Attachment_6_DD-254.pdf
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- Attached to
- U. S. Army Combined Arms Center and Fort Leavenworth (USACACFL) Mission Support Requirement
- Solicitation number
- W911S0-16-R-0002
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Attachment 6 DD-254
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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)
a. PRIME CONTRACT NUMBER
b. SUBCONTRACT NUMBER
c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable)
a. ORIGINAL (Complete date in all cases)
REVISION NO.
c. FINAL (Complete Item 5 in all cases)
DATE (YYYYMMDD)
b. REVISED (Supersedes all previous specs)
DATE (YYYYMMDD)
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: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:YES NO YES NO
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION
b. RESTRICTED DATA
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
d. FORMERLY RESTRICTED DATA
e. INTELLIGENCE INFORMATION
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
f. SPECIAL ACCESS INFORMATION
g. NATO INFORMATION
h. FOREIGN GOVERNMENT INFORMATION
i. LIMITED DISSEMINATION INFORMATION
j. FOR OFFICIAL USE ONLY INFORMATION
k. OTHER (Specify)
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY
b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE AND GENERATE CLASSIFIED MATERIAL
d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
e. PERFORM SERVICES ONLY
f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES
g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION
CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER
h. REQUIRE A COMSEC ACCOUNT
i. HAVE TEMPEST REQUIREMENTS
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
l. OTHER (Specify)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7.0
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
a. TYPED NAME OF CERTIFYING OFFICIAL
Direct Through (Specify)
d. ADDRESS (Include Zip Code)
Yes No 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.
(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 No15. 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.)
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.
b. TITLE c. TELEPHONE (Include Area Code)
e. SIGNATURE
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
DD FORM 254 (BACK), DEC 1999
CONTINUATION OF BLOCK 13 OF THE DD FORM 254
Solicitation or Contract # ____________________________
a. All applicable provisions of DOD 5220.22M apply.
b. Contractors working under this contract/task order will require a security level of ___SECRET___________.
c. Enter all additional addresses for block 8c here. COR and Security Manager will verify that all addresses entered into block 8c are authorized locations for work for this contract.
Work may be performed at any CAC facility on Fort Leavenworth. A task order DD254 will be issued with the specific actual performance location.
d. The contractor will complete Anti-Terrorism (AT) Level 1 and Operations Security (OPSEC) Level 1 training requirements. Training certificates will be provided to the COR NLT 30 calendar days after start of contract and annually thereafter.
e. Contract personnel must obtain and maintain a DOD Secret level security clearance. COR will provide training to handle/mark classified information at the start of the contract.
10e (2): “Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting. Access to Intelligence information required for performance."
10j: "For Official Use Only (FOUO) Information generated and/or provided under this contract shall be safeguarded as specified in DOD 5400.7-R (Freedom of Information Act Program) and marked as specified in DODM 5200.01-R (Information Security Program), Volume 4, AR 380-5 or AR 25-55."(See Addendum #1)
10k: "Non-Secure Internet Protocol Router network (NIPRNET) and Secret Internet Protocol Network (SIPRNET) access required to perform this contract. The contractor is not authorized to access, download or further disseminate any classified information from SIPRNET which is outside the scope of the defined contract requirements unless specifically authorized in writing by the Government Program Manager and the KO. For access to NIPRNET and SIPRNET, a DD Form 2875 must be submitted to the Network Enterprise Center (NEC), through the supporting organizations Information Assurance Manager (IAM) and U.S. Government site security manager.”
NOTE: For access to the NIRPNET/SIPRNET, the requester must complete Cyber Awareness training and annually thereafter. The requester must have a registered AKO-S account prior to, and indication of the DD Form 2875. Additionally, the requester must read and sign/date a NIPRNET/SIPRNET AUP and an Annual NATO SIPRNET User Briefing to be attached with the DD Form 2875 submission."
11a: "Contractor performance is restricted to CAC facilities at Fort Leavenworth, KS. The Government Requiring Activity will provide security classification guidance for performance of this contract. Processing of classified material will be performed only at properly accredited facilities on properly accredited Automated Information Systems."
11j: The application of Operations Security (OPSEC) is required IAW DOD 5205.2 (Operation Security Program) and local agency policies.
11l: All classified documents shall be returned to the government upon completion of the contract. Contractor is not authorized to release any data to foreign national/representatives or others not with this contract.
Contractor must comply with requirements of AR 381-12, Threat Awareness and Reporting Program (TARP).
11l CONTINUED: “Contractor must complete Information Security Program training at the start of the contract and annually thereafter. This will be controlled and monitored by the FSO.”
“Contractor is required to obtain and maintain a DOD security clearance at the security level requirement of the contract.”
“Eligibility for access to classified information is predicated upon the contractor meeting personnel security adjudicative guidelines as outlined in AR 380-67, Appendix I; para I-2c. When information of security concern becomes known about a contractor, the cognizant security office must report the information to the government. The government will determine whether the reported action is or is not serious enough to warrant a recommendation for revocation of the contractor's eligibility to maintain a security clearance.”
NAME Contact Information
KO: Ruth N. Austin, 913-684-1615, ruth.n.austin.civ@mail.mil
COR:
ADDENDUM #1
SAFEGUARDING
"FOR OFFICIAL USE ONLY" (FOUO) INFORMATION
1. The “FOR OFFICIAL USE ONLY” marking is assigned to information at the time of its creation in a DOD User Agency. It is not authorized as a substitute to a security classification marking but it is used on official Government Information that may be withheld from the public under exemptions 2 through 9 of the Freedom of Information Act.
