3. FD2060-21-32087 DD Form 254.pdf

PDF 291 KB Posted Apr 28, 2022

Attached to: Reliability and Maintainability (R&M) Support Follow On Federal contract opportunity
Solicitation number: FA8552-22-R-0003
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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Other files for this federal contract opportunity

Other files attached to Reliability and Maintainability (R&M) Support Follow On, newest first.
File	Type	Posted
FA8552-22-R-0003 0001 RFP Amendment.pdf	PDF	Jun 13, 2022
FA8552-22-R-0003 RFP.pdf	PDF	Apr 28, 2022
1. FD2060-21-32087 PWS with Appendices_Rev 4c (27 April 22).pdf	PDF	Apr 28, 2022
4. FD2060-21-32087 DD Form 1423.pdf	PDF	Apr 28, 2022
2. FD2060 -21-32087 QASP.pdf	PDF	Apr 28, 2022

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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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"

CurrentPage:

PageCount:

Select classification from drop-down list.: Unclassified

SerialNum:

a. Facility clearance level. Select one.: 2

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

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Enter prime contract number.:

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Enter subcontract number.:

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Enter solicitation or other number.: FA8552-22-R-0003

Enter due date in format YYYYMMDD.:

Enter date in format YYYYMMDD.: 20211025

Enter revision number.:

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Enter final specification.:

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Enter preceding contract number.: FA8552-17-C-0009

Enter contractor's request date in format YYYYMMDD.:

Enter period.:

Enter typed name of certifying official (last, first, middle initial).: Poarch Creek Indians Aviation (PCIA)

3022 Highway 21 Atmore, AL 36502

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

Enter typed name of certifying official (last, first, middle initial).: Carter, Erica L.

Enter CAGE code of the prime contractor.: 7NV00

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

Enter CAGE code of the prime contractor.: 7NV00

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

1899 Powers Ferry Road SE, Suite 330 Atlanta, GA 30339 770-370-3740 dcsa.atlantafieldoffice@mail.mil

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).: 5 BW/IP (AFGSC)

300 Summit Drive, Suite 222 Minot AFB, ND 58705 DSN 453-4071 5.BW.Security.Countermeasures.dl.1@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 341 MW/IP (AFGSC) 7410 Flightline Drive Building 300, Room 140 Malmstrom AFB MT 59402 COM 406-731-6477 341mw.ip@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 1 SOW/IPC (AFSOC) 212 Lukasik Avenue, Suite 230 Hurlburt Field FL 32544-5409 COM 850-884-5118 1SOW.IPD.DL@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 96 TW/IP (AFMC/AFTC) 101 West D Avenue, Suite 14 Eglin AFB FL 32542-5401 COM 850-882-9758 96abw.ip.workflow@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 90 MW/IP (AFGSC) 7100 Garrison Loop, Building 34 Suite 180 FE Warren AFB WY 82005 COM 307 773-4611 90MW.IP@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 11 WG/IP (AFDW) 1190 Menoher Drive, Suite 30, Joint Base Andrews Andrews AFB, MD

COM 301-981-6794

11WG.IP@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 377 ABW/IP (AFGSC) 4500 Biggs Ave SE, Bldg 926 Kirtland AFB, NM 87117 COM 505-846-2945 377abw.ip@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 92 ARW/IP (AMC) 2 E. Arnold St., Bldg 2071 Fairchild AFB WA 99011-9452 COM 509-247-2076 92ARWIP@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 374 AW/IP Unit 5118

APO AP 96328-5118

Comm 011-81-31175-5-8361 or -8332 374AW.IPO.IPO@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 129 RQW/IP Macon Rd, Bldg 680 Moffett FAF, CA 94035 650-603-9434 129.RQW.Information.Protection.Org@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 45 SW/IP (AFSPC) 1201 Edward H. White II Patrick AFB FL 32925 COM 321-494-5597 45SWIP@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 23 WG/IP (ACC) 5090 Gardner Street, Building 115, Suite 236 Moody AFB GA 31699 Comm: 229-257-1971 23WgIP@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 99 ABW/IP (ACC) 4311 Carswell Avenue, Suite 205 Nellis AFB, NV 89191-7069 COM 702-652-4434 Comm: 702-652-4434 99ABW.IP@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 106 RW/IP 150 Old Riverhead Road Westhampton Beach, NY 11978 631-723-7559 106.RQW.106.IP.Information.Protection.Org.Box@us.af.

