DD-254_bldg_3350_site_prep_v1.pdf

DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

a. FACILITY CLEARANCE REQUIRED

TOP SECRET

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

b. LEVEL OF SAFEGUARDING REQUIRED

None

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

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases)

Date (YYMMDD)

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs) Revision No.

Date (YYMMDD)

X

c. SOLICITATION OR OTHER NUMBER

TBD

DUE Date (YYMMDD)

c. FINAL (Complete Item 5 in all cases) Date (YYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? YES NO. If Yes, complete the following:

Classified material received or generated under ______________ is transferred to this follow-on contract

5. IS THIS FINAL DD Form 254? YES X NO. If Yes, complete the following:

In response to the contractor’s requested 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) Defense Security Service (IOFXXX)

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE

N/A

8. ACTUAL PERFORMANCE

a. LOCATION

See Block 13

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform site preparation and cleanup of rooms 102, 111, and 111A in building 3350

10. CONTRACTOR WILL REQUIRE ACCESS TO: YES No 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

X

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY X

b. RESTRICTED DATA

X

b. RECEIVE CLASSIFIED DOCUMENTS ONLY

X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

X

c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

X

d. FORMERLY RESTRICTED DATA

X

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. INTELLIGENCE INFORMATION

e. PERFORM SERVICES ONLY

(1) Sensitive Compartmented Information (SCI)

X

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

PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES X

(2) Non-SCI

X

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL

INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION

CENTER

X

f. SPECIAL ACCESS INFORMATION

X

h. REQUIRE A COMSEC ACCOUNT

X

g. NATO INFORMATION

X

I. HAVE TEMPEST REQUIREMENTS

X

h. FOREIGN GOVERNMENT INFORMATION

X

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

X

I. LIMITED DISSEMINATION INFORMATION

X

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

X

j. FOR OFFICIAL USE ONLY INFORMATION x I. OTHER (Specify)

See Block 13 X k. OTHER (Specify)

DoDI 8582.01 Requirements x

DD FORM 254, DEC 1999 PREVIOUS EDITIONS ARE OBSOLETE

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 Government authority. Proposed public releases shall be submitted for approval prior to release

Direct X Through (Specify): The Contracting Officer Representative (TBD)

NO PUBLIC RELEASE OF SCI IS AUTHORIZED. Requests for other than SCI must be approved through the COR and appropriate channels prior to release.

13. SECURITY GUIDANCE. The security classification guidance 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 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. Baseline Security Classification Guidance (SCG): DoD Instruction C-5240.08, 28 November 2011.

All applicable provisions of DoD 5220.22M and its supplements apply.

The Contractor is required to have a Top Secret Facility clearance granted by Defense Security Service (DSS) prior to contract implementation and maintain that clearance during the life of the contract.

See attached Security Addendums

CONSENT TO SUBCONTRACT RESTRICTION

All security requirements levied upon the prime contractor and/or otherwise associated with this contract shall immediately be flowed down from the prime contractor to any subcontractor (or from subcontractor to a lower tier subcontractor), regardless of the scope of any such participation should it require access to classified information or unescorted access to controlled space where classified information (regardless of media) and/or hardware is open-stored, generated or otherwise accessible. Escorted access is defined as being under the visual control of appropriately cleared personnel with the requisite need-to-know. Subcontractors are expressly not authorized to participate in this contract unless and until such time the DIA Contracting Officer in coordination with the Office of Security attn: Chief, Industrial Security has expressly consented in writing to the participation of any such participant. As verification, the prime contractor will forward copies of all sub-contract DD254s to the DIA Industrial Security Team. These will be signed in a signature-line, Block 13, and then returned to the prime contractor’s Facility Security Officer (FSO) for their signature and distribution.

8a. /11a. Contract performance and access to classified material is restricted to (if Block 11a. is marked “No” enter name and address of contractor facility, and SCIF ID # (if applicable) and DIA or other U.S. Government controlled facilities. The using contractor or U.S. Government activity will provide security classification guidance for the performance of this contract.

The contractor Facility Security Officer (FSO) on file with DSS is: (TBD) If this information is not correct, the contractor must contact the

DSS Field Office identified in Block 6, and update contractor information as applicable.

See Block 13 Continuation

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. (If Yes, X Yes No Identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement, which identi fies the additional requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed.)

Access to intelligence information requires a special briefing and a FINAL U.S. Government clearance at appropriate level for access. Foreign nationals are prohibited from access to any classified information unless sanctioned by an international or cooperative program agreement.

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, identify specific areas or Yes X No elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

16 b. 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 e referred to the official named below

a. TYPED NAME OF CERTIFYING OFFICIAL

Deborah Pearce

b. TITLE

Security Specialist

c. TELEPHONE

(703) 735-1533

d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION

DIA/SEC1 (Industrial Security Program) 12300 Sunrise Valley Drive Reston, VA 20190

X

a. CONTRACTOR

b. SUBCONTRACTOR

X c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

X

e. ADMINISTRATION CONTRACTING OFFICER

X f. DIA Security Office

DD FORM 254, DEC 1999 (BACK)