Attachment 2 DD 254

423 KB Posted

Attached to
Columbus Aircraft Maintenance Services Federal contract opportunity
Solicitation number
FA3002-11-R-0007
Issued by
Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

About this file

Attachment 2 - DD Form 254

Text of this file

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

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

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

b. LEVEL OF SAFEGUARDING REQUIRED

2. THIS SPECIFICATION IS FOR: (X and complete as applicable)

a. PRIME CONTRACT NUMBER

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

3. THIS SPECIFICATION IS: (X and complete as applicable)

a. ORIGINAL (Complete date in all cases)

REVISION NO.

c. FINAL (Complete Item 5 in all cases)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specs)

DATE (YYYYMMDD)

DATE (YYYYMMDD)

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

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 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)

7. SUBCONTRACTOR

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

8. ACTUAL PERFORMANCE

a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

b. RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

d. FORMERLY RESTRICTED DATA

e. INTELLIGENCE INFORMATION

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

f. SPECIAL ACCESS INFORMATION

g. NATO INFORMATION

h. FOREIGN GOVERNMENT INFORMATION

i. LIMITED DISSEMINATION INFORMATION

j. FOR OFFICIAL USE ONLY INFORMATION

k. OTHER (Specify)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY

b. RECEIVE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION

CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE TEMPEST REQUIREMENTS

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

l. OTHER (Specify)

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

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 releases shall be submitted for approval prior to release

a. TYPED NAME OF CERTIFYING OFFICIAL

Direct Through (Specify)

d. ADDRESS (Include Zip Code)

Yes No 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.

13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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. Add additional pages as needed to provide complete guidance.)

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 No15. 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.)

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.

b. TITLE c. TELEPHONE (Include Area Code)

e. SIGNATURE

17. REQUIRED DISTRIBUTION

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

DD FORM 254 (BACK), DEC 1999

fac_clear: Secret
safe_level: Secret
prime_no:
xprime: Off
sub_no:
xsub: Off
xsolic: Yes
solic_no: FA3002-11-R-0007
due_date:
xspec3: Orig
orig_date: 20111001
rev_no:
rev_date:
final_date:
xfollowon: Yes
prec_no: FA3002-05-C-0016
xfinal: No
req_dated:
period:
ctr_name:
ctr_cage:
ctr_ofc:
sub_name:
sub_cage:
sub_ofc:
perf_loc:

795 LOCKHART STREET, BUILDING 640

COLUMBUS AFB, MS 39710-9910

perf_cage:
perf_ofc: 14 FTW/IP

680 SEVENTH STREET, SUITE 125

COLUMBUS AFB, MS 39710-6801

gen_id:

AIRCRAFT MAINTENANCE AND MUNITIONS STORAGE AREA AT COLUMBUS AFB, MS

x10a: Yes
x10b: No
x10c: No
x10d: No
x10e1: No
x10e2: No
x10f: No
x10g: No
x10h: No
x10i: No
x10j: Yes
x10k: Yes
other10k: Notification of government security activity is required by FAR 52-204-2
x11a: Yes
x11b: Yes
x11c: Yes
x11d: Yes
x11e: Yes
x11f: Yes
x11g: Yes
x11h: Yes
x11i: Yes
x11j: Yes
x11k: Yes
x11l: Yes
other11l:
xrelease: No
release_thru: 14 FTW/PA

495 HARPE BLVD SUITE 186

COLUMBUS AFB, MS 39710-5001

guidance: 10j: For Official Use Only (FOUO) information provided under this contract shall be safeguarded as specified in accordance with applicable publications and forms as they apply to FOUO.

11a. COMSEC Information required for this contract will be in accordance with AFI 33-201 volumes 3, 4, and 9 and AFI 33-230.

11c: The contractor will be considered a Long-Term Visitor's Group. Contract performance will be conducted in accordance with the Performance of Work Statement and Visitor Group Support Agreement. The only installation the contractor is authorized to perform services for is Columbus AFB, MS. The using activity will provide security classification guidance for performance of this contract.

The Air Force Instructions (AFI) 31-401 Information Security, AFI 31-501 Personnel Security Program Management, and AFI 31-601 Industrial Security Program Management are to be followed until superseded by AFI 16-1401. When superseded, AFI 16-1401 will be the applicable security instruction for this contract.

Coordination //signed--lap--8 Aug 11// LISA A. PENDER, Civ, DAF

14 FTW/CIP

COLUMBUS AFB, MS.

xaddlsec: Yes
addl_sec: A long term visitor group security agreement will be executed between the Installation Commander and the contractor. All provisions of the Visitor Group Security Agreement (VGSA) and any updates shall be complied with.

Ref Block 17f below- Provide copies to 14 FTW/MAQ Security Manager and 14 FTW/IP at Columbus AFB, MS

xinsp: Yes
inspections: The Defense Security Service (DSS) is relieved of all Industrial Security inspection responsibilities. 14 FTW/IP will provide security oversight and conduct required inspections in accordance with Air Force Instructions and the Contractor's VGSA.
cert_name: JUDY B. ENDSLEY
cert_title: CONTRACTING OFFICER
cert_phone: (662) 434-2487
cert_addr: 809 SCHUMAKE STREET, SUITE 6

COLUMBUS AFB, MS 39710-2101

cert_sign: //signed--jbe--13 Sep 11//
x17a: Yes
x17b: Off
x17c: Yes
x17d: Off
x17e: Yes
x17f: Yes
other_dist: HQ AETC IP, DSS, PCO (SEE 14 ABOVE)
Reset:

Other files for this federal contract opportunity

Other files attached to Columbus Aircraft Maintenance Services, newest first.
File Type Posted
Pre-Pro Conf MFR for FBO.doc DOC document
Columbus Aircraft_Maintenance Site Visit Presentation.pptx PPTX presentation
Pre-Proposal Conf Sign-In Roster.pdf PDF
BASE MAP 2010.jpg JPG image
Columbus Site Visit Agenda Memo 19-20 Oct 2011.docx DOCX document
Attachment 13 Past Performance Consent Form.docx DOCX document
Attachment 3 Wage Determination 05-2295 Rev 13.pdf PDF
Attachment 5 CBA - T Square 28 Jul 09.pdf PDF
Attachment 12 Past Performance Information Sheet.docx DOCX document
Attachment 4 CBA - DynCorp 1 Jul 09.pdf PDF
Attachment 10 Past Performance Questionnaire Cover Letter.docx DOCX document
Attachment 15 Pre-Registration Form for Site Visit.docx DOCX document
Attachment 6 Cost Price Model.xlsx XLSX spreadsheet
Attachment 7 Small Business Subcontracting Plan Worksheet.docx DOCX document
Attachment 14 Question and Comment Sheet.xlsx XLSX spreadsheet
Attachment 9 Quality Assurance Surveillance Plan.docx DOCX document
Attachment 11 Past Performance Questionnaire.docx DOCX document
Draft RFP —
Memo For Industry Draft RFP 24 Sep 2011.pdf PDF
Consolidated Q A 2.docx DOCX document
Revised Key milestone dates for industry 23 Aug 2011.pdf PDF
Columbus AMS Cost Price Model Rev 1- 18 Jul 11.xlsx XLSX spreadsheet
Consolidated Q A 1.docx DOCX document
MFR for Communications During Source Selection.pdf PDF
Key milestone dates for industry 27 Jul 2011.doc DOC document
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