TE E _BTSS_DD254_03Mar2026.pdf

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PREVIOUS EDITION IS OBSOLETE.

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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 36 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"

(See Instructions) - Select from drop-down list: 1

Defense Counterintelligence and Security Agency (DCSA) P.O. Box 644, Hanover, MD 21076 410-689-2905 dcsa.dcsa-northern.dcsa.mbx.general-mailbox@mail.mil

8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): INSCOM-CSE

4554 LLEWELLYN AVE

FORT MEADE, MD 20755

NSA HQ

Fort Meade, MD 20755

(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.): PUBLIC RELEASE OF SCI IS NOT AUTHORIZED PUBLIC RELEASE OF SENSITIVE COMPARTMENTED INFORMATION (SCI) IS NOT AUTHORIZED. Non SCI material will be coordinated with the USAOTC PAO Eloise Lundgren (254)288-9110 and released through the contracting officer at MICC-FH Contracting Division-ATEC (CCMI-CMD-HD), HQ and III CORPS Bldg 1001 761st Tank Battalion Ave. Note: Public release of classified information to include SCI is not authorized.

Automated Information Systems (AIS) at the Secret or below level shall be performed atUSAOTC and other designated locations. SCI processing should only be performed only at approved SCIFs.

10e. (1) Intelligence Materials Access Required, US Army SCI Addendum to DD 254. Requirement is for incremental access to collect and process operational test data 10e. (2) Non-SCI Intelligence Materials Access Required. Guidance will be provided by user activity.

10g. Contractors will have Joint Worldwide Intelligence Communication System (JWICS) access. A NATO Briefing is required for JWICS access. The requirement for NATO information is not anticipated. NATO access will be requested when required.

10h. Safeguarding "For Official Use Only” (FOUO) information, Appendix D, AR 380-5.

11a. Access to classified material will be at another contractor's facility or Government facility. Contractor can store information on computers and in safes located in the SCIF. Using contractor or activity will provide security classification guidance for performance of this contract. Updates will be provided by the Government as policies and procedures change.

11c. Contractor will have access to classified information when using the JWICS system. Classified information will be collected and processed into data products for the test evaluators. Processed and ordered data products could be considered modified classified material. Data collected will be used to evaluate system under test performance.

11e. Services include data collection, data collection systems, and report and data generation. Contractor personnel are subject to investigation and assignment requirements IAW applicable regulations. Classified information will be protected IAW the NISPOM.

11j. OPSEC requirements shall be adhered to IAW Army Regulation 530-1, Operations Security, local user agency policies and programs. OPSEC training requirements are in the contract.

11l. Automated Information Systems (AIS) at the Secret or below level shall be performed at USAOTC and other designated locations. SCI processing shall only be performed only at approved SCIFs.

a.Contractor shall be in compliance with all DoD, U.S. Army Regulations ATEC and USAOTC Policy Letters andSOPs.

b.All Contractor Temporary Hire employees shall meet requirement for suitability and Interim Clearancerequirements per appropriate AR 380-67 and DoD 5200 2-R. DoD Personnel Security Program for retention inpositions that require Suitability or a Security Clearance.

c.US Army SCI Addendum to DD Form 254 is attached.

d.Security classification guides will be provided by the systems under test owners.

f.The SCIF where work will be performed is a National Security Agency (NSA) Facility.

g.Contractor training required in the Performance Work Statement meets the AR 380-49 training requirements.

Reviewed By Direct Reporting Unit (DRU), HQ ATEC

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 as 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) SCIF. 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. 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:

XXX DoD 5105.21, Sensitive Compartmented information (SCI) Administrative Security Manual Volume 1: Administration of Information and Information Systems Security Volume 2: Administration of Physical Security, Visitor Control, and Technical Security Volume 3: Administration of Personnel Security, Industrial Security, and Special Activities _____ Signals Intelligence Security Regulations (SISR) (Available from the CM) _____ Imagery Policy Series (Available from the CM) XXX DCID 6/3, Protecting Sensitive Compartmented Information within Information Systems _____ DCID 6/9, Physical Security Standards for Sensitive Compartmented Information Facilities XXX AR 25-2, Information Assurance XXX AR 380-28, DA Special Security System _____ AR 380-381, Special Access Programs (SAPS).

XXX Army Handbook for SCI Contracts. XXX Army Contractor Automatic Verification System Guide (ACAVS)

XXX (2) Contract estimated completion date: 2031/03/31

XXX (3) The name, telephone number, email address and mailing address of the Contract Monitor (CM) for the SCI portion of this contract is: Pedro Diaz, (254) 288-9541, pedro.e.diaz2.civ@mail.mil

XX (4) All DD Forms 254 prepared for subcontracts involving access to SCI under this contract must be forwarded to the CM for approval and then to HQ INSCOM, ACofS Security, G2, Contractor Support Element (CSE) for review and concurrence prior to award of the subcontract.

XXX (5) The contractor will submit the request for SCI visit certifications through the CM for approval of the visit. The certification request must arrive at the Contractor Support Element at least ten (10) working days prior to the visit.

_____ (6) The contractor will not reproduce any SCI related material without prior written permission of the CM.

_____ (7) Security Classification Guides or extracts are attached or will be provided under separate cover.

XXX (8) Electronic processing of SCI requires accreditation of the equipment in accordance with DCID 6/3, and AR 25-2 (Note: Check only if item 111 indicates that a requirement exists for SCI IS processing.)

_____ (9) This contract requires a contractor SCIF.

XXX (10) This contract requires: SI, TK, G, HCS & NATO

XXX (11) The contractor will perform SCI work under this contract at the following locations:

National Business Park (NBP), Annapolis Junction, MD;

Friendship Annex (FANX), Linthicum, MD.

Managed by:

Security Operations Command Center

NSA HQ

91012 Station Ave Fort Hood, TX 76544-5068