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 355 FW/IP 3405 South Fifth Street Davis-Monthan AFB AZ 85707 COM 520-228-3708 355FWIP@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 673 ABW/IPO (PACAF) 10471 20th St, Ste 139

JBER AK 99506-2201 DSN 317-552-1088

673abw.tmt.iptaskerworkflow@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 377 ABW/IP (AFGSC) 4500 Biggs Ave SE, Bldg 926 Kirtland AFB, NM 87117 COM 505-846-2945 377abw.ip@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 75 ABW/IPD (AFMC) 7981 Georgia St, Bldg 1102 Hill AFB UT 84056-5824 COM 801-777-7811 75ABW.IPD@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 18 WG/IP Unit 5141 Box 10

APO AP 96368-5141 DSN 315-634-3294

18wg.ip@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 48 FW/IP Unit 5210 Box 135

APO AE 09461-5210 DSN 314-226-3681

48fw.informationprotection@ us.af.mil

Select to add row to locations.:

Select to remove last row from locations.:

Select to delete all signatures.:

Enter location(s).: Minot AFB, ND

Enter location(s).: Malmstrom AFB, MT

Enter location(s).: Hurlburt Field AFB, FL

Enter location(s).: Eglin AFB, FL

Enter location(s).: F.E.Warren AFB, WY

Enter location(s).: Andrews AFB, MD

Enter location(s).: Kirtland AFB, NM

Enter location(s).: Fairchild AFB, WA

Enter location(s).: Yokota AB, JP

Enter location(s).: Moffett Field ANGB, CA

Enter location(s).: Patrick AFB, FL

Enter location(s).: Moody AFB, GA

Enter location(s).: Nellis AFB, NV

Enter location(s).: Gabreski Airport ANGB, NY

Enter location(s).: Davis Monthan AFB, AZ

Enter location(s).: Elmendorf AFB, AK

Enter location(s).: Kirtland AFB, NM

Enter location(s).: Hill AFB, UT

Enter location(s).: Kadena AB, JP

Enter location(s).: RAF Lakenheath, UK

Enter general unclassified description of this procurement.: This procurement will provide Reliability and Maintainability (R&M) support to the United States Air Force (USAF) HH-60G, HH-60W, MH-139, TH-1N, and UH-1N rotary-wing aircrafts. Focuses include a wide range of analyses, to include engineering research, integration and technical support services, obsolescence, isolation and analysis of reliability and maintainability (R&M) deficiencies related to rotary-wing weapon systems.

Anticipated Period of Performance: 20220815 - 20270814

Select for "a. CONTRACTOR.": 1

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

Select for "f. OTHER AS NECESSARY.": 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 "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1

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

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

Enter infomration for "other.": See block 13

Enter infomration for "other.":

**See Block 13**

Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1

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".: AFLCMC/WIU

235 BYRON STREET, SUITE 19A, ROBINS AFB, GA 31098

Enter public release authority.: 78 ABW/PA **See Block 13**

125 MLK JR BLVD, ROBINS AFB, GA 31098

Select to add signature.:

Select to remove last signature.:

text:

The National Industrial Security Program Operating Manual (NISPOM), 32 CFR 17, dated February 2021, applies.

Ref Block 4: Follow-on Contract. All classified material/information associated with this contract is authorized to be transferred to the contract number cited in block 2a.

Ref Item 8a: Intermittent performance occurs at multiple additional CONUS and OCONUS locations. Classified performance list can be obtained by contacting the Program Manager below. Performance includes sites in the PACAF TAO. Provide distribution to each servicing security activity Information Protection (IP) office at other Air Force installations where there is contract performance as a Long-Term Visitor (as applicable).

Ref Block 10a/11h: COMSEC/Cryptographic safeguarding requirements apply. See NSA/CSS Policy Manual 3-16, Control of COMSEC Material for guidance.

Ref Item 10j/11l: The contractor shall comply with DoDI 5200.48_DAFI16-1403, Controlled Unclassified Information, DoDM 5200.01, Vol 1_AFMAN16-1404, Vol 1, Air Force Information Security Program, and DoDM 5400.07_AFMAN33-302 Air Force Manual, DoD Freedom of Information Act (FOIA) Program. The contractor shall monitor CUI aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information.

Ref Item 11a: Contract performance is restricted to the government/contractor locations identified in 8a.

Contractor will reference the appropriate security classification guidance when generating or deriving classified material or hardware. All classified information received or generated will be properly stored and handled according to the markings on the material. All classified information received or generated is the property of the U.S. Government. At the termination or expiration of the contract, the U.S. Government will be contacted for proper disposition instructions. Contractor will abide by and shall apply derivative classification and markings governed by the current version of the following security classification guidance:

The following Security Classification Guide(s) apply to classified performance on this contract. HH-60G Pave Hawk Helicopter Security Classification Guide, Dated 06 April 2018. UH-1N Huey Security Classification Guide, Dated 06 April 2018 and UH-1N Huey Helicopter SCG Annex A, Dated 17 May 2018.

Ref Item 11e: (ENGINEERING SERVICES) Contract is for engineering services. Classification markings on the material to be furnished will provide the guidance necessary for performance of the contract.

Ref Item 11f: Overseas contractor performance will occur as an intermittent visitor at classified locations. Contact the Contracting Officer Representative (COR) regarding overseas locations, Mrs. Janet Moss-Sutton (478) 926-1576.

Ref Item 11j: OPSEC requirements apply. See Performance Work Statement (PWS) for requirements.

Ref Blk 11m: The Following FARS and DFARS Clauses apply: Far Clause 52.204-2, FAR Clause 52.204-21, DFARS Clause 252.204-7012, DFARS 252.204-7000, DFARS 252.204-7008 and DFARS 252.204-7009.

Ref Item 12: Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. Information requiring AF or DoD-level review will be forwarded by the unit's OPSEC Program Manager or Coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/PAX), 1690 Air Force Pentagon, Washington, DC 20330-1690.

Ref Item 14: Per DoDIO-2000.16V1_AFI10-245-O_AFGM2019-01, all contractors will be Anti-terrorism Level 1 trained. Force Protection training can be found on MyLearning website at lms-jets.cce.af.mil/moodle/

Ref Item 15: The Contractor will notify the Government Contracting Activity and the Government Security Manager within 48 hours of any incident involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessment of potential impact pending formal inquiry/investigation. Actual or suspected compromise of Covered Defense Information will be reported IAW DFARS Clause 252.204-7012.

Ref Item 18d: Ensure certification and signatures are completed by contracting officer and distribution is accomplished to the following:

HQ USAFE/IP HQ PACAF/IP HQ ACC/IP

Unit 3040 Box 125 25 E Street, 305M 165 Dodd Blvd APO AE 09094-0135 Hickam AFB, HI 96853-5439 Langley AFB, VA 23665-2796

Ref Item 18f: Ensure certification and signatures are completed by contracting officer and distribution is accomplished to locations identified in 8a and 8c above and to the following:

AFLCMC IP AFLCMC/ WIU HQ Defense Counterintelligence and Security Agency 1801 Tenth St., Bldg 8, Rm 103 235 Byron Street, Suite 19A 27130 Telegraph Rd WPAFB, OH 45433-7629 Robins AFB, GA 31098 Quantico, VA 22134 text: AFLCMC/WIUBC Telework: 937-212-9659 Comm: 478-926-1576 (DSN 468) text: AFLCMC/WIU Comm: 478-222- 8272 (DSN 472) text: AFLCMC/IP 937-255-7755

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

rep: JANET MOSS-SUTTON

USAF Program Manager/COR rep: JOSHUA BARNES USAF Security Specialist/OPSEC Coordinator rep: SEAN D. CRONE Industrial/Information Security Protection

Enter signature.:

Explain and identify specific areas and government activity responsible for inspections.: Ref Item 11j: OPSEC requirements apply. See Performance Work Statement for requirements.

Ref 14: Per AFI 10-254 all contractors will be Anti-terrorism Level 1 trained.

Explain and identify specific areas and government activity responsible for inspections.: Ref Item 10a/11h: NSA has oversight for COMSEC

Intermittent Contractor performance will occur at OCONUS locations. DCSA is relieved of all inspection responsibilities for contractor performance on the OCONUS installation.

Enter GCA name.: AFLCMC/WIUKB

Enter AAC of the contracting office.: FA8552

Enter address (include zip code).: 235 BYRON STREET

SUITE 19A

ROBINS AFB GA 31098-1670

Enter address (include zip code).: 235 Byron St. Ste 19A Robins AFB, GA 31098

Enter POC name.: Carter, Erica L.

Enter telephone number (include area code).: 4789267227

Enter email address.: erica.carter.3@us.af.mil

Enter email address.: amanda.nerg@us.af.mil

Enter title.: Contracting Officer

Enter the datesigned in format YYYYMMDD.: 20220324

File details come from the government source that posted it. Updated Apr 28, 2022.