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Fillable Printable Department of Defense Security Agreement

Fillable Printable Department of Defense Security Agreement

Department of Defense Security Agreement

Department of Defense Security Agreement

DEPARTMENT OF DEFENSE
SECURITY AGREEMENT
OMB No. 0704-0194
OMB approval expires
May 31, 2011
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. SEND THE COMPLETED FORM TO YOUR DESIGNATED SECURITY OFFICE.
This DEPARTMENT OF DEFENSE SECURITY AGREEMENT (hereinafter called the Agreement), entered into this day of
by and between THE UNITED STATES OF AMERICA through the Defense Security Service
acting for the Department of Defense and other governmental User Agencies (hereinafter called the Government), and
(hereinafter called the Contractor), which is:
(1) a
(2) a partnership consisting of
(3) an individual trading as
with its principal office and place of business at (Street, City, State and ZIP Code)
WITNESSETH THAT:
WHEREAS, the Government has in the past purchased or may in
the future purchase from the Contractor supplies or services, which
are required and necessary to the national security of the United
States; or may invite bids or request quotations on proposed
contracts for the purchase of supplies or services, which are
required and necessary to the national security of the United States;
and
WHEREAS, it is essential that certain security measures be
taken by the Contractor prior to and after being accorded access to
classified information; and
WHEREAS, the parties desire to define and set forth the
precautions and specific safeguards to be taken by the Contractor
and the Government in order to preserve and maintain the security
of the United States through the prevention of improper disclosure of
classified information, sabotage, or any other acts detrimental to the
security of the United States;
NOW, THEREFORE, in consideration of the foregoing and of the
mutual promises herein contained, the parties hereto agree as
follows.
Section I - SECURITY CONTROLS
(A) The Contractor agrees to provide and maintain a system of
security controls within the organization in accordance with the
requirements of the "National Industrial Security Program Operating
Manual," DoD 5220.22-M (hereinafter called the Manual) attached
hereto and made a part of this agreement, subject, however, (i) to
any revisions of the Manual required by the demands of national
security as determined by the Government, notice of which shall be
furnished to the Contractor, and (ii) to mutual agreements entered
into by the parties in order to adapt the Manual to the Contractor's
business and necessary procedures thereunder.
(B) The Government agrees that it shall indicate when necessary, by
security classification (TOP SECRET, SECRET, or CONFIDENTIAL),
the degree of importance to the national security of information
pertaining to supplies, services, and other matters to be furnished by
the Contractor to the Government or by the Government to the
Contractor, and the Government shall give written notice of such
security classification to the Contractor and of any subsequent
changes thereof; provided, however, that matters requiring security
classification will be assigned the least restricted security classification
consistent with proper safeguarding of the matter concerned, since
overclassification causes unnecessary operational delays and
depreciates the importance of correctly classified matter. Further, the
Government agrees that when Atomic Energy information is involved it
will, when necessary, indicate by a marking additional to the
classification marking that the information is "RESTRICTED DATA."
The "Department of Defense Contract Security Classification
Specification" (DD Form 254) is the basic document by which
classification, regrading, and declassification specifications are
documented and conveyed to the Contractor.
(C) The Government agrees, on written application, to grant
personnel security clearances to eligible employees of the Contractor
who require access to information classified TOP SECRET, SECRET,
or CONFIDENTIAL.
(D) The Contractor agrees to determine that any subcontractor,
subbidder, individual, or organization proposed for the furnishing of
supplies or services which will involve access to classified information,
has been granted an appropriate facility security clearance, which is
still in effect prior to according access to such classified information.
Section II - SECURITY REVIEWS
Designated representatives of the Government responsible for
reviews pertaining to industrial plant security shall have the right to
review, at reasonable intervals, the procedures, methods, and facilities
utilized by the Contractor in complying with the requirements of the
terms and conditions of the Manual. Should the Government, through
its authorized representative, determine that the Contractor's security
methods, procedures, or facilities do not comply with such
requirements, it shall submit a written report to the Contractor advising
of the deficiencies.
DD FORM 441, MAY 2008
PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7.0
.
The public reporting burden for this collection of information is estimated to average 14 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, Executive Services Directorate, Information Management Division, 1155 Defense
Pentagon, Washington, DC 20301-1155 (0704-0194). 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.
organized and existing under the laws of the state of
,
(Enter type of business entity, e.g., Corporation, Limited Liability Company, etc.)
DD FORM 441 (BACK), MAY 2008
Section III - MODIFICATION
Modification of this Agreement may be made only by written
agreement of the parties hereto. The Manual may be modified in
accordance with Section I of this Agreement.
Section IV - TERMINATION
This Agreement shall remain in effect until terminated through the
giving of 30 days' written notice to the other party of intention to
terminate; provided, however, notwithstanding any such termination,
the terms and conditions of this Agreement shall continue in effect
so long as the Contractor possesses classified information.
Section V - PRIOR SECURITY AGREEMENTS
As of the date hereof, this Agreement replaces and succeeds any
and all prior security or secrecy agreements, understandings, and
representations, with respect to the subject matter included herein,
entered into between the Contractor and the Government; provided,
that the term "security or secrecy agreements, understandings, and
representations: shall not include agreements, understandings, and
representations contained in contracts for the furnishing of supplies or
services to the Government which were previously entered into
between the Contractor and the Government.
Section VI - SECURITY COSTS
This Agreement does not obligate Government funds, and the
Government shall not be liable for any costs or claims of the
Contractor arising out of this Agreement or instructions issued
hereunder. It is recognized, however, that the parties may provide in
other written contracts for security costs, which may be properly
chargeable thereto.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year written above:
THE UNITED STATES OF AMERICA
By
(Signature of Authorized Government Representative)
(Typed Name of Authorized Government Agency)
By
(Title of Authorized Contractor Representative)
(Contractor Address)
(Contractor Address)
WITNESS
NOTE: In case of a corporation, a witness is not required but the
certificate must be completed. Type or print names under all
signatures.
NOTE: Contractor, if a corporation, should cause the following certificate to be executed under its corporate seal, provided that the same officer
shall not execute both the Agreement and the Certificate.
CERTIFICATE
I, , certify that I am the
of the corporation named as Contractor herein; that
who signed this Agreement on behalf of the Contractor, was then
of said corporation; that said Agreement was duly signed for and in behalf of said corporation by authority of its governing body, and is within the
scope of its corporate powers.
(Corporate Seal)
(Signature and Date)
(Typed Name of Authorized Government Representative)
(Typed Name of Contractor Entering Agreement)
(Signature of Authorized Contractor Representative)
(Typed Name of Authorized Contractor Representative)
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