Att 5 - DD254.pdf

CLASSIFICATION (When filled in): CUI

PREVIOUS EDITION IS OBSOLETE. Page 1 of 5DD FORM 254, APR 2018

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Top Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

FA2384-25-R-B003

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

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 Yes If yes, complete the following:

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

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

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

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

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE

N/A

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

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) Add Row Remove Last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE N/A

b. CAGE CODE

N/A

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

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove Last Row Delete All Rows

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

711 HPW/RHD

4141 Petroleum Dr.(Bldg3260) JBSA-Fort Sam Houston, TX 78234 (See also Item 13)

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) 711 HPW/RHD Security 4141 Petroleum Rd (Bldg 3260) JBSA-Fort Sam Houston, TX 78234

210-539-7001/7002/7099//DSN:389

711HPW.RHD.Security@us.af.mil

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The Bioeffects Research of Directed Energy Exposures (BRDEE) program conducts research studies with directed energy (DE)-based devices and systems to deliver accurate, evidence-based information to DoD and industry stakeholders, national and international health and safety standards committees, and the public. The goal is to enable optimal use and maximum safe exploitation of the electromagnetic spectrum for national defense by protecting personnel and communities and evaluating the applications of DE systems.

PREVIOUS EDITION IS OBSOLETE. Page 2 of 5DD FORM 254, APR 2018

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.) h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

IT Systems. See Item 13. and Science & Technology Protection Plan. See Item 14.

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

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

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

Pre-contract award access to classified is not required

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)

DIRECT THROUGH (Specify below)

AFRL/PA

Email: AFRL.PA.INQUIRY@US.AF.MIL

Public Release Authority:

See Blk 13

13. SECURITY GUIDANCE Add Signature Remove Last Signature Delete All Signatures

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.)

32 Code of Federal Regulations, Part 117, National Industrial Security Program Operating Manual (NISPOM), 24 February 2021, applies.

The Contractor will notify the Government Contracting Activity and the Government Security Manager within 48 hours of any incident involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessment of potential impact pending formal inquiry/investigation. Actual or suspected compromise of Covered Defense Information will be reported IAW DFARS Clause 252.204-7012.

Ref Item 8a: Actual performance at 711 HPW/RHD, JBSA Fort Sam Houston, 4141 Petroleum Dr, JBSA - Fort Sam Houston, TX 78234 and elsewhere as directed by the Program Manager, including military installations and approved contractor-operated facilities for meetings, visits, conferences, etc. All SCI level work, discussions, and/or processing of information will be conducted in a DIA accredited

SCIF.

Ref Item 10b: Access to RESTRICTED DATA requires a final U.S. Government clearance at the appropriate level.

PREVIOUS EDITION IS OBSOLETE. Page 3 of 5DD FORM 254, APR 2018

Ref Item 10e(1): Contractor requires access to SCI materials; SCI security requirements apply, see 21 IS/INS, SSO WPAFB, SCI addendum, for details.

Ref Item 10g: A formal NATO briefing is required prior to granting access to NATO Secret information. See 32 CFR, Part 117, §117.19

(g) for details. Access to JWICS, is authorized. Users shall be briefed to NATO Secret IAW 32 CFR, Part 117, §117.19 (g) prior to access.

Ref Item 10h: The contractor is permitted access to FGI in performance of this contract. Access to FGI requires a final US Government clearance at the appropriate level. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are briefed on export control regulations and processes prior to access being granted. Prior approval from the contracting activity is required for sub-contracting.

Ref Item 10j: The contractor shall comply with DoDI 5200.48, Controlled Unclassified Information (CUI), Air Force Guidance Memorandum 2020-16-01, Air Force Guidance Memorandum for CUI, 23 Jul 20, and DoDM 5400.7-Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program. The contractor shall monitor CUI aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information.

Ref Item 10k: Access to Secret Internet Protocol Router Network (SIPRNET) is authorized. SIPRNET users shall receive the Air Force North Atlantic Treaty Organization (NATO) Security Awareness Briefing and sign an acknowledgment prior to SIPRNET access. Access to JWICS, is authorized. Users shall be briefed to NATO Secret IAW 32 CFR, Part 117, §117.19 (g) prior to access.

Ref Item 11a: The contractor will generate classified information. Government activity will provide security classification guidance for performance of this contract. The contractor shall apply derivative classification and markings governed by the SCDG(s) listed below.

SCDG will be provided under separate cover.

1.) Advanced Concepts Event (ACE) SECURITY CLASSIFICATION GUIDE, 31 August 2014 ISSUED BY: AIR FORCE RESEARCH LABORATORY (AFRL), DIRECTED ENERGY DIRECTORATE (RD) AIR FORCE MATERIEL COMMAND APPROVED BY:

DAVID A. HARDY, SES, DIRECTOR, DIRECTED ENERGY DIRECTORATE

2.) DIRECTED ENERGY WEAPONS (DEWS) TECHNOLOGY SECURITY CLASSIFICATION GUIDE, 31 January 2018 Originating Component: Office of the Under Secretary of Defense for Acquisition, Technology, and Logistics. Approved by: E1len M. Lord, Under Secretary of Defense for Acquisition, Technology, and Logistics.

3) ACTIVE DENIAL TECHNOLOGY (ADT) PROGRAM SECURITY CLASSIFICATION GUIDE, 9 November 2011 AIR FORCE RESEARCH LABORATORY (AFRL) AFMC, DIRECTED ENERGY DIRECTORATE (RD), HIGH POWER MICROWAVE APPLICATIONS BRANCH (RDHA) APPROVED BY: DAVID A. HARDY, SES, DIRECTOR, DIRECTED ENERGY DIRECTORATE

4) Counter-Electronics High Power Microwave Program (CE HPM) SECURITY CLASSIFICATION GUIDE, 15 February 2012 AIR FORCE RESEARCH LABORATORY (AFRL) AFMC, DIRECTED ENERGY DIRECTORATE (RD). HIGH POWER MICROWAVE DIVISION (RDH) APPROVED BY: DAVID A. HARDY, SES, DIRECTOR, DIRECTED ENERGY DIRECTORATE

5) DIRECTED ENERGY (DE) WEAPON AND COUNTER-DE CAPABILITY TECHNOLOGIES SECURITY CLASSIFICATION/ DE CLASSIFICATION GUIDE (SCG), 17 March 2006 HEADQUARTERS UNITED STATES AIR FORCE, DEPUTY CHIEF OF STAFF AIR, SPACE & INFORMATION OPERATIONS (HQ USAF/A3/5) APPROVED BY: CARROL H. CHANDLER, Lt Gen, USAF, DCS, Air, Space & Information Operations, Plans & Requirements Change I: DIRECTED ENERGY (DE), ACOUSTIC, COUNTER-DE & COUNTER-ACOUSTIC WEAPONS & WEAPON TECHNOLOGIES AF/A5RC APPROVED BY: JOHNNY A. WEIDA, Maj Gen, USAF, Asst DCS, Operations, Plans, and Requirements

6) MAX POWER System SECURITY CLASSIFICATION GUIDE, 31 MAY 2012 AIR FORCE RESEARCH LABORATORY DIRECTED ENERGY DIRECTORATE, AFMC, AFRL/RDHA APPROVED BY: DAVID A. HARDY, SES, DIRECTOR, DIRECTED

ENERGY DIRECTORATE

7) Interim Security Classification Guidance for Anomalous Health Incidents, Including Acquired Idiopathic Neurological Syndrome, 05 November 2021 Office of the Under Secretary of Defense for Research and Engineering, Approved By: Heidi Shyu, Chief Technology Officer, Under Secretary of Defense for Research and Engineering

Ref Item 11g: (1) The sponsoring GCA must submit the DD Form 1540, “Registration for Scientific and Technical Information Services” to DTIC on behalf of the contractor. For subcontractors, the prime contractor submits the DD Form 1540, “Registration for Scientific and Technical Information Services” with the GCA verifying the need-to-know. (2) The contractor may also submit DD Form 2345, “Militarily Critical Technical Data Agreement” (after registration with DTIC) to the Defense Logistics Services Center for access to unclassified, PREVIOUS EDITION IS OBSOLETE. Page 4 of 5DD FORM 254, APR 2018 militarily critical technical data from other DoD sources. The GCA must certify the need-to-know to DTIC.

Ref Item 11j: Operations security (OPSEC) requirements apply. The contractor shall provide OPSEC protection for all sensitive/critical information as defined by Air Force Instruction (AFI) 10-701 and Tri-Service Research Laboratory OPSEC Plan. The contractor shall describe the steps necessary to protect sensitive/critical information. The User Agency OPSEC Coordinator will evaluate the OPSEC posture of contract activities and operations. (See also Ref Blk 11j section in Blk 14 on OPSEC.)

Ref Item 11l: The contractor shall comply with DoDI 5200.48, Controlled Unclassified Information (CUI), Air Force Guidance Memorandum 2020-16-01, Air Force Guidance Memorandum for CUI, 23 Jul 20, and DoDM 5400.7-Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program. The contractor shall monitor CUI aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information.

Ref Item 11m: For solicitation DD Form 254, Pre-contract award access to classified is not required.

Ref Item 12 “Through”: “Contractor is to submit requests through the contracting officer for OPSEC program manager review and public release authorization. The contracting officer will provide contractor with written approval/disapproval. Information requiring AF or DoD-level review will be reviewed by the unit’s OPSEC program manager or coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC 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.” MAJCOM/DRUs will send information requiring AF or DoD-level review directly to SAF/PAX. Ref Item 10e (1): Public release of Sensitive Compartmented Information (SCI) is not authorized.

Program Manager: Stacey L. Martens, 711 HPW/RHDR, (210)539-8057, stacey.martens@us.af.mil

Contracting Officer's Representative: Stacey L. Martens, 711 HPW/RHDR, (210)539-8057, stacey.martens@us.af.mil

Security Manager: James A. Warden, 711 HPW/RHD, (210)539-7001 james.warden@us.af.mil

Contractor Security Incidents/Violations. To be notified of security incidents involving the actual or suspected compromise/loss of classified information: 711 HPW/RHD Security <711HPW.RHD.Security@us.af.mil> // 711 HPW/OMS Security <711HPW.OMS.Sec@us.af.mil> If/when there is an incident/violation involving classified information at the SCI level, 21 IS/INS, SSO WPAFB will be notified.

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

Attach 1: BRDEE SOO Attach 2: 21 IS/INS, SSO WPAFB, SCI Addendum

NAME & TITLE OF REVIEWING OFFICIAL

James A. Warden, DO-II, DAF

711 HPW/RHD IP

SIGNATURE

SSO WPAFB NAME & TITLE OF REVIEWING OFFICIAL

DEREK A. LEMON, 21 IS/INS

SIGNATURE

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

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

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.)

Ref Item 10e(1): SCI security requirements apply, see SCI addendum for details.

Ref Item 10k: Science & Technology Protection Plan (STPP) will be provided by the Government activity.

Ref Item 11j: OPSEC requirements apply. See Performance Work Statement /Statement of Work for requirements.

15. INSPECTIONS

PREVIOUS EDITION IS OBSOLETE. Page 5 of 5DD FORM 254, APR 2018

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

No Yes 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.)

Ref Item 10e (1): 21 IS/INS, SSO WPAFB has exclusive security responsibility for SCI classified material released or developed under this contract and held within the contractor’s SCIF. SCI security requirements apply, see SCI addendum (para 17) for details.

Ref Item 11m: Contractor performance: reference Item 8. 711 HPW/RHD Security/IPO will maintain security oversight.

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

a. GCA NAME

AFRL/RAKHA

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

FA2384

c. ADDRESS (Include ZIP Code) 2130 8th St. Bldg 45

WPAFB, OH 45433-7541

d. POC NAME

Alex LaVelle

e. POC TELEPHONE (Include Area Code)

+1 (937) 713-9871

f. EMAIL ADDRESS (See Instructions) alex.lavelle.4@us.af.mil

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) (See Instructions)

LaVelle, Alex, R.

b. TITLE

Contracting Officer

c. ADDRESS (Include ZIP Code) 2130 8th St Bldg 45

WPAFB, OH 45433-7541

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA8650

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

TBD

f. TELEPHONE (Include Area Code)

+1 (937) 713-9871

g. EMAIL ADDRESS (See Instructions) alex.lavelle.4@us.af.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20250114

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

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

AFRL Industrial Security Personnel:

afrl.industrial.security@us.af.mil

Program Manager: stacey.martens@us.af.mil

Servicing SSO:

21 IS/INS, SSO WPAFB,

WPAFBSpecialSecurityOffice.Mailbox@us.af.mil

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"

4141 Petroleum Rd (Bldg 3260) JBSA-Fort Sam Houston, TX 78234

210-539-7001/7002/7099//DSN:389

711HPW.RHD.Security@us.af.mil

4141 Petroleum Dr.(Bldg3260) JBSA-Fort Sam Houston, TX 78234 (See also Item 13)

Program Manager: stacey.martens@us.af.mil

Servicing SSO:

21 IS/INS, SSO WPAFB, WPAFBSpecialSecurityOffice.Mailbox@us.af.mil

Email: AFRL.PA.INQUIRY@US.AF.MIL

The Contractor will notify the Government Contracting Activity and the Government Security Manager within 48 hours of any incident involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessment of potential impact pending formal inquiry/investigation. Actual or suspected compromise of Covered Defense Information will be reported IAW DFARS Clause 252.204-7012.

