Section J Attachment 2 - DD254.pdf

CLASSIFICATION (When filled in): Unclassified

PREVIOUS EDITION IS OBSOLETE. Page 1 of 7DD FORM 254, APR 2018

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Top Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

FA8621-23-R-B002

DUE DATE (YYYYMMDD)

20240501

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.FA8621-13-D-6318

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

TBD

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

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) Add Row Remove Last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE N/A

b. CAGE CODE

N/A

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

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove Last Row Delete All Rows

a. LOCATION(S) (For actual performance, see instructions.)

Distributed Mission Operations Center (705 CTS) 4500 Aberdeen Road Southeast Building 942 Kirtland AFB, NM 87117

b. CAGE CODE (If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Blk 13.

a. LOCATION(S) (For actual performance, see instructions.)

31st CTS/Nellis VTTC (F-35) 4001 Kinley Drive, Bldg 1772 Nellis AFB, NV 89191

b. CAGE CODE (If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Blk 13.

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a. LOCATION(S) (For actual performance, see instructions.)

Distributed Training Center3 5 Sweeney Blvd Building 325 JB Langley-Eustis, VA 23665

b. CAGE CODE (If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Blk 13.

a. LOCATION(S) (For actual performance, see instructions.)

Eielson Air Force Base

353 CTS

2559 Flightline Ave Eielson AFB, AK 99702

b. CAGE CODE (If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Blk 13.

a. LOCATION(S) (For actual performance, see instructions.)

USAFWC/VTTC

F-22 Building 1780 3715 Freedom Circle Nellis AFB, NV 89191-6214

b. CAGE CODE (If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Blk 13.

a. LOCATION(S) (For actual performance, see instructions.)

USAFWC

113 Plumb Street Langley AFB, VA 236665

b. CAGE CODE (If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Blk 13.

a. LOCATION(S) (For actual performance, see instructions.)

ACC A2/A23S

4370 N. Washington Blvd Bldg 620 Nellis AFB, NV 89191

b. CAGE CODE (If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Blk 13.

a. LOCATION(S) (For actual performance, see instructions.)

USAFWC/VTTC

F-35 MTC/NMON Security Operations Center 80 Kinley Dr.

Building 1706 Nellis AFB, NV 89191

b. CAGE CODE (If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Blk 13.

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Follow On Award of the Combat Air Forces' Distributed Mission Operations (CAF DMO) 3.0 O&I contract. DMO Network (DMON) 3.0.

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

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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.)

Program Protection Plan (PPP).

Access to SIPRnet and JWICS is authorized.

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 DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

See Blk 13.

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)

See Blk 13

Public Release Authority:

See Blk 13

13. SECURITY GUIDANCE Add Signature Remove Last Signature Delete All Signatures

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.)

32 CFR Part 117, National Industrial Security Program Operating Manual (NISPOM) dated 24 February 2021 applies.

Prior to declassifying or downgrading information marked with a date or event on the "declassify on" line: The Contractor will confirm the OCA has not extended the classification period by reference to the applicable Security Classification or Declassification Guide or by consulting with the Program Office with the OCA.

The Contractor will notify the Government Contracting Activity and the Government Security Manager within 48 hours of any incident involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessment of potential impact pending formal inquiry/investigation. Actual or suspected compromise of Covered Defense Information will be reported IAW DFARS Clause 252.204-7012.

PREVIOUS EDITION IS OBSOLETE. Page 4 of 7DD FORM 254, APR 2018

Blk 12 cont'd:

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.

AFLCMC/WNS 2300 D Street, Building 32, Area B Wright-Patterson AFB, OH 45433-7249

Ref Blk 10e (1): Public release of Sensitive Compartmented Information (SCI) is not authorized.

Blk 13 cont'd:

Ref Blk 8: Intermittent visits (less than 90 days) will occur at the SCIFs on the SCI addendum, CONUS and OCONUS Air Force and Joint Installations to perform site surveys, installations and sustainment of equipment. Visit requests will be submitted per installation procedures.

