Attachment 6- DD254fully_signed.pdf

CLASSIFICATION (When filled in): Official

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AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 4

AEM LiveCycle Designer

DD 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:

October 31, 2020

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

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

FA8224-21-R-0002

DUE DATE (YYYYMMDD)

20210326

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20210304

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.FA8224-15-D-0006

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

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) Add Row Remove last Row Delete All Rows

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.) Add Row Remove last Row Delete All Rows

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

574 AMXS

Bldgs 225, 674, 680, 237, 233, and 270 Hill AFB, UT 84056

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

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Aerospace Ground Equipment (AGE) contractor personnel will require access to controlled/restricted and classified areas to retrieve and transport AGE to perform maintenance and dispatch services. This contract is to provide maintenance, service, and dispatch services for AGE at Hill AFB and AMARG.

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AEM LiveCycle Designer

DD 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 GOVERMENT 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.)

NIPRNET

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 DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

AFFARS clause 5352.204-9000 applies

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) Public Release Authority:

Public release is not authorized.

13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures

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.)

Item 13.a. DD FM 254 Review: Oct 2020

Ref. 10.j.: CUI information provided under this contract shall be safeguarded as specified in DoD Instruction 5200.48, DoD Information Security Program: Controlled Unclassified Information (CUI).

Ref 10.k: Some contractor personnel will require access to NIPRNET and Maintenance Information Systems (MIS) in the performance of AGE services. The Program Manager will ensure contractor employees are appropriately briefed prior to granting access to networks.

Ref. 11.a: Contract performance is restricted to location identified in Item 8a. Contractor will abide by the following security classification guidance: F-22 Security Classification Guide dated 20 March 2006. Security classification guidance is available at this location for performance on the contract.

Ref. 11.e: Contract is for equipment maintenance services on equipment which processes classified information. Actual knowledge of

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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.

Ref 11.m. The contractor is designated as an Integrated Visitor Group and will provide the Servicing Security Activity, listed in Item 15 “Ref: 8.a”, with all the information required by the Air Force Federal Acquisition Regulation Supplement (AFFARS) 5352.204-9000, Notification of Government Security Activity and Visitor Group Security Agreements clause at least 30 days prior to beginning operations on Hill AFB. Contractors will not begin operations on Hill AFB until a Visitor Group Security Agreement has been signed.

List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Integrated VGSA.pdf

Add Attachment View Selected Attachment Remove Selected Attachment

NAME & TITLE OF REVIEWING OFFICIAL

Justin L. Simmons, OO-ALC/OBCA, AGE Program Manager

SIGNATURE

NAME & TITLE OF REVIEWING OFFICIAL

Cozette L. Wakley, 309 AMXG/MXDSM, 309 AMXG Security Manager

SIGNATURE

NAME & TITLE OF REVIEWING OFFICIAL

LaShonda R. Arocha, 75 ABW/IPD, Industrial Security Specialist

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.)

Ref 11.j. The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Hill AFB, and 309 AMXG Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced in attachment within Item 13

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.)

Ref. 8.a.: The Defense Counterintelligence and Security Agency (DCSA) is relieved of all industrial security review responsibilities for contractor performance on the government installation identified in Item 8.a. The SSA, (75 ABW/IPD 7981 Georgia Street, HAFB, UT 84056: lashonda.arocha.2@us.af.mil) has exclusive oversight responsibilities while operating on the installation.

Ref. 10.f.: DCSA has been relieved of inspection oversight responsibilities for SAP programs associated with this contract. The Air Force is identified as the Cognizant Security Authority (CSA) with the AFOSI PJ fulfilling the execution role for all contractor inspections under the purview of SAF/AAZ.

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

a. GCA NAME

Carmen North

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

FA8224

c. ADDRESS (Include ZIP Code)

OL:H/PZIEA

6038 Aspen Ave, Bldg. 1289 Hill AFB, UT. 84056

d. POC NAME

Justin Simmons

e. POC TELEPHONE (Include Area Code)

+1 (801) 777-3156

f. EMAIL ADDRESS (See Instructions) justin.simmons.22@us.af.mil

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.

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AEM LiveCycle Designer

DD FORM 254, APR 2018

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

North, Carmen

b. TITLE

Contracting Officer

c. ADDRESS (Include ZIP Code)

OL:H/PZIEA

6038 Aspen Ave, Bldg. 1289 Hill AFB, UT. 84056

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA8224

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

N/A

f. TELEPHONE (Include Area Code)

+1 (801) 777-0130

g. EMAIL ADDRESS (See Instructions) carmen.north@us.af.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

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.)

1. 75 ABW/IPD (lashonda.arocha.2@us.af.mil)

Integrated Visitor Group Addendum

Integrated Visitor Group Security Oversight Responsibilities and Supervision:

The visitor group's HOF will provide all SSA’s identified within Item 15, Ref 8.a, a copy of the most recent list of key management personnel (KMP) and will immediately notify the SSA’s of any changes occurring to the KMP list.

