Vid Sys Atch 3 - DD254.docx

1. CLEARANCE AND SAFEGUARDING

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

b. LEVEL OF SAFEGUARDING REQUIRED

None

a. PRIME CONTRACT NUMBER

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs) Revision No.

Date (YYMMDD)

Classified material received or generated under

(Preceding Contract Number) is transferred to this follow-on contract

In response to the contractor's request dated , retention of the identified classified material is authorized for the period of .

6. CONTRACTOR (Include Commercial and Government Entity ( CAGE) Code)

7. SUBCONTRACTOR

8. ACTUAL PERFORMANCE

3 SOS

Bldg 780, Bldg 123 Cannon AFB, NM 88103

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Installation, configuration, test, and 1-year On-site and Off-site maintenance support of Video Capture System for Dragon Operations Center at Cannon AFB, NM, to directly support 3 SOS MQ-1 and MQ-9 aircraft flight operations.

a. COMMUNICATIONS SECURITY (COMSEC)

INFORMATION

e. INTELLIGENCE INFORMATION:

k. OTHER Specify) Automated Information Systems (AIS) Access NIPRNET and SIPRNET

DD Form 254 (Dec 99) PREVIOUS EDITION IS OBSOLETE

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 release shall be submitted for approval prior to release

Direct |X|

Through (Specify):

Public release of SCI and/or non-SCI intelligence information is prohibited.

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 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 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 document/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.

1. Supported USAF organizations will provide security classification guides and other classification guidance to the contractor as required for contract performance. Contractors will comply with all Hurlburt Field, supported unit and special program requirements. Supported units will provide security requirements and instructions, and will include contractors in the unit Information Security program.

2. Classified markings on all working, draft, and final copies of deliverable material shall be in accordance with Executive Order 12958, The Controlled Access Program Coordination Office (CAPCO) guidelines, DOD 5220.22-M, DoD 5200.1R and applicable instructions contained in the respective security classification guides.

3. For on-base contractors, the NISPOM security standards can be satisfied by incorporating AFI 31-401, Information Security Program Management, and AFI 31-601, Industrial Security Program Management, requirements into the Visitor Group Security Agreement.

4. All classified material provided shall be returned by the contractor at contract completion. Individuals are responsible for safeguarding classified information entrusted to them.

5. Use only AF certified AIS for performance on base and will comply with all AF AIS procedures.

DSN: 681-2433 (575) 784-6221 DSN: 681-2416

DSN: 681-6221

** See attached addendums for items 10 e (1&2), j, k and 11 j.

Provide the information requested by the Notification of Government Security Activity clause and Visitor Group Security Agreements Clause, AFFARS 5352.204-9000, to the Servicing Security Activity indicated in Item 13 above. Refer to the contract document for these clauses. The visitor group will operate per DoD 5200.1-R, AFI 31-401, AFI 31-601, Hurlburt Field supplements and unit security program operating instructions, plans and procedures. See attached addendum for SCI.

15. 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.

Long term visitor groups will be inspected as part of the supported organizations annual Information Security Program Review, conducted by the SSA, while operating on an Air Force Installation. The contractor will comply with the visitor group security agreement provided by the USAF Program/Project Manager at the performance location. The above does not apply to SCI, see attached addendums.

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.

Contracting Officer

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a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

|X|

e. ADMINISTRATIVE CONTRACTING OFFICER

|X|

f. OTHERS AS NECESSARY 27 SOSFS/S5I, 27 SOSS/SSO & AFSOC/A2S

DD FORM 254 (BACK), DEC 1999