ATTACHMENT 2 DD FORM 254.pdf
PDF 168 KB Posted
- Attached to
- EGLIN AFB, AEROSPACE GROUND EQUIPMENT SUPPORT Federal contract opportunity
- Solicitation number
- FA248623RA001
About this file
This document includes a Department of Defense Contract Security Classification Specification (DD Form 254) and information about a related federal contract opportunity.
The DD Form 254 specifies security requirements for a contract to provide Aerospace Ground Equipment (AGE) maintenance services at Eglin Air Force Base in Florida. It identifies the 96th Test Wing as the requiring activity and establishes that the contractor will handle controlled unclassified information. The Defense Counterintelligence and Security Agency is responsible for security oversight at Eglin AFB.
The solicitation seeks proposals for an indefinite-delivery indefinite-quantity contract to dispatch, service, inspect, clean, modify, and maintain AGE and other equipment at Eglin AFB. Additional requirements include familiarization training, operating waste management equipment, and managing hazardous materials. The single-award contract has a small business 100% set-aside with a $35 million size standard. Offerors must submit proposals electronically by the specified due date. The soliciting agency is the Air Force Materiel Command Test Center for the Department of the Air Force.
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CONTROLLED UNCLASSIFIED INFORMATION (CUI) ADDENDUM ATTACHMENT
CONTROLLED UNCLASSIFIED INFORMATION (CUI) ADDENDUM
1. The definition of CUI is information that requires safeguarding or dissemination controls pursuant to and consistent with law, regulations, and Government-wide policies, excluding information that is classified pursuant to Executive Order 13526 of 29 December 2009 or the Atomic Energy Act, as amended. In accordance with DoD Instruction 5230.24, Distribution Statements on Technical Documents, such information is referred to collectively as CUI. DoD Instruction 5200.48, Controlled Unclassified Information (CUI), identifies the controls and protective measures developed for DoD CUI (i.e., For Official Use Only (FOUO), Law Enforcement Sensitive (LES), DoD Unclassified Controlled Nuclear Information (DoD UCNI), and LIMITED DISTRIBUTION) as well as some of those developed by other Executive Branch agencies.
2. When CUI is to be provided to or generated by DoD contractors, the controls and protective measures to be applied shall be described in the pertinent contract documents (e.g., contact clause; statement of work; or DD Form 254, “Department of Defense Contract Security Classification Specification”).
Solicitations and contracts shall use a non-disclosure of information clause that prohibits release of unclassified information to the public without approval of the contracting activity. The clause shall also be made applicable to subcontractors.
3. The Contractor shall not release to anyone outside the Contractor’s organization any unclassified information, regardless of medium (e.g., film, tape, document), pertaining to any part of this contract or any program related to this contract without prior approval from the government.
4. Technical Data is any recorded information related to experimental, developmental, or engineering works that can be used to define an engineering or manufacturing process or to design, procure, produce, support, maintain, operate, repair, or overhaul program material. The data may be graphic or pictoral delineations in media, such as computer software, drawings, or photographs, text in specifications, or related performance or design documents, or computer printouts. Examples of technical data include research and engineering data, engineering drawings, and associated lists, specifications, standards, process sheets, manuals, technical reports, catalog-item identifications, and computer software documentation.
5. GOVERNMENT DISTRIBUTIONS STATEMENTS: Will be added to all technical data generated during the execution of this contract, in accordance with DoD Instruction 5230.24.
6. The contractor shall protect CUI from unauthorized disclosure by appropriately marking, safeguarding, disseminating, and destroying such information. CUI will be checked in accordance with DoD Instruction 5200.48.
7. CUI may be identified in security classification guides to ensure the information receives appropriate protection.
8. For unauthorized disclosures of CUI, no formal security inquiry or investigation is required. However, appropriate management action shall be taken to fix responsibility for unauthorized disclosure of CUI whenever feasible or required by other guidance, and appropriate disciplinary action shall be taken against those responsible. The DoD Component that originated the CUI shall be informed of its unauthorized disclosure.
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" Hide Attachment Bar
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: Unclassified |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 1 |
| Select for "original.": 1 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 0 |
| Select for "final.": 0 |
| Enter solicitation or other number.: |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: 20211013 |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 1 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: DEFENSE SECURITY SERVICE |
Atlanta Field Office (IOFSA) 1899 Powers Ferry Road, Suite 330 Atlanta, GA 30339 770-370-3740 email: dss.atlantafieldoffice@mail.mil
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: N/A |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: See Item 15 |
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: Performance will be with the 96th MXG on Eglin AFB, FL. Contractor office is in building 101 on Eglin and the work is carried out on both Eglin Flightline. |
Address: 401 N. Barrancas Ave. Eglin AFB, Fl 32542 Enter location(s).: Performance will be with the 96th MXG on Duke Field, FL. Contractor office is in building 101 on Eglin and the work is carried out on Duke Flightline.
Address: 401 N. Barrancas Ave. Eglin AFB, Fl 32542
| Enter general unclassified description of this procurement.: 96 Test Wing Aerospace Ground Equipment (AGE) |
| 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.": 1 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 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.": AIS (Computer Security) |
| Enter infomration for "other.": 96 MXG/CMO Office |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 1 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: See Item 13 |
| Enter public release authority.: |
| Select to add signature.: |
| Select to remove last signature.: |
| text: The requirements, restrictions, and other safeguards prescribed by 32 CFR Part 117 "National Industrial Security Program Operating Manual" (NISPOM) rule, Feb 24, 2021 applies to all classified contract performance after 24 Aug 2021. |
Task ordering could require additional security classification guidance. Additional security classification guidance will be provided, maintained, and used by the contractor as required. Security classification guidance on information, hardware, and equipment not included in the security classification guides will be furnished to the contractor through the authorized contracting officer or authorized representative at the time the contractor is tasked with a classified project, furnished information, hardware, equipment or when classification changes occur. Task ordering requiring additional security classification guidance as indicated above, independent of other changes, will not require updating or revising the DD 254.
SENSITIVE INFORMATION. Sensitive information is information that if lost, misused, compromised, or accessed by unauthorized persons could adversely affect the United States’ national interest, the conduct of DoD programs, or the privacy of DoD personnel. It comes in many forms such as personal data under the Privacy Act, personnel records, privileged data (chaplain and judge advocate records), investigative data, scientific and technical information, export controlled data (critical technologies), proprietary data, or FOUO data. Sensitive information meets the criteria for exemption from mandatory public disclosure under the Freedom of Information Act.
Sensitive information must be protected. During working hours, reasonable steps must be taken to minimize risk of access by unauthorized personnel. After working hours, sensitive information can be stored in unlocked containers, desks, or cabinets if Government or Government-contract building security is provided. If Government or Government-contract building security is not provided after working hours, sensitive information shall be stored in locked desks, file cabinets, book cases, locked rooms, or similar items. Storage in a safe designed to secure classified information is not required. Sensitive records may be destroyed by any method that will prevent disclosure of contents or reconstruction of the document. For paper items, strip shredding is recommended with 3/16” being the maximum strip width.
Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreements clause, Air Force Federal Acquisition Regulation Supplement (AFFARS) 5352.204- 9000 to the Government installation servicing Information Protection Office.
The use of cellular phones, hand-held radios, beepers/pagers, cordless telephones, cordless microphones, and all wireless electronic devices shall be addressed in the Standard Operating Procedures (SOP) of the Information Security (IS) procedures for each computer facility where classified processing is accomplished
Item 10.j: Controlled Unclassified Information (CUI) will be checked in accordance with DoD Instruction 5200.48. Also, see Controlled Unclassified Information Addendum for additional guidance.
Item 11.a: Access to classified information is limited to the performance locations identified in 8.a unless specifically approved by the CO or PM through tasking order. The using contractor or government activity will provide security classification guidance for performance of this contract.
Item 11.e: Aerospace Ground Equipment (AGE): Contract is for AGE services performed on the flightline. Actual knowledge, generation, or production of classified information is not required for performance on this contract. Cleared contractor personnel are required to perform this service because escorting personnel cannot preclude aural or visual access to classified information. This document serves as written notice of the letting of a classified service contract.
Item 11.j: The contractor must comply with any OPSEC requirement/clauses indicated in the contract. On Eglin AFB, follow the Eglin OPSEC Program guidelines as established by 96 TW/IPIP (OPSEC) and guidance set forth in AFI 10-701, Operations Security, as supplemented. Protect Critical Information (CI) and other sensitive unclassified information and activities, which could compromise the mission or operations or degrade the planning and execution of military operations performed by the contractor in support of the mission. These OPSEC requirements pertain to performance on government installations only.
Item 11.l: For CUI requirements and guidance, see the CUI Attachment.
Item 11.m: Any transfer or processing of classified or sensitive information via electronic methods (e.g. facsimile, telemetry, voice, computer) must be protected by implementing an appropriate combination of countermeasures such as encryption devices and sound practices and procedures. For performance on Eglin AFB, the specific countermeasures used must be coordinated by the project manager for approval through the 96 CS/SCXSI, 101 Griffin Way Suite 161, Eglin AFB, Florida, 32542. For performance on other Government installations, coordination by the project manager with the appropriate communications activity is required.
The contract can require access to sensitive unclassified Government AIS in Categories IT-I, II, and III. At a minimum, contractor employees must be the subject of a favorable Tier 5 Investigation if granted access and performing in Category IT-I positions. For Category IT-II positions, at a minimum, contractor employees must be the subject of a favorable Tier 3 Investigation. For Category III positions, contractor employees must be the subject of a favorable Tier 1 Investigation. The Government sponsor/security manager will submit contractor personnel security investigation requests (i.e., contractors who do not need access to classified information) for logical access to government IT systems, assignment to sensitive duties, or physical access to federal installations. In the event the investigation is not adjudicated favorably, unit commanders are responsible for suitability determinations. Reference DoDM 5200.02 AFMAN 16-1405. Publications can be found at http://www.e-publishing.af.mil.
Item 12: 96 TW/PA, 101 West D Avenue, Suite 238, Eglin AFB, Florida, 32542-5498. Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager’s review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. (T-1) 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.
| text: CONTROLLED UNCLASSIFIED INFORMATION |
| Click on this button to attach a file(s).: |
| rep: |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: Requirements for OPSEC are referenced in Item 13. |
| Explain and identify specific areas and government activity responsible for inspections.: The Defense Counterintelligence and Security Agency (DCSA) is relieved of all industrial security review responsibilities for the contractor's performance at Eglin AFB, Florida. The 96 TW/IP, 101 West D Avenue, Suite 14, Eglin AFB, Florida, 32542-5491 is the Chief of Information Protection (CIP) and has exclusive security oversight for all Non-SCI and Non SAP materials and contractor performance on Eglin AFB. |
| Enter GCA name.: AFTC/PZZC |
| Enter AAC of the contracting office.: FA2486 |
| Enter AAC of the contracting office.: FA2486 |
| Enter address (include zip code).: 205 W D Ave |
BLDG 350, STE 400
Eglin AFB, FL 32542 Enter address (include zip code).: 205 West D Ave, Bldg 350, Ste 414 Eglin AFB, FL 32542-6883
| Enter POC name.: |
| Enter telephone number (include area code).: |
| Enter email address.: |
| Enter title.: Contracting Officer |
| Enter the datesigned in format YYYYMMDD.: |
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