Attachment 4 DD FORM 254.doc

DEPARTMENT OF DEFENSE

1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

a. FACILITY CLEARANCE REQUIRED

TOP SECRET

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

b. LEVEL OF SAFEGUARDING REQUIRED

N/A

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases)

Date (YYYYMMDD)

b. SUBCONTRACT NUMBER

Date (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT?

Classified material received or generated under _________(Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS FINAL DD Form 254?

In response to the contractor’s requested dated , retention of the identified 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

561 JTS (See Item 13)

(Bldg 107 and Bldg 1114), Nellis AFB, NV 89191

b. CAGE CODE

N/A

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

99ABW/IP

Nellis AFB, NV 89191

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Author/Edit 561st Joint Tactics Squadron Air Force Tactics, Techniques & Procedures (AFTTP 3-1) Manuals

10. THIS CONTRACT WILL REQUIRE ACCESS TO:

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY

X

b. RESTRICTED DATA

X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

X

d. FORMERLY RESTRICTED DATA

X

e. INTELLIGENCE INFORMATION

e. PERFORM SERVICES ONLY

X

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

X

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

X

h. REQUIRE A COMSEC ACCOUNT

X

g. NATO INFORMATION

X

I. LIMITED DISSEMINATION INFORMATION

X

I. OTHER (Specify)

X

k. OTHER (Specify) Notification of Government Security Activity is required by the Federal Acquisition Regulation (FAR) 52.204-2.

Classified Equipment: Access to AFTTP 3.1/STE/SIPR/JWICS/ISS X

DD Form 254, DEC 1999 Previous editions are obsolete

Attachment #5

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 Government authority. Proposed public releases shall be submitted for approval prior to release

HQ ACC/A2SP USAFWC/SSO HQ ACC/PA HQ USAF/A2RS-CSA HQ ACC/A8Z

209 Thornell Avenue 3811 Duffer Drive 115 Thompson St., Ste 211 1700 AF Pentagon 204 Dodd Blvd, Ste 160 LAFB, VA, 23665-2717 Nellis AFB, NV 89191 LAFB AFB, VA 23665 Washington DC 20330 Langley AFB VA 23665

NOTE: Public release of classified information, to include SCI is not authorized.

13. SECURITY GUIDANCE: The Security classification guidance need 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/guidelines/extracts reference herein. Add additional pages as needed to provide complete guidance.)

Period of performance: 01 Jul 2012 Contract Expiration Date: 30 June 2017 Option Years: 4 Contract Monitor: LT COL NICHOLAS GUTTMAN, 561JTS/CC Item 8: TOP SECRET SCI SAP/SAR work will be accomplished in building 1114 Nellis AFB, NV 89191when needed.

a. Ref. 10a COMSEC material/information may not be released to DoD contractors without Air Force Cytological Support Center (AFCSC) approval. Contractor must forward requests for COMSEC material/information to the COMSEC officer through the program office. The contractor is governed by the DoD 5220.22-S COMSEC Supplement to the NISPOM in the control and protection of COMSEC material/information. Access to COMSEC material by personnel is restricted to U.S. citizens holding final U.S. Government clearances. Such information is not releasable to personnel holding only reciprocal clearances. Contractor will require access to COMSEC information at the on-base locations listed in item 8a. Contractor will not require their own COMSEC account. Access will be controlled by the sponsoring agency. Contractor will protect COMSEC material IAW directives deemed necessary by the installation COMSEC officer. Contract shall be administered under the guidelines of the National Industrial Security Program Operating Manual (NISPOM), 1 Jan 95. Contractor will require access to COMSEC information, to include STUIII/STE devices, at the performance location.

b. Ref. 10e: (1)(2) Intelligence – Contractor will require access to security directives specified in Attachment 1-3. Regulatory compliance is mandatory unless otherwise specified in writing by USAFWC SSO NELLIS or SSO ACC.

