Attachment 4 ABOS DD-254.pdf
PDF 74 KB Posted
- Attached to
- Ascension Base Operations Support Federal contract opportunity
- Solicitation number
- FA252122R0011
About this file
This document contains a DD Form 254, Contract Security Classification Specification, and details of a related federal contract opportunity notice.
The DD Form 254 specifies security requirements for the Ascension Base Operations Support contract, a non-personal services contract to provide mission and base operations services at Ascension Auxiliary Air Field in support of the Space Launch Delta 45, Department of Defense, and Royal Air Force. The contractor must have a facility clearance, safeguard classified materials, and comply with National Industrial Security Program regulations. Access is required to classified materials, COMSEC accounts, Defense Technical Information Center, and generating controlled unclassified information. The contracting agency is the 45th Contracting Squadron.
The federal contract opportunity notice provides details of Solicitation Number FA252122R0011 for Ascension Base Operations Support services, including operations, maintenance, support, communications, airfield management, health, emergency response, fire protection, security, dining, lodging, and other base services. The total small business set-aside has a proposal due date of 6 May 2022. Offerors must register and submit proposals through the Procurement Integrated Enterprise Environment system.
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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:
May 31, 2022 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.)
List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)
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"
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: Unclassified |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: FA2521-21-R-0023 |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 1 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: Mike Pfister |
| Enter CAGE code of the prime contractor.: |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: SLD 45 Information Protection Office (SLD 45/IP) |
1201 Edward H. White II Street Patrick SFB, FL 32925
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: Ascension Island Auxiliary Air Field (AAAF) |
| Enter general unclassified description of this procurement.: The ABOS contract is a non-personal services contract to provide mission services and base operations services at Ascension Auxiliary Air Field (AAAF). |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 1 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 1 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 1 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 1 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 0 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Enter infomration for "other.": Personal Data (PII) |
| Enter infomration for "other.": Information Assurance, see Item # 13 |
AFFAR Part 5352.204-9000, Notification of Government Secu
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 1 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: SLD 45/PA (321) 494-5933 or DSN: 854-5933 |
Public Affairs Office
| Enter public release authority.: None |
| Select to add signature.: |
| Select to remove last signature.: |
| text: - Ref Item 10a and 11h: COMSEC: Contractor shall perform COMSEC related tasks in accordance with (IAW) AFMAN 17-1302-0 |
- A COMSEC account is required for control of keying material associated with GFE mobile/hand-held encrypted radios
- Ref Item 10j and 11l: The contractor may be required to generate Controlled Unclassified Information (CUI) in the form of documents and artifacts that meet the criteria, in accordance with DoDI 5200.48.
- Ref Item 10k: Protection of personal data shall be in accordance with United States Code (U.S.C.) Title 5, Section 552a, Privacy Act and U.S.C. Title 10, Section 8013, Privacy Act of 1974. See AFI 33-332, Privacy Act Program, for specific guidance, implementation, and training.
- Ref Item 11c/11d regarding storage and handling of classified material, the contractor will comply with the following directives:
- DODM 5200.01 vol 1-3/AFM 16-1404, Information Security Program
- DODM 5220.32 V1/AFM 16-1406, National Industrial Security Program: Industrial Security procedures for government activities
- 32 CFR Part 117 (NISPOM Rule)
- Ref Item 11f: Contractor support for the ABOS contract will take place on Ascension Island, which is part of the British Overseas Territory of St Helena and administrative/logistic functions will take place at Patrick SFB and Cape Canaveral SFS.
- Ref Item 11g, DTIC Access: Contractor shall prepare and process DD Form 1540 to DTIC. Subcontractors are required to prepare and process the DD Form 1540 through the prime contractor. NISPOM (DOD 5220.22M) Chapter 11, Section 2, Para 11-203 (a) and (b)
- Ref Item 11j, OPSEC:
The contractor shall comply with SLD 45 OPSEC requirements to protect critical information as defined in AFI 10-701, Operations Security, and the SLD 45 OPSEC plan.
The contractor shall appoint in writing a primary and alternate OPSEC Representative to work with the SLD 45 OPSEC Signature Manager performing OPSEC duties within the contract.
Contractors shall receive unit-specific OPSEC training within 90 days of assignment to a contract. Training will be obtained from the SLD 45 OPSEC Signature Manager.
Contractors shall complete annual refresher training distributed by the SLD 45 OPSEC Signature Manager as well complete the Advanced Distribution Learning System course titled OPSE 1301, OPSEC Fundamentals.
SLD 45 OPSEC personnel will provide guidance on protecting critical information, including training materials, AFI 10-701, Operations Security, and other instructions as needed. The contractor shall contact the unit OPSEC Signature Manager with any questions.
- Ref Item 11k, DCS: Any classified information generated in the performance of this contract shall be classified according to the markings shown on the source material.
- Block 11m: Contractor will provide appointment memos for primary and alternate Cybersecurity focal points to the SLD 45 Cybersecurity Office. The Cybersecurity Office will provide training for the disciplines required.
| Click on this button to attach a file(s).: |
| rep: |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: The contractor shall sign for understanding, a Visitor Group Local Security Policy (VGLSP) with the local Servicing Security Agency (SSA), SLD 45/IP and the on-site governmental functional for the operations on an SLD 45 installation or owned or leased property. Sub-contractors will also be required to sign a separate VGLSP or addendum. |
| Explain and identify specific areas and government activity responsible for inspections.: DCSA (Defense Counterintelligence and Security Services) is relieved of industrial security oversight for contractor performance on DoD installations or DoD leased property as long as the local Commander has requested oversight. Inspections will be conducted by the local Servicing Security Agency (SSA), SLD 45/IP. |
SLD 45/IP will conduct annual Industrial Security Reviews IAW AF and DoD guidance.
| Enter GCA name.: 45th Contracting Squadron |
| Enter AAC of the contracting office.: FA2521 |
| Enter AAC of the contracting office.: FA2521 |
| Enter address (include zip code).: 1201 Edward H. White II St. |
Patrick AFB, FL 32925 Enter address (include zip code).: 1201 Edward H. White II St.
Patrick AFB, FL 32925
| Enter POC name.: Tammy Davis |
| Enter telephone number (include area code).: 3214945174 |
| Enter telephone number (include area code).: 3214940755 |
| Enter email address.: tammy.davis@spaceforce.mil |
| Enter email address.: michael.pfister.3@spaceforce.mil |
| Enter title.: ABOS Program Manager |
| Enter the datesigned in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .