ATTACHMENT 5 - DD 254.pdf

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PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, APR 2018

NEEDS DD67

(Updated 20250701)

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, 2025 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

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 Form 254, "DoD Contract Security Classification Specification"

(See Instructions) - Select from drop-down list: 2

5001 Skeel Avenue, Building 148 Wright-Patterson AFB OH 45433 Enter general unclassified description of this procurement.: Rapid Development and Integration Facility (RDIF) support; aircraft/equipment-related part development, integration, prototyping, production and kitting as awarded.

Touch-labor is the common element of support--various programs require the following: Work at off-site locations, short term specialties, materials, manufacturing, research and development, prototyping, quality assurance, engineering, aircraft modification and test support.

(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.): Title 32 Code of Federal Regulations (32 CFR) Part 117, "National Industrial Security Program Operating Manual (NISPOM)," 24 Feb 21 applies.

Government Program Manager (PM): John C. Schoettelkotte, AFLCMC/WIS-RDIF, 937-257-7149, john.schoettelkotte.2@us.af.mil Contracting Officer: Christopher L. Simendinger, AFLCMC/WID(K), 937-713-0578, christopher.simendinger@us.af.mil Government Security Manager: Donald R. Nalley, AFLCMC/WIV, 937-656-9208, christopher.simendinger@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.

Item 12 PUBLIC RELEASE (Cont'd):

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. Transmission of public release request via e-mail is not authorized.

a. Ref Item 10a: Contractor will comply with AFMAN 17-1302-O, Communications Security (COMSEC) Operations, 9 Apr 20. Contractor personnel will follow the security requirements of the host government activity.

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

c. Ref Items 10j/11L: The contractor shall comply with DoDI 5200.48_DAFI 16‐1403, "Controlled Unclassified Information (CUI)" 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.

d. Ref Item 10k: Authorized users of an information technology system with no privileged access must obtain, at a minimum, a favorably completed Tier 3 background investigation in accordance with DoDM 5200.02_AFMAN 16-1405, "Air Force Personnel Security Program," 1 Aug 18, Para 3.2b(2), Table 2 (Added)(AF).

e. Ref Item 11a: The contractor will generate classified information. The contractor shall apply derivative classification and markings consistent with classification of the source material provided by the government program office.

f. Ref Item 11m: Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreements clause, Department of the Air Force (DAF) Federal Acquisition Regulation Supplement (DAFFARS) 5352.204‐9000, to 88 ABW/IPD, 5440 Skeel Avenue, Room 210 [Building 110, Area A], WPAFB OH 45433; 88ABW.IPD.Industrial.Security@us.af.mil. The contractor shall comply with DoDM 5220.22 Vol 2_AFMAN 16‐1406 Vol 2, "National Industrial Security Program: Industrial Security Procedures for Government Activities," 8 May 20, by following security procedures of the installation IAW Para 3.8.a.; report adverse information IAW Para 4.14 (Added)(AF); and support commander self‐inspections and self‐assessments IAW Para 14.1.f (Added)(AF).

g. Ref Item 18e (Administrative Contracting Officer): See Item 17

h. Ref Item 18f (Distribution):

- 88 ABW/IPD, 5440 Skeel Avenue, Room 210 [Building 110, Area A], WPAFB OH 45433; 88ABW.IPD.Industrial.Security@us.af.mil

- AFLCMC/WIV, Attn: USA/SM - Mr D Nalley, 2530 Loop Road West, WPAFB OH 45433-7101; isr.industrial@us.af.mil

- AFLCMC/WIS-RDIF, Attn: PM - Mr J Schoettelkotte, 2640 Loop Road West, WPAFB, OH, 45433-7106, john.schoettelkotte.2@us.af.mil

- AFLCMC/WISK, Attn: GCA/CO - Mr C Simendinger, 1895 Fifth Street, Room 210 [Building 46, Area B], WPAFB OH 45433-7200;

christopher.simendinger@us.af.mil

Security Agreement for Integrated Visitor Groups at WPAFB OH under 88 ABW/IP security cognizance (revised 26 Aug 24)

1. This agreement is promulgated by DoDM 5220.22V2_AFMAN 16-1406V2, “National Industrial Security Program, Industrial Security Procedures for Government Activities”; 32 CFR, Part 117, “National Industrial Security Program Operating Manual (NISPOM),” Section §117.7(a); and DAF Federal Acquisition Regulation Supplement (DAFFARS) 5352.204-9000, “Notification of Government Security Activity and Visitor Group Security Agreements.” This guidance is applicable for contractor performance as a visitor group (VG) under the 88th Air Base Wing Information Protection Office (IPO) security cognizant, Wright-Patterson Air Force Base, Ohio (WPAFB OH.) For performance on other installations, prior to the start of performance, the contractor shall contact the host IPO to execute an agreement as required by the above referenced documents.

