Attachment_4_-_DD254.pdf

DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION SPECIFICATION a. FACILITY CLEARANCE REQUIRED

None (The requirements of the DoD Industrial Security Manual apply to all aspects of this effort)

b. LEVEL OF SAFEGUARDING REQUIRED

Secret

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

a. PRIME CONTRACT NUMBER a. ORIGINAL (Complete date in all cases) Date (YYMMDD) X

b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specs)

Revision No. Date (YYMMDD)

c. SOLICITATION OR OTHER NUMBER Due Date (YYMMDD) c. FINAL (Complete Item 5 in all cases) Date (YYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? X 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 X NO. If Yes complete the following

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)

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 OFFICES ( Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION

Detachment 15, AFRL Maui Space Surveillance Complex, Haleakala, HI Remote Maui Experiment, Kihei, HI 550 Lipoa, Kihei, HI Photovoltaic Farm, Kihei, HI

b. CAGE CODE

N/A

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

15 WG/IPO

900 Hangar Ave, Bldg 2060, Rm 107

JBPHH HI 96853

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION X a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY X

b. RESTRICTED DATA X b. RECEIVE CLASSIFIED DOCUMENTS ONLY X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION X c. RECEIVE AND GENERATE CLASSIFIED MATERIAL X

d. FORMERLY RESTRICTED DATA: X d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE X

e. INTELLIGENCE INFORMATION: e. PERFORM SERVICES ONLY X

(1) Sensitive Compartmented Information (SCI) X f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO

RICO, U.S. POSSESSIONS AND TRUST TERRITORIES X

(2) Non-SCI X g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL

INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER X

f. SPECIAL ACCESS INFORMATION X h. REQUIRE A COMSEC ACCOUNT X

g. NATO INFORMATION X i. HAVE A TEMPEST REQUIREMENT X

h. FOREIGN GOVERNMENT INFORMATION X j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS X

i. LIMITED DISSEMINATION INFORMATION X k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE X

j. FOR OFFICIAL USE ONLY INFORMATION X l. OTHER (Specify) X

k. OTHER Specify) SIPRNET access required (see block 13) “Rel to” access required?? (item h is yes)

DD Form 254, MAY 2010 Previous editions are obsolete

Contract No._______________ RFP No. FA5215-16-R-0002

Attachment 4

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):

Request for release of information must be approved by the appropriate government official and be further authorized by 377 ABW Public Affairs Office, Kirtland AFB NM. Release of classified information is not authorized.

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

Program Manager – Capt Michael Holloway, AFRL/RDSM, 550 Lipoa Parkway, Kihei, HI 96753 (808) 891-7740

ITEM 8 a – Detachment 15, AFRL/RDSM, 550 Lipoa Parkway, Kihei, HI 96753

ITEM 8 c – Servicing Security Activity (SSA) is Det 15, AFRL/RDSMP, 550 Lipoa Parkway, Kihei HI 9753

ITEM 10 e (2) – Access to intelligence information requires a final US Government security clearance at the appropriate level.

ITEM 11 a – The prime contractor will contact the Det 15 Security Office for the execution of the Visitor Group Security Agreement (VGSA) and provide a company memorandum identifying on-site key personnel management officials and a security focal point (usually the FSO) prior to on-site operations. The contractor must comply with all OPSEC requirements identified in the Statement of Work or addendums thereto. The requirements, restrictions and other safeguards prescribed by the National Industry Security Operating Manual (NISPOM), DoD 5200.22-M, Feb 2006 and its supplements apply to all classified performance.

ITEM 11 j – The contractor shall provide operations security (OPSEC) protection for all sensitive/critical information IAW AFI 10-701.

The contractor will include OPSEC awareness education and training as part of their standard security program. On-site contractor will participate in the OPSEC program.

ITEM 11 l – Contractor is authorized the use of government automated information systems in the performance of their duties.

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.)

X Yes No

The contractor will provide 15 AW/IPO and Servicing Security Activity (SSA) with all the information required by the Notification of Government Security Activity Clause, and any additional information and/or documentation that is required by those offices.

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.

X Yes No

Industrial Security Reviews, while operating on an Air Force Installation, will be conducted by 15 AW/IPO IAW AFI 31-40. Defense Security Service (DSS) is relieved of inspection responsibility for portions of the work performed at the Maui Space Surveillance Complex and the Remote Maui Experiment Site.

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

LARRY E. WALLMAN

b. TITLE

SECURITY SPECIALIST

c. TELEPHONE (Include Area Code)

(808) 891-7778

d. ADDRESS (Include ZIP Code)

17. REQUIRED DISTRIBUTION

550 LIPOA PKWY X

a. CONTRACTOR

KIHEI, HI 96753

b. SUBCONTRACTOR

X

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE X

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

X

e. ADMINISTRATIVE CONTRACTING OFFICER

X

f. OTHERS AS NECESSARY See Item 13

DD Form 254 (Back), MAY 2010