Amendment_4_-_Attachment_4a_-_DD254_SVED.pdf

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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PREVIOUS EDITION IS OBSOLETE.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 (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

See attached documentation for complete list.

Block9: This task order is a follow-on to the following task order: W91CRB-14-D-0031-0002 To provide technical support services to the U.S. Army Evaluation Center, Survivability Evaluation Directorate (SVED).

4. The classified portion of work has been completed on the contract cited in this block. The processing of classified will no longer be done under this contract. All classified material/information associated with this contract is authorized to be transferred to the contract number cited in block 2a. Although this is not a direct follow-on contract, classified material generated under Contract Numbers W91CRB09D0027, W91CRB06D0011, W91CRB15C0019, and W91CRB14D0031 may be transferred to this contract.

8a. Work under this contract will be performed, but is not limited to: HQ ATEC/AEC and subordinate command activity facilities; contractor facility; Fort Bliss, TX; Fort Meade, MD; Warren, MI; and Washington DC. Additional locations are identified in the PWS at paragraph 2.7, and the government may require additional work locations not identified at this time.

10a. 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 KO is required prior to subcontracting.

10b. Restricted Data Information is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting.

10b: Restricted Data Information is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting.

10c. CNWDI Information is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting.

10d. The contractor is permitted access to Formerly Restricted Data (FRD) in the performance of this contract. Access to FRD requires a final U.S. Government clearance at the appropriate level. Written concurrence of the KO is required prior to subcontracting.

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.

10f: Discussion, storage, or processing of SAP information associated with this contract will be conducted in facilities specifically accredited by the Army SAPCO (or designee), or equivalent component-level SAPCO. Contact the appropriate servicing SAPCO for approved SAP facilities locations. SAP activities are governed by Revision 1 Department of Defense Overprint to the National Industrial Security Program Operating Manual Supplement, 1 APR 04, and applicable program security classification and procedures guides. Component-managed SAPFs and SAP Temporary Secure Working Areas (TSWA) are governed by JAFAN 6/9. Access to SAP information requires employees undergo additional personnel security screening and meet the SAP access standards delineated in the applicable DoD directives and policies. SAP inspections and security oversight while in component facilities are under the cognizance of the SAPCO, as appropriate. Additional SAP security requirements may apply at alternate locations/facilities based on service/component Command requirements. The KO for these locations/facilities will provide specific guidance as required. SAP inspections conducted at contractor facilities are under the security oversight of the Defense Security Service (DSS) unless officially relieved of their oversight responsibilities.

10h: Contractor requires access to FGI as determined by the mission and the customer. Foreign Government Information (FGI) is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting.

10j: The contractor is required to handle and safeguard CUI in accordance with DoDM 5200.01, Volume 4, "DoD Information Security Program: Controlled unclassified Information (CUI)", dated 24 Feb 12 and successive editions.

10k: Secret Internet Protocol Network (SIPRNET) access required. The contractor shall not access, download or further disseminate any special access data (i.e. intelligence, NATO, COMSEC, etc.) outside the execution of the defined contract requirements and without the guidance and written permission of the KO. In the event that any special access is required, the KO must modify the requirements for the DD Form 254.

11c: The contractor requires access to classified source data up to and including Top Secret in support of the work effort. Any extracts or use of such data requires the contractor to apply derivative classifications and markings consistent with the source documents. Use of “Multiple Sources” on the “Derived From” line necessitates compliance with the NISPOM, paragraph 4-208a, and the use of a bibliography.

111f: Classified information and material furnished or generated under this contract shall be transferred through government channels or channels specified in writing by the Governments of the United States and applicable country(s) only to persons who have an appropriate security clearance and an official need for access to the information in order to perform on the contract per NISPOM, Chapter 10, International Security Requirements.

11g: The contractor is authorized to use the services of the Defense Technical Information Center (DTIC) and is required to prepare and process DD Form 1540, Registration for Scientific and Technical Information Services, in accordance with the NISPOM. The contracting activity must be involved in certifying the need-to-know to DTIC.

11j: The government will provide specific OPSEC guidance for test events and contract activities that require special protection in addition to the ATEC Critical Information List (CIL). This contract requires the planning for and application of OPSEC IAW DD Form 1423 (CDRLs), the SOW, DoD Directive 5205.2 and Army Regulation 530-1.

11l. In addition to the above specified regulations, the contractor shall abide by the NISPOM, NISPOM Overprint, and any other Government Agency requirements identified by the Government Program Manager.

a. Only U.S. citizens are eligible for a security clearance. Non-U.S. citizens will not be employed in duties that may require access to classified information.

b. Any possible loss, potential compromise must be immediately reported to the Contract Monitor, the Contracting Officer's Representative, or appropriate ATEC or ATEC subordinate command activity security personnel. The government representative must acknowledge receipt of the report for this requirement to be satisfied.

c. Any unsolicited request, oral or written, for information related in any manner to this contractual effort shall be immediately reported to ATEC Security.

d. Work on this contract cannot be sub-contracted without prior approval of the Contracting Officer.

e. All materials generated by the contractor (included, but not limited to: Correspondence, drawings. Models, photographs; schematics; special and inspection reports; engineering notes and computations; and training aids) will be classified according to its own content, guidance for which will be taken from the Security Classification Guide, furnished under separate cover.

continued on next page.

f. No contractor generated or government furnished material may be provided to the Defense Documentation Center without permission of the COR. Upon completion of this contractual effort, all classified information/material shall be relinquished to the ATEC Security Manager or to his/her designated government representative.

g. Request for release of information concerning any aspect of this contract will comply with Block 12. No contract information generated or Government furnished material will be provided to the Defense Documentation Center without prior approval of the Program Manager.

h. Courier requirements for contractors IAW SOW paragraph 7.1 SAP Policy, 7.3 Handling and Marking, and 8.0 Personnel Requirements. Contractor support personnel shall meet requirements for personnel courier responsibilities referenced in 380-5, JAFAN, and ATEC Regulation 380-5. Any test or evaluation data collected shall be treated as material protected at least the level of FOR OFFICIAL USE ONLY information and other data will be handled at its respective classification level. Personnel designated as couriers shall have proper and valid courier orders (or courier memorandum for one time use) in their possession at all times. DD Form 2501 (Courier Authorization Card) is used for collateral and SAP material. The Sensitive Compartmented Information (SCI) Courier Authorization memorandum is used for SCI material (example located in DoD 5105.21-M01, Appendix E, Annex 7).

Reviewed and Approved by DRU HQ: Dawn Sauer

developed under this contract which is maintained within the Contractor's and/or Sub-Contractor's. The FDSS is relieved of this inspection responsibility for such material but returns the responsibility of all Non-SCI classified material released to or developed under this contract and within the Contractor's and/or Sub-Contractor's SCIF.

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