Attachment 9 - DD254-F9WFX1-04062021-15029 Follow On Certified.pdf

CLASSIFICATION (When filled in):

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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: May 31, 2022

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)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

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.

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

7. SUBCONTRACTOR(S)

(-- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor.)

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

a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.)

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

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

(Additional Performance Locations are located in block 13)

Unclassified

Unclassified

Secret None

✘ W9133L-22-R-3000 FOLLOW ON

2021/04/06

2021/03/31

W9133L21C3004

Emails [TBD]

Tucson ANGB, Tucson ANGB 162 FW/IP, 1650 E. Perimeter Way Tucson AZ 85706, USAF

F-16 Specialized Training and Support

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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.)

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.)

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:

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. See instructions for additional guidance.)

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

Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. Information requiring AF or DoD-level review will be reviewed by the unit’s OPSEC Program Manager or Coordinator who will in-turn forward to 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 DC 20330-1690.

(1) Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the NISPOM (DoD 5220.22-M), 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 phone contact information and, if available, an e-

SEE SECTION 13 CONTINUATION SECTION AT THE BOTTOM OF THIS FORM

Unclassified

Unclassified

[PWS_WSSTS_Followon_12Apr21.docx], [SAP_Addendum_Solicitation_Prime_W9133L_21_C_XXXX.pdf - LINE_10F]

SEE SECTION 13 CONTINUATION SECTION AT THE BOTTOM OF THIS

FORM

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NAME & TITLE OF REVIEWING OFFICIAL 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. (See instructions for additional guidance.)

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. (See instructions for additional guidance.)

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

a. GCA NAME

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

c. ADDRESS (Include ZIP Code) d. POC NAME

e. POC TELEPHONE (Include Area Code)

f. EMAIL ADDRESS (See Instructions)

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.

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

b. TITLE

c. ADDRESS (Include ZIP Code)

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

f. TELEPHONE (Include Area Code)

g. EMAIL ADDRESS (See Instructions)

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.)

Unclassified

Unclassified

Issuing Activity = W9133L Clause Number = 1.4.4.10 Clause Title = OPSEC PLAN Clause Effective Date = 2021/03/29 ClauseFullText=1.4.10.11.OPSEC Plan.

The contractor shall develop an OPSEC Plan and provide it to the COR or KO within 15 calendar days of contract award to be reviewed and approved by the responsible Government OPSEC officer, per AFI 10-701, Operations Security. This Plan shall include the Government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. For the contractor to effectively comply with OPSEC provisions of the contract, the organization will provide the following guidance: (1) Organization’s Critical Information; (2) Adversaries’ collection threat information as it applies to the organization’s mission and the contract; (3) Operations Security guidance; and (4) Specific OPSEC measures the organization requires (as appropriate).

Ted Gladden Security Administration Ted Gladden

Defense Counterintelligence and Security Agency (DCSA) is carved out of all inspection responsibility for SAR performance under this contract. AFOSI PJ retains security cognizance for all SAR performance. DoDAAC[W9133L]

ARNG NGB-AQ

111 So. George Mason Dr. Bldg 2, 4th Floor, Arlington, VA, 22204-1373

Jeannie Botteri

703-607-3737

W9133L jeannie.m.botteri.civ@mail.mil

Eric McConaty W909UJ

Security Administration

Eric McConaty

W39L USA NG READINESS CENTER, 111 SOUTH GEORGE MASON

DRIVE ARLINGTON VA 22204-1382, ARLINGTON, VA, 22204-1382, USA

7036012715 2021/04/14 eric.a.mcconaty.civ@mail.mil

A23610T

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.

CONTINUATION OF ITEM 13

[Block: 13 Continuation] mail address identified in Item 12.

(2) The contractor is responsible for obtaining the approval of the GCA prior to release of any information received or generated under the contract, except for certain types of information authorized by the NISPOM.

(3) Subcontractors must submit requests for public release through the prime contractor. The prime contractor is responsible for submitting the subcontractor’s request for public release to the GCA public release authority identified in item 12.

Ref Blk 10f:

Public release of Special Access Program (SAP) related data is NOT authorized without prior coordination through the Air Force Office of Special Investigations (AFOSI), Office of Special Projects (PJ) Security Director and subsequent approval of the Original Classification Authority (OCA) and Air Force Special Access Program Central Office (AFSAPCO). Submit all proposed public disclosures related to SAP data to the Government Program Manager (GPM) and the Air Force Office of Special Investigations (AFOSI), Office of Special Projects (PJ) Program Security Officer (PSO).

Ref 10a: Classified COMSEC material is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level.

COMSEC access shall be IAW DoD 5220.22-M. Written concurrence of the GCA is required prior to subcontracting.

Ref 10e2: Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the GCA is required prior to subcontracting. Access to Intelligence information required for performance. : (2) Non-SCI Intelligence-Contractor will require access to Non-SCI Intelligence information. The required security directives for Non-SCI contracts are:

AFI 14-302 – Control, Protections, and Dissemination of Sensitive Compartmented Information, 18 January 1994 AFI 14-303 – Release of Intelligence to U.S. Contractors, 1 April 1999

Ref 10f: : The contractor must adhere to the special access requirements/procedures developed by the OPR. SAP performance at the contractor cleared facility is not authorized. Performance will be limited to government approved facilities. See SAP Addendum for additional SAP Security requirements.

Defense Counterintelligence and Security Agency (DCSA) is carved out of all inspection responsibility for SAR performance under this contract. AFOSI PJ retains security cognizance for all SAR performance.

Ref 10j: Controlled Unclassified Information (CUI) generated and/or provided under this contract shall be safeguarded and marked as specified in DoD Instruction 5200.48. : Controlled Unclassified Information (CUI) Controlled Unclassified Information (CUI) information provided under this contract shall be managed and safeguarded IAW DoD 5400.7-R, Chapter 4, DoD Freedom of Information Act (FOIA) Program, DoDM 5200.01, Volume 4, and attached CUI Addendum.

Ref 11a: Contractor performance is restricted to locations identified in Block 13.

Government agency or activity will provide security classification guidance for performance of this contract. : Contract performance is restricted to the locations identified in item 8a. The highest level of security clearance required for contract performance is (Secret//SAR). using activities will provide security classification guidance for performance of this contract. The government will oversee the handling and storage of classified information in support of this contract. The government will provide storage capability for all classified material required for this contract. All classified information shall be returned to the government upon termination of the contract.

Ref 11j : Contractor will follow base and unit Operations Security guidance (SOPs, OIs etc) for the location identified in item 8a. A copy of the local guidance will be provided to the contractor.

Ref 11l : Receive, Store, or Generate Controlled Unclassified Information (CUI). At a minimum the on-site contractor must receive initial and annual training to enforce required policies, principles, and procedures for the handling, protection, and distribution of CUI. This training should be incorporated in to the Visitor Group Security Agreement. Refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements.

Additional Reviewer Details:

William Sanguinetti Criminal Investigation William Sanguinetti [Block: 8] [Installation Name] Joint Base San Antonio [Installation Location] Joint Base San Antonio [Cognizant Security Office] 502 ABW/IP, 502 ABW/IP 1701 Kenly Ave, Ste 103 JBSA-Lackland TX 78236-8522, JOINT

[Block: 12] DoDAAC[W9133L] Release Information[See block 13] Location Code/Agency Name/Address[W9133L, W39L USA NG READINESS CENTER W39L USA NG READINESS CENTER, 111 SOUTH GEORGE MASON DRIVE ARLINGTON VA 22204-1382, ARLINGTON, VA, 22204-1382, USA]