2. DD 254 Contract Security Classification Specification_Misawa CST.pdf
PDF 318 KB Posted
- Attached to
- Misawa Construction Surveillance Technician (CST) Service Federal contract opportunity
- Solicitation number
- FA520525Q0010
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 6. iFortress Construction Prelimanry Schedule.pdf | ||
| Solicitation Amendment FA520525Q00100002 SF 30.pdf | ||
| 1. Misawa Construction Surveillance Technician PWS-Aug 2025_Updated 28 Aug.pdf | ||
| Misawa CST Services - RFQ FA520525Q0010_Questions _ Answers.xlsx | XLSX spreadsheet | |
| 5. Pricing Sheet.xlsx | XLSX spreadsheet | |
| Solicitation Amendment FA520525Q00100001 SF 30.pdf | ||
| 1. Misawa Construction Surveillance Technician PWS-Aug 2025.pdf | ||
| Solicitation - FA520525Q0010.pdf | ||
| 3. DD 254 Instructions.pdf | ||
| 4. DCSA_Field_Office_Locations.pdf |
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Attachment: 2 of 3 for DD Form 254
RELEASE OF NON-SENSITIVE COMPARTMENTED INFORMATION (NON-SCI) INTELLIGENCE
INFORMATION TO US CONTRACTORS
1. Requirements for access to non-SCI:
a. All intelligence material released to the contractor remains the property of the U.S. Government and may be withdrawn at any time. Contractors must maintain accountability for all classified intelligence released into their custody.
b. The contractor must not reproduce intelligence material without the written permission of the originating agency through the Government Program/Project Manager to the Intelligence Support Office.
If permission is granted, each copy shall be controlled in the same manner as the original.
c. The contractor must not destroy any intelligence material without advance approval or as specified by the Government Program/Project Manager. (EXCEPTION: Classified waste shall be destroyed as soon as practicable in accordance with the provisions of the Industrial Security Program).
d. The contractor must restrict access to only those individuals who possess the necessary security clearance and who are actually providing services under the contract with a valid need to know. Further dissemination to other contractors, subcontractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the originating agency through the Government Program/Project Manager.
e. The contractor must ensure each employee having access to intelligence material is fully aware of the special security requirements for this material and shall maintain records in a manner that will permit the contractor to furnish, on demand, the names of individuals who have had access to this material in their custody.
f. Intelligence material must not be released to foreign nationals or immigrant aliens whether they are consultants, US contractors, or employees of the contractor and regardless of the level of their security clearance, except with advance written permission from the originator. Requests for release to foreign nationals shall be initially forwarded to the Government Program/Project Manager and shall include:
(1) A copy of the proposed disclosure.
(2) Full justification reflecting the benefits to US interests.
(3) Name, nationality, particulars of clearance, and current access authorization of each proposed foreign national recipient.
g. Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified intelligence (furnished or generated) to the source from which received unless retention or other disposition instructions (see AFMAN 37-139) are authorized in writing by the Government Program/Project Manager.
h. The contractor must designate an individual who is working on the contract as custodian. The designated custodian shall be responsible for receipting and accounting for all classified intelligence material received under this contract. This does not mean that the custodian must personally sign for all classified material. The inner wrapper of all classified material dispatched should be marked for the attention of a designated custodian and must not be opened by anyone not working directly on the contract.
i. Within 30 days after the final product is received and accepted by the procuring agency, classified intelligence materials released to or generated by the contractor, must be returned to the originating agency through the Government Program/Project Manager unless written instructions authorizing
Attachment: 3 of 4 for DD Form 254 destruction or retention are issued. Requests to retain material shall be directed to the Government Program/Project Manager for this contract in writing and must clearly indicate the justification for retention and identity of the specific documents to be retained.
j. Classification, regrading, or declassification markings of documentation produced by the contractor shall be consistent with that applied to the information from which the new document was prepared. If a compilation of information or a complete analysis of a subject appears to require a security classification other than that of the source documentation, the contractor shall assign the tentative security classification and request instructions from the Government Program/Project Manager. Pending final determination, the material shall be safeguarded as required for its assigned or proposed classification, whichever is higher, until the classification is changed or otherwise verified.
