Draft_DD254_RECOMPETE.pdf
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- Attached to
- Remotely Piloted Aircraft (RPA) Federal contract opportunity
- Solicitation number
- FA4890-16-R-0032
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RPA Draft RFP Attachment 2- Draft DD 254 dated 21 Jun 16
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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 X
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: TOP SECRET |
| safe_level: N/A |
| prime_no: |
| xprime: Off |
| sub_no: |
| xsub: Off |
| xsolic: Yes |
| solic_no: FA4890-16-R-0032 |
| due_date: |
| xspec3: Orig |
| orig_date: 20160621 |
| rev_no: |
| rev_date: |
| final_date: |
| xfollowon: Yes |
| prec_no: FA4890-13-D-0001 |
| xfinal: No |
| req_dated: |
| period: |
| ctr_name: TBD |
| ctr_cage: TBD |
| ctr_ofc: TBD |
| sub_name: |
| sub_cage: |
| sub_ofc: |
| perf_loc: See Continuation Sheet. |
| perf_cage: |
| perf_ofc: |
| gen_id: Operations of MQ-1 and MQ-9 Remotely Piloted Aircraft (RPA) and Maintenance of MQ-1, MQ-9, and RQ-4 RPAs, Mission Control Element (MCE), and Launch and Recovery Element (LRE) Ground Control Stations (GCS). |
| x10a: Yes |
| x10b: No |
| x10c: No |
| x10d: No |
| x10e1: Yes |
| x10e2: Yes |
| x10f: No |
| x10g: Yes |
| x10h: No |
| x10i: No |
| x10j: Yes |
| x10k: Yes |
| other10k: SIPRNET, STU III, STE |
| x11a: Yes |
| x11b: No |
| x11c: No |
| x11d: No |
| x11e: No |
| x11f: Yes |
| x11g: No |
| x11h: No |
| x11i: No |
| x11j: Yes |
| x11k: No |
| x11l: No |
| other11l: |
| xrelease: No |
| release_thru: HQ ACC/PA HQ ACC/A2S HQ USAF/A2RS-CSA Note: Public Release of Classified |
115 Thompson Street, Ste 211 209 Thornell Ave. 1700 AF Pentagon Information, to include SCI, Langley AFB, VA 23665 Langley AFB, VA 23665 Washington, D.C. 20330 is not authorized.
guidance: The period of performance for this contract: TBD Program Manager: James R. Denkert II, 757-764-9427.
Ref 10a: Contractor will require access to COMSEC information at the on-base locations listed in 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. Access to COMSEC material by contractor personnel is restricted to US citizens holding final US government clearances. Such information is not releasable to personnel holding only reciprocal clearances.
Ref 10e (1&2): Contractor will require access to security directives specified in Attachment 1. Regulatory compliance is mandatory unless otherwise specified in writing by SSO ACC.
Ref 10g. Special briefings are required for access to NATO IAW AFI16-1404, Air Force Information Security Program. Prior approval of the contracting activity is required for subcontractors. Access to classified NATO information requires a final U.S. government clearance at the appropriate level.
G. TIMOTHY PATTERSON JOHN S. ROSE
HQ ACC/IP DSN 574-2953 HQ ACC/A2S DSN 574-3488
Information Protection Office Industrial Security Program Manager
| xaddlsec: Yes |
| addl_sec: Visitor Group contractors are required to enter into a security agreement with the host base Information Protection Office (IPO). Provide the information requested by AFFARS Clause 5352.204.9000, Notification of Government Security Activity and Visitor Group Security Agreements. Visitor groups will safeguard all collateral classified information IAW DoD 5200.01 (See Continuation Sheet) |
| xinsp: Yes |
| inspections: When contractors are designated as Visitor Groups on Air Force Installations, Industrial Security Reviews for collateral classified information will be conducted by the Servicing Security Activity. SSO ACC (HQ ACC/A2S) has exclusive security responsibility for all SCI classified material released to or developed under this contract and held at the government SCI facility and/or the contractor's SCI facility. Defense Security Service retains cognizance only over non-SCI material released to or developed under the contract and held within the (See Continuation Sheet) |
| cert_name: M. Joy de Lande |
| cert_title: CONTRACTING OFFICER |
| cert_phone: 757-764-9358 |
| cert_addr: ACC AMIC/PKC |
129 Andrews Ave, Suite 202 Joint Base Langley-Eustis, VA 23665-2788
| x17a: Yes |
| x17b: Off |
| x17c: Yes |
| x17d: Off |
| x17e: Yes |
| x17f: Yes |
| other_dist: see Continuation Sheet |
File details come from the government source that posted it. Updated .