STAF_RFP_Attachment_4_DD254.pdf

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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PREVIOUS EDITION IS OBSOLETE.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 (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

U.S. Army Contracting Command-Orlando

10e2. Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the CM is required prior to subcontracting. Access to Intelligence information required for performance.

10g. Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, NATO COSMIC, NATO Secret or access to the NATO accredited SIPRNET terminals, must possess the equivalent FINAL or Interim U.S. Security Clearance based upon the appropriate personnel security investigation required. Personnel with access to NATO ATOMAL information must have the appropriate level FINAL U.S. Security Clearance. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted. The contractor will maintain strict compliance in regards to NATO information IAW NISPOM Ch 10, Section 7. Prior approval from the CM is required for subcontracting.

10j. For Official Use Only (FOUO) Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoD 5200.1-R.

10k. NSA Net 11a. Contractor performance is restricted. Government agency or activity will provide security classification guidance for performance of this contract. Visit request to the CM and/or Security Management Office for need-to-know verification is done through JCAVS IAW Oct 2005 memo.

11e. The contractor shall support the United States Army Intelligence Center of Excellence (USAICoE) in the administration of managerial staff responsibilities relative to the sustainment and execution of USAICoE's primary mission - to train US Army, foreign military, other services, and civilian personnel for intelligence-related military occupational specialties, additional skill identifiers, and professional development. Nature of support will vary between Requiring Activity. The work is to be performed primarily at Fort Huachuca, Davis Monthan Air Force Base, and Goodfellow Air Force Base with temporary duty (TDY) to various other Contiguous United States (CONUS)/Outside CONUS (OCONUS) sites.

11j. OPSEC Standing Operating Procedures: The Contractor shall adhere to the TRADOC OPSEC plan, per AR 530-1, Operations Security. The COR will make this plan available to the Contractor upon award of the contract. OPSEC Awareness Training: Contractor employees requiring access to Government installations, facilities and controlled access areas, shall complete Level I OPSEC Awareness training within 30 days after the contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable, and annually thereafter. New employees shall be trained within 30 days of their reporting for duty and annually thereafter

US ARMY SCI ADDENDUM TO DD FORM 254

Contract #: TBD XXX (1)-This contract requires access to Sensitive Compartmented Information (SCI). The Commander, US Army Intelligence and Security Command (INSCOM), acting on behalf of the DA Deputy Chief of Staff (DCS), G-2 is the Cognizant Security Authority (CSA) for the US Army, has exclusive security responsibility for all SCI released to the contractor or developed under the contract and held within the Contractor's SCI Facility (SCIF) or Co-utilization Agreement (CUA).

XXX (2)-The Defense Intelligence Agency (DIA) has security inspection responsibility for SCI and the Defense Security Service (DSS) retains responsibility for all collateral information released or developed under the contract and held within the DoD Contractor's SCIF. All DD Forms 254 prepared for contracts involving access to SCI under this contract must be processed through ACCS to the CM and Industrial Security Specialist for approval.

XXX (3)-The manuals, regulations, and directives checked below provide the necessary guidance for physical, personnel, and information security for safeguarding SCI, and are part of the security classification specification for this contract:

(a)-ICD 503, Intelligence Community Information Technology Systems Security Risk Management, Certification and Accreditation XXX (b)-ICD 704 Personnel Security Standards and Procedures Governing Eligibility for Access to Sensitive Compartmented Information and Other Controlled Access Program Information (c)-IC Tech Spec-for ICD/ICS 705, Technical Specifications for Construction and Management of Sensitive Compartmented Information Facilities XXX (d)-Signals Intelligence Security Regulations (SISR) (Available from the CM) XXX (e)-Imagery Policy Series (Available from the CM) XXX (f)-DoDM 5105 Vol 1 – 3 SCI Administrative Security Manual.

XXX (g)-AR 380-28, DA Special Security System XXX (h)-AR 25-2, Information Assurance XXX (i)-AR 380-381, Special Access Programs XXX (j)-Army Handbook for SCI Contracts.

(k)-Other

XXX (4)-Contract estimated completion date (March 2025) XXX (5)-The name, telephone number, and email and mailing address of the Contract Monitor (CM) and alternate for the SCI portion of this contract are (Additionally, identify the Security POC, phone number, and email address at the contractor’s/subcontractor’s location): (The CM and the contractor security officer must be registered in the Army Centralized Contracts and Security Portal (ACCS) at the level of contract, in order to process SCI actions) CM: Tobias deWeber; 520-533-0957; tobias.j.deweber.civ@mail.mil ALT CM: Samuel Brown; 520-454-2442; samuel.l.brown8.civ@mail.mil Security POC (FSO): TBD XXX (6)-All DD Forms 254 prepared for contracts involving access to SCI under this contract must be processed through ACCS to the CM and Industrial Security Specialist for approval and to Contractor Support Element, USAINSCOM, ACofS Security, G2 for review and concurrence of the awarded contract.

XXX (7)-Visit certification to DoD locations is not required, as need to know and accesses is verified at the visiting facility. Non DoD locations the contractor must process request for SCI visit certification(s) through ACCS to the CM for approval and to Contractor Support Element (CSE) for review and processing. Visit certification request must be submitted at least ten (10) working days prior to the visit.

XXX (8)-Debriefings: All FSO’s/CSSO’s must properly debrief all contractors from SCI through ACCS. FSO/CSSO’s must submit the debrief request NLT 7 days and NET 10 days before actual departure. FSO’s/CSSO’s will separate all contractors from JCAVS after completion of debriefing.

XXX (9)-The contractor will not reproduce any SCI related material without prior written permission of the CM.

XXX (10)-Security Classification Guides or extracts are attached or will be provided under separate cover.

XXX (11)-Electronic processing of SCI requires accreditation of the equipment in accordance with ICD 503 and AR 25-2. (Note: NATO security awareness briefing is required for access to JWICS indicated in blocks 10k or 11l of DD 254.).

____ (12)-This contract requires a contractor Controlled Space or CUA (13)-Request for Indoctrination/Debrief Authority XXX (14)-This contract requires XX(SI) XX(TK) XX(G) XX(HCS) (Add others as required) XXX (15)-The contractor will perform SCI work under this contract at the following location (Name of government or contractor activity, SCI SMO or CAGE Code): Fort Huachuca SCIFs, Rowe and Friedman, AZ; HT-JCOE Campus supported SCIFs, SMO code W1E8AA3.

___ (16) - The contractor identified in Block 6 is a multiple Facility Organization (MFO) and is authorized to submit DD Form 254 and SCI Addendum for the following SCI locations (Facility Name and Cage Code).

___ (17) – SCI Courier Requirement -

Tobias deWeber Contract Monitor (CM )

Orlando, FL 32826-3224