Ref Blk 8c: The CSO offices for the gov't locations listed in 8c will be those indicated below:

- 99 ABW/IP (ACC) 4311 Carswell Avenue, Suite 205, Nellis AFB, NV 89191-7069, 702- 652-4434, 99ABW.IP@us.af.mil

- 633 ABW/IP (ACC) 120 Burrell LoopBuilding 68, Room 227, Joint Base Langley-Eustis, VA 23665 633abw.ip@us.af.mil, 757-225-2268

- 673 ABW/IPO (PACAF) 10471 20th St, Ste 139, JBER AK 99506-2201 317-552-1088 673abw.tmt.iptaskeiworkflow@us.af.mil

Ref Blk 10a: COMSEC information includes accountable or non-accountable COMSEC information and controlled cryptographic items

(CCI).

Ref Blk 10a: The contractor is authorized to receive cryptographic equipment. Access to classified COMSEC information requires a final U.S. Government clearance at the appropriate level. Further disclosure of COMSEC information by a contractor, to include subcontracting, requires prior approval of the GCA. Non-accountable COMSEC information, though not tracked in the COMSEC material control system, may still require a level of control within a document control system. Refer to NSA/CSS Manuel 3-16, "Control of Communications Security Material:, and the Committee on National Security Systems Instructions (CNSSI) 4001, "Controlled Cryptographic Items", for guidance. Contractor personnel will follow the Security requirements' of the host government activity. appointed as primary and alternate Cyber Workforce Personnel (CWP) and TEMPEST Managers for HQ ACC/A3TO CAF DTC per AFI 17-1303, "Cybersecurity Workforce Improvement Program", para. 3.2.10.

Program Manager’s Note: If you are unable to determine how the contractor will draw required COMSEC material support for performance of the contract, send an e-mail to AFMC COMSEC office at ca624600@us.af.mil and they will provide assistance to identify and obtain a source of COMSEC material support (whether from NSA or Air Force) for the contractor.

Ref Blk 10a/11h: COMSEC/Cryptographic safeguarding requirements apply. See NSA/CSS Policy Manual 3-16, Control of COMSEC Material for guidance.

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

Ref Blk 10e (1) (continued): Contractors will complete the customer-provided Intelligence Oversight training as required by customer requirements and will report any Questionable Intelligence Activity (QIA), Significant/Highly Sensitive Matter (S/HSM), and/or Federal Crimes IA W procedures established in DoD Directive 5148.13, Intelligence Oversight, and AFI 14-104, Intelligence Oversight. For contracts involving cryptographic matters in addition to DoDD and AFI reference, USSID 18, Legal Compliance and US. Persons Minimization Procedures.

Ref Blks 10e (2): Contractor will require access to intelligence information and must comply with directions provided by the Contracting Officer’s Representative (COR). 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. The COR will identify what intelligence

PREVIOUS EDITION IS OBSOLETE. Page 5 of 7DD FORM 254, APR 2018 information is required for the contractor to satisfy the contract and will submit that information to the servicing Senior Intelligence Officer (SIO) for approval prior to granting access.

Ref Blk 10g: To facilitate potential access to NATO classified information, all DoD military, civilian, and contractor personnel who are briefed on their responsibilities for protecting U. S. classified military information, shall also be briefed on the requirements for protecting NATO information. NATO briefing required prior to granting access. See 32 CFR Part 117 section 117.19 (g) (7) for details

Blk 13 cont'd:

Ref Blk 10g: Access to JWICS is authorized. Identify system users shall be briefed to NATO Secret IAW 32 CFR Part 117 section 117.19

(g) (7).

Ref Blk 10j/11l: The contractor shall comply with DoDI 5200.48_DAFI16-1403, Controlled Unclassified Information, DoDM 5200.01, Vol 1_AFMAN16-1404, Vol 1, Air Force Information Security Program, and DoDM 5400.07_AFMAN33-302 Air Force Manual, 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.

Ref Blk 10k: Access to information technology (IT) systems:

(1) Access to Secret Internet Protocol Router Network (SIPRNET) is authorized. SIPRNET users shall receive the Air Force North Atlantic Treaty Organization (NATO) Security Awareness Briefing and sign an acknowledgment prior to SIPRNET access. A formal NATO briefing is required when 1) the SIPRNET enclave, or other classified networks, is approved for NATO and no additional security measures are in place to preclude access or 2) Access to NATO information is authorized. Formal NATO briefings shall be accomplished IAW 32 CFR Part 117 section 117.19 (g) (7).

The contractor is authorized to have SIPRNET computers and connections at 2300 Discovery Drive, Orlando, Florida 32826.

2) IT Level I duties require a favorably completed Tier 5 (T5) investigation and a periodic reinvestigation every 5 years.

(3) IT Level II duties require a favorably completed Tier 3 (T3) investigation.

(4) IT Level III duties require a favorably completed Tier 1 (T1) investigation.

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 Security Classification Declassification Guides listed below. SCDGs will be provided under separate cover.

- B-1B B-1 WEAPON SYSTEM PROGRAM SECURITY CLASSIFICATION GUIDE 10/01/97, OPR: AFLCMC/WW, WPAFB OH

- B-52H B-52A-H SECURITY CLASSIFICATION GUIDE (SCG) 2/1/2016; OPR: AFLCMC/WW, WPAFB OH

- E-3G HARD TARGET VOID SENSING FUZE FMU-167/8 SYSTEM SCG, 02/01/2013, AFLCMC/EB, Eglin AFB FL

- E-8C E8 SYSTEMS GROUP JOINT STARS SECURITY CLASSIFICATION GUIDE 11/1/2005, ESSG/OM, Hanscom AFB MA

- F-16 F-16 MULTIMISSION FIGHTER SECURITY CLASSIFICATION GUIDE 3/2/2016, OPR: AFLCMC/WW, WPAFB OH

- F-15C/E F-15 EAGLE STRIKE/ EAGLE F-15A-E SECURITY CLASSIFICATION GUIDE 11/1/2015, AFLCMC/WW, WPAFB OH

- MQ-9 MQ-l/MQ-9 PREDATOR SECURITY CLASSIFICATION GUIDE 11/1/2014, Letter Change 4, 12/21/16, OPR: AFLCMC/Wl, WPAFB OH

Ref Blk 11d: The contractor is required to provide adequate and approved storage for classified hardware or material to the level of SECRET at the contractor facility listed in 8a and to the level of TOP SECRET at the government locations listed in 8a which because of size or quantity cannot be safeguarded in an approved storage container. The trainer is approximately 20 feet by 19 feet and the software is designed to be left running 24/7. The contractor will require an open storage area for classified hardware or material.

Ref Blk 11g: Access to DTIC can be requested through the DD Form 1540, Registration for Scientific and Technical Information Services or online at: https://discover.dtic.mil/dtic-registration-benefits/dtic-registration/

Ref Blk 11i: EMSEC requirements apply to the SCIF execution location. See Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.239-7000, Protection Against Compromising Emanations, dated 25 June 2004, revised 31 October 2019; Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.239-7001, Information Assurance Contractor Training and Certification, dated 10 January 2008; Intelligence Community (IC Tech Spec‐for ICD/ICS 705), Technical Specifications for Construction and Management of Sensitive Compartmented Information Facilities, version 1.5.1, dated 26 July 2021; Committee on National Security Systems Advisory Memorandum (CNSSAM ) TEMPEST/01-13, Red/Black Installation Guidance, dated 17 January 2014.

PREVIOUS EDITION IS OBSOLETE. Page 6 of 7DD FORM 254, APR 2018

Ref Blk 11k: Go to https://www.ustranscom.mil/cmd/associated/dcd/ for Defense Courier Service points of contacts and guidance.

Ref Blk 11l: DoD Components: Refer to DoDI 5200.48_DAFI 16-1403, when considering specific requirements to be imposed on the contractor for the protection of CUI.

Ref Blk 11m: The Following FARS and DFARS Clauses apply, Far Clause 52.204-2, FAR Clause 52.204-21, DFARS Clause 252.204-7012, DFARS 252.204-7000, DFARS 252.204-7008 and DFARS 252.204-7009.

