Attachment 0007 - DD Form 254.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PREVIOUS EDITION IS OBSOLETE.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 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.)

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"

TBD

Enter typed name of certifying official (last, first, middle initial).:

TBD

TBD

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).:

TBD

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).:

TBD

TBD

Unclassified information will be protected IAW the Program Protection Plan; the CS&CSS OPSEC Plan (provided under Attachment 0027); and this DD Form 254. Access to U.S. technical data by foreign interests if prohibited by valid export authorization.

Classification for this effort is derived from the following Security Classification Guide(s) to include any updates or revisions: Security Classification Guide (SCG) COMBAT SUPPORT AND COMBAT SERVICE SUPPORT, ARMORING SYSTEMS, 2023.

Ref 10j: Controlled Unclassified Information will be required in performance of this contract. All personnel must adhere to applicable regulation, guidance, distribution statements, and markings; and must abide by the security measures outlined in DoDI 5200.48, applicable local guidance and the requirements in NIST SP 800-171 Interim rule. Current approved PEO CS&CSS OPSEC Plan will be provided as GFI upon award by KO, COR, or ISS.

Ref 11c: Contractor will RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION OR MATERIAL classified documents for reference only up to and including the Secret level; however, if any classified information is generated in performance of this contract, it shall be derivatively classified and marked consistent with the source material.

Ref 11j: Contractor employees will have access and be subject to PEO CS&CSS OPSEC Plan dtd 2022 or any update thereafter. These requirements shall flow down to all approved U.S. subcontractors with access to either or both CUI and classified material.

Ref 11l: Contractors will be required to maintain storage of CUI information at the contractor facility and will abide by all NIPSOM guidance, the DODI 5200.48, as well as all local guidance and AFC OPORD’s directing the control and protection of Controlled Unclassified Information. Contractor facilities and requirements will remain under DCSA authority for inspections. All CUI material created and/or received by the contractor company will be returned to PEO CS&CSS, PM TS or destroyed upon completion of the contract and IAW CUI destruction guidance. All electronic transmission of CUI will be done over authorized/approved systems only and Contractor Company will be required to abide by the NIST SP 800-171 Interim Rule until such time that company is phased

*The vendor will comply with all of the security requirements in DOD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM).

***Any Government owned information, classified or otherwise, that is provided to or stored by the contractor or any subcontractor in performance of this effort will be returned or destroyed upon completion/close-out of this contract. No retention beyond the end date of this contract is authorized without a Final DD254 signed by the PEO CS&CSS, PM TS Security Staff and other applicable security offices.

Bldg# 231 6501 E. 11 Mile Road Detroit Arsenal, MI 48397-5000 Enter address (include zip code).: 6501 E. 11 Mile Rd Detroit Arsenal, MI 48397 Mail Stop 105