Attachment 5 - DD254.pdf

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)

1. CLEARANCE AND SAFEGUARDING

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

(YYYYMMDD)

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

(Complete date in all cases)

(Complete Item 5 in all cases)

(YYYYMMDD)

(Supersedes all previous specs)

(YYYYMMDD)

(YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT?

(Preceding Contract Number)

5. IS THIS A FINAL DD FORM 254?

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

(Name, Address, and Zip Code)

7. SUBCONTRACTOR

(Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

(Name, Address, and Zip Code)

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

10. CONTRACTOR WILL REQUIRE ACCESS TO: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:

(Specify)

DD FORM 254, DEC 1999

SECRET

SECRET

BAA FA8650-21-S-1180 20210519

TBD TBD TBD

N/A N/A N/A

TBD TBD TBD

The Air Force Research Laboratory (AFRL) Multispectral Sensing and Detection Division (RYM) in the Sensors Directorate conducts basic and applied research, advanced technology development, as well as test and evaluation to meet U.S. Air Force (USAF) aerospace electro-optical (EO) and radio frequency (RF) sensor needs for air, space and C2 sensor systems. AFRL/RYM conducts programs in modeling, simulation, research, design, test and evaluation of RF and EO subsystems and sensors for use in offensive, defensive and integrated offensive/defensive systems

AFFARS 5352.204-9000 applies. See Blk 13.

Pre-contract award access to classified is not required

12. PUBLIC RELEASE. (classified or unclassified)

(Specify)

(Include Zip Code)

13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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. Add additional pages as needed to provide complete guidance.)

14. ADDITIONAL SECURITY REQUIREMENTS.

(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 cognizant security office. Use Item 13 if additional space is needed.)

15. INSPECTIONS.

(If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

16. CERTIFICATION AND SIGNATURE. 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.

(Include Area Code)

17. REQUIRED DISTRIBUTION

DD FORM 254 (BACK), DEC 1999

AFRL/RYMF, 2241 Avionics Circle, WP AFB, OH 45433 for non-SAR related material. Transmission of public release request via e-mail is not authorized.

The National Industrial Security Program Operating Manual (NISPOM), February 2006, applies.

a. Ref Blk I Oe(2): Contractor will require access to intelligence information and must comply with A Fl 14-303/ AFMC Supplement I. The Program Manager 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 and will submit the AFMC Form 210 to AFRL/RYOY for approval prior to granting access.

b. RefBlk JOj : 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, for requirement

c. Ref Blk 11 a: Using activity will provide security classification guidance for performance on this contract. On base performance in support of RYMH will occur in Bldg 620, Area B, WP AFB OH. 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.

d. Ref Blk 111 : Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreements clause, Air Force Federal Acquisition Regulation Supplement (AFF ARS) 5352.204-9000, to AFRL/RYOY, 2241 Avionics Circle, Wright-Patterson AFB OH 45433-7625 e.

e. Program Manager: Stephen Fernandez AFRL/RYMF, 937-713-8976

f. Security Manager: Tyree Miller, AFRL/RYOY, 937-713-8532

g. Ref Blk 17e (ACO): TBD

h. RefBlk 17f: (Distribution): AFRL/RYOY, 2241 Avionics Circle, WPAFB OH 45433-7301 , tyree.miller.1@us.af.mil;

joseph.worrell. l@us.af.mil

Ref Blk l lj: OPS EC requirements apply. See Statement of Work (SOW) for requirements.

Ref Blk 111: Contractor performance will occur at WP AFB. DSS is relieved of all inspection responsibilities for contractor performance on the installation. AFRL/RYOY will maintain security oversight.

Morgan VanHooser CONTRACTING OFFICER 937-255-7751

AFRL/RQKSE

2130 8th St, Bldg 45

WPAFB, OH 45433

DD FORM 254 CONTINUATION SHEET

BAA-FA8650-21-S-1180

Block 13 CONT’D

j. RefBlk 111: Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreements clause, Air Force Federal Acquisition Regulation Supplement (AFF ARS) 5352.204-9000, to AFRL/RYOY, 2241 Avionics Circle, Wright-Patterson

AFB OH 45433-7625

k. Program Manager: Stephen Fernandez AFRL/RYMF, 937-713-8976

l. Security Manager: Tyree Miller, AFRL/RYOY, 937-713-8536

m. IT Level II duties require a favorably completed National Agency Check Local Agency Check

(NACLC).

n. RefBlk 17e: DCMA Garden City, 516-228-5717, Fax: 516-228-5938, DMCM GC GROUP LDRS2@DCMA.MIL, 605 Stewart Ave, Garden City, NY 11530-4761

o. RefBlk 17f: (Distribution): AFRL/RYOY, 2241 Avionics Circle, WPAFB OH 45433-7301, joseph.worrell.1@us.af.mil