Access to Classified Information:

All access to classified material by on-base visitor group personnel including oral and/or visual at the GCA locations identified within Items 8.a – 8.c will be under control of the GCA. The GCA maintains accountability, control, and ownership of all classified information involved under the terms of this contract at all times. The visitor group’s access to classified information will be controlled by the GCA and limited to “contract-specific, need-to-know” information only.

Storage of Classified Material:

The visitor group is not authorized to store classified material at the GCA locations identified within Items 8.a

– 8.c. All classified material will be returned and secured in the designated government security container as directed by the supported unit.

Under the terms of this agreement, the GCA will have access to and control all security containers. The responsibility for setting the storage container combination rests with the GCA. Each container will have a government safe custodian appointed. The Standard Form (SF) 700, Security Container Information, will be used to identify persons having knowledge of the combination(s). This form will be posted inside the locking drawer of each security container.

If within the scope of the contract, contractors categorized as visitor groups are permitted to conduct end of day checks, have access to GSA approved security containers, and/or have access to applicable alarm codes for secure areas.

Transmission of Classified Material:

The on-base visitor group is not authorized direct receipt or dispatch of classified material at the GCA locations identified within Items 8.a – 8.c, through U.S. postal channels or commercial carrier. Receipt or dispatch must be to or through the supported GCA.

Classified material will be transmitted via U.S. postal channels directly from the sponsoring GCA and must be prepared in accordance with DoDM 5200.01, Volume 3, Enclosure 4, and processed through the classified information control system of the GCA.

Contractor employees may hand carry classified on the installations identified within Item 15, Ref 8.a, if they have been designated as a courier in writing by the GCA’s commander or designee per DoDM 5200.01, Volume 3, Enclosure 4. If contractor employees will be required to pass through a manned entry point or checkpoint on the installations, they must have a courier card or letter of authorization. The courier must ensure the classified is packaged IAW DoDM 5200.01, Volume 3, Enclosure 4. All visitor group contractor employees hand carrying classified must receive the proper training and be briefed regarding their responsibilities.

Reproduction of Classified Material:

Only GCA approved and controlled reproduction equipment will be used by the visitor group, when so authorized, per DoDM 5200.01, Volume 3, Enclosure 2. The visitor group cannot reproduce classified material without permission of the GCA.

Security Education: The visitor group’s security focal point shall:

Ensure visitor group employees attend and participate in the Security Education Program, to include initial, recurring, and derivative classification security training, of the sponsoring GCA organizations. The sponsoring GCA unit security manager will ensure integrated visitor group personnel are included in the information security education program and will be responsible for administering security education training per DoDM 5200.01, Volume 3, Enclosure 5 and AFI 16-1404.

Security Incidents and Possible Compromises of Classified:

The visitor group must immediately report any security incidents, outlined in DOD MANUAL 5200.01 Volume 3, Enclosure 6, through the supported GCA to the SSA. The SSA will ensure the supported GCA’s unit commander/director appoints inquiry or investigation officials in accordance with AFI 16-1404, Chapter

7. Inquiry or investigation officials coordinate findings and reports with the appointing official and SSA.

The SSA coordinates and/or reports security violations committed by visitor group employees to the appropriate Defense Security Service (DSS) Cognizant Security Agency (CSA), base contracting office, and the visitor’s group HOF, if and when appropriate.

Local Contractor Badge and Common Access Card (CAC):

Visitor group employees must have and wear (between waist and shoulders on his/her outermost garment) either a GCA issued contractor identification badge or a company issued contractor identification badge at all times while on the confines of the installations identified in Item 15, Ref 8.a. When required for contract performance, locally developed installation badges will be issued to visitor group personnel for entry into designated areas. Entry credentials are issued at the request of the GCA. Contractor personnel who will require access to DOD computer network systems and/or require the use of a Common Access Card (CAC) for installation entry control or physical access to facilities during normal business hours when government personnel are present shall request a CAC through the GCA’s units Contractor Verification Systems Trusted Agent. Contractor personnel who are not authorized a CAC will be required to obtain a Defense Biometrics Identification System (DBIDS) card or other Physical Access Control System (PACS) passes IAW AFI 31- 113.

Disposition of Identification Credentials:

When an employee leaves the installation for another assignment, retires or terminates from the contract, all identification credentials (Restricted/Controlled Area credentials, PACS Passes, CAC, etc.) that have been issued to the individual will be returned to the issuing officials. The GCA and/or contractor will immediately notify the issuing officials for an appropriate update in the Defense Biometric Identification System (DBIDS), Defense Enrollment Eligibility Reporting System (DEERS), or other applicable system when a contractor refuses to return any issued access media.

Contract and Associated DD Form 254: The visitor group’s on-base management personnel and the GCA security manager will maintain a file containing a copy of all contracting documents, to include any associated DD Form 254s (prime and subcontracts).