c. Ref. 10f: Special Access Information –The contractor must adhere to the special access requirements/procedures developed by the OPR. SAP performance at the contractor cleared facility is not authorized. Performance will be limited to government approved facilities. See attachment 4 for additional SAP security requirements”.

d. Ref. 10h: Foreign Government Information – “Access requires a final U.S. Government clearance at the appropriate level.”

e. Ref. 10j: For Official Use Only – For Official Use Only (FOUO) information provided under this contract shall be managed and safeguarded IAW DoD 5400.7-R, Chapter 4, DoD Freedom of Information Act (FOIA)

f. Ref. 10k: The government will provide classified network access to include e-mail and web browser. Contractors will be held accountable for actions they initiate on the network and will conduct business IAW USAF, ACC, and local base instructions and policies. Sponsoring government agency will provide Information Assurance training prior to contractor access to network services. The government will only provide JWICS network access to include email and web access provided the contractor meets ‘all’ SCI eligibility and training requirements and maintains the appropriate SCI access level. Contractors will be held strictly accountable for all actions they initiate on the network and will conduct business IAW USAF, ACC, and local base instructions and policies. JWICS privileges will be terminated if contractor does not maintain a current TS investigation. STE access is required for contract performance. Access will be controlled by the sponsoring agency. Contractor will follow requirements IAW AFI 33-201 V9

g. Ref. 11a: Contract performance is restricted. The highest level of security clearance required for contract performance is SCI-DCID 6/4. Using activity will provide security classification guidance for performance of this contract. The government will oversee the handling and storage of classified information in support of this contract. The government will provide storage capability for all classified material required for this contract. All classified information will be returned to the government upon termination of the contract.

No 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.)

Visitor Group contractors are required to enter into a security agreement with the host base Information Security Program Manager. Provide the information requested by the Notification of Government Security Activity Clause, AFFARS 5352.204-9000, and Visitor Group Security Agreements Clause AFFARS 5352.204-9001, to the Servicing Security Activity (SSA). Visitor Groups will safeguard all collateral classified information IAW DoD 5200.1-R, Information Security Program; AFI 31-401, Information Security Program Management; AFI 31-601 Industrial Security Program and other directives deemed necessary by the SSA. (See item 13)

No elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

When contractors are designated as Visitor Groups on Air Force Installations, Industrial Security Reviews for collateral information will be conducted by the host base 99 ABW/IP (SSA) and for SCI classified material by 547IS/INS. HQ ACC/A2S (SSO), Langley AFB, is the cognizant security authority for all SCI classified material released to or developed under the contract. The Defense Security Service contains cognizant authority over the contractor facility. (See item 13)

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

EDWIN GUTIERREZ

b. TITLE Contracting Officer

c. TELEPHONE

(702) 652-9571

99 CONS

5865 Swaab Blvd

Nellis AFB, NV 89191

b. SUBCONTRACTOR

e. SIGNATURE

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

DD Form 254 (BACK), DEC 1999 Attachment #5 DD Form 254, DEC 1999 Contractor # FA4861-11-D-B004 Block #13 cont.

h. Ref 11j: Contractor will follow base and unit Operations Security guidance (SOPs, OIs, etc) for the locations identified in item 8a. A copy of the local guidance will be provided to the contractor i. Ref. 14 cont. See attachment 2 for Release of SCI Intelligence/Non-Intelligence Information (Part A & B) for additional security requirements. Prior approval of the contracting activity is required for subcontracting. All DD FMs 254 prepared for a subcontract by the prime contract will be forwarded to the government contracting monitor and SSO ACC for review and concurrence prior to award of the subcontract. Access to intelligence information will require special briefings and final U.S. Government Top Secret clearance with ICD 704 eligibility. See attachment 3 for additional SAP security requirements.

j. Ref. 15 cont. See attachment 3 for additional SAP security requirements.

k. Ref. 17f: USAFWC/SSO 3811 Duffer Drive, Nellis AFB NV 89191 and 99 ABW/IP, 5503 Pease Drive, Suite 132, Nellis AFB, NV 89191-6214