Ref Item 8a: Actual performance at 711 HPW/RHD, JBSA Fort Sam Houston, 4141 Petroleum Dr, JBSA - Fort Sam Houston, TX 78234 and elsewhere as directed by the Program Manager, including military installations and approved contractor-operated facilities for meetings, visits, conferences, etc. All SCI level work, discussions, and/or processing of information will be conducted in a DIA accredited SCIF.

Ref Item 10b: Access to RESTRICTED DATA requires a final U.S. Government clearance at the appropriate level.

Ref Item 10e(1): Contractor requires access to SCI materials; SCI security requirements apply, see 21 IS/INS, SSO WPAFB, SCI addendum, for details.

Ref Item 10g: A formal NATO briefing is required prior to granting access to NATO Secret information. See 32 CFR, Part 117, §117.19 (g) for details. Access to JWICS, is authorized. Users shall be briefed to NATO Secret IAW 32 CFR, Part 117, §117.19 (g) prior to access.

Ref Item 10h: The contractor is permitted access to FGI in performance of this contract. Access to FGI requires a final US Government clearance at the appropriate level. The government program/project manager is the designated representative that will ensure the contractor security manager and concerned employees are briefed on export control regulations and processes prior to access being granted. Prior approval from the contracting activity is required for sub-contracting.

Ref Item 10j: The contractor shall comply with DoDI 5200.48, Controlled Unclassified Information (CUI), Air Force Guidance Memorandum 2020-16-01, Air Force Guidance Memorandum for CUI, 23 Jul 20, and DoDM 5400.7-Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program. The contractor shall monitor CUI aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information.

Ref Item 10k: Access to Secret Internet Protocol Router Network (SIPRNET) is authorized. SIPRNET users shall receive the Air Force North Atlantic Treaty Organization (NATO) Security Awareness Briefing and sign an acknowledgment prior to SIPRNET access. Access to JWICS, is authorized. Users shall be briefed to NATO Secret IAW 32 CFR, Part 117, §117.19 (g) prior to access.

Ref Item 11a: The contractor will generate classified information. Government activity will provide security classification guidance for performance of this contract. The contractor shall apply derivative classification and markings governed by the SCDG(s) listed below. SCDG will be provided under separate cover.

1.) Advanced Concepts Event (ACE) SECURITY CLASSIFICATION GUIDE, 31 August 2014 ISSUED BY: AIR FORCE RESEARCH LABORATORY (AFRL), DIRECTED ENERGY DIRECTORATE (RD) AIR FORCE MATERIEL COMMAND APPROVED BY: DAVID A. HARDY, SES, DIRECTOR, DIRECTED ENERGY DIRECTORATE

2.) DIRECTED ENERGY WEAPONS (DEWS) TECHNOLOGY SECURITY CLASSIFICATION GUIDE, 31 January 2018 Originating Component: Office of the Under Secretary of Defense for Acquisition, Technology, and Logistics. Approved by: E1len M. Lord, Under Secretary of Defense for Acquisition, Technology, and Logistics.

3) ACTIVE DENIAL TECHNOLOGY (ADT) PROGRAM SECURITY CLASSIFICATION GUIDE, 9 November 2011 AIR FORCE RESEARCH LABORATORY (AFRL) AFMC, DIRECTED ENERGY DIRECTORATE (RD), HIGH POWER MICROWAVE APPLICATIONS BRANCH (RDHA) APPROVED BY: DAVID A. HARDY, SES, DIRECTOR, DIRECTED ENERGY DIRECTORATE

4) Counter-Electronics High Power Microwave Program (CE HPM) SECURITY CLASSIFICATION GUIDE, 15 February 2012 AIR FORCE RESEARCH LABORATORY (AFRL) AFMC, DIRECTED ENERGY DIRECTORATE (RD). HIGH POWER MICROWAVE DIVISION (RDH) APPROVED BY: DAVID A. HARDY, SES, DIRECTOR, DIRECTED ENERGY DIRECTORATE

5) DIRECTED ENERGY (DE) WEAPON AND COUNTER-DE CAPABILITY TECHNOLOGIES SECURITY CLASSIFICATION/ DE CLASSIFICATION GUIDE (SCG), 17 March 2006 HEADQUARTERS UNITED STATES AIR FORCE, DEPUTY CHIEF OF STAFF AIR, SPACE & INFORMATION OPERATIONS (HQ USAF/A3/5) APPROVED BY: CARROL H. CHANDLER, Lt Gen, USAF, DCS, Air, Space & Information Operations, Plans & Requirements Change I: DIRECTED ENERGY (DE), ACOUSTIC, COUNTER-DE & COUNTER-ACOUSTIC WEAPONS & WEAPON TECHNOLOGIES AF/A5RC APPROVED BY: JOHNNY A. WEIDA, Maj Gen, USAF, Asst DCS, Operations, Plans, and Requirements

