A07_Attachment_0003_DD_254_July_2017.pdf
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- W56KGU-18-R-0003
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Attachment 0003 DD254
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DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING
CONTRACT SECURITY CLASSIFICATION SPECIFICATION a. FACILITY CLEARANCE REQUIRED
SECRET
(The requirements of the DoD Industrial Security Manual apply to all aspects of this effort)
b. LEVEL OF SAFEGUARDING REQUIRED
None
2. THIS SPECIFICATION IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS: (X and complete as applicable)
a. PRIME CONTRACT NUMBER a. ORIGINAL (Complete date in all cases) Date (YYYYMMDD)
TBD 20170324
b. SUBCONTRACT NUMBER
b. REVISED (Supersedes all previous specs)
Revision No.
Date (YYYYMMDD)
c. SOLICITATION OR OTHER NUMBER Due Date (YYYYMMDD) c. FINAL (Complete Item 5 in all cases) Date (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? YES NO. 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? YES NO. If Yes complete the following
In response to the contractor's request dated , retention of the identified 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 (Name, Address, and Zip Code)
TBD TBD DSS
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICES ( Name, Address, and Zip Code) N/A
8. ACTUAL PERFORMANCE
a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code) Same as 6a. (Unclassified Work Only)
US Army CERDEC
Aberdeen Proving Ground, MD
Same as 6b.
N/A
Same as 6c.
N/A
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
Development, engineering, testing and business support of a variety of soldier/tactical/expeditionary power and energy generation systems and systems integration programs
10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO
a. COMMUNICATIONS SECURITY (COMSEC)
INFORMATION
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY
b. RESTRICTED DATA b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION c. RECEIVE AND GENERATE CLASSIFIED MATERIAL
d. FORMERLY RESTRICTED DATA: d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
e. INTELLIGENCE INFORMATION: e. PERFORM SERVICES ONLY
(1) Sensitive Compartmented Information (SCI) f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO
RICO, U.S. POSSESSIONS AND TRUST TERRITORIES
(2) Non-SCI g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL
INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER
f. SPECIAL ACCESS INFORMATION h. REQUIRE A COMSEC ACCOUNT
g. NATO INFORMATION i. HAVE A TEMPEST REQUIREMENT
h. FOREIGN GOVERNMENT INFORMATION j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
i. LIMITED DISSEMINATION INFORMATION k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
j. FOR OFFICIAL USE ONLY INFORMATION l. OTHER (Specify).
k. OTHER Specify)
Access to SIPRNET authorized at Government facilitiesOnly
IT Sensitive duties may be required
DD Form 254, DEC 1999 Previous editions are obsolete
12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the industrial
Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public release shall be submitted for approval prior to release
Direct
Through (Specify):
Command, Power and Integration Directorate (CP&ID), ATTN: Harry Dutcher, 6007 Combat Drive APG, MD
21005, 443-395-0457 to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.
*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.
13. SECURITY GUIDANCE. The security classification guidance needed for this effort is identified below. If any difficulty is encountered in applying this guidance or i f 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 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 document/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.
8a. Access to COMSEC material/equipment will be required in the performance of this contract. Contractors can refer to the PWS for additional information.
Approval by the COR/CM OR COTR is required prior to granting access to a subcontractor.
10g. Access to NATO information requires a final U.S. Government clearance and special briefings. Approval by the COR/CM OR COTR is required prior to granting access to a subcontractor. USAREUR IAW AR 380-15. Approval by the COR/CM OR COTR is required prior to granting access to a subcontractor.
10h. Access to classified foreign government information requires a final U.S. Government clearance, IAW AR 380-5. Approval by the COR/CM OR COTR is required prior to granting access to a subcontractor.
10j. For Official Use Only (FOUO) will be handled IAW AR 25-55.
10k. Secret Internet Protocol Router Network (SIPRnet) may be required at Government installations. Contractor must have a final Secret clearance or interim Top Secret. COMSEC and NATO briefing must only be given by the FSO and recorded on a visit request.
11a. Access to classified material will be ONLY at another Government or Contractor facility as directed by the Government Task Leader (COR/CM OR COTR). Contractor may be required to access Security Classification guides (SCG) which may be located at the following site: https://www.dtic.mil 11f. Contractor may be required to have access to classified information outside U.S. Locations include but not limited to Belgiu, upon approval from
COR/CM OR COTR.
11j. Contractors will be required to have an Operation Security (OPSEC) plan in place and provide a copy to the COR/CM OR COTR.
11l. Contractor personnel performing Information Technology (IT) sensitive duties on site shall be required to have an investigation, IAW AR 25-2.
Harry Dutcher, COR, 443-395-0457
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, 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 cognizant security office. Use Item 13 if additional space is needed.)
Yes No
15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.
Yes No
16. CERTIFICATION AND SIGNATURE. 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.
a. TYPED NAME OF CERTIFYING OFFICIAL Jean M. Goodwin
b. TITLE Industrial Security Manager
c. TELEPHONE (Include Area Code)
443-395-8076
d. ADDRESS (Include ZIP Code) 17. REQUIRED DISTRIBUTION
US Army CERDEC
6010 Frankford St., APG, MD 21005
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
e. SIGNATURE
d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION
e. ADMINISTRATIVE CONTRACTING OFFICER
f. OTHERS AS NECESSARY
DD Form 254 (BACK), DEC 1999 https://www.dtic.mil/
| 2017-07-17T13:21:38-0400 | |
| GOODWIN.JEAN.M.1012047203 |
| 2017-07-17T13:27:38-0400 | |
| DUTCHER.HARRY.NEWTON.1228739185 |
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