2. Intelligence material carries special markings. The following is a list of the authorized control markings of intelligence material:
“Dissemination and Extraction of Information Controlled by Originator (ORCON).” This marking is used, with a security classification, to enable a continuing knowledge and supervision by the originator of the use made of the information involved. This marking may be used on intelligence which clearly identifies, or would reasonably permit ready identification of an intelligence source or method which is particularly susceptible to countermeasures that would nullify or measurably reduce its effectiveness. This marking may not be used when an item or information will reasonably be protected by use of other markings specified herein, or by the application of the “need-to-know” principle and the safeguarding procedures of the security classification system.
“Authorized for Release to (Name of Country(ies)/International Organization).” This is abbreviated “REL _____.” This marking must be used when it is necessary to identify classified intelligence material the US government originator has predetermined to be releasable or has been released through established foreign disclosure channels to the indicated country(ies) or organization.
3. The following procedures govern the use of control markings.
a. Any recipient desiring to use intelligence in a manner contrary to restrictions established by the control marking set forth above shall obtain the advance permission of the originating agency through the Government Program/Project Manager. Such permission applies only to the specific purposes agreed to by the originator and does not automatically apply to all recipients. Originators shall ensure that prompt consideration is given to recipients’ requests in these regards, with particular attention to reviewing and editing, if necessary, sanitized or paraphrased versions to derive a text suitable for release subject to lesser or no control markings.
b. The control marking authorized above shall be shown on the title page, front cover and other applicable pages of documents, incorporated in the text of electrical communications, shown on graphics, and associated (in full or abbreviated form) with data stored or processed in automatic data processing systems. The control marking also shall be indicated by the parenthetical use of the marking abbreviations at the beginning or end of the appropriate portions. If the control marking applies to several or all portions, the document must be marked with a statement to this effect rather than marking each portion individually.
c. The control markings shall be individually assigned at the time of preparation of intelligence products and used in conjunction with security classifications and other marking specified by the E.O. 12958 and its implementing security directive. The marking shall be carried forward to any new format in which the same information is incorporated including oral and visual presentations.
d. Request for release of intelligence material to a contractor must be prepared by the Government Program/Project Manager and submitted to the Intelligence Support Office. This should be accomplished as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirements and copies of the DD Form 254 and Statement of Work.
Addendum 3 of 3 to DD Form 254
OPERATION SECURITY (OPSEC) ADDENDUM
1. This section outlines the requirements and procedures necessary for contractors to provide Operations Security (OPSEC) protection for PACAF's critical information.
2. OPSEC is the process of identifying, analyzing and controlling critical information indicating friendly actions attendant to military operations and other activities to:
a. Identify those actions that can be observed by adversary intelligence systems.
b. Determine what indicators adversary intelligence systems might obtain that could be interpret or pieced together to derive critical information in time to be useful to adversaries.
c. Select and execute countermeasures that eliminate or reduce to an acceptable level the vulnerabilities of friendly actions to adversary exploitation.
3. OPSEC principles are used to help assigned personnel:
a. Maintain a continuing awareness of adversary interest in SOF actions and adversary intelligence collection capabilities.
b. To understand the need to identify and protect classified and unclassified indicators that reveal sensitive information.
c. To evaluate the effectiveness of OPSEC measures taken to preclude or reduce adversary acquisition and exploitation of sensitive information.
4. Objectives are to:
a. Protect planned operational activities by preventing the inadvertent disclosure of unclassified information relating to or revealing a possible classified operation.
b. To preserve secrecy concerning specific scenario events and a PACAF response to these events.
c. To identify OPSEC vulnerabilities and recommend protective measures which will serve to enhance the security of future operations.
5. PACAF employed contractors will be provided unit-specific OPSEC education training by the assigned unit/ directorate's OPSEC program manager/coordinator on the unit/directorate's OPSEC requirements before being given full access to or around a PACAF installation, organization, facility or information, but not more than 30 days prior to initial access. Individual training will be developed and applied as required by the level of contact with PACAF critical information.
6. The contractor shall provide operation security (OPSEC) protection for all sensitive and/or critical information as defined by DoD 5205.2 and the Air Force Instruction (AFI) 10-701 and all applicable supplements.
7. The contractor shall describe the steps necessary to protect sensitive and/or critical information. The OPSEC Program Manager will evaluate the OPSEC posture of the contract activities and operations.
