DD_Form_254_-_FD2060-20-00009_Signed.pdf

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AN/ALQ-161A Electronic Countemeasure (ECM) system Repair
Solicitation number
FA8522-19-R-0005
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Ref Item 11.j. OPSEC requirements are as follows:

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.

Only contract personnel working on, or in support of the specified contract are required to take the OPSEC training.

RESPONSIBILITIES:

The 448 SCMW OPSEC Program Manager at Robins AFB will provide

OPSEC training curriculum for use by the contractor to the Contracting Officer Representative (COR) or to the Contract’s Program Manager (Logistician).

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 448 SCMW OPSEC Program Manager and the COR/Contract’s Program Manager 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 completion will be documented on AF IMT 1151. 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

Prime Contract or Solicitation #

FD2060-20-00009

OPSEC Coordinator is responsible for contacting the OPSEC Program Manager if OPSEC isn’t written into the contract.

The COR/Contract’s Program Manager 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 OPSEC Program Manager 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.

Prior to seeking approval through Robins 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 448 SCMW Security Manager or OPSEC Program manager.

All personnel must promptly report OPSEC related incidents, issues, and concerns to:

448 SCMW OPSEC Program Manager, 638scmg.na@us.af.mil

Prime Contract or Solicitation #

FD2060-20-00009

mailto:638scmg.na@us.af.mil

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) FD2060-20-00009 Robins DD FM 254 OPSEC Addendum.pdf

CurrentPage:
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Classification: Unclassified
SerialNum:
a. Facility clearance level. Select one.: 2
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2
Choose Yes or No: 0
Choose Yes or No: 1
Prime:
Choose Yes or No: 0
Choose Yes or No: 0
Sub:
Choose Yes or No: 1
Choose Yes or No: 0
Soli: FD2060-20-00009
DueDate:
dateA: 2018-12-03
RevisionNum:
dateB:
Final:
dateC:
No: 0
No: 1
No: 1
No: 1
Yes: 1
Yes: 0
Yes: 0
Yes: 0
Enter your name here.: FA8522-15-D-0014
ReqDated:
Enter your name here.:
Name: Spectrum Microwave, Inc. - Philadelphia Operations

2707 Black Lake Place Philadelphia, PA 19154

Name: N/A
Name: Perdue, Erin C.
Cage: 60979
Cage: N/A
Cage: N/A
Cage: 60979
CSO: Philadelphia Field Office (IOFNP)

2 International Plaza, Ste. 340 Philadelphia, PA 19113

(610) 537-1060

CSO: N/A
CSO: N/A
addrow:
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Location: See Item 13
Block9: The acquisition is for repairs in support of the AN/ALQ-161A Electronic Countermeasures (ECM) System on the B-1B aircraft.
a: 0
a: 0
a: 1
f: 0
f: 0
f: 1
b: 0
b: 1
b: 0
g: 0
g: 0
c: 0
c: 0
c: 1
h: 0
h: 0
d: 0
d: 0
d: 0
i: 0
i: 0
SCI: 0
NonSCI: 0
j: 1
j: 1
k: 0
k: 0
Enter your name here.: See Item 13
e: 0
e: 1
l: 0
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direct: 0
thru: 1
Enter your name here.: See Item 13
PublicAuthority:
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text: Ref Item 8.a & 11.b: Contract performance will occur at the contractor's facility. The following security classification guide, B-1 Program Security Classification Guide, dated 1 Oct 97, Revision 4 dated 10 Oct 2017, applies to this contract in protecting and safeguarding classified information.

Ref Item 10.j: FOUO information provided under this contract shall be safeguarded as specified in DoDM 5200.01-V4, DoD Information Security Program: Controlled Unclassified Information.

Ref Item 11.j: The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Robins AFB, and 448 SCMW Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced in the 254 OPSEC addendum.

Ref Item 12: Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. (T-1) Information requiring AF or DoD–level review will be reviewed by the unit’s OPSEC Program Manager or Coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC 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.

Ref Item 18.f: 78 ABW/IP and 638 SCMG/OMO

attachmentsList:
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rep: USAF Program Manager

Kimberly D. Urzua Program Manager

408 SCMS/GULB

235 Byron Street, Suite 19A Robins AFB, GA 31098 478-327-5840 rep: John M. Cook Unit Security Manager

638 SCMG/OMO-R

235 Byron St. Ste 19a Robins AFB, GA 31098

(478)222-3862 DSN 472-3862

rep: James Goodwin

448 SCMW OPSEC PM

rep: MELVESE M. HARRIS, NH-03 78 ABW/IPD, Servicing Security Activity

Sig:
Enter your name here.:
GCAName: AFMC AFSC/PZABB
AAC: FA8522
AAC: FA8522
Address: AFMC AFSC/PZABB

380 Richard Way, Suite 104 Robins AFB, GA 31098 Address: AFMC AFSC/PZABB 380 Richard Way, Suite 104 Robins AFB, GA 31098

POCName: Erin C. Perdue
Phone: 4789267474
Phone: 4789267474
Email: erin.perdue@us.af.mil
Email: erin.perdue@us.af.mil
Title: Procuring Contract Officer
Enter the date using the format DD-Mon-YYYY: 20190411

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