DD FORM 254.pdf

PDF 72 KB Posted Feb 24, 2021

Attached to: Human Intelligence (HUMINT) Support Team (HST) validation exercise (VALEX) Federal contract opportunity
Solicitation number: W911SF-21-R-0003
Issued by: Department of the Army Materiel Command Mission and Installation Contracting Command Fort Eustis

About this file

Written by GovTribe AI · Dec 27, 2023

This is a Department of Defense Contract Security Classification Specification (DD Form 254) outlining security requirements for a solicitation seeking contractor support services for a Human Intelligence (HUMINT) Support Team validation exercise to be conducted by the 75th Ranger Regiment. Classified information up to the Secret level is involved, requiring contractor personnel to have Secret clearances and access to SIPRNet, NIPRNet, and Special Access Programs. Contractors will receive, store, and generate National Intelligence and Sensitive Compartmented Information related to exercise role players and scenarios. The Defense Security Service is relieved of security inspections for portions involving Alternative Compensatory Control Measures, which will be overseen by the 75th Rangers Facility Security Officer.

View the file

Other files for this federal contract opportunity

Other files attached to Human Intelligence (HUMINT) Support Team (HST) validation exercise (VALEX), newest first.
File	Type	Posted
HUMINT questions and answers.pdf	PDF	Feb 24, 2021
MICO METL.pdf	PDF	Feb 24, 2021
Amendment W911SF-21-R-0003.pdf	PDF	Feb 2, 2021
W911SF-21-R-0003 HST VALEX 75TH Solicitation.pdf	PDF	Feb 1, 2021

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

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:

May 31, 2022 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.)

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)

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" Show Attachment Bar

CurrentPage:

PageCount:

Select classification from drop-down list.: Unclassified

SerialNum:

a. Facility clearance level. Select one.: 1

b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2

Select for "original.": 0

Select for "original.": 1

Enter prime contract number.:

Select for "revised.": 0

Enter subcontract number.:

Select for "final.": 1

Select for "final.": 0

Enter solicitation or other number.: TBD

Enter due date in format YYYYMMDD.:

Enter date in format YYYYMMDD.:

Enter revision number.:

Enter date in format YYYYMMDD.:

Enter final specification.:

Enter date in format YYYYMMDD.:

Select for "no.": 1

Select for "no.": 0

Select for "yes.": 0

Select for "yes.": 1

Enter preceding contract number.:

Enter contractor's request date in format YYYYMMDD.:

Enter period.:

Enter typed name of certifying official (last, first, middle initial).: TBD

Enter CAGE code of the prime contractor.: TB

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: F

Select to add row to locations.:

Select to remove last row from locations.:

Select to delete all signatures.:

Enter location(s).: TBD

Enter general unclassified description of this procurement.: The Human Intelligence (HUMINT) Support Team (HST) validation exercise (VALEX) is the culmination HUMINT training event for the Regimental Military Intelligence Battalion (RMIB), 75th Ranger Regiment. This exercise prepares Rangers of the HUMINT Support Team (HST), RMIB, Military Intelligence Company (MICO) to execute their deployed missions. This exercise revolves around the use of contracted role players to simulate targeted individuals, sources, host nation security forces, and individuals conducting hostile reconnaissance operations. Contracted administrative and logistical support is also required to facilitate the exercise training objectives.

Select for "a. CONTRACTOR.": 0

Select for "a. CONTRACTOR.": 1

Select for "f. OTHER AS NECESSARY.": 0

Select for "b. SUBCONTRACTOR.": 0

Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0

Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0

Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1

Select for "h. REQUIRE A COMSEC ACCOUNT.": 0

Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0

Select for "i. HAVE A TEMPEST REQUIREMENT.": 1

Select for "i. HAVE A TEMPEST REQUIREMENT.": 0

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 1

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 1

Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1

Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1

Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0

Enter infomration for "other.": ACCM and SAP access requires a final security clearance. See DD254 cont.

Enter infomration for "other.": Access to SIPR, NIPR, SAP and ACCM networks at GOV locations only. OPSEC plan not required. See DD254 cont for

Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1

Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 0

Select for "m.OTHER.": 1

Select for "direct.": 0

Select for ": 1

Enter specification for "through".: PAO 75th Ranger Regiment and/ or PAO USASOC

Enter public release authority.: PAO 75th Ranger Regiment and/ or PAO USASOC

Select to add signature.:

Select to remove last signature.:

text:

Click on this button to attach a file(s).:

rep:

Enter signature.:

Explain and identify specific areas and government activity responsible for inspections.: Addtional Contract Guidance will be provided upon contract award.

Explain and identify specific areas and government activity responsible for inspections.: Defense Security Service is relieved of security inspection of all ACCM portions of this contract. The applicable 75th Rangers FPPCO will

maintain security oversight and inspection responsibility for all ACCM information in performance of this contract.

Enter GCA name.: RMIB, 75th Ranger Regiment

Enter AAC of the contracting office.: H92239

Enter address (include zip code).:

Fort Benning, GA 31905 Enter address (include zip code).: 6420 Dawson Loop Fort Benning, GA 31905

Enter POC name.:

Enter telephone number (include area code).:

Enter email address.:

Enter title.: 75th Ranger Regiment Industrial Security Officer

Enter the datesigned in format YYYYMMDD.:

File details come from the government source that posted it. Updated Feb 25, 2021.