(Updated 20250815) CLASSIFICATION (When filled in): Unclassified

CLASSIFICATION (When filled in): Unclassified PREVIOUS EDITION IS OBSOLETE. Page 1 of 4DD 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:

August 31, 2028

The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 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

FA8751-26-R-0004

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

TBD

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

TBD

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)

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.)

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

AFRL/RI

148 Electronics PKWY Rome, NY, 13441

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

N/A

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

N/A

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Sustainment and performance of Site Support Services

PREVIOUS EDITION IS OBSOLETE. Page 2 of 4DD 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 GOVERNMENT 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.)

STINFO Material

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.)

See section I clause AFF ARS 5352.204·9000, "Notification of Government Security Activity and Visitor Security agreement

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/RIOI, 525 Brooks Road, Rome NY 13441-4514

Public Release Authority:

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.)

Cleared personnel are required to perform this service because access to classified information cannot be precluded by escorting personnel.

Any classification guidance needed will be provided by the using activity. Contract is for equipment installation and maintenance service on equipment located in areas which processes classified information. Actual knowledge of generation, or production of classified information is not required for performance of the contract. This document serves as written notice of the letting of a classified service contract.

Item l0g. The contractor is permitted access to North Atlantic Treaty Organization (NATO) information in performance of this contract.

Access to NATO information requires a final U.S. 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 NATO briefed prior to access being granted. Prior approval from the contracting activity is required for subcontracting.

Item 10h.: The contractor is permitted access to Foreign Government information, except North Atlantic Treaty Organization (NATO)

PREVIOUS EDITION IS OBSOLETE. Page 3 of 4DD FORM 254, APR 2018 information, in the performance of this contract. Access to Foreign Government information requires a final U.S. Government clearance at the appropriate level. Prior approval of the contracting activity is required for subcontracting.”

Item 10j: Controlled Unclassified Information provided under this contract shall be safeguarded as specified in the Attachment, ‘Protecting Controlled Unclassified Information.

Ref 10.k: The government will provide unclassified network access to include e-mail and web browser. Contractors will be held accountable for actions they initiate on the network and will conduct business IAW local base instructions and policies. Sponsoring government agency will provide Information Assurance training prior to contractor access to network services.

Item 11.a: Contractor performance is restricted to Rome Research Site (AFRL/RI). Using contractor or activity will provide security classification guidance for performance of this contract.

Item 11.e: Contract is for equipment maintenance services on equipment which processes classified information. Actual knowledge of, generation, or production of classified information is not required for performance of the contract. Cleared personnel are required to perform this service because access to classified information cannot be precluded by escorting personnel. Any classification guidance needed will be provided by the using activity. This document serves as written notice of the letting of a classified service contract.

Item 11.g: The contractor is authorized to use the services of Defense Technical Information Center (DTIC) and is required to prepare and process a DD Form 1540, Registration for Scientific and Technical Information Services, in accordance with the NISPOM. The contracting activity must be involved in certifying need-to-know to DTIC.

Item 11.j: Contractor must comply with any OPSEC requirement/clauses indicated in the contract when on a government installation listed in 8.a. For work performance not on government installations, the contractor will develop an OPSEC program plan to address how the contractor plans special security requirements of critical information and indicators for the specified contract. The OPSEC program plan will only be implemented upon AFRL Program Manager’s acceptance and coordination. The Program Manager will provide, upon request, IAW AFI 10-701, Chapter 8 to the contractor to aid in developing their own OPSEC plan.”

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

AFRL/RIOL

148 Electronics Parkway Rome, NY 13441

NAME & TITLE OF REVIEWING OFFICIAL

Brian Herman Program Manager/COR

SIGNATURE

AFRL/RIO NAME & TITLE OF REVIEWING OFFICIAL

Marie Greer RIO Division Security Assistance

SIGNATURE

AFRL/RIOS NAME & TITLE OF REVIEWING OFFICIAL

Steven Lukas Comsec Manager

SIGNATURE

AFRL/RIOI NAME & TITLE OF REVIEWING OFFICIAL

Sam Roberts Industrial Security

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.)

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.)

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

a. GCA NAME

AFRL/RIKO

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

FA8751

c. ADDRESS (Include ZIP Code)

AFRL/RIK

148 Electronics Parkway, Rome, NY 13441

d. POC NAME

Jenna Tarbania

e. POC TELEPHONE (Include Area Code)

f. EMAIL ADDRESS (See Instructions) jenna.tarbania@us.af.mil

17. CERTIFICATION AND SIGNATURES

HERMAN.BRIAN.K

EITH.1019834740

Digitally signed by

HERMAN.BRIAN.KEITH.101983

Date: 2025.12.08 09:08:05 -05'00'

GREER.MARI

E.L.1536184330

Digitally signed by

GREER.MARIE.L.1536184330

Date: 2025.12.05 06:11:29 -05'00'

PREVIOUS EDITION IS OBSOLETE. Page 4 of 4DD FORM 254, APR 2018

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)

Brian k. Herman

b. TITLE

Chief, Logistics Operations Compliance

c. ADDRESS (Include ZIP Code)

AFRL/RIOL

148 Electronics Parkway, Rome, NY 13441

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA8751

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

f. TELEPHONE (Include Area Code)

+1 (315) 334-2114

g. EMAIL ADDRESS (See Instructions) brian.herman.3@us.af.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20251208

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.)

Headquarters DCSA, 27130 Telegraph Rd, Quantico, VA 22134 -AFRL/RIOF (RRS.SSADD254@us.af.mil) -COR (brian.herman.3@us.af.mil)

HERMAN

.BRIAN.K

EITH.101

9834740

Digitally signed by

HERMAN.BRIA

N.KEITH.10198

34740 Date: 2025.12.08 09:08:21 -05'00'

PROTECTING CONTROLLED UNCLASSIFIED INFORMATION

In accordance with DoDM 5200.01-V4

1. General: In addition to classified information, certain types of unclassified information also require application of access and distribution controls and protective measures for a variety of reasons; such information is referred to collectively as Controlled Unclassified Information (CUI).

This attachment will identify the controls and protective measures developed for DoD CUI; such as For Official Use Only, DoD Unclassified Nuclear Information, and Limited Distribution.

2. Information may not be designated CUI to:

-Conceal violations of law, inefficiency, or administrative error -Prevent embarrassment to a person, organization or agency -Restrain competition -Prevent or delay the release of information that does not require protection under statute or regulation

3. Originator responsibility: Is responsible for determining at origination whether the information may qualify for CUI status, and if so, for applying the appropriate CUI markings. Freedom of Information Act (FOIA) can be consulted for advice on the proper application of FOIA exemptions.

4. Provided or generated by DoD Contractors: The controls and protective measures to be applied shall be described in the pertinent contract documents (e.g., contract clause; statement of work; or DD form 254). 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.

5. Release or disclosure of CUI to foreign governments or international organizations shall be in accordance with DoDD 5230.20 and other policy and procedures that many be established by the

USD(P).

6. For unauthorized disclosure 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.

7. For Official Use Only: Is a dissemination control applied by the Department of Defense to unclassified information when disclosure to the public of that particular record, or portion thereof, would reasonably be expected to cause a foreseeable harm to an interest protected by one or more FOIA Exemptions 2 through 9.

-Application: It is the responsibility of the document’s originator to determine at origination whether the information may qualify for FOUO status and to ensure markings are applied as required.

-Marking: Information that has been determined to qualify for FOUO status shall be indicated by markings. Document shall be marked “UNCLASSIFIED//FOR OFFICIAL USE ONLY” at the top and bottom of the outside of the front cover, portion marked in pertinent paragraphs and top and bottom of internal pages.

-Access: No person may have access to information designated as FOUO unless that person has been determined to have a valid need for such access in connection with the accomplishment of a lawful and authorized Government purpose.

-Protection: During working hours, reasonable steps shall be taken to minimize the risk of access by unauthorized personnel. After working hours, FOUO information may be stored in unlocked containers, desks, or cabinets if Government or Government-contract building security is provided.

8. DoD Unclassified Controlled Nuclear Information (DoD UCNI): Is unclassified information on security measures for the physical protection of DoD Special Nuclear Material (SNM), SNM equipment, SNM facilities or nuclear weapons in DoD custody.

-Marking: Information that has been determined to qualify for DoD UCNI status shall be indicated by markings. Document shall be marked “UNCLASSIFIED//DOD UNCLASSIFIED CONTROLLED NUCLEAR INFORMATION” at the top and bottom of the outside of the front cover, portion marked in pertinent paragraphs (e.g.; U//DCNI) and top and bottom of internal pages.

-Access: To DoD UCNI shall be granted only to persons who have a valid need to know the information and are specifically eligible for access in accordance with the provisions of DoDD

5210.83 “Department of Defense Unclassified Controlled Nuclear Information, November 15, 1991.

9. Limited Distribution Information: Is a caveat used by the National Geospatial-Intelligence Agency (NGA) to identify a select group of sensitive, unclassified imagery or geospatial information and data created or distributed by NGA or information, data and products derived from such information.

-Access: Information bearing the Limited Distribution caveat shall be disseminated by the NGA to Military Departments or other DoD components, to DoD contractors and to authorized grantees for the conduct of official DoD business.

10. Distribution Statements on Technical Documents: In accordance with DoDD 5230.24, “Distribution Statements on Technical Documents,” March 18, 1987, requires distribution statements to be placed on classified and unclassified scientific and technical documents. These statements are intended to facilitate control, secondary distribution and release of these documents without the need to repeatedly obtain approval or authorization from the controlling DoD office.