Attachment_4_-_DD254.pdf

DEPARTMENT OF DEFENSE

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION TOP SECRET (The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.} b. LEVEL OF SAFEGUARDING REQUIRED

SECRET

2. THIS SPECIFICATION IS FOR: (X and complete as app5cable} 3. THIS SPECIFICATION IS: (X and complete es app6cable}

a. PRIME CONTRACT NUMBER x DATE (YYYYMMDD)

a. ORIGINAL (Complete dale In all cases)

20140414

b. SUBCONTRACT NUMBER b. REVISED I REVISION NO. DATE (YYYYMMDD)

(Supersedes all ptevlous specs) x c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD) DATE (YYYYMMDD) F A2521-R-13-0008 c. FINAL (Complete Item 5 In ell cases)

4. IS THIS A FOLLOW-ON CONTRACT? L_jYES ~ NO. If Yes, complete the following:

Classified maturial received or generated under (Preceding Contract Number} Is transferred to this follow-on contract.

6. IS THIS A FINAL DD FORM 264? l__JYES ~ NO. II Yes, complete the following:

In response to the contractor's request dated , retention of the classified materlal Is authorized for the period of

6. CONTRACTOR (Include Commen:iat and Government Entity (CAGE) Code)

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

TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE b.CAGECODE c. COGNIZANT SECURITY OFFICE (Name, Addtess, end Zip Code)

8. ACTUALPERFORMANCE

a. LOCATION b.CAGECODE c. COGNIZANT SECURITY OFFICE (Name, Address, end Zip Code}

Contractor facility and test ranges (cont in BLK 13)

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Instrumentation Radar Support Program (IRSP) provides serviceable components and subsystems for instrumentation trucking systems (rudar, telemetry, and optical). TS Facility Clearance for work at Las Vegas NV range requires TS clearance with all other ranges requiring a SECRET clearance.

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION x Q T( ~1 '1N v Al

. CONTRACTOR'S l"Ar ILITY m~ A, GOV.,HNM.,NT ACTIVITY ''"'"' x

b. RESTRICTED DATA x b. RECEIVE CLASSIFIED DOCUMENTS ONLY x

c. CRITICAL NUCLEAR Vd:APON DESIGN INFORMATION x c. RECEIVE AND GENERATE CLASSIFIED MATERIAL x

d. FORMERLY RESTRICTED DATA x d. FABRICATE, MODtFY, OR STORE CLASSIFIED HARDWARE x

e. INTELLIGENCE INFORMATION ~i:f~f:" :Iffiill o. PERFORM SERVICES ONLY x

(1) Sllll81Uva Compartmcntod lnfonnatlon (SCI) x I. lll1~~TORICC L0 .. A1i1D11<U::11 •c,;'~ITORIES _u.::i., x

(2) Non-SCI x Q. B_~!! ~~ tuftc) O~OO l:CJNUAHY 015~:.~~iGN' ~;: .. "-!~~"" ll'lr\Jn~ 11

1 x I. SPECIAL ACCESS INFORMATION x h. REQUIRE A COMSEC ACCOUNT x

g. NATO INFORMATION x I. HAVE TEMPEST REQUIREMENTS x

h. FOREIGN GOVERNMENT INFORMATION x J. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS x I. LIMITED DISSEMINATION INFORMATION x k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE x J. FOR OFFICIAL USE ONLY INFORMATION x I. OTHER (Specify} x

k. OTHER (Specify} x

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe PrGfesslonal 7.0

12. PUBLIC RELEASE •. Ar.y information (classffied or unclassified) pertaining to this contract shall not be released for public dissemlnntlon except as provided by the Industrial Security Manual or unle&B It has been approved for public release by appropriate U.S. Govamment authority. Proposed public rele11ses shall be submitted for approval prior to release CJ Direct [&] Through (Specify)

45 SW/PA (321) 494.5933 or DSN: 854-5933 Public Affairs Office 1701 Edwards H. White JI St. PAFB, FL 32925 to the C11reetorate for Freedom of Information and Security Review, Office or 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 dassificalion guidance needed for this dassified effort Is Identified below. If any difficulty Is encountered In applylng this guidance or If any other contributing factor Indicates a need tor changes In this guidance, the contractor Is authorized and encouraged to provide recommended changes; to challenge the guidance or the dassification assigned to any information or material furnished or generated under this conlract; 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 dassilicallon assigned or recommended. (Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/gu/desfextf';Ji:ts referenced herein. Add additional pages as needed to prollide complete guidance.)

