DD254.pdf

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Repair of CPDG/eCPDG
Solicitation number
FA8251-17-R-0005
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Contract Security Classification Specification

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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

b. LEVEL OF SAFEGUARDING REQUIRED

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

a. PRIME CONTRACT NUMBER

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases)

REVISION NO.

c. FINAL (Complete Item 5 in all cases)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specs)

DATE (YYYYMMDD)

DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? YES 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 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 b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

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

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

10. CONTRACTOR WILL REQUIRE ACCESS TO: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:YES NO YES NO

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

b. RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

d. FORMERLY RESTRICTED DATA

e. INTELLIGENCE INFORMATION

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

f. SPECIAL ACCESS INFORMATION

g. NATO INFORMATION

h. FOREIGN GOVERNMENT INFORMATION

i. LIMITED DISSEMINATION INFORMATION

j. FOR OFFICIAL USE ONLY INFORMATION

k. OTHER (Specify)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY

b. RECEIVE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION

CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE TEMPEST REQUIREMENTS

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

l. OTHER (Specify)

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

a. TYPED NAME OF CERTIFYING OFFICIAL

Direct Through (Specify)

d. ADDRESS (Include Zip Code)

Yes No 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.)

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 No15. 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.)

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.

b. TITLE c. TELEPHONE (Include Area Code)

e. SIGNATURE

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

DD FORM 254 (BACK), DEC 1999

Continuation FD2020-15-00452

Ref 8.a – 8.c/Actual Performance:

8.a: Location

8.b: Cage Code

8.c: Cognizant Security Office

Honeywell International Inc. 21333 N. 19th Avenue Phoenix, AZ 85027-2837

5Y043

Defense Security Service (IOFWX) 10851 N. Black Canyon Hwy, Suite 860 Phoenix, AZ 85029-4755

Honeywell International Inc. 9201 San Mateo NE Albuquerque, NM 87113-2227

07187

Defense Security Service (IOFWX) 10851 N. Black Canyon Hwy, Suite 860 Phoenix, AZ 85029-4755

DD Form 254 Addendum

OPSEC

General:

All personnel (contractors, subcontractors, their employees, associates, and consultants) who have access to critical information must participate in the appropriate OPSEC programs.

OPSEC is a systematic means of identifying and protecting information which an adversary could use to their advantage or our disadvantage.

Critical information is generally unclassified but sensitive information which has been identified by the OPSEC program as requiring protection.

OPSEC measures (formerly countermeasures) are control standards with which all personnel must comply in order to protect critical information. For example, personnel may be prohibited from discussing certain subjects outside of the work environment. Another example is some information may be prohibited from transmission via unencrypted telephone, fax, or email.

Responsibilities:

All personnel must participate in the appropriate OPSEC programs. The 416 SCMS must provide training curriculum to the contractor. The contractor must ensure all personnel working on the contract or having access to critical information attend initial and recurring (annual) training. The contractor must track OPSEC training statistics to include the personnel working on the contract, when each individual received the required OPSEC training, and when refresher training is due. Training statistics must be forwarded to the 416 SCMS OPSEC coordinator at the end of each fiscal year quarter and upon request. Training must provide listings of critical information that must be protected by all personnel, listings of OPSEC measures which must be used by all personnel to protect critical information, and foreign intelligence and industrial espionage threats. All personnel must comply with OPSEC standards and practices as trained. Training must be provided before personnel are allowed access to critical information. Training must be conducted annually thereafter, or as individual programs require. Additional training may be required based on updates to critical information, OPSEC measures, intelligence threat, or other fundamental changes to the OPSEC program. Prior to seeking approval through Public Affairs, information to be released outside of official U.S. Government channels must be approved via an OPSEC review through the 416 SCMS OPSEC coordinator. All personnel must report OPSEC related incidents, issues, and concerns to the 416 SCMS OPSEC coordinator.

PR NBR: FD2020-15-00452

DD254 Section 13 Required Signatures

These Signatures are for Contract Number: FD2020-15-00452.

This DD FORM 254 Has Been Reviewed And Coordinated By:

image1.emf image2.emf image3.emf

fac_clear: CONFIDENTIAL
safe_level: CONFIDENTIAL
prime_no:
xprime: Off
sub_no:
xsub: Off
xsolic: Yes
solic_no: FD2020-15-00452
due_date:
xspec3: Orig
orig_date: 20161201
rev_no:
rev_date:
final_date:
xfollowon: Yes
prec_no: FA8251-11-D-0010
xfinal: No
req_dated:
period:
ctr_name: HONEYWELL INC

9201 SAN MATEO BLVD NE

ALBURQUERQUE NM 87113-2227

ctr_cage: 07187
ctr_ofc: Defense Security Service (IOFWX)

10851 N. Black Canyon Hwy, Suite 860 Phoenix, AZ 85029-4755

sub_name:
sub_cage:
sub_ofc:
perf_loc: See Attached "Honeywell FD2020-15-00452 Continuation" for Actual Performance Locations
perf_cage:
perf_ofc:
gen_id: Purchase of Repair of the Enhanced Color Programmable Display Generators/Color Programmable Display Generators. (eCPDG/CPDG)
x10a: No
x10b: No
x10c: No
x10d: No
x10e1: No
x10e2: No
x10f: No
x10g: No
x10h: No
x10i: No
x10j: Yes
x10k: No
other10k:
x11a: Yes
x11b: Yes
x11c: Yes
x11d: Yes
x11e: Yes
x11f: Yes
x11g: Yes
x11h: Yes
x11i: Yes
x11j: Yes
x11k: Yes
x11l: Yes
other11l:
xrelease: No
release_thru: Information requiring AF or DoD–level review will be forwarded to 75 ABW Public Affairs Office, 7981 Georgia Street, Hill AFB, UT 84056, for distribution through the MAJCOM/DRU Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330-1690.
guidance:

Ref. 10.j.: FOUO 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 11c. Contractor requires access to classified source data up to and including CONFIDENTIAL in support of this work effort.

Any extract or use of such data requires the contractor to apply derivative classifications and markings consistent with the source documents and Executive Order (E.O.) 13526 as amended. Use of multiple sources on the "derived by" line necessitates compliance with E.O. 13526 as amended, the NISPOM and use of the bibliography. Any classified information generated in the performance of this contract shall require the contractor to either apply derivative classification and markings consistent with the source material or be governed by the following Security Classification Guide (SCG): F-16 Multimission Fighter 1 June 2006 Ref 11d. Contractor shall provide adequate storage for classified hardware and materials to the level of CONFIDENTIAL which exceeds 2 cubic feet but not more than 250 cubic feet and is of size and quantity that cannot be safeguarded in a General Service Administration (GSA)-approved security container.

Ref 11j. The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Hill AFB, and 416 SCMS Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced.

13.a. Program Manager: Chris R. Checketts 416 SCMS/GUMAB (801) 775-4577 13.b. DD FM 254 Review: 20210620 THIS DD FORM 254 HAS BEEN REVIEWED AND COORDINATED BY THE FOLLOWING (See Attached Signature Page):

xaddlsec: Yes
addl_sec: Ref 11.j. OPSEC requirements are referenced in the applicable OPSEC DD Form 254 addendum
xinsp: No
inspections:
cert_name: Stacey L. Schultz
cert_title: Contracting Officer
cert_phone: (801) 777-3753
cert_addr: AFSC PZABB

6050 Gum Lane, Bldg 1215 Hill AFB, UT 84056-5825

cert_sign:
x17a: Yes
x17b: Yes
x17c: Yes
x17d: Off
x17e: Yes
x17f: Yes
other_dist: 75 ABW/IPD (steven.nutt.2@us.af.mil)
Reset:

File details come from the government source that posted it. Updated .