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This DD Form 254 is a Department of Defense Contract Security Classification Specification for the solicitation W91249-21-R-0015 to provide Cyber Battle Lab Experimentation Support services. The contractor shall provide cutting-edge systems engineering, satellite support, analysis, prototyping, assessments, systems administration, network engineering, information assurance, model development, distributed simulation network operations and security center services in support of Cyber Electromagnetic Activities for the Cyber Battle Lab, Cyber Capabilities Development Integration Directorate, Future Concepts Center, United States Army Futures Command located at Fort Gordon, Georgia. The contractor is required to have a Top Secret facility clearance and will require access to SIPRNET, JWICS, NATO information, and SCI with work performed at Fort Gordon as well as various CONUS and OCONUS locations.

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CBL CDRL B001 v2.pdf PDF
CBL Solicitation Amendment U0002 (9-2-21).pdf PDF
CBL Solicitation Amendment CONFORMED U0002 (9-2-21).pdf PDF
Attachment 6 - Past Performance Cover Letter and Questionnaire.pdf PDF
CBL CDRL A012 (002) v2.pdf PDF
CBL Solicitation Amendment U0001 FINAL (8-27-21).pdf PDF
CBL CDRL A006 v2.pdf PDF
CBL - Industry Questions and Government Responses (8-27-21).pdf PDF
Attachment 1. CBL Pricing Workbook Rev. 1.xlsx XLSX spreadsheet
CBL CDRL A011.pdf PDF
Attachment 1. CBL Pricing Workbook (8-12-21).xlsx XLSX spreadsheet
CBL CDRL B004.pdf PDF
CBL CDRL A003.pdf PDF
CBL CDRL B003.pdf PDF
CBL CDRL A004.pdf PDF
CBL CDRL A005.pdf PDF
CBL CDRL A012.pdf PDF
CBL CDRL A010.pdf PDF
CBL CDRL A008.pdf PDF
CBL CDRL A002.pdf PDF
CBL CDRL B001.pdf PDF
CBL CDRL A009.pdf PDF
Attachment 2 -Fort Gordon GA Wage Determination.pdf PDF
W9124921R0015 - Final Solicitation.pdf PDF
CBL CDRL A007.pdf PDF
CBL CDRL A001.pdf PDF
CBL CDRL B002.pdf PDF
CBL CDRL A006.pdf PDF
W9124921R0015 Cyber Battle Lab DRAFT Solicitation Rev.1.docx DOCX document
W9124921R0015 Cyber Battle Lab DRAFT Solicitation (8-6-21).pdf PDF
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CLASSIFICATION (When filled in): Official

PREVIOUS EDITION IS OBSOLETE. Page 1 of 4

AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

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

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

W91249-21-R-0015

DUE DATE (YYYYMMDD)

20210730

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No Yes 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? No Yes 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

TBD

b. CAGE CODE

TBD

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

TBD

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) Add Row Remove last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE

TBD

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

TBD

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows

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

Fort Gordon, GA and Various CONUS and OCONUS Locations

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

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) Cyber Center of Excellence G2, ATZH-IN

520 CHAMBERLAIN AVE

FORT GORDON, GA 30905

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Cyber Battle Lab Experimentation Support. The contractor shall provide cutting-edge systems engineering, satellite support, analysis, prototyping, assessments, systems administration, network engineering, information assurance, model development, distributed simulation network operations and security center services in support of all areas of Cyber Electromagnetic Activities to include Cyberspace Operations, Electronic Warfare, Department of Defense Information Network - Army, and Information Advantage support to the Futures and Concepts Center, Army Futures Command and the Department of the Army.

PREVIOUS EDITION IS OBSOLETE. Page 2 of 4

AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 2 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.) h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

SIPRNET & JWICS Access & NATO Brief required, Courier Card.

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR 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 A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT THROUGH (Specify below)

MICC - Fort Eustis, 705 Washington Boulevard, West Wing, Suite

126; TEL: (757)501-8165

Public Release Authority:

Public Release of SCI is not authorized.

13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures

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.)

Ref 10a: COMSEC - Classified COMSEC material is not releasable to contractor employees who have not received a final clearance at the appropriate security level. COMSEC access shall be IAW DOD 5220.22-M and AR 380-40. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by Command policy and procedures. Written concurrence of the contracting office (KO) is required prior to subcontracting.

Ref 10e (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 KO. Access to SCI is required for some work performance on this contract (see attached SCI ADDENDUM).

Ref 10e (2): Non-SCI information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting. Access to Intelligence information required for performance of this contract.

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AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 3 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

Ref 10j: CONTROLLED UNCLASSIFIED INFORMATION (CUI) information generated and/or provided under this contract shall be safeguarded and marked as specified in DoDM 5200.01, Volume 4; AR 380-5; and AR 25-55.

Ref 10k: SIPRNET, JWICS & NATO Brief- Secret Internet Protocol Network (SIPRNET) and Joint Worldwide Intelligence Communications System (JWICS) access will only be as directed by the Government requirement activity and at government facilities only. Contractors requiring access to the SIPRNET must have a final Secret clearance or Interim TS clearance. Contractors requiring access to JWICS must have a final TS clearance and be indoctrinated for Sensitive Compartmented Information access. SIPRNET/JWICS may contain NATO information and a NATO awareness brief and acknowledgment is required for all personnel prior to being granted access to the SIPRNET/JWICS. A written acknowledgment shall be maintained by the COR. Contractors requiring courier card must have as a minimum final Secret clearance, pass all required training and coordinate with their government COR or local government POC if TDY for their request to be submitted for approval. The contractor shall not access, download or further disseminate any classified information from SIPRNET/JWICS which is outside the execution of the defined contract requirements unless specifically authorized in writing by the Government Program Manager and the KO. In the event that any special access is required, the KO must modify the requirements and DD 254.

Ref Item 11a: Contractor access to classified information shall be limited to that which is necessary to support this work effort.

Contractor performance is restricted to Fort Gordon, GA, CONUS, and OCONUS locations as mission dictates. Government agency/ activity will provide security classification guidance for performance of this contract. The contractor will comply with the provisions of DOD 5220.22-M, AR 380-5, and all applicable regulations and local policies and procedures governing the control, protection, and safeguarding of classified and sensitive (CUI) material. The Facility Security Officer will submit a visit request to the KO and G2 (SMO:

W6ZRAA5) for need-to-know verification.

List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Add Attachment View Selected Attachment Remove Selected Attachment

Hector Cruz, Contracting Officer's Representative, Fort Gordon, GA 30905, 706-791-3951, hector.cruz5.civ@mail.mil

NAME & TITLE OF REVIEWING OFFICIAL

Hector Cruz, Admin Support Branch Chief, Cyber Battle Lab

SIGNATURE

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.)

See attached US Army SCI Addendum

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)

PREVIOUS EDITION IS OBSOLETE. Page 4 of 4

AEM LiveCycle Designer

DD FORM 254, APR 2018

a. GCA NAME

MICC - FORT EUSTIS

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

CCMI-CEU

c. ADDRESS (Include ZIP Code) 705 Washington Boulevard, West Wing, Suite 126 Fort Eustis, VA 23604

d. POC NAME

Natisha M. Felix

e. POC TELEPHONE (Include Area Code)

+1 (757) 501-8164

f. EMAIL ADDRESS (See Instructions) natisha.m.felix.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)

FUNK, DAWN M.

b. TITLE

SPECIAL SECURITY OFFICER

c. ADDRESS (Include ZIP Code) 520 Chamberlain Ave Fort. Gordon, GA 30905

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

W91249

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (706) 791-2042

g. EMAIL ADDRESS (See Instructions) dawn.m.funk5.civ@mail.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

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

CCOE G2

Cyber Battle Lab Experimentation Support

US ARMY SCI ADDENDUM TO DD FORM 254

XXX (1) This contract requires access to Sensitive Compartmented Information (SCI). The Commander, US Army Intelligence and Security Command (INSCOM), acting on behalf of the DA Deputy Chief of Staff (DCS), G-2 as the Cognizant Security Authority (CSA) for the US Army, has exclusive security responsibility for all SCI released to the contractor or developed under the contract and held within the Contractor's SCI Facility (SCIF) or Co-utilization Agreement (CUA) SCIF. The Defense Intelligence Agency (DIA) has security inspection responsibility for SCI and the Defense Security Service (DSS) retains responsibility for all collateral information released or developed under the contract and held within the DoD Contractor's SCIF. The manuals, regulations and directives checked below provide the necessary guidance for physical, personnel, and information security for safeguarding SCI, and are part of the security classification specification for this contract:

XXX DoD 5105.21, VOL 1,2,3, SCI Administrative Security Manual

XXX Signals Intelligence Security Regulations (SISR) (Available from the CM)

XXX Imagery Policy Series (Available from the CM)

DCID 6/3, Protecting Sensitive Compartmented Information within Information Systems

DCID 6/9, Physical Security Standards for Sensitive Compartmented Information Facilities

AR 25-2, Information Assurance

XXX AR 380-28, DA Special Security System

AR 380-381, Special Access Programs (SAPS).

XXX Army Handbook for SCI Contracts.

Other

XXX (2) Contract estimated completion date: 1 Year after award (NOTE: Section “F” of the contract normally provides the Period of Performance. Option years are not to be included, as an option is not valid until exercised by the government.)

XXX (3) The name, telephone number, email address and mailing address of the Contract Monitor (CM) for the SCI portion of this contract is: Dawn M. Funk, Special Security Officer, CCOE, Office of Security, 520 Chamberlain Ave, Fort Gordon, GA 30905, Phone 706-791-2042, dawn.m.funk5.civ@mail.mil.

XXX (4) All DD Forms 254 prepared for subcontracts involving access to SCI under this contract must be forwarded to the CM for approval and then to HQ INSCOM, ACofS Security, G2, Contractor Support Element (CSE) for review and concurrence prior to award of the subcontract.

XXX (5) The contractor will submit the request for SCI visit certifications through the CM for approval of the visit. The certification request must arrive at the Contractor Support Element at least ten (10) working days prior to the visit. Visit certification requests will be processed through ACAVS.

XXX (6) The contractor will not reproduce any SCI related material without prior written permission of CM.

(7) Security Classification Guides or extracts are attached or will be provided under separate cover.

(8) Electronic processing of SCI requires accreditation of the equipment in accordance with DCID 6/3 and AR 25-2 (Note: Check only if item 11l indicates that a requirement exists for SCI AIS processing.)

(9) This contract requires a contractor SCIF.

XXX (10) This contract requires _X_ (SI) _X_ (TK) _X_ (G) _X_ (HCS) (Add others as required)

XXX (11) The contractor will perform SCI work under this contract at the following location: Fort Gordon, GA

(End of Summary of Changes)

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 [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) DD254 SCI Addendum Cyber Battle Lab 15 July 2021.docx

CurrentPage:
PageCount:
Classification: Official
SerialNum:
a. Facility clearance level. Select one.: 1
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4
Choose Yes or No: 0
Choose Yes or No: 0
Prime:
Choose Yes or No: 0
Choose Yes or No: 0
Sub:
Choose Yes or No: 1
Choose Yes or No: 0
Soli: W91249-21-R-0015
DueDate: 2021-07-30
dateA:
RevisionNum:
dateB:
Final:
dateC:
No: 1
No: 1
No: 0
No: 1
Yes: 0
Yes: 0
Yes: 1
Yes: 0
Enter your name here.:
ReqDated:
Enter your name here.:
Name: TBD
Name: TBD
Name: FUNK, DAWN M.
Cage: TBD
Cage: TBD
Cage: N/A
CSO: TBD
CSO: TBD
CSO: Cyber Center of Excellence G2, ATZH-IN

