BIDDERS_254-_SAQMMA15Q0303.pdf

(The requirements of the 000 National Industrial Security Program Operating b. Level of Safeguarding Required Manual (N1SPOM) apply to al/ security aspects of this effort.) SECRET

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

--.-~-------------------------------------------------~-.--,------------------------------.T.~~--~~~~-~~

a. Prime Contract number Date (YYYVMMDD)

X a. Original (Complete date in a/l cases) 20150923

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

1. CLEARANCE AND SAFEGUARDING

a. Facility Clearance Required

SECRET

~--4-----~-------------- ------.-.-------.---------.------+---+---------~------_".-~~-~~---~-~---~~~~c~~

b. Subcontract number b. Revised. (Supersedes I Revision No. Date (YYYYMMDD) all previous spec) ----------+~-·--~~~~~c·-I

Date (YYYYMMDD)

c. Final (Complete Item 5 in al/ cases)

Due Date (YYYYMMDD)

~... -----·-~--~-·-----~---------+_~---._,--,_-----L--~-----.--~---------.--.--- ~. . I

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

c. Solicitation or other number

S-AQM MA-15-Q-0303X

5. IS THIS A FINAL DO FORM 254?

Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract..----~---,-:::::,==::::...,---.,--.------~...:..::..--~~.:...~....:..:.....-=---~--:...-----~-..-.-.~-----~U Yes 0 No If Yes, complete the following

Retention of the identified material to authorized for the period of 1--·-----··------· ~___ __f_~___ __~_ ..___. .. ..... . . ~ .._._._I

6. CONTRACTOR (include Commercial and G0v.emment Entit'[J£~c;.E~) _C_o_de--'-)__ ~----- .....~ . . -1

a. Name, address, and zip code b. Cage Code c. Cognizant Security Office (Name, Address, and Zip Code)

BIDDERS

I-------~ ----~.--------. -_._~._ ... .... L... . ...L. . . ._..._. _

7. SUBCONTRACTOR

1-- ----~- ..------- ..-·--------·--··---,---,---·___:~··--~,____::___,_--_=_--.,___=_:_::_-·-c·.·c_·-·-____:_____:_----____:_=___=_--:-:----1

a. Name, address, and zip code b. Cage Code c. Cognizant Security Office (Name, Address, and Zip Code)

In response to the contractor's request dated

BID

8. ACTUAL PERFORMANCE

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Armoring of Cadillac DTS Vehicles in support of the Department of State, Office of Physical Security Programs, Defensive Equipment and Armored Vehicles Division (DS/C/PSPIDEAV).

a. Location c. Cognizant Security Office (Name, Address, and Zip Code)b. Cage Code

10. THIS CONTRACT WILL REQUIRE ACCESS TO: Yes No 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: Yes No

X

a. Have access to classified information only at another contractor's facility or government activity ~-~b.~R~es-t-riCted-d-at~a~···..~~---.-- ..- ..---- ..·--·--+-·--+-X'(_-=-t=--c~b-~.~R~e~c~e~iv-~e·~-~c,.~"~~.,~~;f;T~;·o~rll~dOc~uJ~lme~nts'..<=o~nl~y.. ~

c. Critical nuclear weapon design II II V" ""uv, X c. Receive and classified material ·x -I-~~~I'I::~~;:~:;~:~a::~a ------------ ~ :: ::~~~~:e:~:~~'o~~s~O~:~~I=~~==a=~ar:=-==_~ ..: ..:=-~==.~ ..:~_.X·-_··j--x·-··- ..

f. Have access to U.S classified information outside the U.S.

Puerto Rico, U.S. possessions and trust territories

----I~ ..--+---------

g. Be authorized to use the services of Defense Technical Information

Center (OTIC) or other secondary distribution center f..---f.--Spe·c·--ial-ac-c-es-s-:i-nf=-o·r-m·-a-:t'io·-n------ - .---.--.-.---+~- -4---X-+--'h---R--eq-Uir 'e'"a COMSEC account .--.--- ..... - ...------~-.--__l__--_+_-- X--~

-~---4-.--.---. -~-----------------·----------·-----------_+_--·-t·-cc--g.-NATO i~nfo~rm~a-ti-on----.------j( i. Have TEMPEST requirements X

h. Foreig government infer IIdllUI X j. Have operations security (OPSEC) requirements){_

~ Limited dissemination information X k. Be authorized to use the Defense Courier Service X

~-~o-ro-fficia~~~~!'.-.'",u,-,,,-,,"-u,---.---------._+-----f- X I Require connectivity to Department of State computer system X

k. Other (Specify) X m. Other (Specify)

a. Communications security (COMSEC) information

1----------- --.----.---- ..---.------- ..

(1). Sensitive compartmented information (SCI) X

(2). Non-SCI X

"----------~I~~~fu~~~~~;~------_j-~~-t_-jSensitive But nclassified inform;

X

X

X

X

X

DD Form 254, December 1999 805/340Previous editions are obsolete

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 by appropriate US.

Government authority. Proposed public releases shall be submitted for approval prior to release.e] Direct 0 Through (Specify):

DEPARTMENT OF STATE, SA-20, 13TH FL

WASHINGTON DC 20520 DSIIS/IND

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 Agencies, requests for disclosure shall be submitted to that agency.

13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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 quidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the manes: level of classification essianed or recommended. (Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

Contractor personnel assigned to this contract shall possess SECRET personnel security clearances issued by Defense Security Service (DSS) prior to contract performance.

Visit Authorization Requests (VAR) are to be sent to Department of State (DoS), DS/IS/IND, Washington D.C. 20520, via fax to 571-345-3000 or email: DS_IND_contractorVARS@state.gov. A JCAVS Person Summary must be attached to each VAR. A VAR is valid for 12 months; an updated VAR is required prior to VAR expiring.

All DD Forms 254 for subcontracts shall be forwarded to DS/IND for certification prior to issuance to the subcontractor and prior to access to any classified information or controlled access areas.

While at DoS locations, the contractor shall comply with applicable DoS regulations relative to protection of classified andlor sensitive information, including the National Industrial Security Program Operating Manual (NISPOM) and 12 Foreign Affairs Manual (FAM) 500 and 600. DSIISIIND is responsible for inspecting contractors assigned to DoS locations.

Security clearance requirements for contractors accessing DoS domestic or overseas information systems shall be in accordance with 12 FAM 600. Furthermore, citizens of specifically designated human intelligence andlor technical intelligence threat countries shall not develop, modify or perform maintenance on software developed for use on DoS computer systems without approval by DS/SI/CS.

Contractors shall immediately report any adverse information concerning any cleared contractor employees performing on DoS contracts to DSS, in accordance with the NISPOM and DS/IS/IND, in accordance with 12 FAM 576.

Contractor personnel working on DoS contracts must report impending marriage, cohabitation and other continuing bonds of affection with foreign nationals to the COR and DS/IS/IND, in accordance with 12 FAM 270.

(continued on the next page)

DS/C/PSP/DEAVJEFF HOWARD (703) 644-3465

Phone

Contracting Officer's Representative (COR) Office Symbol

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to N1SPOM requirements, 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 cognizant security office. Use item 13 if additional space is needed.)

DYes 0 No

15. INSPECTIONS. Elements of this contract are outside the Inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

DYes 0 No

16. CERTIFICATION AND SIGNATURE. 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.

, TY:':'B::~:~FB~~~::~'NGOFFICIAL-~'~~IS'ON CHIEF ' TE~:;'=;~d"de Me,Code)

d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION.

U.S. DEPARTMENT OF STATE r--x-- a. CONTRACTOR 1--

DS/IS/IND, SA-20, 13TH FL

2201 'C' ST WASH DC 20520

b. SUBCONTRACTOR

~ c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

~I--~-·:-o-,----~-:-WA-~-,~~~--e-I.~-~ffi--e-,-D-ec-e-m--be---r~1--9-9--9---~-~~~~~~~~~~~· __ .-L~__---X ;_.:C_~o_:_~_~_~_~_~_~_:_M__ . ~ mailto:DS_IND_contractorVARS@state.gov.

13. SECURITY GUIDANCE CONT'D.

Subcontract number -------------._-------1

THIS SPECIFICATION IS FOR:

Prime Contract number

---Solicitation or other -;;-umber----J-- Due Date (YYYYMMDD) -------------------.

S-AQMMA-15-Q-0303

The DOS Personal Identification Card Issuance Procedures may be accessed at www.state.gov/m/ds/rls/rptlc21664.htm

All FAM references can be viewed on the DoS website, www.state.gov

DSIISIIND Point of Contact: Katrina L. Gray 1 (571) 345-37561 GrayKL@state.gov

DD Form 254 Continuation, December 1999 http://www.state.gov/m/ds/rls/rptlc21664.htm http://www.state.gov mailto:GrayKL@state.gov