A07_Attachment_2_DD_254_Contract_Security_Classification_Specification.pdf
PDF 188 KB Posted
- Attached to
- Screening Obscuration Module (SOM) RFP Federal contract opportunity
- Solicitation number
- W911SR-16-R-0002
About this file
Attachment 2 - DD 254 Contract Security Classification Specification
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A07_W911SR-16-R-0002_Amendment_0001.pdf | ||
| A07_Attachment_7_Past_Performance_Questionnaire_Blank_Amd_0001.pdf | ||
| A02_RFP_Q A_W911SR-16-R-0002.pdf | ||
| A07_Attachment_6_GFP_Listing.pdf | ||
| A07_Exhibit_A_DD_1423_Contract_Data_Requirements_List_Redacted.pdf | ||
| A07_Attachment_3_LPD_Attribute_Selection_Worksheet.pdf | ||
| A07_Attachment_4_TM_Content_Selection_Matrix.pdf | ||
| A07_Attachment_7_Past_Performance_Questionnaire_Blank.pdf | ||
| A07_Attachment_5_ILA_Checklist.pdf | ||
| A07_W911SR-16-R-0002_20160520.pdf | ||
| A07_Attachment_8_Cost_Template_W911SR-16-R-0002.xlsx | XLSX spreadsheet |
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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.
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) 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 classifiection 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 o ecommended. (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 add (If Yes, identify the pertinent contractual clauses in the contract docume requirements. Provide a copy of the requirements to the cognizant secur
15. INSPECTIONS. Elements of this contract are outside the inspection r (If Yes, explain and identify specific areas or elements carved out and th
16. CERTIFICATION AND SIGNATURE. Security requirements stat information to be released or generated under this classified eff
b. TITLE
e. SIGNATURE
DD FORM 254 (BACK), DEC 1999
Dwayne A. Green JPEO-CB
Joint Program Executive Office for Chemical and Biological Defense, 5101 Hoadley Road, Room 286, APG, MD 21010-5424 r r Yes Noition to ISM requirements, are established for this contract.
nt itself, or provide an appropriate statement which identifies the additional ity office. Use Item 13 if additional space is needed.)
Yes Noesponsibility of the cognizant security office.
e activity responsible for inspections. Use Item 13 if additional space is needed.)
ed herein are complete and adequate for safeguarding the classified ort. All questions shall be referred to the official named below.
c. TELEPHONE (Include Area 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
X
X
D Security Manager 410.417.0019
X
X
X
| a_FACILITY_CLEARANCE_REQU: None | |
| b_LEVEL_OF_SAFEGUARDING_R: None | |
| FillText1: Off | |
| a_PRIME_CONTRACT_NUMBER: | |
| DATE_YYYYMMDD: 20160208 | |
| FillText3: Off | |
| b_SUBCONTRACT_NUMBER: | |
| REVISION_NO: | |
| DATE_YYYYMMDD1: | |
| FillText5: Yes | |
| c_SOLICITATION_OR_OTHER_N: W911SR-16-R-0002 | |
| DUE_DATE_YYYYMMDD: | |
| DATE_YYYYMMDD2: | |
| YES1: | |
| FillText12: | |
| FillText11: | |
| a_NAME_ADDRESS_AND_ZIP_CO: To be Determined (TBD) | |
| b_CAGE_CODE: TBD | |
| c_COGNIZANT_SECURITY_OFFI: TBD | |
| a_NAME_ADDRESS_AND_ZIP_C1: TBD | |
| b_CAGE_CODE1: TBD | |
| c_COGNIZANT_SECURITY_OFF1: TBD | |
| a_LOCATION: TBD (also, see Block 13 for additional performance location) | |
| b_CAGE_CODE2: TBD | |
| c_COGNIZANT_SECURITY_OFF2: TBD | |
| 9_GENERAL_IDENTIFICATION: The contractor will design, develop, fabricate, install, and test production representative Screening Obscuration Modules (SOM) that meet the performance specification PRF EA-O-10024 and the Performance Work Statement. | |
| a_COMMUNICATIONS_SECURIT1: Off | |
| a_COMMUNICATIONS_SECURIT2: Yes | |
| b_RESTRICTED_DATA1: Off | |
| b_RESTRICTED_DATA2: Yes | |
| c_CRITICAL_NUCLEAR_WEAPO1: Off | |
| c_CRITICAL_NUCLEAR_WEAPO2: Yes | |
| d_FORMERLY_RESTRICTED_DA1: Off | |
| d_FORMERLY_RESTRICTED_DA2: Yes | |
| 1_Sensitive_Compartmente1: Off | |
| 1_Sensitive_Compartmente2: Yes | |
| 2_NonSCI1: Off | |
| 2_NonSCI2: Yes | |
| f_SPECIAL_ACCESS_INFORMA1: Off | |
| f_SPECIAL_ACCESS_INFORMA2: Yes | |
| g_NATO_INFORMATION1: Off | |
| g_NATO_INFORMATION2: Yes | |
| h_FOREIGN_GOVERNMENT_INF1: Off | |
| h_FOREIGN_GOVERNMENT_INF2: Yes | |
| i_LIMITED_DISSEMINATION_1: Off | |
| i_LIMITED_DISSEMINATION_2: Yes | |
| j_FOR_OFFICIAL_USE_ONLY_I: Yes | |
| j_FOR_OFFICIAL_USE_ONLY_1: Off | |
| k_OTHER_Specify: Yes | |
| k_OTHER_Specify1: Off | |
| a_COMMUNICATIONS_SECURIT3: Off | |
| a_COMMUNICATIONS_SECURIT4: Yes | |
| b_RESTRICTED_DATA3: Off | |
| b_RESTRICTED_DATA4: Yes | |
| c_CRITICAL_NUCLEAR_WEAPO3: Off | |
| c_CRITICAL_NUCLEAR_WEAPO4: Yes | |
| d_FORMERLY_RESTRICTED_DA3: Off | |
| d_FORMERLY_RESTRICTED_DA4: Yes | |
| e_INTELLIGENCE_INFORMATI3: Off | |
| e_INTELLIGENCE_INFORMATI4: Yes | |
| 1_Sensitive_Compartmente3: Off | |
| 1_Sensitive_Compartmente4: Yes | |
| 2_NonSCI3: Off | |
| 2_NonSCI4: Yes | |
| f_SPECIAL_ACCESS_INFORMA3: Off | |
| f_SPECIAL_ACCESS_INFORMA4: Yes | |
| g_NATO_INFORMATION3: Off | |
| g_NATO_INFORMATION4: Yes | |
| h_FOREIGN_GOVERNMENT_INF3: Off | |
| h_FOREIGN_GOVERNMENT_INF4: Yes | |
| i_LIMITED_DISSEMINATION_3: Off | |
| i_LIMITED_DISSEMINATION_4: Yes | |
| 1_OTHER_Specify: See item #13 | |
| FillText13: Yes | |
| FillText14: Off | |
| a_TYPED_NAME_OF_CERTIFYIN: | |
| b_TITLE: | |
| c_TELEPHONE_Include_Area: | |
| d_ADDRESS_Include_Zip_Cod: | |
| 2016-05-12T10:45:47-0400 | |
| GREEN.DWAYNE.ALONZO.1245503624 |
| FillText21: Off |
| FillText22: Off |
| FillText23: Off |
| FillText24: Off |
| FillText25: Off |
| FillText26: Off |
| f_OTHERS_AS_NECESSARY: |
| FillText15: |
| FillText16: |
| other1: See item #13 |
| release: Public Release POC: Joint Program Executive Office for Chemical & Biological Defense (Security Office), |
5101 Hoadley Road, Room 286, APG, MD 21010-5404
| security: Ref 10j: For Official Use Only (FOUO) Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoD 5200.1-R, Appendix 3. |
| addit_sec: |
| Inspections: |
| Reset: |
| 4_Yes: Off |
| 4_No: No |
| 5_Yes: Off |
| 5_No: No |
| 12_Public_Release_Direct: Off |
| 12_Public_Release_Through: Through. |
| 13_Rules: |
| 13_2: |
| 14_Yes: Off |
| 14_No: Off |
| 15_Yes: Off |
| 15_No: Off |
| 3_A: Original. |
| 3_B: Off |
| 3_C: Off |
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