(AFSC_SWPA)MTSI_0X988_FA8222-25-R-B001_Rev 1( Off Base).pdf
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- Solicitation number
- FA822225RB001
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DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of
DD FORM 254, APR 2018
NEEDS DD67
DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)
OMB No. 0704-0567 OMB approval expires:
June 30, 2025 The public reporting burden for this collection of information, 0704-0567, is estimated to average 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" Hide Attachment Bar
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: Unclassified |
| Enter serial number.: |
| a. Facility clearance level. Select one.: 1 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
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| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: FA8222-25-R-B001 |
| Enter due date in format YYYYMMDD.: 20250317 |
| Enter date in format YYYYMMDD.: 20241219 |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
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| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 1 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: N/A |
| Enter typed name of certifying official (last, first, middle initial).: Carmen Mertz |
| Enter CAGE code of the prime contractor.: TBD |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: 3G050 |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: 5FT31 |
| Enter CAGE code of the prime contractor.: N/A |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: HQ - Russell Knox Building |
27130 Telegraph Road, Quantico, VA 22134 888-282-7682 dcsa.quantico.hq.mbx.occ-facilities@mail.mil
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: DCSA - Detroit Field Office |
17177 North Laurel Park Drive, Suite 423 Livonia MI 48152-2659 734-853-8410 dcsa.central.is.mbx.detroit-field-office@mail.mil
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: AFSC/SWX |
2303 8th St, Bldg 802 Wright-Patterson AFB, OH 45433 Enter location(s).: MIT/LL 244 Wood St Lexington, MA 02421 Enter location(s).: DTTR-E 30 Hoglan Ave Edwards AFB, CA 93524 Enter location(s).: DTTR-E Dev 20 Hoglan Ave Edwards AFB, CA 93524 Enter location(s).: DTTR-N 4091 Kinley Ave, Bldg 1733 Nellis AFB, NV 89191 Enter location(s).: JITTC 4001 Kinley Ave Nellis AFB, NV 89191 Enter location(s).: JSE-PAX 48150 Shaw Rd Patuxent River, MD 20670 Enter location(s).: Parallax Advanced Research 4035 Colonel Glenn Hwy.
Beavercreek, OH 45431 Enter location(s).: AFSC/SW Builing 1515 6137 Wardleigh Rd Hill AFB, UT 84056
| Enter general unclassified description of this procurement.: The scope of this requirement is to provide Software Development and Cyber Security services for the Air Force Sustainment Center (AFSC) Software Directorate's Experimentation Division (AFSC/SWX). The primary Software Development and Cyber Security tasks are with modeling and simulation software using advanced frameworks for Department of Defense (DoD) customers. These software tasks, when integrated with DoD customers, provide capabilities such as operational testing, rapid integration, advanced training, and Tactics, Techniques, and Procedures (TTP) development of the DoD's most advanced war fighting capabilities. |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| 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 "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.": 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.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 1 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Enter infomration for "other.": SIPRNET and/or JWICS and/or SAP NETWORK Access may be required. SOW/PWS |
| Enter infomration for "other.": The AFFARS clause 5352.204-9000 applies |
| Enter infomration for "other.": 88 ABW/IPD, 88ABW.IPD.Industrial.Security@us.af.mil |
412 TW/IP, 412TW.IP@us.af.mil
99 ABW/IPD, 99ABW.IP@us.af.mil
75 ABW/IPD, 75ABW.IPD.IndustrialSecurity@us.af.mil AFOSI PJ Det 1 OL-A; todd.mangel.1@us.af.mil
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 0 |
| Select for "m.OTHER.": 1 |
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| Enter specification for "through".: Public release of Sensitive Compartmented Information (SCI) is NOT authorized. |
| Enter public release authority.: |
| Select to add signature.: |
| Select to remove last signature.: |
| text: Ref. 10.a: COMSEC safeguarding requirements apply. For on-base performance, COMSEC is incumbent on the government. Access on a government installation is granted by the user agency. Access to COMSEC information is restricted to U.S. Citizens holding a final U.S. government clearance at the appropriate level. Personnel must receive the required COMSEC briefing. Prior approval is required from the Government Contracting Activity prior to granting access to COMSEC information to a subcontractor. Contractor will comply with Air Force COMSEC guidance. |
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. 10.k.: The contractor is permitted access to the Secret Internet Protocol Router Network (SIPRNet). Actual knowledge, generation, or production of NATO information is not required for performance on this contract; however, a NATO awareness briefing will be completed prior to granting access to the SIPRNet. JWICS access required; The government will only provide JWICS network access to include email and web access provided the contractor meets ‘all’ SCI eligibility and training requirements and maintains the appropriate SCI access level. Contractors will be held strictly accountable for all actions they initiate on the network and will conduct business IAW USAF, ACC, and local base instructions and policies. JWICS privileges will be terminated if contractor does not maintain a current TS investigation. STE/Secure VOIP access is required for PRD performance. Access will be controlled by the sponsoring agency. Contractor will follow requirements IAW AFMAN 33-283, Communications Security (COMSEC) Operations.
Ref. 11.a.: Contract performance is restricted to locations identified in Items 8.a. Contractor will abide by the applicable SAP security classification guidance. Security classification guidance has been provided and is available at these locations for performance on the contract.
Ref 11.k.: This contract requires the use of the Defense Courier Service (DCS). The government contracting activity will request written approval for DCS services from the Commander, Defense Courier Service, ATTN: Operations Division, United States Transportation Command, 508 Scott Drive, Scott Air Force Base, IL 62225. Prior approval is required from the contracting activity, prior to authorizing a subcontractor to utilized DCS services.
Ref 11.m.: The contractor is designated as a Intermittent Visitor Group and will adhere to the Hill AFB Visitor Group Security Addendum attached in Item 13 while performing on Hill AFB and will request installation specific security policies from the Servicing Security Activities listed in Item 15 “Ref: 8.a”, at least 30 days prior to beginning operations. Ref 11.m (2)Contractor will practice approved Automated Information System Security measures IAW SOPs. SAP computer access may be required.
text:
AFSC/SWPA
text:
AFSC/IP Consolidated Security Office text:
AFLCMC/INL
text:
AFOSI PJ/DET 1 OL-A
text:
75 ABW/IPD
| Click on this button to attach a file(s).: |
| rep: Zachary Spencer |
Acquisition Program Manager rep: Timothy J Milliken OPSEC Signature Manager
| rep: Jason R. Blake |
| rep: Todd A. Mangel |
Program Security Officer
| rep: James C. Hagemier |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: Ref Blk 10.e.(1): Contractor requires access to SCI materials; SCI security requirements apply, see attached SCI Clauses in attachment within Item 13 for details. |
Ref. 10.e.(2). The contractor will require access to, and receipt of, classified intelligence documents in the performance of this contract. Contractor shall restrict access to those individuals with a valid need-to-know who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, or other government agencies and private individuals or organizations is prohibited unless authorized in writing by the COR with prior approval of SSO HILL. See Non-Sensitive Compartmented Information (SCI) Clauses in attachment within Item 13 for details.
Ref 10.f.: Special Access Program (SAP) security requirements apply, see SAP Information Addendum attachment within Item 13 for details.
Ref 11.j. The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Hill AFB, and Wright Patterson AFB Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced in attachment within Item 13.
Explain and identify specific areas and government activity responsible for inspections.: Ref. 8.a.: The Defense Counterintelligence and Security Agency (DCSA) is relieved of all industrial security review responsibilities for contractor performance on government installations identified in Items 8.a. The following SSAs have exclusive oversight responsibilities while operating on the installations:
1) Wright Patterson AFB, OH: 88 ABW/IPD, 88ABW.IPD.INDUSTRIAL.SECURITY@us.af.mil
2) Edwards AFB, CA: 412 TW/IP, 412TW.IP@us.af.mil 15 South Muroc, Edwards, CA 93524
3) Nellis AFB, NV: 99 ABW/IPD, 99ABW.IP@us.af.mil 4311 Carswell Ave, Nellis AFB, NV 89191
4) NAS Patuxent River, MD: MD-235, Patuxent River, MD 20670
5) Hill AFB, UT: 75 ABW/IPD 7981 Georgia Street, HAFB, UT 84056: 75ABW.IPD.IndustrialSecurity@us.af.mil
Ref. 10.e(1). DCSA is relieved of security inspection responsibility for all SCI material related to this contract. The SSO maintains inspection responsibility for all SCI material related to this contract.
Ref 10.f.: 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 AFOSI PJ fulfilling the execution role for all contractor inspections under the purview of SAF/AAZ.
| Enter GCA name.: Enterprise Contracting Branch |
| Enter AAC of the contracting office.: FA8222 |
| Enter AAC of the contracting office.: FA8222 |
| Enter address (include zip code).: OL_H/PZIEA |
6038 Fir Ave, Bldg. 1289 Hill AFB, UT. 84056 Enter address (include zip code).: OL_H/PZIEA 6038 Fir Ave, Bldg. 1289 Hill AFB, UT. 84056
| Enter POC name.: Carmen Mertz |
| Enter telephone number (include area code).: 8015891792 |
| Enter telephone number (include area code).: 8017756271 |
| Enter email address.: carmen.mertz@us.af.mil |
| Enter email address.: carmen.meertz@us.af.mil |
| Enter title.: Contracting Officer |
| Enter the datesigned in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .