BAA-RQKH-2015-0001-DD254.pdf

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Attached to
Fidelity Integration within Tactical Training of LVC (FITTL) Federal contract opportunity
Solicitation number
BAA-RQKH-2015-0001
Issued by
Department of the Air Force Materiel Command Research Laboratory

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DD Form 254 - Sample

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BAA-RQKH-2015-0001_Amendment_6.pdf PDF
BAA-RQKH-2015-0001-Amd5.pdf PDF
BAA-RQKH-2015-0001-Amd5-Atch1.pdf PDF
BAA-RQKH-2015-0001-Amd4.pdf PDF
BAA-RQKH-2015-0001-Amd3.pdf PDF
BAA-RQKH-2015-0001-Amd2.pdf PDF
BAA-RQKH-2015-0001-Amd1.pdf PDF
BAA-RQKH-2015-0001-IndustryDay-Q As.doc DOC document
BAA-RQKH-2015-0001-SOO.doc DOC document
BAA-RQKH-2015-0001.doc DOC document
BAA-RQKH-2015-0001-CDRLs.pdf PDF
BAA-RQKH-2015-0001-IndustryDay-Charts.pdf PDF
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DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

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

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

b. LEVEL OF SAFEGUARDING REQUIRED

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

a. PRIME CONTRACT NUMBER

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)

REVISION NO.

c. FINAL (Complete Item 5 in all cases)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specs)

DATE (YYYYMMDD)

DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? YES NO. 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? YES NO. 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 (Name, Address, and Zip Code)

7. SUBCONTRACTOR

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

8. ACTUAL PERFORMANCE

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

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

b. RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

d. FORMERLY RESTRICTED DATA

e. INTELLIGENCE INFORMATION

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

f. SPECIAL ACCESS INFORMATION

g. NATO INFORMATION

h. FOREIGN GOVERNMENT INFORMATION

i. LIMITED DISSEMINATION INFORMATION

j. FOR OFFICIAL USE ONLY INFORMATION

k. OTHER (Specify)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY

b. RECEIVE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE AND GENERATE CLASSIFIED 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 TEMPEST REQUIREMENTS

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

l. OTHER (Specify)

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7.0

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 releases shall be submitted for approval prior to release

a. TYPED NAME OF CERTIFYING OFFICIAL

Direct Through (Specify)

d. ADDRESS (Include Zip Code)

Yes No 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 classified 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. Add additional pages as needed to provide complete guidance.)

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.)

Yes No15. 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.)

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.

b. TITLE c. TELEPHONE (Include Area Code)

e. SIGNATURE

17. REQUIRED DISTRIBUTION

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. OTHERS AS NECESSARY

DD FORM 254 (BACK), DEC 1999

fac_clear: TOP SECRET
safe_level: SECRET
prime_no:
xprime: Off
sub_no:
xsub: Off
xsolic: Yes
solic_no:
due_date:
xspec3: Orig
orig_date: 20140606
rev_no:
rev_date:
final_date:
xfollowon: No
prec_no:
xfinal: No
req_dated:
period:
ctr_name: TBD
ctr_cage: TBD
ctr_ofc: TBD
sub_name: N/A
sub_cage: N/A
sub_ofc: N/A
perf_loc: N/A
perf_cage: N/A
perf_ofc: N/A
gen_id: RHA Open BAA: Methods and Technologies for Personalized Learning, Modeling and Assessment. This effort involves competency-based approaches for training and performance requirements analysis, criterion development and readiness standards definition for non-traditional work applications, ontology development for representing subject matter knowledge and skills, approaches for using real world performance data to improve the efficiency and validity of constructive models/agents in LVC environments, modeling for learning and agent development, and complimentary families of trainer development and validation.
x10a: Yes
x10b: No
x10c: No
x10d: No
x10e1: Yes
x10e2: Yes
x10f: No
x10g: No
x10h: Yes
x10i: No
x10j: Yes
x10k: No
other10k:
x11a: Yes
x11b: Yes
x11c: Yes
x11d: Yes
x11e: Yes
x11f: Yes
x11g: Yes
x11h: Yes
x11i: Yes
x11j: Yes
x11k: Yes
x11l: Yes
other11l:
xrelease: No
release_thru: 88 ABW/PA, 5215 Thurlow St., Bldg 70, Suite 4B, WPAFB, OH 45433-5543, (937) 522-3523, FAX (937) 522-3500

Public release of Sensitive Compartmented Information (SCI) is NOT authorized.

guidance: The National Industrial Security Program Operating Manual (NISPOM), February 2006 applies.

Ref Blk 10a/11h: COMSEC is required.

Ref Blk 10e(1): Contractor requires access to SCI materials; SCI security requirements apply (see 21 IS/INS, SSO WPAFB, SCI Addendum, for details).

Ref Blk 10e(2): Contractor will require access to intelligence information and must comply with AFI 14-303/AFMC Supplement 1. The Program Manager has determined that disclosure does not create an unfair competitive advantage for the contractor or a conflict of interest with the contractor's obligation to protect the information and will submit the AFMC Form 210 to AFRL/RYOY for approval prior to granting access.

Access to SIPRNET is required.

Ref Blk 10j: For Official Use Only (FOUO) applies. See addendum.

Ref Blk 11c: Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the source material. Partial performance will occur as an intermittent visitor in support of this contract in Bldg 190 and Bldg 852, Area B, WPAFB, OH.

Program Manager: Dr. Winston Bennett (711 HPW/RHA, 937-938-2550, winston.bennett@us.af.mil).

Security Manager: Mr. Rendal Bass, 711 HPW/OMS, 2245 Monahan Way, WPAFB, OH 45433-7008, 937-656-7644.

Ref Blk 17f (Distribution): 88 ABW/IPD, 1801 10th St., WPAFB, OH 45433-7625, 88ABW.IPD.INDUSTRIAL.SECURITY@us.af.mil; AFRL/RYOY, 2241 Avionics Circle, WPAFB, OH 45433-7322, joseph.worrell.1@us.af.mil; HQ AFMC/A2S, SSO WPAFB, 2450 D Street, Bldg 20, Area B, WPAFB, OH 45433-7629.

xaddlsec: Yes
addl_sec: Ref Blk 10e(1): SCI security requirements apply, see SCI addendum for details.

Ref Blk 11j: OPSEC requirements apply. See Statement of Objectives (SOO) for requirements.

xinsp: Yes
inspections: Ref Blks 10a/11h: COMSEC oversight TBD.

Ref Blk 10e(1): SCI security requirements apply, see SCI addendum (para 13) for details.

cert_name: Helen Williams
cert_title: Contracting Negotiator
cert_phone: DSN 713-9871
cert_addr: 2130 8th St

Bldg 167

WPAFB OH 45433-7801

cert_sign:
x17a: Off
x17b: Off
x17c: Off
x17d: Off
x17e: Off
x17f: Yes
other_dist:
Reset:

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