6) MAX POWER System SECURITY CLASSIFICATION GUIDE, 31 MAY 2012 AIR FORCE RESEARCH LABORATORY DIRECTED ENERGY DIRECTORATE, AFMC, AFRL/RDHA APPROVED BY: DAVID A. HARDY, SES, DIRECTOR, DIRECTED ENERGY DIRECTORATE

7) Interim Security Classification Guidance for Anomalous Health Incidents, Including Acquired Idiopathic Neurological Syndrome, 05 November 2021 Office of the Under Secretary of Defense for Research and Engineering, Approved By: Heidi Shyu, Chief Technology Officer, Under Secretary of Defense for Research and Engineering

Ref Item 11g: (1) The sponsoring GCA must submit the DD Form 1540, “Registration for Scientific and Technical Information Services” to DTIC on behalf of the contractor. For subcontractors, the prime contractor submits the DD Form 1540, “Registration for Scientific and Technical Information Services” with the GCA verifying the need-to-know. (2) The contractor may also submit DD Form 2345, “Militarily Critical Technical Data Agreement” (after registration with DTIC) to the Defense Logistics Services Center for access to unclassified, militarily critical technical data from other DoD sources. The GCA must certify the need-to-know to DTIC.

Ref Item 11j: Operations security (OPSEC) requirements apply. The contractor shall provide OPSEC protection for all sensitive/critical information as defined by Air Force Instruction (AFI) 10-701 and Tri-Service Research Laboratory OPSEC Plan. The contractor shall describe the steps necessary to protect sensitive/critical information. The User Agency OPSEC Coordinator will evaluate the OPSEC posture of contract activities and operations. (See also Ref Blk 11j section in Blk 14 on OPSEC.)

Ref Item 11l: The contractor shall comply with DoDI 5200.48, Controlled Unclassified Information (CUI), Air Force Guidance Memorandum 2020-16-01, Air Force Guidance Memorandum for CUI, 23 Jul 20, and DoDM 5400.7-Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program. The contractor shall monitor CUI aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information.

Ref Item 11m: For solicitation DD Form 254, Pre-contract award access to classified is not required.

Ref Item 12 “Through”: “Contractor is to submit requests through the contracting officer for OPSEC program manager review and public release authorization. The contracting officer will provide contractor with written approval/disapproval. Information requiring AF or DoD-level review will be reviewed by the unit’s OPSEC program manager or coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC 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.” MAJCOM/DRUs will send information requiring AF or DoD-level review directly to SAF/PAX. Ref Item 10e (1): Public release of Sensitive Compartmented Information (SCI) is not authorized.

Program Manager: Stacey L. Martens, 711 HPW/RHDR, (210)539-8057, stacey.martens@us.af.mil

Contracting Officer's Representative: Stacey L. Martens, 711 HPW/RHDR, (210)539-8057, stacey.martens@us.af.mil

Security Manager: James A. Warden, 711 HPW/RHD, (210)539-7001 james.warden@us.af.mil

Contractor Security Incidents/Violations. To be notified of security incidents involving the actual or suspected compromise/loss of classified information: 711 HPW/RHD Security <711HPW.RHD.Security@us.af.mil> // 711 HPW/OMS Security <711HPW.OMS.Sec@us.af.mil> If/when there is an incident/violation involving classified information at the SCI level, 21 IS/INS, SSO WPAFB will be notified.

text: Attach 1: BRDEE SOO Attach 2: 21 IS/INS, SSO WPAFB, SCI Addendum

711 HPW/RHD IP

Ref Item 10k: Science & Technology Protection Plan (STPP) will be provided by the Government activity.

Ref Item 11j: OPSEC requirements apply. See Performance Work Statement /Statement of Work for requirements.

Explain and identify specific areas and government activity responsible for inspections.: Ref Item 10e (1): 21 IS/INS, SSO WPAFB has exclusive security responsibility for SCI classified material released or developed under this contract and held within the contractor’s SCIF. SCI security requirements apply, see SCI addendum (para 17) for details.

Ref Item 11m: Contractor performance: reference Item 8. 711 HPW/RHD Security/IPO will maintain security oversight.

WPAFB, OH 45433-7541

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WPAFB, OH 45433-7541