Section_J_Atch_5-DD254_for_APT_Program.pdf

DEPARTMENT OF DEFENSE

1. CLEARANCE AND SAFEGUARDING

• FACILITY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION Secret

(Thfl requirements of Ille DoD Industrial Secudl}I Marw<il apply b, LEVEL Of SAfEGUARDlNG REQUIRED lo aO security aspects of this effort.)

Sect"et

2. THIS SPECIFICATION'IS FOR: rx andcomp/e/9 •11 appltc11bl11) -3. THIS SPECIFICATION IS: (X 11nd complete as 6pp#cable)

n. PRIMECONTRACTNUMBER x DA TE (YYY'(MMDD} a, ORIGINAL (Cr;;rnp!&/1>d11r11 in <t//CllSllS)

2016'\ 128

b. SUBCOr.iTRACT NUMBER b, REVISED I REVISION NO. DA TE (YVYYIAMDD)

(8Upers11des &II p/'llWGU$ spellS) x c. SOLICITAT10N OR OTHER NUMBER DUE DATE (YYYYMMDD) o" FINAL (CDm,QJe/tt //11/71 sin G/! CM/JS}

DATE (YYYYMMDDJ

FA86\7-17-R-6219

4. IS THIS A· FOLLOW-ON CONTRACT? L_jYES L1SJ NO. II Yos, COmple\11 Ille lo!lowlng;

c1a~s!ff11d rna1efia! rei:e!ved oro11nera!od ~nder (Plel;f!r:JingCr.mfnlci Nurn/Jr;ff) ls lllm~remu:l lo lhl~ lo!!0'"'4ln 1;1:mtrac:L

5. IS THIS A FINAL DD FORM 254? L_Jves LXJ NO. lf"Ye&, ecmpla\G th•fo11awing:

!n raspona!J to thill c:o~trDelor'£ reque1t da!c!d , relenl!Oll Df the clas,!flf!d m11le1lal Is au\horb:ed fOf Illa parjod of

6, CONTRACTOR {ftlc/JJda Comml/IC/11f 11rid Govommenl Enfity (CAGE)' Code)

11. NM1E', AOORESS, ANO.ZIP CODE h.aAGECOOE c COGNIZANT SECURITY OFFICE (N11m11. Addren, llml Zin (iudt?)

TAD TBD TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, ANO ZIP CODE b. CAGECOOE e; COGNIZANT SECURITY OFFICE fNam11, Addffl~». and Zip Code)

NIA NIA NIA

6, ACTUALPERFORMANCE

11. LOCATION b.CAGECOOE e, COGNIZANT SECURITY OFFICE (Name, AddniS$,. a(ldZip CoiJo}

SeeBlk. l.3 WA SeeBlk, 15

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

The APT Progmn1 \Viii rcp!uce lhe T·311C u~d Jn the Unit=d Stntes Air foree'sSpccli!llu:d Undergraduate Pilot Training advnnccd phruie Ggh!Cr and lm1nber truck,, and in the lnlroduc!ion to Fighter Fundumentnls course. The APT Prt>gm.lti , ... iu pm<Jide student piltiis wilh !he foundntlonnl flying skills and core competencies required to lTllll~ltion into cllrren1 gcne~allon fighter 11nd bon1bcr uircralt

10. CONTRACTOR WILL REQUIRE ACCESS TO; "" NO 11. IN PERFORMING THIS.CONTRACT, THE CONTRACTOR WILL! Y!OS NO

<I, COMMUNlCJl.'TIONS SECURln' {COMSEC}lNfORMA,TI0/'4 x • ' ' ' ' x b, RESTRJCT!!O DATA x !>, RECENECCl.ASSIFlEO OOOIJMENfS ONLY x c, CRITICAL NUCl[OJIR l/i9J'ON OOSIG» INFORMAlIDN x ' RECEIVE ANO G~NERATE C~SlflEO MATERIAL x

d. FpRl.IERLY /l:ESTRICTEOOATA x d. F/\EIRltATE, MODl!'Y, OR SlcmE CLASS!fJEb HllRtlW!\RE x

