STEPS-DRAFT DD254.rtf

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Solicitation CLASSIFICATION (When filled in):

DD FORM 254, APR 2018

AEM LiveCycle Designer

PREVIOUS EDITION IS OBSOLETE.

CLASSIFICATION (When filled in):

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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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions) Top Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/ MATERIAL REQUIRED AT CONTRACTOR FACILITY Secret THIS SPECIFICATION IS FOR: (X and complete as applicable.)

PRIME CONTRACT NUMBER (See instructions.)

TBD

SUBCONTRACT NUMBER

SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

THIS SPECIFICATION IS: (X and complete as applicable.)

DATE (YYYYMMDD)

ORIGINAL (Complete date in all cases.) 20210126 REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

Classified material received or generated under Yes If yes, complete the following:

(Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? No In response to the contractor's request dated Yes If yes, complete the following:

, 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

TBD

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

DoD Defense Counterintelligence and Security Agency Alexandria2 Field Office (IOFCS2) 2331 Mill Road, Fourth Floor, Alexandria, VA 22314

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)

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.)

DEVCOM CBC

8198 Blackhawk Road Aberdeen Proving Ground, MD 21010

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) DoD Defense Counterintelligence and Security Agency Philadelphia Field Office (IOFNP) 2 International Plaza, Suite 340 Philadelphia, PA 19113 610-537-1060

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Final classification guidance will be determined in coordination and compliance with each individual task for this Multiple Award Contract. Tasks may be TS/SCI or lower.

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CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

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a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION file_23.png file_24.wmf

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

(If CNWDI applies, RESTRICTED DATA must also be marked.)

(See instructions.)

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT TECHNICAL INFORMATION CENTER (DTIC) OR OTHER ACTIVITY SECONDARY DISTRIBUTION CENTER (Applicable only if there is no access or storage required at contractor facility.

See instructions.) file_25.png file_26.wmf

h. REQUIRE A COMSEC ACCOUNT file_27.png file_28.wmf

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY file_29.png file_30.wmf

i. HAVE A TEMPEST REQUIREMENT

INFORMATION (CUI).

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES See block 13

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) file_31.png file_32.wmf

DIRECT file_33.png file_34.wmf

THROUGH (Specify below) Public Release Authority:

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.)

10.e.(1) SCI Access required. No public release of information authorized, public disclosure or confirmation of any subject related to the support contract is not authorized without first obtaining written approval from the CM. Contractors will ensure SCI information in their custody is used or retained only in furtherance of a lawful and authorized U.S. Government purpose. Contractors are required to return all SCI material to the SCI contract monitor or Government program manager when their contract expires or closes out, unless the U.S. Government has given the contractor permission to retain the classified material in accordance with DOD 5220.22 – M, Chapter 5.

10.e.(2) Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. The contractor shall access ONLY CUI/FOUO and classified information related to the subject matter of this contract up to the SECRET level. Contract employees accessing classified information shall be US citizens and have a validated security clearance in place prior to accessing classified information. Contractor may require access to non-SCI information at the SECRET Level ONLY.

10.g. Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, or documents belonging to NATO or containing NATO classified information or access to the NATO accredited SIPRNET terminals, must possess Government Clearance at the appropriate level and a NATO access briefing/debriefing, based upon the appropriate personnel security investigation required. Personnel with access to NATO ATOMAL information must have the appropriate level FINAL U.S. Security Clearance. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are NATO briefed prior to access being granted. The contractor will maintain strict compliance in regards to NATO information JAW NISPOM Ch. 10, Section 7. Prior approval from the GCA is required for subcontracting. Contractor will require access to NATO information to conduct research regarding or concerning obscurant systems and nonlethal payloads to include chamber and field evaluation, sensor modeling, data collection, data analysis, algorithm development, theoretical development, and experimental research.

10.h. Foreign Government Information (FGI) is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the GCA is required prior to subcontracting. Contractor will require access to Foreign Government Information to conduct research regarding or concerning obscurant systems and nonlethal payloads to include chamber and field evaluation, sensor modeling, data collection, data analysis, algorithm development, theoretical development, and experimental research.

10.j Controlled Unclassified Information (CUI) Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoDM 5200.1, Volume 4, "DoD Information Security Program: Controlled Unclassified Information (CUI)," available at http://www.esd.whs.mil/DDDoD-Issuances. The contractor shall access only Controlled Unclassified Information (CUI) related to the subject matter of this contract.

10.k.(1) Access to Automated Information Systems IAW AR25-2, AR 380-67 and affiliated regulations, if access to AIS is a requirement a favorable investigation is required to access the Combat Capabilities Development Command (DEVCOM) mainframe systems and all Local Area Network Server Accounts. Interim access prior to the completion of the investigations will be considered on a case by case basis. The Contracting Officer's Representative and DEVCOM- Chemical Biological Center Security Office will make interim access determinations.

10.k.(2) Use of computer equipment for classified processing shall be approved by the Defense Security Service and/or the DEVCOM - Chemical Biological Center Security Office.

11.a. The Prime contractor is authorized to have access classified information ONLY at another contractor's facility or a government activity. Contract employees requiring access to classified information related to this contract are approved/authorized access only up to the SECRET level. Contract employees accessing classified information shall be US citizens and have a valid security clearance in place prior to access of Classified Information.

11.f.(1) For U.S. contractors performing on contracts requiring access to classified information outside of the U.S., Puerto Rico, U.S. Possessions, and Trust Territories, provide a copy of the DD 254 to the appropriate CSO. DCSA Field Office locations can be found by going to the DCSA website at https://www.dcsa.mil/mc/ctp/locations/ or from the FSO at the U.S. Contractor facility.

11.f.(2) Access to Classified Information may occur within any of the following listed locations, or within an unnamed country, depending on the need for unannounced biosafety, biosecurity, biosurveillance, or cooperative research capacity building throughout collaborative engagements IAW this contract effort. Named and identified countries currently listed within the Performance Work Statement are: United Kingdom, Australia, Germany, Republic of South Korea, Japan, Netherlands, Italy and France. This listing is subject to change upon need and request. Contract employees will have appropriate security clearances verified prior to access to Classified Information.

11.g. The contractor will prepare DD Forms 1540 and 2345 for authorized access to DTIC and provide them to the Contracting Officer for processing.

11.j. The contractor shall prepare, obtain approval for, execute and maintain an OPSEC plan IAW contract terms and CDRLs. The DEVCOM - Chemical Biological Center Security Manager will be provided a copy of the approved OPSEC plan within thirty (30) days of contract award.

11.m.(1) The contractor shall not use foreign nationals on this contract unless approved by the Procuring Contracting Officer with DEVCOM- Chemical Biological Center Security Office concurrence. Any foreign nationals must be approved prior to initiating work under this project or subcontract. The following information is required when requesting approval for foreign national support: full name, date of birth, citizenship, registration number, port of entry, and description of position in which employee will be utilized, photo copy of the work visa, permanent resident card or green card, abbreviated Curriculum Vitae, and a sole source justification. These documents will be submitted to the DEVCOM - Chemical Biological Center Security Office for approval. Previously approved foreign nationals must be re-approved if the nature of their work under this contract differs from that performed under the prior year's contract.

11.m.(2) In accordance with Block 12 above, the contractor shall ensure that prior to the release of any information outside the Government, tat a request for release is submitted through the Procuring Contracting Officer to the DEVCOM - Chemical Biological Center Security Office for review and approval.

11.m.(3) If this contact involves work with chemical surety material, then employees must be certified in the Chemical Personnel Reliability Program.

11.m.(4) The contractor shall return all classified/sensitive material, to include program material, to the Government at the completion of this contract.

11.m.(5) Contract personnel working on this contract are required to take the following training as defined in the Performance Work Statement not later than 30 days after contract award: AT Level 1 Training; iWatch Training; Army Training Certification Tracking System DoD Information Assurance Awareness Training before issuance of network access to Government Information Systems; Level I OPSEC Awareness training; Threat Awareness and Reporting Program (TARP) training; and derivative classification training concerning protection, handling, and proper marking of classified information.

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

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

Date: 2021.03.09 08:22:59 -05'00'

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.

No Yes 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)

a. GCA NAME

ACC-APG Edgewood Division

c. ADDRESS (Include ZIP Code) 8456 Brigade Street Aberdeen Proving Ground, MD 21010

d. POC NAME Dana Nunley

e. POC TELEPHONE (Include Area Code) +1 (410) 436-8417

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

W911SR

f. EMAIL ADDRESS (See Instructions) dana.y.nunley.civ@mail.mil

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions) Ronald L. Stafford

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

h. SIGNATURE

b. TITLE DEVCOM CBC Security Manager

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

c. ADDRESS (Include ZIP Code) DEVCOM Chemical Biological Center 8198 Rickets Point Road Gunpowder, MD 21010

f. TELEPHONE (Include Area Code) +1 (410) 436-1999

i. DATE SIGNED (See Instructions)

g. EMAIL ADDRESS (See Instructions) ronald.l.stafford.civ@mail.mil

REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

CONTRACTOR

SUBCONTRACTOR

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

DEVCOM CBC Security Office file_43.png file_44.png file_45.wmf file_46.wmf

COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

ADMINISTRATIVE CONTRACTING OFFICER