8. The contractor is required to follow the provisions of the organizations pre-existing OPSEC Plan. A copy of the plan (or relevant portions thereof) and the approved Critical Information List (CIL) will be provided to assigned contractors upon inprocessing so that the contractor is aware of the critical information to be protected and the OPSEC measures expected during contract performance.
9. In the event the Government agency does not require compliance with a tailored written OPSEC plan, these OPSEC measures have been prescribed:
a. Annual contractor employee OPSEC awareness briefings
b. Approval of all press releases via proper government channel prior to release.
c. Shredding of paper waste that contain critical information or may be indicators thereof
Addendum 4 of 4 to DD Form 254
d. Report/notification of any newly identified critical information, change in personnel or environmental threat or vulnerability to government agency.
10) Additional guidance and discussion of OPSEC contents may be found at www.ioss.gov/Library Resources/ Operations Security Joint Publication 3-13.3.
Attachment: 1 of 3 for DD Form 254
CONTROLLED UNCLASSIFIED INFORMATION ADDENDUM
General: There are types of information that are not classified but require application of access and distribution controls and protective measures developed for DoD Controlled Unclassified Information for a variety of reasons. The types of CUI identified for the program are For Official Use Only (FOUO), Law Enforcement Sensitive (LES), DoD Unclassified Controlled Nuclear Information (DoD UCNI), and LIMITED DISTRIBUTION as well as some of those developed by other Executive Branch agencies of the U.S. Government and technical data described below as well as protective measures for CUI material.
For Official Use Only (FOUO) Information Description: Is a Government protective marking/caveat designation applied to unclassified information that may be exempt from mandatory release to the public because of foreseeable harm to an interest protected by the Freedom of Information Act (FOIA), as implemented by DoD 5400.7-R and/or the Privacy Act of 1974, as amended.
Law Enforcement Sensitive (LES): A marking sometimes applied, in addition to the marking “FOR OFFICIAL USE ONLY,” by the Department of Justice and other activities in the law enforcement community, including those within the Department of Defense to denote that the information was compiled for law enforcement purposes and should be afforded security in order to protect certain legitimate government interests. Procedures can be found in DoDM 5200.01-V4, Enclosure 3.
DoD Unclassified Controlled Nuclear Information (DoD UCNI): Unclassified information on security measures (including security plans, procedures, and equipment) for the physical protection of DoD Special Nuclear Material (SNM), SNM equipment, SNM facilities, or nuclear weapons in DoD custody.
Information is designated DoD UCNI in accordance with DoDD 5210.83.
LIMITED DISTRIBUTION: Caveat used by the National Geospatial-Intelligence Agency (NGA) to identify a select group of sensitive, unclassified imagery or geospatial information and data created or distributed by NGA or information, data, and products derived from such information. DoDI 5030.59 contains details of policies and procedures.
Technical Data Description: Any recorded information related to experimental, developmental, or engineering works that can be used to define an engineering or manufacturing process, or can be used to design, procure, produce, support, maintain, operate, repair, or overhaul program material. The data may be graphic or pictorial delineations in media (e.g., computer software, drawings, photographs, etc.), text in specifications, related performance or design documents, or computer printouts. Examples of technical data include research and engineering data, engineering drawings, and associated lists, specifications, standards, process sheets, manuals, technical reports, catalog-item identifications, related information, and computer software documentation. The DoD Scientific and Technical Information Program (see DoDI 3200.12.).
CUI Markings: Prescribed marking of CUI documents will be in accordance with DoDM 5200.01-Vol 4.
CUI may also be identified in security classification guides to ensure the information receives appropriate protection.
Access: CUI may be released to an individual who has a valid need for such access within the scope of their assigned duties, furthering the accomplishment of a lawful and authorized government purpose and would not be detrimental to the interests of the DoD or U.S. Government. Information in any media format will be disseminated on a need-to-know basis. This restricts the use or dissemination of CUI data to those with direct affiliation with the given program/project to conduct official business for the DoD, provided that dissemination is consistent with any further controls imposed by a distribution statement. Personnel no longer requiring access to CUI must surrender any information in their possession to the program lead, who will take action to terminate further access.
