Call 01 - TAAP DEW - Attachment 4 DD254.pdf

CLASSIFICATION (When filled in): Unclassified

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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:

20220531

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

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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

TBD

b. CAGE CODE

TBD

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

TBD

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)

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.)

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

AFRL/RY

COLLATERAL SECRET, TOP SECRET/SCI, SAP

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

TBD

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

TBD

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

TBD (Contractor Location)

COLLATERAL SECRET ONLY

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

TBD

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

TBD

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Threat Assessment & Aircraft Protection Defensive Electronic Warfare (TAAP-DEW): Objective is to conduct research and development (R&D) and to perform test and evaluation (T&E) for countermeasure concepts and technology based on data derived from threat exploitation.

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Countermeasure concepts and technology focused on Air Mobility aircraft, special operations aircraft and unmanned air vehicles (UAVs) is of primary interest. The contractor will perform threat reverse engineering (aka exploitation), testing of threat systems and modeling and simulation of the threats leading to the development of robust countermeasure techniques to defeat the exploited threats.

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.)

SAP SCGs will be provided at performance locations

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.)

AFFARS 5352.204-9000 applies. **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

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.)

The National Industrial Security Program Operating Manual (NISPOM), February 2006, IC 2, 18 May 2016, applies.

BLOCK 12 (cont'd):

a. Information requiring AF or DoD-Level review will be forwarded by the entry-level public affairs office through MAJCOM/DRU Public Affairs Office to the Secretary of the Air Force, Office of Public Affiars, Security and Review Division (SAF/PAX), 1690 Air Force

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Pentagon, Washington DC 20330-1690.

b. AFRL/RYW, 2241 Avionics Circle, WPAFB, OH 45433 for non-SAP related material. Transmission of public release request via e-mail is not authorized.

d. 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 (AF SAPCO). 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).

SECURITY GUIDANCE:

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

b. Ref Blks 10e(2)/10g: Contractor will require access to intelligence information and must comply with directions provided by the Program Manager (PM). The PM 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 PM will identify what intelligence information is required for the contractor to satisfy the contract and will submit that information to the AFRL/RY servicing Senior Intelligence Officer (SIO) at AFRL/RYOY for approval prior to granting access. Access to Secret Internet Protocol Router Network (SIPRNet) is authorized.

SIPRNet users shall receive the Air Force NATO Security Awareness Briefing and sign an acknowledgement prior to SIPRNet access.

Formal NATO briefing is required when 1) the SIPRNet enclave, or other classified networks, is approved for NATO and no addition security measures are in place to preclude access, or 2) Access to NATO information is authorized. Formal NATO briefings shall be accomplished IAW the NISPOM, para 10-706.

c. Ref Blk 10f: The National Industrial Security Program Operating Manual (NISPOM), February 2006, Incorporating Change 2, dated 18 May 2016, is the authoritative manual concerning baseline standards for the protection of classified information in connection with classified contract and activities under the National Industrial Security Program.

As stated in the SAF/AAZ implementing memorandum, dated 4 Apr 2016, the DoD Manual 5205.07 Volumes 1-4 are the authoritative SAP Security Policy documents:

- DoD Directive 5205.07, Special Access Programs Policy, as supplemented, dated 31 Aug 2018

- DoD Manual 5205.07 Vol 1: DoD Special Access Program (SAP) Security Manual: General Procedures, 18 Jun 2015, Change 1, 12 Feb

- DoDM 5205.07V1_AFMAN 16-703V1_AFGM2020-01: Air Force Guidance Memorandum to DoDM5205.07V1_AFMAN16-703V1, DoD Special Access Program (SAP) Security Manual: General Procedures, dated 16 Jan 2020 (Exp: 16 Jan 2021)

- DoD Manual 5205.07 Vol 2: Special Access Program (SAP) Security Manual: Personnel Security, 24 Nov 2015, Incorporating Change 1, dated 12 Feb 2018

- DoD Manual 5205.07 Vol 3 – AFMAN 16-703 Vol 3: DoD Special Access Program (SAP) Security Manual: Physical Security, 23 Apr 2015, Incorporating Change 2, dated 12 Feb 2018

- DoD Manual 5205.07 Volume 4: Special Access Program (SAP) Security Manual: Marking, 10 Oct 2013, Incorporating Change 1, dated 9 May 2018

- Risk Management Framework (RMF) using the Joint Special Access Program Implementation Guide (JSIG) Rev 4, 11 Apr 2016, with the integrated Errata Sheet for JSIG, dated 8 Oct 2018

- AF Policy Directive 16-7, Special Access Programs, 21 Nov 2017

- AF Instruction 16-701, Management, Administration, and Oversight of Special Access Programs, 18 Feb 2014

- DoD Instruction 8510.01, Risk Management Framework (RMF) for DoD Information Technology (IT), 27 Aug 2017

- Defense Federal Acquisitions Regulation Supplement (DFARS) 252.204-7012, revised 28 Jun 2019

- US Air Force Security Marking Guide for Special Access Programs, Rev. 1, 16 Oct 2013, with FSE, dated 6 Mar 2015

- DoDM 5400.7_AFMAN 33.302, Freedom of Information Act (FOIA) Program, 27 Apr 2018

- DoD Manual 5200.02, Procedures for the DoD Personnel Security Program (PSP), 3 Apr 2017

- DoD Manual 5200.01, Vol. 1 DoD Information Security Program: Overview, Classification and Declassification, 4 May 2018

- DoD Manual 5200.01, Vol. 2 DoD Information Security Program: Marking of Classified Information, 14 May 2019

- DoD Manual 5200.01, Vol. 3 DoD Information Security Program: Protection of Classified Information, 19 May 2013

- DoD Manual 5200.01, Vol. 4 DoD Information Security Program: Controlled Classified Information (CUI), 9 May 2018

- DoD Issuances website http://www.dtic.mil/whs/directives/

- AF e-Publications website http://www.epublishing.af.mil

All Special Access work must be conducted within an AFOSI Office of Special Projects (PJ) approved location. Modifications to an existing SAP facility must comply with DoD Manual 5205.07 Vol 3 – AFMAN 16-703 V3.

