Attch_0006_Army_EITaaS_DD-254_2019_07_05.pdf

CLASSIFICATION (When filled in):

DEPARTMENT OF DEFENSE 0MB No. 0704-0567 CONTRACT SECURITY CLASSIFICATION SPECIFICATION 0MB approval expires:

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.) October 31, 2020

The public reporting burden for this collection of infonnation, 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 infonnation. Send comments regarding this burden estimate or any other aspect of this collection of infonnation, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-infonnation-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 infonnation if it does not display a currently valid 0MB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/ (See Instructions) MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

DA TE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

20190613

b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specifications.)

□ REVISION NO. DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER DUE DA TE (YYYYMMDD)

~ Wl5QKN-19-R-06JL □

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

4. IS THIS A FOLLOW-ON CONTRACT? IZ! No D 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? IZ! No D 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 b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

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

TBD

TBD

7. SUBCONTRACTOR(S) (Click button if you choose to add or listthe 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.) b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

Ref: Army - Enterprise IT as a Service (EITaaS) (If applicable, (Name, Address, ZIP Code, Telephone required; Email Address optional)

Statement of Objectives, Para 12, Place of Performance see Instructions.}

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The Awarded Offeror will provide the Army Enterprise Information Technology as a Service (EITaaS) Solution that includes: Network as a Service, End User Services and Compute and Store. These Information Technology (IT) services will be required to be set up in parallel and if successful, take the place of the Army NTPRNet and SIPRNet at designated Location(s)/Installation(s). In addition, the Awardee is required to establish an approved Commercial Solution for Classified (CSfC) SIPRNet. As such, key personnel of the A wardee will be required to attend briefings on the details of the Network Operations Center, and to provide IT services inside the local Sensitive Compartmentalized Information Facility (SCIF). Based on this support, the Offeror will be generating status reports/dashboard visualizations on the health of the Network Operations and SIPRNet at the FOUO and Secret Levels.

DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE.

CLASSIFICATION (When filled in):

AEM LiveCycle Designer

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

iXj a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION O 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.)

0 d. FORMERLY RESTRICTED DATA

~ e. NATIONAL INTELLIGENCE INFORMATION:

iX] (1) Sensitive Compartmented Information (SCI)

J~. IZJ (2) Non-SCI

0 h. FOREIGN GOVERMENT INFORMATION

□ i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

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

D 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

0 ACTIVITY

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

See instructions.)

0 b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

1v1 c. RECEIVE, STORE, AND GENERA TE CLASSIFIED

161 INFORMATION OR MATERIAL

0 d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

0 e. PERFORM SERVICES ONLY

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

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

TERRITORIES

12. PUBLIC RELEASE

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

0 TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

0 h. REQUIRE A COMSEC ACCOUNT

0 i. HAVE A TEMPEST REQUIREMENT

0 j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

0 k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

I. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

0 INFORMATION (CUI).

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

D m. OTHER (Specify) (See instructions.)

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)

D DIRECT IZJ THROUGH (Specify below) Public Release Authority:

Program Executive Office Enterprise Information Systems, Headquarters, 9350 Hall Rd. Fort Belvoir, VA 22060-5526

13. SECURITY GUIDANCE

Chief, Strategic Communications Division

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.)

Any classified information generated in the performance of this contract shall be classified according to the markings shown on the source material.

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

DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE.

CLASSIFICATION (When filled in):

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

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

181 No D 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.

IZ\ No 0 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 c. ADDRESS (Include ZIP Code) d. POC NAME

New Jersey Innovative Concepts Center Christopher Fotiadis Army Contracting Command - New Jersey Phipps Road, Building 10 e. POC TELEPHONE (Include Area Code)

b. ACTIVITY ADDRESS CODE (AAC) OF THE Picatinny Arsenal, NJ 07806-5000

+ 1 (973) 724-8543 CONTRACTING OFFICE (See Instructions) f. EMAIL ADDRESS (See Instructions) christopher. w.fotiadis.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) d. AAC OF THE CONTRACTING OFFICE h. SIGNATURE (See Instructions) (See Instructions)

HOLLINGS ..

Oliver W. Hollingsworth D1g1tallv signed by

WORTH.O HOLLINGSWORT

b. TITLE e. CAGE CODE OF THE PRIME CONTRACTOR LIVER. WE ~L~\~~6:5~~ (See Instructions.) NDELL.12 Date: 20 19.06. 13

PEO EIS Security Manager 86566509 15:29:42 --04'00'

c. ADDRESS (Include ZIP Code) f. TELEPHONE (Include Area Code) i. DATE SIGNED

Program Executive Office, Enterprise Information Systems +l (703) 806-3715 (See Instructions)

9350 Hall Rd, Bldg 1445 g. EMAIL ADDRESS (See Instructions) 20190613 Fort Belvoir, VA 22060 oliver.w.hollingsworth.civ@mail.mil

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

181 a. CONTRACTOR 181 f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 oron additional page if necessary.)

181 b. SUBCONTRACTOR

IZ\ c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

□ d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

18] e. ADMINISTRATIVE CONTRACTING OFFICER

DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 3 of 3