DD254.docx
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- Attached to
- OPERATIONAL TEST AND EVALUATION SERVICES (OTES) Federal contract opportunity
- Solicitation number
- FA7046-11-R-0003
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DRAFT FORM DD254
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DEPARTMENT OF DEFENSE
1. CLEARANCE AND SAFEGUARDING
| CONTRACT SECURITY CLASSIFICATION SPECIFICATION |
| a. FACILITY CLEARANCE REQUIRED |
Top Secret
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
b. LEVEL OF SAFEGUARDING REQUIRED None
| 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 (YYYYMMDD) 20110726
| |_| |
| b. SUBCONTRACT NUMBER |
| |_| |
| b. REVISED |
(Supersedes all previous specs) Revision No.
Date (YYYYMMDD)
| |_| |
| c. SOLICITATION OR OTHER NUMBER |
FA7046-11-R-0003
Date (YYYYMMDD)
| |_| |
| c. FINAL (Complete Item 5 in all cases) |
Date (YYYYMMDD)
| 4. IS THIS A FOLLOW-ON CONTRACT? |
| |_| |
| YES |
| |_| |
| NO. If YES, Complete the following: |
| Classified material received or generated |
| under FA7046-05-D-0010/0020/0030/0040 (Preceding Contract No.) |
| is transferred to this follow-on contract. |
| 5. IS THIS A FINAL DD FORM 254? |
| |_| |
| YES |
| |_| |
| NO. 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
TBD
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE
TBD
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION Contractor's facility AFOTEC, Kirtland AFB, NM Det 2 AFOTEC, Eglin AFB, FL Det 4 AFOTEC, Peterson AFB, CO Det 5 AFOTEC, Edwards AFB, CA Designated Operating Locations Designated Test Ranges
b. CAGE CODE
TBD
N/A N/A N/A N/A N/A
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code) See item #13 and attachments
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
Operational Test and Evaluation Services
| 10. CONTRACTOR WILL REQUIRE ACCESS TO: |
| YES |
| NO |
| 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: |
| YES |
| NO |
| a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION |
| |_| |
| |_| |
| a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR'S |
FACILITY OR A GOVERNMENT ACTIVITY
| |_| |
| |_| |
| b. RESTRICTED DATA |
| |_| |
| |_| |
| b. RECEIVE CLASSIFIED DOCUMENTS ONLY |
| |_| |
| |_| |
| c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION |
| |_| |
| |_| |
| c. RECEIVE AND GENERATE CLASSIFIED MATERIAL |
| |_| |
| |_| |
| d. FORMERLY RESTRICTED DATA |
| |_| |
| |_| |
| d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE |
| |_| |
| |_| |
e. INTELLIGENCE INFORMATION:
| e. PERFORM SERVICES ONLY |
| |_| |
| |_| |
| (1) Sensitive Compartmented Information (SCI) |
| |_| |
| |_| |
| f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., |
PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES
| |_| |
| |_| |
| (2) Non-SCI |
| |_| |
| |_| |
| g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION |
CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER
| |_| |
| |_| |
| f. SPECIAL ACCESS INFORMATION |
| |_| |
| |_| |
| h. REQUIRE A COMSEC ACCOUNT |
| |_| |
| |_| |
| g. NATO INFORMATION |
| |_| |
| |_| |
| i. HAVE TEMPEST REQUIREMENTS |
| |_| |
| |_| |
| h. FOREIGN GOVERNMENT INFORMATION |
| |_| |
| |_| |
| j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS |
| |_| |
| |_| |
| i. LIMITED DISSEMINATION INFORMATION |
| |_| |
| |_| |
| k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE |
| |_| |
| |_| |
| j. FOR OFFICIAL USE ONLY INFORMATION |
| |_| |
| |_| |
| l. OTHER (Specify) |
May require the use of secure communications equipment and accredited computer systems to process classified information. Also see item #13.
| |_| |
| |_| |
k. OTHER (Specify) SIPRNET access required for contract performance
| |_| |
| |_| |
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE 805/340
| 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 releases shall be submitted for approval prior to release |
|_| Direct
|_| Through (Specify):
Release of SAP information will be made through HQ AFOTEC/A3Z and only approved by/through SAF/AQ. All other requests will be made through:
AFOTEC/PA
8500 Gibson Blvd., SE., Kirtland AFB, NM 87117-5558 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 classified 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. Add additional pages as needed to provide complete guidance.) |
A Visit Request (VR) will be submitted via JPAS to SMO HQAFOTEC, not to exceed one year, for all contractor personnel requiring access to AFOTEC facilities. In addition to the VR, the FSO must submit a Visitor Access Letter (VAL) to CVI which includes all personnel from the VR and a column indicating whether or not each person requires a permanent badge (permanent badges can only be issued if a contractor visits AFOTEC a minimum of three times per week). If personnel changes should arise, an updated VR and VAL must be submitted to CVI within five days. VALs must identify additions, deletions, and badge requirement. For access to AFOTEC SAPFs, the VAL must also be sent to A3Z. Contractors who are issued a permanent badge must outprocess through CVI and A3Z upon contract and/or employment termination.
Contractors will complete all AFOTEC directed training.
JESSICA LEISEY ANGELA SILVA KELLY CONRAD
AFOTEC/CVI AFOTEC GSSO/PSO SAF/AQL PSO
| 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.) | ||
| |_| | ||
| Yes | ||
| |_| | ||
| No |
See Item #13 and attachments.
| 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.) |
| |_| |
| Yes |
| |_| |
| No |
The Defense Security Service (DSS) is relieved of inspection responsibility for those elements of the contract that are performed in AFOTEC, USAF, or other government facilities. SAF/AQL, SAF/AAZ, HQ USAF/TEZ will provide security inspections for SAPFs IAW the Joint Air Force, Army, Navy (JAFAN) Manual 6/0. AFOTEC/CVI has inspection responsibility for collateral security, AFOTEC/A2N has inspection responsibility for SCI.
| 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
PAULETTE S.L. WINDLEY
b. TITLE Procuring Contracting Officer
c. TELEPHONE (Include Area Code)
(505) 846-1955
d. ADDRESS (Include Zip Code)
AFOTEC/A-7K
8500 Gibson Blvd SE Kirtland AFB, NM 87117
17. REQUIRED DISTRIBUTION
|_| a. CONTRACTOR |_| b. SUBCONTRACTOR |_| c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR |_| d. U.S ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION |_| e. ADMINISTRATIVE CONTRACTION OFFICER |_| f. OTHERS AS NECESSARY
e. SIGNATURE
DD FORM 254 (BACK), DEC 1999
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