Attachment 3_CUI Acknowledgement Revised.pdf

DEPARTMENT OF THE AIR FORCE

90TH MISSILE WING (AFGSC)

DETER • MODERNIZE • STRIKE

27 August 2025

MEMORANDUM FOR RECORD

FROM: 90 CONS/PKAA

SUBJECT: Controlled Unclassified Information Release, Project Number: GHLN 25-0349;

Replace Carpet at MAF’s

1. The purpose of this memorandum is to record receipt of Department of Defense (DoD)

Controlled Unclassified Information (CUI).

2. Information Safeguarding is required for any information that is marked as CONTROLLED

UNCLASSIFIED INFORMATION (CUI).

3. Please provide your Commercial and Government Entity (CAGE) Code and sign below to confirm receipt and acknowledgement of the following statement concerning safeguarding of

CUI material.

a. Information safeguarding is the responsibility of the individual, agency, and/or company requesting and taking possession of the CUI documents associated with

Project Number: GHLN 25-0349.

b. Release or reproduction of this material or any part thereof, is prohibited, except for official use only. No public publication of this material—by any means—is authorized.

c. This material shall be destroyed properly. In accordance with Section 2002.14 of Title

32, CFR and National Institute of Standards and Technology (NIST) Special

Publication (SP) 800-88, record and non-record CUI documents must be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.

d. The CUI paper destruction methods the individual, agency, and/or company must use are cross-cut shredders that produce 1mm. x 5 mm. (0.04 in. x 0.20 in.) particles (or smaller); or pulverize/disintegrate paper using disintegrator devices equipped with a

2.4 mm. (3/32 in.) security screen.

4. Direct any questions in regard to this policy to the F. E. Warren AFB Civil Engineer

Squadron at (307) 773-3046. Information safeguarding and marking requirements are per the following (when applicable):

a. AFI 33-332, Records Management and Information Governance Program;

b. DoDI 5200.48_DAFI 16-1403, Controlled Unclassified Information (CUI);

c. Defense Federal Acquisition Regulation Supplement (DFARS) 252.204-7008, Compliance with Safeguarding Covered Defense Information Controls;

d. DFARS 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident

Reporting;

e. DFARS 252.204-7019, Notice of NISTSP 800-171 DoD Assessment Requirements;

f. DFARS 252.204-7020, NIST SP 800-171 DoD Assessment Requirements; and/or

g. Executive Order 12958

5. The document(s) shall only be released to vendors who have demonstrated they are compliant with DFARS 252.204-7019 and DFARS 252.204-7020 by COMPLETING THE BASIC

ASSESSMENT/ NIST SP 800-171 in the Supplier Performance Risk System (SPRS) within the Procurement Integrated Enterprise Environment (PIEE).

6. Once the assessment has been verified complete in SPRS, the Contractor shall request documents via email from 2d Lt Shane Yurkus at shane.yurkus@us.af.mil and Arthur Makekau at arthur.makekau@us.af.mil.

7. The CUI document(s) shall be provided via a DoD SAFE Link (safe.apps.mil) and sent to the

Contractor representative once Attachment 3_CUI Acknowledgement is signed and returned.

ARTHUR MAKEKAU, GS-13, DAF

Contracting Officer

TO: 90 CONS/PKAA

DATE: _________________________ CAGE: _________________________

I have read and understand the Information Safeguarding Statement above and agree that the denoted CUI material(s) received below shall be returned to the 90th Contracting Squadron with the Contractor proposal.

I acknowledge receipt of: Attachment 4 – (CUI) Drawings

(Contractor Company Name Here) (Contractor Signature Here)

(Contractor Name in Print Here) mailto:arthur.makekau@us.af.mil