DD254.pdf

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AMXG AIRCRAFT FACILITATE OTHER MAINTENANCE (FOM) FOR HILL AFB
Solicitation number
FA8224-20-R-0001
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11.j. Operations Security (OPSEC)

DD Form 254 Addendum

OPSEC

Reference: National Security Decision Directive (NSDD) 298

DOD 5205.02

DODD 5205.02E

AFI10-701AFGM_2018-01

All contractors, subcontractors, their employees, associates, and consultants who have access to critical information must comply with the DOD and Air Force-sponsored Operations Security (OPSEC) program. The OPSEC Program is directed by NSDD298, DOD Publications, and applicable Air Force guidance.

OPSEC is a systematic means of identifying and protecting information which an adversary could use to their advantage or to our disadvantage. Critical Information (CI) is generally unclassified but can become classified through compilation. This sensitive information has been identified by the organization’s OPSEC program as requiring protection. OPSEC Measures (OM) are control standards with which all personnel must comply in order to protect CI against adversaries.

RESPONSIBILITIES:

The OO-ALC OPSEC Program Coordinator Mr. Jaime E. Garcia will provide / approve OPSEC training curriculum for use by the contractor. Critical Information and Indicator Listings (CIILs) must be protected by all contract personnel. Approved organizational OPSEC measures must be used by all contract personnel to protect critical information in their possession and protect against current foreign intelligence and industrial espionage threats. The OPSEC PM/Coordinator and the Lead contractor must ensure all contract personnel working on the contract or having access to CI attend initial and annually recurring refresher training and that the approved curriculum is presented. Training must be provided before contract personnel are allowed access to or handling of critical information. All contract personnel will comply with the organizations OPSEC standards and practices as trained. Additional training may be required based on updates to critical information, OPSEC measures, intelligence threat/vulnerability, or other fundamental changes to the OPSEC program. The OPSEC Coordinator is responsible for contacting the OPSEC Program Manager if OPSEC isn’t written into the contract.

The OPSEC PM/Coordinator for the organization will track OPSEC training statistics for all personnel working on the contract, when each individual has received the required OPSEC training, and when refresher training is due. Training statistics must be forwarded to the installation OPSEC PM at the end of each calendar quarter and/or upon request.

Contactors with OPSEC requirements within a contract must ensure employees receive OPSEC training as specified within the contract. Accomplishment of training must not exceed 90 days from initial assignment to a contract with OPSEC requirements. Annual training will be accomplished NLT 30 September of each year. The contractor personnel will not be given access to an organizations CIIL until after training has been completed and documented by the organization OPSEC Coordinator.

Prior to seeking approval through Hill AFB Public Affairs, any information to be released outside of official U.S. Government channels, via any media, must be approved through an OPSEC review by the OO-ALC PM/Coordinator. All personnel must promptly report OPSEC related incidents, issues, and concerns to the OO-ALC PM/Coordinator, (801) 586-2724 who will then report it to the installation PM, 801-586-8008.

Solicitation #: TBD

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

DD FORM 254, APR 2018

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

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. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

b. REVISED (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. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

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. See instructions for additional guidance or use of the fillable PDF.)

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 [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) Ref 11.j OPSEC Addendum.docx

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Classification: Unclassified
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a. Facility clearance level. Select one.: 2
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4
Choose Yes or No: 0
Choose Yes or No: 0
Prime:
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Choose Yes or No: 1
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Soli: FA8224-20-R-0001
DueDate:
dateA:
RevisionNum:
dateB:
Final:
dateC:
No: 1
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Yes: 1
Enter your name here.:
ReqDated:
Enter your name here.:
Name: TBD
Name: N/A
Name: Goodrich, Brian J
Cage: N/A
Cage: N/A
Cage: N/A
Cage: N/A
Cage: N/A
Cage: N/A
CSO: N/A
CSO: See Item 15, Ref 8.a
CSO: See Item 15, Ref 8.a
CSO: See Item 15, Ref 8.a
CSO: See Item 15, Ref 8.a
CSO: See Item 15, Ref 8.a
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Location: 6150 Foulois Rd, Bldg 674

HILL AFB, UT 84056-5118

Location: 6150 Foulois Rd, Bldg 680

HILL AFB, UT 84056-5118

Location: 7240 Southgate Ave, Bldg 237

HILL AFB, UT 84056-5234

Location: 5875 Southgate Ave, Bldg 225

HILL AFB, UT 84056-5231

Location: 5916 A Lane, Bldg 233

HILL AFB, UT 84056-5217

Block9: The purpose of this contract is managing the 309th Aircraft Maintenance Group (AMXG) Facilitate Other Maintenance (FOM) program. The contractor shall manage and maintain the 309 AMXG’s FOM program for aircraft (C-130, F-16, F-22, A-10 & F-35) parts and material. The contractor shall receive, issue, inventory, verify FOM parts and material in preparation for storage, and provide a positive control of parts and material. FOM is considered either aircraft parts or material and will be referred to as FOM assets.
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NonSCI: 0
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Enter your name here.: The AFFARS clause 5352.204-9000 applies
Enter your name here.: 75 ABW/IPD (steven.nutt.2@us.af.mil)
e: 1
e: 1
l: 0
m: 1
direct: 0
thru: 1
Enter your name here.: 75 ABW Public Affairs Office, 7981 Georgia Street, Hill AFB, UT 84056 (801-777-5201)
PublicAuthority: AFIMSC, Public Affairs (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330-1690
AddSig:
RemoveSig:
text: Ref. 10.j.: CUI information provided under this contract shall be safeguarded as specified in DOD Manual 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI).

Ref. 11.a.: Contract performance is restricted to location identified in Item 8.a. - 8.c. Security classification guidance has been provided and is available at these locations for performance on the contract.

Ref 11.e.: Contract is for FOM program in 309th AMXG which process classified information. Actual knowledge of, generation, or production of classified information is not required for performance of the contract. Cleared personnel are required to perform this service because visual or aural access to classified information cannot be precluded by escorting personnel. Any classification guidance will be provided by the using activity.

Ref 11.m. The contractor is designated as a Integrated Visitor Group and will provide the Servicing Security Activity, listed in Item 15 “Ref: 8.a”, with all the information required by the Air Force Federal Acquisition Regulation Supplement (AFFARS) 5352.204-9000, Notification of Government Security Activity and Visitor Group Security Agreements clause at least 30 days prior to beginning operations on Hill AFB. Contractors will not begin operations on Hill AFB until a Visitor Group Security Agreement has been signed.

Item 13.a.: Program Manager Gregory Loefer, OO-ALC/OBCB, 5851 F Ave, Bldg. 849, RM C12, Hill AFB, UT 801-777-8092.

attachmentsList:
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rep: Gregory Loefer, OO-ALC/OBCB,Program Manager
rep: Jaime E. Garcia, OO-ALC/OMD, Security Manager
rep: Steven G. Nutt, 75 ABW/IPD, Industrial Security Specialist
Sig:
Enter your name here.: Ref 11.j.: The contractor must comply with the U.S. Government, DOD, Air Force, Hill AFB and 309th MXW Operation Security

(OPSEC) Programs . The contractor must comply with any additional OPSEC requirements referenced in attachment within Item 13.

Enter your name here.: Ref. 8.a.: The Defense Security Services (DSS) is relieved of all industrial security review responsibilities for contractor performance on government installation locations identified in Items 8.a. The following SSA will have exclusive oversight responsibilities while operating on the installation:

1. 75 ABW/IPD: 7981 Georgia Street, HAFB, UT 84056: (steven.nutt.2@usaf.mil)

GCAName: OL_H/PZIMA
AAC: FA8224
AAC: FA8224
Address: 6038 Aspen Ave

OO-ALC/PZIMA/ Bldg 1289 Hill AFB, UT 84056 Address: 6038 Aspen Ave OO-ALC/PZIMA/ Bldg 1289 Hill AFB, UT 84056

POCName: Brian Goodrich
Phone: 8017753551
Phone: 8017753551
Email: brian.goodrich.1@us.af.mil
Email: brian.goodrich.1@us.af.mil
Title: Contracting Officer
Enter the date using the format DD-Mon-YYYY:

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