Attach_2_DD_254.pdf

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE a. FACILITY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION TOP SECRET

( The requirements o f the DoD Industrial Sec urity Manual apply

b. LEVEL OF SAFEGUARDING REQUIRED to all sec urity aspects of this effort.)

SECRET

2. THIS SPECIFICATION IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS: (X and complete as applicable) a . PRIME CONTRACT NUM BER x DATE (YYYYMMDD) a . ORIGINAL (Complete date in all cases) 20 160808

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

I REVISION NO. DA TE (YYYYMMDD)

x c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDO) DATE (YYYYMMDD)

FA 7022-1 7-R-0004 c. FINAL (Complete Item 5 in all cases)

4. IS THIS A FOLLOW-ON CONTRACT? ~YES L_jNO. If Yes, complete the following:

Classified material received or generated under FA 7022-1 5-C-0007 (Preceding Contract Number) is transferred to this follow-on contract

5. IS THIS A FINAL DD FORM 254? L_j YES ~ NO. If Yes, complete the following:

In response to the contractor's request dated . retention of the dassified 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 . NAM E, ADDRESS, AND ZIP CODE b . CAGECODE c. COGNIZANT SECURITY OFFICE (Name, Address. and Zip Code)

NIA NIA NIA

8. ACTUAL PERFORMANCE

a . LOCATION b . CAGE CODE c. COGNIZANT SECURITY OFFICE (Name. Address. and Zip Code)

See Item 13 NIA Sec Block 15

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Provide information technology support to Mobile Sensors, Technical Sensors Radar Support Program Office.

10. CONTRACTOR WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO a 'COMMUNICATIONS SECURITY (COMSEC) INFORMATION x a. ~¥Mx~f~·~°F~8'Lmi't5R ).NfJ<OEtJl$:'~R~c'titMl'<V I nc:r< x

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

c. CRITICAL NUCLEAR 1/1/EAPON DESIGN INFORMATION x c. RECEIVE ANO 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) Sensiti\/O Compartmenled lnformauon (SCI) x I. ~¥Rffi'~fe8. m~~~$f~l51~$' A~ovfRu-sri<'t~WMtB'll'1!s nc: u ::> • x

(2) Non-SCI x g ~~~mB\'R,li'bhuo~~~~~%80~~1Wdl~~8l'HllrN'C~~r~~L INFORMATION x

I. SPECIAL ACCESS INFORMATION x h . REQUIRE A COMSEC ACCOUNT x 9, NATO INFORMATION x I. HAVE TEMPEST REQUIREMENTS 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 l · FOR OFFICIAL USE ONLY INFORMATION x I. OTHER (Specify) x

k. OTHER /Specify) x Visitor Group Security Agreement and at1achments to this DD Form

254, STUlll/STE use and Secure Fax

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7.0

12. PUBLIC RELEASE. Any informatJOn (classified or unclassified) pertaining to this contract shall not be released for pubhc dissemination except as proVKled by the Industrial Secunty Manual or unless rt has been approved for pubhc release by appropriate U.S. Govemment authonty. Proposed public releases shall be submitted for approval pnor to release C:J Direct C:J Through (Specify)

NONE AUTHORJZED

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 secunty dassifJCation guidance needed for this dassified effort is identified below. If any difficulty is encountered in applying this guidance or if any other contnbubng factor indicates a need for changes in this guidance, the contractor is authonzed and encouraged to provide recommended changes: to challenge the guidance or the dassification 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 dassificabon assigned or recommended. (Fill in as appropnate 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.)

See attached documents:

Ref Item 8 .a.:

R ef Item 14: QAP: AFT AC/ D OY, I 0989 South Patrick Drive, Patrick AFB FL 32925-3002 (32 1) 494-12 17

Ref Item 14: SSO: SSO Patrick. I 0989 South Patrick Drive, Patrick AFB FL 32925-3002 (32 1) 494-3427

Ref Item 15: SSO: SSO Patrick, I 0989 South Patrick Drive, Patrick A FB FL 32925-3002 (32 1) 494-3427

Ref Item 15: Industrial Security Reviews, while operating o n an Air Force Installation, will be conducted by the ISPM.

Level of access required: TS/Sl(fK / G/HCS N umber of Billets Authorized: 14 Expiratio n Date:

Ref Item 17.f: SSO Patrick

Coord ination:

I SSM: - ----

Date:

ISPM: _ ______ SSO: --------COM SEC _ _____ _

Date: Date: Date:

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements. in addition to ISM requirements, are established for this contract. I X I Yes LJ No (If Yes, identify the pertinent contractual clauses In the contract document itself. or provide an appropriate statement which Identifies the addi'iiOriil' requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed.)

Sec attached SCI/Non-SCI Release oflnte ll igence Information for addit ional security requirements. Prior approval o f the contracting activ ity is required for subcontracting. Access to intelligence information requires special briefings and a final U.S. Government at the appropriate level.

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office ~ Yes LJ No (If Yes. explain and identify speafic areas or elements carved out and the ac/Jvity responsible for inspecllons. Use Item 13 1f add11Jonal space is needed.)

SSO Pat.rick has exclusive security responsibility for all SCI classified material released to or developed under this contract.

16. CERTIFICATION AND SIGNATURE. Security requirements stated heroin aro complete and adequate for safeguarding the classified Information to be released or generated under this classified effort. All questions shall be referred to the offlclal named below.

a. TYPED NAME OF CERTIFYING OFFICIAL b. TITLE c TELEPHONE (Include Area Code)

JOYC E G. HONGELL CONTR ACTING OFFICER (32 1) 494-5206

d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION

AM IC. Det 2 (OL-Patrick AFB. FL) :X a CONTRACTOR

I 0989 South Patrick Drive b SUBCONTRACTOR

Patrick AFB FL 32925-3002 --x- c COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR 1-~~~~~~~~~~~~~~~~~~~~~~~~~~-+~--i

e. SIGNATURE d. U.S ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION -x e. ADMINISTRATIVE CONTRACTING OFFICER

X f. OTHERS AS NECESSARY

DD FORM 254 (BACK), DEC 1999