W912CM-20-Q-0015 Attachment 5 DD Form 254.pdf

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE a. FACILITY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION Secret G (The requirements of the DoD Industrial Security Manual apply

b. LEVEL OF SAFEGUARDING REQUIRED to all security aspects of this effortJ @ None

2. THIS SPECIFICA 110N IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS: (X and complete as applicable) @

a. PRIME CONTRACT NUMBER

[ZJ a. ORIGINAL (Complete d ate in all cases)

DATE (YYYYMMDD)

20200706

b. SUBCONTRACT NUMBER

b. REVISED

O I

REVISION NO. DATE (YYYYMMDD)

(Supersedes all ,,, previous specs)

[ZJ

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

□ c. FINAL (Complete Item 5 in all cases) @

DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? _)YES 12-J 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? L__IYES � 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)

"FOR PLANNING PURPOSES ONLY"

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)

66th Military Intelligence Brigade WND1X1 66th Ml BOE S2/SSO Lucias D. Clay Kaserne 65205 Unit 29500 Box11 Wiesbaden-Erbenhiem, Germany ATTN:SSO

APO AE 09005

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

The requirement provides six (6) ICD703/705 compliant, deployable secure containers to be delivered to Wiesbaden- Erbenhiem, Germany. All work performed in design, engineering, manufacturing, assembly, and transportation of the containers under this contract shall be performed in the United States (U.S.) controlled facility in the United States of America by U.S. companies and U.S. personnel.

10. CONTRACTOR WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO a, COMMUNICATIONS SECURITY (COMSEC) INFORMATION X. a. HAVE ACCESS 1 0 CLASSIFIED INFlJRMA ! ION ONLY AT ANOTHER

CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVrfY X b RESTRICTED DATA X b, RECEIVE CLASSIFIED DOCUMENTS ONLY X

c. CRITICAL NUCLEAR \lvEAPON DESIGN INFORMATION X c, RECEIVE AND GENERATE CLASSIFIED MATERIAL X

d. FORMERLY RESTRICTED DATA X d, F,O.BRICATE. MODIFY. OR STORE CLASSIFIED HARDWARE X e INTELLIGENCE INFORMATION '·.·· \>; e. PERFORM SERVICES ONLY X

{1) Sensitive Compartmented Information (SCI) X f. �d'��f<f�it L0supt8M??lb�B ,�D 0f�tf'd1<¥��rkHW1iJHE U,� .. X

(2)Non-SCI X g. Bt:;AUTHORIZED JO U�t:; I HE ,::it:RVICt:S Ot Dt::tt::N�t: TECHNICAL INtORMATION

CENTER (DTIC)OR OTHER SECONDARY DISTRIBUTION CENTER X

f. SPECIAL ACCESS INFORMATION X h. REQUIRE A COMSEC ACCOUNT X g NATO INFORMATION X i. HAVE TEMPEST REQUIREMENTS X.

h. FOREIGN GOVERNMENT INFORMATION X j, HAVE OPERATIOt>JS SECURITY (OPSEC) REQUIREMENTS X

i. LIMITED DISSEMINATION INFORMATION X k BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE X

J, FOR OFFICIAL USE ONLY INFORMATION X I. OTHER (Specify)

k. OTHER (Specify}

SIPRnet Access

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.

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W912CM-20-Q-0015

US ARMY SCI ADDENDUM TO DD FORM 254

(1 )-This contract requires access to Sensitive Compartmented Infonnation (SCI). The Commander, US Army Intelligence and Security Command (I SCOM)� acting on behalf of the DA Deput Chief of Staff (DCS), G-2 is 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 (SC.IF) or Co-utilization Agreement (CUA).

XXX (2)-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. All DD Forms 254 prepared for contracts involving access to SCI under this contract must be processed through ACCS to the CM and Industrial Security Specialist for approval.

XXX (3 )-The manuals, regulations, and directives checked below provide the necessary guidance for physical, personnel, and infonnation security for safeguarding SCI, and are part of the security classification specification for this contract:

XXX

XXX

XXX

XXX

(a)-ICD 503, Intelligence Community Information Technology Systems Security Risk Management� Certification and Accreditation (b)-lCD 704 Personnel Security Standards and Procedures Governing Eligibility for Access to Sensitive Compartmented Information and Other Controlled Access Program Information (c)-IC Tech Spec-for ICD/ICS 705, Technical Specifications for Construction and Management of Sensitive Compartmented Information Facilities (d)-Signals lnterngence Security Regulations (SISR) (Available from the CM) (e)-lmagery Policy Series (Available from the CM) (t)-DoDM 5105 Vol 1 - 3 SCI Administrative Security Manual.

(g)-AR 380-28, DA Special Security System (h)-AR 25-2� Information Assurance (i)-AR 380-381 Special Access Programs G)-Army Handbook for SCI Contracts.

(k)-Other

20210521

XXX (4)-Contract estimated completion:�

XXX (5)-The name, telephone number, and email and mailing address of the Contract Monitor (CM) and alternate for this portion of this contract are: James Lynch, Address: HQ USAREUR G2, Unit

29351 Box 25, APO AE 09014-9351, Phone: +49-611-143-537-2106, Email: james.p.lynch3.civ@mail.mil, Mark Dorcy, Address: HQ USAREUR G2, Unit 29351 Box 25, APO AE 09014-9351, Phone: 314-781-

4155, Email: mark.w.dorcy.civ@mail.mil. POC for Vendor TBDL.

XXX (6)-All DD Forms 254 prepared for contracts involving access to SCI under this contract must be processed through ACCS to the CM and lndustrial Security Specialist for approval and to Contractor Support Element� USAINSCOM, ACofS Security, 02 for revie\\·' and concurrence of the awarded contract.

WND1X1, 66MIB

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 release shall be submitted for approval prior to release

[DJ Direct 00 Through (Specify):

Proposed public release shall be submitted for approval prior to release 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 classification guidance 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 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 effo1t. Attach. or forward under separate correspondence, any document/guides/extracts referenced herein.

Add additional pages as needed to provide complete guidance

SEE SECTION 13 CONTINUATION SECTION AT THE BOTTOM OF THIS FORM

7/6/2020

Special Security Officer

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, 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 cognizant security office. Use Item 13 if additional space is needed.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office (If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.

t_gYes

Yes � No

16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or enerated underthis classified effort. All uestions shall be referred to the official named below.

a. TYPED NAME OF CERTIFYING OFFICIAL b. TITLE c. TELEPHONE (Include Area Code)

Amanda Yandell Special Security Officer /Industrial Security Officer

314-546-4206

: d ADDRESS (Include ZIP Code)

66MI BOE, S2

Unit 29500

ATTN: IAPG-SE

09005

e. Sl�TURE

YANDELLAMANDA.LYN Digitally signed by

YANDELL.AMANDA.LYNN.1091778862

N .1 091 7 7 886 2 Date: 2020.05.21 10:36:42 +02'00'

DD Form 254 (BACK), DEC 1999

QUIRED DISTRIBUTION

I

I a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

Cl. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

e. ADMINISTRATIVE

t. OTHERS AS NECESSARY