DD Form 254.pdf

S6,PARTMENTQF DEFi:NSE OONTRAOTSE'CURJTYCLASSIFfCATIONSt>ECIFICA'fION

(The requIrements of the DaD lndusfnal Security Manilal apply to all SfjCl1rity aspects of this effort.)

2. tHI$~~FlCA1:J()N!S FOR: (X aridcomplete .l!PP/lca~)

a. PRIMECbN"J:'AAc1"NUMBER .

~ suaCbN~NUMBeR

3. THIS SF'ECIFICATION IS: (X and cornpJele as applicable)

.. DArE(YVYYMMDD) X a. ORIGiNAl(Oample/$pateIn allcaS/16) 20071212

REVISIONNo.. [).4; (WYYMMOD)

PATE. (YVYYMMDD)l>\)E DATE{YWYMMbbj c.F.!NAl,{PbtPPle/allli1ilJSitlf#q;GP/$1Js) t..;'"

. K]NO. JiYes. coniPl8tethefollOwing:

(Preceding Contract Number) h; transferred to Ihisfollow-on contract.CI,as$ffliJd1J!atIi1~1~d'org~ I./miaT

"5~tS'T'HlSAr:INALPDFORM:254? L-.JYES ~ NO.IfY8$,ciQ\1IptetethefollaWln!j:"

IIIresponsetothecontractol'$ ~l.Iest~ed , .~n1lpn:of!he QlailSlfI6di11ateliallsauthwli1dfOr the wriodof

6.CON1'M:i::'I"()R (/111;11,11111q;,r!mJli1rclal~f/dGovemfflilntr;inlffy(PAG£;J6ot11!)

. it. NAME.AOD~e55,ANI:)ZIPc6PS Ib. CAGECOPE ICo COGNiZANT SECURITYOFACE (Name. AlkJreS$.and Zip Code)

TBD

7.$UBCOlttRAc,tOR

a. NAME. AUDRIESS, AND ZIP CODE b:0AGE CODE 1,0; COGNIZANT SECURITY OFFICE (Name. AddreS$. and Zip Code)

,S, ACVU)\!.PERFORMI\NCE

8. LOCA'J'lbN

45 Space Wing Patrick Air Force B1\Se.FL and CI\t'C.C~ml AirForceStatiQJ1,FL b;CAGE coDe

VG

C; COGNIZANTSECURJTYOFFi~(/\IBrne, Addles... Md Zip Code)

45 SFSIS5

1~19 Control Road

,.Patrick Am, FL 32925-222.1

;9. GENERAL IDENtiFICATIONOF tHIS fJROCU~MeNT

Vehicle OperationS andM~ti3l1ce S~rvice$ (VOMS)/T~sj')Qrta.tion for Patrick Air Force Base. Florida and Cape Canaveral Air Force Station.

Florida

'1ItCONTRA,(ft()R'WILLREQf.lJftE A:cCESS1'O:

a. COMMUN!CATIQN$'SECORITv(COMSEC)INFORMATION

b. R$TRlQ'tS:i,bA'tA '

c. CRlT1CAl.}:JIJC..

d.FORMERLY FI!!s' e, INTElUaeNCitib1f:6RMATil:l!;J, , (HSenswve~rb~~irifom1alJOn (~O

(2)~-$CJ ,

. f. $PiCrl\!.;J>.()OeliSINfO~lJOt:4

g. NATO'INFORMATION

h. FOFiElGN(OOVERNMENTrNFORMATION

i. LiMlf~ ~~NATION INFORN1ATlON

j. FQRoFFtcw. UsiONbY IN'"~t.MTION k.P bTAER tStiedifYJ

Personal Data

Inrorma,tion k;S\lr~1ce

14, x

X X X X X- X X X

X

9 PREVIOUS EDITION IS OBsOLETE. AOObe Prolessional 7.0

12. PUBliC ReL~,Any infOnnation{~<H" un.1!{~}penairilnti'tathi~ contract shqfl'notbe relea~ rQrpUbllc<llss!!l11ioationeKCept$ provided bylhe Indu$!rial securi.tf~1 QI'uo1eG$.it tT$& been aRPlI)Yed~r~bnQ!'!!!eas& by approptiate U.$-.Govemmant authority, PropPs&<! plJbRc relE1ases shaD be submilled fOrapproV1llptiOrIQrelease c=J Ditecl; I.>e,~~Thr6Og!\~)

45th Space Wing 45 SWIM. JlubHc~'(ltiice patrick AFB,FL 329M

IQ 1/111.DllJ!(I:I'Ql'Qtefot Free.domOf InfQn'n atlon and 'SaclJrii¥"Reliiiiw,Offica pf the'A$Sistant Secretary of Defense (Public AffaIrs). for reviEl't(.

.In ~_QfnOn..boD User ~cies. reque$ for dll!CTosu.reshaJl be submltted,to thataganc:y.

