(75 ABW SC) Solication for VTC IDIQ (INT).pdf
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- Solicitation number
- FA820126R0013
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Integrated Visitor Group Addendum
Integrated Visitor Group Security Oversight Responsibilities and Supervision:
The visitor group's Home Office (HOF) will provide all SSA’s identified within Item 15, Ref 8.a, a copy of the most recent list of key management personnel (KMP) and will immediately notify the SSA’s of any changes occurring to the KMP list.
Access to Classified Information:
All access to classified material by on-base visitor group personnel including oral and/or visual at the GCA locations identified within Items 8.a – 8.c will be under control of the GCA. The GCA maintains accountability, control, and ownership of all classified information involved under the terms of this contract at all times. The visitor group’s access to classified information will be controlled by the GCA and limited to “contract-specific, need-to-know” information only.
Storage of Classified Material:
The visitor group is not authorized to store classified material at the GCA locations identified within Items 8.a – 8.c. All classified material will be returned and secured in the designated government security container as directed by the supported unit.
Under the terms of this agreement, the GCA will have access to and control all security containers. The responsibility for setting the storage container combination rests with the GCA. Each container will have a government safe custodian appointed. The Standard Form (SF) 700, Security Container Information, will be used to identify persons having knowledge of the combination(s). This form will be posted inside the locking drawer of each security container.
If within the scope of the contract, contractors categorized as visitor groups are permitted to conduct end of day checks, have access to GSA approved security containers, and/or have access to applicable alarm codes for secure areas.
Transmission of Classified Material:
The on-base visitor group is not authorized direct receipt or dispatch of classified material at the GCA locations identified within Items 8.a – 8.c, through U.S. postal channels or commercial carrier. Receipt or dispatch must be to or through the supported GCA.
Classified material will be transmitted via U.S. postal channels directly from the sponsoring GCA and must be prepared in accordance with DoDM 5200.01, Volume 3, Enclosure 4, and processed through the classified information control system of the GCA.
Contractor employees may hand carry classified on the installations identified within Item 15, Ref 8.a, if they have been designated as a courier in writing by the GCA’s commander or designee per DoDM 5200.01, Volume 3, Enclosure 4. If contractor employees will be required to pass through a manned entry point or checkpoint on the installations, they must have a courier card or letter of authorization. The courier must ensure the classified is packaged IAW DoDM 5200.01, Volume 3, Enclosure 4. All visitor group contractor employees hand carrying classified must receive the proper training and be briefed regarding their responsibilities.
Reproduction of Classified Material:
Only GCA approved and controlled reproduction equipment will be used by the visitor group, when so authorized, per DoDM 5200.01, Volume 3, Enclosure 2. The visitor group cannot reproduce classified material without permission of the GCA.
Security Education: The visitor group’s security focal point shall:
Ensure visitor group employees attend and participate in the Security Education Program, to include initial, recurring, and derivative classification security training, of the sponsoring GCA organizations. The sponsoring GCA unit security manager will ensure integrated visitor group personnel are included in the information security education program and will be responsible for administering security education training per DoDM 5200.01, Volume 3, Enclosure 5 and DoDM 520001V1_AFMAN16-1404V1.
Security Incidents and Possible Compromises of Classified:
The visitor group must immediately report any security incidents, outlined in DOD MANUAL 5200.01 Volume 3, Enclosure 6, through the supported GCA to the SSA. The SSA will ensure the supported GCA’s unit commander/director appoints inquiry or investigation officials in accordance with DoDM 520001V1_AFMAN16-1404V1. Inquiry or investigation officials coordinate findings and reports with the appointing official and SSA.
The SSA coordinates and/or reports security violations committed by visitor group employees to the appropriate Defense Security Service (DSS) Cognizant Security Agency (CSA), base contracting office, and the visitor’s group HOF, if and when appropriate.
Local Contractor Badge and Common Access Card (CAC):
Visitor group employees must have and wear (between waist and shoulders on his/her outermost garment) either a GCA issued contractor identification badge or a company issued contractor identification badge at all times while on the confines of the installations identified in Item 15, Ref 8.a. When required for contract performance, locally developed installation badges will be issued to visitor group personnel for entry into designated areas. Entry credentials are issued at the request of the GCA. Contractor personnel who will require access to DOD computer network systems and/or require the use of a Common Access Card (CAC) for installation entry control or physical access to facilities during normal business hours when government personnel are present shall request a CAC through the GCA’s units Contractor Verification Systems Trusted Agent. Contractor personnel who are not authorized a CAC will be required to obtain a Defense Biometrics Identification System (DBIDS) card or other Physical Access Control System (PACS) passes IAW AFI 31-113.
Disposition of Identification Credentials:
When an employee leaves the installation for another assignment, retires or terminates from the contract, all identification credentials (Restricted/Controlled Area credentials, PACS Passes, CAC, etc.) that have been issued to the individual will be returned to the issuing officials. The GCA and/or contractor will immediately notify the issuing officials for an appropriate update in the Defense Biometric Identification System (DBIDS), Defense Enrollment Eligibility Reporting System (DEERS), or other applicable system when a contractor refuses to return any issued access media.
Contract and Associated DD Form 254: The visitor group’s on-base management personnel and the GCA security manager will maintain a file containing a copy of all contracting documents, to include any associated DD Form 254s (prime and subcontracts).
Security Reviews:
Industrial security program reviews/inspections of visitor groups will be IAW DODM5220.22v2_AFMAN 16-1406v2 and DoDM 520001V1_AFMAN16-1404V1.
The SSA conducts reviews/inspections, if applicable, in the following manner:
(1) The SSA will notify and schedule all reviews/inspections through the AF activity’s unit security manager. These reviews/inspections will be conducted per DoDM 520001V1_AFMAN16-1404V1 and supplements thereto. A copy of the review/inspection report will be provided to the GCA, who, in-turn will provide the visitor group a copy of all portions of the report applicable to their performance. The visitor group is not required to acknowledge receipt, nor respond unless directed to do so in the report.
(2) The visitor group will also be included in the GCA’s security self-assessment program IAW AFI 90-201, The Air Force Inspection System, to monitor the visitor group’s performance and compliance.
Subcontracts:
Whenever the HOF or on-base visitor group enters into a subcontract arrangement with another contractor for classified performance on the installations identified within Item 8.a of this DD FM 254, a copy of this attachment will be included within the subcontractor’s DD FM 254.
Reference: The National Operations Security Program (NSPM) DOD 5205.02
DODD 5205.02E AFI10-701
75 ABW OPSEC PLAN
All contractors, subcontractors, their employees, associates, and consultants who have accessto critical information must comply with the DOD and Air Force-sponsored Operations Security (OPSEC) program. The OPSEC Program is directed by NSPM-28, DOD Publications, and applicable Air Force guidance.
OPSEC is a systematic means of identifying and protecting information, which an adversary could use to their advantage or to our disadvantage. Critical Information (CI) is generally unclassified but can become classified through compilation. This sensitive information has been identified by the organization’s OPSEC program as requiring protection. OPSEC Measures (OM) are control standards with which all personnel must comply in order to protect CI against adversaries.
RESPONSIBILITIES:
The 75 ABW/SC OPSEC Program Coordinators Severo Buenteo and Stephanie Hamby will provide / approve OPSEC training curriculum for use by the contractor. Critical Information and Indicator Listings (CIILs) will be protected by all contract personnel. Approved organizational OPSEC measures will be used by all contract personnel to protect critical information in their possession and protect against current foreign intelligence and industrial espionage threats. The OPSEC PM/Coordinator and the Lead contractor must ensure all contract personnel working on the contract or having access to CI attend initial and annually recurring refresher training and that the approved curriculum is presented. Training will be provided before contract personnel are allowed access to or handling of critical information. All contract personnel will comply with the organizations OPSEC standards and practices as trained. Additional training may be required based on updates to critical information, OPSEC measures, intelligence threat/vulnerability, or other fundamental changes to the OPSEC program. The OPSEC Coordinator is responsible for contacting the OPSEC Program Manager if the contract does not have OPSEC written into it. If the contractor’s duties require off base handling of an organization’s CI then the OPSEC coordinator will ensure that the contractor is briefed on the proper securing of CI at the off base site.
The OPSEC PM/Coordinators for the organization will track OPSEC training statistics for all personnel working on the contract, when each individual has received the required OPSEC training, and when refresher training is due. Forward training statistics to the installation OPSEC PM at the end of each calendar quarter and/or upon request. The OPSEC Coordinator will provide a copy of the 75 ABW OPSEC Plan to the contractor upon request and the contractor is subject to the requirements of that plan. The 75 ABW OPSEC Plan is “controlled unclassified information (CUI)” and distribution outside the constraints of the contract in part or in its entirety is prohibited. Upon completion of the contract, the contractor will destroy the OPSEC Plan by shredding the document so that it cannot be reconstructed and will delete any electronic copies or the contractor will turn over the OPSEC plan back to the unit OPSEC coordinator for destruction.
Contactors with OPSEC requirements within a contract must ensure employees receive OPSEC training as specified within the contract. Accomplishment of training must not exceed 90 days from initial assignment to a contract with OPSEC requirements. Annual training will be accomplished NLT 30 September of each year. The contractor personnel will not be given access to an organization's CIIL until after training has been completed and documented by the organization OPSEC Coordinator. Prior to seeking approval through Hill AFB Public Affairs, any information to be released outside of official U.S. Government channels, via any media, must be approved through an OPSEC review by the 75 ABW/SC PM/Coordinator. All personnel must promptly report OPSEC related incidents, issues, and concerns to the 75 ABW/SC PM/Coordinator, 801-777-4891/801-586-0332 who will then report it to the installation PM, 801-586-8008.
Prime Contract or Solicitation #: ENTER the contract number PM, PM phone number.
PREVIOUS EDITION IS OBSOLETE.
Page of
DD FORM 254, APR 2018
NEEDS DD67
(Updated 20250815)
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:
August 31, 2028 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 Form 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: 2
| 1. CLEARANCE AND SAFEGUARDING - b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL REQUIRED AT CONTRACTOR FACILITY - select from drop-down list: 4 |
| 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.) ": 1 |
| 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: TBD |
| 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.": 1 |
| 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.": 0 |
| 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.: |
| 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): TBD |
| 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): TBD |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/a |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): See Item 15, Ref 8.a |
| 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.): 75 ABW/SC |
6068 Aspen Ave, Bldg 1294 Hill AFB, UT 84056 Enter general unclassified description of this procurement.: Hill Air Force Base (HAFB) has a current services contract, expiring in September 2026, to support and maintain Tier 1 and Tier 2 VTCs and A/V equipment. After evaluation, we have determined there is an on-going need to provide support for existing systems but will need a comprehensive means to address the aging equipment through technical refresh.
This is an IDIQ contract to provide services to design, purchase, refresh, troubleshoot, and maintain VTCs and will be available to any organization on HAFB. CLINs will include: Design/Engineering, Installation, Maintenance, and Informational Maintenance of New and Upgraded VTC Equipment, and Maintenance for cybersecurity compliance, usability, and availability.
| 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 "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.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 1 |
| 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.": 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 "(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.": 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 "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.): The AFFARS clause 5352.204-9000 applies |
| 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.): 75 ABW/IPD (75ABW.IPD.IndustrialSecurity@us.af.mil) |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| 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.): 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 "m. OTHER.": 1 |
| 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".: 75 ABW Public Affairs Office, 7981 Georgia Street, Hill AFB, UT 84056 (801-777-5201) |
| 12. PUBLIC RELEASE - Public Release Authority:: AFIMSC, Public Affairs (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330- 1690 |
| 13. SECURITY GUIDANCE - Select to add signature row: |
| 13. SECURITY GUIDANCE - Select to remove last signature row: |
| Reviewing Official’s Office Symbol, phone and email (6): 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).
Ref. 11.a.: Contract performance is restricted to locations identified in Items 8.a. Security classification guidance has been provided and is available at this location for performance on the contract.
Ref. 11.e: Contract is for equipment maintenance services on equipment which processes classified information. Actual knowledge, generation, or production of classified information is not required for performance of the contract. Cleared contractor personnel are required to perform this service because reasonable physical security measures cannot be employed to prevent aural or visual access to classified information. Any classification guidance will be provided by the using activity.
Ref 11.m. The contractor is designated as a 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.
3.a Project Manager: Andrew Fletcher, 75 ABW/SCXP, 777-1696
13.b DD FM 254 Review Date: 20260521
Reviewing Official’s Office Symbol, phone and email (6): Integrated VGA.docx Ref 11.j. OPSEC Addendum.docx
| 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).: |
| NAME & TITLE OF REVIEWING OFFICIAL (6): Kelly Yocum, 75 ABW/SCXP |
Project Manager NAME & TITLE OF REVIEWING OFFICIAL (6): Stephanie Hamby, 75 ABW/SC Security Manager
| NAME & TITLE OF REVIEWING OFFICIAL (6): 75 ABW/IPD |
| 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.): Ref 11.j. The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Hill AFB, and (specify organization information) Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced in attachment within Item 13. |
| 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.): Ref. 8.a.: The Defense Counterintelligence and Security Agency (DCSA) is relieved of all industrial security review responsibilities for contractor performance on the government installation identified in Item 8.a. The SSA, 75 ABW/IPD 7981 Georgia Street, HAFB, UT 84056 (75ABW.IPD.IndustrialSecurity@us.af.mil) has exclusive oversight responsibilities while operating on the installation. |
| 16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC) - a. GCA NAME: |
| 17. CERTIFICATION AND SIGNATURES - d. AAC OF THE CONTRACTING OFFICE (See Instructions): |
| 17. CERTIFICATION AND SIGNATURES - c. ADDRESS (Include ZIP Code): |
| 16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC) - d. POC NAME: |
| 17. CERTIFICATION AND SIGNATURES - f. TELEPHONE (Include Area Code): |
| 17. CERTIFICATION AND SIGNATURES - g. EMAIL ADDRESS (See Instructions): |
| 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 .