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Specific SAPs and SCGs required for performance on this contract will be provided under a separate, classified addendum/letter to this DD 254.

Specific SAP access requirements, personnel access controls, SAP-Mandated security education, training, reporting, records retention, etc.

associated with contractor SAP performance under this contract will be managed at the government performance location. The contractor shall be responsible for the maintenance of personnel security clearances necessary for SAP access eligibility IAW the SAPNP and DoD Manual 5205.07, Vol. 2, dated 24 November 2015 Incorporating Change 1, Effective 12 February 2018. Per DoD SAPCO Memorandum, ''Temporary Periodicity and Clearance Submission Implementation Guide for Special Access Programs," dated 10 February 2017, DoD Manual 5205.07 Vol. 2 is temporarily amended to reflect the suspension of Periodic Reinvestigations (PRs) for SAP-briefed personnel every five years. Until the recension of this memorandum, personnel will be eligible for initial or continued SAP access as long as their Personnel Security Investigation (PSI) date does not exceed six years or the contractor has been enrolled in the Continuous Evaluation Program. The contractor will provide DSS (JPAS/DISS) reporting of security incidents committed by contractor personnel at the performance location(s) as determined by the government Program Office and the Program Security Officer.

d. Ref Blks 10j/11l: See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoD 5400.7-R/Air Force Manual 33-302, DoD Freedom of Information Act (FOIA) Program, and AFI 16-1404, Air Force Information Security Program for requirements.

e. 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 materialor be governed by the current version of the Spectrum Warfare Security Classification Declassification Guide, Original date January 2019, OPR: AFRL/RYW, WPAFB, OH. Partial performance as an access only visitor in support of AFRL/RY will occur in Bldg 620, Area B, WPAFB, OH. All applicable SCGs will be provided by Government Program Manager.

f. Ref Blk 11g: Intelligence and Special Access Required materials are not releasable to DTIC.

g. Ref Blk 11m: 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 the Cognizant Security Office (Blk 8c).

h. Collateral Program Manager: Gary M. Butcher AFRL/RYWW, (937) 656-8425

i. Security Manager: Christopher D. Stolte, AFRL/RYOY, (937) 713-8982

j. Government Special Access Program Security Officer (GSSO): Mark D. Coulter, AFRL/XPZ, (937) 656-9795

k. Program Security Officer (PSO): Geoffrey T. Olsen, AFOSI PJ Det 2, 937-656-4463

l. Ref Blk 18e: (ACO): TBD

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

PROGRAM MANAGER

NAME & TITLE OF REVIEWING OFFICIAL

ROBERT D. DESONIA, PM

AFRL/RYWW

SIGNATURE

GSSO

(For SAP Performance Only)

NAME & TITLE OF REVIEWING OFFICIAL

MARK D. COULTER, GSSO

AFRL/XPZ

SIGNATURE

PROGRAM SECURITY OFFICER

(For SAP Performance Only)

NAME & TITLE OF REVIEWING OFFICIAL

GEOFFREY T. OLSEN, PSO

AFOSI PJ Det 2

SIGNATURE

DESONIA.ROBERT.D.1279251888

2020.06.02 10:13:57 -04'00'

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AFRL/RYOY

Security & Intelligence Office

NAME & TITLE OF REVIEWING OFFICIAL

ENOCH D. MAY, CHIEF

AFRL/RYOY

SIGNATURE

WPAFB SSO NAME & TITLE OF REVIEWING OFFICIAL

MEAGAN RICE, SSO

AFLCMC/21 IS/INS

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.)

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

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

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. 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.)

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

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

c. The Defense Counterintelligence and Security Agency (DCSA) has been relieved of inspection oversight responsibilities for SAP programs associated with this contract. The Air Force is identified as the Cognizant Security Authority (CSA) with the Air Force Office of Special Investigations (AFOSI), Office of Special Projects (PJ) fulfilling the execution role for all contractor inspections under the purview of SAF/AAZ.

d. Ref Blk 11m: Contractor performance will occur at AFRL/RY on WPAFB. DCSA is relieved of all inspection responsibilities for contractor performance on the installation. AFRL/RYOY, WPAFB OH 45433-7629, will maintain security and inspection oversight for collaterally classified information on the installation.

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

a. GCA NAME

AFRL

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

FA8650

c. ADDRESS (Include ZIP Code)

AFRL/PZL

2130 8th Street, B20045 R2115

WPAFB, OH 45433

d. POC NAME

Leising, Joseph C

e. POC TELEPHONE (Include Area Code)

+1 (937) 713-9798

f. EMAIL ADDRESS (See Instructions) joseph.leising@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)

DESONIA, ROBERT D.

b. TITLE

PROJECT ENGINEER

c. ADDRESS (Include ZIP Code)

AFRL/RYWW

2241 Avionics Circle Area B, Bldg 620, WPAFB, OH 45433-7304

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA8650

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

TBD

f. TELEPHONE (Include Area Code)

+1 (937) 255-6561

g. EMAIL ADDRESS (See Instructions) robert.desonia@us.af.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

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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.)

AFRL/RYOY, 2241 Avionics Circle, WPAFB, OH christopher.stolte@us.af.mil; joseph.l.worrell@us.af.mil