Blk 13 cont'd:

Program Manager: 1Lt Kevin Lecours, AFLCMC/WNS. (714-856-0638), kevin.lecours.1@us.af.mil.

Security Manager: Tina Banerjee, AFLCMC/WNV, (937) 713-2781, tina.banerjee@us.af.mil

Ref ltem 18e: ACO: Marlene Lockett, DCMA Dayton, 1725 Van Patton Drive, WPAFB, OH 45433-5302, (937) 656-3083,marlene.lockett@dcma.mil

Ref ltem 18f (Distribution):

- AFLCMC/IP 1801 Tenth St, Bldg 8, Rm 103 Wright-Patterson AFB, OH 45433, AFLCMC.IPDDForm254.Workflow@us.af.mil

- WPAFB SSO: 21 IS/INS, SSO WPAFB, 2450 D Street, Bldg 20, Area B, WPAFB OH 45433-7629, WPAFBSpecialSecurityOffice.Mailbox@us.af.mil

- AFLCMC’s servicing Senior Intelligence Office: 21 IS/INI, Bldg 20, 2450 D Street, WPAFB OH 45433-7629, aflcmc.21is.21is254workflow@us.af.mil.

- AFLCMC/WNV (Security Manager) Tina Banerjee, 1981 Monahan Way, WPAFB, Dayton, OH 45433, tina.banerjee@us.af.mil,

(937) 713-2781

- Each Cognizant Security Office referenced above for Block 8c

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

AFLCMP/IP

Wright-Patterson AFB, OH

NAME & TITLE OF REVIEWING OFFICIAL

Joshua Julian, DAF Industrial Security Lead

SIGNATURE

21 IS/INS

Wright-Patterson AFB, OH

NAME & TITLE OF REVIEWING OFFICIAL

Tina Henry, Industrial Security Specialist

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. 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.)

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

Ref Blk 10k: Program Protection Plans (PPP) will be provided by the government activity.

Ref Blk 11i: See Contract Clause No. (252.239-7000 and 252.239-7001) for additional EMSEC requirements.

Ref Blk 11i: EMSEC requirements apply to the SCIF execution location. See Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.239-7000, Protection Against Compromising Emanations, dated 25 June 2004, revised 31 October 2019; Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.239-7001, Information Assurance Contractor Training and Certification, dated 10 January 200; Intelligence Community (IC Tech Spec‐for ICD/ICS 705), Technical Specifications for Construction and Management of Sensitive Compartmented Information Facilities, version 1.5, dated 13 March 2020; Committee on National Security Systems Advisory Memorandum (CNSSAM ) TEMPEST/01-13, Red/Black Installation Guidance, dated 17 January 2014.

Ref Blk 11j: OPSEC requirements apply. See Performance Work Statement (PWS) for requirements.

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

No Yes

PREVIOUS EDITION IS OBSOLETE. Page 7 of 7DD FORM 254, APR 2018

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.)

Ref Blks 10a/11h: NSA has oversight for COMSEC.

Ref Blk 10e (1): SCI security requirements apply, see SCI addendum (para 16) for details

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

a. GCA NAME

Kendall Holmes, USAF

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

FA8621

c. ADDRESS (Include ZIP Code) AFLCMC/WNS 2300 D Street, Building 32, Area B Wright-Patterson AFB, OH 45433-7249

d. POC NAME

Kendall Holmes

e. POC TELEPHONE (Include Area Code)

+1 (937) 301-2636

f. EMAIL ADDRESS (See Instructions) kendall.holmes.2@us.af.mil

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.

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

Holmes, Kendall D.

b. TITLE

Contracting Officer

c. ADDRESS (Include ZIP Code)

AFLCMC/WNS

2300 D Street, Building 32, Area B Wright-Patterson AFB, OH 45433-7249

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA8621

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (937) 301-2636

g. EMAIL ADDRESS (See Instructions) kendall.holmes.2@us.af.mil

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.)