2. Storage of Classified Material/Information: The government program manager (PM) may authorize VG to store and handle classified material required for performance on this contract. All classified information shared with the VG must be stored in an approved government-owned and controlled security container. The number of VG employees authorized access to the security container will be kept to the minimum number required for efficient contract performance. When authorized, the VG shall comply with DoD Manual (DoDM) 5200.01V1_AFMAN 16-1404V1, "Information Security Program: Overview, Classification & Declassification";

DoDM 5200.01V2_AFMAN 16-1404V2, "Information Security Program: Marking of Classified Information";

DoDM 5200.01V3_AFMAN 16-1404V3, "Information Security Program: Protection of Classified Information"; and the government activity’s security program operating instruction (OI). The VG is prohibited from establishing and/or maintaining a separate classified information system. All classified material/information must be returned and secured in the government security container at the end of the duty day.

3. Reproduction of Classified Material: The VG may be authorized to reproduce classified information, as required for contract performance. Authorization must be accomplished IAW DoDM 5200.01V3_AFMAN 16-1404V3 and only AF-approved and controlled equipment can be used.

4. Guard Services: The host government activity will provide guard services.

5. Security Forms: Security forms and publications are accessible at the Air Force electronic publications site via https://www.e-publishing.af.mil/ and the DoD publications site via https://www.esd.whs.mil/DD/. Local forms will be provided by the government activity.

6. Security Inspections:

a. The VG shall participate in the host Commander’s self-assessment programs IAW DoDM 5200.01V1_AFMAN 16-1404V1. The unit security assistant (USA) will include each prime contractor integrated VG in all self-assessment periods. Coordinate with the security focal point (SFP) to complete the Integrated Visitor Group Checklist (provided by 88 ABW/IPD). Obtain a copy of the checklist from each SFP. Retain the copy for the annual Information Protection Compliance Inspection (IPCI). Replace during the next annual self-assessment period. Deficient items will include a corrective action plan.

b. During the annual IPCI, USAs will be required to have the following documentation available for review:

(1) A signed copy of the current prime DD Forms 254 (DD254), and all subcontractor DD254s, if applicable.

(2) Consultant Agreements, if applicable.

(3) Documentation of Security Education (Government recurring).

(4) Documentation of the last self-assessment/self-inspection (IAW MICT).

(5) Documentation of visitor groups included in the last self-assessment/self-inspection (IAW VG checklist).

c. During unit self-assessments and IPCIs, the SFP will maintain the following documentation and have available for security reviews:

(1) A signed copy of the current prime DD254, and all subcontractor DD254s, if applicable.

(2) Copy of the Security Agreement for visitor groups under 88 ABW/IP security cognizance.

(3) Documentation the Security Agreement was provided to all subcontractors, if applicable.

(4) Documentation of the last program review and self-inspection.

(5) Complete the Integrated Visitor Group checklist during the unit's self-assessment period and provide a copy to the unit's security office. Retain a copy for the annual IPCI program review.

(6) Consultant Agreements, if applicable.

(7) Current list of all employees identifying their security clearance access level, including subcontractors, if applicable.

7. Transmission of Classified Material/Information:

a. Receipt and dispatch of classified material is the responsibility of the government. The VG is not authorized to perform these activities unless they are specifically contracted for and identified in the Statement of Work or Performance Work Statement. When this service is required for contract performance, the designated VG employee shall comply with DoDM 5200.01V1_AFMAN 16-1404V1, DoDM 5200.01V2_AFMAN 16-1404V2, DoDM 5200.01V3_AFMAN 16-1404V3 and the government activity’s security program OI. The USA will provide VG personnel training on mail handling procedures, to include proper securing of Registered, Certified, US Postal Service Priority Mail Express® and FedEx® Mail and/or First Class mail. However, under no circumstances will the VG be authorized to open a classified package beyond the outer wrapper to determine further distribution or sign the classified document receipt.

