DRAFT Attachment 05 - MARB DD254 - 20231205 v1.1.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:

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

FA4664-24-R-0001

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

N/A

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

N/A

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

8. ACTUAL PERFORMANCE (Click button to add more locations.)

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

March ARB, CA, 92518

(If applicable, see Instructions.)

See Block 15

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

To provide Base Operation and Support (BOS) Services in support of U.S. Air Force Reserve Command Materiel Management and Mail Handling, Ground Transportation and Vehicle Management, Traffic Management Operations, Real Property Maintenance, and Fuels Management functions w/ routine REPOL preparation and reporting at March Air Reserve Base, CA.

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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.)

SIPRNet, USAF Restricted Areas & Mail Handling

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 DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

SIPR access limited to fuels personnel for REPOL reporting IAW AFI 23-201; no other SIPR access is authorized.

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)

HQ AFRC/PA, Robins AFB, GA 31098 Note: Public Release of classified information is not authorized

Public Release Authority:

AFRC Public Affairs Office AFRC.PAWorkflow@US.Af.Mil (478) 327-1748

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.)

Period of Performance:

Base Year: 1 Jan 2025 - 31 Dec 2025 Option Year 1: 1 Jan 2026 - 31 Dec 2026 Option Year 2: 1 Jan 2027 - 31 Dec 2027 Option Year 3: 1 Jan 2028 - 31 Dec 2028 Option Year 4: 1 Jan 2029 - 31 Dec 2029 6-month Ext: 1 Jan 2030 - 30 Jun 2030

USAF Contracting Officer: Jon D. Aaron, (951) 655-3724 USAF Program Manager: Bryan Byington, (478) 926-1039

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Ref Item 1b.:

Safeguarding requirements are only required/authorized at the actual contract performance location: March ARB, CA 92518. The Contractor's facility is not authorized to generate or store classified information under this contract number.

Ref Items 10.j. & 11.l.:

CUI information shall be managed and safeguarded IAW DoDI 5200.48_DAFI 16-1403. 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. Contractors shall complete all mandated CUI training IAW DoDI 5200.48_DAFI 16-1403.”

Ref Item 10.k.:

Prior to obtaining classified access and handling/safeguarding mail, the Contractor will have an appropriately adjudicated security clearance (SECRET), as outlined in the PWS. The Government will provide classified network access to include e-mail and web browser.

Contractor personnel will be held accountable for actions they initiate on the network and will conduct business IAW USAF, AFRC, and local base instructions and policies. The Contractor will complete Information Assurance training provided by the sponsoring Government agency prior to network access.

Ref USAF Restricted Areas:

The Contractor shall submit the required background investigations, outlined in the PWS, through the 452 AMW/IP. Unescorted access to USAF Restricted Areas is not authorized until the Contractor has been granted the appropriate security eligibility (Favorable T-1). Security incidents and COVERED WAGON up-channel reporting will be immediately reported to the local Security Forces.

Ref Item 11.a.:

Contract performance is restricted to the locations identified in item 8a. The highest level of security clearance required for the contract performance is Secret. The Government will oversee the handling and storage of classified information in support of this contract. The Government will provide storage capability for all classified material required for this contract. All classified information shall be returned to the Government upon termination of the contract. The Contractor shall complete Government-furnished initial and recurring security training as required and shall maintain training documentation.

Ref Item 11.m.:

The Contractor shall complete and maintain training IAW AFI 23-201. The Government POC will provide the Contractor with a copy of the Defense Logistics Agency (DLA) Security Classification Guidance (SCG) for fuels reporting.

Ref Item 12.:

The Contractor shall submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide the Contractor with written approval/disapproval. (T-1) Information requiring AF or DoD-level review will be reviewed by the unit’s OPSEC Program Manager or Coordinator, who will in-turn forward the information 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.

Ref Item 13: Integrated Security Requirements:

1. These security requirements, promulgated by:

--DoDM 5220.22V2_AFMAN 16-1406V2, National Industrial Security Program, Industrial Security Procedures for Government Activities;

--32 CFR Part 117, National Industrial Security Program Operating Manual (NISPOM), § 117.7(a) and § 117.7(h); and --DAFFARS clause 5352.204-9000, Notification of Government Security Activities, were issued for cleared Contractors who are entrusted with access to classified information. This guidance is applicable for Contractor performance as a visitor group (VG) under the 452 AMW Information Protection Office (IPO) security cognizance, March ARB CA.

a) For performance on other installations, prior to the start of performance, the Contractor shall contact the host IPO to execute an agreement and/or security requirements as mandated by the above referenced documents.

b) The Contractor VG shall comply with the USAF-host Government activity, hereby referred to as “host Government activity,” security procedures where classified performance occurs on a USAF installation or at a USAF facility when Contractor personnel are present for more than 90 days; designated as a Contractor visitor group (VG); and categorized as an Integrated VG in accordance with (IAW) DoDM

5220.22V2_AFMAN 16-1406V2.

c) All instances of non-compliance with these procedures shall be communicated through the host Government activity to the servicing Contracting Officer.

d) Clarification of Security Requirements and/or Procedures: Contractor VG personnel shall address inquiries pertaining to these procedures to the servicing IPO.

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2. Policy and security forms:

The Contractor shall comply with the host Government activity’s security operating instructions/policies. The host Government activity will furnish all Government forms and applicable policy/host Government activity Operating Instructions (OIs). DoD and USAF Policy and security forms are accessible at:

a) DoD publications and forms: https://www.esd.whs.mil/DD/

b) Air Force publications and forms: https://www.e-publishing.af.mil/

c) Local operating instructions (OI)/procedures and forms: Shall be provided by the host Government activity.

3. Installation Access and Visitor Control:

The Contractor shall comply with DoDM 5200.08V3_AFMAN 31-101V3, Installation Perimeter Access Control; the host installation Commander’s visitor control procedures for access to the installation (i.e., host Government activity Common Access Card procedures);

and the host Government activity’s visitor control procedures to access facilities. The Contractor shall submit, via the Facility Security Officer, a Visit Authorization Request (VAR) through the Defense Information System for Security (DISS) or successor system, prior to the performance start date for Contractor VG personnel located on the installation. The VAR shall be provided to the unit security assistant (SA) per DoDM 5200.01V3_AFMAN 16-1404V3, Information Security Program: Protection of Classified Information, and supplements thereto.

4. Visitor Group (VG) status applies:

VG status determination has been made IAW local installation procedures.

a) When categorized as an Integrated VG by the Installation Commander or designee, the Contractor shall operate under day-to-day oversight of the host Government activity and remain subject to the requirements in:

--DoDI 5200.48_DAFI 16-1403, Controlled Unclassified Information;

--DoDM 5200.01V1_AFMAN 16-1404V1, Information Security Program: Overview, Classification & Declassification;

--DoDM 5200.01V2_AFMAN 16-1404V2, Information Security Program: Marking of Classified Information;

--DoDM 5200.01V3_AFMAN 16-1404V3, Information Security Program: Protection of Classified Information;

--DoDM 5220.22V2_AFMAN 16-1406V2; and applicable host Government activity OI(s)/procedures.

b) The Contractor VG shall adhere to all prescribed security classification guidance as annotated on the contracts DD Form 254 and/or DD Form 254 attachments, addendums, appendices, etc.

c) The Contractor VG shall comply with local OIs and procedures, as furnished by the Government.

d) The Contractor VG shall comply with all host Government activity in and out-processing procedures.

5. Access to Classified Information:

Contractor VG access to classified information shall be controlled by the host Government activity and limited to contract-specific/need-to-know information only. The Contractor VG shall follow all applicable host Government activity OI(s) and procedures pertaining to access of classified information.

6. Reporting Requirements:

All Contractor VG employees shall report adverse information, suspicious contacts, espionage, sabotage, insider threat, and subversive activities to the host Government activity’s SA IAW DoDM 5220.22V2_AFMAN 16-1406V2, para 4.14 (Added)(AF). The Contractor shall furnish a copy of adverse information reports required by 32 CFR Part 117, National Industrial Security Program Operating Manual (NISPOM), § 117.8(c)(1)(i), SEAD 3 and CSA-provided guidance. Reports shall be submitted to the Installation Commander through the host IPO, 452 AMW/IP at (951-655-3428) and email: 452amw.ip@us.af.mil.

7. Training Requirements:

All Contractor VG personnel shall participate in the host Government activity’s initial and reoccurring information protection security awareness and training education programs.

8. Storage of Classified Material/Information:

a) The Government Program Manager (GPM) may authorize the Contractor VG to store and handle classified material required for performance on this contract. All classified information shared with the Contractor VG must be stored in an approved Government-owned and controlled security container. The number of Contractor VG employees authorized access to the security container and/or secure area(s) shall be kept to the minimum number required for efficient contract performance. When authorized, the Contractor VG shall comply with:

--DoDM 5200.01V1_AFMAN 16-1404V1, Information Security Program: Overview, Classification & Declassification;

--DoDM 5200.01V2_AFMAN 16-1404V2, Information Security Program: Marking of Classified Information;

--DoDM 5200.01V3_AFMAN 16-1404V3, Information Security Program: Protection of Classified Information; and --the Government activity’s security program operating instruction (OI).

b) The Contractor VG is prohibited from establishing and/or maintaining a separate classified information system. All classified material/information must be returned and secured in the Government security container at the end of the duty day.

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9. Air Force Restricted/Controlled Area Badges:

Restricted/Controlled area badges (AF Form 1199) will be issued at the request of the Program Manager or as delegated. The AF activity SA office will prepare and maintain an individual copy of the AF Form 2586, Unescorted Entry Authorization Certificate. All Contractor personnel possessing an AF Form 1199 card issued at March ARB must surrender said badge one (1) workday prior to leaving the installation according to AFMAN 31-101. AF activity SA and FSO must ensure departing personnel surrender their Restricted/Controlled area badge to the AF activity SA who shall return the AF Form 1199s to the Pass and Registration section, March ARB, during visitor group personnel installation out-processing.

10. Transmission of Classified Material/Information:

Contractor VG personnel shall coordinate with the host AF activity security assistant and/or servicing IP for further guidance and/or local restrictions on the transmission of classified material/information, including, but not limited to all mailing, receipt, and couriering procedures, as applicable.

a) Receipt and dispatch of classified material is the responsibility of the Government. The Contractor VG is not authorized to perform these activities unless they are specifically contracted for and identified in the Statement of Work or Performance Work Statement. When this service is required for contract performance, the designated Contractor VG employee shall comply with:

--DoDM 5200.01V1_AFMAN 16-1404V1;

--DoDM 5200.01V2_AFMAN 16-1404V2;

--DoDM 5200.01V3_AFMAN 16-1404V3; and --the Government activity’s security program OI and/or procedures.

b) Contractor VG personnel shall complete all applicable host Government activity training related to the handling and transmission of classified material and information. The Contractor VG shall coordinate with the host Government activity security assistant and/or servicing IPO for further guidance and/or local restrictions on the transmission of classified material/information, including, but not limited to all mailing, receipt, and couriering procedures, as applicable.

c) Classified material may be hand-carried onto or off March ARB by an appropriately cleared and briefed Contractor VG courier, as needed, provided the Contractor VG employee is so designated in writing by his/her company FSO as a courier and endorsed by AF host activity SA and in accordance with IAW DoDM 5200.1-V3_AFMAN 16-1404V3.

11. Reproduction of Classified Material:

The Contractor VG may be authorized to reproduce classified information, as required for contract performance. Authorization must be accomplished IAW DoDM 5200.01V3_AFMAN 16-1404V3 and only AF-approved and controlled equipment can be used.

12. Disposition of Classified Material and Information:

Contractor VG personnel shall return all classified material furnished by the Government to the host Government activity or designated Government classified custodian when the classified material is no longer required (no later than the end of each duty day). This includes surrendering all classified material developed by the Contractor VG in connection with the contract program or project requirements.

13. End-of-day security checks:

The Contractor VG shall perform end-of-day security checks, as needed, within their assigned work areas per:

--DODM 5220.22-V2_AFMAN16-1406V2;

--DoDM520001V3_AFMAN 16-1404V3 and supplements thereto; and --the host activity’s unit security program operating instructions, plans and/or procedures.

These checks shall ensure security precautions are taken to protect classified material. The Standard Form 701, Activity Security Checklist, and Standard Form 702, Security Container Check sheet, shall be used to record these checks.

14. Emergency Procedures to Protect Classified Material:

The Contractor VG shall implement emergency procedures to protect classified material as identified in the host Government activity’s/ servicing IPO OIs/procedures.

15. Controlled Unclassified Information (CUI):

The Contractor VG shall process, and safeguard CUI in accordance with DODI 5200.48_DAFI 16-1403, Controlled Unclassified Information (CUI).

16. Operations Security (OPSEC):

Contractor VG personnel shall protect critical or sensitive unclassified operational type information per AFI 10-701, Operations Security (OPSEC), and host Government activity guidance and/or direction.