2. Other non-security markings such as “Limited Official Use” and “Official Use Only” are used by non-DOD User Agencies for the same type of information and should be safeguarded and handled in accordance with instructions received from such agencies.
3. Use of the above markings does not mean that the information cannot be released to the public, only that it must be reviewed by the Government prior to its release, to determine whether a significant and legitimate Government purpose is served by withholding the information portions of it.
4. IDENTIFICATION MAR.KINGS :
a. An unclassified document containing FOUO information will be marked "For Official Use Only" at the bottom of the front cover (if any), on the first page, on each page containing FOUO information, on the back page, and on the outside of the back cover (if any).No portion marking will be shown.
b. Within a classified document, an individual page that contains FOUO and classified information will be marked at the top and bottom with the highest security classification appearing on the page. If an individual portion contains FOUO information but no classified information, the portion will be marked FOUO.
c. Any "FOR OFFICIAL USE ONLY" information released to a contractor by a DOD User Agency is required to be marked with the following statement prior to transfer:
THIS DOCUMENT CONTAINS INFORMATION EXEMPT FROM MANDATORY DISCLOSURE UNDER THE FOIA. EXEMPTIONS APPLY.
d. Removal of the "FOR OFFICIAL USE ONLY" marking can only be accomplished by the originator or other competent authority. When “FOR OFFICIAL USE ONLY” status is terminated, all known holders will be notified to the extent possible.
5. DISSEMINATION: Contractors may disseminate “FOR OFFICIAL USE ONLY” information to their employees and subcontractors who have a need for the information in connection with a classified contract.
6. STORAGE: During working hours "FOR OFFICIAL USE ONLY" information shall be placed in an out-of-sight location if the work area is accessible to persons who do not have a need for the information. During non-working hours, the information shall be stored to preclude unauthorized access. Filing such material with other unclassified records in unlocked files or desks is adequate when internal building security is provided during non-working hours. When such internal security control is not exercised, locked buildings or rooms will provide adequate after hours protection or the material can be stored in locked receptacles such as file cabinets, desks or book cases.
7. TRANSMISSION: “FOR OFFICIAL USE ONLY” information may be sent via first-class mail or parcel post, bulky shipments may be sent fourth-class mail.
| fac_clear: SECRET |
| safe_level: none |
| prime_no: |
| xprime: Off |
| sub_no: |
| xsub: Off |
| xsolic: Yes |
| solic_no: |
| due_date: |
| xspec3: Orig |
| orig_date: 20160902 |
| rev_no: |
| rev_date: |
| final_date: |
| xfollowon: No |
| prec_no: |
| xfinal: No |
| req_dated: |
| period: |
| ctr_name: |
| ctr_cage: |
| ctr_ofc: |
| sub_name: |
| sub_cage: |
| sub_ofc: |
| perf_loc: DEPARTMENT OF THE ARMY |
US COMBINED ARMS CENTER (CAC)
FORT LEAVENWORTH, KS 66027
| perf_cage: |
| perf_ofc: CAC SECURITY |
626 MCCLELLAN AVENUE
FORT LEAVENWORTH, KS 66027
| gen_id: Multiple Award, Indefinite Delivery/Indefinite Quantity contract for services within nine functional areas ranging from doctrine development to command communication. Services to include analysis, analytical reports, design, development and analysis of various requirements for U.S. Combined Arms Center (CAC), Fort Leavenworth, Kansas, and other sites as specified by the customer and individual task orders. |
| x10a: No |
| x10b: No |
| x10c: No |
| x10d: No |
| x10e1: No |
| x10e2: Yes |
| x10f: No |
| x10g: No |
| x10h: Yes |
| x10i: No |
| x10j: Yes |
| x10k: Yes |
| other10k: NIPRNet Access, SIPRNet Access, NATO Read-On |
| x11a: No |
| x11b: No |
| x11c: Yes |
| x11d: No |
| x11e: No |
| x11f: No |
| x11g: No |
| x11h: No |
| x11i: No |
| x11j: Yes |
| x11k: No |
| x11l: Yes |
| other11l: Comply with requirements of AR 381-12 |
| xrelease: No |
| release_thru: MICC FORT LEAVENWORTH |
535 KEARNY AVE
FORT LEAVENWORTH, KS 66027
| guidance: XXXXXXXXXXXXXXXXXXX SEE CONTINUATION SHEET FOR BLOCK 13 XXXXXXXXXXXXXXXXXXXXXXXXX |
| xaddlsec: No |
| addl_sec: |
| xinsp: No |
| inspections: |
| cert_name: BRYAN P. CARVER |
| cert_title: INDUSTRIAL SECURITY SPECIALIST |
| cert_phone: 913-684-1790 |
| cert_addr: SECURITY G2, ROOT HALL |
626 MCCLELLAN AVENUE FORT LEAVEWORTH, KS 66027
| cert_sign: |
| x17a: Yes |
| x17b: Yes |
| x17c: Yes |
| x17d: Yes |
| x17e: Yes |
| x17f: Off |
| other_dist: |
File details come from the government source that posted it. Updated .