Attachment_2_BAA-RQKM-2014-0013_DD_254.pdf

BAA-RQKM-2013-0007

DD FORM 254 CONTINUATION SHEET

Block 13 (Continued)

h. 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 or be governed by the current version of the following Security Classification/Declassification Guide(s), (SCDG):

(1) Projects 2100/4348 Laser Hardened Materials Programs SCDG dated 30 Sep 05, revised 31 Dec 10, OPR: AFRL/RXAP (Previous AFRL/RXPJ), WPAFB OH. (2) DARPA-CG-673, Counter Situational

Awareness SCDG, dated 26 Mar 01, revised 22 Jul 10. OPR: DARPA Tactical Technology Office, Arlington VA. SCDG will be provided under separate cover. Partial performance as access only in support of AFRL/RX will occur in Buildings 651, 654, 655, and 71/71A, Area B WPAFB. Partial performance off-base (receive and generate) in support of AFRL/RX will occur at the Advanced Technical Intelligence

Center (ATIC), 2685 Hibiscus Way, Suite 110, Beavercreek OH 45431.

i. Ref Blk 11k: Go to http://www.transcom.mil/dcd/ for Defense Courier Service points of contact and guidance.

j. Ref Blk 11l: Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreements clause, Air Force Federal Acquisition Regulation Supplement

(AFFARS) 5352.204-9000, to 88 ABW/IPD, 1801 Tenth St, Wright-Patterson AFB OH 45433-7625;

88ABW.IPD.Industrial.security@wpafb.af.mil.

k. Blk 17e: Administrative Contracting Officer (ACO): Marva O. Hughes, DCMA Dayton, Bldg 30, Area C, 1725 Van Patton Drive, WPAFB OH 45433-5302, 937-656-3048.

l. Transfer of documents to other IR&D efforts is not permitted.

m. Program Manager: John Eric, AFRL/RXAP, 937-255-0146.

n. AFRL/RX Security Manager: M. Douglas Powell, AFRL/RXR, 937-255-5559.

o. IT Level III duties require a favorably completed National Agency Check with Written Inquiries

(NACl)

p. Ref Blk 17f (Distribution):

88 ABW/IPD, 1801 10

th

St, WPAFB OH 45433-7625, 88ABW.IPD.Industrial.security@wpafb.af.mil;

AFRL/RX Security Manager, 2977 Hobson Way, WPAFB OH 45433-7734;

21 IS/INS, SSO WPAFB, 2450 D Street, Bldg 20, Area B, WPAFB OH 45433-7629, HQAFMC.wpsso.@wpafb.af.mil;

AFRL/RYOY, 2241 Avionics Circle, WPAFB OH 45433-7301, cristine.surace@wpafb.af.mil http://www.transcom.mil/dcd/ mailto:88ABW.IPD.Industrial.security@wpafb.af.mil mailto:88ABW.IPD.Industrial.security@wpafb.af.mil mailto:HQAFMC.wpsso.@wpafb.af.mil mailto:cristine.surace@wpafb.af.mil

ADDENDUM TO DD FORM 254 (Block 10e (1)) - Effective date: 27 Dec 2012

SENSITIVE COMPARTMENTED INFORMATION (SCI) CLAUSES

1. Reference Block 14: DoD Manual 5105.2, Vols 1 -3, dated 19 Oct 12 and AFMAN 14-304; DCID 6/1, w/ ICPM 2006-

700-8; ICD 701, ICD 702, DCID 6-03 w/ICPM 2006-700-9, ICD 704/ICPGs 704.1. ICPG 704.2, ICPG 704.3, ICPG 704.4, ICD 710, DCID 6-06; DCID 6-07, ICD 705, ICS 705-1; ICD 503and DoD Joint Security Implementation Guide (DJSIG), dated June 2011 provides the necessary guidance for physical, personnel, industrial, information, and information systems security measures and are part of the Sensitive Compartmented Information (SCI) security specifications for the contract.

2. SCI will not be released to contractor employees without the specific release approval by the originator of the material as outlined in the governing directives and based on prior approval and certification of “need-to-know” by the Contracting

Officer’s Representative (COR): Marc Martin, AFRL/RXAP, 937-255-9645.

3. Names of contractor personnel requiring access to SCI and justification for SCI billets will be submitted for coordination and action to 21 IS/INS, SSO WPAFB after the contract monitor approval/concurrence. Upon receipt of written approval from the COR, the Contractor Special Security Officer (CSSO) may submit the necessary forms to Defense Security Service (DSS) for a Single Scope Background Investigation (SSBI) for those personnel nominated for SCI access in accordance with the

National Industrial Security Program Operating Manual (NISPOM).

4. This contract will require 5 SCI billets in order to fulfill contractual obligations incurred. SCI access is subject to US

Government review and approval as outlined in the aforementioned SCI security regulations. Upon completion or cancellation of the contract, the CSSO will debrief all personnel not required for contract closeout and those billets will be disestablished.

5. The CSSO must restrict access to only those individuals who possess the necessary security clearance and who are actually providing services under the contract. Further dissemination to other contractors, sub-contractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the releasing agency.

6. SCI materials furnished in support of this contract remain the property of the DoD department or command that released it.

Upon completion or cancellation of the contract, all SCI materials furnished will be returned to the direct custody of the originator of the materials.

7. Classified foreign intelligence materials must not be released to foreign nationals or immigrant aliens whether or not they are also consultants, US contractors, or employees of the contractor, regardless of the level of their security clearance, except with advanced written permission from the originator.

8. Inquiries pertaining to classification guidance on SCI will be directed to the COR listed in para 2 above. SCI security management issues shall be directed to SSO, 21 IS/INS, SSO WPAFB, phone (937) 255-0431, DSN prefix 785.

9. (FOUO) An SCI Facility (SCIF) meeting the physical security requirements outlined in ICD 705 must be either used for contract work or established and maintained at the contractor location. All SCI used for this contract shall be stored, handled, and maintained in a SCIF, be it the local contractor SCIF or similarly SCI-accredited facilities used by the contractor. Address of SCIF for contract execution:

a. (Office Symbol and/or Company Name) Street Address, Bldg #, City State & Zip Code. - TBD

b. SCIF ID Number. - TBD

c. Name and Telephone Number of Contractor Special Security Officer (CSSO). - TBD

10. For contract work within a contractor established SCIF, information systems (computers), electronic connectivity, and similar electronic methods of storing and communicating within and outside the SCIF must be in compliance with DCID 6/3, DIAM 50-4, the JDCSISSS, and any additional instructions issued by Defense Intelligence Agency (DIA)/DAC-2A, 21

IS/INS, SSO WPAFB.

11. The CSSO must maintain accountability for all classified foreign intelligence materials released to their custody.

12. The CSSO must not reproduce classified foreign intelligence without advance approval of the releasing agency. If permission is granted, each copy will be controlled in the same manner as the original. The CSSO must not destroy any classified foreign intelligence without advance approval of the releasing agency.

13. Reference Block 15: This contract requires access to SCI. If the contractor has established a SCIF, the DIA and its designees are responsible for all inspections of the contractor SCIF and SCI security management program for ensuring compliance with all SCI security regulations and policies.

14. The estimated completion date for this contract effort is: (Enter contract completion date).

ADDENDUM TO DD FORM 254 (Block 10j)

FOR OFFICIAL USE ONLY (FOUO)

(Reference DoD 5400.7-R_AFMAN 33-302, 21 October 2010)

1. GENERAL: FOUO is information that has not been given a security classification pursuant to the criteria of an Executive

Order, but which may be withheld from the public because disclosure would cause a foreseeable harm to an interest protected by one or more of the Freedom of Information Act (FOIA) exemptions 2 through 9. Additional information on FOUO may be obtained by contacting the User Agency. FOUO is assigned to information at the time it is created in a DoD Agency or derivatively as instructed in a Security Classification Guide.

2. MARKING:

a. FOUO information received (released by a DoD component) should contain the following marking, when received:

THIS DOCUMENT CONTAINS INFORMATION EXEMPT FROM MANDATORY DISCLOSURE UNDER FOIA

EXEMPTION(S) ___ APPLIES/APPLY.

b. Mark an unclassified document containing FOUO information "FOR OFFICIAL USE ONLY" at the bottom of each page containing FOUO information and on the bottom of the front page or front cover (if any) and on the back of the last page and on the back cover (if any). Each paragraph containing FOUO information shall be marked as such.

c. Within a classified document, an individual page that contains both FOUO and classified information shall be marked at the top and bottom with the highest security classification of information appearing on the page. Individual paragraphs shall be marked at the appropriate classification level, as well as unclassified or FOUO, as appropriate. An individual page that contains FOUO information but no classified information shall be marked “FOR OFFICIAL USE ONLY” at the top and bottom of the page, as well as each paragraph that contains FOUO information. NOTE: For “production efficiency” the entire document may be marked top and bottom with the highest level of classification contained within it, as long as every paragraph is marked to reflect the specific classification of the information it contains.

d. Mark other records, such as computer print outs, photographs, films, tapes, or slides 'FOR OFFICIAL USE ONLY" so that the receiver or viewer knows the record contains FOUO information.

e. Mark each part of a message that contains FOUO information. Unclassified messages containing FOUO information must show the abbreviation "FOUO" before the text begins.

3. DISSEMINATION: FOUO may be disseminated between officials of DoD Components, DoD contractors, consultants and grantees to conduct official business for DoD. Recipients shall be made aware of the status of such information and transmission shall be by means that preclude unauthorized public disclosure.

4. TRANSMISSION: FOUO information shall be transmitted in a manner that prevents disclosure of the contents. When not commingled with classified information, it may be sent via first-class mail or parcel post. Bulky shipments, i.e. testing materials, that otherwise qualify under postal regulations, may be sent by fourth-class mail. FOUO information may also be sent over facsimile equipment; however, when deciding whether to use this means, balance the sensitivity of the records against the risk of disclosure. Consider the location of sending and receiving machines and ensure authorized personnel are available to receive the FOUO information as soon as it is transmitted. Transmittal documents shall call attention to the presence of FOUO attachments. FOUO information may also be sent via e-mail, if it is sent via a system that will prevent unintentional or unauthorized disclosure.

5. STORAGE: To safeguard FOR OFFICIAL USE ONLY records during normal duty hours, place them in an out-of-sight location if your work area is accessible to persons who do not have a valid need for the information. After normal duty hours, store FOUO records to prevent unauthorized access. File them with other unclassified records in unlocked files or desks when normal internal building security is provided. When there is no internal building security, locked buildings or rooms normally provide adequate after-hours protection. If such protection is not considered adequate, FOUO material shall be stored in locked containers such as file cabinets, desks, or bookcases. Expenditure of funds for security containers or closed areas solely for the protection of FOUO data is prohibited.

6. DESTRUCTION: When no longer needed, FOUO information shall be disposed of by any method that will preclude its disclosure to unauthorized individuals.

Effective 7 February 2011