ATTACHMENT 7 - DD Form 254.doc

DOC document 90 KB Posted

Attached to
Academic Centers Research Support Services Federal contract opportunity
Solicitation number
FA330021R0003
Issued by
Department of the Air Force Air Education and Training Command

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Other files attached to Academic Centers Research Support Services, newest first.
File Type Posted
ATTACHMENT 1-PWS Academic Centers Support Contract.docx DOCX document
ATTACHMENT 5-Sample Client Authorization Letter.docx DOCX document
ATTACHMENT 9 - Section M Evaluation Factors.docx DOCX document
ATTACHMENT 2-Past Performance Information.docx DOCX document
ATTACHMENT 6-WD 15-4607.docx DOCX document
ATTACHMENT 3-Past Performance Questionnaire.docx DOCX document
ATTACHMENT 4 - Subcontractor Consent Letter.docx DOCX document
ATTACHMENT 8 - Section L Instructions.docx DOCX document
Solicitation - FA330021R0003.pdf PDF

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DEPARTMENT OF DEFENSE

1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION SPECIFICATION
a. FACILITY CLEARANCE REQUIRED

TOP SECRET

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

b. LEVEL OF SAFEGUARDING REQUIRED

SECRET

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

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases)
Date (YyyYMMDD)

X

b. REVISED (Supersedes all previous specs) Revision No.

Date (YyyYMMDD)

c. SOLICITATION OR OTHER NUMBER
Due Date (YYMMDD)
c. FINAL (Complete Item 5 in all cases)
Date (yyYYMMDD)
X
FA330021R0003

4. IS THIS A FOLLOW-ON CONTRACT?

YES
X
NO. If Yes complete the following

Classified material received or generated under ____________________________________ is transferred to this follow-on contract

5. IS THIS A FINAL DD FORM 254?

YES
X
NO. If Yes complete the following

In response to the contractor's request dated , retention of the identified classified material is authorized for the period of .

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

a. NAME, ADDRESS, AND ZIP CODE
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
TBD
TBD
TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE
b. CAGE CODE
c. COGNIZANT SECURITY OFFICES ( Name, Address, and Zip Code)
N/A
N/A
N/A

8. ACTUAL PERFORMANCE

a. LOCATION
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

Air Force Culture and Language Center 551 E. Maxwell Blvd Maxwell AFB, AL 36112

See Block 15

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Education and Research support for the U.S. Air Force (USAF) Air University (AU), Air War College (AWC), Academic Centers (AR), which includes the USAF Culture and Language Center (AFCLC), USAF Center for Strategic Leadership Communication (AFCSLC), USAF Center for Unconventional Weapons Studies (CUWS) and AF Negotiation Center (AFNC) at Maxwell Air Force Base (AFB), Alabama.

10. THIS CONTRACT WILL REQUIRE ACCESS TO:
YES
NO
11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:
YES
NO

a. COMMUNICATIONS SECURITY (COMSEC)

INFORMATION

X
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY

X

b. RESTRICTED DATA
X

b. RECEIVE CLASSIFIED DOCUMENTS ONLY

X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
X
c. RECEIVE AND GENERATE CLASSIFIED MATERIAL
X
d. FORMERLY RESTRICTED DATA:
X

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

X

e. INTELLIGENCE INFORMATION:

e. PERFORM SERVICES ONLY

X

(1) Sensitive Compartmented Information (SCI)

X
f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

X

(2) Non-SCI

X
g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

X

f. SPECIAL ACCESS INFORMATION

X
h. REQUIRE A COMSEC ACCOUNT

X

g. NATO INFORMATION

X
i. HAVE A TEMPEST REQUIREMENT

X

h. FOREIGN GOVERNMENT INFORMATION

X
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

X

i. LIMITED DISSEMINATION INFORMATION

X
k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

X

j. FOR OFFICIAL USE ONLY INFORMATION
X
l. OTHER (Specify).
X

k. OTHER Specify)

X
Access to Government NIPRNet and SIPRnet requirements.

DD Form 254, DEC 1999

Previous editions are obsolete

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the industrial

Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public release shall be submitted for approval prior to release

Direct
X
Through (Specify):

Information requiring AF or DoD–level review will be forwarded by the 42 ABW/PA, 55 South LeMay Plaza, Maxwell AFB, AL 36112, through the 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.

to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.

*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.

13. SECURITY GUIDANCE. The security classification guidance 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 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 document/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.

1. DoD 5220.22-M. National Industrial Security Operating Manual (NISPOM) Feb 2006 is applicable to this contract. The contractor will adhere to DoD 5220.22-R , Industrial Security Program Regulation, Air Force Instruction 16-1406, Industrial Security Program, DoDM 5200.01 DoD Information Security Program Volumes 1-4, Air Force Instruction 16-1404, Information Security Program, while operating on Air Force installations.

2. Ref 8.c. Serving 42 ABW/IP, 50 LeMay Plaza South, Maxwell AFB, AL 36112-6610.

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

4. Ref 10.c. Access to CNWDI requires a final U.S. Government clearance at the appropriate level. The government program manager or designated representative will ensure the contractor security supervisor and employees requiring access to CNWDI are briefed for CNWDI. Permission of the Air Force is required for subcontracting CNWDI.

5. Ref 10.d. Access to FORMERLY RESTRICTED DATA requires a final U.S. Government clearance at the appropriate level.

6. Ref 10.j. FOUO applies. FOUO information provided under this contract shall be safeguarded as specified in Attachment 3, “For Official Use Only (FOUO)” for protecting For Official Use Only (FOUO) information.

7. Ref 11.c. Any classified information generated in the performance of this contract shall require the contractor to either apply derivative classification and markings consistent with the source material, or be governed by the following Security Classification Guides(s) (SCG).

8. Ref 17.f. Required distribution to: 42 ABW/IP, 50 LeMay Plaza South, Maxwell AFB, AL 36112-6610.

9. Period of Performance: Base Period: Mar 21 – 30 Nov 21; Option Year One: 1 Dec 21 – 30 Nov 22; Option Year 2: 1 Dec 22-30 Nov 23

10. Task Manger: Gregory Day (334) 953-8480; Program Manager: Olin Goodhue (334) 953-7197

11. Coordination: 42 ABW/IP: Carl Howard, DAFC, SFPC_______________________________________________

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, 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 cognizant security office. Use Item 13 if additional space is needed.)

X
Yes

No

A long term Visitor Group Security Agreement will be executed between the installation commander or designee and the contractor.

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (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.
X
Yes

No

The 42 ABW/IP, 50 LeMay Plaza South, Maxwell AFB, AL 36112; COMM: 334-953-1886; email: 42abw.ip@us.af.mil will perform security inspections for contractor operations on Maxwell AFB, AL. DSS is relieved of inspection for contractor operations on Maxwell.

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.

a. TYPED NAME OF CERTIFYING OFFICIAL Mark Restad

b. TITLE

SENIOR CONTRACTING OFFICER

c. TELEPHONE (Include Area Code)

334-953-3521

d. ADDRESS (Include ZIP Code)
17. REQUIRED DISTRIBUTION
42 CONS
X
a. CONTRACTOR

50 LeMay Plaza, South, Bldg 804

b. SUBCONTRACTOR

Maxwell AFB, AL 36112
X
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

X
e. ADMINISTRATIVE CONTRACTING OFFICER
X
f. OTHERS AS NECESSARY

DD Form 254 (BACK), DEC 1999

CONTINUATION DD Form 254 for _____________________________

File details come from the government source that posted it. Updated .