DD254_17-30004_LM.pdf

CLASSIFICATION (When mled in): For Official Use Only (FOUO)

DEPARTMENT OF DEFENSE 0MB No. 0704-0567 CONTRACT SECURITY CLASSIFICATION SPECIFICATION 0MB approval expires

(Please read Instructions BEFORE completing this appllcatfon.) (The requirements of the National Industrial Security Program October 31, 2020 (NISP) apply to all security aspects of this effort fnvo/v/ng classified information.)

Tha publ=orl/:ng burden for this ccllecllan of lnfarmalfan, 0704.0567, 111 estlmaled to averare 70 minutes per response, including Uta lime far reviewing Instructions, searching existing dala soun:es, gathering and main g Ute data naedad, and completing and reviewing lhe col!ect!on of lnformal!on. end c:ommenls regarding this burden estimate or any olher aspect of this collecllcn of lnform;tfan. lnclucfa,g suggesl!ons ror redUclng Iha bUrdan, lo the Department of Defense, Wast,1ng1Dn Heedquartl!fS Services, at Vlfls.mc,aleic.esd.mbx.dcl-dOd-inrormalion-colledions@mail.mD. Respondents should be aware lhat nOIWlthstancllng any o1her provision of law, no person shall bG subject to any penalty for faBlng to comply wlh a collection of information if il does not display a currenUy valid 0MB conlrol numbor.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL

(See Instructions.) REQUIRED AT CONTRACTOR FACILITY

Secret Secret

2. THIS SPECIFICATION IS FOR: (Xandcompleteasappllcable.J 3. THIS SPECIFICATION IS: (X and complete as applicable.}

a. PRIME CONTRACT NUMBER (Sea lnsfructlons.J

X

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD}

FD2060- l 7-30004 20180901

a. ORIGINAL (Complete date in au cases.}

b. REVISED �&ed .. I

REVISION NO.

all previous specillcallons.J

c. FINAL (Complete Item 5 In all cases.)

DATE (YYYYMMDD)

20171121

DATE (YYYYMMDD)

DATE (YYYYMMDDJ

4. IS THIS A FOLLOW-ON CONTRACT? _jNO � YES. If Yes, complete the following:

Classlfled material received or generated under FA85 l 9-l 3-D-0003 (Preceding Contract Number} Is transferred to this follow-on contract.

5. IS THIS A FINAL DO FORM 254? �NO L . ..J YES. If Yes, complete Iha following:

In response to the contractor's request dated , relenUon of the classified material is authorized for Ule period of:

6. CONTRACTOR (Include Comm9fcial and Govemmenl Entity (CAGE} Code.}

a. NAME, ADDRESS, AND ZIP CODE b.CAGE COOE c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone)!

Lockheed Martin Rotary and Mission Systems 100 Global Defense Security Service (IOFSM) Innovation Circle 16331 734 I Office Park Place, Ste. 203 Orlando, FL 32825-5003 Melboume, FL 32940 dss.melboumefieldoffice®mail.mil

7. SUBCONTRACTOR($) (Click button to add more subcontractors.}

a. NAME, ADDRESS, AND ZIP CODE b.CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CS0s) (Name, Address, ZIP Code, Telephone)

NIA

NIA

NIA

8. ACTUAL PERFORMANCE (Cilek button lo add more locations.}

a. LOCATION(S) {For actual performance, .see instructions.} b.CAGE COOE c. COGNIZANT SECURITY OFFICE(S) �Os) (Name, Address, ZIP Code, (II appticab/o, Telephone) (II applicabl9, sse Instruct s.J

See Item 13 see lnstruclfons.1 See Item 15

9. GENERAL UNCLASSIAED DESCRIPTION OF THIS PROCUREMENT (Click here if more space Is n98ded.)

To ensure the Common Organizational Level Tester (COL n Program meets the Authorizing Official (AO) requirements for Authority to Operate (ATO), and Authority to Connect (ATC) with appropriate systems. This procurement is for Contractor Logistics Support for the COLT Program to include program management, sustaining engineering. software maintenance and repair of COLT assets.

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide delaUs in 8/ocks 13 or 14 as set forth ln th& Instructions.}

X a. COMMUNICATIONS SECURITY {COMSEC) INFORMATION X f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION (NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) h. FOREIGN GOVERMENT INFORMATION

(If CNWDI applies. RESTRICTED DATA must also be marked.} i, ALTERNATIVE COMPENSATORY CONTROL MEASURES (ACCM)

d. FORMERLY RESTRICTED DATA INFORMATION 1 •· NATIONAL INTELLIGENCE INFORMATION: J. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See lnstrucl/ons.)

(1) Sensitive Compartmented lnformaUon (SCI) k, OTHER {Specify} (Sea Instructions.}

(2) Non-SCI

DD FORM 254, NOV 2017 PREVIOUS EDITION IS OBSOLETE. Adobe l..iveCyda Dasignet ES4 CLASSIFICATION (When filled in): For Official Use Only (FOUO) x

AFLCMC IP Cord: 21 Dec 2017

Ref 11g: Access to DTIC can be requested through the DD Form 1540, Registration for Scientific and Technical Information Services or online at: http://www.dtic.mil/dtic/registration/registration.html.