See Item 13, Ref Item 18f

DRAFT

SAMPLE

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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" Hide Attachment Bar

4500 Aberdeen Road Southeast Building 942 Kirtland AFB, NM 87117 Enter location(s).: 31st CTS/Nellis VTTC (F-35) 4001 Kinley Drive, Bldg 1772 Nellis AFB, NV 89191 Enter location(s).: Distributed Training Center3 5 Sweeney Blvd Building 325 JB Langley-Eustis, VA 23665 Enter location(s).: Eielson Air Force Base

353 CTS

2559 Flightline Ave Eielson AFB, AK 99702 Enter location(s).: USAFWC/VTTC F-22 Building 1780 3715 Freedom Circle Nellis AFB, NV 89191-6214 Enter location(s).: USAFWC 113 Plumb Street Langley AFB, VA 236665 Enter location(s).: ACC A2/A23S 4370 N. Washington Blvd Bldg 620 Nellis AFB, NV 89191 Enter location(s).: USAFWC/VTTC F-35 MTC/NMON Security Operations Center 80 Kinley Dr.

Building 1706 Nellis AFB, NV 89191

Access to SIPRnet and JWICS is authorized.

Prior to declassifying or downgrading information marked with a date or event on the "declassify on" line: The Contractor will confirm the OCA has not extended the classification period by reference to the applicable Security Classification or Declassification Guide or by consulting with the Program Office with the OCA.

The Contractor will notify the Government Contracting Activity and the Government Security Manager within 48 hours of any incident involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessment of potential impact pending formal inquiry/investigation. Actual or suspected compromise of Covered Defense Information will be reported IAW DFARS Clause 252.204-7012.

Blk 12 cont'd:

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.

AFLCMC/WNS 2300 D Street, Building 32, Area B Wright-Patterson AFB, OH 45433-7249

Ref Blk 10e (1): Public release of Sensitive Compartmented Information (SCI) is not authorized.

Blk 13 cont'd:

Ref Blk 8: Intermittent visits (less than 90 days) will occur at the SCIFs on the SCI addendum, CONUS and OCONUS Air Force and Joint Installations to perform site surveys, installations and sustainment of equipment. Visit requests will be submitted per installation procedures.

Ref Blk 8c: The CSO offices for the gov't locations listed in 8c will be those indicated below:

- 99 ABW/IP (ACC) 4311 Carswell Avenue, Suite 205, Nellis AFB, NV 89191-7069, 702- 652-4434, 99ABW.IP@us.af.mil

- 633 ABW/IP (ACC) 120 Burrell LoopBuilding 68, Room 227, Joint Base Langley-Eustis, VA 23665 633abw.ip@us.af.mil, 757-225-2268

- 673 ABW/IPO (PACAF) 10471 20th St, Ste 139, JBER AK 99506-2201 317-552-1088 673abw.tmt.iptaskeiworkflow@us.af.mil

Ref Blk 10a: COMSEC information includes accountable or non-accountable COMSEC information and controlled cryptographic items (CCI).

Ref Blk 10a: The contractor is authorized to receive cryptographic equipment. Access to classified COMSEC information requires a final U.S. Government clearance at the appropriate level. Further disclosure of COMSEC information by a contractor, to include subcontracting, requires prior approval of the GCA. Non-accountable COMSEC information, though not tracked in the COMSEC material control system, may still require a level of control within a document control system. Refer to NSA/CSS Manuel 3-16, "Control of Communications Security Material:, and the Committee on National Security Systems Instructions (CNSSI) 4001, "Controlled Cryptographic Items", for guidance. Contractor personnel will follow the Security requirements' of the host government activity. appointed as primary and alternate Cyber Workforce Personnel (CWP) and TEMPEST Managers for HQ ACC/A3TO CAF DTC per AFI 17-1303, "Cybersecurity Workforce Improvement Program", para. 3.2.10.

Program Manager’s Note: If you are unable to determine how the contractor will draw required COMSEC material support for performance of the contract, send an e-mail to AFMC COMSEC office at ca624600@us.af.mil and they will provide assistance to identify and obtain a source of COMSEC material support (whether from NSA or Air Force) for the contractor.

Ref Blk 10a/11h: COMSEC/Cryptographic safeguarding requirements apply. See NSA/CSS Policy Manual 3-16, Control of COMSEC Material for guidance.

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

Ref Blk 10e (1) (continued): Contractors will complete the customer-provided Intelligence Oversight training as required by customer requirements and will report any Questionable Intelligence Activity (QIA), Significant/Highly Sensitive Matter (S/HSM), and/or Federal Crimes IA W procedures established in DoD Directive 5148.13, Intelligence Oversight, and AFI 14-104, Intelligence Oversight. For contracts involving cryptographic matters in addition to DoDD and AFI reference, USSID 18, Legal Compliance and US. Persons Minimization Procedures.

Ref Blks 10e (2): Contractor will require access to intelligence information and must comply with directions provided by the Contracting Officer’s Representative (COR). 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. The COR will identify what intelligence information is required for the contractor to satisfy the contract and will submit that information to the servicing Senior Intelligence Officer (SIO) for approval prior to granting access.

Ref Blk 10g: To facilitate potential access to NATO classified information, all DoD military, civilian, and contractor personnel who are briefed on their responsibilities for protecting U. S. classified military information, shall also be briefed on the requirements for protecting NATO information. NATO briefing required prior to granting access. See 32 CFR Part 117 section 117.19 (g) (7) for details

Blk 13 cont'd:

Ref Blk 10g: Access to JWICS is authorized. Identify system users shall be briefed to NATO Secret IAW 32 CFR Part 117 section 117.19 (g) (7).

Ref Blk 10j/11l: The contractor shall comply with DoDI 5200.48_DAFI16-1403, Controlled Unclassified Information, DoDM 5200.01, Vol 1_AFMAN16-1404, Vol 1, Air Force Information Security Program, and DoDM 5400.07_AFMAN33-302 Air Force Manual, 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.

Ref Blk 10k: Access to information technology (IT) systems:

(1) Access to Secret Internet Protocol Router Network (SIPRNET) is authorized. SIPRNET users shall receive the Air Force North Atlantic Treaty Organization (NATO) Security Awareness Briefing and sign an acknowledgment prior to SIPRNET access. A formal NATO briefing is required when 1) the SIPRNET enclave, or other classified networks, is approved for NATO and no additional security measures are in place to preclude access or 2) Access to NATO information is authorized. Formal NATO briefings shall be accomplished IAW 32 CFR Part 117 section 117.19 (g) (7).

The contractor is authorized to have SIPRNET computers and connections at 2300 Discovery Drive, Orlando, Florida 32826.

2) IT Level I duties require a favorably completed Tier 5 (T5) investigation and a periodic reinvestigation every 5 years.

(3) IT Level II duties require a favorably completed Tier 3 (T3) investigation.

(4) IT Level III duties require a favorably completed Tier 1 (T1) investigation.

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 Security Classification Declassification Guides listed below. SCDGs will be provided under separate cover.

- B-1B B-1 WEAPON SYSTEM PROGRAM SECURITY CLASSIFICATION GUIDE 10/01/97, OPR: AFLCMC/WW, WPAFB OH

- B-52H B-52A-H SECURITY CLASSIFICATION GUIDE (SCG) 2/1/2016; OPR: AFLCMC/WW, WPAFB OH

- E-3G HARD TARGET VOID SENSING FUZE FMU-167/8 SYSTEM SCG, 02/01/2013, AFLCMC/EB, Eglin AFB FL

- E-8C E8 SYSTEMS GROUP JOINT STARS SECURITY CLASSIFICATION GUIDE 11/1/2005, ESSG/OM, Hanscom AFB MA

- F-16 F-16 MULTIMISSION FIGHTER SECURITY CLASSIFICATION GUIDE 3/2/2016, OPR: AFLCMC/WW, WPAFB OH

- F-15C/E F-15 EAGLE STRIKE/ EAGLE F-15A-E SECURITY CLASSIFICATION GUIDE 11/1/2015, AFLCMC/WW, WPAFB OH

- MQ-9 MQ-l/MQ-9 PREDATOR SECURITY CLASSIFICATION GUIDE 11/1/2014, Letter Change 4, 12/21/16, OPR: AFLCMC/Wl, WPAFB OH

Ref Blk 11d: The contractor is required to provide adequate and approved storage for classified hardware or material to the level of SECRET at the contractor facility listed in 8a and to the level of TOP SECRET at the government locations listed in 8a which because of size or quantity cannot be safeguarded in an approved storage container. The trainer is approximately 20 feet by 19 feet and the software is designed to be left running 24/7. The contractor will require an open storage area for classified hardware or material.