• l!olrEtLIGENCf ltlfOR'MAT!ON • f'ERFORM SE!l,VICES ONi. Y x

{'lj SOfl.<l!lve ~~~'flOlllnd.lllfl>rm110[l01 (SCI! >

R ' .. I 0 R 0, " x (ZJ Non·SCI x • 0 ' R ' x

' SPECIAL ACCESS INFORMAllON x h. REQUIREACOl.\SECACCOUNl x g, NAffi INFORMAT!O.'I x I HAVE TEM!'ESTREOIJiRWENiS >

h. FOREIGN GOVERNMENT INFORM/l.TION x I lii>.VEOPERATlON3 sEcORITY !OPS!:C) REOIJJR!lMlltmi " I LIMITEO-D!SSEMINATION lNFOOMATION x )!.. a; A,\JTHCFl!ZEO TO USE THE- DERENSE- COURIER SERVICI:: x /. FOROfflCfALUSS:ONL'I' JNFOFO~All~ x !, OTHER (Sp~ci&) x

k. OTHER (Spt11::/lyl x Pre,contnu:t <1Wnrd ll(;(!Css to clussi'licd i~ not required, Progr1.m1 l'rolec!lon Ptnn (PPP) AFPARS 5352,204·900011pplies. See Blk !3.

DD FORM 254 DEC 1999 PREV10US EDITION IS OBSOLETE.

Solicitation FA8617-17-R-6219 Section J - Attachment 5

DD 254 for the Advanced Pilot Training (APT) Program

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12, PUBLIC RELEASE. Any lnfl'.lrm<1t1a11 (classffled or 11/IC/assified) p811alr1lng ta !his COfllract slmll nol ilo rsieased for pl.lbllc d!s.mminatlon ~cepl 11.s pro\IWed by tha lnclu1\rl111 Security Mnnl.lnl orunles' lt hes-been approved fllf publlc:111lease by approp1i11te U,S_ Gavwrnmmt aulhcrity. P1oplJ5ed publlcralaaaesshal!

De subrni!lell tc:r approval prior to 1alca~e i:=i ,Dlr=cl [&] lllrough (Specif;;)

a. :AFLC!vlCIWLZ, 1970 Monahan \V11y, llutlding ! IA, Room 201, Wrlght·l'a11c1-so11 Air Force Bnse, Ohio {WP APB OH) 45433-7239 ur higher Dcpnrtn1cnrofOefcnsc (Dub) atUhoril)' for non-SAR rclnl~d mntcrlPI. Trnns1ni~~ion nfpnblic rc!cl™! request via c·muU ls J1ol 11nthorizcd. SEE CQN11NUATION SHEET

!o the Dirnctorale tar Frl!lldcm al lnfarmallon and Security Revffiw, Office of the As~alant Secrelary or Oefimse (Public Affairs)' ror review_ •in till! case of ncn·DoO u,..r-A11enclaa, 1tqll111l1 for disclosure shall be submltled lo Iha! 11gentj<

13. SECURITY GUIDANCE. Tile security ct11s$lffc111ton guldancc llll&ded for !his cl1ss1fied atrortls fdenllfied below. lf any dlffimil!y I! encounte~d"ln applying !his \}llld'ance or lf llny 0U1er c;onltibuUng lactor !ncl';ee~1 a nelld fl:lf Qhangell Jn l/li& guldl!!ll)a, Illa oonlf11c!or Is 11ulhofized and enCoUflllllid lo provide realm~nded clmn!}BS; 10 cilaU11ni111 the Q\ildaneo or'lhe dass-llicaHon 1111Slgned lo 11ny- lnfomiat!oo or ma\eflal furni$hed or generated uniter \1115 contract and lo KUbml! any quaillon!< rorlntiirpretntton aflhls-guldance In thttolfk:fal Jdellliliad below, ?enclingfln;il declril®, the 1nrc1maHonln.vojvad sha~·be handfa:d andt>rotecled a( \tie hJl;hil~l hlv~I of <ila$&lr«:111ton llB9l(Jned or recommeodlld, (Fiii /ii-as 11ppropn·e1a for I/re. cklf;sified etfari Altai;/!, ot forward lllldet S(IJlllr&/11 corresprmdof!Cq, any d;Jl:Alfrnmls/gu/deslexfracls: refefft/ll;fJd 11/Jreln. Add l!ddllkmal peges lis 1uwdod lo prnvide comphile guldllfl~e.)

• 'fhc National Industrial Security Program OperalingManunl (N1SPOM_)1 February 200611pplies .

. ..\cCess to classified informHtion is required to enable sharing of the APT System Threat Assessment Report and other ihreat references \\lith !he prhne contrac1011system developer during EMO, and beyond, fulfilling D_oDI 8510,01 require1nents and other cyb~rsccurity policy without lin1itations, POCr Bl'ian Karn1ker, AFLCMC/WLZG, (937} 255Ml325, brian,karraker.l@us.af.n1iL

a. Ref'Blk 10e(2): Contraclor \vill require access lo inlelligcnce infom1n1io11 and n1ust con1ply with directions provided by !he Contracting Olliccr's Rcp1-esent111ive (C'OR), The Program Ma.nag er J1as detem1ined that disclosure does not creale an unfair competitive advantage for the contractor or a conflict ofinterest with the contrnclol''s obligation to protect the infotinatiou. l'he COR \Yill identify what intelligence infom1ation ls required for the conlractol' to satisfy the contract and will subrnit that infonnation lo the Servicing Senior lntelligence Officer (21 JS) fur approval 1irior to granting access, b, RefBlk lOj~ See DoDM 5200.01, Volutne 4, DoD Infunnation Security Progran1: Con(tof!ed Unclassitied Infor1nation (CUI), Encfo11ures 3 & 4 and DoD 5400.7-RiAir Force Manunl 33~302, DoD Fref.-dom of lnfonnation Acl (FOJA) Program, nnd AFl 16· l 4Cl4, Air Force Information Secu!'ity Program, for 1·equirements.

e. RcfBlk I le: Any classified information gen·erated in the perfo1ma11ce of this conttact shall require the contrnetor·to apply deriva~ive clossificotion 1.1nd 111arkings consistent with the source material.

d. Tn111sfcr of docu1ncnts to other lR&D effu11s is not pe1mittcd.

e. Pro1~:ram Manager: Peter K. Bide, Colonel, USAF, AFLCMCIWLZ, (937) 904-4224, peter,cide@us.af.n1il.

f. Security Manager: Wilfian1 G. Fleming1 APLCMC/\VIJOS, {937} 656¥5333, \Villi:im,fleming. J@us.at:inil, SEECON'fJNUATION Sl-IEET

14, ADDITIONAL SECURITY REQUIREMENTS. RequireMmt11, !n addilkin !a ISM reqUlremanls. are eatabUsbad forth]• contract X {If Ye~, ldenlify the. p11rl/nent CGO/rn/!fml/ c/auws In lh~ CGn/rl!!Ct dor:umenlf/sll/f. orpro~ldo l!n l!pproplia/a sla/rl11!J;nl w/l/ch /dentlfi.r;:; Iha 11ddit rma ~re11111nls. Provide a copy cf the requ/flJ1111111ts lo /he cagnllll!•I MC11tlly olt1i:e, Uie Item 13 /faddilfUMi ISpar:ti Is n11edad.)

11. RefBlk !Ok: Progm1n Protection Plan {PPP) \viii he provided by the Govcmmi.:nt 11c1ivity.

b. Ref°ijlk 1 lj: OPS EC requirc1ncnts 11pply. Sec Statcmcnl of Work {SOW) for requircrnents.