b. The VG is not authorized for direct receipt or dispatch of classified material at WPAFB through US postal channels or commercial carrier.

c. Classified material transmitted via U.S. postal channels or approved commercial carrier, direct from the government activity, must be prepared IAW DoDM 5200.01V3_AFMAN 16-1404V3 and processed through the classified information control system of WPAFB.

d. Classified material may be hand carried onto or off WPAFB by an appropriately cleared and briefed VG courier, provided the employee is so designated in writing by their company Facility Security Officer (FSO) as a courier and the activity Director or designee IAW DoDM 5200.01V3_AFMAN 16-1404V3.

8. Security Badges: The government activity will issue security badges. The contractor shall return security badges to the issuing office upon the period of performance end date, termination of the contract, or when an employee is no longer supporting the contract, whichever is sooner. Transfer of security badges to another contract is not authorized.

9. Visitor Control: The contractor shall comply with DoDM 5200.08V3_AFMAN 31-101V3, “Installation Perimeter Access Control,” and the host installation commander’s visitor control procedures for access to the installation and the government activity’s visitor control procedures to access facilities.

10. Security Incidents: The contractor shall report security incidents to the USA and the host IPO. The government shall conduct the preliminary inquiry for security incidents occurring on the installation IAW DoDM 5200.01V1_AFMAN 16-1404V1.

11. Security Checks: Government personnel shall conduct end-of-day security checks unless the contract specifically identifies contractors to conduct end-of-day security checks.

12. Internal Security Controls: The contractor shall comply with the government activity’s security OIs.

13. Emergency Procedures to Protect Classified Material: The contractor shall implement emergency procedures to protect classified material as identified in the host government activity’s OI.

14. Training: The contractor shall participate in the host government activity’s initial and recurring information protection security awareness and training education programs.

15. Subcontract DD254: Should a subcontract be issued under this effort, whereas the subcontractor will require access to classified information and be physically located on WPAFB for a minimum of 90 consecutive days, the VG must issue a subcontract DD254 IAW 32 CFR Part 117 and comply with the following:

a. Provide a signed copy of the subcontract DD254 to the PM, USA, SFP and 88 ABW/IPD.

b. Ensure the subcontractor complies with this security agreement or enter into a separate agreement with the subcontractor. The agreement to comply must be documented and a copy of the documentation provided to PM, USA, SFP and 88 ABW/IPD. If a separate agreement is prepared, a copy shall be provided to the PM, USA, SFP and 88 ABW/IPD.

16. Consultants: Should a consultant be acquired who will require access to classified information and be physically located on WPAFB for a minimum of 90 consecutive days, a copy of the Consulting Agreement must be provided to the PM, USA, SFP and 88 ABW/IPD.

17. Reporting Requirements: All VG employees shall report adverse information, suspicious contacts, espionage, sabotage, and subversive activities to the government activity’s USA IAW DoDM 5220.22V2_AFMAN 16-1406V2, Para 4.14 (Added)(AF). The contractor shall furnish a copy of adverse information reports required by 32 CFR Part 117, “National Industrial Security Program Operating Manual,” §117.8(c)(1)(i); Security Executive Agent Directive (SEAD) 3; and CSA-provided guidance to the 88 ABW Industrial Security Division (88 ABW/IPD) via email 88ABW.IPD.Industrial.Security@us.af.mil.

Chief, Industrial Security, 88 ABW/IPD

b. Ref Item 11j: OPSEC requirements apply; see Performance Work Statement for requirements.

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.): a. Ref Items 8a/8c/11m: Contractor performance will occur at Wright Patterson AFB, Ohio. The DCSA is relieved of inspection oversight responsibilities on DoD installations. The 88 ABW/IPD office [88 ABW/IPD, 5440 Skeel Avenue, Room 210 (Building 110, Area A), WPAFB OH 45433] will maintain security oversight.

b. Ref Item 10a: The NSA has oversight for COMSEC.

Attn: Contracting 1895 Fifth Street [Building 46, Area B]

WPAFB OH 45433-7200

17. CERTIFICATION AND SIGNATURES - c. ADDRESS (Include ZIP Code): AFLCMC/WISK Attn: CO - Mr Simendinger 1895 Fifth Street [Building 46, Area B]

WPAFB OH 45433-7200