DDForm254.pdf

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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

SECRET

b. LEVEL OF SAFEGUARDING REQUIRED

NONE

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

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases)

DATE (YYYYMMDD)

20170728

b. SUBCONTRACT NUMBER b. REVISED

(Supersedes all previous specs)

REVISION NO. DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER

FD2060-16-70406

DUE DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases)

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

TBD

b. CAGE CODE

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

TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE

N/A

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

N/A

8. ACTUAL PERFORMANCE

a. LOCATION

SEE CONTINUATION SHEET

b. CAGE CODE

N/A

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

N/A

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

ON-SITE EVALUATION AND REPAIR OF THE DIGITAL (DIG) DEFENSIVE AUGMENTATION AUTOMATIC TEST EQUIPMENT

(DAAE) TO FULLY MISSION CAPABLE STATUS.

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER

CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY

b. RESTRICTED DATA b. RECEIVE CLASSIFIED DOCUMENTS ONLY

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

d. FORMERLY RESTRICTED DATA d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. INTELLIGENCE INFORMATION e. PERFORM SERVICES ONLY

(1) Sensitive Compartmented Information (SCI) f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

(2) Non-SCI g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION

CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

f. SPECIAL ACCESS INFORMATION h. REQUIRE A COMSEC ACCOUNT

g. NATO INFORMATION i. HAVE TEMPEST REQUIREMENTS

h. FOREIGN GOVERNMENT INFORMATION j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

i. LIMITED DISSEMINATION INFORMATION k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

j. FOR OFFICIAL USE ONLY INFORMATION l. OTHER (Specify)

k. OTHER (Specify)

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional .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 Direct Through (Specify)

Information requiring AF or DoD-level review will be forwarded by the entry-level public affairs office 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: AFLCMC/WNAAA, 235 Byron St. Ste 19A, Robins AFB, GA 31098.

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.)

USAF PROGRAM MANAGER USAF SECURITY MANAGER USAF SERVICING SECURITY ACTIVITY

Digitally signed by Digitally signed by

HICKS.CHANNI HICKS.CHANNIN.A.1407452255 BRADFORD.JUC BRADFORD.JUCAL.K.1105083170 CRONE.SEAN.D Digitally signed by DN: c=US, o=U.S. Government, ou=DoD, DN: c=US, o=U.S. Government, ou=DoD, CRONE.SEAN.DAVID.12658454

N.A.1407452255 ou=PKI, ou=USAF, ou=PKI, ou=USAF, 67 cn=HICKS.CHANNIN.A.1407452255 AL.K.1105083170 cn=BRADFORD.JUCAL.K.1105083170 AVID.1265845467 Date: 2017.08.08 09:54:56 -04'00' Date: 2017.07.14 13:34:49 -04'00' Date: 2017.08.03 15:21:45 -04'00'

CHANNIN A. HICKS JUCAL HIGGS-BRADFORD SEAN CRONE

AFLCMC/WNAAB AFLCMC/WNE-IP AFLCMC/IP

235 Byron Street, Ste. 19A 235 Byron Street, Suite 19A Building 28, 2145 Monahan Way Robins AFB, GA 31098 Robins AFB, GA 31098 Wright-Patterson AFB, OH 45433

(478) 222-2246 or DSN 472 (478)-222-3891 or DSN 472 (937) 255-7755 or DSN 785

*****SEE CONTINUATION SHEET*****

The National Industrial Security Program Operating Manual (NISPOM), February 2006, applies. Transfer of documents to other IR&D efforts is not permitted.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. Yes 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. 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.)

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.

a. TYPED NAME OF CERTIFYING OFFICIAL

BENJAMIN WILTON

b. TITLE

CONTRACTING OFFICER

c. TELEPHONE (Include Area Code)

478-327-4963

d. ADDRESS (Include Zip Code)

AFLCMC/WNKAB

235 BYRON STREET, SUITE 19A

ROBINS AFB, GA 31098-1670

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 SEE CONTINUATION SHEET

e. SIGNATURE

DD FORM 254 (BACK), DEC 1999 Reset

Continuation Sheet

Ref Item 10j: FOUO information provided under this contract shall be safeguarded as specified in DOD 5200.1-R, Information Security Program, Appendix 3, Controlled Unclassified Information.

Ref Item 11a: Contractor performance will occur at the following locations for less than 90 calendar days from the commencement of repair actions for each individual serial numbered station. No more than two (2) exceptions per contract year. No classified performance will be at facility:

Ellsworth AFB Dyess AFB Robins AFB 2037 Bergstorm Drive 913 Anaconda Ave 575 Blunk Drive Ellsworth AFB, SD 57707 Dyess AFB, TX 79606 Robins AFB, GA 31098

Reference B-1 Weapon System Program Security Classification Guide, (FOUO) dated 01 June 2011. Only Sections IX and XIII of the security classification guide apply to this effort.

Ref Item 11j: Contractor personnel will participate in the OPSEC program locally administered by the AF activity.

Ref Item 17f: Ensure certifications and signatures are completed by contracting officer and distribution is made to the following organizations:

AFLCMC/WNE-IP 78 ABW/IPD

235 Byron Street, Suite 19A 985 Macon Street Robins AFB, GA 31098 Robins AFB, GA 31098 Attn: Kenneth Keyes Attn: Wendy Myers

28th BW/IP 7th BW/IP Ellsworth AFB, SD 57706 Dyess AFB, TX 79607