Atch 4 DD254 Draft.pdf
PDF 70 KB Posted
- Attached to
- Launch Support Services, Vandenberg SFB Federal contract opportunity
- Solicitation number
- FA461023R0001
About this file
This document is a DD Form 254, which is a Department of Defense Contract Security Classification Specification. The form specifies security requirements for a contract between the Department of the Air Force Space Command and a prime contractor to provide launch support services at Vandenberg Space Force Base in California. The contractor and its subcontractors will manage facilities refurbishment, corrosion control, vehicle and equipment handling, training services, and program management to support the 377th Test Evaluation Group. The contractor is authorized to handle controlled unclassified information and must comply with operations security requirements. The contractor may require access to user agency facilities requiring at least a secret clearance. The contractor must participate in antiterrorism programs and comply with user agency security procedures. The cognizant security office is the Space and Missile Systems Center Security and the public release authority is the 377th Test Evaluation Group Public Affairs office.
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PREVIOUS EDITION IS OBSOLETE.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"
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: CUI |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 0 |
| Select for "original.": 0 |
| Select for "original.": 0 |
| Enter prime contract number.: TBD |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: FA461023R0001 |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 0 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 1 |
| Enter preceding contract number.: FA461018C0001 |
| 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).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: Richardson, Charles C. |
| Enter CAGE code of the prime contractor.: TBD |
| 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).: 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).: SLD 30/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 |
377 Test Evaluation Group
| Enter general unclassified description of this procurement.: The contractor and it's subcontractor shall provide all management, planning, programming, administrative, supplies and labor necessary to ensure that launch support services (Launch Facilities (LF) refurbishment, corrosion control services, vehicle issue and control, equipment issue and control, training management services, and program management services) performed for the 377th Test Evaluation Group, Vandenberg SFB, California is in accordance with standards annotated in the Performance Work Statement (PWS). |
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| 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.": 0 |
| 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).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0 |
| 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.": 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 "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".: SLD 30 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 Item 10J, Continued: The contractor is authorized to handle, store and protect CONTROLLED UNCLASSIFIED INFORMATION (CUI) information and material, as defined in the NISPOM, DoDM 5220.22 v2_AFMAN 16-1406, and DoDI 5200.48_DAFI _16403. |
13.2 Item 11E, Continued: The contractor may require entry to User Agency facilities where special controls have been established to protect classified information or mission-critical resources. Entry to these resources may require the contractor's employees be granted at least a SECRET security clearance or be subject of at least a favorable Tier 1 (T1) investigation. Contractor security clearance requests will be submitted in accordance with the NISPOM.
13.3. Item 11J, Continued: The contractor will accomplish the following minimum requirements in support of the user agency 377 TEG Operation Security (OPSEC) program:
13.3.1. Document critical items of information applicable to its operations and activities. They are critical facts which in individually, or aggregate, reveal sensitive details about its contractual obligations and require protection from hostile intelligence collection or exploration. Comply with Exhibit C of this specification, as applicable.
13.3.2. Include OPSEC as part of it ongoing security education and training program conducted in accordance with chapter 3, NISPOM.
13.3.3. Be responsive to the user agency OPSEC manager, 377 TEG, on a non-interference basis.
13.4 The contractor will participate in the Base anti-terrorism program according to Exhibit B of this specification.
13.5 The contractor will comply with provisions of user agency 377 TEG Security Procedures Operating Instructions 31-101, which pertain specifically to user agency facilities and processes to which the contractor will have access or involvement in.
| Click on this button to attach a file(s).: |
| rep: |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: Contractor employees and subcontractors who have access to Air Force networks must have a favorable T1 or higher level investigation. Contractor personnel providing direct support to 377 TEG or are and permanently assigned to an Air Force installation will execute and abide by the provisions set forth in the Visitor Group Security Agreement (VGSA) and cooperate under the SLD 30 Information Protection Office's oversight. |
| Explain and identify specific areas and government activity responsible for inspections.: DCSA is relieved of inspection responsibility. The contractor's security operations on Vandenberg SFB will integrated into the 377 TEG security program and inspected annually by SLD 30/IP. |
| Enter GCA name.: Charles C. Richardson |
| Enter AAC of the contracting office.: FA4610 |
| 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).: 8056066966 |
| Enter email address.: eileen.castro@spaceforce.mil |
| Enter email address.: charles.richardson.16@spaceforce.mil |
| Enter title.: Contracting Officer |
| Enter the date signed in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .