Attachment 2. DD254 Draft - HFGCS PRS Recompete.pdf

CLASSIFICATION (When filled in): Unclassified

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

0MB No. 0704-0567 0MB approval expires:

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.) June 30, 2025

The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the lime for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS ..

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret None (See instructions)

2 . . THIS SPECIFICATION IS FOR: (X and complete as applicable.) 3. THIS SPECIFICATION IS: (Xand complete as applicabte.)

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

FA4890-24-R-0009 20240901

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

REVISION NO.

c. FINAL (Complete Item 5 in all cases.)

O If yes, complete the following:

DATE (YYYYMMDD)

20240104

DATE (YYYYMMDD)

DATE (YYYYMMDD)

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

5. IS THIS A FINAL DD FORM 254? � No O Yes In response to the contractor's request dated

If yes, complete the following:

, 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(S) (CSO)

TBD

(Name, Address, ZIP Code, Telephone required; Email Address optional) Defense Counterintelligence Security Agency (DCSA)

TBD

TBD

7. SUBCONTRACTOR($) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE($) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)a. LOCATION(S) (For actual performance, see instructions.)

141 Air Control Squadron (If applicable, (Name, Address, ZIP Code, Telephone required; Email Address optional)

Punta Borinquen see Instructions.}

Aguadilla, Puero Rico

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The objective of this contract is to provide operational maintenance support for all System Capable of Planned Expansion (SCOPE) Command equipment, associated communications systems and antennas in accordance with (IA W) applicable Technical Orders (TO) and commercial manuals. For the purposes of this PWS, operational maintenance includes program management, communications equipment support, facility maintenance and management, and logistics functions.

DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 4 CLASSIFICATION (When filled in): Unclassified

4. IS THIS A FOLLOW-ON CONTRACT? No O Yes FA4890-16-C-0017