DD0254_AnalyticEngineeringMissionSupportServices_082817.pdf
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DD254
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DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
1. CLEARANCE AND SAFEGUARDING
a. FACILITY CLEARANCE REQUIRED
b. LEVEL OF SAFEGUARDING REQUIRED
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)
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 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)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
10. CONTRACTOR 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 TEMPEST REQUIREMENTS
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)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional X
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 releases shall be submitted for approval prior to release Direct Through (Specify) 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 classified 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. Add additional pages as needed to provide complete guidance.)
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. Yes No
(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.)
15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. Yes No
(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.)
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 b. TITLE c. TELEPHONE (Include Area Code)
d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION
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. OTHERS AS NECESSARY
e. SIGNATURE
DD FORM 254 (BACK), DEC 1999
CONTRACT OFFICE REPRESENTATIVE: COR SIGNATURE:
| 3: |
| b: |
| Revision Date: |
| REVISION NO: |
| Mark if Revised: Off |
| c: |
| Final Date: |
| Mark if FINAL: Off |
| a: |
| ORIGINAL (Complete date in all cases): 20170828 |
| Mark if orginal: Yes |
| 2: |
| c: |
| SOLICITATION OR OTHER NUMBER: |
| Mark if SOLICITATION OR OTHER NUMBER: Off |
| DUE DATE: |
| a: |
| PRIME CONTRACT NUMBER: W9124Q-xx-x-xxxx |
| Mark if Prime Contract: Yes |
| b: |
| SUBCONTRACT NUMBER: |
| Mark if SUBCONTRACT: Off |
| 16: |
| d: |
| CERTIFYING OFFICIAL ADDRESS: TRADOC Analysis Center - WSMR |
1400 Martin Luther King Dr.
White Sands Missile Range, NM 88002
| e: | |
| 2017-08-28T14:20:47-0600 | |
| ACORD.CYNTHIA.ANN.1115709280 |
| c: |
| CERTIFYING OFFICIAL TELEPHONE: (575) 678-1240 |
| b: |
| CERTIFYING OFFICIALTITLE: TRADOC Analysis Center, Security Manager/ Special Security Officer, Foreign Disclosure Officer |
| a: |
| CERTIFYING OFFICIAL NAME: Cynthia A. Acord |
| 14: |
| ADDITIONAL SECURITY REQUIREMENTS: |
| If yes identify: SCI – (See SCI Addendum-DD254 Enclosure 1), Physical Security, Anti-terrorism, Operations Security, Access Control, Information Assurance, and Foreign Disclosure Requirements as defined in PWS. |
| YES: Yes |
| NO: Off |
| 12: |
| PUBLIC RELEASE: |
| If through, specify: ATRC-WOS (SECURITY OFFICE), WHITE SANDS MISSILE RANGE, NM 88002 |
DIRECTOR, OPERATIONS DIRECTORATE, TRADOC Analysis Center - WSMR, WHITE SANDS MISSILE RANGE, NM 88002 DIRECTOR, TRADOC Analysis Center - WSMR, WHITE SANDS MISSILE RANGE, NM 88002
PUBLIC RELEASE OF SCI NFORMATION NOT AUTHORIZED
| Direct: Off |
| Through: Yes |
| 13: |
| SECURITY GUIDANCE: This contract requires access to Sensitive Compartmented Information (SCI). Joint Worldwide Intelligence Communications System (JWICS), Secret Internet Protocol Network (SIPRNET) and NATO access are required. Derivative classification training is required. The JWICS, SIPRNET, and TRAC's classified development networks contain NATO information and a NATO awareness briefing is required for everyone who needs access to the to any of the listed networks. The contractor shall not access, download or further disseminate any special access data (i.e., intelligence, etc.) outside the execution of the defined contract requirements and without the guidance and written permission of the KO and the TRAC security office. In the event that any special access is required, the KO and cognizant security office must modify the requirements for the DD Form 254. No public release of information authorized. Public disclosure or confirmation of any subject related to the contract is not authorized without first obtaining written approval from the Contracting Officer. |
This contract requires access to UNCLASSIFIED//FOR OFFICIAL USE ONLY information. UNCLASSIFIED//FOR OFFICIAL USE ONLY information provided under this contract shall be safeguarded in accordance with (IAW) AR 25-55. The contractor shall comply with the requirements set forth in DOD Manual 5200.01 Volumes 1-4, AR 380-5 and Executive Order 12958 National Security Information - Classification and Marking Requirements. This contract requires the planning for and application of OPSEC IAW DoD Directive 5205.2 and AR 530-1.
The TRAC security classification guide will be adhered to for services to be performed. AR 380-5, Department of the Army Information Security Program establishes policies and procedures for physical, procedural, personnel, and accountability control measures for protection of classified and sensitive information generated by TRAC owned information systems operated by the contractor. Any possible loss or potential compromise of classified information must be immediately reported to the TRAC Security Office identified at section 8c. All personnel performing on this contract must be US citizens. For additional security guidance & requirements see enclosed DD254 Continuation Pages, SCI Addendum (Enclosure 1 to DD254) & FOUO Guidance (Enclosure 2 to DD254).
See Attachment 1 for further guidance on Items 10e(1), 10e(2), 10g, 10h, 10j, 10k, 11a, 11c, 11g, 11j and 11l.
See Attachment 2 for the FOUO Addendum.
See Attachment 3 for the SCI Addendum.
| 8: |
| b: |
| CAGE CODE: |
| a: |
| LOCATION: TRADOC Analysis Center - WSMR |
1400 Martin Luther King Dr.
White Sands Missile Range, NM 88002
| c: |
| COGNIZANT SECURITY OFFICE Name Address and Zip Code: TRADOC Analysis Center - WSMR |
ATTN: ATRC-WOS (SECURITY OFFICE)
1400 Martin Luther King Dr.
White Sands Missile Range, NM 88002
| 7: |
| b: |
| CAGE CODE: |
| c: |
| COGNIZANT SECURITY OFFICE Name Address and Zip Code_2: |
| a: |
| NAME, ADDRESS, AND ZIP CODE: |
| 6: |
| b: |
| CAGE CODE: |
| a: |
| NAME ADDRESS AND ZIP CODE: |
| c: |
| COGNIZANT SECURITY OFFICE Name Address and Zip Code: |
| 9: |
| GENERAL IDENTIFICATION OF THIS PROCUREMENT: U.S. Army TRADOC Analysis Center, White Sands Missile Range Analytic and Engineering Mission Support Services required to accomplish TRAC-WSMR missions related to analysis, studies, modeling and simulation, and security required to support Army decisions. |
| 4: |
| YES: Off |
| NO: Yes |
| Enter Preceding Contract Number: |
| 5: |
| YES: Off |
| NO: Yes |
| retention of the classified material is authorized for the period of: |
| If Yes, provide date: |
| 10: |
| k: |
| OTHER (Specify): JWICS Access, SIPRNET Access, Classified Processing (Collateral), SCGs |
| YES: Yes |
| NO: Off |
| a: |
| YES: Off |
| NO: Yes |
| c: |
| YES: Off |
| NO: Yes |
| b: |
| YES: Off |
| NO: Yes |
| d: |
| YES: Off |
| NO: Yes |
| e: |
| 1: |
| YES: Yes |
| NO: Off |
| 2: |
| YES: Yes |
| NO: Off |
| f: |
| YES: Off |
| NO: Yes |
| g: |
| YES: Yes |
| NO: Off |
| h: |
| YES: Yes |
| NO: Off |
| i: |
| YES: Off |
| NO: Yes |
| j: |
| YES: Yes |
| NO: Off |
| 11: |
| l: |
| OTHER (Specify): SCI Addendum |
| YES: Yes |
| NO: Off |
| a: |
| YES: Yes |
| NO: Off |
| d: |
| YES: Off |
| NO: Yes |
| c: |
| YES: Yes |
| NO: Off |
| b: |
| YES: Off |
| NO: Yes |
| e: |
| YES: Off |
| NO: Yes |
| f: |
| YES: Off |
| NO: Yes |
| g: |
| YES: Yes |
| NO: Off |
| h: |
| YES: Off |
| NO: Yes |
| i: |
| YES: Off |
| NO: Yes |
| j: |
| YES: Yes |
| NO: Off |
| k: |
| YES: Off |
| NO: Yes |
| COR NAME: KATHY MCFARLAND-MASON |
| 1: |
| a: |
| FACILITY CLEARANCE REQUIRED: TOP SECRET |
| b: |
| LEVEL OF SAFEGUARDING REQUIRED: N/A |
| 15: |
| YES: Off |
| NO: Yes |
| INSPECTIONS: |
| 17: |
| a: |
| CONTRACTOR: Yes |
| b: |
| SUBCONTRACTOR: Off |
| c: |
| COGNIZANT SECURITY OFFICE: Yes |
| d: |
| U: |
| S: |
| ACTIVITY: Off |
| e: |
| ADMINISTRATIVE CONTRACTING OFFICER: Yes |
| f: |
| OTHERS: Yes |
| OTHERS FILL IN: TRADOC G2 |
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