DRAFT_Attachment_3_-_DD_254_Security_Classsification_Draft.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PREVIOUS EDITION IS OBSOLETE.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)

White Sands Missle Range, Redstone Arsenal, and Ft. Bliss and other locations TBD

White Sands Missle Range, Redstone Arsenal, and Ft. Bliss and other locations TBD

8a. The contractor will perform SCI work under this contract at the following SCIFs located on Aberdeen Proving Ground MD: ATEC SCIFs; CERDEC/I2WD SIL; CECOM SEC. Additionally, the contractor will perform SCI work under this contract at the following locations: Alexandria, VA; APG, MD; Ft Bliss, TX; WSMR, NM; Redstone Arsenal, AL; LMMFC-Dallas; Washington, DC; Yuma Proving Ground, AZ; Ft Sill, OK.

10a. Requirements of the COMSEC Supplement to DoD 5220-22-M. National Industrial Security Program, apply to this contract. Access to COMSEC information requires special briefings at the contractor facility. Access to classified COMSEC information requires a final U.S. Government clearance at the appropriate level.

10e. (1) The contractor shall comply with DCID 1/7, 1/14, 6/3, and user agency requirements. Access to intelligence information requires a U.S. Government clearance at the appropriate level. The contractor will be required to receive approval in writing before granting intelligence information to a subcontractor.

10e. (2) Access to non-SCI intelligence information is required.

10j. This contract requires the planning for an application of OPSEC IAW DD Form 1423 (Contractor Data Requirements List), the Performance Work Statement, DoD Directive 5205.2 and Army Regulation 530-1. The safeguards established for the protection of FOR OFFICIAL USE ONLY (FOUO) information are identified in Attachment 2.

10k. The contractor will require access to classified facsimile and SIPRNET at designated Government facilities.

11a. Authorized access to classified material at a Government facility or properly designated contractor facility.

11c. On-site contractors will receive and generate classified documents. The government retains ownership and is responsible for storage of said documents. Detailed security classification guidance will be forwarded to the contractor under separate cover. Any classified information generated in the performance of this contract shall be derivatively classified according to the marking shown on the source or through the project security classification guidance.

11g. Contractor must prepare and process a DD Form 1540 and DD Form 1541 to utilize the services of DTIC-NISPOM Chapter 1, section 2, para 11-203(a) and (b) apply.

11j. This contract requires the planning for an application of OPSEC IAW DD Form 1423 (Contractor Data Requirements List), the Performance Work Statement, DoD Directive 5205.2 and Army Regulation 530-1.

11k. Contractor authorized use of Defense courier service.

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. Every effort shall be made to ensure that non-U.S. citizens are not employed in duties that may require access to classified information.

b. Any possible loss, potential compromise must be immediately reported to HQ ATEC G2 Command Security Manager or subordinate organization Security Manager, as appropriate.

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

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 Vendor 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 the prior approval of the Program Manager.

See Attachments 1, 2, and 3 for additional information.