520 CHAMBERLAIN AVE

FORT GORDON, GA 30905

addrow:
Removerow:
Click to delete a row:
Location: Fort Gordon, GA and Various CONUS and OCONUS Locations
Block9: Cyber Battle Lab Experimentation Support. The contractor shall provide cutting-edge systems engineering, satellite support, analysis, prototyping, assessments, systems administration, network engineering, information assurance, model development, distributed simulation network operations and security center services in support of all areas of Cyber Electromagnetic Activities to include Cyberspace Operations, Electronic Warfare, Department of Defense Information Network - Army, and Information Advantage support to the Futures and Concepts Center, Army Futures Command and the Department of the Army.
a: 1
a: 1
a: 1
f: 0
f: 0
f: 1
b: 0
b: 0
b: 0
g: 0
g: 0
c: 0
c: 0
c: 1
h: 0
h: 0
d: 0
d: 0
d: 0
i: 0
i: 0
SCI: 1
NonSCI: 1
j: 1
j: 0
k: 1
k: 0
Enter your name here.: SIPRNET & JWICS Access & NATO Brief required, Courier Card.
Enter your name here.: CCOE G2
e: 0
e: 0
l: 0
m: 0
direct: 0
thru: 1
Enter your name here.: MICC - Fort Eustis, 705 Washington Boulevard, West Wing, Suite 126; TEL: (757)501-8165
PublicAuthority: Public Release of SCI is not authorized.
AddSig:
RemoveSig:
text: Ref 10a: COMSEC - Classified COMSEC material is not releasable to contractor employees who have not received a final clearance at the appropriate security level. COMSEC access shall be IAW DOD 5220.22-M and AR 380-40. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by Command policy and procedures. Written concurrence of the contracting office (KO) is required prior to subcontracting.

Ref 10e (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 KO. Access to SCI is required for some work performance on this contract (see attached SCI ADDENDUM).

Ref 10e (2): Non-SCI information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting. Access to Intelligence information required for performance of this contract.

Ref 10j: CONTROLLED UNCLASSIFIED INFORMATION (CUI) information generated and/or provided under this contract shall be safeguarded and marked as specified in DoDM 5200.01, Volume 4; AR 380-5; and AR 25-55.

Ref 10k: SIPRNET, JWICS & NATO Brief- Secret Internet Protocol Network (SIPRNET) and Joint Worldwide Intelligence Communications System (JWICS) access will only be as directed by the Government requirement activity and at government facilities only. Contractors requiring access to the SIPRNET must have a final Secret clearance or Interim TS clearance. Contractors requiring access to JWICS must have a final TS clearance and be indoctrinated for Sensitive Compartmented Information access. SIPRNET/JWICS may contain NATO information and a NATO awareness brief and acknowledgment is required for all personnel prior to being granted access to the SIPRNET/JWICS. A written acknowledgment shall be maintained by the COR. Contractors requiring courier card must have as a minimum final Secret clearance, pass all required training and coordinate with their government COR or local government POC if TDY for their request to be submitted for approval. The contractor shall not access, download or further disseminate any classified information from SIPRNET/JWICS which is outside the execution of the defined contract requirements unless specifically authorized in writing by the Government Program Manager and the KO. In the event that any special access is required, the KO must modify the requirements and DD 254.

Ref Item 11a: Contractor access to classified information shall be limited to that which is necessary to support this work effort. Contractor performance is restricted to Fort Gordon, GA, CONUS, and OCONUS locations as mission dictates. Government agency/activity will provide security classification guidance for performance of this contract. The contractor will comply with the provisions of DOD 5220.22-M, AR 380-5, and all applicable regulations and local policies and procedures governing the control, protection, and safeguarding of classified and sensitive (CUI) material. The Facility Security Officer will submit a visit request to the KO and G2 (SMO: W6ZRAA5) for need-to-know verification.

text: Hector Cruz, Contracting Officer's Representative, Fort Gordon, GA 30905, 706-791-3951, hector.cruz5.civ@mail.mil

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rep: Hector Cruz, Admin Support Branch Chief, Cyber Battle Lab
Sig:
Enter your name here.: See attached US Army SCI Addendum
GCAName: MICC - FORT EUSTIS
AAC: CCMI-CEU
AAC: W91249
Address: 705 Washington Boulevard, West Wing, Suite 126

Fort Eustis, VA 23604 Address: 520 Chamberlain Ave Fort. Gordon, GA 30905

POCName: Natisha M. Felix
Phone: 7575018164
Phone: 7067912042
Email: natisha.m.felix.civ@mail.mil
Email: dawn.m.funk5.civ@mail.mil
Title: SPECIAL SECURITY OFFICER
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File details come from the government source that posted it. Updated .