Attachment 0008 Contract Security Administration DD Form 254.pdf

CLASSIFICATION (When filled in): Unclassified

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AEM LiveCycle Designer

DD 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:

October 31, 2020

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)

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

W9133L-24-R-XXXX

DUE DATE (YYYYMMDD)

20240926

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20231019

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.W9133L-19-C-2013

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 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 by a prime contractor to each subcontractor) Add Row Remove last Row Delete All Rows

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

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.) Add Row Remove last Row Delete All Rows

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

47ATKW

Bldgs 1296, 799, 1452, 114, 1450 & 196 Joint Reserve Base Ellington Field, Houston, TX 77034

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

13166

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

47 ATKW/IP

14657 SNEIDER ST,

JRB Ellington Field,Houston, TX 77034

(281) 929-2190 usaf.tx.147-rw.mbx.ip@mail.mil

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DD FORM 254, APR 2018

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

106 RQW

Bldgs 250, 338,1210, 1211, 1212 & 331 F.S. Gabreski Airport, Westhampton Beach, NY 11978

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

13166

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

06 RQW/IP

150 Old Riverhead Road Westhampton Beach, NY 11978, (631)723-7559

USAF.NY.106-RQW.MBX.106-IP-INFORMATION-

PROTECTION-ORG-BOX@MAIL.MIL

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

167 AW

Bldg 304 Eastern West Virginia Regional Airport Martinsburg, WV 25405

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

13166

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

167 AW/IP

222 Sabre Jet Blvd.

Martinsburg, WV 25405 (304) 616-5155 usaf.wv.167-aw.mbx.ip-information-protection@mail.mil

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

143AW

Bldgs 175, 07107 & 07106 Quonset State Airport, North Kingstown, RI 02852

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

13166

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

143 AW/IP

502 Rhode Warrior Way North Kingstown, RI 02852

(401) 267-3482

USAF.RI.143-AW.MBX.AW-IP@MAIL.MIL

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

121 ARW

Bldg 500 Rickenbacker International Airport, Columbus, OH 43217

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

13166

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

121 ARW/IP

7370 Minuteman Way Columbus, OH 43217

(614) 492-3349 usaf.oh.121-arw.mbx.ip@mail.mil

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

158 FW

Bldg 900 Burlington IAP, Burlington, VT 05403

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

13166

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

158 FW/IP

105 NCO Drive South Burlington, VT 05403

(802) 660-5271 usaf.vt.158-fw.mbx.ip@mail.mil

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

1. Vendor will be performing a Services Contract For Air Traffic Control, Weather, and Air Traffic Control and Landing Systems and Weather Maintenance services at six (6) locations nationwide. The services will be performed at: Ellington Airport, TX; Rickenbacker Airport, OH;

Martinsburg Airport, WV; Quonset State Airport, RI; Gabreski Airport, and Burlington International Airport, VT.

2. Reason for updated DD-254 is follow-on solicitation for new 5-Year Award. Current active form for Contract W9133L-19-C-2013expires 09-26-2024.

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.)

See attached information in Section 8a continuation sheet.

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.)

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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 DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

Perform actions under Host Wing OPLANS, ESCAT Operations and Domestic Events Network (DEN)

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)

NGB/JA ATTN: FOIA Officer, 111 South George Mason Drive, Arlington, VA 22204

Public Release Authority:

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.)

Ref Blk 10j/11l: See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoDM 5400.07/Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program, and AFI 16-1404, Air Force Information Security Program, for requirements.

Ref Blk 11a: Using activity will provide security classification guidance for performance on this contract. On base performance will occur in the specific locations referenced in Block(s) 8a. If any classified information is generated in the performance of this contract at the identified location, the contractor shall apply derivative classification and markings consistent with the source material.

Ref Blk 11j: OPSEC requirements apply. See Performance Work Statement (PWS) for requirements.

Ref Blk 11m: Pre-contract award access to classified is not required.

Ref Blk 12: Contractor is to submit requests through the Contracting Officer and the Unit OPSEC Program Manager/Coordinator for 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.

The National Industrial Security Program Operating Manual (NISPOM), February 2006, Incorporating Change 2 May 18, 2016 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.

The following Security Classification Guide applies to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer or Security Representative (as applicable) as requiring

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DD FORM 254, APR 2018

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.

The National Industrial Security Program Operating Manual (NISPOM), February 2006, Incorporating Change 2 May 18, 2016 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.

The following Security Classification Guide applies to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer or Security Representative (as applicable) as Government Furnished Information (GFI) and shall be executed by the Contractor without obligation to modify this DD Form 254.

(1) US DOT FAA Air Traffic Organization Policy, Order JO 7210.3AA, Facility Operation and Administration.

(2) The Contractor will confer with the Wing Plans Office (XP) at each location identified in Blk 8a. for security classification guidance prior accessing classified OPLANS.

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

Add Attachment View Selected Attachment Remove Selected Attachment

NAME & TITLE OF REVIEWING OFFICIAL

Mr. Daniel P. Hobbs, GS-13, DAF

ATCALS RQMTS/PEM/COR

SIGNATURE

NAME & TITLE OF REVIEWING OFFICIAL

GRIEG J. MOORE, Civ, DAF

ANG OPSEC Program Manager

SIGNATURE

NAME & TITLE OF REVIEWING OFFICIAL

SMSgt ARETHA B. VENTURA ANG Industrial Security PM

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.)

OPSEC Requirements: Requirements for OPSEC are contained in the Contract PWS and applicable Section (s) of this DD-254 Contractors must complete initial and Annual OPSEC training (Combined with required DOD and AF Information Assurance Training).

Prior to beginning operations involving classified information on an installation identified on the DD Form 254, the contractor shall enter into a Visitor Group Security Agreement with the installation commander to ensure that the contractor’s security procedures are properly integrated with those of the installation. As a minimum, the agreement shall identify the security actions that will be performed:

(1) By the installation for the contractor, such as providing storage and classified reproduction facilities, guard services, security forms, security inspections, classified mail services, security badges, visitor control, and investigating security incidents; and

(2) Jointly by the contractor and the installation, such as packaging and addressing classified transmittals, security checks, internal security controls, and implementing emergency procedures to protect classified material.

15. INSPECTIONS

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.)

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DD FORM 254, APR 2018

The Defense Security Service (DSS) is relieved of all industrial security review responsibilities for the contractor's performance at these locations. The servicing security activity (SSA), installation IP will maintain oversight, control and supervision of the contractor's work performance at these locations.

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

a. GCA NAME

NGB-AQ

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

W9133L

c. ADDRESS (Include ZIP Code) 111 South George Mason Drive, Arlington, VA 22204

d. POC NAME

Mr. John Hemmen

e. POC TELEPHONE (Include Area Code)

+1 (703) 601-6941

f. EMAIL ADDRESS (See Instructions) ohn.p.hemmen.civ@army.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)

Shaw, Rudy

b. TITLE

Industrial Security Program Manager

c. ADDRESS (Include ZIP Code) 111 S George Mason Drive

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

f. TELEPHONE (Include Area Code)

g. EMAIL ADDRESS (See Instructions) rudy.c.shaw.civ@army.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

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.)

See attached File W9133L24R0000 Blk 18 Section 8a Locations

DRAFT

SAMPLE

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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:

October 31, 2020 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.)

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

14657 SNEIDER ST,

JRB Ellington Field,Houston, TX 77034

(281) 929-2190 usaf.tx.147-rw.mbx.ip@mail.mil

CSO: 06 RQW/IP

150 Old Riverhead Road Westhampton Beach, NY 11978, (631)723-7559

USAF.NY.106-RQW.MBX.106-IP-INFORMATION-PROTECTION-ORG-BOX@MAIL.MIL

CSO: 167 AW/IP

222 Sabre Jet Blvd.

Martinsburg, WV 25405 (304) 616-5155 usaf.wv.167-aw.mbx.ip-information-protection@mail.mil

CSO: 143 AW/IP

502 Rhode Warrior Way North Kingstown, RI 02852

(401) 267-3482

USAF.RI.143-AW.MBX.AW-IP@MAIL.MIL

CSO: 121 ARW/IP

7370 Minuteman Way Columbus, OH 43217

(614) 492-3349 usaf.oh.121-arw.mbx.ip@mail.mil

CSO: 158 FW/IP

105 NCO Drive South Burlington, VT 05403

(802) 660-5271 usaf.vt.158-fw.mbx.ip@mail.mil

Bldgs 1296, 799, 1452, 114, 1450 & 196 Joint Reserve Base Ellington Field, Houston, TX 77034 Location: 106 RQW Bldgs 250, 338,1210, 1211, 1212 & 331 F.S. Gabreski Airport, Westhampton Beach, NY 11978 Location: 167 AW Bldg 304 Eastern West Virginia Regional Airport Martinsburg, WV 25405 Location: 143AW Bldgs 175, 07107 & 07106 Quonset State Airport, North Kingstown, RI 02852 Location: 121 ARW Bldg 500 Rickenbacker International Airport, Columbus, OH 43217 Location: 158 FW Bldg 900 Burlington IAP, Burlington, VT 05403 Block9: 1. Vendor will be performing a Services Contract For Air Traffic Control, Weather, and Air Traffic Control and Landing Systems and Weather Maintenance services at six (6) locations nationwide. The services will be performed at: Ellington Airport, TX; Rickenbacker Airport, OH; Martinsburg Airport, WV; Quonset State Airport, RI; Gabreski Airport, and Burlington International Airport, VT.

2. Reason for updated DD-254 is follow-on solicitation for new 5-Year Award. Current active form for Contract W9133L-19-C-2013expires 09-26-2024.

Ref Blk 11a: Using activity will provide security classification guidance for performance on this contract. On base performance will occur in the specific locations referenced in Block(s) 8a. If any classified information is generated in the performance of this contract at the identified location, the contractor shall apply derivative classification and markings consistent with the source material.

Ref Blk 11j: OPSEC requirements apply. See Performance Work Statement (PWS) for requirements.

Ref Blk 11m: Pre-contract award access to classified is not required.

Ref Blk 12: Contractor is to submit requests through the Contracting Officer and the Unit OPSEC Program Manager/Coordinator for 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.

The National Industrial Security Program Operating Manual (NISPOM), February 2006, Incorporating Change 2 May 18, 2016 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.

The following Security Classification Guide applies to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer or Security Representative (as applicable) as 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.

The National Industrial Security Program Operating Manual (NISPOM), February 2006, Incorporating Change 2 May 18, 2016 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.

The following Security Classification Guide applies to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer or Security Representative (as applicable) as Government Furnished Information (GFI) and shall be executed by the Contractor without obligation to modify this DD Form 254.

(1) US DOT FAA Air Traffic Organization Policy, Order JO 7210.3AA, Facility Operation and Administration.

(2) The Contractor will confer with the Wing Plans Office (XP) at each location identified in Blk 8a. for security classification guidance prior accessing classified OPLANS.

rep: GRIEG J. MOORE, Civ, DAF ANG OPSEC Program Manager rep: SMSgt ARETHA B. VENTURA ANG Industrial Security PM

Contractors must complete initial and Annual OPSEC training (Combined with required DOD and AF Information Assurance Training).

Prior to beginning operations involving classified information on an installation identified on the DD Form 254, the contractor shall enter into a Visitor Group Security Agreement with the installation commander to ensure that the contractor’s security procedures are properly integrated with those of the installation. As a minimum, the agreement shall identify the security actions that will be performed:

(1) By the installation for the contractor, such as providing storage and classified reproduction facilities, guard services, security forms, security inspections, classified mail services, security badges, visitor control, and investigating security incidents; and

(2) Jointly by the contractor and the installation, such as packaging and addressing classified transmittals, security checks, internal security controls, and implementing emergency procedures to protect classified material.