FA8106-16-R-0012_DD254_FORM_(4)_signed_(2).pdf

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DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

SECRET

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 (YYYYMMDD)

20170510

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

REVISION NO. DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER

FA8106-16-R-0012

DUE 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 FA8106-13-D-0002 (Preceding Contract Number) 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)

TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION

See Block 13 Continuation Sheet

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

TBD

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Contractor Logistics Support (CLS) for Army, Navy, Air Force and Coast Guard C-20 and C-37 aircraft.

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)

Cryptographic Access

AFFARS 5352.204-9000

k. OTHER (Specify)

See Continuation Sheet

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.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

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)

AFLCMC/PA and AFLCMC/WLV

3001 Staff Drive

Tinker AFB, OK 73145 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.)

*DoD Directive 5220-22-M, the National Industrial Security Program Operating Manual (NISPOM), 28 Feb 06, applies to this contract. See also the following:

• DoD 5220-22-MSup 1, NISPOM Supplement, may 2016

• DoDM 5220-22, Vol 3, Foreign Ownership, Control or Influence (FOCI), 17 Apr 14

• DoDM 5200-01, Vol 4, DoD Information Security Program, Controlled Unclassified Information (CUI)

Joseph Adamski Kent Nichols Donna Russell

C-20 / C-37 Program Manager Industrial Security Specialist WLV Security Manager

AFLCMC/WLV 72 ABW/IP AFLCMC/WLV Security Manager

3001 Staff Drive, Post 1AD2 105A 4385 S Air Depot Blvd 3001 Staff Drive, Post 1AC4 106C

Tinker AFB, OK 73145-3020 Tinker AFB, OK 73145-3020 Tinker AFB, OK 73145-3020

================================SEE CONTINUATION SHEET=======================================

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. Yes No

(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.)

a. Ref Blk 10k: Program Protection Plan (PPP) will be provided by the Government activity

b. Ref Blk 11j: OPSEC requirements apply. See Performance Work Statement (PWS) for requirements

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. Yes No

(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.)

a. Ref blks 10a/11h: NSA has oversight for COMSEC at Contractor Facility. Bases listed in Table 1 of Continuation Sheet will have oversight for

COMSEC distributed to COMSEC managers of the installation.

=====================================SEE CONTINUATION SHEET============================================

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

Robert Carlsen

b. TITLE

Contracting Officer

c. TELEPHONE (Include Area Code)

405-739-3831 DSN 339-3831

d. ADDRESS (Include Zip Code)

AFLCMC/WLKLB

3001 Staff Drive, 1AC4-105A

Tinker AFB, OK 73154

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 CONTRACTING OFFICER

f. OTHERS AS NECESSARY

e. SIGNATURE

DD FORM 254 (BACK), DEC 1999

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