No

15, INSj!'ECTIDNS. El~ments o! lhl5 contract meoutelde tll& !nnP<fCUOn fe!l?;:rnslbllll;I of lhiiicogolzant securltyoffico. X Ye6 No (If Yes, (Y.(p/a/11 and ldenfif;; siwdllc areas or e/em#nl<i C61Vlild cul and lfrn i!CUl/l/y fl!l3pom/bl& for 111SJillC/ions. Use //Ml 13 If aridlliOfUI/ .space Is nsllded.J

RcJ'Blk.111: Con!raclQr pcrl.hm1ence 1vill occur at locn~ions in lllk It DSS is relieved ofull inspection respon5lbililies lbr contractor pcrfurmnnce on the insta!!at!on. The SCrvfoing.~"ecurity acti1>ity Identified fu Blk Re, Table 1 will' 1n11int~ln sL-curity oversight

16. CERTIFICATION AND SIGNATURE. Security requlremenls stated heroin aro complete and 11dequate ror safeguarding the class!fled Information to ti.a ra!aased or goneratad undarthls clessl!fed effort, Ail questions shall be referred to the official namad balow.

11- TYPED NAME, OF CERTIFYING OFFICIAL b. TITIE c, TELEPHONE (lnr:hide Me11 Coils)

R'.OBER.1' A.1-fiXENBAUGH

d. AO~ESS (/nc/11~ Zip Cade}

AFLCM'C.'/WLZ

19701'.-1Qnuhan \\lay, Building IJA, I.too

WPAVB, OH 45433-7239

Contracting Officer (937) 656-4960

• CoNTRACTOR t>, SUilcoN1iw;JOR

+'-'-\~ COGNl?AITT SECURITY OFFICE fOFI PlllME ANO SU1!CO.'irRACTOR d, U.S. ACTIVITY RESPONSIBLE' FOO OVERSEAS SECURITY 1<0Ml1'11STMTION e, AOM!tl1S1Rl\TillECONTRAOTJ!'IG OFFICER f_ OTHERS AS NECESSARY

Solicitation FA8617-17-R-6219 Section J - Attachment 5

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Blk 12 Cont'd:

DD Form 254 Continuation Sheet

FA8617-17-R-6219

b. Information requiring AF or DoD-level review will be forwarded by the entry-level public affairs office thru the MAJCOM/DRU Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/P AX), 1690 Air Force Pentagon, Washington DC 20330-1690.

Blk 13 Cont'd:

g. RefBlks 8a-c: Table 1

a. NAME, c. COGNIZANT SECURJTY OFFICE LEVEL(S) OF

ADDRESS AND CLASSIFIED

ZIP CODE PERFORMANCE

AT THIS

LOCATION

Laughlin AFB, TX 47 FTWIIP (AETC) Collateral Secret 561 Liberty Dr.

Laughlin AFB, TX 78843 47FTWIP.Inboxc@us.a£mil

Holloman AFB, NM 49 WGIIP (ACC) Collateral Secret 490 First Street, Suite 2500 Holloman AFB, NM 88330 49 .FW. Information. Protection fn'lus. af.mil

JBSA-Randolph 802 SFS/SF (AETC) Collateral Secret AFB, TX 1701 Kenly Ave. Bldg 2484 Rm 004

JBSA Lackland TX 78236-2103 802sfs.usm.inworkflowf@us.af.mi1

Edwards AFB, CA 412 TW/IP (AFMC/AFTC) Collateral Secret 15 S Muroc Drive Edwards AFB, CA 93524-8040 412TW.1Plalus.af.mil (org)

Eglin AFB, FL 96 TW/IP (AFMC/AFTC) Collateral Secret JOI West Eglin Blvd Bldg 13 Eglin AFB FL 32542 96abw .i ....... workflow us.af.mil -

Hill AFB, UT 75 ABWIIPD (AFMC) Collateral Secret 7981 Georgia St, Bldg J 102 Hill AFB UT 84056-5824 75ABW.IPD=us.af.mil

Solicitation FA8617-17-R-6219 Section J - Attachment 5

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Sheppard AFB, TX 82 SFS/S5X (AETC) Collateral Secret 1402 Bridwell Road Sheppard AFB, TX 76311-2852 82trw.in@us.af.mil

Vance AFB~ OK 71 SFS/S51P (AETC) Collateral Secret 138 S. Brown Rd Vance AFB OK 43705-5022 71 sfs.s5i us.af.mil

Tinker AFB, OK 72 ABW/lP (AFMC) Collateral Secret 4385 S. Air Depot Blvd Tinker AFB, OK 73145-8606 72ABW.IP.IndustrialSecuritv@us.af.mil

Columbus AFB, MS 14 SFS/ClP (AETC) Collateral Secret 108 Simler Boulevard Suite 26 Columbus AFB, MS 39710 l 4ftw .ci~Glus.af.mil

Robins AFB, GA 78 ABW/JP (AFMC/AFSC) Collateral Secret 985 Macon Street Robins AFB, GA 31098-2441 78abw. inworkflowlnlus.af. mil

\Vright-Patterson 88ABW/lPD Collateral Secret AFB, OH 180 I Tenth St

Wright-Patterson AFB OH 45433-7625 88ABW .IPD .IndustriaLSecuritv@us.af.mil

h. RefBlk 111: Provide the information requested by the Notification of Government Security

Activity and Visitor Group Security Agreements clause, Air Force Federal Acquisition

Regulation Supplement (AFFARS) 5352.204-9000, to each servicing security activity in Blk Sc.

Blk 17 Cont'd:

a. Ref Blk I 7f (Distribution):

88 ABW/JPD, 1801 Tenth Street, WP AFB OH 45433-7625, 88AB W. JP D. lndustria I. Seeurity@us.af.mi I

HQ Defense Security Service, 27130 Telegraph Rd, Quantico VA 22134

AFLCMC/WLOS (Security Manager), 2590 Loop Road West, WP AFB OH 45433- 7142, William.Fleming. l@us.af.mil

AFLCMC/21 IS (Senior Intelligence Office), 2690 Loop Road West, WP AFB OH 45433-7208, aflcmc.21 is.21 is254workflow@us.af.mil

Solicitation FA8617-17-R-6219 Section J - Attachment 5

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78 A.BW/IP, 985 Macon Street, Robins AFB1 GA 31098-2441, 78abw.ipworkflow@us.af.mil

14 SFS/ClP (AETC) 108 Simler Boulevard Suite 26 Columbus AFB, MS 39710 l 4fiw".cip@us.af.mil

72 ABWIIP (AFMC) 4385 S. Air Depot Blvd Tinker AFB, OK 73145-8606 72ABW.IP.lndustria!Sccurity(@us.af.mil

71 SFS/S5IP (AETC) 138 S. Brown Rd Vance AFB OK 43705-5022 71sfs.s5ip@us.af.mil

49 WG/!P (ACC) 490 First Street, Suite 2500 Holloman AFB, NM 88330 4 9 .F\V. Inf orrnation. Protecti on@us.af.mil

82 SFSIS5X (AETC) 1402 Bridwell Road Sheppard AFB, TX 76311-2852 82trw.ip@us.af.mil

75 ABW/IPD (AFMC) 7981 Georgia St, Bldg 1102 Hill AFB UT 84056-5824 75ABW.IPD@us.af.mil

96 TW/IP (AFMC/AFTC) 101 West Eglin Blvd Bldg 13 Eglin AFB FL 32542 96abw.ip.workflow@us.af.mil

412 TW/IP (AFMC/AFTC) 15 S Muroc Drive Edwards AFB, CA 93524-8040 412TW.IP@us.af.mil (org)

802 SFS/SF (AETC) 1701 Kenly Ave. Bldg2484 Rm 004 JBSA Lackland TX 78236-2103 802sfs.usm.ipworkflow@us.af.mi1

49 WG/IP (ACC) 490 First Street, Suite 2500 Holloman AFB, NM 88330 49.FW.Information.Protcction@us.af.mil

47 FTW/IP (AETC) 561 Liberty Dr. Laughlin AFB, TX 78843 47FTWIP.lnbox@us.af.mil

Solicitation FA8617-17-R-6219 Section J - Attachment 5

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