PD2111USA103 DD254 Appd E.pdf

DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION SPECIFICATION a. FACILITY CLEARANCE REQUIRED

SECRET

(The requirements of the 000 Industrial Security Manual apply b. LEVEL OF SAFEGUARDING REQUIRED to all aspects of this effort) SECRET

2. THIS SPECIFICATION IS FOR: ()( and comolete as aool/cable) 3. THIS SPECIFICATION IS: (X and comDlete as aoolicable)

a. PRIME CONTRACT NUMBER a. ORIGINAL (Complete date in all cases) Date (YYYVMMOO)

~ TBD ~ 20110620

b. SUBCONTRACT NUMBER b. REVISED (Supersedes I Revision No. Date (YVYVMMOO) all previous specs)

D

c. SOLICITATION OR OTHER NUMBER I Due Date (YYYVMMOO) c. FINAL (Complete /tem 5 in all cases) Date (YYYYMMOO)

~ D

4. IS THIS A FOLLOW-ON CONTRACT? L-JYES LU NO. If Yes complete tile following

Classified material received or generated under ___ (Preceding Contract Number) is transferred to tIlis follow-on contract

5. IS THIS A FINAL DD FORM 254? L-jYES LU NO. If Yes complete tile following

In response to tile contractor's request dated , retention of tile identified classified material is authorized for tile period of ___ •

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

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OF~iCE (Name, Address, and Zip Code)

TBD TBD TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICES ( Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

US Army CERDEC, C2D, QR&BCSD Raritan Avenue Building 3200 Aberdeen Proving Ground, MD 21005

9. GENERAL IDENTIRCATION OF THIS PROCUREMENT

Rapid Prototyping and Technology Insertion Support

10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. CDMMUNICATIONS SECURITY (COMSEC) X a HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER X

INFORMATION CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY

b. RESTRICTED DATA X b. RECEIVE CLASSIFIED DOCUMENTS ONLY X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION X c. RECEIVE AND GENERATE CLASSIFIED MATERIAL X

d. FORMERLY RESTRICTED DATA: X d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE X

e. INTELLIGENCE INFORMATION: e. PERFORM SERVICES ONLY X

(1) Sensitive Compartmented Information (SCI) X f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO X

RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

(2) Non-SCI X g. BE AUTHORIZED TO USE THE SERVlCES OF DEFENSE TECHNICAL X

INFORMATION CENTER (OTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

f. SPECIAL ACCESS INFORMATION X h. REQUIRE A COMSEC ACCOUNT X

g. NATO INFORMATION X i. HAVE A TEMPEST REQUIREMENT X

h. FOREIGN GOVERNMENT INFORMATION X j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS X

i. LIMITED DISSEMINATION INFORMATION X k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVlCE X

j. FOR OFFICIAL USE ONLY INFORMATION X I. IT sensitive duties may be required.

k. OTHER Specify)

) X

DD Form 254, DEe 1999 Previous editions are obsolete

12. PUBUC RELEASE. Any infonnation (dassified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public release shall be submitted for approval prior to release

~ Direct c::::J Through (Specify):

Public release of any program related information is not authorized. Any requests for release will be sent to US Army, RDECOM, CERDEC, C2D, ATTN: C2D Security Office, 6007 Combat Drive, Aberdeen Proving Ground, Maryland 21005

b. TTT1.E c. TELEPHONE (Include Area Code) to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)' for review.

"In the case of non-DoD User Aaencies, reauests for disclosure shall be submitted to that aQenCY.

13. SECURITY GUIDANCE. The security classification guidance 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 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 infonnation involved shall be handled and protected at the highest level of classification assigned or recommended. (Fill in as appropriate for the classified effort Attach, Dr forward under separate correspondence, any documentJguKJeslextracts referenced herein. Add additional pages as needed to provide complete guidance.

10a. COMSEC information/material will be processed lAW DoD 5220.22-M. Additional Security Guidelines, Appendix A. Contractor personnel requiring COMSEC access must be U.S. Citizens and possess a final clearance at the appropriate level. All contractors shall be briefed before access to COMSEC is granted. Subcontracts requiring classified COMSEC information shall be awarded only upon the written approval of the Contracting Officer. • • 10j. For Official Use Only (FOUO) will be handled lAW AR 25-55, The Department of the Army Freedom Of Information Act Program.

11c. Contractor will follow the guidelines of Chapters 4 and 5 of the NISPOM for the proper handling of classified information.

Contractor will also follow guidance set forth within Security Classification Guide (SCG), (Title of SCG) provided under separate cover.

111. IT sensitive Duties may be required. Contractor personnel performing IT sensitive duties are subject to investigative and assignment requirements lAW AR 25-2, AR 380-67 and affiliated regulations.

13a. Army regulations available at www.apd.army.mil.

Mary E. Demmitt, Proqrarn Analyst, CERDEC C2D, QR&BCSD

OigitIIyiignedbr COMTlMNIY,£.I',f"lti6Of

DEMMITT.MARY.E.1141826804 ='~"7.':.""'-.,....-"'-"""""

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14. ADDmONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract (If Yes, identify the pertinent 19 Yes EJ No contractual clauses in the contract document itself. or provide an appropriate statement which identities the additional requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas Dr 1 DYes 1[8]1 No elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed. L:J LJ

16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified infonnation to be released or generated under this classified effort. All questions shall be referred to the official named below, Beverly J. Gibson Security Specialist, C2D Security Office 443395-0462

d. ADDRESS (Include ZIP Code) 17. REQUIRED DISTRIBUTIONI--- US Army RDECOM, CERDEC, C2D ~ a. CONTRACTOR

6007 Combat Drive, 2ndFloor

b. SUBCONTRACTOR

Aberdeen Proving Ground, MD 21005 I---X 1-- __=- -----------------------------1....;;.;....-1 c. COGNIZANT SECURlTY OFFICE FOR PRIME AND SUBCONTRACTOR

~~vJrt94/ I-__-f d. U.S. ACTIVITY RESPONSIBlE FOR OVERSEAS SECURrTY ADMINISTRATION l--xX--i e. ADMINISTRATIVE CONTRACTING OFFICER

f. OT1-iERS AS NECESSARY

DD Form 254 (BACK), DEC 1999