Security Reviews:

Industrial security program reviews/inspections of visitor groups will be IAW DODM5220.22v2_AFMAN 16-1406v2 and AFI 16-1404.

The SSA conducts reviews/inspections, if applicable, in the following manner:

(1) The SSA will notify and schedule all reviews/inspections through the AF activity’s unit security manager.

These reviews/inspections will be conducted per AFI 16-1404 and supplements thereto. A copy of the review/inspection report will be provided to the GCA, who, in-turn will provide the visitor group a copy of all portions of the report applicable to their performance. The visitor group is not required to acknowledge receipt, nor respond unless directed to do so in the report.

(2) The visitor group will also be included in the GCA’s security self-assessment program IAW AFI 90-201, The Air Force Inspection System, to monitor the visitor group’s performance and compliance.

Subcontracts:

Whenever the HOF or on-base visitor group enters into a subcontract arrangement with another contractor for classified performance on the installations identified within Item 8.a of this DD FM 254, a copy of this attachment will be included within the subcontractor’s DD FM 254.

11.j. Operations Security (OPSEC)

DD Form 254 Addendum

OPSEC

General:

All personnel (contractors, subcontractors, their employees, associates, and consultants) who have access to critical information must participate in the appropriate OPSEC programs.

OPSEC is a systematic means of identifying and protecting information which an adversary could use to their advantage or our disadvantage.

Critical information is generally unclassified but sensitive information which has been identified by the OPSEC program as requiring protection.

OPSEC measures (formerly countermeasures) are control standards with which all personnel must comply in order to protect critical information. For example, personnel may be prohibited from discussing certain subjects outside of the work environment. Another example is some information may be prohibited from transmission via unencrypted telephone, fax, or email.

Responsibilities:

All personnel must participate in the appropriate OPSEC programs. The 309 AMXG OPSEC coordinator must provide training curriculum to the contractor. The contractor must ensure all personnel working on the contract or having access to critical information attend initial and recurring (annual) training. The contractor must track OPSEC training statistics to include the personnel working on the contract, when each individual received the required OPSEC training, and when refresher training is due. Training statistics must be forwarded to the 309 AMXG OPSEC coordinator at the end of each fiscal year quarter and upon request. Training must provide listings of critical information that must be protected by all personnel, listings of OPSEC measures which must be used by all personnel to protect critical information, and foreign intelligence and industrial espionage threats. All personnel must comply with OPSEC standards and practices as trained. Training must be provided before personnel are allowed access to critical information. Training must be conducted annually thereafter, or as individual programs require. Additional training may be required based on updates to critical information, OPSEC measures, intelligence threat, or other fundamental changes to the OPSEC program. Prior to seeking approval through Public Affairs, information to be released outside of official U.S. Government channels must be approved via an OPSEC review through the 309 AMXG OPSEC coordinator: Cozette Wakley, 309th AMXG Security Manager, (801) 777-4952. All personnel must report OPSEC related incidents, issues, and concerns to the 309 AMXG OPSEC coordinator.

Prime Contract Solicitation: FA8224-21-R-0002

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

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:

October 31, 2020 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 List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) Integrated VGSA.pdf OPSEC_Addendum.docx

Bldgs 225, 674, 680, 237, 233, and 270 Hill AFB, UT 84056

Ref. 10.j.: CUI information provided under this contract shall be safeguarded as specified in DoD Instruction 5200.48, DoD Information Security Program: Controlled Unclassified Information (CUI).

Ref 10.k: Some contractor personnel will require access to NIPRNET and Maintenance Information Systems (MIS) in the performance of AGE services. The Program Manager will ensure contractor employees are appropriately briefed prior to granting access to networks.

Ref. 11.a: Contract performance is restricted to location identified in Item 8a. Contractor will abide by the following security classification guidance: F-22 Security Classification Guide dated 20 March 2006. Security classification guidance is available at this location for performance on the contract.

Ref. 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.

Ref 11.m. The contractor is designated as an Integrated Visitor Group and will provide the Servicing Security Activity, listed in Item 15 “Ref: 8.a”, with all the information required by the Air Force Federal Acquisition Regulation Supplement (AFFARS) 5352.204-9000, Notification of Government Security Activity and Visitor Group Security Agreements clause at least 30 days prior to beginning operations on Hill AFB. Contractors will not begin operations on Hill AFB until a Visitor Group Security Agreement has been signed.

Industrial Security Specialist

Ref. 10.f.: DCSA has been relieved of inspection oversight responsibilities for SAP programs associated with this contract. The Air Force is identified as the Cognizant Security Authority (CSA) with the AFOSI PJ fulfilling the execution role for all contractor inspections under the purview of SAF/AAZ.

6038 Aspen Ave, Bldg. 1289 Hill AFB, UT. 84056 Address: OL:H/PZIEA 6038 Aspen Ave, Bldg. 1289 Hill AFB, UT. 84056