Attachment: 1 of 4 for DD Form 254
Storing and Handling: During working hours, take reasonable steps to minimize the risk of access to CUI by unauthorized personnel (e.g., not reading, discussing, leaving FOUO information unattended where unauthorized personnel are present or display CUI in public places to include the internet). After working hours, store CUI information in locked desks, file cabinets, bookcases, locked rooms, locked/controlled e-files or similar means to prevent theft of program information. Computers used to process CUI do not need to be accredited for classified use. Do not process CUI on public computers (e.g., those available to the public in kiosks, hotels, café’s, etc.) or computers that do not have Public Key Infrastructure (PKI) access controls. Personally owned computers are not authorized to process CUI.
Authorized electronic devices provided by the government agency (e.g., laptops, cell phone) used to store CUI must be physically protected and use NIST/NIAP-approved cryptographic products, e.g., DoD approved PKI Certification available at http://iase.disa.mil/pki/eca or http://csrc.nist.gov/cryptval/, which require encryption passcodes to teleconferences/web conferences where CUI may be discussed.
Dissemination: CUI printed documents and material may be transmitted through mail channels or hand-carried without formal courier orders. CUI information may be disseminated to DoD personnel and DoD contractors to conduct official business for the program. If dissemination is required outside of DoD channels contact the program lead, contracting officer, and security manager for approval. Release of technical data will follow the release instructions identified in the distribution statement. Use secure communications whenever available for discussions involving CUI. Send voice and facsimile transmissions only when authorized recipients have acknowledged positive control measures are in place to receive the information.
Destruction: CUI documents shall be disposed of according to provisions of EO 13556, CUI; DoDM
5200.01 Vol 4, DoD Information Security Program CUI; AFI 33-332. Component records management directives. Non-record FOUO documents may be destroyed by any methods that prevents compromise, e.g., tearing, burning, or shredding of the means approved for the destruction of classified information or by any other means that would make it difficult to recognize or reconstruct the information.
Reporting: Report any loss or unauthorized attempt to gain access to CUI information to the organization’s security manager immediately, but no later than the end of the first duty day. If additional information is required after initial notification, guidance will be provided at that time.
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 36 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: |
| Classification (when form is filled in) (automatically filled from previous drop-down list): Unclassified |
| Serial Number: |
| 1. CLEARANCE AND SAFEGUARDING - a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED |
(See Instructions) - Select from drop-down list: 1
| 1. CLEARANCE AND SAFEGUARDING - b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL REQUIRED AT CONTRACTOR FACILITY - select from drop-down list: 0 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "a. ORIGINAL (Complete date in all cases.) ": 0 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "a. ORIGINAL (Complete date in all cases.) ": 0 |
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - a. PRIME CONTRACT NUMBER (See instructions.): |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "b. REVISED (Supersedes all previous specifications.)": 0 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "b. REVISED (Supersedes all previous specifications.)": 0 |
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - b. SUBCONTRACT NUMBER: |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "c. FINAL (Complete Item 5 in all cases.)": 1 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "c. FINAL (Complete Item 5 in all cases.)": 0 |
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - c. SOLICITATION OR OTHER NUMBER: FA520525QB089 |
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - c. SOLICITATION OR OTHER NUMBER - DUE DATE (YYYYMMDD): |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - a. ORIGINAL (Complete date in all cases.) : |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - b. REVISED (Supersedes all previous specifications.) - REVISION NUMBER: |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - b. REVISED (Supersedes all previous specifications.) - DATE (YYYYMMDD): |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - c. FINAL (Complete Item 5 in all cases.): |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - c. FINAL (Complete Item 5 in all cases.) - DATE (YYYYMMDD): |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 0 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 1 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 0 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 0 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 1 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 0 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 1 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 1 |
| 4. IS THIS A FOLLOW-ON CONTRACT? - If yes - Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract. - Enter preceding contract number.: FA5205-20-C-0008 |
| 5. IS THIS A FINAL DD FORM 254? - In response to the contractor's request dated (date), retention of the classified material is authorized for the period of (period) - Enter contractor's request date in format YYYYMMDD.: |
| E5. IS THIS A FINAL DD FORM 254? - In response to the contractor's request dated (date), retention of the classified material is authorized for the period of - Enter period.: |
| 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. - a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions): Misawa Construction Surveillance Technician Services |
