TE_R-_DD_254-.pdf

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Contract#- TBD

Solicitation# - W91151-18-R-0107

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.

___ (2) 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.

XXX (3) 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-M-1, SCI Security Manual, Administrative Security

____ Signals Intelligence Security Regulations (SISR) (Available from the CM)

____ Imagery Policy Series (Available from the CM)

____ 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

____ AR 380-28, DA Special Security System

____ AR 380-381, Special Access Programs (SAPS).

XXX Army Handbook for SCI Contracts.

____ Other

XXX (4) Contract estimated completion date: 3 March 2023 (NOTE: Section “F” of the contract normally provides the Period of Performance. Option years are not to be included, as an option is not valid until exercised by the government.)

XXX (5) The name, telephone number, email address and mailing address of the Contract Monitor (CM) for the SCI portion of this contract is:

CM: Jeffrey Hale, 254-288-9488, Special Security Representative, TEOT-OPS, US ARMY OPERATIONAL TEST COMMAND(USAOTC), 91012 STATION AVE., Ft. Hood, TX, 76544, CAGE Code: W469AA, Jeffrey.l.hale22.civ@mail.mil

SCTY POC: TBD (Identify the Security POC & phone number and email address at the contractor’s/subcontractor’s location)

(The Contract Monitor and the contractor security officer must be registered in the Army Contractor Automated Verification System (ACAVS) in order to process SCI actions)

XXX (6) 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 (7) 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. Visit certification requests will be processed through ACAVS.

XXX (8) The contractor will not reproduce any SCI related material without prior written permission of the CM.

XXX (9) Security Classification Guides or extracts are attached or will be provided under separate cover.

____ (10) Electronic processing of SCI requires accreditation of the equipment in accordance with DCID 6/3 and AR 25-2 (Note: Check only if item 11l indicates that a requirement exists for SCI IS processing.)

____ (11) This contract requires a contractor SCIF.

____ (12) This contract requires __ (SI) ___ (TK) ___ (G) ___ (HCS) (Add others as required)

XXX (13) The contractor will perform SCI work under this contract at the following locations: US ARMY OPERATIONAL TEST COMMAND(USAOTC), 91012 STATION AVE., Ft. Hood, TX, 76544, CAGE Code: W469AA

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

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:

October 31, 2020 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.)

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 List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) DD 254 Attachment 51-18-R-0107 1 Oct 18.docx SCI Addendum 51-18-R-0107 TSC Recompete 1 Oct 18.docx

Industrial Security Field Office P.O. Box 6310 Fort Bliss, TX 78806-0310 CSO: U.S. Army Operational Test Command (USAOTC) 91010 Station Ave.

Fort Hood, TX 76544

91012 Station Ave.

Fort Hood, TX 76544 Block9: The Contractor provides non personal services that support the U.S. Army Operational Test Command (USAOTC) in all aspects of operational testing to include operation of a SCIF, base operations that includes maintenance, logistics, data management, data collection, commercial off the shelf simulation of test units, warehousing, issue and maintenance of GP and GFP, and operation of a large motor pool and supply warehouse.

KO POC: Belinda Woods, 254-287-2019, belinda.woods.civ@mail.mil Contractor Program Manager: XXXXXXX The undersigned has reviewed this Security Specification, understands the provisions and will ensure that it is compiled within the limits of his/her responsibility, and that any violations are brought to the attention of the KO and supporting Security Manager."

office in aide of this contract (USAOTC G-3).

RM 1300B,

Fort Hood, TX 76544-5095