Attachment 12 - DD254 security form version 1.pdf

CONTRACT REQUIREMENTS PACKAGE ANTITERRORISM AND OPERATIONS SECURITY REVIEW COVER SHEET (The proponent for this form is the G-4)

TITLE:

SECTION I - PURPOSE

Purpose of cover sheet: To document the review of the requirements package performance work statement (PWS), quality assurance surveillance plan, and any applicable source selection evaluation criteria for antiterrorism (AT) and other related protection matters to include, but not limited to: AT, operational security (OPSEC), information assurance (IA), physical security, law enforcement, intelligence, and foreign disclosure.

Army policy requirement: A signed AT/OPSEC cover sheet is required to be included in all requirements packages except for supply contracts under the simplified acquisition level threshold, field ordering officer actions, and Government purchase card purchases. Command policy may require this form for supply contracts under the simplified acquisition level threshold.

Mandatory review and signatures: The organizational antiterrorism officer (ATO) must review each requirements package prior to submission to supporting contracting activity to include coordination with other staff review as appropriate per section II below. If the requiring activity does not have an ATO, the first ATO in the chain of command will review the contract for AT considerations. An OPSEC officer review is also mandatory.

SECTION II - STANDARD CONTRACT LANGUAGE PROVISION/CONTRACT CLAUSE TEXT APPLICABILITY AND/OR ADDITIONAL PWS LANGUAGE

If the standard contract or clause language text found on pages 2 and 3 of this form are sufficient to meet specific contract request requirements, check "YES" in the block below and include this language in the PWS. If standard contractual text (provisions or clauses) or clause language does not apply, check "NO." If the standard PWS language applies, but is not in and of itself sufficient, check "YES" and "PWS," and include both the standard language and additional contract specific language in the PWS. If standard contractual text or clause language is not desired, but there is related contract specific language in the PWS, check "NO" and "PWS."

YES NO PWS

1. AT level 1 training (general).

2. Access and general protection policy and procedures.

2a. For contractor requiring Common Access Card (CAC).

2b. For contractor not eligible for CAC, but requires access to DOD facility or installation.

3. AT awareness training for U.S. based contractor personnel traveling overseas.

4. iWATCH training.

5. Army Training Certification Tracking System (ATCTS) registration for contractor employees who require access to government information systems.

6. OPSEC SOP or Plan requirements.

7. Requirement for OPSEC training.

8. Information assurance and/or information technology training.

9. Information assurance and/or information technology training certification.

10. Contractors Authorized to Accompany the Force.

11. Contract requiring performance or delivery in a foreign country.

12. Handling and/or access to classified information.

13. Threat Awareness Reporting Program.

SECTION III - REMARKS

SECTION IV - CERTIFICATION

Antiterrorism Review: I am ATO level II certified. I have reviewed the requirements package. I understand my responsibilities in accordance with AR 525-13, Antiterrorism.

REVIEWER NAME AND RANK/CIVILIAN GRADE SIGNATURE DATE TELEPHONE NUMBER

Operations Security Review: I am OPSEC level II certified. I have reviewed the requirements package. It is in compliance with AR 530-1, Operations Security.

REVIEWER NAME AND RANK/CIVILIAN GRADE SIGNATURE DATE TELEPHONE NUMBER

Information Assurance Review: I am IA certified. I have reviewed the requirements package. It is in compliance with AR 25-2, Information Assurance.

REVIEWER NAME AND RANK/CIVILIAN GRADE SIGNATURE DATE TELEPHONE NUMBER

PREVIOUS EDITIONS ARE OBSOLETEARNORTH Form 792, Rev 1 Mar 2015 V2.00

SECTION V - ADDITIONAL COMMENTS

SECTION V - STANDARD CONTRACT PROVISION AND CLAUSE TEXT APPLICABILITY AND/OR ADDITIONAL PWS LANGUAGE

2. Access and General Protection/Security Policy and Procedures. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility, or area. Contractor and all associated sub-contractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office.

Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

ARNORTH Form 792, Rev 1 Mar 2015 Page 2 of 3

1. AT Level I Training.This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area.

All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within XX calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the COR, or to the contracting officer if a COR is not assigned, within XX calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil.

SECTION V - STANDARD CONTRACT PROVISION AND CLAUSE TEXT APPLICABILITY AND/OR ADDITIONAL PWS LANGUAGE (continued)

2a. For Contractors Requiring Common Access Card (CAC). Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with Army Directive 2014-05. The contractor employee will be issued a CAC only if duties involve one of the following: (1) Both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) Remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) Physical access to multiple DoD facilities or multiple non-DoD Federally-controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

2b. For Contractors That Do Not Require CAC but Require Access to a DoD Facility or Installation. Contractor and all associated sub-contractor employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by Government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

3. AT Awareness Training for Contractor Personnel Traveling Overseas. This standard language required US based contractor employees and associated sub-contractor employees to make available and to receive Government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13. Specific AOR training content is directed by the combatant commander with the unit ATO being the local point of contact.

4. iWATCH Training. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility, or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to he COR. This training shall be completed within XX calendar days of contract award and within YY calendar days of new employees commencing performance with the results reported to the COR NLT XX calendar days after contract award.

5. Army Training Certification Tracking System (ATCTS) Registration for Contractor Employees Who Require Access to Government Information Systems. All contractor employees with access to a Government information system must be registered in the ATCTS at commencement of services, and must successfully complete the DOD Information Assurance Awareness training prior to access to the IS and then annually thereafter.

6. For Contracts That Require a Formal OPSEC Program. The contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer. This plan will include a process to identify critical information, where it is located, who is responsible for it, how to protect it, and why it needs to be protected. The contractor shall implement OPSEC measures as ordered by the commander. In addition, the contractor shall have an identified certified Level II OPSEC coordinator per AR 530-1.

7. For Contracts that require OPSEC Training. Per AR 530-1, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

8. For Information Assurance (IA)/Information Technology (IT) Training. All contractor employees and associated sub-contractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M, and AR 25-2 within six months of appointment to IA/IT functions.

9. For Information Assurance (IA)/Information Technology (IT) Certification. Per DoD 8570.01-M, DFARS 252.239.7001, and AR 25-2, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

10. For Contractors Authorized to Accompany the Force, DFARS Clause 252.225-7040, Contractor Personnel Authorized to Accompany U.S. Armed Forces Deployed Outside the United States. The clause shall be used in solicitations and contracts that authorize contractor personnel to accompany U.S.

Armed Forces deployed outside the U.S. in contingency operations; humanitarian or peacekeeping operations; or other military operations or exercises, when designated by the combatant commander. The clause discusses the following AT/OPSEC related topics: required compliance with laws and regulations, pre-deployment requirements, required training (per combatant command guidance), and personnel data required.

11. For Contract Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors Outside the U.S. The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingency and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives.

12. For Contracts That Require Handling or Access to Classified Information. Contractor shall comply with FAR 52.204-2, Security Requirements. This clause involves access to information classified “Confidential,” “Secret,” or “Top Secret,” and requires contractors to comply with: (1) The Security Agreement (DD Form 441), including the National Industrial Security Program Operating Manual (DoD 5220.22-M) and (2) any revisions to DOD 5220.22-M, notice of which has been furnished to the contractor.

13. Threat Awareness Reporting Program. For all contractors with security clearances. Per AR 381-12, Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in paragraph 2-4b.

ARNORTH Form 792, Rev 1 Mar 2015 Page 3 of 3

CONTRACT REQUIREMENTS PACKAGE ANTITERRORISM AND OPERATIONS SECURITY REVIEW COVER SHEET (The proponent for this form is the G-4)

TITLE:

SECTION I - PURPOSE

Purpose of cover sheet: To document the review of the requirements package performance work statement (PWS), quality assurance surveillance plan, and any applicable source selection evaluation criteria for antiterrorism (AT) and other related protection matters to include, but not limited to: AT, operational security (OPSEC), information assurance (IA), physical security, law enforcement, intelligence, and foreign disclosure.

Army policy requirement: A signed AT/OPSEC cover sheet is required to be included in all requirements packages except for supply contracts under the simplified acquisition level threshold, field ordering officer actions, and Government purchase card purchases. Command policy may require this form for supply contracts under the simplified acquisition level threshold.

Mandatory review and signatures: The organizational antiterrorism officer (ATO) must review each requirements package prior to submission to supporting contracting activity to include coordination with other staff review as appropriate per section II below. If the requiring activity does not have an ATO, the first ATO in the chain of command will review the contract for AT considerations. An OPSEC officer review is also mandatory.

SECTION II - STANDARD CONTRACT LANGUAGE PROVISION/CONTRACT CLAUSE TEXT APPLICABILITY AND/OR ADDITIONAL PWS LANGUAGE If the standard contract or clause language text found on pages 2 and 3 of this form are sufficient to meet specific contract request requirements, check "YES" in the block below and include this language in the PWS. If standard contractual text (provisions or clauses) or clause language does not apply, check "NO." If the standard PWS language applies, but is not in and of itself sufficient, check "YES" and "PWS," and include both the standard language and additional contract specific language in the PWS. If standard contractual text or clause language is not desired, but there is related contract specific language in the PWS, check "NO" and "PWS."

YES

NO

PWS

1. AT level 1 training (general).

2. Access and general protection policy and procedures.

2a. For contractor requiring Common Access Card (CAC).

2b. For contractor not eligible for CAC, but requires access to DOD facility or installation.

3. AT awareness training for U.S. based contractor personnel traveling overseas.

4. iWATCH training.

5. Army Training Certification Tracking System (ATCTS) registration for contractor employees who require access to government information systems.

6. OPSEC SOP or Plan requirements.

7. Requirement for OPSEC training.

8. Information assurance and/or information technology training.

9. Information assurance and/or information technology training certification.

10. Contractors Authorized to Accompany the Force.

11. Contract requiring performance or delivery in a foreign country.

12. Handling and/or access to classified information.

13. Threat Awareness Reporting Program.

SECTION III - REMARKS

SECTION IV - CERTIFICATION

Antiterrorism Review: I am ATO level II certified. I have reviewed the requirements package. I understand my responsibilities in accordance with AR 525-13, Antiterrorism.

REVIEWER NAME AND RANK/CIVILIAN GRADE

SIGNATURE

DATE

TELEPHONE NUMBER

Operations Security Review: I am OPSEC level II certified. I have reviewed the requirements package. It is in compliance with AR 530-1, Operations Security.

REVIEWER NAME AND RANK/CIVILIAN GRADE

SIGNATURE

DATE

TELEPHONE NUMBER

Information Assurance Review: I am IA certified. I have reviewed the requirements package. It is in compliance with AR 25-2, Information Assurance.

REVIEWER NAME AND RANK/CIVILIAN GRADE

SIGNATURE

DATE

TELEPHONE NUMBER

PREVIOUS EDITIONS ARE OBSOLETE

ARNORTH Form 792, Rev 1 Mar 2015 V2.00

SECTION V - ADDITIONAL COMMENTS

SECTION V - STANDARD CONTRACT PROVISION AND CLAUSE TEXT APPLICABILITY AND/OR ADDITIONAL PWS LANGUAGE

2. Access and General Protection/Security Policy and Procedures. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility, or area. Contractor and all associated sub-contractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

ARNORTH Form 792, Rev 1 Mar 2015

1. AT Level I Training.This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within XX calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the COR, or to the contracting officer if a COR is not assigned, within XX calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil.

SECTION V - STANDARD CONTRACT PROVISION AND CLAUSE TEXT APPLICABILITY AND/OR ADDITIONAL PWS LANGUAGE (continued) 2a. For Contractors Requiring Common Access Card (CAC). Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with Army Directive 2014-05. The contractor employee will be issued a CAC only if duties involve one of the following: (1) Both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) Remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) Physical access to multiple DoD facilities or multiple non-DoD Federally-controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

2b. For Contractors That Do Not Require CAC but Require Access to a DoD Facility or Installation. Contractor and all associated sub-contractor employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by Government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

3. AT Awareness Training for Contractor Personnel Traveling Overseas. This standard language required US based contractor employees and associated sub-contractor employees to make available and to receive Government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13. Specific AOR training content is directed by the combatant commander with the unit ATO being the local point of contact.

4. iWATCH Training. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility, or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to he COR. This training shall be completed within XX calendar days of contract award and within YY calendar days of new employees commencing performance with the results reported to the COR NLT XX calendar days after contract award.

5. Army Training Certification Tracking System (ATCTS) Registration for Contractor Employees Who Require Access to Government Information Systems. All contractor employees with access to a Government information system must be registered in the ATCTS at commencement of services, and must successfully complete the DOD Information Assurance Awareness training prior to access to the IS and then annually thereafter.

6. For Contracts That Require a Formal OPSEC Program. The contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer. This plan will include a process to identify critical information, where it is located, who is responsible for it, how to protect it, and why it needs to be protected. The contractor shall implement OPSEC measures as ordered by the commander. In addition, the contractor shall have an identified certified Level II OPSEC coordinator per AR 530-1.

7. For Contracts that require OPSEC Training. Per AR 530-1, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

8. For Information Assurance (IA)/Information Technology (IT) Training. All contractor employees and associated sub-contractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M, and AR 25-2 within six months of appointment to IA/IT functions.

9. For Information Assurance (IA)/Information Technology (IT) Certification. Per DoD 8570.01-M, DFARS 252.239.7001, and AR 25-2, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

10. For Contractors Authorized to Accompany the Force, DFARS Clause 252.225-7040, Contractor Personnel Authorized to Accompany U.S. Armed Forces Deployed Outside the United States. The clause shall be used in solicitations and contracts that authorize contractor personnel to accompany U.S. Armed Forces deployed outside the U.S. in contingency operations; humanitarian or peacekeeping operations; or other military operations or exercises, when designated by the combatant commander. The clause discusses the following AT/OPSEC related topics: required compliance with laws and regulations, pre-deployment requirements, required training (per combatant command guidance), and personnel data required.

11. For Contract Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors Outside the U.S. The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingency and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives.

12. For Contracts That Require Handling or Access to Classified Information. Contractor shall comply with FAR 52.204-2, Security Requirements. This clause involves access to information classified “Confidential,” “Secret,” or “Top Secret,” and requires contractors to comply with: (1) The Security Agreement (DD Form 441), including the National Industrial Security Program Operating Manual (DoD 5220.22-M) and (2) any revisions to DOD 5220.22-M, notice of which has been furnished to the contractor.

13. Threat Awareness Reporting Program. For all contractors with security clearances. Per AR 381-12, Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in paragraph 2-4b.

ARNORTH Form 792, Rev 1 Mar 2015 8.2.1.3158.1.475346.466429 gary.s.dickenson.civ@mail.mil Contract Requirements Package Antiterrorism and Operations Security Review Cover Sheet G. Dickenson ARNORTH Form 792

See Comments Below for Cybersecurity:

5. Army Training Certification Tracking System (ATCTS) Registration for Contractor Employees Who Require Access to Government Information Systems. All contractor employees with access to a Government information system must be registered in the ATCTS at commencement of services, and must successfully complete the DOD Information Assurance Awareness training prior to access to the IS and then annually thereafter.

8. For Information Assurance (IA)/Information Technology (IT) Training. All contractor employees and associated sub-contractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter.