Atch 3 Draft DD254 Security Escorts 20220607.pdf

PDF 73 KB Posted Jun 8, 2022

Attached to: Bldg. 7000 Security Escorts at Vandenberg SFB, CA Federal contract opportunity
Solicitation number: FA4610-22-Q-0032
Issued by: Department of the Air Force Space Command

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Other files for this federal contract opportunity

Other files attached to Bldg. 7000 Security Escorts at Vandenberg SFB, CA, newest first.
File	Type	Posted
FA461022Q00320002 B7000 Security Escorts Amend 2 20220706.pdf	PDF	Jul 6, 2022
FA461022Q00320001 7000 Security Escorts Amend 1 20220628.pdf	PDF	Jun 28, 2022
Atch 2 SCA WD 2015-5647 Rev 16 20220315.pdf	PDF	Jun 8, 2022
Atch 1 PWS Security Escorts B7000 20220419.pdf	PDF	Jun 8, 2022
FA461022Q0032 Building 7000 Security Escorts 20220608.pdf	PDF	Jun 8, 2022

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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PREVIOUS EDITION IS OBSOLETE.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:

May 31, 2022 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

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

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

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

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

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

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

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

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

14. ADDITIONAL SECURITY REQUIREMENTS

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

If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

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

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

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

17. CERTIFICATION AND SIGNATURES

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, "DoD Contract Security Classification Specification"

CurrentPage:

PageCount:

Select classification from drop-down list.:

SerialNum:

a. Facility clearance level. Select one.: 1

b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 1

Select for "original.": 0

Select for "original.": 1

Enter prime contract number.: TBD

Select for "revised.": 0

Enter subcontract number.: N/A

Select for "final.": 1

Select for "final.": 0

Enter solicitation or other number.: FA461022Q0032

Enter due date in format YYYYMMDD.: 20220627

Enter date in format YYYYMMDD.: 20220601

Enter revision number.:

Enter date in format YYYYMMDD.:

Enter final specification.:

Enter date in format YYYYMMDD.:

Select for "no.": 1

Select for "no.": 0

Select for "no.": 1

Select for "no.": 0

Select for "yes.": 0

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).: Bumpass, William R.

Enter CAGE code of the prime contractor.: TBD

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

Enter CAGE code of the prime contractor.: TBD

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

Los Angeles Field Office (IOFWL) 3452 E Foothill Blvd., Ste. 600 Pasadena, CA 91107 626-463-0515 dss.la-field-office@mail.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 30 SW/IP 1031 California Blvd, Suite C-110 Vandenberg SFB, CA 93437

Select to add row to locations.:

Select to remove last row from locations.:

Select to delete all signatures.:

Enter location(s).: Vandenberg Space Force Base, CA

Enter general unclassified description of this procurement.: The Contractor shall provide all management, labor, tools, equipment, transportation, materials, and parts necessary to provide security escort services in accordance with Security Escorts Performance Work Statement.

Select for "a. CONTRACTOR.": 0

Select for "a. CONTRACTOR.": 1

Select for "f. OTHER AS NECESSARY.": 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 "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0

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

Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0

Select for "i. HAVE A TEMPEST REQUIREMENT.": 0

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0

Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 0

Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0

Enter infomration for "other.":

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

Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 0

Select for "m.OTHER.": 0

Select for "direct.": 0

Select for ": 1

Enter specification for "through".: 30 SW Public Affairs

747 Nebraska Ave, Suite 7, VSFB, CA 93437

Enter public release authority.:

Select to add signature.:

Select to remove last signature.:

text: 13.1 The security escort provider must comply with Air Force Instruction (AFI) 31-101, 30th Space Wing Integrated Defense Plan (IDP); DoDM5220.22V2_AFMAN16-1406V2, 8 MAY 2020; local security requirements; and must possess a valid Facility Clearance at the Top Secret or higher level issued by the Defense Counterintelligence and Security Agency (DCSA).

13.2 The contractor will require unescorted entry to facilities and areas where special controls have been established to protect classified information of mission critical resources. Unescorted entry to these areas will require the contractor's employees to possess a current/valid TOP SECRET security clearance. Unescorted entry to these areas will be in accordance with Air Force Instruction (AFI) 31-101, 30th Space Wing Integrated Defense Plan (IDP).

13.3 Protect sensitive unclassified activities that could compromise classified information or operations, or degrade the planning and execution of military.

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

rep: Robert A. Dickson, Civ, USSF

Industrial Security Program Manager

Enter signature.:

Explain and identify specific areas and government activity responsible for inspections.: The contractor's security operations on Vandenberg SFB will be inspected by the 30 SW/IPC. Periodic self-inspection of contractor's security operations will be conducted by user agency 30 SW/PM Unit Security Manager.

Coordinated by: Robert A. Dickson, 30 SW/IPC

Enter GCA name.: William R. Bumpass

Enter AAC of the contracting office.: FA4610

Enter address (include zip code).: 30th Contracting Squadron

1515 Iceland Ave Bldg 8500 Vandenberg SFB, 93437 Enter address (include zip code).: 1515 Iceland Ave Building 8500 Vandenberg Space Force Base, CA 93437

Enter POC name.: Eileen Castro

Enter telephone number (include area code).: 8056062480

Enter telephone number (include area code).: 8056064469

Enter email address.: eileen.castro@spaceforce.mil

Enter email address.: william.bumpass.1@spaceforce.mil

Enter title.: Contracting Officer

Enter the datesigned in format YYYYMMDD.:

File details come from the government source that posted it. Updated Jun 8, 2022.