03 DD254 Draft.pdf

PDF 72 KB Posted Nov 10, 2022

Attached to: TICMS - Software Support & Development Solicitation Federal contract opportunity
Solicitation number: FA821322R3038
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

About this file

Written by GovTribe AI · Dec 28, 2023

This document is a Department of Defense Contract Security Classification Specification (DD Form 254) for a firm fixed price performance-based contract awarded by the Air Force Materiel Command Lifecycle Management Center. The contract is for proprietary software configuration support from One Network Enterprises Inc. to develop and configure existing munitions storage and accounting software and applications for the Theater Integrated Combat Munitions System. Work will be performed at One Network Enterprises' facility and Hill Air Force Base over a one-year base period and three one-year options. The contractor will require access to controlled unclassified information and perform operations security activities in accordance with Department of Defense and Air Force requirements.

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File	Type	Posted
02 CDRLS - EXHIBIT A.pdf	PDF	Nov 10, 2022
01 PWS.pdf	PDF	Nov 10, 2022
04 Example RFP Template.xlsx	XLSX spreadsheet	Nov 10, 2022
01 FA821322R3038_Solicitation_10 NOV 2022.pdf	PDF	Nov 10, 2022

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

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:

June 30, 2025 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" Show Attachment Bar

CurrentPage:

PageCount:

Select classification from drop-down list.: CUI

Enter serial number.:

a. Facility clearance level. Select one.: 2

b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4

Select for "original.": 0

Select for "original.": 1

Enter prime contract number.:

Select for "revised.": 0

Enter subcontract number.:

Select for "final.": 1

Select for "final.": 0

Enter solicitation or other number.: FA821322R3038

Enter due date in format YYYYMMDD.:

Enter date in format YYYYMMDD.:

Enter revision number.:

Enter date in format YYYYMMDD.:

Enter final specification.:

Enter date in format YYYYMMDD.:

Select for "no.": 0

Select for "yes.": 0

Select for "yes.": 1

Select for "yes.": 0

Enter preceding contract number.:

Enter contractor's request date in format YYYYMMDD.:

Enter period.:

Enter typed name of certifying official (last, first, middle initial).: ONE Network Enterprises

4055 Valley View Lane Suite 1000 Dallax, TX 75244

Enter typed name of certifying official (last, first, middle initial).: N/A

Enter CAGE code of the prime contractor.: 4A0J3

Enter CAGE code of the prime contractor.: N/A

Enter CAGE code of the prime contractor.: 4A0J3

Enter CAGE code of the prime contractor.: N/A

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: DCSA

IRVING FIELD OFFICE

2250 JOHN CARPENTER FRWY SUITE 450

IRVING, TX 75063

469-329-6367

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: N/A

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: Gary Hahn, FSO

4055 Valley View Lane Suite 1000 Dallas, TX 75244

(972) 455-3565 Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 75 ABW/IPD 7981 Georgia Street, Building 1102 Hill AFB UT 84056 801-777-7811 75ABW.IPD@us.af.mil

Select to add row to locations.:

Select to remove last row from locations.:

Select to delete all signatures.:

Enter location(s).: ONE Network Enterprises

4055 Valley View Lane Suite 1000 Dallas, TX 75244 Enter location(s).: AFLCMC/EBHMC 6043 Elm Lane, Bldg., 1246 Hill AFB, UT 84056

SECRET

Enter general unclassified description of this procurement.: Award of a Firm Fixed Price (FFP) performance-based contract for proprietary software configuration support from One Network Enterprises Inc (ONE). The Theater Integrated Combat Munitions System (TICMS) has a requirement to continue the use of ONE to continue to develop and configure already existing munitions storage and accounting software and applications as well as utilize ONE system experts. ONE is the only entity that can configure the proprietary software for this Commercial Off the Shelf (COTS) product for USAF Munitions Management personnel at the Global Ammunition Control Point (GACP) at Hill AFB UT. Within the life of this contract action the contractor will be required to develop in both classified and unclassified environments. All classified development must occur at Hill AFB UT as is reflected in this form and unclassified development may occur at ONE's facility.

Select for "a. CONTRACTOR.": 0

Select for "a. CONTRACTOR.": 1

Select for "a. CONTRACTOR.": 0

Select for "f. OTHER AS NECESSARY.": 0

Select for "f. OTHER AS NECESSARY.": 1

Select for "b. SUBCONTRACTOR.": 1

Select for "b. SUBCONTRACTOR.": 0

Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0

Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0

Select for "h. REQUIRE A COMSEC ACCOUNT.": 0

Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1

Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0

Select for "i. HAVE A TEMPEST REQUIREMENT.": 0

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0

Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1

Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1

Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0

Enter infomration for "other.": NATO AWARENESS BRIEF FOR SIPRNET ACCESS ONLY AT US GOVERNMENT LOCATIONS/HILL AFB

Enter infomration for "other.": Comply with AFFARS clause 5352.204-9000 and DFARS Subpart 204.73, see attached.

Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0

Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1

Select for "m.OTHER.": 1

Select for "direct.": 0

Select for ": 1

Enter specification for "through".: 75 ABW Public Affairs Office, 7981 Georgia Street, Hill AFB, UT 84056 (801-777-5201)

Enter public release authority.: AFIMSC, Public Affairs (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330- 1690

Select to add signature.:

Select to remove last signature.:

text: a. Program Manager: Damion T. Englen, GS-13,AFLCMC/EBHMC, Duty Phone: 801-777-5093, DSN 777-5093

b. AFLCMC/EBH Security Manager: Andrea Slaga, NH-03, AFLCMC/EBH, 801-777-8973, DSN 777-8973

c. Collateral COR: Damion T Englen, AFLCMC/EBHMC, 801-777-5093, DSN 777-5093

d. DD FM 254 Review on "Annually after issuance" The Contract Security Classification Specification Guidance Review will be performed by the program manager.

e. Ref 10.b: The contractor is permitted access to RESTRICTED DATA (RD) in performance of this contract. Access to RD requires a final U.S. Government clearance at the appropriate level.

f. Ref. 10.d.: The contractor is permitted access to FORMERLY RESTRICTED DATA (FRD) in performance of this contract. Access to FRD requires a final U.S. Government clearance at the appropriate level.

g. Ref. 10.j.: CUI information provided under this contract shall be safeguarded as specified in DoD Instruction 5200.48, DoD Information Security Program: Controlled Unclassified Information (CUI).

h. Ref 10.k.: The contractor is permitted access to the Secret Internet Protocol Router Network (SIPRNet). Actual knowledge, generation, or production of NATO information is not required for performance on this contract; however, a NATO awareness briefing will be completed prior to granting access to the SIPRNet.

i. Ref. 11.a.: Contract performance is restricted to locations identified in Items 8.a. - 8.c. Contractor will abide by the following security classification guidance: (Insert applicable SCGs complete title, date, all changes, and dates). Security classification guidance has been provided and is available at this location for performance on the contract.

j. Ref 11.l. In accordance with DFARS Subpart 252.204-7012, contractors and subcontractors will safeguard covered defense information that resides in or transits through contractor information systems by applying specified network security controls, and will report cyber incidents. Contractors are prohibited from releasing unclassified information to the public without approval of the contracting activity.

k. Ref 11.m. The contractor is designated as a (Choose one: Intermittent; Integrated or Independent) Visitor Group and will adhere to the Hill AFB Visitor Group Security Addendum attached in Item 13 while performing on Hill AFB, and will request installation specific security policies from the Servicing Security Activities listed in Item 15 “Ref: 8.a”, at least 30 days prior to beginning operations.

Ref Item 18f (Distribution):

AFLCMC/EBH, EBH Security, Ms. Andrea L. Slaga, Hill AFB, DSN 777-8973, andrea.slaga.2@us.af.mil 75 ABW/IPD, Industrial Security, Mr. Steven Nutt, Hill AFB, DSN 586-1204, steven.nutt.2@us.af.mil COMSEC, 75 ABW/SCXS, Hill AFB, DSN 777-0362,

Click on this button to attach a file(s).:

rep: DAMION T. ENGLEN, CIV

PROGRAM MANAGER, AFLCMC/EBHMC

Enter signature.:

Explain and identify specific areas and government activity responsible for inspections.: Ref 11.j. The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Hill AFB, and AFLCMC/EBH Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced in attachment within Item 13.

Enter GCA name.:

Enter AAC of the contracting office.:

Enter address (include zip code).:

Enter POC name.:

Enter telephone number (include area code).:

Enter email address.:

Enter title.:

Enter the datesigned in format YYYYMMDD.:

File details come from the government source that posted it. Updated Nov 10, 2022.