Using activity will furnish complete classification guidance for the services to be performed. Contract performance is restricted to work-site and authorized visit location.

See notification of Government Activity Clause contained in contract.

This authorizes the contractor to transfer material received or generated under the proceeding contract F08650-0 l-C-0066 to the new contract, FA2521-07-C-009.

Block Sa (cost) Ranges 'IUpported: Cobra Dane, AK; Yuma, AZ; NUWC DET AUTEC (Andros Island, Bahamas); China Lake, CA; Point Mugu, CA; Edwards, CA; Vandenberg AFB, CA; Eglin AFB, FL; 45 SW, Patrick AFB, FL; SMC, Eas:em & Western ranges; Kek:tha, tt:; Aberdeerr!'roving Ground, MD, Patuxent River, MD; Center for Countermeasures, WSMR, NM; White Sands Missile Range, NM; C.as Vegas NV; Tonopah Test Range, NV; Hill AFB, UT; Wallops Island, VA; Wocmera, Australia; DLR, Gennany; Anden::s, Norway; Vtdsel, Sweden; Aberporth; UK; Hebrides, UK; Chungnam, Korea; Emmen, Switzerland.

14. ADDITIONAL.SECURITY REQUIREMENTS. Requirements, In addition to ISM requirements, are established for this contract I I Yes ~ No (If Yes, identify the pertinent ,;ontractuet clauses in the contract documant itself, or prollide en appropriate statement which Identifies the edd1'NOrii1' requirements. PtollidtJ a cop1 of Iha requirements to the cognizant security offlce. Use Item 13 If addiaonel space Is needed.)

1 S. INSPECTIONS. J:lemems of this contract are outside the inspection responsibility or the cognizant security office. LJ Yes IKJ No (If Yes, nxp:ain and identify specmc areas or elements carved out and the actMty responsible for inspections. Use Item 13 If additional space is needed.) .

16. CERTIFICATION.AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguardfng Ute classlfied lnfonnatlon to be released ur generated under this classlflecl effort. All questions shall be referred to the official named below.

~-:v.;;::;:;'7.":';:;:';:;;:";.o~:;;:;::~;~;:::;::::-:~------T':""-=::::-:=-----------_;,.-------------------r......,,~.,,.,,,~,,.,,.-.,....,_...,.-..,,......,..,----1 o. TYPF.D NAMF. OF C~RTIFY•NQ OFFICIAL b. TITLE c. TELEPHONE (lncrud11 At0a Code)

LARRY R. SPRAGUE

d. AOCRESS (ln.:/ude Zip Cc<k)

45th RMS/RMAI 1201 Edwards B. White II St.

Program Manager, IRSP (321) 494-5168

17. REQUIRED DISTRIBUTION -

a. CONTRACTOR -

b. SUBCONTRACTOR t-:P:-A-;F;-;:8:::,:':'.f;"";L;:3:::2:::9~2-S ______ -:--------------------------1---~ c. COGNIZANT SECURITY OFFICE FOR PRIP.IE AND SUBCONTRACTOR

e. ~NATURE J d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY AOMIMSTRATION rj<{l/!MA- /!.-?7;(~/ ,,. ~,/..,,, ~ ~ .._ """'5f" e. ADMINISTRATIVE CONTRACTING O~FICER . - fr X I. OTHERS AS NECESSARY

DD FORM 254 BACK), DEC 1999