Attachment 8 - DRAFT SSHINE 254.pdf
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- Attached to
- Space Systems and Hardware Integration for Novel Experiments (SSHINE) Federal contract opportunity
- Solicitation number
- Industry-2024-RVEP
About this file
This document is a DD Form 254, Department of Defense Contract Security Classification Specification, for a federal contract opportunity entitled "Space Systems and Hardware Integration for Novel Experiments (SSHINE)".
The key details are:
- This is an original DD Form 254 with a facility clearance level of Secret and a safeguarding level of 4.
- The contract will provide research, engineering, and technical management for space technology concept development, analysis, integration, experimentation, demonstration, and evaluation in support of the AFRL/RV mission.
- The contractor will require access to Sensitive Compartmented Information (SCI) and non-SCI national intelligence information.
- There are additional security requirements beyond the NISPOM, which will be identified in the contract.
- AFRL/RDOI and AFRL/RDOSC will have inspection and security oversight responsibilities.
- The Contracting Officer is DeAnna R. Salazar from AFRL/RVKI.
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DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of
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:
June 30, 2025 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.)
List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)
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"
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: CUI |
| Enter serial number.: |
| a. Facility clearance level. Select one.: 1 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: TBD |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: 20240509 |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 0 |
| Select for "no.": 1 |
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| Select for "no.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 1 |
| Enter preceding contract number.: FA9453-19-D-0002 |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: N/A |
| Enter typed name of certifying official (last, first, middle initial).: Salazar, DeAnna R |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: N/A |
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: AFRL/RV |
3550 Aberdeen Ave SE Kirtland AFB, NM 87117
| Enter general unclassified description of this procurement.: This contract will provide the required research, engineering, and technical management for performing space technology concept development, analysis, integration, experimentation, demonstration, and evaluation in support of the AFRL/RV mission. |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "b. SUBCONTRACTOR.": 1 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 1 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 1 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 1 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Enter infomration for "other.": SIPRNet and JWICS |
| Enter infomration for "other.": Use of KAFB AIS |
| Enter infomration for "other.": AFRL/PRS Security |
AFRL/RDOI/SSO
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 1 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: SEE BLOCK 13 |
| Enter public release authority.: SEE BLOCK 13 |
| Select to add signature.: |
| Select to remove last signature.: |
| text: Item 12. (Continuation): |
Items intended for public release shall be processed through the AFRL RD/RV approval process 45 days prior to requested release date in order to comply with DFARS 252.204-7000, Disclosure of Information. Per AFI 10- 701, all requested released items must have an OPSEC security and policy review and AFRL/PA release approval prior to release to the public. The Technical Point of Contact will load the requested public release requested document for the Contractor to the AFRL internal review process in the OPSEC Tool application to meet the OPSEC security and policy review requirement. Once approved, the document will receive a Public Affairs review and release number. Final approval must occur prior to release outside of government channels. Items submitted through the review process must derive from a government representative if being released by a DoD contractor. Unclassified information does not equal publically releasable. Information requiring AF or DoD-level review will be forwarded by the entry-level public affairs office through the AFIMSC 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 DC20330- 1690. MAJCOM/DRUs will send information requiring AF or DoD-level review directly to SAF/PAX. NO PUBLIC RELEASE IS AUTHORIZED FOR NON-SCI or SCI.
Item 13. (Continuation):
Contractor shall follow security classification guidance on information, hardware and equipment as provided in the following security classification guides: TBD. The Contracting Officer will provide other Security Classification Guides under separate cover as tasks are assigned. Revised Security Classification Guides will be provided under separate cover and will require revising the DD Form 254. The Contractor shall comply with any revisions to that Security Classification Guide. Document classification markings will be done in accordance with E.O. 13526 and DoDM 5200.01, Volume 2, Marking of Classified Information, 24 Feb 2012, and supplements thereto. The contractor must comply with special OPSEC requirements contained in the contract or addendum thereto. The requirements, restrictions and other safeguards prescribed by the National Industrial Security Program Operating Manual (NISPOM), 32 CFR Part 117 and its supplements apply to all classified performance. The prime contractor must contact AFRL/RDOSC at (505) 846-0536, AFRL Industrial Security Oversight Office for execution of the Visitor Group Agreement (VGA), and submit a company letter identifying on-site key personnel management officials or company representatives and a security focal point of contact for security related matters (normally FSO) prior to on-base operations. Prime contractor is responsible to ensure on-base subcontractors execute a VGA with AFRL/RDOSC prior to on-base operations. The prime contractor must include a provision in each on-base Contract requiring subcontractors to contact AFRL/RDOSC and execute a VGA prior to beginning on-base operations.
Government Project Manager: TBD , AFRL/RDLE, 3550 Aberdeen SE, Kirtland AFB, NM 87117, (505) 123-4567.
10.a.: The Contractor will need administrative access to classified COMSEC material. The contractor will not receipt, copy, or generate classified COMSEC material.
10.b.: The contractor is permitted access to RESTRICTED DATA (RD) in the performance of this contract. Access to RD requires a final US Government clearance at the appropriate level.
10.d.: The contractor is permitted access to Formerly Restricted Data (FRD) in the performance of this contract. Access to FRD requires a final U.S. Government clearance at the appropriate level.
10.e.(1): The contractor requires access to SCI intelligence materials. Prior approval of the contracting activity is required for subcontracting. Access to intelligence information requires a final U.S. Government clearance at the appropriate level and will only be done at authorized government facilities. SCI requires a TS facility clearance. See attachment
10.e. (2): The contractor requires access to NON-SCI intelligence materials. Prior approval of the contracting activity is required for subcontracting. Access to intelligence information requires a final U.S. Government clearance at the appropriate level and will only be done at authorized government facilities. Non-SCI Intel can be at the SECRET level. See attachment
10.g.: The contractor is permitted access to North Atlantic Treaty Organization (NATO) information in performance of this contract. The government project manager is the designated representative that will ensure the contractor Facility Security Officer and concerned employees are NATO briefed prior to access being granted. Prior approval of the contracting activity is required for subcontracting. Access requires a final U.S. Government clearance at the appropriate level. Forward NATO classified materials needed by the contractor only from an Air Force Sub-registry directly to the contractor concerned.
10.h.: The contractor is permitted access to Foreign Government information. Access to Foreign Government information requires a final U.S. Government clearance at the appropriate level.
10.j.: The contractor shall comply with DoDI 5200.48, Controlled Unclassified Information, AFI 16-1404 Air Force Information Security Program, Air Force Guidance Memorandum 2020-16-01, Air Force Guidance Memorandum for CUI, 23 Jul 20, and DoDM 5400.7-Air Force Manual 33-302, DoD Freedom of Information Act (FOIA) Program. The contractor shall monitor CUI aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information.
10.k.: Access to JWICS and SIPRNET are required in performance of this contract. NATO S briefing is required prior to having access to the JWICS. NATO awareness training is required prior to having access to the SIPRNet.
11.a.: All work performance on base will be performed by to be determined upon award of this contract. Contractor performance is restricted to (enter name and address of the government activity in Item 8.a.). Using contractor or activity will provide security classification guidance for performance of this contract. The contractor requires access to classified source data up to and including (TOP SECRET in support of the work effort. Any extracts or use of such data requires the contractor to apply derivative classifications and markings consistent with the source documents. Use of “Multiple Sources” on the “Derived From” line necessitates compliance with the NISPOM, 32 CFR 117.13, and use of bibliography, classification, declassification, and markings will be in accordance with EO 13526 and the DoDM 5200.01, Volume 2, Marking of Classified Information, 24 Feb 2012, and supplements thereto.
11.g.: The contractor is authorized to use the services of Defense Technical Information Center (DTIC) and is required to register at https://discover.dtic.mil/dtic-registration-benefits/dtic-registration/. You may be required to complete a DD Form 2345, Military Critical Technical Data Agreement. The contracting activity must be involved in certifying need-to-know to DTIC. If you need help registering you can find information here https://reg.dtic.mil/help/index.html or call DTIC at 1-800-225-3842.
11.j.: See block 14.
11.l.: The contractor shall comply with DoDI 5200.48, Controlled Unclassified Information, AFI 16-1404 Air Force Information Security Program, Air Force Guidance Memorandum 2020-16-01, Air Force Guidance Memorandum for CUI, 23 Jul 20, and DoDM 5400.7-Air Force Manual 33-302, DoD Freedom of Information Act (FOIA) Program. The contractor shall monitor CUI aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information.
11.m.: See Section I of the general provisions for the clause titled Notification of Government Security Activity, AF FAR Sup 5352.204-9000 for on base classified processing.
text: AFRL/RDOI, SSO SCI Validation, 3550 Aberdeen Ave. SE, Kirtland AFB, NM 87117 text: AFRL/RDOSC 3550 Aberdeen Ave SE Kirtland AFB, NM 87117
| Click on this button to attach a file(s).: |
| rep: (To be signed upon award) |
Eric Blackburn, Chief INDUSEC rep: (To be signed upon award) William C. Bulloch, Chief Information Protection
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: Item 15.: |
10.e (1& 2).: AFRL/RDOI has inspection oversight for SCI and Non-SCI Intelligence Classified.
Defense Counterintelligence and Security Agency (DCSA) is relieved of inspection responsibility for portions performed on Kirtland AFB more than 90 days a year. AFRL/RDOSC has security oversight for collateral work conducted on Kirtland AFB at the Phillips Research Site. The servicing security activity (SSA), AFRL/RDOSC, will maintain oversight, control and supervision of the contractor's work performance at Kirtland AFB, NM.
11.h.: 377 MSG/SCXS will provide oversight for COMSEC.
Explain and identify specific areas and government activity responsible for inspections.: Item 15.:
10.e (1& 2).: AFRL/RDOI has inspection oversight for SCI and Non-SCI Intelligence Classified.
Defense Counterintelligence and Security Agency (DCSA) is relieved of inspection responsibility for portions performed on Kirtland AFB more than 90 days a year. AFRL/RDOSC has security oversight for collateral work conducted on Kirtland AFB at the Phillips Research Site. The servicing security activity (SSA), AFRL/RDOSC, will maintain oversight, control and supervision of the contractor's work performance at Kirtland AFB, NM.
11.h.: 377 MSG/SCXS will provide oversight for COMSEC.
| Enter GCA name.: AFRL/RVKI |
| Enter AAC of the contracting office.: FA9453 |
| Enter AAC of the contracting office.: FA9453 |
| Enter address (include zip code).: 3550 Aberdeen Ave SE |
Kirtland AFB NM 87117 Enter address (include zip code).: 3550 Aberdeen Ave SE Kirtland AFB NM 87117
| Enter POC name.: DeAnna R. Salazar |
| Enter telephone number (include area code).: 5058467549 |
| Enter telephone number (include area code).: 5058467549 |
| Enter email address.: deanna.salazar@spaceforce.mil |
| Enter email address.: deanna.salazar@spaceforce.mil |
| Enter title.: Contracting Officer |
| Enter the datesigned in format YYYYMMDD.: 20240515 |
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