DD254-Solicitation-W911S7-18-R-0016-PMID-Jul_18.pdf

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Warfighter Forum
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W911S7-18-R-0016
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DD Form 254

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QUESTIONS_and_GOVT_ANSWERS.pdf PDF
Solicitation_Amendment_W911S7-18-R-0016.pdf PDF
PWS-Updates.pdf PDF
DCIED_Assessment_SOP_2016.pdf PDF
Final_PWS.pdf PDF
WD_15-5093.pdf PDF
Addendums.pdf PDF
Solicitation_W911S7-18-R-0016.pdf PDF

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ADDENDUM TO DD FORM 254

ADDENDUM #2

OPSEC

Contract Number: TBD

The contractor will accomplish the following minimum requirements in support of the Army Operations Security (OPSEC) Program:

Document those items of critical information applicable to operations. Items of critical information are those facts, which individually, or in the aggregate, reveal sensitive details about the contractor’s security operations, and thus require protection from adversarial collection or exploitation.

Include OPSEC as part of its ongoing security awareness program conducted in accordance with Chapter 3, Section 1, of the NISPOM and attend annual OPSEC training provided by the Installation OPSEC Manager. (DD FM 254, Block 14a)

Be responsive to the Unit/Agency OPSEC Manager on a non-interference basis. Protect sensitive unclassified information and activities, which could compromise classified information or operations, or degrade the planning and execution of military operations performed by the contractor in support of the mission.

Sensitive unclassified information is that information marked FOR OFFICIAL USE ONLY, Privacy Act of 1974, COMPANY PROPRIETARY, and as identified by the OPSEC manager. The following regulations should be referred to for additional guidance: DoDD 5205.02E dtd 20 June 2012.

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PREVIOUS EDITION IS OBSOLETE.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) Addendum 1 to DD Form 254-PMID.pdf Addendum 2 to DD Form 254-PMID(2).pdf

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Classification: Unclassified
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a. Facility clearance level. Select one.: 2
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4
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Prime:
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Choose Yes or No: 1
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Soli: W911S7-18-R-0016
DueDate:
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dateB:
Final:
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Enter your name here.:
ReqDated:
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Name:

TBD

Name:

N/A

Name: DIXON, Julian M
Cage: TBD
Cage: N/A
Cage: N/A
CSO:

TBD

CSO:

N/A CSO: HQ, MSCoE ATTN: ATZT-IN-S (G-2/Intelligence & Security) 14000 MSCoE Loop, Suite #001 Fort Leonard Wood, MO 65473

(573) 563-7278

addrow:
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Location:

Program Management and Integration Directorate 14000 MSCoE Loop, Suite 236 Fort Leonard Wood, MO 65473 Block9:

To provide research and technical analysis to identify and recommend candidate solutions to MSCoE Maneuver Support; Military Police; Engineer; Chemical, Biological, Radiological, and Nuclear; and Protection equities where survivability and vulnerability capability gaps in current, emerging, mid-range, and long-range tactical and strategic operations.

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SCI: 0
NonSCI: 0
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Enter your name here.: NIPRNet, SIPRNet and SVTC
Enter your name here.: 1-Ref 13h. Visit Request Requirements

2-Ref 13i. Data Release Restrictions

e: 0
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Enter your name here.: Program Management and Integration Directorate

14000 MSCoE Loop, Suite 236, Ft Leonard Wood, MO 65473 PublicAuthority: US Army MSCOE ATTN: FLW PAO Office, 320 Illinois Avenue, Ft Leonard Wood, MO 65473

AddSig:
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text: a. All applicable provisions of DoD 5220.22-M (National Industrial Security Program Operating Manual) apply.

b. Visitor Group Security Agreement (VGSA) between Contractor & MSCoE, Fort Leonard Wood, applies.

c. Contractors working under this contract will require access to classified material & will require a security clearance determination of SECRET. Clearance level determination, need-to-know, Non-SCI access of SECRET and Nondisclosure Agreement must be verified via the Joint Personnel Adjudication System(JPAS) / Defense Information System for Security (DISS) prior to any access being granted.

d. To facilitate potential access to NATO classified information, contractors who are briefed on their responsibilities for protecting U.S. classified information shall be briefed simultaneously on the requirements for protecting NATO information; record of acknowledgment must be retained on file.

e. . Ref Item 8a: Contractor performance is restricted to Fort Leonard Wood, MO., or contractor facility as determined by the Program Manager or Government Task Leader.

f. Ref Item 11l: "FOR OFFICIAL USE ONLY" information provided under this contract shall be safeguarded as specified in DoD Manual 5200.01, vol 4, (Information Security Program). (See Attached Addendum #1)

CONTINUATION - DD FORM 254

Item 13 - Solicitation # W911S7-18-R-0016

g. Ref Item 11m(1): All visit requests will be submitted through Joint Personnel Adjudications System (JPAS)/ Defense Information System for Security (DISS) to the visited Security Management Office (SMO); W0VLAA.

h. Ref Item 11m(2): Contractor is not authorized to release any data to foreign nationals / representatives or release information orally, visually, or documentary to anyone not authorized or associated to this contract.

i. All sensitive/classified documents shall be returned to the Government upon completion of the contract.

j. POCs:

(1) FSO (Contractor): TBD

(2) Program Manager (Gov't): LEWIS, Eva D.; eva.d.lewis2.civ@mail.mil (573) 563-2601

(3) Gov't Contract Officer: TBD

(4) COR/CM/COTR: TBD

(5) MSCoE Industrial Security Manager: JACKIEWICZ, Johnny J.; johnny.j.jackiewicz.civ@mail.mil (573) 563-7278

k. Contract Expires: IAW Contract

text: Provisions are understood and will ensure compliance within the limits of assigned responsibility. Violations will be brought to the attention of the KO & ISM.
attachmentsList:
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rep: TBD (COR)
rep: Johnny.J.Jackiewicz, MSCoE Industrial Security Manager
Sig:
Enter your name here.: a. Personnel must be readily identifiable as a Contract Employee when performing duties, IPRs, or attending meetings in gov't facilities by the prominent wearing/display of an identification badge; identification requirement also applies to all official e-mail and telephonic communications.
Enter your name here.: The installation commander retains security cognizance.
GCAName: Ft. Leonard Wood MICC
AAC: W911S7
AAC: W911S7
Address:

8112 Nebraska Avenue, Building 11400 Fort Leonard Wood, MO 65473-1687 Address: 14000 MSCoE Loop, Suite 001 Fort Leonard Wood, Mo 65473

POCName: Lisa Bergstrom
Phone: 5735630255
Phone: 5735636065
Email: lisa.m.begstrom2.civ@mail.mil
Email: julian.m.dixon3.civ@mail.mil
Title: Deputy G-2
Enter the date using the format DD-Mon-YYYY:

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