Atch_7_DD_Form_254_Amendment_1.pdf

Solicitation No. fA4 608-l3-R-000l ~ontract No . ______________ __ ~ttac~me¥t2 7 age 0

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE a FACILITY C LEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD Industrial Security Manual apply b LEVEL OF SAFEGUARDING REQUIRED to all secunty aspects of lh1s effort.)

2. THIS SPECIFICATION IS FOR: (X and complete <Js <Jpplic<Jble) 3. THIS SPECIFICA TlON IS: (X and complete as appficable) a PRIME CONTRACT NUMBER DATE (YYYYMMDD) a ORIGINAL (Complete d<Jte m all cases) b SUBCONTRACT NUMBER b REVISED I REVISIO N NO. DATE (YYYYMMDD) (Supersedes all prevrous specs) c SOLICITATIO N OR OTHER NUMBER DUE DATE (YYYYMMDD) DATE (YYYYMMDD)

c. FINAL (Complete lfem 5 m all cases)

4. IS THIS A FOLLOW-ON CONTRACT? L_j YES L_jNO If Yes. complete the followmg:

Class1f1ed material rece•ved or generated under (Precedmg Contract Number) •s transferred to this follow-on contract

5. IS THIS A FINAL DO FORM 254? L_j YES L_jNO If Yes. complete the following:

In response to the contractor's request dated • retenhon of the classified matenal1s authorized for the penod of

6. CONTRACTOR (Include Commerc1a1and Government Ent1ty (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 Z1p Code)

8. ACTUALPERFORMANCE

a LOCATION b. CAGE CODE c COGNIZANT SECURITY OFFICE (Name. Address. and Z1p Code)

9. GENERAL IDENTIFICA TlON OF THIS PROCUREMENT

10. CONTRACTOR WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO a COMMUNICATIONS SECURITY (COMSEC) INFORMATION a. ~~~X~fa~-~VF):e·iWt!f8W J..Nt~J~~~¥~~\tv'fr~NV I Ht:R

D. RESTRICTED DATA b RECEIVE ClASSIFIED DOCUMENTS ONLY

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION c. RECEIVE AND GENERATE ClASSIFIED MATERIAL d FORMERLY RESTRICTED DATA d FABRICATE MOCllFY. OR STORE CLASSIFIED HARDWARE

e. INTELLIGENCE INFORMATION e PERFORM SERVICES ONLY

(I) SensoJ•vo Compmlmentod lnformatoon (SCI) 1 ~C¥~f8Wfd'81°s u ~~~~~/&'~~ lWD0fR~')J~q~~Mt~~tEHE u s .,

(2) Non-SCI f1 E~ at-b~(o1~l'bR uo~~~R si~O~b~~$' ~ST~~'EHiCI'N' &~tl\~AL IN.URMA IVN f SPECIAL ACCESS INFORMA nON " REQUIRE A COMSEC ACCOUNT

g. NATO INFORMATION ' HAVE TEMPEST REQUIREMENTS h FOREIGN GOVERNMENT INFORMATION J HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

' LIMIT ED DISSEMINATION INFORMATION k BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

I FOR OFFICIAL USE ONLY INFORMATION I OTHER (Specify) k OTHER /Spec,fy/

DO FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adolle Professoonal 7 0

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FA4608-13-R-0001

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1125454743C Typewritten Text Claiborne Range Forest Service Road 240 Woodworth, LA 71485

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NA

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1125454743C Typewritten Text SECRET clearance needed to receive a CAC for Technical Orders and Air Force Instruction access.

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1125454743C Typewritten Text Air Force Portal and NIPRNET

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Solicitation No. l'A4bUts-1J-K-UUU1 Contract No .

Attachment 7--------------- Page 2 tlf 2

12. PUBLIC RELEASE. Any informat1on (classified or unci8SSrfied) perta1n1119 to th1s contract shall not be released for pubhc d1ssemtnation except as prov1ded by the lndustnal Se.cunty Manual or unless it has been approved for publtc release by appropriate U S. Government aulhonty. Proposed public releases shall be submitted for approval pnor to release c=J Direct c=J Through (Specify) to the Dtrectorate for Freedom of Information and Secunty Revtew. Offtce of the Ass•stant Secretary of Defense (Public Affairs)' for rev1ew.

'In the case of non-DoD User Agenctes. requests for disclosure shall be subm1tted to that agency.

13. SECURITY GUIDANCE. The security classification guidance needed for th1s class1f1ed effort is identified below. If any difficulty is encountered 1n apply1ng th1s guidance or if any other contributing factor indtcates a need for changes in th1s guidance, the contractor IS authonzed and encouraged to pro111de recommended changes, to challenge the guidance or the claSSiftcat•on asSigned to any information or matenal furn•shed or generated under this contract, and to submit any questions for mterpretation of this gu1dance lo the offtcial 1denlif1ed below. Pending final decisiOn, the mfonnabon mvolved shall be handled and protected at the h1ghest level of classification ass•gned or recommended. (Fill in as appropnate for the classified effon. A/1ach, or forward under separate correspondence, any documentslguideslextracts referenced herem. Add add1tronal pages as needed to prowde complete guidance)

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements. in addition to ISM requirement$, are established for th1s contract. II Yes LJ No (If Yes. idenhfy the pertment contractual clauses in the contract document 1lself. or provide en appropriate stateme•1f whlellrdentifies the add1'iioniif' reqUirements. Provrde a copy of the reqUirements to the cogmz ant secunty off1ce Use Item 13 1f additional space is needed)

15. INSPECTIONS. Elements of th•s contract are outside the inspection respons1btltty of the cognizant security otroce. D Yes • LJ No (If Yes, explain and 1denl1fy specific areas or elements caNed out and the activity respons1t>le 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.

a TYPED NAME OF CERTIFYING OFFICIAL b. TITLE d ADDRESS ifnclude Zip Code} 17. REQUIRED DISTRIBUTION f---a CONTRACTOR f---

0 SUBCOI'ITRACTOR

f---c TELEPHONE (Include Area Code}

1--====:::-------------------------t---l c COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR e SIGNATURE f--- <1 U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION f--- e ADMINISTRATIVE CONTRACTING OFFICER

f. OTHERS AS NECESSARY

DO FORM 254 (BACK), DEC 1999

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1125454743C Typewritten Text This is a service type contract with all services to be performed at Claiborne Bombing and Gunnery Range, Woodworth, LA. The contractor will not require classified storage capabilities at the home office, 307th Operations Support Flight, nor at Claiborne Range. The Program Manager and Electronic Technician Level-3 will need access to the government NIPRNET to obtain required Technical Orders and Directives to conduct duties.