Technical Exhibit 6 DD Form DD 254.pdf

PDF 477 KB Posted

Attached to
USARC DEERS CAC SUPPORT SERVICES Federal contract opportunity
Solicitation number
W9124721R0050
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command

About this file

This document is a DD Form 254, which outlines security requirements for a contract to provide administrative support services to the US Army Reserve Command. The contractor will be required to have a Secret facility clearance and will access classified information at a government facility. Two employees must obtain Secret security clearances due to working in a secured area at USARC HQ in Fort Bragg, NC. The contractor will receive, store, and generate classified materials to support issuing Common Access Cards and processing identification requests for eligible recipients at 31 locations across the United States and overseas. The solicitation number for these services is W9124721R0050, with proposals due by 26 July 2021 to the Department of the Army Mission and Installation Contracting Command.

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Other files for this federal contract opportunity

Other files attached to USARC DEERS CAC SUPPORT SERVICES, newest first.
File Type Posted
Amendment 0001 for W91247-21-R-0050 DEERS.pdf PDF
Technical Exhibit 7 - Historical Workload Data 2 July 2021.pdf PDF
Technical Exhibit 5-RAPIDS Certification Training Matrix.pdf PDF
Technical Exhibit 3 - Facility Sites and Hours of Operations.xlsx XLSX spreadsheet
Attachment 2 Wage Determination 22 July 2021.pdf PDF
Attachment 1 PWS DEERS RAPIDS FINAL 28 July 2021.pdf PDF
Final W91247-21-R-0050 DEERS.pdf PDF
Technical Exhibit 6 DD Form DD 254 8 April 2021.pdf PDF
Technical Exhibit 1-Performance Requirements Summary update 28 July v2.pdf PDF
Technical Exhibit 4-Forecasted DEERS-RAPIDS Site Locations.pdf PDF
Technical Exhibit 2-Deliverable Schedule.pdf PDF
Technical Exhibit 5-RAPIDS Certification Training Matrix.pdf PDF
Technical Exhibit 4-Forecasted DEERS-RAPIDS Site Locations.pdf PDF
Technical Exhibit 2-Deliverable Schedule.pdf PDF
Copy of Technical Exhibit 3 - Facility Sites and Hours of Operations.xlsx XLSX spreadsheet
Attachment 2 Wage Determination 22 July 2021.rtf RTF text file
W91247-21-R-0050 DEERS 22 Juy 2021.pdf PDF
Technical Exhibit 7 - Historical Workload Data 2 July 2021.pdf PDF
Technical Exhibit 1-Performance Requirements Summary.pdf PDF
Attachment 1 PWS DEERS RAPIDS w_edits 20210722draftr.docx DOCX document
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CLASSIFICATION (When filled in):

PREVIOUS EDITION IS OBSOLETE. Page 1 of 3DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 1 of 3DD FORM 254, MAY 2019

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:

20220531

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

*Information will be generated once awarded

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No Yes 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? No Yes 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. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE

*Information will be generated once awarded

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

(Name, Address, ZIP Code, Telephone required; Email Address optional)

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)

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.)

HQ, USARC

4710 KNOX STREET (BLDG 8-1808)

FORT BRAGG, NC 28310-5010

b. CAGE CODE (If applicable, see Instructions.)

W81PNH

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The contract provides the Army Reserve with personnel for the issuance of Department of Defense (DoD) identification (ID) cards to include the Common Access Card (CAC) to all eligible recipients, updating and verifying eligibility for input into DEERS across 30 locations, CONUS and OCONUS.

LMata Highlight There are 31 locations

PREVIOUS EDITION IS OBSOLETE. Page 2 of 3DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 2 of 3DD FORM 254, MAY 2019

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA

g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT THROUGH (Specify below) Public Release Authority:

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.)

A total of two (2) DEERS RAPIDS operators (Program Manger & Alternate Program Manager) shall be able to obtain at a minimum, a Secret Security Clearance due to having to work on a Secured and Controlled Government Facility. Working Site Identification is 620416 located in USARC HQ, 4710 Knox Street (BLDG 8-1808, Room 3906), Fort Bragg, NC 28310-5010. In Accordance with PWS security requirements 1.11 thru 1.11.1.3.

List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

PWS DEERS RAPIDS edits 19 March 2021.docx

1128302308.civ Highlight

LMata

This will need to be updated once the PWS has been reviewed/revised.

LMata Highlight The PWS states 'Tier III Secret Clearance"

1128302308.civ Highlight

LMata

Not sure if this will change after PWS review

PREVIOUS EDITION IS OBSOLETE. Page 3 of 3DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 3 of 3DD FORM 254, MAY 2019

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.

No Yes 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)

a. GCA NAME

MICC Center-Fort Bragg

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

c. ADDRESS (Include ZIP Code)

U.S. Army Mission and Installation Contracting Command, MICC Center-Fort Bragg Bldg 2-1731 Armistead St, Fort Bragg, NC 28310

d. POC NAME

Leslie D. Dobson

e. POC TELEPHONE (Include Area Code)

+1 (910) 907-4748

f. EMAIL ADDRESS (See Instructions) leslie.d.dobson2.civ@mail.mil

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

Reese, Anthony F.

b. TITLE

Security Specialist

c. ADDRESS (Include ZIP Code)

HQ US ARMY RESERVE COMMAND

4710 KNOX STREET

FORT BRAGG, NC 28310

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (910) 870-8852

g. EMAIL ADDRESS (See Instructions) anthony.f.reese2.civ@mail.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

LMata Highlight Will need a signature for the copy we are including with the solicitation

1128302308.civ Highlight

LMata

Check the applicable boxes

1063685344121002.civ Sticky Note

1063685344121002.civ Sticky Note Signature is required.

File details come from the government source that posted it. Updated .