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17. Information Systems:

a) Access to classified information systems, on-installation, shall be granted IAW host Government activity procedures, as applicable.

b) Contractor VG personnel are prohibited from establishing and/or maintaining a separate, on-installation, unclassified and/or classified information system/network without prior coordination and approval from the local communications squadron, or equivalent, through their host Government activity.

18. Security Inspections:

The Contractor VG shall participate in the host Commander’s self-inspection programs in accordance with:

--DAFI 16-1401;

--DoDM 5200.01V1_AFMAN 16-1404V1; and --DoDM 5220.22V2_AFMAN 16-1406V2.

Deficient items specific to Contractor VG personnel shall be communicated to the Contracting Officer. Deficiencies shall include a corrective action plan.

19. Security Incidents:

a) Contractor VG personnel shall notify the host Government activity; servicing Contracting Officer; and Government security assistant/ servicing IPO, immediately upon discovery of any incident (inadvertent or otherwise) involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessments of potential impacts pending formal inquiry/ investigation. Actual or the suspected compromise of Covered Defense Information shall be reported IAW DFARS Clause 252.204-7012, as applicable. The Government will conduct the preliminary inquiry for security incidents occurring on the installation IAW DoDM

5200.01V3_AFMAN 16-1404V3.

b) If Contractor VG personnel discover unattended/unsecured classified material or hardware on-installation, they shall maintain constant surveillance and immediately notify the host Government activity Security Assistant; host Government security activity; or servicing IPO. The material shall be retained in a General Services Administration approved security container pending disposition instructions from the host Government activity.

20. Subcontract DD Form 254s:

Should a subcontract be issued under this effort, whereas the subcontractor shall require access to classified information and be physically located on March ARB CA for a minimum of 90 days, the Contractor VG must issue a subcontract DD Form 254, in accordance with the NISPOM, and comply with the following:

a) Provide a signed copy of the subcontract DD Form 254 to the COR, GPM, Government SA and 452 AMW/IP.

b) Ensure the subcontractor complies with this security agreement or enters into a separate agreement with the subcontractor. The agreement to comply must be documented and a copy of the documentation provided to GPM, Government SA and 452 AMW/IP. If a separate agreement is prepared, a copy shall be provided to the COR, GPM, Government SA, and 452 AMW/IP.

21. Use of non-US company/non-US citizen or non-US company personnel for on-installation performance (as applicable):

a) Disclosure of classified and controlled information to non-US citizens shall be coordinated with the host Government activity, foreign disclosure officer, and others as dictated by local procedures and/or NISPOM requirements (e.g., Limited Access Authorization), as applicable. The prime Contractor shall coordinate, in advance with enough lead time as appropriate, with the host Government activity when non-US company/non-US citizen personnel are used for on-installation performance, to include all subcontractor personnel.

b) The Contractor(s) shall comply with DoDM 5200.08V3_AFMAN 31-101V3; the host installation commander’s visitor control procedures for access to the installation (e.g., host Government activity Common Access Card procedures); and the host Government activity’s visitor control procedures to access installations and facilities.

22. Consultants:

Should a consultant be acquired who will require access to classified information and be physically located on March ARB, a copy of the Consulting Agreement must be provided to the COR, GPM, Government SA and 452 AMW/IP. The consultant shall comply with all security procedures applicable to the Contractor VG at the USAF location.

23. Expenditure of Funds for Security:

These security procedures are not an authorization or for a commitment of funds. Nothing in these procedures shall be construed to impose any liability on the part of the Government for injury to the agents, employees of the visitor group(s), its subcontractors, assignees, or other individuals acting for or on behalf of the visitor group(s), to the property of the same, nor shall anything in these procedures be construed to modify the provisions of existing contracts.

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24. Policy References:

--32 CFR Part 117, National Industrial Security Program Operating Manual (NISPOM) --AFI 10-701, Operations Security (OPSEC) --Air Force Federal Acquisition Regulation Supplement (AFFARS), 5352.204-9000, Notification of Government Security Activities --DoDI 5200.48_DFAFI16-1403, Controlled Unclassified Information --DoDM 5200.01V1_AFMAN 16-1404V1, Information Security Program: Overview, Classification & Declassification --DoDM 5200.01V2_AFMAN 16-1404V2, Information Security Program: Marking of Classified Information --DoDM520001V3_AFMAN 16-1404V3, Information Security Program: Protection of Classified Information --DoDM 5220.22V2_AFMAN 16-1406V2, National Industrial Security Program, Industrial Security Procedures for Government Activities

25. Acronyms:

AFFARS - Air Force Federal Acquisition Regulation Supplement AFI - Air Force Instruction AFMAN - Air Force Manual DFARS - Department of Defense Acquisition Regulation Supplement DISS - Defense Information System for Security DoD - Department of Defense DoDI - Department of Defense Instruction DoDM - Department of Defense Manual FSO - Facility Security Officer IAW - In accordance with IPO - Information Protection Office NISPOM - National Industrial Security Program Operating Manual OI - Operating Instruction OPSEC - Operations Security POC - Point of Contact SA - Security Assistant USAF - United States Air Force VAR - Visit Authorization Request VG - Visitor Group

26. Applicable FARS, DFARS, and DAFFARS Clauses:

a) FAR Clause 52.204-2, Security Requirements: This clause applies to the extent that the contract involves access to information classified Confidential, Secret, or Top Secret. The clause is related to compliance with the National Industrial Security Program Operating Manual (NISPOM) and any revision to the manual for which notice has been furnished to a Contractor.

b) FAR Clause 52.204-21, Basic Safeguarding of Covered Contractor Information: This clause applies to information not intended for public release that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public websites) or simple transactional information, such as necessary to process payments.

c) DFARS Clause 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting: This clause requires a company to safeguard CDI, as defined in the clause, and to report to the DoD the possible exfiltration, manipulation, or other loss or compromise of unclassified CDI: or other activities that allow unauthorized access to the Contractor’s unclassified information system on which unclassified CDI is resident or transiting. The company must submit the malware to the DoD if the company is able to isolate it and send it safely. The Contractor shall 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 shall be reported IAW DFARS Clause 252.204-7012.

d) DFARS Clause 252.204-7000, Disclosure of Information: This cause prohibits the Contractor from releasing any unclassified information pertaining to the contract or any program related to the contract, unless they have CO approval, or the information is in the public domain before the date of release.

e) DFARS Clause 252.204.7009, Limitations on the Use or Disclosure of Third-Party Contractor Reported Cyber Incident Information:

This clause is required for Contractor services that include support for the Government’s activities related to safeguarding covered defense information and cyber incident reporting.

f) DAFFARS Clause 5352.204-9000, Notification of Government Security Activities: This clause requires the Contractor to notify the Servicing Security Activity thirty (30) days prior to beginning operations. Prior to beginning operations involving classified information on an installation identified on the DD 254, the Contractor shall take certain actions to ensure the Information Protection Office has the necessary Contractor performance and contact information.

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

NAME & TITLE OF REVIEWING OFFICIAL

Juan C. Gonzalez, CIV, DAF Chief, Information Protection

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.)

Visitor Groups will be provided a written copy of relevant local security policies (e.g., via email, electronic media, or paper) applicable to the contractor’s on-installation access to classified information in support of the classified contract (see attachments). Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreements Clause, AFFARS 5352.204-9000, to the Servicing Security Activity (SSA) address where the work will be performed. Refer to the contract document for this clause.

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.)

Industrial security reviews of integrated visitor groups will be conducted by the 452 AMW/IP while operating on (March ARB, CA 92518).

The Contractor will comply with the 452 AMW/IP security guidance per DAFI 16-1401 provided by the USAF Program/Project Manager.

Work will not commence at March ARB, until the security guidance provided by 452 AMW/IP is executed. Any Security Incidents will be routed through the HQ AFRC/Industrial Security Program Manager to DCSA, the Cognizant Security Office. Defense Counterintelligence and Security Agency retains cognizance over the cleared contractor facility.

Servicing Security Activity (SSA):

452 AMW/IP

520 B. St.

March ARB CA 92518 951-655-3428 452amw.ip@us.af.mil

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

a. GCA NAME

452d AMW Contracting Office

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

FA4664

c. ADDRESS (Include ZIP Code)

452 MSG/PK

1261 Graeber St.

Bldg 2313, Ste. 118 March ARB, CA, 92518

d. POC NAME

Jon D. Aaron

e. POC TELEPHONE (Include Area Code)

+1 (951) 655-3724

f. EMAIL ADDRESS (See Instructions) jon.aaron@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)

b. TITLE

c. ADDRESS (Include ZIP Code)

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA4664

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

f. TELEPHONE (Include Area Code)

g. EMAIL ADDRESS (See Instructions)

h. SIGNATURE

i. DATE SIGNED (See Instructions)

PREVIOUS EDITION IS OBSOLETE. Page 9 of 9DD FORM 254, APR 2018

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.)

Servicing Security Activities noted in Block 15

452 AMW/IP