PASS DD 254 Draft.pdf
PDF 73 KB Posted
- Attached to
- Program And Staff Support (PASS) Federal contract opportunity
- Solicitation number
- W911SR25RA002
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PREVIOUS EDITION IS OBSOLETE.
Page of
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:
June 30, 2025 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.)
List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)
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"
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: Unclassified |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: TBD |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 0 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: Conlon, Randy R |
| Enter CAGE code of the prime contractor.: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: DoD Defense Counterintelligence and Security Agency |
Philadelphia Field Office (IOFNP) 2 International Plaza, Suite 340 Philadelphia, PA 19113 610-537-1060
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: DEVCOM Chemical Biological Center |
8198 Blackhawk Road, Bldg. E4301 Aberdeen Proving Ground, MD 21010 Enter general unclassified description of this procurement.: This is an Indefinite Delivery/Indefinite Quantity (ID/IQ) contract with performance based task and delivery orders for DEVCOM CBC. This award will provide services to include (1) Personnel management; (2), Security; (3) Strategic planning: (4) Business development; (5) Operations; (6) Project Management; (7) Acquisition Development; (8) Financial Management; (9) Safety and Risk Management.
The Contractor shall provide personnel, supervision, and other necessary resources, material, and equipment to perform the program support services tasks in the functional areas that are described in the Performance Work Statement (PWS) and associated contract documents. The Contractor shall perform to the standards and acceptable quality levels identified in the task order PWS and associated contract documents.
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 1 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Enter infomration for "other.": See Block 13 |
| Enter infomration for "other.": See Block 14 |
| Enter infomration for "other.": CBC Security Office |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 1 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: Army Contract Command, Edgewood Division - APG MD |
| Enter public release authority.: N/A |
| Select to add signature.: |
| Select to remove last signature.: |
| text: 10j. CUI information generated and/or provided under this contract shall be safeguarded, marked, and destroyed as specified in DoDM 5200.1, Volume 4, "DoD Information Security Program: Controlled Unclassified Information (CUI)," available at http://www.esd.whs.mil/DDDoD-Issuances. The contractor shall access only CUI and "For Official Use Only" (FOUO) related to the subject matter of this contract. |
10k. Use of computer equipment for classified processing shall be approved by the Defense Counterintelligence Security Agency and/or the DEVCOM Chemical Biological Center Security Office. Contractor employees accessing this computer equipment shall be U.S. citizens and have an approved security clearance in place.
11L. Contractor is authorized to receive, store, or generate CUI in the performance of this contract. Information designated as CUI, e.g., FOUO generated under this contract shall be controlled, handled, stored, marked, safeguarded, transmitted and destroyed IAW DoDM 5200.01, DoDM 5400.07, AR 380-5, AR 25-2, AR 25-55, and the following guidance:
• Electronically transmitted CUI shall be sent via: 1) encrypted email, 2) password protected/encrypted document, 3) AMRDEC Safe Access File Exchange at https://safe.amrdec.army.mil/safe/Welcome.aspx, or 4) an accredited information system with proper security controls.
• The contractor may disseminate CUI to their employees and subcontractors that have a need-to know.
• Disposal/destruction shall be by means of shredding when no longer needed. If shredding capabilities are unavailable on contractor site – contractor may coordinate with government representative for shredding services.
• The contractor shall report any unauthorized disclosure of CUI to the KO/COR, CM, or ISS.
11.m.(1) The contractor shall not use foreign nationals on this contract unless approved by the Procuring Contracting Officer with DEVCOM Chemical Biological Center Security Office concurrence. Any foreign nationals must be approved prior to initiating work under this project or subcontract. The following information is required when requesting approval for foreign national support: full name, date of birth. place of birth, citizenship, registration number, port of entry, and description of position in which employee will be utilized, photo copy of the work visa, permanent resident card or green card, abbreviated Curriculum Vitae, and a sole source justification. These documents will be submitted to the DEVCOM Chemical Biological Center Security Office for approval. Previously approved foreign nationals must be re-approved if the nature of their work under this contract differs from that performed under the prior year's contract.
11.m.(2) In accordance with Block 12 above, the contractor shall ensure that prior to the release of any information outside the Government, that a request for release is submitted through the Procuring Contracting Officer to the DEVCOM Chemical Biological Center Security Office for review and approval.
11.m (3) The contractor shall return all classified/sensitive material, to include program material to the Government at the completion of this contract.
11.m (4) Contract personnel working on this contract are required to take the following training as defined in the Performance Work Statement not later than 30 days after contract award: AT Level 1 Training; iWatch Training; Army Training Certification Tracking System DoD Information Assurance Awareness Training before issuance of network access to Government Information Systems; Level I OPSEC Awareness training; Threat Awareness and Reporting Program (TARP) training; and derivative classification training concerning protection, handling, and proper marking of classified information.
| text: N/A |
| Click on this button to attach a file(s).: |
| rep: |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: If a classified classified task order is issued under this contract, there is the potential for additional security requirements. For contracts that require a formal OPSEC program. The contractor shall develop an OPSEC Standing Operating Procedure(SOP)/Plan with 90 calendar days of contract award, to be reviewed and approved by the responsible government OPSEC officer. This plan will include a process to identify critical information, where it is located, who is responsible for it, how to protect it and why it needs to be protected. The contractor shall implement OPSEC measures as ordered by the commander. In addition, the contractor shall have an identified certified Level II OPSEC coordinator per AR 530-1. |
| Enter GCA name.: US Army Contracting Command |
| Enter AAC of the contracting office.: W911SR |
| Enter AAC of the contracting office.: W911SR |
| Enter address (include zip code).: 8456 Brigade Street |
Bldg E4215 Gunpowder, MD 21010 Enter address (include zip code).: DEVCOM CBC 8198 Blackhawk Road, APG, MD 21010-5424
| Enter POC name.: Nicholas Granata, Jr |
| Enter telephone number (include area code).: 4104362739 |
| Enter telephone number (include area code).: 4104365255 |
| Enter email address.: nicholas.granata.civ@army.mil |
| Enter email address.: william.r.conlon.civ@army.mil |
| Enter title.: DEVCOM CBC Security Manager |
| Enter the date signed in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .