A03_DD254_TAMIS_Feb_2019.docx

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD industrial Security Manual apply to all security aspects of this effort.)

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

a. FACILITY CLEARANCE REQUIRED Secret

b. LEVEL OF SAFEGUARDING REQUIRED N/A

b. SUBCONTRACT NUMBER

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

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

DATE (YYYYMMDD)

2019/??/??

c FINAL (Complete item 5 in all cases)

c. SOLICITATION OR OTHER NUMBER

REVISION NO.

DATE (YYYYMMDD)

DATE (YYYYMMDD)

(See Figure D-1)DUE DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? YES NO. If yes, complete the following Classified material received of generated under _____________________________________________________ (Preceding Contract Number) is transferred to this follow-on contract.

X

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 classified material is authorized for the period of _ ____________

b. REVISED (Supercedes all previous specs)

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR

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

8. ACTUAL PERFORMANCE

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE

l. OTHER (Specify)

k. OTHER (Specify) PII, SBU and FOUO

j. FOR SPECIAL USE ONLY INFORMATION X X

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

i. LIMITED DISSEMINATION INFORMATION

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

h. FOREIGN GOVERNMENT INFORMATION X

g. NATO INFORMATION

X

i. HAVE TEMPEST REQUIREMENTS

X X

h. REQUIRE A COMSEC ACCOUNT

f. SPECIAL ACCESS INFORMATION

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

(2) Non-SCI X

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S.

PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

X

(1) Sensitive Compartmented Information (SCI) X

e. PERFORM SERVICES ONLY X

e. INTELLIGENCE INFORMATION

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

d. FORMERLY RESTRICTED DATA

X

c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

b. RECEIVE CLASSIFIED DOCUMENTS ONLY

b. RESTRICTED DATA X

NO

X

YES

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY

11. PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:

X

NO

YES

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

10. CONTRACTOR WILL REQUIRE ACCESS TO:

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

DD FORM 254 (BACK), DEC 1999d. ADDRESS (Include Zip Code)

e. SIGNATURE

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. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHERS AS NECESSARY

b. TITLE

c. TELEPHONE (Include Area Code)

a. TYPED NAME OF CERTIFYING OFFICIAL

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.

X X

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. YES NO (If Yes, identify the pertinent 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.)

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. YES NO (If Yes, identify the pertinent 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.)

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.)

Key personnel will have a secret security clearance. Contract performance restricted to DAMO-TRA and approved contractor sites. Using Agency will provide security classification guidance for performance of this contract.

Any classified data generated in the performace of this contract shall be classified according to the markings shown in the source material.

Contractor will protect sensitive information (SBU, PII, FOUO) in accordnance with applicable regulations and directives.

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 releases shall be submitted for approval prior to release Direct Through (Specify)

400 Army Pentagon, Office of the Deputy Chief of Staff, G3/5/7 ATTN: DAMO-TRA, Munitions Management Office, Room 3B461 Washington, DC 20310 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.