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Solicitation No: ________________

US Army Electronic Proving Ground Support Services

SCI ADDENDUM TO DD FORM 254, DATED 2020 03 09

ATTACHMENT 1, PAGE 1 of 2

XXX (l) 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)C-2, as 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) SCIF. 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. 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.

XXX

DoD 5105.21-M-1, SCI Security Manual, Administrative Security

Signals intelligence Security Regulations (SISR) (Available from the CM)

Imagery Policy Series (Available from the CM)

DCID 6/3, Protecting Sensitive Compartmented Information within Information Systems

DCID 6/9, Physical Security Standards for Sensitive Compartmented Information Facilities

DIAM 50-4, DOD Intelligence Information System

DIAM 50-24, Security for Using Communications Equipment in a SCIF

AR 25 -2, Information Assurance

AR 380-28, DA Special Security System

AR 380-381, Special Access Programs (SAP(s)

Army Handbook for SCI Contracts

Other

(2) Contract estimated completion date is TO BE DETERMINED.

Note: Section "F" of the contract normally provides the Period of Performance. Option years are not to be included as an option is not valid until exercised by the government.

(3) The name, telephone number and address of the Contract Monitor (CM) for the SCI portion of this contract is; additionally, identify the Security POC and telephone number at the contractor or subcontractor location.

Contract Monitor USAEPG:

Mr. Kenneth Wilson; (520) 533-8982, DSN 821, Kenneth.e.wilson.civ@mail.mil

Security Manager: TBD

Solicitation No: ________________

ATTACHMENT 1, PAGE 2 of 2

(4) All DD Forms 254 prepared for subcontracts involving access to SCI under this contract must be forwarded to the CM for approval and then to HQ INSCOM, ACS Security, G2, Contractor Support Element (CSE) for review and concurrence prior to award of the subcontract.

(5) The contractor will submit the written request for SCI visit certifications through the CM for approval of the visit. The certification request must arrive at the appropriate Contract Support Detachment (CSD) at least ten (l0) working days prior to the visit.

(6) The Contractor will not reproduce SCI related material without prior written permission of the CM.

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

(8) Electronic processing of SCI requires accreditation of the equipment in accordance with DCID 6/3, DIAM 50-4 and AR 25-2

Note: Check only if item 11 indicates a requirement exists for SCI AIS processing.

(9) This contract requires a contractor Sensitive Compartmented Information Facility (SCIF).

(10) This contract requires ____ (SI) ____ (SI/TK) XXX (SI/TK/HCS/G) Accesses.

(11) The contractor will perform SCI work under this contract at the following locations: All Sensitive Compartmented Information Facilities (SCIF(s)) on Fort Huachuca and at other Government or contract facilities as designated by the CM.

Kenneth Wilson

12 March 2020

SCI Contract Monitor

Solicitation No. _________________________

ATTACHMENT 2, PAGE 1 of 1

CONTROL OF COMPROMISING EMANATIONS (CCEM)

1. The following guidance applies to contractor activities involved in the processing of classified information.

2. Army components will include appropriate compromising emanation control provisions in all contract documents that require the electrical processing of classified information. Processing may result from the operation of communications facilities, AIS facilities, office equipment, and closed-circuit television systems, or may be inherent in the RDT&E or assembly of equipment and systems under contract.

3. Electrical equipment and systems that are to be used for processing classified information and that are being assembled or developed under commercial contract, will be tested to ensure control of compromising emanations. Tests may be made by the Agency responsible for the award of the contract or by a contractor or subcontractor under the supervision of the responsible User Agency.

4. The contractor will provide necessary information concerning electrically operated information processing equipment and facilities when required. This term includes all equipment and facilities used in the preparation, transmission, receipt, storage, or retrieval of classified information. Examples are encryption equipment, automated information systems (AIS); telephones and circuits approved for transmission of classified information, general office equipments, and public address systems. These requirements do not apply to manually operate electric typewriters that do not automatically produce page copy, or that cannot be used to operate other devices.

5. Criteria in the following publications or successor publications govern standards and procedures:

a. CNSSI 7000 (C) TEMPEST Countermeasures for Facilities (U) 1 April 2004

b. AR 381-14 (C) Technical Counterintelligence (U) 30 September 2002

6. Prior to use of the equipment described in paragraph 4 above to process classified information, the contractor will request approval by the User Agency Security Office. This approval may require a satisfactory TEMPEST inspection, based on performance criteria, and will be determined on a case-by-case basis. These requirements are separate and distinct from the system approval requirements of Chapter 8 of the NISPOM.

KENNETH WILSON

12 March 2020

SCI Contract Monitor

DD 254 (9 March 2020)

Solicitation #

Guidance for the Protection of FOR OFFICIAL USE ONLY Information

Attachment 3, Page 1 of 2

1. General. The "FOR OFFICIAL USE ONLY" (FOUO) marking is assigned to information at the time of its creation. It is used to designate official government information that may be withheld from the public under exceptions 2 through 9 of the Freedom of Information Act. Use of the marking does not mean that the information cannot be released to the public, only that it must be reviewed by the government prior to its release to determine whether a significant and legitimate government purpose is served by withholding the information or portions of it.

2. Identification Markings.

a. An unclassified document containing FOUO information will be marked "FOR OFFICIAL USE ONLY" at the bottom of the front cover (if any) on the first page, of each page containing FOUO information, on the back page, and on the outside of the back cover (if any). No portion markings will be shown.

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 is required to be marked with the following statement prior to transfer:

This document contains information EXEMPT FROM MANDATORY DISCLOSURE under FOIA. Exemption 3 applies.

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 possible.

3. Dissemination. "FOR OFFICIAL USE ONLY" information may be disseminated by contractors to their employees and subcontractors who have a need for the information in connection with a designated contract.

4. Storage. During working hours "FOR OFFICIAL USE 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

DD 254 (9 March 2020)

Solicitation #

Guidance for the Protection of FOR OFFICIAL USE ONLY Information

Attachment 3, Page 2 of 2 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 USE ONLY" information may be sent via first class mail or parcel post. Bulky shipments may be sent by Fourth Class Mail.

6. Disposition. When no longer needed. FOUO information may be disposed of by shredding, burning or tearing each copy into pieces, to preclude reconstructing, and placing it is a regular trash container.

7. Unauthorized Disclosure. Unauthorized disclosure of "FOR OFFICIAL USE ONLY" does not constitute a security violation but the contracting officer should be informed of any unauthorized disclosure. The unauthorized disclosure of FOUO information protected by the Privacy Act may result in criminal sanctions.

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:

May 31, 2022 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.)

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)

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 Hide Attachment Bar

CurrentPage:
PageCount:
Classification: Unclassified FOR PLANNING PURPOSES ONLY
SerialNum:
a. Facility clearance level. Select one.: 1
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4
Choose Yes or No: 0
Choose Yes or No: 1
Prime:
Choose Yes or No: 0
Choose Yes or No: 0
Sub:
Choose Yes or No: 1
Choose Yes or No: 0
Soli:
DueDate:
dateA: 2020-03-09
RevisionNum:
dateB:
Final:
dateC:
No: 0
No: 1
No: 0
No: 0
Yes: 1
Yes: 0
Yes: 1
Yes: 1
Enter your name here.: W91RUS-16-C-0006
ReqDated:
Enter your name here.:
Name: Wilson, Lisa A.
Cage:
CSO:
addrow:
Removerow:
Click to delete a row:
Location:

Multiple Locations - SEE ITEM 13 Block9:

Scientific, engineering, technical, administrative, operation, maintenance, and support services necessary for the performance of the requirements set forth in the purchase description and in accordance with priorities established by the Government.

a: 1
a: 1
a: 0
f: 0
f: 1
f: 0
b: 0
b: 0
b: 0
g: 1
g: 1
c: 0
c: 0
c: 0
h: 1
h: 0
d: 0
d: 0
d: 0
i: 0
i: 0
SCI: 1
NonSCI: 1
j: 1
j: 1
k: 1
k: 0
Enter your name here.: SIPRNet & JWICS Access
Enter your name here.: SEE ITEM 13
e: 0
e: 0
l: 1
m: 1
direct: 0
thru: 1
Enter your name here.: Army Contracting Command-APG, Huachuca Division, 2133 Cushing Street, Fort Huachuca, AZ 85613 (520) 538-6327
PublicAuthority: U.S. Army Electronic Proving Ground, 2000 Arizona Street, Fort Huachuca, AZ 85613 (520) 538-4860
AddSig:
RemoveSig:
text: a. Ref: Item 8. Performance will be required at the UA's Fort Huachuca, Aberdeen Proving Ground, Fort Bliss Field Office, and Fort Hood Field Office locations. It may also be required at other areas or locations as required by Government mission requirements.

b. Ref: Item 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.

c. Ref: Item 10e(1).