Ref Blk 11g: Access to DTIC can be requested through the DD Form 1540, Registration for Scientific and Technical Information Services or online at: https://discover.dtic.mil/dtic-registration-benefits/dtic-registration/

Ref Blk 11i: EMSEC requirements apply to the SCIF execution location. See Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.239-7000, Protection Against Compromising Emanations, dated 25 June 2004, revised 31 October 2019; Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.239-7001, Information Assurance Contractor Training and Certification, dated 10 January 2008; Intelligence Community (IC Tech Spec‐for ICD/ICS 705), Technical Specifications for Construction and Management of Sensitive Compartmented Information Facilities, version 1.5.1, dated 26 July 2021; Committee on National Security Systems Advisory Memorandum (CNSSAM ) TEMPEST/01-13, Red/Black Installation Guidance, dated 17 January 2014.

Ref Blk 11k: Go to https://www.ustranscom.mil/cmd/associated/dcd/ for Defense Courier Service points of contacts and guidance.

Ref Blk 11l: DoD Components: Refer to DoDI 5200.48_DAFI 16-1403, when considering specific requirements to be imposed on the contractor for the protection of CUI.

Ref Blk 11m: The Following FARS and DFARS Clauses apply, Far Clause 52.204-2, FAR Clause 52.204-21, DFARS Clause 252.204-7012, DFARS 252.204-7000, DFARS 252.204-7008 and DFARS 252.204-7009.

Blk 13 cont'd:

Program Manager: 1Lt Kevin Lecours, AFLCMC/WNS. (714-856-0638), kevin.lecours.1@us.af.mil.

Security Manager: Tina Banerjee, AFLCMC/WNV, (937) 713-2781, tina.banerjee@us.af.mil

Ref ltem 18e: ACO: Marlene Lockett, DCMA Dayton, 1725 Van Patton Drive, WPAFB, OH 45433-5302, (937) 656-3083,marlene.lockett@dcma.mil

Ref ltem 18f (Distribution):

- AFLCMC/IP 1801 Tenth St, Bldg 8, Rm 103 Wright-Patterson AFB, OH 45433, AFLCMC.IPDDForm254.Workflow@us.af.mil

- WPAFB SSO: 21 IS/INS, SSO WPAFB, 2450 D Street, Bldg 20, Area B, WPAFB OH 45433-7629, WPAFBSpecialSecurityOffice.Mailbox@us.af.mil

- AFLCMC’s servicing Senior Intelligence Office: 21 IS/INI, Bldg 20, 2450 D Street, WPAFB OH 45433-7629, aflcmc.21is.21is254workflow@us.af.mil.

- AFLCMC/WNV (Security Manager) Tina Banerjee, 1981 Monahan Way, WPAFB, Dayton, OH 45433, tina.banerjee@us.af.mil,

(937) 713-2781

- Each Cognizant Security Office referenced above for Block 8c text: AFLCMP/IP Wright-Patterson AFB, OH text: 21 IS/INS Wright-Patterson AFB, OH

Industrial Security Lead rep: Tina Henry, Industrial Security Specialist

Ref Blk 10k: Program Protection Plans (PPP) will be provided by the government activity.

Ref Blk 11i: See Contract Clause No. (252.239-7000 and 252.239-7001) for additional EMSEC requirements.

Ref Blk 11i: EMSEC requirements apply to the SCIF execution location. See Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.239-7000, Protection Against Compromising Emanations, dated 25 June 2004, revised 31 October 2019; Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.239-7001, Information Assurance Contractor Training and Certification, dated 10 January 200; Intelligence Community (IC Tech Spec‐for ICD/ICS 705), Technical Specifications for Construction and Management of Sensitive…