract will adhere to the information, physical, and industrial security programs, and any other applicable guidance provided by the requiring agency normally through the core. Prior approval of the contracting agency/activity is required for subcontracting. Contractors performing on this contract and military installations are required to attend/complete all specific security training (initial/refresher/OPSEC, AT/FP, ETC.). This training will be provided by the responsible organizations POC.

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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 [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) HISTORY SOLICITATION # W9133L20Q2502.docx

THIS DD 254 IS FOR SOLICITATION PURPOSES ONLY. AN ORIGINAL DD 254 WILL BE PROVIDED UPON CONTRACT AWARD.

Name:

N/A

TBD

CSO:

N/A

CSO:

N/A

CSO:

N/A

CSO:

TBD

Temple Army Readiness Center 111 South George Mason Drive Arlington, Virginia 22204 Location: The Pentagon Washington, DC 22202 Location: Camp Dawson 1001 Army Road Kingwood, WV 26537-1092

ARLINGTON, VA 22204-1382