(1) SCI Access required. No Public Release of information authorized, public disclosure or confirmation of any subject related to this contract is not authorized without first obtaining written approval from the KO. No contractor generated or Government furnished SCI material may be provided to DTIC or DIAC. (see attachment 1)

(2) By virtue of access to SCI material, contractor employees may have placed on them special requirements relating to travel to, or through, hazardous areas as stated in DoD 5105.21.M-1.

d. Ref: Item 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.

e. Ref: Item 10g. Personnel not assigned to North Atlantic Treaty Organization (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. 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 chapter 10, Section 7. Prior approval from the KO is required for subcontracting.

f. Ref: Item 10h. Foreign Government Information (FGI) is not releasable to contractor employees who have not received a FINAL clearance at the appropriate level. Written concurrence of the KO is required prior to subcontracting.

g. Ref: Item 10j. For Controlled Unclassified Information (CUI) and Official Use Only (FOUO) information generated and/or provided under this contract shall be safeguarded as specified in DoD 5200.01, Volume 4, Enclosure 3. (see attachment 3).

h. Ref: Item 10k. Secret Internet Protocol Network (SIPRNET) and Joint Worldwide Intelligence Communications System (JWICS) 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.

i. Ref: Item 11a. Contractor performance is restricted to the UA's Fort Huachuca, Aberdeen Proving Ground, Fort Bliss Field Office, and Fort Hood Field Office locations. It may also be required at other areas or locations as required by Government mission requirements. Government agency or activity will provide security classification guidance for performance of this contract. Submit visit request to the KO and/or Security Management Office (W04YAA for collateral, W04YAA3 for SCI) for need-to-know verification.

j. Ref: Item 11f. Access to classified information outside the continental United States (OCONUS) will be at Government installations or facilities only.

k. Ref: Item 11g. Individuals requiring access will need to submit a DD Form 1540, Registration for Scientific and Technical Information Services through the UA Security Office to the Defense Technical Information Center in accordance with the NISPOM chapter 11.

l. Ref: Item 11j. Contractor will adhere to UA OPSEC SOP in accordance with AR 530-1. Any proposed release of information relating to this contract into the public domain will be forwarded through the UA public affairs and the UA Operations Security (OPSEC) Officer for review prior to release. The term "release" includes, but is not limited to: articles intended for the public media, corporate or company newsletters, contract announcements, advertisements, flyers and brochures, any visual presentation regardless of media or format, engineering and material related to this contract. *(see Item 12).

m. Ref: Item 11l. For Controlled Unclassified Information (CUI) and Official Use Only (FOUO) information generated and/or provided under this contract shall be safeguarded as specified in DoD 5200.01, Volume 4, Enclosure 3. (see attachment 3).

n. Ref: Item 11m. There is no single approved Security Classification Guide (SCG) currently for this contract. Guidance will be provided by the UA for individual projects and tasks as required. Contractor generated classified documents will be marked in accordance with the NISPOM and on instructions from the UA.

o. Ref: Item 11m. Visit Authorization Letters (VAL) are required for contractor personnel working in support of this contract. Visit requests sent by facsimile are to be addressed to USAEPG, 2000 Arizona Street, ATTN: Visitor Control, Fort Huachuca, AZ 85613-7063, and transmitted to (520) 533-8268 or DSN 821-8268. Visit requests may only be sent by unclassified email if encrypted using a Common Access Card (CAC) to usarmy.huachuca.atec.list.epg-visitor-control@mail.mil.

p. Ref: Item 11m. All contractors are required to fulfill the TARP training and reporting requirements identified in AR 381-12.

Click on this button to attach a file(s).:
rep:
Sig:
Enter your name here.: a. The contractor must adhere to all Department of the Army, Army Test & Evaluation Command, Operational Test Command, and EPG regulations, directives, and guidance.

b. This contract may require (based on mission requirements) contractor compliance with User Agency TEMPEST directives.

Enter your name here.: The Communications Support Logistics Activity has exclusive security responsibility for COMSEC classified released to the contractor or developed under the contract.

The U.S. Army Intelligence & Security Command (INSCOM) has exclusive security responsibility for SCI classified information released to the contractor or developed under this contract.

GCAName: Emily Harston
AAC: ACC-APG
Address: (ACC-APG) Huachuca Division

2133 Cushing St. Bldg 61801 Fort Huachuca, Arizona 85670-2748 Address: 2000 Arizona Street

ATTN: TEEP-SS-SI

Fort Huachuca, AZ 85613

POCName: Thomas Burke
Phone: 5205384860
Phone: 5205383534
Email: thomas.f.burke40.civ@mail.mil
Email: lisa.a.wilson72.civ@mail.mil
Title: Industrial Security Representative
Enter the date using the format DD-Mon-YYYY: 20200325

File details come from the government source that posted it. Updated .