Misawa, Japan
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): NA |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): |
| 8. ACTUAL PERFORMANCE (Click button to add more locations.) - Select to add row : |
| 8. ACTUAL PERFORMANCE - Select to remove last row: |
| 13. SECURITY GUIDANCE - Select to delete all signature rows: |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): |
| Enter general unclassified description of this procurement.: |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0 |
| 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.) - Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| 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.) - Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| 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.) - Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| 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.) - Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| 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.) - Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| 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.) - Select for "i. HAVE A TEMPEST REQUIREMENT.": 1 |
| 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: Select for "(1) Sensitive Compartmented Information (SCI).": 0 |
| 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: Select for "(2) Non-SCI.": 1 |
| 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.) - Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| 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.) - Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| 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.) - Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| 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.) - Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Enter specification for "other." (If more room is needed, continue in Item 13 or on additional page if necessary.): |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| 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.) - Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI)." (DoD Components: refer to DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.): 1 |
| 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.) - Select for "m. OTHER.": 0 |
| 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) - Select for "DIRECT": 0 |
| 12. PUBLIC RELEASE - Select for "THROUGH": 1 |
| 12. PUBLIC RELEASE - Enter specification for "through".: |
| 12. PUBLIC RELEASE - Public Release Authority:: 35 FW/PA 315 226-3075 |
| 13. SECURITY GUIDANCE - Select to add signature row: |
| 13. SECURITY GUIDANCE - Select to remove last signature row: |
| 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.): The 35 FW Information Protection Office is the Servicing Security Activity for this contract.
CUI information provided under this contract shall be safeguarded as specified in the Classification Guide: The highest level of security clearance required for contract performance is Top Secret. All contractor personnel shall comply withe the provisions of DoD 5220.22M, National Industrial Security Program Operating Manual, Feb 2006 Incorporating Change 1, Mar 2013 and applicable security regulations.
GENERAL GUIDANCE:
The contractor must:
• Maintain accountability for all classified material released to his or her custody.
• Not reproduce classified materials without the written permission of the releasing agency. If permission is granted, each copy will be controlled in the same manner as the original.
• Not destroy any classified without advance approval of the releasing agency.
• Restrict access to only those individuals who possess the required security clearance and who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, other government agencies, and private individuals or an organization is prohibited unless authorized in writing by the releasing agency. If permission is granted, each copy will be controlled in the same manner as the original.
| List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form) - Click on this button to attach a file(s).: |
| rep: |
| 17. CERTIFICATION AND SIGNATURES - h. SIGNATURE : |
| 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.): Visitor Group contractors are required to enter into a security agreement with each host base Information Security Program Manager. Provide the information requested by the Notification of Government Security Activity Clause, AFFARS 5352.204.9000, and Visitor Group Security Agreements Clause, AFFARS 5352.204.9001, to the Servicing Security Activity (SSA)/Information Protection Office on each installation identified. |
| 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.): When contractors are designated as Visitor Groups on Air Force installations, Industrial Security Reviews for collateral classified information will be conducted by the SSA/IPO of each installation. DoD contractors performing on overseas contracts, provide a copy of the DD Form 254 to the appropriate DSS Office of Industrial Security, International. NISPOM Appendix A. |
| 16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC) - a. GCA NAME: 35TH CONTRACTING SQUADRON |
| 17. CERTIFICATION AND SIGNATURES - d. AAC OF THE CONTRACTING OFFICE (See Instructions): FA5205 |
| 17. CERTIFICATION AND SIGNATURES - c. ADDRESS (Include ZIP Code): 35 Contracting Squadron |
Unit 5201
APO AP 96319
| 16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC) - d. POC NAME: KADE FORRESTER |
| 17. CERTIFICATION AND SIGNATURES - f. TELEPHONE (Include Area Code): 3152268072 |
| 17. CERTIFICATION AND SIGNATURES - g. EMAIL ADDRESS (See Instructions): kade.forrester.1@us.af.mil |
| 17. CERTIFICATION AND SIGNATURES - b. TITLE : |
| 17. CERTIFICATION AND SIGNATURES - i. DATE SIGNED (See Instructions): |
File details come from the government source that posted it. Updated .