FA520520R00010001_Atch2_ Revised DD254 Contract Security Classification Specification.pdf
PDF 3 MB Posted
- Attached to
- Operation and Maintenance (O&M) of Draughon Bombing and Electronic Attack Range, Misawa Air Base, Japan
- Solicitation number
- FA520520R0001
About this file
This document is a Contract Security Classification Specification (DD Form 254) for solicitation FA520520R0001 to provide operation and maintenance services at Draughon Bombing and Electronic Attack Range located at Misawa Air Base in Japan. The contractor facility security clearance level required is Secret and the level of safeguarding for classified information/material is none. The specification covers the period from May 3, 2019 through contract completion. The incumbent contractor is responsible for transferring any classified materials received under the preceding contract, FA5205-15-C-0004, to the follow-on contract. The contractor named is 35th Fighter Wing/Installation Protection located at Misawa Air Base. The general unclassified description of work is operation and maintenance of the bombing and electronic attack range.
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CLASSIFICATION (When filled in): Unclassified
DEPARTMENT OF DEFENSE 0MB No. 0704-0567
CONTRACT SECURITY CLASSIFICATION SPECIFICATION 0MB approval expires:
(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.) October 31, 2020
The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time 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 b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/ (See Instructions) MATERIAL REQUIRED AT CONTRACTOR FACILITY
Secret None (See instructions)
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) 3. THIS SPECIFICATION IS: (X and complete as applicable.)
D
a. PRIME CONTRACT NUMBER (See instructions.)
� ORIGINAL (Complete date in all cases.)
DA TE (YYYYMMDD)
a.
20190503
D
b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specifications.)
D REVISION NO. DA TE (YYYYMMDD)
c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)
D
c. FINAL (Complete Item 5 in all cases.) DA TE (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? D No [g] Yes If yes, complete the following:
Classified material received or generated under F A5205- l 5-C-0004 (Preceding Contract Number) is transferred to this follow-on contract.
5. IS THIS A FINAL DD FORM 254? IX] No D Yes 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(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)
7. SUBCONTRACTOR(S) (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(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional}
8. ACTUAL PERFORMANCE (Click button to add more locations.)
a. LOCA TION(S) (For actual performance, see instructions.) b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)
Draughon Range and Misawa AB (If applicable, (Name, Address, ZIP Code, Telephone required; Email Address optional) see Instructions.} 35 FW/IP Unit 5009
Misawa, Japan Bldg 507, Rm 133
NIA
APO, AP 96319-0004
9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT
DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 3 AEM LiveCycle Designer
CLASSIFICATION (When filled in): Unclassified
Attachment 2 RFP No. FA520520R00010001
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