Attachment 4_DRAFT DD Form 254_AFSTS_TS_Signed.pdf

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DD FORM 254, APRIL 2018 Attachment 1

DD FORM 254, April 2018, Attachment 1

Ref. 10.a.: Classified COMSEC material is not releasable to Visitor Group employees who have not received a FINAL clearance at the appropriate security level. COMSEC access shall be IAW DoD 5220.22-M. When access is required at Government facilities, Visitor Group personnel will adhere to COMSEC rules and regulations as mandated by Command policy and procedures. Prior written approval from the CO is required in order for a prime Visitor Group to grant COMSEC access to a subcontracting Visitor Group. See “COMSEC ACCESS AND/OR ACCOUNT ADDENDUM”, attachment 2.

Ref. 10.b.: Restricted Data Information is not releasable to Visitor Group employees who have not received a FINAL clearance at the appropriate security level. Written concurrence of the CO is required prior to subcontracting. Access to RESTRICTED DATA requires a FINAL U. S. Government clearance at the appropriate level. RESTRICTED DATA will be handled and controlled as indicated in the NISPOM. See “RESTRICTED DATA INFORMATION ADDENDUM”, Attachment 3.

Ref. 11.c.: The Visitor Group requires access to classified source data up to and including the classification levels identified in item 1a of this DD 254 in support of this work effort at their facility. The Visitor Group will be required to have safeguarding capability at its facility at the level identified in item 1b. Contractor personnel performing on this contract that require access to classified information/material, must have a final U.S. Government clearance at the appropriate level. Contractor personnel will contact SAF/MG for any and all reference material needed to comply with the security requirements.

Ref. 11.c.: Trained Derivative Classifiers will certify all classified documentation and attach an appropriate derivative classifier declaration to all finished documents in accordance with Executive Order 13526. Classifiers shall be trained and recertified every two years. Documentation generated as a result of this contract will be classified in accordance with source material provided by the user and will carry the most restrictive downgrading and/or declassification instructions, warning notices and control markings applicable. A listing of source material is to be included as a part of the document prepared by the Visitor Group. Any extracts or use of such data requires the Visitor Group to apply derivative classifications and markings consistent with the source documents. Use of “Multiple Sources” on the “Derived From” line necessitates compliance with the NISPOM, paragraph 4-208a, and the use of a bibliography.

Ref. 11.e.: The purpose of this work statement is to obtain Contractor support to provide a full range of Advisory and Assistance Services (A&AS) to support the Secretary of the Air Force Office of Business Transformation (SAF/MG) and Deputy Chief Management Officer (DCMO) in managing and improving business operations across the Air Force. Services and deliverables shall include three (3) A&AS categories: Management and professional services; Studies, analyses, and evaluations; and Engineering and technical expertise. SAF/MG and DCMO services shall not include inherently governmental functions as discussed in FAR Subpart 7.5, “Inherently Governmental Functions”.

Item 12.: Contractor is to submit requests through the C.O. for OPSEC Program Managers review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. Information requiring AF or DoD–level review will be reviewed by the unit’s OPSEC Program Manager or Coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330-1690.” MAJCOM/DRUs will send information requiring AF or DoD-level review directly to SAF/PAX.

Item 13.: All classified visit requests by Visitor Groups shall be forwarded to the COR for approval and need-to-know certification before being sent to the facility to be visited. The COR must be notified and approve the receipt and/or generation of classified information under this contract. All classified information received and/or generated under this contract is the property of the U.S. Government regardless of proprietary claims. Upon completion or termination of this contract, the U.S. Government will be contacted for destruction or disposition instructions.

Item 13.: In addition to the reporting requirements directed by the NISPOM, the Visitor Group will provide a concurrent report of loss or compromise of classified information to the SAF/MG Security Manager. Visit requests to activities other than those not listed in the statement of work on this DD 254 shall have "Need to Know" certified by the SAF/MG Security Manager. All requests shall contain the information required by the NISPOM and shall not exceed a 12 month period.

Item 13.: All classified material received, generated, fabricated, or modified by this contract will be returned within 30 days after completion of contract or destroyed with destruction report being submitted to SAF/MG Security Manager. Prior to any destruction of classified information a full listing of documents will be provided to the SAF/MG Security Manager for review and approval. If additional contracting requirements exist where retention of classified information by the Visitor Group facility is required, a written request to retain material for a period but not to exceed 2 years is required.

Item 13.: Provide the information requested by the Notification of Government Security Activity Clause, AFFARS 5352.204-9000, and Visitor Group Security Agreements Clause, AFFARS5352.204.9001, to the Servicing Security Activity (SSA) address in block 17.f. of this form. Refer to the contract document for these clauses.

Item 13.: Non-Disclosure Agreement: The Visitor Group may be required to have access to highly sensitive and confidential plans and data for the performance of this delivery order. The Visitor Group will not divulge any information about activities or functions, or other knowledge gained, to anyone who is not authorized to have access to such information. It will be the Visitor Group’s responsibility to ensure that persons have the proper authority and “need to know” prior to any discussions. The Visitor Group will observe and comply with any security provisions.

Item 18.f.: REQUIRED DISTRIBUTION

1. 11 WG/IP, 1330 AF Pentagon, Washington DC 20330

2. SAF/MG,1790 Air Force Pentagon, Washington DC, 20330-1790

DD254 Block 13 Continuation Page for Subcontractor List

Subcontractor

Address and Zip

Cage Code

Cognizant Security Office

Subcontractor FSO Information:

Mornington Consulting Partners, Inc.

77 Bayshore Drive, Suite 803, Fort Lauderdale FL 33304

3RLR8

Defense Security Service (IOFSM)

7341 Office Park Place, Suite 203

Melbourne, FL 32940

Leigh A. Hough

(954) 565-8022

Leigh.hough@morningtoncp.com

Insight Global, LLC

4170 Ashford Dunwoody Road, Suite 250

Atlanta GA 30319

4RWP7

Defense Security Service (IOFSA)

13873 Park Center Road, STE 225

Herndon, VA 201711899 Powers Ferry Road, Ste. 330 Atlanta, GA 30339

Attachment 2 COMSEC ACCESS AND/OR ACCOUNT ADDENDUM

Block 13, CONTINUATION: Ref Block 10, Item a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

PRIME CONTRACT NUMBER: FA7014-19-D-5001

1. COMSEC material/information may not be released to DOD contractors without Air Force Cryptological Support Center (AFCSC) approval.

2. Contractor must forward requests for COMSEC material/information to the COMSEC officer through the program office.

3. The contractor is governed by the following DoD 5220.22-M, February 28, 2006 National Industrial Security Program Operating Manual (NISPOM) Section 4. Communications Security (COMSEC) in the control and protection of COMSEC material/information.

4. 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.

5. The contractor will establish a COMSEC Account with:

Wesley A. Reese, DAFC

Industrial Security Program Manager, TASM

11th Wing Information Protection

Office: (703) 614-2920

6. The contractor is governed by AFKAG-1, AFKAG-2, and appropriate Air Force Systems Security Instructions/Manuals (AFSSI/AFSSM) or Air Force Instructions (AFI). Access to COMSEC material or information is restricted to US citizens holding final U.S. Government clearances and is not releasable to personnel holding only a reciprocal clearance.

7. Personnel requiring COMSEC access shall be briefed in accordance with AFI 33-211(COMSEC User Requirements). NOTE: The COMSEC briefing applies only to the use and control of cryptographic equipment and specialized COMSEC publications. Additionally, cryptographic information/equipment shall be retained in a contractor facility user COMSEC account in accordance with current guidelines.

8. The Air Force program/project manager shall designate the number of personnel requiring COMSEC access. The number will be limited to the minimum necessary and will be on a strict need-to-know basis.

9. When COMSEC support, including STU III, is provided by an AF COMSEC Account, the contractor must comply with AFI 33-211 and AFI 33-209.

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page

AEM LiveCycle Designer

DD FORM 254, APR 2018

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

OMB No. 0704-0567

OMB approval expires:

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.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

2.

THIS SPECIFICATION IS FO

(X and complete as applicable.)

3.

THIS SPECIFICATION I(X and complete as applicable.)

a.

ORIGIN(Complete date in all cases.)

b.

REVIS(Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

6.

CONTRACT

(Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR(S)

(Click button if you choose to add or list the subcontractors

8. ACTUAL PERFORMANCE

(Click button to add more locations.)

10. CONTRACTOR WILL REQUIRE ACCESS TO:

(X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:

(X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address.

(See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information 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 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. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign.

14.

ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, 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 CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

17. CERTIFICATION AND SIGNATURES

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. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification List of Attachments [5] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) Attachment 1_DD Form 254.docx Attachment 2_Item_10a_COMSEC.doc Attachment 3_Item_10b_RD.doc Attachment 4_Item_10j_CUI_Addendum.doc DD254 Block 13. Continuation Page List of Subcontractor.docx

1330 AF Pentagon Washington, DC 20330

CSO: 11 WG/IP

1330 AF Pentagon Washington, DC 20330

1500 W Perimeter Rd Andrews AFB, MD 20762 Location: AF Pentagon 1790 Air Force Pentagon Washington DC, 20330-1660

AF Pentagon 1790 Air Force Pentagon Washington DC, 20330-1790

11 WG/IP

1330 Air Force Pentagon Washington, DC 20330

Contract performance: Base period is one year with 6 Option Periods.

See DD Form 254, Attachment 1 Item 13 Continuation Addendum attached for reference statements pertaining to this block

SUITE 5750

JB ANDREWS 20762

Address: 1500 W. PERIMETER RD

SUITE 4170

JB ANDREWS 20762