DDForm254- 103 RQS-LSS W Signed.pdf

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Attached to
Logistics Support Services Federal contract opportunity
Solicitation number
F9E1PJ3318AW01
Issued by
Department of the Army New York Army National Guard

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This document is a Contract Security Classification Specification (DD Form 254) for a federal contract opportunity related to Logistics Support Services for an Air Force Special Warfare Squadron. The contract will require access to various levels of classified information, including Restricted Data, Formerly Restricted Data, and For Official Use Only information. The contract is set aside 100% for small businesses, with a NAICS code of 541614 and a size standard of $20,000,000. The contract duration is 365 days with four option years. The contracting agency is the Department of the Army New York Army National Guard. Interested offerors must be registered in the System for Award Management (SAM) and the Request for Information (RFI) deadline is Tuesday, September 10, 2024, at 2:00 p.m. EDT. The contract will be awarded to the offeror that provides the lowest price quote and meets all requirements.

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1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE a. FACILITY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)

b. LEVEL OF SAFEGUARDING REQUIRED

2. THIS SPECIFICA 11ON IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS: (X and complete as applicable)

a. PRIME CONTRACT NUMBER DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases)

b. SUBCONTRACT NUMBER b. REVISED I

REVISION NO. DATE (YYYYMMDD)

(Supersedes all previous specs)

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD) DATE (YYYYMMDD)

c. FINAL (Complete I tem 5 in all cases)

4. IS THIS A FOLLOW-ON CONTRACT? L_jYES L_j NO. 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? L_jYES L_jNO. 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 b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

10. CONTRACTOR WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO a COMMUNICATIONS SECURITY (COMSEC) INFORMATION a

�t�ttktf6�·$ °Fi\.tfL'ltr/frt' JNJovER��Ul/"¥�t\-i0\ANu I Htcf< b RESTRICTED DATA b. RECEIVE CLASSIFIED DOCUMENTS ONLY

C CRITICAL NUCLEAR \/\EAPON DESIGN INFORMATION C RECEIVE AND GENERATE CLASSIFIED MATERIAL d FORMERLY RESTRICTED DATA d FABRICATE. MODIFY. OR STORE CLASSIFIED HARDWARE e INTELLIGENCE INFORMATION e PERFORM SERVICES ONLY

(1) Sens,twe Compartmented Information (SCI) f �d��t'G�rtcr. L s up�oiittgg//j�j? A1D0f�&J1q-�1�W1rngiJ

HE us.

(2) Nori-SCI g. ��rt���fDW�'6� o4��� ��i8��'.k:-1N' 81�fR7sDY�N 1 E�HrJ�AL INcue:MAI l()N f SPECIAL ACCESS INFORMATION h REQUIRE A COMSEC ACCOUNT g

NATO INFORMATION I HAVE TEMPEST REQUIREMENTS

h FOREIGN GOVERNMENT INFORMATION J. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

I LIMITED DISSEMINATION INFORMATION k BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

J FOR OFFICIAL USE ONLY INFORMATION I. OTHER (Specify)

k. OTHER (Specify/

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.

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12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release [=1 Direct [=1 Through (Specify) to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)' for review.

'In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.

13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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. (Fi ll in as appropriate for the classified effort. Attach, or forward under separate coffespondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. LJ Yes LJ No

(If Yes, identify the pertinent contractua l clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. LJ Yes LJ No

(If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

16. CERTIFICATION AND SIGNATURE. 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.

a. TYPED NAME OF CERTIFYING OFFICIAL b. TITLE c. TELEPHONE (Include Area Code)

d. AD DRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION a CONTRACTOR b SUBCONTRACTOR c COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR d U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECU RITY ADMINISTRATION e. SIGNATURE e ADMINISTRATIVE CONTRACTING OFFICER f OTHERS AS NECESSARY

DD FORM 254 (BACK), DEC 1999

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27 Sep 2028

CAPT SETH MALDONADO

JASON KRUENEGEL

CAPT SETH MALDONADO

Xxxxxxx

13. SECURITY GUIDANCE. (CON’T.)

Solicitation or Contract # Page #

DD FORM 254 (13 CON’T.), MAY 2010

Button 8b:
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1b: [None]
1a: [Confidential]
2a-1:
2b-1:
2c-1: W50S8E24Q0003
2a: Off
2b: Off
2c: Yes
3a: Yes
3b: Off
3c: Off
3a-date:
3b-date:
3c-date:
2c-date:
3b-1:
4: No
5: No
4-1:
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Button 1b:
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7c:
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8b:
8c: JASON KRUENEGEL

150 OLD RIVERHEAD RD

WESTHAMPTON BEACH, NY 11978

8a: 106 RQW

150 OLD RIVERHEAD RD

WESTHAMPTON BEACH, NY 11978

9: Logistics Support Services for Air Force Special Warfare Squadron
10a: No
10b: Yes
10c: No
10d: No
10e-1: No
10e-2: Yes
10f: No
10g: No
10h: No
10i: No
10j: Yes
10k: No
11a: No
11b: No
11c: No
11d: No
11e: No
11f: No
11g: No
11h: No
11i: No
11j: No
11k: No
11l: No
12: Direct
12-1:
13: Ref 10b: Restricted Data Information is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting.

Ref 10e(2): Non-SCI Information is not releasable to contractor employees who have not received a clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting. Access to Intelligence information required for performance.

Ref 10j: For Official Use Only (FOUO) Information generated and/or provided under this contract shall be safeguarded and marked as specified in DoD 5200.1-R, Appendix 3 (attached).

14-1:
15-1:
14: No
15: No
16a: JASON KRUENEGEL
16b: Security Officer
16c: 631-723-7559
16d: 150 OLD RIVERHEAD RD

WESTHAMPTON BEACH, NY 11978

17a: Yes
17b: Yes
17c: Off
17d: Off
17e: Off
17f: Off
13-1: W50S8E24Q0003
13-2:
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Button 13 SIG:
Box 13-1:
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2024-06-17T09:10:53-0400
KRUENEGEL.JASON.MICHAEL.1188085993

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