(CUI) Fuel Vent Valve_PhaseI III_Solicitation_DD254.pdf

CLASSIFICATION (When filled in): CUI

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AEM LiveCycle Designer

DD 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:

May 31, 2022

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)

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

PR# FD2030-22-0017

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20211214

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.FA8118-20-C-0008

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 Northrop Grumman Systems Corporation 6401 S. Air Depot Boulevard Oklahoma City, OK 73135

b. CAGE CODE

78JW8

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) DCSA Irving Field Office (IOFSI) 2250 West John Carpenter Freeway, Suite 450 Irving, TX 75063 (469) 329-6367 dcsa.dcsa-southern.dcsa-isfo.mbx.irving-field-office@mail.mil

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

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.)

Northrop Grumman Systems Corporation 6401 S. Air Depot Blvd Oklahoma City, OK 73115 Level(s) of Classified Performance at this location:

Collateral Secret

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

78WJ8

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) DCSA Irving Field Office (IOFSI) 2250 West John Carpenter Freeway, Suite 450 Irving, TX 75063 (469) 329-6367 dcsa.dcsa-southern.dcsa-isfo.mbx.irving-field-office@mail.mil

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

AFLCMC/WWZ (B-2 WSSC)

7180 Reserve Rd., Bldg. 1083 Tinker AFB, OK 73145 Level(s) of Classified Performance at this location:

Collateral Secret / Secret SAP

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

N/A

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

72 ABW/IPD

4385 Air Depot Blvd, Bldg. 7003, RM 110 Tinker AFB, OK, 73145 / (405) 582-1823 72ABW.IPD.IndustrialSecurity@us.af.mil IndSec POC: Kent Nichols

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DD FORM 254, APR 2018

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

Northrop Grumman Systems Corporation 3520 East Avenue M JC40/4A Palmdale, CA 93550 Level(s) of Classified Performance at this location:

Collateral Secret / Secret SAP

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

1W025

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) DCSA Los Angeles Field Office (IOFWL) 3452 E. Foothill Boulevard; Suite 600 Pasadena, CA 91107 (626) 463-0515 dsca.dsca-western.dcsa-isfo.mbx.los-angeles-field-office@mail.mil

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The scope of this Performance Work Statement (PWS) includes implementation of the final obsolescent resolutions identified in CSAG project 4172 and 4406 in order to prototype and test LRUs based on the updated Technical Data Package (TDP) and to become fully qualified.

Qualification of these LRUs will enable a new buy for end item spares replenishment, and full overhaul of assets. The Contractor shall build seven complete FVV Assemblies, P/N 2880001-105. This project shall follow the guidelines set in Contract FA8118-19-C-0013. Each prototype LRU will be used to demonstrate supportability of the current FVV design. One prototype LRU can be used for destructive testing.

The Contractor shall also deliver a fully validated/verified TO 6J15-3-172-3 and the TDP. The phase will require continued access to Classified/ Special Access required legacy documents. Twenty (20) persons are required to have SAP clearance for this effort. Estimated completion date is TBD.

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.)

IT Systems. See Item 13.

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.)

Comply with AFFARS 5352.204-9000. See Item 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)

a. AFLCMC/WWZ, 2690 Loop Road West, Wright-Patterson Air Force Base, Ohio 45433-7148, for non-SAR related material.

Public Release Authority:

Transmission of public release request via email is not authorized.

- SEE CONTINUATION ITEM 13 -.

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

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DD FORM 254, APR 2018

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.)

CONTINUATION DD FORM 254 ITEMS 12 & 13 - Contract Number:

Pre-contract award access to classified is not required.

Item 12 Cont’d:

b. Ref Item 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.

c. Ref Item 10f: 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 (AFSAPCO). 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 Project (PJ) Program Security Officer (PSO).

ITEM 13 GUIDANCE

Item 13 Cont'd

a. Ref Item 10f: 32 Code of Federal Regulations, Part 117, National Industrial Security Program Operating Manual (NISPOM), 24 February 2021, applies.

b. Ref Item 10f: The National Industrial Security Program Operating Manual (NISPOM) 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. The contractor shall comply with:

- DoDD 5205.07, Special Access Program Policy, 1 Jul 10, w/Chg 2, 4 Feb 20

- DoDI 5200.02, DoD Personnel Security Program, 21 Mar 14, w/Chg 3, 24 Sep 20

- DoDI 5205.11, Management, Administration and Oversight of DoD Special Access Programs, 6 Feb 13, w/Chg 2, 4 Feb 20

- DoDI 8510.01, Risk Management Framework for DoD Information Technology (IT), 12 Mar 13, w/Chg 2, 28 Jul 17

- DoD Joint Special Access Program Implementation Guide (JSIG), 11 Apr 16 with integrated Errata Sheet, 8 Oct 2018

- DoDM 5205.07, Vol 1, DoD SAP Security Manual: General Procedures, 18 Jun 15, w/Chg 2, 30 Sep 20

- DoDM 5205.07, Vol 2, SAP Security Manual: Personnel Security, 24 Nov 15, w/Chg 2, 30 Oct 20

- DoDM 5205.07, Vol 3, SAP Security Manual: Physical Security, 23 Apr 15, w/Chg 3, 8 Dec 20

- DoDM 5205.07, Vol 4, SAP Security Manual: Marking, 10 Oct 13, w/Chg 2, 8 Sep 20

- DoDM 5205.07. Vol 3_AFMAN16-703, Vol 3, DoD SAP: Physical Security, 23 Apr 15, w/Chg 1, 21 Sep 15

- AFI 16-701, Management, Administration, and Oversight of SAPs, 18 Feb 14

- DoDM 5200.01, Vol 1, DoD Information Security Program: Overview, Classification, & Declassification, 24 Feb 12, w/Chg 2, 28 Jul 20

- DoDM 5200.01, Vol 2, DoD Information Security Program: Marking of Classified Information, 24 Feb 12, w/Chg 4, 28 Jul 20

- DoDM 5200.01, Vol 3, DoD Information Security Program: Protection of Classified Information, 24 Feb 12, w/Chg 3, 28 Jul 20

- DoDI 5200.48, Controlled Unclassified Information (CUI), 6 Mar 20

- DoDM 5200.02/AFMAN 16-1405, Air Force Personnel Security Program, 1 Aug 18

- DoDM 5400.7-Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program, 27 Apr 18

- AFMAN 14-403, Sensitive Compartmented Information Security and Intelligence, Surveillance, and Reconnaissance Systems Cybersecurity and Governance, 3 Sep 19

- (CUI) Work will be performed under the following PID(s): SJS Supersession of any of the above documents will not require an immediate revision to this DD Form 254. The updated document will be deemed to be on contract as of the date of supersession. Additional costs incurred due to updated guidance will be brought to the attention of the GCO immediately.

c. Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting, applies to both SAP, classified, and unclassified contracts. Cyber incident reporting for contract SAP networks shall be IAW the DoD Joint Special Access Program Implementation Guide (JSIG), as required by DODM 5205.07 Volume 2, Enclosure

6. However, contractors operating under a classified/SAP contract shall comply with DFARS clause 252.204-7012 for their unclassified networks.

d. Government Special Access Program Security Officer (GSSO): Victor P. Pickering, AFLCMC/WBZ, (405) 736-7270, victor.pickering@us.af.mil

e. Program Security Officer (PSO): Curtis M. Cross, OSI PJ, Det 2, (937) 705-1905, curtis.cross.3@us.af.mil

f. Ref Item 10j/11l: The contractor shall comply with DoDI 5200.48, Controlled Unclassified Information (CUI), Air Force Guidance

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DD FORM 254, APR 2018

Memorandum 2020-16-01, Air Force Guidance Memorandum for CUI, 23 Jul 20, and DoDM 5400.7-Air Force Manual 33‑302, 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.

g. Ref Item 10k: Authorized users of an information technology system with no privileged access (IT Level III), must obtain, at a minimum, a favorably completed Tier 1 background investigation in accordance with DoDM 5200.02_AFMAN 16-1405, Air Force Personnel Security Program, 1 Aug 18, para 3.2b(2) Table 2 (Added)(AF).

h. (CUI) Ref Item 11c: 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 the current version of the SENIOR JERSEY SPIRIT Security Classification Guide, 19 April 2018, with Memorandum Letter dated 30 April 2018 and Change Letters (Chg 1, 11 October 2018 & Chg 2, 6 September 2019). The guide will be provided under separate cover.

i. Ref Item 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 72 ABW/IPD, 4385 Air Depot Blvd., Bldg. 7003. Rm 110, Tinker AFB, OK, 73145, 72ABW.IPD.IndustrialSecurity@us.af.mil. The contract shall comply with DoDM

5220.22 Vol 2_AFMAN 16-1406 Vol 2, National Industrial Security Program: Industrial Security Procedures for Government Activities, 8 May 20, by following security procedures of the installation IAW para 3.8.a.; report adverse information IAW para 4.14 (Added)(AF); and support commander self-inspections and self-assessments IAW para 14.1.f (Added)(AF).

j. Program Manager: Ronald Lozano, AFLCMC/WBZ, (405) 739-7661, ronald.lozano.2@us.af.mil

k. Security Manager/Facility Security Officer: Jim Hanrahan, james.hanrahan@ngc.com, 6401 S. Air Depot Blvd., Oklahoma City, OK

l. The Contractor will notify the Government Contracting Activity and the Government Security Manager within 24 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.

m. Ref Item 18e (ACO): Scott Frankel, DCMA, 14501 George Carter Way, 2nd Floor, Chantilly, VA 20151, (571) 521-1501

n. Ref Item 18f (DISTRIBUTION) Cont'd:

HQ Defense Counterintelligence and Security Agency, 27130 Telegraph Rd, Quantico, VA 22134 72 ABW/IPD, 4385 S. Air Depot Blvd., Bldg. 7003, Rm. 110, Tinker AFB, OK 73145, 72ABW.IP.IndustrialSecurity@us.af.mil AFLCMC/WWZ Security Office, Attn: Thomas E. McCurry, 7180 Reserve Road, Bldg. 1083, Tinker AFB, OK 73145 Each Cognizant Security Office and each Servicing Security Activity identified in Block 8c's above.

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

NAME & TITLE OF REVIEWING OFFICIAL

DAVID V ROBITAILLE

Government Program Manager

SIGNATURE

NAME & TITLE OF REVIEWING OFFICIAL

THOMAS E. MCCURRY

AFLCMC/WBZ, Industrial Security Lead

SIGNATURE

NAME & TITLE OF REVIEWING OFFICIAL

CURTIS M. CROSS

OSI PJ/Det 2, PSO

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 Item 10f: OPSEC Plan will be provided under separate cover.

b. Ref Item 11j: OPSEC requirements apply. See Performance Work Statement 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.)

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DD FORM 254, APR 2018

Ref Item 10f: 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.

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

a. GCA NAME

AFMC AFSC/PZABB

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

FA8119

c. ADDRESS (Include ZIP Code)

AFSC/PZABB

3001 Staff Drive, 1AC4 99A Tinker AFB, OK 73145

d. POC NAME

Eric Romero

e. POC TELEPHONE (Include Area Code)

+1 (405) 736-5555

f. EMAIL ADDRESS (See Instructions)

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)

Vanwoerkom, Corey J.

b. TITLE

Contracting Officer (B-2)

c. ADDRESS (Include ZIP Code)

AFLCMC/WBK

7180 Reserve Road, Bldg. 1083 Tinker AFB, OK 73145

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA8110

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

N/A

f. TELEPHONE (Include Area Code)

+1 (405) 739-3292

g. EMAIL ADDRESS (See Instructions) corey.vanwoerkom@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.)

- HQ Defense Counterintelligence and Security Agency 27130 Telegraph Rd, Quantico, VA 22134

- 72 ABW/IP, 4385 S. Air Depot Blvd., Bldg. 7003, Rm. 110, Tinker AFB, OK 73145

- AFLCMC/WWZ Security Office, Attn: Michael Velez 7180 Reserve Road, Bldg. 1083, Tinker AFB, OK 73145

- Each Cognizant Security Office and each Servicing Security Activity identified in Block 8c's above.

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

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:

May 31, 2022 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

6401 S. Air Depot Boulevard Oklahoma City, OK 73135

2250 West John Carpenter Freeway, Suite 450 Irving, TX 75063 (469) 329-6367 dcsa.dcsa-southern.dcsa-isfo.mbx.irving-field-office@mail.mil CSO: DCSA Irving Field Office (IOFSI) 2250 West John Carpenter Freeway, Suite 450 Irving, TX 75063 (469) 329-6367 dcsa.dcsa-southern.dcsa-isfo.mbx.irving-field-office@mail.mil

CSO: 72 ABW/IPD

4385 Air Depot Blvd, Bldg. 7003, RM 110 Tinker AFB, OK, 73145 / (405) 582-1823 72ABW.IPD.IndustrialSecurity@us.af.mil IndSec POC: Kent Nichols CSO: DCSA Los Angeles Field Office (IOFWL) 3452 E. Foothill Boulevard; Suite 600 Pasadena, CA 91107 (626) 463-0515 dsca.dsca-western.dcsa-isfo.mbx.los-angeles-field-office@mail.mil

6401 S. Air Depot Blvd Oklahoma City, OK 73115 Level(s) of Classified Performance at this location: Collateral Secret Location: AFLCMC/WWZ (B-2 WSSC) 7180 Reserve Rd., Bldg. 1083 Tinker AFB, OK 73145 Level(s) of Classified Performance at this location: Collateral Secret / Secret SAP Location: Northrop Grumman Systems Corporation 3520 East Avenue M JC40/4A Palmdale, CA 93550 Level(s) of Classified Performance at this location: Collateral Secret / Secret SAP

27130 Telegraph Rd, Quantico, VA 22134

- 72 ABW/IP, 4385 S. Air Depot Blvd., Bldg. 7003, Rm. 110, Tinker AFB, OK 73145

- AFLCMC/WWZ Security Office, Attn: Michael Velez 7180 Reserve Road, Bldg. 1083, Tinker AFB, OK 73145 - Each Cognizant Security Office and each Servicing Security Activity identified in Block 8c's above.

- SEE CONTINUATION ITEM 13 -.

Pre-contract award access to classified is not required.

Item 12 Cont’d:

b. Ref Item 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.

c. Ref Item 10f: 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 (AFSAPCO). 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 Project (PJ) Program Security Officer (PSO).

ITEM 13 GUIDANCE

Item 13 Cont'd

a. Ref Item 10f: 32 Code of Federal Regulations, Part 117, National Industrial Security Program Operating Manual (NISPOM), 24 February 2021, applies.

b. Ref Item 10f: The National Industrial Security Program Operating Manual (NISPOM) 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. The contractor shall comply with:

- DoDD 5205.07, Special Access Program Policy, 1 Jul 10, w/Chg 2, 4 Feb 20

- DoDI 5200.02, DoD Personnel Security Program, 21 Mar 14, w/Chg 3, 24 Sep 20

- DoDI 5205.11, Management, Administration and Oversight of DoD Special Access Programs, 6 Feb 13, w/Chg 2, 4 Feb 20

- DoDI 8510.01, Risk Management Framework for DoD Information Technology (IT), 12 Mar 13, w/Chg 2, 28 Jul 17

- DoD Joint Special Access Program Implementation Guide (JSIG), 11 Apr 16 with integrated Errata Sheet, 8 Oct 2018

- DoDM 5205.07, Vol 1, DoD SAP Security Manual: General Procedures, 18 Jun 15, w/Chg 2, 30 Sep 20

- DoDM 5205.07, Vol 2, SAP Security Manual: Personnel Security, 24 Nov 15, w/Chg 2, 30 Oct 20

- DoDM 5205.07, Vol 3, SAP Security Manual: Physical Security, 23 Apr 15, w/Chg 3, 8 Dec 20

- DoDM 5205.07, Vol 4, SAP Security Manual: Marking, 10 Oct 13, w/Chg 2, 8 Sep 20

- DoDM 5205.07. Vol 3_AFMAN16-703, Vol 3, DoD SAP: Physical Security, 23 Apr 15, w/Chg 1, 21 Sep 15

- AFI 16-701, Management, Administration, and Oversight of SAPs, 18 Feb 14

- DoDM 5200.01, Vol 1, DoD Information Security Program: Overview, Classification, & Declassification, 24 Feb 12, w/Chg 2, 28 Jul 20

- DoDM 5200.01, Vol 2, DoD Information Security Program: Marking of Classified Information, 24 Feb 12, w/Chg 4, 28 Jul 20

- DoDM 5200.01, Vol 3, DoD Information Security Program: Protection of Classified Information, 24 Feb 12, w/Chg 3, 28 Jul 20

- DoDI 5200.48, Controlled Unclassified Information (CUI), 6 Mar 20

- DoDM 5200.02/AFMAN 16-1405, Air Force Personnel Security Program, 1 Aug 18

- DoDM 5400.7-Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program, 27 Apr 18

- AFMAN 14-403, Sensitive Compartmented Information Security and Intelligence, Surveillance, and Reconnaissance Systems Cybersecurity and Governance, 3 Sep 19

- (CUI) Work will be performed under the following PID(s): SJS Supersession of any of the above documents will not require an immediate revision to this DD Form 254. The updated document will be deemed to be on contract as of the date of supersession. Additional costs incurred due to updated guidance will be brought to the attention of the GCO immediately.

c. Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting, applies to both SAP, classified, and unclassified contracts. Cyber incident reporting for contract SAP networks shall be IAW the DoD Joint Special Access Program Implementation Guide (JSIG), as required by DODM 5205.07 Volume 2, Enclosure 6. However, contractors operating under a classified/SAP contract shall comply with DFARS clause 252.204-7012 for their unclassified networks.

d. Government Special Access Program Security Officer (GSSO): Victor P. Pickering, AFLCMC/WBZ, (405) 736-7270, victor.pickering@us.af.mil

e. Program Security Officer (PSO): Curtis M. Cross, OSI PJ, Det 2, (937) 705-1905, curtis.cross.3@us.af.mil

f. Ref Item 10j/11l: The contractor shall comply with DoDI 5200.48, Controlled Unclassified Information (CUI), Air Force Guidance Memorandum 2020-16-01, Air Force Guidance Memorandum for CUI, 23 Jul 20, and DoDM 5400.7-Air Force Manual 33‑302, 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.

g. Ref Item 10k: Authorized users of an information technology system with no privileged access (IT Level III), must obtain, at a minimum, a favorably completed Tier 1 background investigation in accordance with DoDM 5200.02_AFMAN 16-1405, Air Force Personnel Security Program, 1 Aug 18, para 3.2b(2) Table 2 (Added)(AF).

h. (CUI) Ref Item 11c: 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 the current version of the SENIOR JERSEY SPIRIT Security Classification Guide, 19 April 2018, with Memorandum Letter dated 30 April 2018 and Change Letters (Chg 1, 11 October 2018 & Chg 2, 6 September 2019). The guide will be provided under separate cover.

i. Ref Item 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 72 ABW/IPD, 4385 Air Depot Blvd., Bldg. 7003. Rm 110, Tinker AFB, OK, 73145, 72ABW.IPD.IndustrialSecurity@us.af.mil. The contract shall comply with DoDM 5220.22 Vol 2_AFMAN 16-1406 Vol 2, National Industrial Security Program: Industrial Security Procedures for Government Activities, 8 May 20, by following security procedures of the installation IAW para 3.8.a.; report adverse information IAW para 4.14 (Added)(AF); and support commander self-inspections and self-assessments IAW para 14.1.f (Added)(AF).

j. Program Manager: Ronald Lozano, AFLCMC/WBZ, (405) 739-7661, ronald.lozano.2@us.af.mil

k. Security Manager/Facility Security Officer: Jim Hanrahan, james.hanrahan@ngc.com, 6401 S. Air Depot Blvd., Oklahoma City, OK

l. The Contractor will notify the Government Contracting Activity and the Government Security Manager within 24 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.

m. Ref Item 18e (ACO): Scott Frankel, DCMA, 14501 George Carter Way, 2nd Floor, Chantilly, VA 20151, (571) 521-1501

n. Ref Item 18f (DISTRIBUTION) Cont'd:

HQ Defense Counterintelligence and Security Agency, 27130 Telegraph Rd, Quantico, VA 22134 72 ABW/IPD, 4385 S. Air Depot Blvd., Bldg. 7003, Rm. 110, Tinker AFB, OK 73145, 72ABW.IP.IndustrialSecurity@us.af.mil AFLCMC/WWZ Security Office, Attn: Thomas E. McCurry, 7180 Reserve Road, Bldg. 1083, Tinker AFB, OK 73145 Each Cognizant Security Office and each Servicing Security Activity identified in Block 8c's above.

Government Program Manager rep: THOMAS E. MCCURRY AFLCMC/WBZ, Industrial Security Lead rep: CURTIS M. CROSS OSI PJ/Det 2, PSO

b. Ref Item 11j: OPSEC requirements apply. See Performance Work Statement for requirements.

3001 Staff Drive, 1AC4 99A Tinker AFB, OK 73145 Address: AFLCMC/WBK 7180 Reserve Road, Bldg. 1083 Tinker AFB, OK 73145