Appendix E C20_C-37 CLS DD254 Final RFP.pdf
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PREVIOUS EDITION IS OBSOLETE.
Page of
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"
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: Unclassified |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: Request for Proposal, Not Valid for Performance |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: FA8134-23-R-B002 |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 1 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: N/A |
| Enter typed name of certifying official (last, first, middle initial).: Holman, Tracie L. |
| Enter CAGE code of the prime contractor.: TBD |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter CAGE code of the prime contractor.: N/A |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: N/A |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 11 WG/IP (AFDW) |
1190 Menoher Drive, Suite 30 Joint Base Andrews, MD 20762 Email: 11WG.IP@us.af.mil Phone: 301-981-2006/2007 Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 15 WG/IP 800 Scott Circle JBPH- Hickam Field HI 96853 15wg.ip.workflow@us.af.mil Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: HQBN/STAC6 Building 208 2nd Street Kaneohe Bay, HI 96863 Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: 86 AW/IPP Unit 3300 APO AE 09094 86aw.informationprotectionoffice@us.af.mil Phone: 314-480-2970 Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: VX-30, Commanding Officer Attn: VX30 Security Officer 575 “I” Avenue Suite 1, Hangar 372 Point Mugu, CA 93042-5049
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: Joint Base Andrews, Maryland |
| Enter location(s).: Joint Base Pearl Harbor-Hickam, Hawaii |
| Enter location(s).: Marine Corps Air Station (MCAS) |
Kaneohe Bay, Hawaii
| Enter location(s).: Ramstein AB, Germany |
| Enter location(s).: Naval Base Ventura County (NBVC) |
PT Mugu, California
| Enter general unclassified description of this procurement.: Contractor Logistics Support (CLS) for Army, Navy, Air Force, and Coast Guard C-20 and C-37 aircraft. |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 1 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 1 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Enter infomration for "other.": Program Protection Plan (PPP) |
| Enter infomration for "other.": See Blk 13 |
| Enter infomration for "other.": See Blk 13 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 1 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: See Item 13 |
| Enter public release authority.: See Item 13 |
| Select to add signature.: |
| Select to remove last signature.: |
| text: 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. Contractor will reference the appropriate security classification guidance when generating or deriving classified material or hardware. All classified information received or generated will be properly stored and handled according to the markings on the material. All classified information received or generated is the property of the U.S. Government. At the termination or expiration of the contract, the U.S. Government will be contacted for proper disposition instructions. Contractor will abide by and shall apply derivative classification and markings governed by the current version of the security classification guidance.
Ref Blk 10a/11h: COMSEC/Cryptographic safeguarding requirements apply. COMSEC information includes accountable or non-accountable COMSEC information and controlled cryptographic items (CCI). See NSA/CSS Policy Manual 3-16, Control of COMSEC Material, and AFMAN 17-1302-O, Communications Security (COMSEC) Operations for details.
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.
Personnel Security Investigation (PSI) Requirements for Information Technology (IT) Level Position Designations:
IT level positions are defined in DoDM5200.02_AFMAN16-1405, Procedures for the DoD Personnel Security Program (PSP)/Air Force Personnel Security 16-1405, Section 3. Performance of these types of duties require a favorably completed Personnel Security Investigation also known as a trustworthiness determination; they do not result in clearance eligibility. The investigations are submitted through the government Security Manager.
IT Level I duties require a favorably completed Tier 5 (T5) investigation and a periodic reinvestigation every 5 years.
IT Level II duties require a favorably completed Tier 3 (T3) investigation.
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 C-37A/B Security Classification Guide, Original date (15 March 2005) and revised date (1 October 2022); OPR: (AFLCMC/WVV, Tinker AFB, OK). SCG will be provided under separate cover.
Ref Blk 11d: The contractor is required to provide adequate and approved storage for classified hardware or material to the level of SECRET which because of size or quantity cannot be safeguarded in a General Service Administration (GSA) approved security container. The contractor must provide adequate storage for classified hardware and materials to the level of SECRET which exceeds 2 cubic feet but not more than 18 cubic feet of storage area.
Ref Blk 11f: Overseas contractor performance will occur as a visitor group at Ramstein Air Base, Germany. Partial performance will occur at Germany. DCSA is relieved of all security oversight for performance on the installation and overseas performance. For performance on Ramstein Airbase , security oversight will be under the cognizance of HQ USAFE/IP.
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 11k: Go to https://www.ustranscom.mil/cmd/associated/dcd/ for Defense Courier Service points of contacts and guidance.
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. Pre-contract award access to classified is not required.
Ref Blk 12: (1) Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the 32 CFR Part 117 section 117.19 (g) (7), 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-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
(4) 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.
Transmission of public release request via e-mail is not authorized. Requests must be sent via mail to:
AFLCMC/WVV
3001 Staff Dr. 1AC4-105A Tinker Air Force Base, OK 73145 Attn: C-37 PO PCO
The Contractor will notify the Government Contracting Activity and the Government Security Manager (contact information listed below) 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.
Ref Blk 18e: (ACO): TBD
Ref Blk 18f:
- AFLCMC IP 1801 Tenth St, Bldg 8, Room 103, WPAFB, OH 45433-7629, AFLCMC.IPDDForm254.Workflow@us.af.mil
- HQ Defense Counterintelligence and Security Agency, 27130 Telegraph Rd, Quantico, VA 22134
Program Manager:
Contracting Officer Representative:
Unit Security Manager: Courtney Penn, AFLCMC/WVV, aflcmc.wvv.securityworkflow@us.af.mil, (405) 734-6460 text: Kevin Marshall, AFLCMC/WVV 580-649-9551 kevin.marshall@us.af.mil text: Tracie Holman, AFLCMC/WVV 405-739-3831 tracie.holman@us.af.mil
| Click on this button to attach a file(s).: |
| rep: Kevin Marshall, Program Manager |
| rep: Tracie Holman, Contracting Officer |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: Ref Blk 10k: Program Protection Plan (PPP) will be provided by Government activity. |
Ref Blk 11j: OPSEC requirements apply. See Performance Work Statement (PWS) for requirements
| Explain and identify specific areas and government activity responsible for inspections.: a. Ref Blks 10a/11h: NSA has oversight for COMSEC at Contractor Facility. Bases listed in Table 1 of Continuation sheet will have oversight for COMSEC distributed to COMSEC managers of the installation |
| Enter GCA name.: AFLCMC/WVV |
| Enter AAC of the contracting office.: FA8106 |
| Enter AAC of the contracting office.: FA8106 |
| Enter address (include zip code).: 3001 Staff Dr, 1AC4-105A |
Tinker Air Force Base, OK 73145 Enter address (include zip code).: AFLCMC/WVK 3001 Staff Dr, 1AC4-105A Tinker Air Force Base, OK 73145
| Enter POC name.: Kevin Marshall |
| Enter telephone number (include area code).: 5806499551 |
| Enter telephone number (include area code).: 4057393831 |
| Enter email address.: kevin.marshall@us.af.mil |
| Enter email address.: tracie.holman@us.af.mil |
| Enter title.: Contracting Officer |
| Enter the date signed in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .