SPEAD IDIQ Attachment 2- Skyborg DD 254.pdf

CLASSIFICATION (When filled in): Unclassified

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.)

0MB No. 0704-0567 0MB approval expires:

20220531

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 esisting 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 suggeshons for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-ales.esd.mbx.dd-dod-inforrnabon-collections@mail.mil. Respondents should be aware that notwithstanding any ether provision of law, no person shall be subject to any penalty for failing to comply with a collection of informahon if it does not display a currently valid 0MB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Top Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION!

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret

2. THIS SPECIFICATION IS FOR: (Xandcornplefeasapplicable.)

a. PRIME CONTRACT NUMBER (See instructions.)

1 1

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

20200330

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

C. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No fl Yes If yes, comp ete the following:

(Preceding Contract Number) is transferred to this follow-on contract. Classified material received or generated under

5. IS THIS A FINAL DD FORM 254? No Yes If yes, complete the following:

retention of the classified material is authorized for the period of: In response to the contractor's request dated ,

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE

Proposed Locations

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued bye prime contractor to each subcontractor)

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE C. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.)

Proposed Locations

b. CAGE CODE

(If applicable, see lnslruchons.)

C. COGNIZANT SECURITY OFFICE(S) (CSO)

(Name, Address, ZIP Code, Telephone required; Email Address optional)

a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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FA8650-17-S-6001

a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.)

C. COGNIZANT SECURITY OFFICE(S) (CSO)

(Name, Address, ZIP Code, Telephone required; Email Address optional)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The SPEAD lDlQ will be utilized for the procurement of air vehicles in support of Skyborg experimentation.

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in

(CNWDI)

Blocks 13 or 14 as set forth in the instructions.)

ACCESS PROGRAM (SAP) INFORMATION

NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

FOREIGN GOVERMENT INFORMATION

COMPENSATORY CONTROL MEASURES

INFORMATION

UNCLASSIFIED INFORMATION (CUI)

(See instructions.)

OTHER (Specify) (See instructions.)

PPP (Program Protection Plan) **See BIk 14**

4 f. SPECIAL

I. ALTERNATIVE LII (ACCM)

CONTROLLED

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

E b. RESTRICTED DATA

E CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

(If CNWDI applies, RESTRICTED DATA must also be marked.)

d. FORMERLY RESTRICTED DATA

e. NATIONAL INTELLIGENCE INFORMATION:

VA g.

h.

j.

4 (1) Sensitive Compartmented Information (SCI) k.

I

(2) Non-5C1

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

fl ACTIVITY (Applicable only if there is no access or storage required at contractor See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

(Xall that apply.

AT

facility.

See g.

instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

REQUIRE A COMSEC ACCOUNT

A TEMPEST REQUIREMENT

OPERATIONS SECURITY (OPSEC) REQUIREMENTS

BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

(CUI).

Components. refer to DoDM 5200.01, Volume 4 only for specific GUI requirements. Non-DOD Components: see instructions.)

OTHER (Specify) (See instructions.)

AFFARS 5352.204-9000 applies. **See BIk 13**

TECHNICAL

I. HAVE

INFORMATION

(DoD protection

4 h.

P11 i. HAVE

INFORMATION OR MATERIAL LI k.

I. 4 d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

m.

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)

LI DIRECT THROUGH (Specify below) Public Release Authority:

**See BIk 13** **See Blk 13**

13. SECURITY GUIDANCE

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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 National Industrial Security Program Operating Manual (NISPOM), February 2006, IC 2, 18 May 2016. applies.

Transfer of documents to other IR&D efforts is not permitted.

BLOCK 12 (cont'd):

a. Information requiring AF or DoD-Level review will be forwarded by the entry-level public affairs office through MAJ COM/DRU 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.

b. AFRL/RY, 2241 Avionics Circle, WP AFB, OH 45433 for non-SAR related material. Transmission of public release request via e-mail is not authorized.

c. Ref 10e(1) Public release of SCI materials and information is NOT authorized.

d. Public release of Special Access Program (SAP) related data is NOT authorized without prior coordination through the Air Force Office of Special Investigations (AFOSI), Office of special Projects (P J) Security Director and subsequent approval of the Original Classification

Authority (OCA) and Air Force Special Access Program Central Office (AF SAPCO). Submit all proposed public disclosures related to

SAP data to the Government Program Manager (GPM) and the Air Force Office of Special Investigations (AFOSI), Office of Special

Projects (P J) Program Security Officer (PSO).

SECURITY GUIDANCE:

a. Ref Blk lOa/1 lh: COM SEC/Cryptographic safeguarding requirements apply. See NSA/CSS Policy Manual 3-16, Control of COM SEC

Material for guidance.

b. Ref Blks lOe(l)/lOg: Contractor requires access to SCI materials; SCI security requirements apply, see 21 IS/INS, SSO WP AFB, SCI

Addendum, for details. Access to Joint Worldwide Intelligence Communications System (JWICS) is authorized. Users shall be briefed to

NATO Secret IA W the NISPOM, Para 10-706, prior to access.

c. Ref Blks I Oe(2): Contractor will require access to intelligence information and must comply with directions provided by the Contracting

Officer Representative (COR). The Program Manager has determined that disclosure does not create an unfair competitive advantage for the contractor or a conflict of interest with the contractor's obligation to protect the information. The COR will identify what intelligence information is required for the contractor to satisfy the contract and will submit that information to the servicing Senior Intelligence Officer

(21 IS) for approval prior to granting access. Access to Secret Internet Protocol Router Network (SIPRNet) is authorized. SIPRNet users shall receive the Air Force NATO Security Awareness Briefing and sign an acknowledgment prior to SIPRNet access. Formal NATO briefing is required when 1) the SIPRNet enclave, or other classified networks, is approved for NATO and no additional security measures are in place to preclude access, or 2) Access to NATO information is authorized. Formal NATO briefings shall be accomplished IA W the

NISPOM, para 10-706.

-Non-SCI Information (Ref: DoDM 5200.0l-V2, February 24 2012, Change 3, 05/14/2019 ENCLOSURE 4)

- Contractor may provided non-SCI information from the Government that has dissemination controls (e.g. NOFORN, REL TO).

Contractor shall ensure all information is protected in accordance with applicable policies (See below for guidance) and shared only as needed to cleared personnel supporting this contract. For the purposes of the contract REL TO information may not be released to foreign nationals without GCA and PSO approval: an OPSEC plan may be required to ensure a nexus to SAP contract efforts is not revealed and associations are protected.

NOT RELEASABLE TO FOREIGN NATIONALS (NOFORN)

a. The dissemination marking "NOFORN" is an intelligence control marking used to identify intelligence which an originator has determined meets the criteria of Intelligence Community Directive 710. Classification management and Control Markings System.

NOFORN may not be provided in any form to foreign governments including coalition partners), international organizations, foreign nationals, or immigrant aliens without the originator's approval.

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b. Within DoD, NOFORN is authorized for use ONLY on intelligence and intelligence-related information and products under the purview of DNI, in accordance with DNI policy. Although not authorized for use on DoD information, other U.S. Government uses of the NOFORN caveat exist; section 4 of Appendix 3 to this enclosure provides information on one such usage.

c. Contractor must ensure personnel are trained on NOFORN caveat to ensure proper safeguarding (See Reference above).

AUTHORIZED FOR RELEASE TO (REL TO)

a. Within the DoD the AUTHORIZED FOR RELEASE TO or REL TO control marking is authorized for use on all classified military or Controlled Defense Information that has been determined by and authorized disclosure official, in accordance with established foreign disclosure policies, to be releasable, or that has been released through established foreign disclosure procedures and channels, to the foreign country andlor international organization indicated.

b. Foreign release or disclosure of the material, in any form, to the nations specified to the REL TO markings is authorized without originator approval (See paragraph 1 specific OPSEC/contract guidance). Disclosure to nations not specified in the REL TO markings is authorized only after obtaining permission form the originator.

c. Contractor must ensure personnel are trained on REL TO markings and additional restrictions set by the DD Form 254 (para 1 to ensure proper safeguarding (See Reference above.)

d. Ref Blk lOf: The National Industrial Security Program Operating Manual (NISPOM), February 2006, Incorporating Change 2, dated 18 May 2016, is the authoritative manual concerning baseline standards for the protection of classified information in connection with classified contract and activities under the National Industrial Security Program.

As stated in the SAF/AAZ implementing memorandum, dated 4 Apr 2016, the DoD Manual 5205.07 Volumes 1-4 are the authoritative SAP Security Policy documents:

- DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM)

- DoD Directive 5205.07, Special Access Programs Policy, as supplemented, dated 31 Aug 2018

- DoD Instruction (DoDI) 5205.11, Management, Administration, and Oversight of DoD Special Access Programs

- DoD Manual 5205.07 Vol 1: DoD Special Access Program (SAP) Security Manual: General Procedures, 18 Jun 2015, Change 1, 12 Feb

- DoDM 5205.07V1 AFMAN 16-703V1 AFGM2O2O-01: Air Force Guidance Memorandum to DoDM5205.O7V1AFMAN16-703V1, DoD Special Access Program (SAP) Security Manual: General Procedures, dated 16 Jan 2020 (Exp: 16 Jan 2021)

- DoD Manual 5205.07 Vol 2: Special Access Program (SAP) Security Manual: Personnel Security, 24 Nov 2015, Incorporating Change 1, dated 12 Feb 2018, AFMAN 16-703 Vol 2, DoD SAP Security Manual: Personnel Security

- DoD Manual 5205.07 Vol 3 — AFMAN 16-703 Vol 3: DoD Special Access Program (SAP) Security Manual: Physical Security, 23 Apr 2015, Incorporating Change 2, dated 12 Feb 2018

- DoD Manual 5205.07 Volume 4: Special Access Program (SAP) Security Manual: Marking, 10 Oct 2013, Incorporating Change 1, dated 9 May 2018

- Risk Management Framework (RMF) using the Joint Special Access Program Implementation Guide (JSIG) Rev 4, 11 Apr 2016, with the integrated Errata Sheet for JSIG, dated 8 Oct 2018 or latest version

- DoD SAP Program Manager's (PM) handbook to the JSIG and The RMF

- SAF/AAZ Memorandum, "implementing DoD manual 5205.07, V4, SAP manual: Marking, United States Air Force Security Marking Guide for Special Access Programs

- SAF/AAZ Memorandum Implementation of DoDM 5205.07, DoD SAP Security Manual, Volumes 1-4, dtd April 2016

- SAF/AAZ Memorandum Dissemination of DepSecDef Windows 10 implementation memo, dtd 4 April 2016

- NSA/CSS Policy Manual 3-16, Control of COMSEC Material, latest version

- Communications Security (COMSEC) User Requirements, AFI 33-20 1 V2 Change 2, dtd 22 Sep 2011

- DoD SAPCO, Disposition of DoD SAP Information Technology Devices, 17 Jul 2017

- OUSDI, Release of Information Systems hardware and Associated Media form SAP Control, 16 May 2017

- AFOSI/PJ, Release of Information Systems Hardware and Associated Media from SAP Control, 24 Jul 2017

- NIST Special Publication 800-17 1 Rev 1

- AF Policy Directive 16-7, Special Access Programs, 21 Nov 2017

- AF Instruction 16-701, Management, Administration, and Oversight of Special Access Programs, 18 Feb 2014

- DoD Instruction 8510.01, Risk Management Framework (RMF) for DoD Information Technology (IT), 27 Aug 2017

- Defense Federal Acquisitions Regulation Supplement (DFARS) 252.204-7012, revised 28 Jun 2019

- US Air Force Security Marking Guide for Special Access Programs, Rev. 1, 16 Oct 2013, with FSE, dated 6 Mar 2015

- DoDM 5400.7 AFMAN 33.302, Freedom of Information Act (FOIA) Program, 27 Apr 2018

- DoD Manual 5200.02, Procedures for the DoD Personnel Security Program (PSP), 3 Apr 2017

- DoD Manual 5200.01, Vol. 1 DoD Information Security Program: Overview, Classification and Declassification, 4 May 2018

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- DoD Manual 5200.01, Vol. 2 DoD Information Security Program: Marking of Classified Information, 14 May 2019

- DoD Manual 5200.01, Vol. 3 DoD Information Security Program: Protection of Classified Information, 19 May 2013

- DoD Manual 5200.01, Vol.4 DoD Information Security Program: Controlled Classified Information (CUI), 9 May 2018

- The above reference documents, to include any supersessions, can be located at the following websites:

- DoD Issuances website http://www.dtic.mil/whs/directives/

- AF e-Publications website http://www.epublishing.af.mil

-All Special Access work must be conducted within an AFOSI Office of Special Projects (PJ) approved location. Modifications to an existing SAP facility must comply with DoD Manual 5205.07 Vol 3 — AFMAN 16-703 V3.

-Specific SAPs and SCGs required for performance on this contract will be provided under a separate, classified addendumlletter to this DD 254 upon award.

-Specific SAP access requirements, personnel access controls, SAP-Mandated security education, training, reporting, records retention, etc.

associated with contractor SAP performance under this contract will be managed at the government performance location. The contractor shall be responsible for the maintenance of personnel security clearances necessary for SAP access eligibility lAW the SAPNP and DoD Manual 5205.07, Vol. 2, dated 24 November 2015 Incorporating Change 1, Effective 12 February 2018. Per DoD SAPCO Memorandum, "Temporary Periodicity and Clearance Submission Implementation Guide for Special Access Programs," dated 10 February 2017, DoD Manual 5205.07 Vol. 2 is temporarily amended to reflect the suspension of Periodic Reinvestigations (PRs) for SAP-briefed personnel every five years. Until the recension of this memorandum, persoimel will be eligible for initial or continued SAP access as long as their Personnel Security Investigation (PSI) date does not exceed six years or the contractor has been enrolled in the Continuous Evaluation Program. The contractor will provide DSS (JPAS/DISS) reporting of security incidents committed by contractor personnel at the performance location(s) as determined by the government Program Office and the Program Security Officer.

e. Ref Blks lOj/111: See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUl), Enclosures 3 & 4 and DoD 5400.7-RIAir Force Manual 33-302, DoD Freedom of Information Act (FOIA) Program, and AFI 16-1404, Air Force Information Security Program for requirements.

f. Ref BIk lic: Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the source material. Security Classification Guides will be provided by Program Manager upon award.

g. Ref BIk lid: The contractor is required to provide adequate and approved storage for classified hardware or material to the level of SECRET which because of size or quantity cannot be safeguarded in an approved storage container. Only properly cleared and briefed personnel are authorized un-escorted access to the container and/or the combination. The container is exempt from inspection by Defense Security Service (DSS), as identified in block 15.

h. Ref BIk hg: Intelligence materials are not releasable to DTlC

i. Ref Block lii: Level I Red/Black separation in accordance in accordance with CNSSAM TEMPEST/01-13 is applicable. Any additional TEMPEST requirements may be considered after a review of the TEMPEST Checklist by the certified Technical TEMPEST Authority (CTTA), the PSO, and approval of the Contracting Officer

j. Ref Block ilj: OPSEC requirements apply. See below for additional OPSEC Requirements

1. Outside Work: All classified work to be executed in unclassified environment requires approval from the Program Security Officer (PSO)prior to execution of work.

2. U.S. Citizenship: Contractors and subcontractors in support of this effort must be U.S. Citizens (this does not include US Persons).

This includes approved unclassified work. Exceptions must be made in writing and routed to the PSO for concurrence/approval.

3. Subcontractor/Vendor Database/List: Prime contractors will provide a complete subcontractor vendor list to the government for all subcontractor that will be supporting this effort. The contractor will revise this list through out the contract to reflect all subsequent changes, and provide quarterly updates to the government.

4. Prime contractor will obtain approval from the Government/PSO prior to discussing or subcontracting any SAP work with any prospective subcontractor. Additional guidance on this process will be provided at contact award.

5. Contractor must comply with the DFARS 252.204-7012, Safeguarding Covered Defense Information & Cyber Incident Reporting.

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Development activated and products requested to be built on an unclassified network shall be compliant with NIST Special Publication 800-171. All Contract work involving Covered Defense Information and unclassified information when not associated with the program per applicable SCG's upon award of contract, must pre approved prior to begin work. Work must be preformed on physically Air-grapped or Stand-alone networks. If approved by the Program Office and the PSO, Unclassified networks may have encrypted connenctions as long as FIPS 140-2, 256 Bit NSA compliance. All unclassified systems may not have uncrypted Internet connections (e.g., only encrypted path for site connections with approval). Prior implementation, acceptance of your complaince must be given by the PSO.

k. Ref BIk 11 m: 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 the Cognizant Security Office (Blk 8c).

1. Ref Block 12: Public release of Special Access Program (SAP related data is not authorized without prior coordination through the AFOSI PJ Security Director and subsequent approval of the original Classification Authority (OCA) and air Force Special Access Central Office (AF SAPCO). Submit all proposed public disclosures related to SAP data to the Government Program manager (GPM) and the

AFOSI /PJ PSO.

m. Ref Block 12 (SCI): Public release of Sensitive Compartmented Information (SCI) is not authorized. Submit all proposed public disclosure related to the contract's SCI data to the GCA for coordination through proper release authorities.

n. Program Manager: Felix A. Abeyta, AFLCMC/WA, (937) 904-4660, SCl/COR: Felix A. Abeyta, AFLCMC/WA, (937) 904-4660

o. Collateral Security Manager: Melvin D. Norris, AFLCMC/WA, (937) 713-1983

p. Government Special Access Program Security Officer (GSSO): Melvin Norris, AFLCMC/WA, (937) 713-1983

q. Program Security Officer (PSO): Christy L. Shope, AFOSI/PJ/DET 2, (937) 785-8981

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

PROGRAM MANAGER NAME & TITLE OF REVIEWING OFFICIAL

MAJ FELIX A. ABEYTA, PM

AFLCMC/WA

PROGRAM SECURITY OFFICER NAME & TITLE OF REVIEWING OFFICIAL

(For SAP Performance Only) MELVIN NORRIS, GSSO

AFLCMC/WA

PROGRAM SECURITY OFFICER NAME & TITLE OF REVIEWING OFFICIAL

(For SAP Performance Only) CHRISTY SHOPE, PSO

AFOSI/Pi/DET 2

WPAFB SSO NAME & TITLE OF REVIEWING OFFICIAL

MEAGAN M. RICE, SSO

AFLCMC/21 IS/INS

NAME & TITLE OF REVIEWING OFFICIAL

SIGNATURE

SIGNATURE

.- I 1Tq,'

SIGNATURE 0

SIGNAT RE

SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

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CLASSIFICATION (When filled in): Unclassified

QLC)

I

D No � Yes 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.)

a. RefBlk lOe(l): SCI security requirements apply, see SCI addendum for details.

b. Ref Blk 10k: Program Protection Plan (PPP) will be provided by the Government activity.

c. Ref Blk l lj: OPSEC requirements apply. See Statement of Work (SOW) for requirements.

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

D No l'vl y 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 161 es 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.)

a. Ref Blks lOa/1 lh: NSA has oversight for COM SEC.

b. Ref Blk lOe(l): SCI security requirements apply, see SCI addendum for (para 16) details.

c. The Defense Counterintelligence and Security Agency (DCSA) has been relieved of inspection oversight responsibilities for SAP programs associated with this contract. The Air Force is identified as the Cognizant Security Authority (CSA) with the Air Force Office of Special Investigations (AFOSI), Office of Special Projects (PJ) fulfilling the execution role for all contractor inspections under the purview ofSAF/AAZ.

d. Ref Blk l lm: Contractor performance will occur at undetermined locations. DCSA is relieved of all inspection responsibilities for contractor performance on the installation. Government program security will maintain security and inspection oversight for collaterally classified information on the installation . WP AFB SSO has oversight for SCI performance.

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

a. GCA NAME

AFLCMC/WA

c. ADDRESS (Include ZIP Code)

AFLCMC/WA

d. POC NAME

PETERSON, TARA M.

2275 D Street Bldg 16

WPAFB, OH 45415

e. POC TELEPHONE {Include Area Code)

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

f. EMAIL ADDRESS (See Instructions)

FA8002

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) d. AAC OF THE CONTRACTING OFFICE h. SIGNATURE (See Instructions) (See Instructions)

PETERSON, TARA M. F A8002 1/) I ft f\l

b. TITLE e. CAGE CODE OF THE PRIME CONTRACTOR r � r?<lt l �� (See Instructions.)

Supervisory Contracting Officer 28980

c. ADDRESS (Include ZIP Code) f. TELEPHONE (Include Area Code) i. DATE SIGNED

AFLCMC/WA

(See Instructions) + 1 (93 7) 904-4690

2275 D Street Bldg 16

WP AFB, OH 45415

DD FORM 254, MAY 2019

g. EMAIL ADDRESS (See Instructions)

PREVIOUS EDITION IS OBSOLETE.

CLASSIFICATION (When filled in): Unclassified lo/ll /lOLO

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

Z a. CONTRACTOR fl b. SUBCONTRACTOR

El f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

El d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

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