'1:3. SEClJmrY GUIDANCE. TI19 $eCUrityd8S$1I!ca1ion;g,uldal1\::&,n~ for ihls dBSsitIed effottis id13ntified below. If ao'y difliaJliy is encountered iii applYing this

Quldance or if any other contribulingfadot ilK!i(:i$$ a n~d fo~c:;Ila~ i!1,lhIs gulilal!.Ce,the CQI1tractor is a~ and en<:9Ureged to pn:Mde reoommended cltart{je&;to chaOenge \hI!giJ/c/a~9r Ihe c!ii$s1llcatlonassigned 1o'8ny ii:1fiJrm'at1onor ~~ fQmOO1edor geiiii!atedunderthisc;pn1ract;.and.1QsubmitMy questions forjrite~1iQn of thIs~uldanceto the official klentifie(H1eIQW. I:'ending final deolsfan. the information Involved shall be hilndJed and protElCled al the highest level of clas$illcaflon asSigned or recommended. (Fl71il!all appropliateJO(f/!/!I cla$$lf'~d flf(orl. AIt~. otfolWsrcfundiIr separef!l correspondence. any documentslguldeslextracl$ refffr8i1cad hereIn. Add -additional page'; as neei!edtoproviCie comp/ew guidance.)

Item lQj. Protection ofFI;ll"Official Use Onlyinfonnation shall be afforded protection as defined in DoDD 5400.7/Air Force Supplement, DoD Freedom of lnfonnatiQJl Act.

Item lOk. ProtectIon of Personal Data shall be in accordance with United States Codes (D.S.C.) Title 5, Section 552a, Privacy Act and D.S.C. Title 10, Section 8013, Privacy Act of 1974. See Air For6eInstruetion J3-332, Privacy Act Program, for specific' guidance, implemeniation,and training.

Item IOk. The contractor will establish and maintain Infottnation Assurance (lA) security programs to protect government infonnatWn processed. Contractor will comply with the major -comniaJ1dand wing JA policy and instructions. Contractor will provideappo.intment lettetS'ofunit primary and alternate IA focal points to applicable government oversight office. The WintlnfOttmJtjon A~ce Office (WIAO) will,pr,ov!deDop, AF, AFS~, 4SSW1, 8Il.dJA guidance and training for the foHowin$ IA disciplines: Computer Security (COMPUSEC), IA Awareness Program, and Telecommunications Monltoring Assessment Pr()gra:m(TMAP). '

45 S

W

S_it)' Discipu"o CoooIinatio

. U(IM'7z,:i"'rlty,fA, COMSEC) ("'mal & dme):45SFS: ~ 45SCS: .'..

14. ADDmONA\. SECURITY REQUIREMENTS. RequirementS. inaddi60n to ISMrequirements. areestabnshed fotthis ccntn!tl (If Yes, identify the perlln6flt contractual clauses in the coAtrac:tr:/ot:UhIerJtitself. Otptf)vfde an Bpproprlats statern&ntwhich klentiffes the add, requirements. Provide a copy of the requirements to the-COgnizant$eCuIftyoIfke. U$i!Item 13 If additJonal8pfJCBis needed.)

Thccontl'actor wiil enter into a visitor group security ag.reement with the 4S SW under AFI3140 I.

15. INSPEcTIoNS. EIe~ of!hisamtrtd are QOt$I(!ethe insPectionrespon$IbIJltyOttltll CQgniz$~SliC\.lrityoffica. IX IYes (If Yes. ellp/ein ami idf1r1t1fy3(!eqJfjc Brees or elements carved out end t1ie activity responsible for it1spedlo(l&. Uae Item 13 If 8ddltional $p8Ce '7;';i'eade(J.)

DSS is relieved of all indusuwsccqrity iJm~~uforoo~.prpel!fonn~!»}'t~'!etnJ1\.ent installations. ~tipn will bcQonqucted according to the local conmunor visit(jr group'~ ~eb~IishdJl 'bclw~thc ~and loca1.lsPM. The 45 SW185, 1319 Control Road, PatrickAFB, FL 32925 wfilbc identified as tb~$SAand Will be r~lc for inspec1iobactivities associated with this contract.

MAD wi" conduct ann~ Jnformationi\ssW'8l\ce Assessment IUldAssistanee ~J]). Reviews for applicable IA wing discipline service&

16. CERTIFICATIONANDSIGNATURe. Security ~qul~men" lS~t.d lIereln areeomplete and adequate for safeguarding the classified Information to be releasedOf" generated under this CIassffled effort. AllqulI$tJon$,~han be referred to the official named below.

a. TYPEDNAMEOFC~TfF'I'INGOFFICIAL b. TITlE ' c. taEPHbNe (InCludeAreaCode)

"JO~ ~ 'W4/-llJt12~ LDtt~U£h'f/..ofr;qjL 3~1 9~ -SS-6eJ

No

d. ADDRESS(IncludeZipCode) .J J~ .t' J. rr , I () I E J.. wcJllA. J.i lu ~",.,; ..;)r ..u-

Pa 'I-r,~ /( J¥/3 r~ "3;}..q J..5

17.R-EQUIREDDISTRIBUTION

8J B. CONTRACTOR

b. 'SUBCONTRACTOR

Co COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR d, U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMJNISTRA TION

'e. ADMINIsTRATIVE CONTRACTING OFFICER l OTHERS AS NECESSARY