Attachment_3_-_DD_254.pdf

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE a. FACILITY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION SECRET

(The requirements of the DoD Industrial Security Ma_nua/ apply

b. LEVEL OF SAFEGUARDING REQUIRED to all security aspects of this (}ffort.)

NONE

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

a. PRIME CONTRACT NUMBER X

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases)

b. SUBCONTRACT NUMBER b. REVISED I

REVISION NO.

2019XXXX

DATE (YYYYMMDD)

(Supersedes all previous specs)

X

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD) DATE (YYYYMMDD)

SP7000-19-R-]001 C. FINAL (Complete Item 5 in all cases)

4. IS THIS A FOLLOW-ON CONTRACT? L_jYES LX_jNO. 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? L_jYES LX_jNO. 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. CON-TRACTOR (Include Commercial and Government Entity (CAGE) Code)

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

FOR RFP PURPOSES ONLY

7. SUBCONTRACTOR

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

8. ACTUAL PERFORMANCE

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

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Acquisition of Multifunctional Devices (MFD), supplies, technical services, parts, and device training for the Shipboard Multipurpose Copier

Program. The contract will be used to support Navy, Military Sealift Command (MSC), afloat elements of the U.S. Fleet Marine Forces (FMF) and other mobile activities of the Federal Government that have deployment for extended periods. The contractor will provide six (6) classes

(models) ofMFDs, one (I) class of a B&W multipurpose production printer, and one (I) class Color multipurpose production printer for shipboard use.

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

a. COMMUNICATIONS SECURITY (COMSEC) I NFORMATION X

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR"S FACILITY OR A GOVERNMENT ACTIVITY X

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. �t��f8�\=c56, L?s��&��/b �g MD

O fMfi,�q.�RMt�r!?iiJ

HE

u.s., X

(2) Non-SCI X 9- BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION

CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER X

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

g. N ATO INFORMATION X ;_ HAVE TEMPEST REQUIREMENTS X

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

;_ LIMITED DISSEMINATION INFORMATION X k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE X

j. FOR OFFICIAL USE ONLY INFORMATION X I. OTHER (Specify)

k. OTHER (Specify) X

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7.0

2019XXXX

APS1596

Typewritten Text

APS1596

Typewritten Text Attachment 3 DD254

12. PUBLIC RELEASE. Any information (classified 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 releases shall be submitted for approval prior to release LJDirect [KJ Through (Specify)

Shipboard Multipurpose Device Program Contracting Officer at DLA Contracting Services Office.

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 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. (Fiff in as appropriate for the classified effort.- Attach, or fOIWard under separate coffespondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

Ref l le: All contractor service technicians must obtain a Secret Clearance. This requires a satisfactory National Agency Check with

Law and Credit (NACLC) or NACLC equivalent for all IT II designations. A Secret Clearance is required to access classified spaces to perform schedule and unscheduled maintenance or repair of contractor furnished multifunctional copiers and production printer equipment, installed on designated ships. The contractor is required to have a clearance granted by the Defense Industrial

Security Clearance Office (DISCO) prior to being given access to bases or ships.

All contractor employees must complete the necessary forms required which will allow for access to a military installation or ship via CAC.

Ref l lj: The contractor will accomplish the following minimum requirements in support of the User Agency Operations Security

(OPSEC) Program. Document those items of critical information, applicable to operations. Items of critical information are those facts, which individually, or in the aggregate, reveal sensitive details about the mission, operation, etc., and thus require protection from adversaries collection or exploitation.

Include OPSEC as part of its ongoing security awareness program and take all required Agency training.

Be responsive to-the Unit Agency OPSEC Manager on a non-interference basis. Protect sensitive unclassified information and activities, which could compromise classified information or operations, or degrade the planning and execution of operations performed by the contractor in support of the mission.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are· established for this contract LJ Yes lX_I No {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.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. LJYes �No (If Yes, explain and identify specific areas or elements carved out and the activity responsible for ins{iections. Use lt�m 13 Jf additional space is needed.)

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.

a. TYPED NAME OF CERTIFYING OFFICIAL b. TITLE C. TELEPHONE (ln'clude Area Code)

d. -ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION x a. CONTRACTOR x b. SUBCONTRACTOR y c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION x e. ADMINISTRATIVE CONTRACTING OFFICER x f. OTHERS AS NECESSARY

DD FORM 254 {BACK), DEC 1999