Attachment 7 Solicitation_CSCS Form.pdf

DOE F 470.1

(02/2018) Replaces DOE F 470.1 (09/2014) All Other Editions are Obsolete ‒ 1

U.S. Department of Energy

CONTRACT SECURITY CLASSIFICATION SPECIFICATION (CSCS)

1. CSCS No.: 2. Previous CSCS No.: 3a. Reason for Action: (Check one) ☒Add ☐Change ☐ Terminate

b. Item Numbers Modified:

4. This Specification is for: (Complete as applicable) 5. Specification Is: (Complete as applicable)

a. ☐ Contract or Other Number ☒ Solicitation

Contract Type RFP Time and Materials

☐ Approved National Interest Determination (Contractor Facility under FOCI Mitigation)

b. Contract Number 89233120RNA000078 End Date: 11/18/2021 (estimated)

c. Contract Number of Prime (Complete if registering or soliciting a subcontract) End Date:

(estimated)

a. Original (Complete date in all cases) Date:

b. Revised (Supersedes all previous specifications) Date:

c. Certificate of Possession.

Retention of Classified Matter is Authorized Until

Date:

Date:

d. Final

Certificate of Non-Possession or Equivalent.

Date:

Date:

6. General Identification of this Procurement Contract Security Services to provide the protection of DOE / NNSA assets at the Albuquerque Complex and the NNSA Albuquerque Complex Project. Services include protective force, access control, visitor control, plans, orders, procedures and other security related services.

7. Contractor

a. Facility Code

b. Name, Address, and Zip Code

TBD

c. Cognizant Security Office (Name, Address, and Zip Code)

8. Prime Contractor (Complete if registering or soliciting a subcontract)

a. Facility Code

b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)

9. Actual Place of Performance (DOE Facilities) (Attach additional entries as necessary)

a. Facility Code

b. Name, Address, and Zip Code d. Cognizant Security Office (Name, Address, and Zip Code)

Actual Place of Performance (NON-DOE Facilities) (Attach additional entries as necessary)

a. ID Code b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)

10. Clearance and Storage 11. This Contract Will Require Access To:

☐ OTHER DCI CAVEATS

☐ COMSEC

☐ FGI

☐ NATO

☐ SCI

☐ CNWDI

☐ WD/SIGMAS:

☐ OTHER:

a. Classification of Matter to be Accessed:

☒TSRD ☐TSFRD ☐TSNSI ☐SRD ☐SFRD ☐SNSI

☐CRD ☐CFRD ☐ CNSI ☐U

b. Level of Storage Required at Contractor Facility in Block 7a:

☐ TSRD ☐TSFRD ☐TSNSI ☐SRD ☐SFRD ☐SNSI

☐CRD ☐CFRD ☐ CNSI ☒U

c. Level of Storage for the Performance of this Contract:

☐ TSRD ☐ TSFRD ☐ TSNSI ☐SRD ☐SFRD ☐SNSI

☐CRD ☐CFRD ☐ CNSI ☒U

d. Access Authorization/Security Clearance:

☒ Q ☐ L ☐ T ☐S ☐C

12. In Performing This Contract, The Contractor Will:

☒ Have Access to Classified Information Only at Another Contractor’s Facility or a Government Activity

☐ Generate Classified Matter

☒ Perform Services That Require Unescorted Access to Security Areas

☐ Have Access to U.S. Classified Information Outside the U.S., Puerto Rico, U.S. Possessions and Trust Territories

☐ Other (Specify):

☐ Receive Classified Matter

☐ Fabricate, Modify or Store Classified Items (e.g., Hardware or Substances)

☐ Be Authorized to Use the Services of the Office of Scientific and Technical Information to Receive Classified Matter

☐ Require a COMSEC Account

☐ Be Authorized to Use the Defense Courier Service

Tracy.Cdebaca Highlight

Replaces DOE F 470.1 (09/2014) All Other Editions are Obsolete ‒ 2

13. Classification Guidance

The classification guidance needed for this classified effort is identified below. NOTE: Guidance which is in itself classified should be referenced here and provided under separate cover.

14. Security Requirements

Security requirements are established for this contract and are identified in the following contract clauses.

☒ DEAR 952.204-2 Security Requirements ☒ DEAR 952.204-73 Facility Clearance (Solicitation)

☒ DEAR 952.204-70 Classification/Declassification ☐ DEAR 970.5204.1 Counterintelligence (for Management Contracts ONLY)

15. Surveys

DOE Surveying Office Is

Elements of this contract are outside the survey responsibility of the Cognizant Security Office and/or the Surveying Office.

☒ No ☐ Yes (Identify specific areas and provide explanation/justification for each)

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 contract. All questions shall be referred to the official named below:

a. Typed Name of Procurement Request Originator b. Title and Organization c. Telephone (include Area Code)

. Address (include Zip Code) e.

Signature Date

17. Typed Name of Contracting Official

Signature Date

18. Other Approvals

a. Typed Name of Classification Officer (Approval of Block 13)

b. Typed Name of Special Security Officer, Office of Intelligence & Counterintelligence (Approval of Block 11 (SCI))

Signature Date

Signature Date

19a. Typed Name of Local Security Officer

b. Responsible Office Signature Date

20. Required Distribution ☐ Contractor ☐Administering Contracting Officer ☐ Subcontractor ☐Surveying Office if Different than Cognizant Security Office ☐ Cognizant Security Office ☐Others, as Necessary

21. General Comments:

Replaces DOE F 470.1 (09/2014) All Other Editions are Obsolete ‒ 3

9. Actual Place of Performance (DOE Facilities)

a. Facility Code

b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)

a. Facility Code

b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)

a. Facility Code

b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)

9. Actual Place of Performance (NON-DOE Facilities)

a. ID Code b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)

a. ID Code b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)

a. ID Code

b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)

a. ID Code

b. Name, Address, and Zip Code c. Cognizant Security Office (Name, Address, and Zip Code)