DD254.pdf

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.

SECRET

SECRET

✘ FD2060-15-91015

✘ 20160208

FA8626-10-D-2133

Lockheed Martin Missiles & Fire Control-Orlando 5600 Sand Lake Road Orlando, FL 32819-8907 407-356-4044

04939 Defense Security Service (IOFSM) 6767 N. Wickham Road, Suite 208 Melbourne, Fla 32940 321-225-1246

FAX 321-255-1293

N/A N/A N/A

See Ref Item 13 0TT92 See Ref Item 15

USAF and ANG Advanced Targeting Pod (ATP) sustainment of Sniper pods & it's support/test equipment, technical data, sustainment engineering, software support, integration, aircrew/maintenance training provisioning, flight test support and contractor logistics support to include organic depot requirements.

Gov. provided Program Protection Plan (PPP)

Reset

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 classifiection 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

NONE AUTHORIZED

a. The National Industrial Security Program Operating Manual (NISPOM), February 2006, Change 1 March 28, 2013, applies.

b. Ref Item 8.a.: Contract performance will occur as indicated in Item 6.a. as well as Lockheed Martin, Bldg 640, Door X19, Page Road, Robins AFB, Ga 31098. The cage code is 0TT92 and the COGNIZANT SECURITY OFFICE is Defense Security Service (IOFSM) 1899 Powers Ferry Rd, Suite 330, Atlanta, GA. 30339, 770-370-3740, FAX: 770-952-6176.

c. Ref Item l0.a: The contractor is governed by NSA/CSS Policy Manual 3-16, dated August 2005, in the control and protection of COMSEC Material/Information. Access to COMSEC material by personnel is restricted to U.S. citizens holding final U.S.

Government clearances. Such information is not releasable to personnel holding only reciprocal clearances.

d. Access to SIPRNET required.

e. Ref Item l0.e (2): Contractor will require access to and comply with AFI 14-303 and AFMC Supplement 1. Release of intelligence information does not create an unfair competitive advantage for the contractor nor a conflict of interest with the contractor’s obligation to protect the information. See Intel Addendum.

f. Ref Item l0.g: NATO briefing required prior to granting access. See NISPOM Chapter 10 for details.

USAF PROGRAM MANAGER USAF SECURITY MANAGER USAF SERVICING SECURITY ACTIVITY:

PAUL F. MILLER, JR. MELVESE HARRIS, DAFC

Program Manager Security Specialist

AFLCMC/WNYBAA 78 ABW/IPD

235 BYRON ST., STE 19-A 985 Macon Street Robins AFB GA 31098-1670 Robins Air Force Base GA 31098

(478) 497-8278

DANIEL T. COLABINE

Security Manager

AFLCMC/WNOS

235 BYRON ST., STE 19-A

Robins AFB GA 31098

(478) 472-3891 (478) 222-1977

(SEE CONTINUATION SHEET)

Provide the information requested by the Notification of Government Security Activity Clause, AFFARS 5352.204-9000, to the Servicing Security Activity (SSA) address where the work will be performed. Refer to the contract document for this clause.

Ref Items 10.k and 11.j

KRISTEN CAMPBELL CONTRACT OFFICER (478) 222-5267

AFLCMC/WNKCA, 235 Byron St., Ste 19A, Bldg 301 Robins AFB, GA. 31098-1670

✘ See Continuation Sheet m, 78 ABW/IPD, Servicing Security Activity (SSA) is relieved of conducting Industrial Security Program Reviews, Defense Security Service (IOFSM) 1899 Powers Ferry Rd, Suite 330, Atlanta, GA. 30339, 770-370-3740, FAX: 770-952-6176, will be responsible for conducting reviews. Contractor will comply with Outgrant Lease No. AFMC-RB-1-10-001, for contract performance on Robins AFB, GA.

1049086411C Typewritten Text For

Reset

FD2060-15-91015

DD FORM 254 CONTINUATION SHEET

FD2060-15-91015

Block 13 Continued:

g. Ref Item l0.j: FOUO information provided under this contract shall be safeguarded as specified in DoDM 5200.01-V4, DoD Information Security Program: Controlled Unclassified Information.

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

i. Ref Item 11.c: The contractor may have access to classified data up to SECRET in support of this contract. Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the source material or be governed by the current version of the AN/AAQ-28 & AN/AAQ-33 Advanced Targeting Pod (ATP) Program Security Classification Declassification Guide (SCDG); revised 1 July 2010, w/letter change 1, dated 30 January 2012, reviewed 18 September 2013, OPR: Combat Electronics Division, AFLCMC/WNY Wright Patterson AFB, OH 45433-7205. SCDG will be provided under separate cover.

j. Ref Item 11.d: The contractor is required to provide adequate and approved storage for classified hardware or material to the level of SECRET, which exceeds two cubic feet but not more than one hundred cubic feet.

k. Ref Item 11.f: 18 FW, Kadena AB, Okinawa Prefecture, Japan

31 FW Aviano ABS, Area G, PN, Italy 35 FW Misawa ABS, Aomori Prefecture, Misawa, Japan 380 EAMXS, Al Dhafra, United Arab Emirates 455 EAMXS, Bagram AB, Afghanistan 51 FW, Osan ABS, Pyeongtaek, Korea 52 FW, Spangdahlem ABS, Spangdahlem, Germany 8 FW, Kunsan ABS, Kunsan, Korea RJAF Azraq, Muawfiq Al Salti AB, Jordan 48 FW, RAF Lakenheath, Lakenheath, Brandon, United Kingdom

l. Ref Item 11.k: Go to http://www.transcom.mil/dcd/ for Defense Courier Service points of contacts and guidance.

m. Ref Item 11.j: Critical Information will be provided under separate cover if required.

n. Ref Item 17.e (ACO): Jessica Zambrano, DCMA Lockheed Martin Orlando Space & Missiles System Division, 5600 Sand Lake Road, MP 49 Orlando FL 32819-8907, (407)356-0228 jessica.zambrano@dcma.mil

o. Ref Items 17.f. (Distribution):

- AFLCMC/WNY (Security Manager) 235 Byron Street, Ste. 19A, Robins AFB, GA. 31098

- 78 ABW/IPD, 985 Macon Street Robins AFB, GA 31098, 78 ABW/IP Industrial Security, (478) 222-1977

DSN: 472-1977

- SSO Robins-AFLCMC/INGS, 235 Byron Street, Suite 19A, Robins AFB GA 31098-1662, Attn: Michael Long

p. 10.e. ***SEE INTELLIGENCE ADDENDUM*** mailto:jessica.zambrano@dcma.mil mailto:78%20sfs.s5i.is@us.af.mil