Attachment_2_-_DD254.pdf

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Terrain Shaping Obtacle Support
Solicitation number
W911S7-19-R-0010
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Attachment 2 - DD254

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ADDENDUM #1

PROTECTING "FOR OFFICIAL USE ONLY" (FOUO) INFORMATION

Contract Number: TBD

1. GENERAL:

a. The "For Official Use Only" (FOUO) marking is assigned to information at the time of its creation in a DoD User Agency. It is not authorized as a substitute for a security classification marking but is used on official government information that may be withheld from the public under exemptions 2 through 9 of the Freedom of Information Act (FOIA).

b. 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 instruction received from such agencies.

c. Use of the above markings does not mean that the information cannot be released to the public under FOIA, only that the Government must review the information prior to its release to determine whether a significant and legitimate government purpose is served by withholding the information or portions thereof.

2. MARKINGS:

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).

b. Within a classified document, an individual page that contains both FOUO and classified information will be marked at the top and bottom with the highest security classification of information 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 the "For Official Use Only" status is terminated, all known holders will be notified to the extent practical.

3. 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.

Contractors must ensure employees and subcontractors are aware of the special handling instructions detailed below.

4. 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 nonworking 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 nonworking 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

ADDENDUM #1 (Cont)

PROTECTING "FOR OFFICIAL USE ONLY" (FOUO) INFORMATION,

such as file cabinets, desks, or bookcases.

5. TRANSMISSION: "For Official Use Only" information may be sent via first-class mail or parcel post.

Bulky shipments may be sent by fourth-class mail. DoD components, officials of DoD components, and authorized DoD contractors, consultants, and grantees send FOUO information to each other to conduct official DoD business. Tell recipients the status of such information, and send the material in a way that prevents unauthorized public disclosure. Make sure documents that transmit FOUO material call attention to any FOUO attachments. Normally, you may send FOUO records over facsimile equipment. To prevent unauthorized disclosure, consider attaching special cover sheets, the location of sending and receiving machines, and whether authorized personnel are around to receive FOUO information. FOUO information may be passed to officials in other departments and agencies of the executive and judicial branches to fulfill a government function. Mark the records "For Official Use Only" and tell the recipient the information is exempt from public disclosure under the FOIA and requires special handling.

6. DISPOSITION: When no longer needed, FOUO information must be shredded.

7. UNAUTHORIZED DISCLOSURE: Unauthorized disclosure of "For Official Use Only" information does not constitute a security violation but the releasing agency should be informed of any unauthorized disclosure. The unauthorized disclosure of FOUO information protected by the Privacy Act may result in criminal sanctions and disciplinary action may be taken against those responsible.

ADDENDUM TO DD FORM 254

ADDENDUM #2

OPSEC

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.pdf Addendum 2 to DD Form 254.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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Soli: W911S7-19-R-0010
DueDate: 2019-08-06
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Enter your name here.:
ReqDated:
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Name:

TBD

Name:

N/A

Name: Roberson, Phillip A.
Cage: TBD
Cage: N/A
Cage: N/A
CSO:

TBD

CSO:

N/A CSO: HQ, MSCoE

ATTN: ATZT-IN-S

14000 MSCoE LOOP, Bldg 3200, STE #001 Fort Leonard Wood, MO 65473

(573) 563-7278

addrow:
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Location: HQ, MSCoE

ATTN: CDID, TCM-MS/TSO Branch 14000 MSCoE LOOP, Bldg 3200, STE #104 Fort Leonard Wood, MO 65473

Block9: Provide services to execute the MSCoE mission to advance TSO capabilities supporting the Army of 2025 and beyond; perform tasks and produce products that are associated with Combat and Training Developments. Review, conduct literature review, analyze, provide supporting documents, make recommendations, and provide written assessments on TSO materiel and non-materiel processes, concepts and strategies, TSO related documents, and TSO doctrine. Contractor shall review, construct, revise, and staff common Joint Capabilities Integration and Developments System (JCIDS) and Training Development Products. Among the products will include Capability Development Documents (CDD), Capability Production Documents (CPD), and System Training Strategy Plans (STRAPS) that will support the family of TSO capabilities in the "close," "mid" and "deep" battlefield framework envisaged by current and evolving doctrine.
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Enter your name here.: NIPRNet, SIPRNet and SVTC
Enter your name here.: 1-Ref 13g. Visit Request Requirements

2-Ref 13h. Data Release Restrictions

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Enter your name here.: Director, CDID, TCM-MS/TSO Branch, 14000 MSCoE LOOP, Bldg 3200, STE #104, Ft Leonard Wood, MO 65473
PublicAuthority: US Army MSCOE ATTN: FLW PAO Office,

320 Illinois Avenue, Ft Leonard Wood, MO 65473

AddSig:
RemoveSig:
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 and indicated in JPAS/DISS.

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)

g. Ref Item 11m(1): All visit requests will be submitted through Joint Personnel Adjudications System (JPAS)/ Defense Information

CONTINUATION - DD FORM 254

Item 13 - Contract # ____TBD__________

System for Security (DISS) to the visited Security Management Office (SMO); W0VLAA-OIS.

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) Program Manager (Contractor): TBD

(2) FSO (Contractor): TBD

(3) Gov't Contract Officer: TBD

(4) COR/CM/COTR: JOHNSON, Robert A.; robert.a.johnson420.civ@mail.mil (573) 593-7238.

(5) CDID Security Specialist: SULLINS, Ricky D.; ricky.d.sullins.civ@mail.mil (573) 563-8275.

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

k. Contract Expires: 10 June 2024

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: Robert A. Johnson, 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.

b. Contractor will attend/receive annual OPSEC training provided by the Government. (See Addendum #2)

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: 5735635932
Email: lisa.m.bergstrom2.civ@mail.mil
Email: phillip.a.roberson.civ@mail.mil
Title: Deputy G-2
Enter the date using the format DD-Mon-YYYY:

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