EXHIBIT G - FINAL_W31P4Q_21_R_0029_DD254_06_January_2021.pdf

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

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PREVIOUS EDITION IS OBSOLETE.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:

October 31, 2020 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 List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Randolph Road, Building 2287 Ft. Sill, OK. 73503 Location: AMCOM Fleet Management Center Holbrook Road, Bldgs 722 and 738 Ft. Bliss, TX 79916

CUI, provided by DoD to, or generated by, non-DoD entities require protective measures and dissemination controls, including those directed by relevant law, regulation, or government-wide policy, and will be articulated in the contract, grant, or other legal agreement, as appropriate.

DoD contracts must require contractors to monitor CUI for aggregation and compilation based on the potential to generate classified information pursuant to security classification guidance addressing the accumulation of unclassified data or information. DoD contracts shall require contractors to report the potential classification of aggregated or compiled CUI to a DoD representative.

DoD personnel and contractors, pursuant to mandatory DoD contract provisions, will submit unclassified DoD information for review and approval for release in accordance with the standard DoD Component processes and DoDI 5230.09.

All CUI records must follow the approved mandatory disposition authorities whenever the DoD provides CUI to, or CUI is generated by, non-DoD entities in accordance with Section 1220-1236 of Title 36, CFR, Section 3301a of Title 44, U.S.C., and this issuance.

Ref 10k: The Contractor shall not release to anyone outside the Contractor's organization any unclassified information, regardless of medium (e.g., film, tape, document), pertaining to any part of this contract or any program related to this contract, unless— o The Contracting Officer has given prior written approval; or o The information is otherwise in the public domain before the date of release.

Requests for approval shall identify the specific information to be released, the medium to be used, and the purpose for the release. The Contractor shall submit its request to the Contracting Officer at least 45 days before the proposed date for release.

The Contractor agrees to include a similar requirement in each subcontract under this contract. Subcontractors shall submit requests for authorization to release through the prime contractor to the Contracting Officer.

Contractors requiring access to government information systems at government or contractor facilities will comply with AR25-2 guidance.

Ref 11 a: Access to classified information, classified processing, and/or storage of classified information is not authorized at the Prime contractor location.

Actual knowledge of generation or production of classified information is not required for performance of the contract; however, cleared personnel, at the applicable security level, shall be required to perform equipment maintenance services. Any classification guidance needed will be provided by the contractor/government.

Ref 11f: Any classified information obtained, generated, or modified outside the United States will be given the same level of protection as stated within this document. Countries will include: Kuwait, Bahrain , UAE, Qatar; Taipei, Taiwan

Ref 11j: Contractor is required to comply with the GCA OPSEC Plan which will be provided upon award of the contract, and the AT/OPSEC requirements stipulated in the Security Requirements Clause of the PWS, or equivalent, for this contract. GCA approval is required prior to imposing OPSEC requirements on a subcontractor.

Ref 11m: IAW AR381 -12, Threat Awareness and Reporting Program (TARP), 1 Jun 16, contractors will report threat related incident, behavioral indicators, and other matters of Cl interest specified in chapter 3, to the FSO, the nearest military Cl office, the FBI, or the DSS. Contractor Employees working as an integral part of the Army organization are required to complete annual Threat Awareness training. Contractor FSOs will ensure that all applicable AR 381-12 requirements are implemented for personnel who work at contractor facilities.

Concurrence of the Contracting Officer and G-2 (Intelligence and Security), will be obtained prior to issue of a Limited Access Authorization to a non-U.S. citizen in compliance with the NISPOM. Controlled Unclassified Information as defined in DoD 5200.01. Vol 4, may be disclosed to U.S. persons who are employed by the prime contractor or subcontractors or to such employees who are foreign persons when requirements of export control and other laws are met. The contractor is responsible for compliance with all applicable laws and regulations governing access to Classified information or Controlled Unclassified Information.

The contractor is not authorized to release any data to foreign nationals or foreign representatives without an approved export license.

Prior to sub-contracting with a foreign industry the U.S. contractor will consult with the Contracting Officer and G-2 (Intelligence and Security). Foreign sub-contractors must agree that only citizens of their country or the U.S. will be allowed to perform on the contract. The U.S. contractor is responsible for complying with the regulations outlined in the International Traffic in Arms Regulations (ITAR).

HSPD-12 requires that contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements of installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HODA and/or local policy.

IAW with DOD 5200.01, Volume 3, at a minimum, all on-site support contractors with access to classified information shall receive annual refresher training that reinforces the policies, principles, and procedures covered in their initial and specialized training. A record of completion shall be provided to the CSA. Questions concerning any aspect of security will be referred to G-2 (Intelligence and Security), USAAMCOM for resolution.

The estimated start date for the contract is 01 JULY 2021. It will include a base year, plus 4 option years and one 6 month extension.

The technical point of contact is Mr. Howard S. Andrews U.S. Army Aviation and Missile Command (AMCOM), ATTN: SFAE-MSLS-L, Commercial phone: (256) 876-3678, howard.s.andrews.civ@mail.mil.

COR for this contract is Howard S. Andrews, Logistics Management Specialist, PEOMS Logistics, phone 256-876-3678, howard.s.andrews.civ@mail.mil.

Logistics Management Specialist/COR

ATTN: CCAM-ALP

Redstone Arsenal, AL 35898-5200 Address: USAAMCOM

ATTN: AMSAM-ISS

Redstone Arsenal, AL 35898