Attach_003_DD-254_Security_Services.pdf

DD Form 254, DEC 1999 Previous editions are obsolete

DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION SPECIFICATION a. FACILITY CLEARANCE REQUIRED

TOP SECRET

(The requirements of the DoD Industrial Security Manual apply to all aspects of this effort)

b. LEVEL OF SAFEGUARDING REQUIRED

None

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

a. PRIME CONTRACT NUMBER a. ORIGINAL (Complete date in all cases) Date (YYYYMMDD)

b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specs)

Revision No. Date (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER

W912PX-19-R-0002

Due Date (YYYYMMDD) c. FINAL (Complete Item 5 in all cases) 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 identified 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)

DSS

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICES ( Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

JOINT INTERAGENCY TASK FORCE SOUTH, PO

BOX 9051 Bldg 4180 Truman Annex, Key West, FL, 33040-9051

W453AA JOINT INTERAGENCY TASK FORCE SOUTH - PO

BOX 9051 Bldg 4180 Truman Annex, Key West, FL, 33040-9051

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Security Services Contract

10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. COMMUNICATIONS SECURITY (COMSEC)

INFORMATION

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY

b. RESTRICTED DATA b. RECEIVE CLASSIFIED DOCUMENTS ONLY

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

d. FORMERLY RESTRICTED DATA: d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. INTELLIGENCE INFORMATION: e. PERFORM SERVICES ONLY

(1) Sensitive Compartmented Information (SCI) f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO

RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

(2) Non-SCI g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL

INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

f. SPECIAL ACCESS INFORMATION h. REQUIRE A COMSEC ACCOUNT

g. NATO INFORMATION i. HAVE A TEMPEST REQUIREMENT

h. FOREIGN GOVERNMENT INFORMATION j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

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

j. FOR OFFICIAL USE ONLY INFORMATION

l. OTHER (Specify).

k. OTHER Specify)

Attachment 003

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

Direct

Through (Specify):

PUBLIC RELEASE OF SCI IS NOT AUTHORIZED

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 effort. 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

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.)

Yes No

See SCI addendum

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.

Yes No

See SCI addendum

16. CERTIFICATION AND SIGNATURE. 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.

a. TYPED NAME OF CERTIFYING OFFICIAL Andrew Vaughan

b. TITLE Asst Security Officer

c. TELEPHONE (Include Area Code)

305 293-2917

d. ADDRESS (Include ZIP Code) 17. REQUIRED DISTRIBUTION

PO BOX 9051 Bldg 4180 Truman Annex, Key West, FL, 33040-9051

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE

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

e. ADMINISTRATIVE

f. OTHERS AS NECESSARY

DD Form 254 (BACK), DEC 1999

CONTINUATION OF ITEM 13

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 effort. Attach, or forward under separate correspondence, any document/guides/extracts referenced herein.

Add additional pages as needed to provide complete guidance.

10e1. 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. 10e2. Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level.

Written concurrence of the CM is required prior to subcontracting. Access to Intelligence information required for performance. 10g. Personnel not assigned to a NATO staff position, but requiring access to NATO classified information, NATO COSMIC, NATO Secret or access to the NATO accredited SIPRNET terminals, must possess the equivalent FINAL or Interim U.S. Security Clearance 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 IAW NISPOM Ch 10, Section 7. Prior approval from the CM is required for subcontracting. 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. 11a. Contractor performance is restricted. Government agency or activity will provide security classification guidance for performance of this contract. Visit request to the CM and/or Security Management Office for need-to-know verification is done through JCAVS IAW Oct 2005 memo. 11j. All contractor personnel working at W453AA require initial and recurrent OPSEC training

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 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 (SCIF) 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 information security for safeguarding SCI, and are part of the security classification specification for this contract:

(a)-ICD 503, Intelligence Community Information Technology Systems

Security Risk Management, Certification and Accreditation XXX (b)-ICD 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

XXX (d)-Signals Intelligence Security Regulations (SISR) (Available from the CM) XXX (e)-Imagery Policy Series (Available from the CM) XXX (f)-DoDM 5105 Vol 1 – 3 SCI Administrative Security Manual.

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

(k)-Other

XXX (4)-Contract estimated completion date (PERIOD OF PERFORMANCE ONLY):

20190731 (NOTE: Option years are not to be included, as an option is not valid until exercised by the government.)

XXX (5)-The name, telephone number, and email and mailing address of the Contract Monitor (CM) and alternate for the SCI portion of this contract are: David Starkey, Address: PO BOX 9051 Bldg 4180 Truman Annex, Key West, FL, 33040-9051, Phone: 3052935951, Email:

david.a.starkey2.civ@mail.mil, Chad Robinson, Address: PO BOX 9051 Bldg 4180 Truman Annex, Key West, FL, 33040-9051, Phone: 305-293-5004, Email: chad.t.robinson.civ@mail.mil (Additionally, identify the Security POC, phone number, and email address at the contractor’s/subcontractor’s location): Susan Dagney (The CM and the contractor security officer must be registered in the Army Centralized Contracts and Security Portal (ACCS) at the level of contract, in order to process SCI actions)

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 Industrial Security Specialist for approval and to Contractor Support Element, USAINSCOM, ACofS Security, G2 for review and concurrence of the awarded contract.

XXX (7)-Visit certification to DoD locations is not required, as need to know and accesses is verified at the visiting facility. Non DoD locations the contractor must process request for SCI visit certification(s) through ACCS to the CM for approval and to Contractor Support Element (CSE) for review and processing. Visit certification request must be submitted at least ten (10) working days prior to the visit.

XXX (8)-Debriefings: All FSO’s/CSSO’s must properly debrief all contractors from SCI through

ACCS. FSO/CSSO’s must submit the debrief request NLT 7 days and NET 10 days before actual departure. FSO’s/CSSO’s will separate all contractors from JCAVS after completion of debriefing.

XXX (9)-The contractor will not reproduce any SCI related material without prior written permission of the CM.

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

(11)-Electronic processing of SCI requires accreditation of the equipment in accordance with

ICD 503 and AR 25-2. (Note: NATO security awareness briefing is required for access to JWICS indicated in blocks 10k or 11l of DD 254.).

(12)-This contract requires a contractor Controlled Space or CUA

(13)-Request for Indoctrination/Debrief Authority

XXX (14)-This contract requires (SI)(TK) (G) (HCS) (Add others as required)

XXX (15)-The contractor will perform SCI work under this contract at the following location (Name of government or contractor activity, SCI SMO or CAGE Code):

Agencies: W453AA - JOINT INTERAGENCY TASK FORCE SOUTH, (16)-The contractor identified in Block 6 is a Multiple Facility Organization (MFO) and is authorized to submit DD254 and SCI Addendum for the following SCI locations (Facility Name and CAGE Code).

(17)- SCI Courier Requirement