Attachment 5 - DD254.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

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:

20220531 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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

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

TBD

Name:

N/A

TBD

CSO:

N/A

CSO:

N/A

AFRL/RYWA

Wright-Patterson AFB, OH

BLOCK 12 (cont'd):

a. Information requiring AF or DoD-Level review will be forwarded by the entry-level public affairs office through MAJCOM/DRU 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.

b. AFRL/RYW, 2241 Avionics Circle, WPAFB, OH 45433 for non-SAP related material. Transmission of public release request via e-mail is not authorized.

c. Public release of SCI materials and information is NOT authorized.

d. Public release of Special Access Program (SAP) related data is NOT authorized without prior coordination through the Office of Special Investigations (OSI), Office of special Projects (PJ) Security Director and subsequent approval of the Original Classification Authority (OCA) and Air Force Special Access Program Central Office (AF SAPCO). Submit all proposed public disclosures related to SAP data to the Government Program Manager (GPM) and the OSI, PJ Program Security Officer (PSO).

SECURITY GUIDANCE:

a. Ref Blk 10a/11h: COMSEC is required.

b. Ref Blks 10e(1)/10g: Contractor requires access to SCI materials; SCI security requirements apply, see 21 IS/INS, SSO WPAFB, SCI Addendum, for details. Access to Joint Worldwide Intelligence Communications System (JWICS) is authorized. JIWCS users shall receive the Air Force (AF) North Atlantic Treaty Organization (NATO) SECRET Security Briefing IAW the NISPOM, para 10-706, prior to being granted JWICS access.

c. Ref Blks 10e(2)/10g: Contractor will require access to intelligence information and must comply with directions provided by the Contracting Officer Representative (COR). The COR has determined that disclosure does not create an unfair competitive advantage for the contractor or a conflict of interest with the contractor’s obligation to protect the information. The COR will identify what intelligence information is required for the contractor to satisfy the contract and will submit that information to the AFRL/RY servicing Senior Intelligence Officer (SIO) at AFRL/RYOY for approval prior to granting access. Access to Secret Internet Protocol Router Network (SIPRNet) is authorized. SIPRNet users shall receive the Air Force NATO Security Awareness Briefing and sign an acknowledgment prior to SIPRNet access. Formal NATO briefing is required when 1) the SIPRNet enclave, or other classified networks, is approved for NATO and no addition security measures are in place to preclude access, or 2) Access to NATO information is authorized. Formal NATO briefings shall be accomplished IAW the NISPOM, para 10-706.

d. Ref Blk 10f: The National Industrial Security Program Operating Manual (NISPOM), February 2006, Incorporating Change 2, dated 18 May 2016, is the authoritative manual concerning baseline standards for the protection of classified information in connection with classified contract and activities under the National Industrial Security Program.

As stated in the SAF/AAZ implementing memorandum, dated 4 April 2016, the DoD Manual 5205.07 Volumes 1-4 are the authoritative SAP Security Policy documents:

- DoD Directive 5205.07, Special Access Programs Policy, as supplemented, dated 31 August 2018

- DoD Manual 5205.07 Vol 1: DoD Special Access Program (SAP) Security Manual: General Procedures, 18 June 2015, Change 1, dated 12 February 2018

- DoDM 5205.07V1_AFMAN 16-703V1_AFGM2020-01: Air Force Guidance Memorandum to DoDM5205.07V1_AFMAN16-703V1, DoD Special Access Program (SAP) Security Manual: General Procedures, dated 16 January 2020 (Exp: 16 January 2021)

- DoD Manual 5205.07 Vol 2: Special Access Program (SAP) Security Manual: Personnel Security, 24 November 2015, Incorporating Change 1, dated 12 February 2018

- DoD Manual 5205.07 Vol 3_AFMAN 16-703 Vol 3: DoD Special Access Program (SAP) Security Manual: Physical Security, 23 April 2015, Incorporating Change 2, dated 12 February 2018

- DoD Manual 5205.07 Volume 4: Special Access Program (SAP) Security Manual: Marking, 10 October 2013, Incorporating Change 1, dated 9 May 2018

- Risk Management Framework (RMF) using the Joint Special Access Program Implementation Guide (JSIG) Rev 4, dated 11 April 2016, with the integrated Errata Sheet for JSIG, dated 8 October 2018

- AF Policy Directive 16-7, Special Access Programs, dated 21 November 2017

- AF Instruction 16-701, Management, Administration, and Oversight of Special Access Programs, dated 18 February 2014

- DoD Instruction 8510.01, Risk Management Framework (RMF) for DoD Information Technology (IT), dated 27 August 2017

- Defense Federal Acquisitions Regulation Supplement (DFARS) 252.204-7012, revised 28 June 2019

- US Air Force Security Marking Guide for Special Access Programs, Rev. 1, 16 October 2013, with FSE, dated 6 March 2015

- DoD Manual 5400.7_AFMAN 33.302, Freedom of Information Act (FOIA) Program, dated 27 April 2018

- DoD Manual 5200.02, Procedures for the DoD Personnel Security Program (PSP), dated 3 April 2017

- DoD Manual 5200.01, Vol. 1 DoD Information Security Program: Overview, Classification and Declassification, dated 4 May 2018

- DoD Manual 5200.01, Vol. 2 DoD Information Security Program: Marking of Classified Information, dated 14 May 2019

- DoD Manual 5200.01, Vol. 3 DoD Information Security Program: Protection of Classified Information, dated 19 May 2013

- DoD Manual 5200.01, Vol. 4 DoD Information Security Program: Controlled Classified Information (CUI), dated 9 May 2018

- DoD Issuances website where documents can be found is: http://www.dtic.mil/whs/directives/

- AF e-Publications website where documents can be found is: http://www.epublishing.af.mil

All Special Access work must be conducted within an AFOSI Office of Special Projects (PJ) approved location. Modifications to an existing SAP facility must comply with DoD Manual 5205.07 Vol 3_AFMAN 16-703 V3.

Specific Special Access Programs (SAP) and Security Classification Guides (SCG) required for performance on this contract will be provided at the government performance location.

Specific SAP access requirements, personnel access controls, SAP-Mandated security education, training, reporting, records retention, etc. associated with contractor SAP performance under this contract will be managed at the government performance location. The contractor shall be responsible for the maintenance of personnel security clearances necessary for SAP access eligibility IAW the SAPNP and DoD Manual 5205.07, Vol. 2, dated 24 November 2015 Incorporating Change 1, Effective 12 February 2018. Per DoD SAPCO Memorandum, ''Temporary Periodicity and Clearance Submission Implementation Guide for Special Access Programs," dated 10 February 2017, DoD Manual 5205.07 Vol. 2 is temporarily amended to reflect the suspension of Periodic Reinvestigations (PRs) for SAP-briefed personnel every five years. Until the recension of this memorandum, personnel will be eligible for initial or continued SAP access as long as their Personnel Security Investigation (PSI) date does not exceed six years or the contractor has been enrolled in the Continuous Evaluation Program. The contractor will provide DCSA (JPAS/DISS) reporting of security incidents committed by contractor personnel at the performance location(s) as determined by the government Program Office and the Program Security Officer.

e. Ref Blks 10j/11l: See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoD 5400.7-R/Air Force Manual 33-302, DoD Freedom of Information Act (FOIA) Program, and AFI 16-1404, Air Force Information Security Program for requirements.

f. Ref Blk 11c: Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the source material or be governed by the current version of the Spectrum Warfare Security Classification Declassification Guide, Original date January 2019, OPR: AFRL/RYW, WPAFB, OH. Partial performance as an access only visitor in support of AFRL/RY will occur in Bldg 620, Area B, WPAFB, OH. All applicable SCGs will be provided by Government Program Manager(s).

g. Ref Blk 11g: Intelligence and Special Access Required materials are not releasable to DTIC.

h. Ref Blk 11m: 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 Cognizant Security Office (Blk 8c).

i. Collateral Program Manager: Jong S Hwang, AFRL/RYWA, (937) 713-8024

j. Security Manager: Christopher D. Stolte, AFRL/RYOY, (937) 713-8982

k. SAP Program Manager: Kenneth Littlejohn, AFRL/RYWA, 937-713-8142

k. Government Special Access Program Security Officer (GSSO): Mark D. Coulter, AFRL/XPZ, (937) 656-9795; Rondalee Ausmer, AFRL/XPZ, 937-255-9440

l. Program Security Officer (PSO): Scott R. Lowry, OSI PJ Det 2, 937-656-4467

m. Ref Blk 18e: (ACO): TBD

AFRL/XPZ

rep: SCOTT R. LOWRY, PSO OSI PJ Det 2

The SSO for the performance location retains security cognizance for SCI performance.

2130 8th Street Bldg 45

WPAFB, OH 45433

Address: AFRL/RYKSE Bldg. 45, Area B, 2130 8th Street

WPAFB, OH 45433