Contract Security Classification Specification.pdf
PDF 323 KB Posted
- Attached to
- Next Generation Self-Contained Breathing Apparatus Federal contract opportunity
- Solicitation number
- FA8534-20-R-0006
About this file
This is a Contract Security Classification Specification form for Contract FA8534-20-R-0006 between the contractor and the Department of the Air Force Materiel Command Lifecycle Management Center for the production of Self-Contained Breathing Apparatus, masks, and Supplied-Air Respirator Kits. The contractor will require access to national intelligence information and sensitive compartmented information. The contract involves on-base performance at US Army facilities and off-base performance at the contractor's facility. The National Industrial Security Program Operating Manual and security classification guidance apply. The contractor must properly store and handle classified materials received or generated, and report any security incidents.
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DD FORM 254, MAY 2019
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:
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
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.)
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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil
WHS
List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
| CurrentPage: |
| PageCount: |
| Classification: Unclassified |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Choose Yes or No: 0 |
| Choose Yes or No: 1 |
| Prime: |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Sub: |
| Choose Yes or No: 1 |
| Choose Yes or No: 0 |
| Soli: FA8534-20-R-0006 |
| DueDate: |
| dateA: 20200206 |
| RevisionNum: |
| dateB: |
| Final: |
| dateC: |
| No: 1 |
| No: 1 |
| No: 0 |
| No: 1 |
| Yes: 0 |
| Yes: 0 |
| Yes: 1 |
| Yes: 0 |
| Enter your name here.: |
| ReqDated: |
| Enter your name here.: |
| Name: TBD |
| Name: N/A |
| Name: Holder, Amy |
| Cage: TBD |
| Cage: N/A |
| CSO: TBD |
| CSO: N/A |
| addrow: |
| Removerow: |
| Click to delete a row: |
| Location: See Item 13 |
| Block9: Production of Self-Contained Breathing Apparatus (SCBA) |
| a: 0 |
| a: 1 |
| a: 1 |
| f: 0 |
| f: 0 |
| f: 1 |
| b: 0 |
| b: 0 |
| b: 0 |
| g: 0 |
| g: 0 |
| c: 0 |
| c: 0 |
| c: 1 |
| h: 0 |
| h: 0 |
| d: 0 |
| d: 0 |
| d: 0 |
| i: 0 |
| i: 0 |
| SCI: 0 |
| NonSCI: 0 |
| j: 1 |
| j: 1 |
| k: 0 |
| k: 0 |
| Enter your name here.: Pre-contract award access to classified is not required. See Blk 13 |
| Enter your name here.: AFLCMC IP 2145 Monahan Way, WPAFB, OH 45433-7629, AFLCMC.IPDDForm254.Workflow@us.af.mil |
| e: 0 |
| e: 1 |
| l: 0 |
| m: 1 |
| direct: 0 |
| thru: 1 |
| Enter your name here.: see block 13 |
| PublicAuthority: see block 13 |
| AddSig: |
| RemoveSig: |
| text: The National Industrial Security Program Operating Manual (NISPOM), February 2006, Incorporating Change 2 May 18, 2016 applies. |
Ref Blk 10j: See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoDM 5400.07/Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program, and AFI 16-1404, Air Force Information Security Program, for requirements.
Ref Blk 11a:Using activity will provide security classification guidance for performance on this contract. On base performance in support of USARMY CCDC CBC, and Aberdeen Proving Grounds If any classified information is generated in the performance of this contract at the identified location, the contractor shall apply derivative classification and markings consistent with the source material.
Ref Blk 11j: OPSEC requirements apply. See Statement of Work (SOW) for requirements.
Ref Blk 11m: 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.
Ref Blk 12. 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.
Amy Holder
AFLCMC/WNKAC
235 Byron Street, Suite 19A Robins AFB. GA. 31098
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.
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.
Unclassified contract performance will occur at the contractor's facility. Agent Challenge Testing will occur at one or both of the following approved government facilities. USARMY CCDC CBC (Combat Capabilities Development Command Chemical Biological Center), APG (Aberdeen Proving Grounds); and/or Protective Equipment Team, Dugway Proving Ground, TEDP-WD-CTC, MS#6 4564 B Street, Dugway, UT. Using activity will provide security classification guidance for performance of this contract. Prepare visit authorization letters (VALS) as required by the NISPOM, and send to:
Commander and/or Protective Equipment Team USARMY CCDC CBC Attn: Andrew Neafsey 8820 Fleming Road U.S. Army Dugway Proving Ground Attn: FCDD-CBE-TP TEDP-WD-CTC Bldg E5100 MS #6, 4564 B Street APG MG 21010-5424 Dugway, UT 84022-5000
| attachmentsList: |
| AddAttachment: |
| ViewAttachment: |
| RemoveAttachment: |
| rep: Rondey Patterson, DAF |
CBRN Sustainment Program Manager rep: Brandi Ellingham, DAF Security Specialist
| rep: Sean D. Crone (AFLCMC/IP) Industrial Security Lead |
| Sig: |
| Enter your name here.: Ref Blk 11j: OPSEC requirements apply. See Statement of Work (SOW) for requirements. |
| GCAName: AFLCMC/WNKAC |
| AAC: FA8534 |
| AAC: FA8534 |
| Address: 235 Byron Street, Suite 19A |
Robins AFB. GA. 31098 Address: 235 Byron Street, Suite 19A Robins AFB. GA. 31098
| POCName: Amy Holder |
| Phone: 4782221754 |
| Phone: 4782221754 |
| Email: amy.holder@us.af.mil |
| Email: amy.holder@us.af.mil |
| Title: Contracting Officer |
| Enter the date using the format DD-Mon-YYYY: 20200513 |
File details come from the government source that posted it. Updated .