SCAI_DD_254_Draft_-_8_APR_14.pdf

DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING

CONTRACT SECURITY CLASSIFICATION SPECIFICATION a. FACILITY CLEARANCE REQUIRED N/A

(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 (YYYYMMDD)

X 20140401

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs) Revision No.

Date (YYYYMMDD)

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

X FA8107-14-R-0001 20140623

4. IS THIS A FOLLOW-ON CONTRACT? YES X 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)

TBD

1N929

Defense Security Service Texas-Oklahoma (OTX) 5800 East Campus Circle Drive Irving, TX 75063-2739

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

1N929

72 ABW/IP

4385 S. Air Depot Blvd Tinker AFB, OK 73145

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

B-1 Self Contained Attitude Indicator (SCAI) Modification Program

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)

k. OTHER Specify)

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.

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):

1. 72 ABW/PA 3001 Staff Drive Tinker AFB, OK 73145

2. AFMCLC/WWKKB 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 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.

BLOCK 10a – Communication Security (COMSEC) Information:

On government installation: COMSEC safeguarding requirements apply. See NSA/CSS Policy Manual No. 3-16 dated 5 Aug 05 for details. For on base performance, COMSEC is incumbent on the government.

BLOCK 10j – For Official Use Only Information (FOUO): FOUO is information that is not classified, but which may be withheld form public disclosure under the criteria of the Freedom of Information Act, Title 5, USC, Section 552. For Official Use Only (FOUO) applies. (See attached addendum.)

BLOCK 11j – The contractor will comply with government provided OPSEC guidance.

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

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

CONTRACTOR PERFORMANCE WILL OCCUR AT THE PRIME CONTRACTOR FACILITY, SUBCONTRACTOR FACILITY, EDWARDS AFB, CA 93524, DYESS, AFB, TX 79607 AND ELLSWORTH AFB, SD 57769. DEFENSIVE SECURITY SERVICE IS RELIEVED OF ALL INSPECTIONS AND 72 ABW/IP

WILL MAINTAIN OVERSIGHT.

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

MAISIE RAJU

b. TITLE

B-1 CONTRACTING OFFICER

c. TELEPHONE (Include Area Code)

405-739-3926

d. ADDRESS (Include ZIP Code)

17. REQUIRED DISTRIBUTION

X

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE

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

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHERS AS NECESSARY

DD FORM 254 (BACK), DEC 1999

DD Form 254 continuation sheet for Contract Number FA8107-14-D-0002 (page 1/2)

Block 14: “ADDITIONAL SECURITY REQUIREMENTS”

“5352.204-9000 NOTIFICATION OF GOVERNMENT SECURITY ACTIVITY AND VISITOR GROUP

SECURITY AGREEMENTS (MAR 2012) (IAW AFFARS 5304.404-90)

This contract contains a DD Form 254, DOD Contract Security Classification Specification, and requires performance at a government location in the U.S. or overseas. Prior to beginning operations involving classified information on an installation identified on the DD Form 254, the contractor shall take the following actions:

(a) At least thirty days prior to beginning operations, notify the Information Protection Office shown in the distribution block of the DD Form 254, as to:

(1) The name, address, and telephone number of this contract company's representative and designated alternate in the U.S. or overseas area, as appropriate;

(2) The contract number and military contracting command;

(3) The highest classification category of defense information to which contractor employees will have access;

(4) The Air Force installations in the U.S. (in overseas areas, identify only the APO number(s)) where the contract work will be performed;

(5) The date contractor operations will begin on base in the U.S. or in the overseas area;

(6) The estimated completion date of operations on base in the U.S. or in the overseas area; and

(7) Any changes to information previously provided under this clause.

This requirement is in addition to visit request procedures contained in DOD 5220.22-M, National Industrial Security Program Operating Manual.

(b) Prior to beginning operations involving classified information on an installation identified on the DD Form 254 where the contractor is not required to have a facility security clearance, the contractor shall enter into a Visitor Group Security Agreement (or understanding) with the installation commander to ensure that the contractor’s security procedures are properly integrated with those of the installation. As a minimum, the agreement shall identify the security actions that will be performed:

(1) By the installation for the contractor, such as providing storage and classified reproduction facilities, guard services, security forms, security inspections under DOD 5220.22-M, classified mail services, security badges, visitor control, and investigating security incidents; and

(2) Jointly by the contractor and the installation, such as packaging and addressing classified transmittals, security checks, internal security controls, and implementing emergency procedures to protect classified material.

(The above Clause/Provision has been modified.)

(Applicable to any classified order (other than orders for services on an "on call" basis) which requires a DD Form 254 for performance on U.S. Government installations and overseas)”

DD Form 254 continuation sheet for Contract Number FA8107-14-D-0002 (page 2/2)

COORDINATION:

Damien Cooper/B-1 SCAI Program Manager/Phone: 736-7591

Rhonda Jones/B-1 Security/Phone: 736-7731

Approval:

Linda Gable/Phone: 582-1825

72 ABW/IPD

Tinker AFB, OK 73145