Attachment_2G_-_PWS_App_G_DD254.docx

TOP SECRET

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

b. LEVEL OF SAFEGUARDING REQUIRED

NONE

b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specs)

Revision No. Date (YYMMDD)

Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract

5. IS THIS A FINAL DD FORM 254? YES NO. If Yes complete the following

In response to the contractor's request dated , retention of the identified 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)

To be filled in upon award

7. SUBCONTRACTOR

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

8. ACTUAL PERFORMANCE

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

AFSOC requires on-site contract instructor support for the AFSOAWC’s training operations. Support areas include: fixed wing aircrew instruction, fixed wing flight instruction, remotely pilot aircraft (RPA) aircrew instruction, fixed wing simulator instruction, and weapon system leads for specific mission design series (MDS) aircraft or location. Supported locations are Hurlburt Field, FL; Cannon AFB, NM; and Duke Field, FL.

10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION a.

HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY

k. OTHER Specify)

Automated Information Systems NIPRNET and SIPRNET Automated DD 254 (Dec 99)

Focal Point

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 release shall be submitted for approval prior to release 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.

Direct Through (Specify):

Information requiring AF or DoD—level review will be forwarded by the entry-level public affairs office through the MAJCOM/DRU 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.

13. SECURITY GUIDANCE.

1. Supported USAF organizations will provide security classification guides and other classification guidance to the contractor as required for contract performance. Contractors will comply with all Hurlburt Field, supported unit and special program requirements. Supported units will provide security requirements and instructions, and will include contractors in the unit Information Security program.

2. Classified markings on all working, draft, and final copies of deliverable material shall be in accordance with Executive Order 13526, The Controlled Access Program Coordination Office (CAPCO) guidelines, DoD 5220.22-M, DoDM 5200.01 and applicable instructions contained in the respective security classification guides.

3. For on-base contractors, the NISPOM security standards can be satisfied by incorporating AFI 16-1404, Air Force Information Security Program, and AFI 16-1406, Air Force Industrial Security Program, requirements into the Visitor Group Security Agreement.

4. All classified material provided shall be returned by the contractor at contract completion. Individuals are responsible for safeguarding classified information entrusted to them.

5. Use only AF certified AIS for performance on base and will comply with all AF AIS procedures.

7. Ref Item 10k: Secret Internet Protocol Network (SIPRNet) access authorization. The contractor shall not access, download, or further disseminate any information or data that falls outside the scope of execution of the defined contract requirements. In the event any additional access is required, the Program Manage, Contracting Officer Representative, or Security Manager, must modify/revise the requirements for the DD Form 254 and/or Statement of Work. Contractor shall prepare and submit all required documentation as required by Command policy prior to receiving access.

8. Ref Item 11a: The highest level of security clearance required for contract performance is Top Secret. Using activities will provide security classification guidance for performance of this contract. 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.

Digitally signed by

FISHER.JAY.R FISHER.JAY.R.1080535534

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, .1080535534 cn=FISHER.JAY.R.1080535534 Date: 2015.10.13 11:16:23 -05'00'

** See attached addendums for items 10e(1), 10e(2), j, k, 11j and 11l.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, 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 cognizant security office.

Use Item 13 if additional space is needed.)

Yes

No

Provide the information requested by the Notification of Government Security Activity clause and Visitor Group Security Agreements Clause, AFFARS 5352.204-9000, to the Servicing Security Activity indicated in Item 13 above. Refer to the contract document for these clauses. The visitor group will operate per DoDM 5200.01, AFI 16-1404, Hurlburt Field supplements and unit security program operating instructions, plans and procedures. See appropriate addendum(s).

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (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.

Yes

No

Long term visitor groups will be inspected as part of the supported organizations annual Information Security Program Review, conducted by the SSA, while operating on an Air Force Installation. The contractor will comply with the visitor group security agreement provided by the USAF Program/Project Manager at the performance location. The above does not apply to intelligence, SCI and SAP. See attached addendum.

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

Kurt Buchanan

b. TITLE

Contracting Officer

c. TELEPHONE (Include Area Code)

850-884-3196

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. OTHERS AS NECESSARY 1 SOW/IPC, 27 SOW/IPC, & 96 ABW/IPC

e. SIGNATURE

Automated DD 254 (Dec 99)