Atch_25_DD_Form_254.pdf

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Attached to
Bomber Armament Tester (BAT) Federal contract opportunity
Solicitation number
FA8533-16-R-0001
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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Attachment 25 - DD Form 254 (Security Classification Requirements)

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DD FORM 254 CONTINUATION SHEET

FD2060‐15‐91493

Ref. 8.a and 11.c: Contract performance will occur at the contractor’s facility and intermittently at government installations as determined by the USAF Program Office. The following security classification guidance applies to this effort:

B‐1 WEAPON SYSTEM PROGRAM SECURITY CLASSIFICATION GUIDE, DATED 1 June 2011

B‐52H WEAPON SYSTEM MASTER SECURITY CLASSIFICATION GUIDE, DATED

2 September 2008

SENIOR JERSEY (SJ) SECURITY CLASSIFICATION GUIDE, DATED 20 March 2006

Ref. 10.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.

Ref. 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. 11j.: The contractor will be provided critical information under separate cover, if applicable.

Ref. 17.f:

AFLCMC/WNAC 78 ABW/IPD

235 Byron Street, Suite 19A 985 Macon Street

Robins AFB, GA 31098 Robins AFB, GA 31098

1229928453C

Typewritten Text

See Continuation Sheet b LEVEL OF SAFEGUARDING REQUIRED Secret:

2 THIS SPECIFICATION IS FOR X and complete as applicableRow1:

a PRIME CONTRACT NUMBER:

2 THIS SPECIFICATION IS FOR X and complete as applicableRow2:

xb SUBCONTRACT NUMBER:

DATE YYYYMMDD:

xDUE DATE YYYYMMDD:

DATE YYYYMMDD_2:

a NAME ADDRESS AND ZIP CODE TBD:

b CAGE CODE TBD:

c COGNIZANT SECURITY OFFICE Name Address and Zip Code TBD:

7 SUBCONTRACTOR:

a NAME ADDRESS AND ZIP CODE NIA:

b CAGE CODE NIA:

c COGNIZANT SECURITY OFFICE Name Address and Zip Code NIA:

8 ACTUAL PERFORMANCE:

a LOCATION TBD:

b CAGE CODE TBD_2:

c COGNIZANT SECURITY OFFICE Name Address and Zip Code TBD_2:

9 GENERAL IDENTIFICATION OF THIS PROCUREMENT RFP for Bomber Armament Test Set For Official Use Only and Military Critical Technology List sensitiYe infonnation will be provided:

NOx:

xb RESTRICTED DATA:

b RECEIVE CLASSIFIED DOCUMENTS ONLY:

xc CRITICAL NUCLEAR lVEAPON DESIGN INFORMATION:

c RECEIVE AND GENERATE CLASSIFIED MATERIAL:

xx:

xd FORMERLY RESTRICTED DATA:

xd FABRICATE MODIFY OR STORE CLASSIFIED HARDWARE:

e INTELLIGENCE INFORMATION:

xe PERFORM SERVICES ONLY:

C1 Sensitive Compartmented Information SCI:

x er8rc6 Wsp5ol11 ANJD0fuAJNR1HHE us:

C2 NonSCI:

xg BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER DTC OR OTHER SECONDARY DISTRIBUTION CENTER:

Cr SPECIAL ACCESS INFORMATION:

h REQUIRE A COMSEC ACCOUNT:

xx_2:

Cg NATO INFORMATION:

xi HAVE TEMPEST REQUIREMENTS:

Ch FOREIGN GOVERNMENT INFORMATION:

xx_3:

Ci LIMITED DISSEMINATION INFORMATION:

xk BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE:

j FOR OFFICIAL USE ONLY INFORMATION:

xx_4:

xRow1:

x:

xRow2:

x_2:

14 ADDITIONAL SECURITY REQUIREMENTS Requirements in addition to ISM requirements are established for this contract LJ Yes lXJ No 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:

15 INSPECTIONS Elements of this contract are outside the inspection responsibility of the cognizant security office LJ Yes No 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:

Harvey Sandra E:

2016-02-16T14:31:56-0500

MORTON.JONATHAN.W.1395513989

2016-02-16T14:35:00-0500

HARRIS.MELVESE.M.1229928453

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