DD_254__Signed.pdf
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- Solicitation number
- W9133L18R0002
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Department of the Army National Guard
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DD254
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DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
1. CLEARANCE AND SAFEGUARDING
a. FACILITY CLEARANCE REQUIRED
SECRET
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
TBD a. ORIGINAL (Complete date in all cases)
DATE (YYMMDD)
160615
b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specs) Revision No. DATE (YYMMDD)
c. SOLICITATION OR OTHER NUMBER DUE DATE (YYMMDD)
c. FINAL (Complete Item 5 in all cases)
DATE (YYMMDD)
4. THIS IS 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
TBD
b. CAGE CODE c. .COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
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
National Guard Bureau 111 South George Mason Drive Arlington, VA 22204-1382
b. CAGE CODE c. COGNIZANT SECURITY OFFICE(Name, Address, and Zip Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
Contractor shall provide for the National Guard Bureau Domestic Operations & Force Development Directorate (NG-J3/7) Standardization, Evaluation, and Assistance Team (SEAT) services.
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 TEMPEST REQUIREMENTS
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) Controlled Unclassified Information (CUI)
SIPR
DD FORM 254
12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the iNISPOM or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release
Direct Through (Specify):
The National Guard Bureau, NGB-J3 and NGB-PA 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. In all cases, public release of any SCI information by the contract is strictly prohibited. See Attachments.
13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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. Add additional pages as needed to provide complete guidance.)
Program Manager: Mr. Heinrich Reyes, DAC, Chief, Combating WMD Division, 703-607-5307 heinrich.j.reyes.civ@mail.mil COR: Ms. Nhu-Dan Q. Duong, DAC, CBRN Doctrine & Operations Officer, 703-607-2055, nhudan.q.duong.civ@mail.mil
A copy of all applicable security directives for this contract will be provided by the program manager listed above in block 13. Upon completion or termination of the classified contract or sooner when the purpose of the release has been served, the contractor will return all classified information (furnished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the NGB Government Contracting Agency/Activity. Any classified material which may be produced under this contract will be derivative information with necessary classification markings on source documents to enable appropriate marking and handling of produced materials.
See attachments 1 and 2 for additional security guidance.
The undersigned has reviewed this security specification, understands the provisions, and will ensure that complies within the limits of his/her responsibility, and that any violations are brought to the attention of the KO and supporting security manager.
Date: 15 June 2016 _____________________________ Ms. Nhu-Dan Q. Duong, GS, DAC CBRN Doctrine & Operations Officer NG-J39 Combating WMD Division NG-J3/7 Domestic Operations and Force Development Directorate
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements, are established for this contract. (If Yes, identify the Yes No pertinent contractual clauses in the contract document itself, or provide any 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.)
See Attachments 1, and 2 for additional security requirements.
15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific Yes No areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)
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
Yvonne L. Gallardo
b. TITLE
Contract Monitor
c. TELEPHONE (Include Area Code)
703-607-2085
d. ADDRESS (Include Zip Code)
National Guard Bureau 111 South George Mason Drive Arlington, VA., 22204
17. REQUIRED DISTRIBUTION
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION
e. ADMINSTRATIVE CONTRACTING OFFICER
f. OTHERS AS NECESSARY
e. SIGNATURE
DD FORM 254
Attachment 1
BLOCK 13 (SECURITY GUIDANCE) OF DD FORM 254
Contract # TBD
Item 8a: Actual Performance Location: Arlington Hall Station, DoD, NGB J3, J2, JOC, and other government agencies.
Item 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, Appendix 3 (attachment 2).
Item 10k: (1) Access to other Controlled Unclassified Information (CUI) information dealing with logistics, medical care, personnel management, and privacy act data is required.
Item 11a: Contractors requiring access to and handling of classified information are restricted to Arlington Hall Station, DoD, NGB J3 as directed by the contract monitor.
Government agency or activity will provide Attachment 1 security classification guidance for performance of this contract. Submit visit request to the Contracting Office and/or Security Management Office for need-to-know verification.
Item 11j: Contractor personnel working at the Arlington Hall Station or other ARNG facilities will be required to attend and/or receive Information Security training, per DOD 5200.1R, and AR 380-5, as well as any additional army training requirements such as OPSEC (AR 530-1) and Information Assurance (AR 25-2) among others as directed by the Contract Monitor.
General Information:
1. The contractor is responsible for safeguarding information of a classified or sensitive nature.
2. The Office of NGB-J3 will determine when the safeguarding of Classified Material is required and ensure proper policy is adhered to under the guidance of the NGB Security Management office. Failure to safeguard any classified/privileged information which may involve the contractor of the contractor’s personnel or to which they may have access may subject the contractor and/or the contractor’s employees to criminal liability under Title 18, section 793 and 798 of the United States Code.
3. Contractor personnel shall be required to obtain and maintain security badges and adhere to installation security requirements whenever they are on a government installation.
4. The contractor will account for and return to the appropriate issuing office, all identification badges and/or entry passes/vehicle decals issued to contractor personnel
Contract # TBD upon completion or termination of the classified contract, termination of employment or suspension of security clearance or access of any contractor employee. When an individual is terminated for any reason, it is the responsibility of the Facility Security
Manager to immediately notify the AHS Security Manager. Failure to comply could result in the suspension of all contractors’ accounts.
5. Provisions of the Privacy Act apply to all records and reports maintained by the contractor.
6. All programs and materials developed at government expense during the course of this contract are the property of the government.
7. Only U.S. citizens are eligible for a security clearance. However, compelling reasons may exist for granting access to classified information to a non-U.S. Citizen. A Limited Access Authorization (LAA) may be granted in those rare circumstances where the non- U.S. citizen possesses unique or unusual skill or expertise that is needed to support a specific U.S. Government contract and a cleared or clearable U.S. citizen is not available.
8. The Contractor shall comply with the (1) Security Agreement (DD Form 441) including the NISPOM, DoD 5220.22-M, and (2), any revisions to that manual, notice of which has been furnished to the Contractor.
9. Contractor’s employees requiring access to government facilities where proof of a Security Clearance is required, the contractor shall meet the security access requirements specified by the NISPOM, and the Host and/or Owner of those facilities.
10. The Contractor shall not disclose classified or unclassified information pertaining to this contract without prior review and approval by the Contracting Officer. Requests for public release shall be submitted ten (10) working days in advance to the Contracting Officer, National Guard Bureau, 111 South George Mason Drive, Arlington, VA 22204.
11. Prior to granting an employee access to classified materials, the government agency shall brief employees with regards to their obligation to comply with the NISPOM and the terms of this document. The contractors’ employees shall be debriefed when access to the material is terminated.
12. The Contractor shall comply with security procedures in effect where contract work is performed. Contractors requiring access to classified information are authorized at the following location: AHS, DoD, NGB J3 NGCC Area as directed by the contract monitor.
Contract # TBD
14. The Contractor may award subcontracts in furtherance of this effort. If access to classified information is required, the prime contractor is responsible to ensure compliance by the subcontractor for all security requirements. Copies of all subcontractor DD Form 254s shall be forwarded to the Contracting Officer and the Program Security Office at the address listed in Block 16d.
FOUO DD FORM 254 - ATTACHMENT 2
Contract Number: TBD
PROTECTING “FOR OFFICIAL USE ONLY” (FOUO) INFORMATION
1. General:
a. The “For Official Use Only” (FOUO) marking is assigned to information at the time of its creation in a DoD User Agency. It is not authorized as a substitute for a security classification marking but is used on official government information that may be withheld from the public under exemptions 2 through 9 of the Freedom of Information Act (FOIA).
b. Other non-security markings, such as “Limited Official Use” and Official Use Only” are used by non-DoD User Agencies for the same type of information and should be safeguarded and handled in accordance with instruction received from such agencies.
c. Use of the above markings does not mean that the information cannot be released to the public under FOIA, only that the Government must review the information prior to its release to determine whether a significant and legitimate government purpose is served by withholding the information or portions thereof.
2. MARKINGS:
a. An unclassified document containing FOUO information will be marked “For Official Uses Only” at the bottom of the front cover (if any), on the first page, on each page containing FOUO information., on the back page, and on the outside of the back cover (if any).
b. Within a classified document, an individual page that contains both FOUO and classified information will be marked at the top and bottom with the highest security classification of information appearing on the page. If an individual portion contains FOUO information but no classified information, the portion will be marked, “FOUO.”
c. Any “For Official Use Only” information released to a contractor by a DoD user Agency is required to be marked with the following statement prior to transfer:
“This document contains information EXEMPT FROM MANDATORY DISCLOSURE UNDER THE FOIA. Exemptions apply.”
d. Removal of the “For Official Use Only” marking can only be accomplished by the originator or other competent authority. When the “For Official Use Only” status is terminated, all known holders will be notified to the extent practical.
FOUO DD FORM 254 - ATTACHMENT 2
Contract Number: TBD
PROTECTING “FOR OFFICIAL USE ONLY” (FOUO) INFORMATION
3. DISSEMINATION: Contractors may disseminate “For Official Use Only” information to their employees and subcontractors who have a need for the information in connection with a classified contract. Contractors must ensure employees and subcontractors are aware of the special handling instructions detailed below.
4. STORAGE: During working hours, “For Official Used Only” information shall be placed in an out-of-sight location if the work area is accessible to persons who do not have a need for the information. During nonworking hours, the information shall be stored to preclude unauthorized access. Filing such material with other unclassified records in unlocked files or desks, is adequate when internal building security is provided during nonworking hours. When such internal security control is not exercised, locked buildings or rooms will provide adequate after-hours protection or the material can be stored in locked receptacles such as file cabinets, desks, or bookcases.
5. TRANSMISSION: “For Official Used Only” information may be sent via first-class mail or parcel post. Bulky shipments may be sent by fourth-class mail. DoD components, officials of DoD components, and authorized DoD contractors, consultants, and grantees may send FOUO information to each other to conduct official DoD business. Tell recipients the status of such, and send the material in a way that prevents unauthorized public disclosure. Make sure documents that transmit FOUO material call attention to any FOUO attachments. Normally, you may send FOUO records over the facsimile equipment. To prevent unauthorized disclosure, consider attaching special cover sheets, the location of sending and receiving machines, and whether authorized personnel are around to receive FOUO information. FOUO information may be passed to officials in other departments and agencies of the executive and judicial branches to fulfill a government function. Mark the records “For Official Use Only” and tell the recipient the information is exempt from public disclosure under the FOIA and requires special handling.
6. DISPOSITION: When no longer needed. FOUO information must be shredded or burned.
7. UNAUTHORIZED DISCLOSURE: Unauthorized disclosure of “For Official Use Only” information does not constitute a security violation but the releasing agency should be informed of any unauthorized disclosure. The unauthorized disclosure of FOUO information protected by the Privacy Act may result in criminal sanctions and disciplinary action may be taken against those responsible.
| YES |
| NO |
| YES |
| NO |
| 2016-06-15T11:56:10-0400 | |
| DUONG.NHU-DAN.QUANG.1184509446 |
| 2016-06-15T12:07:14-0400 | |
| GALLARDO.YVONNE.LEONA.1042179481 |
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