FA855226RB001 RFP Attachment 18 Solicitation DD254.pdf

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HH-60W Degraded Visual Environment System(DVES) - FA8552-26-R-B001
Solicitation number
FA8552-26-R-B001
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FA855226RB001 Questions and Answers updated 092426.pdf PDF
FA855226RB001 Amend 04 RFP Attachment 5 Cross Reference Matrix.docx DOCX document
FA855226RB001 Amend 04 RFP Attachment 11 Cost Model.xlsx XLSX spreadsheet
Solicitation Amendment - FA855226RB0010004.pdf PDF
FA855226RB001 Amend 04 RFP Attachment 15 Section M.pdf PDF
FA855226RB001 Questions and Answers updated 091126.pdf PDF
FA855226RB001 Amend 04 RFP Attachment 24 Use and Nondisclosure Agreement.pdf PDF
FA855226RB001 Questions and Answers updated 081826.pdf PDF
Solicitation Amendment - FA855226RB0010003.pdf PDF
FA855226RB001 Amend 03 RFP Attachment 15 Section M.pdf PDF
FA855226RB001 Questions and Answers updated 080526.pdf PDF
FA855226RB001 Questions and Answers.pdf PDF
Solicitation Amendment - FA855226RB0010002.pdf PDF
FA855226RB001 Amend 02 RFP Attachment 15 Section M.pdf PDF
FA855226RB001.pdf PDF
Solicitation Amendment - FA855226RB0010001.pdf PDF
FA855226RB001 RFP Attachment 6 Present and Past Performance Questionnaire_.docx DOCX document
FA855226RB001 RFP Attachment 21 AFMC FORM 158.pdf PDF
FA855226RB001 RFP Attachment 4 FACTS Sheet.docx DOCX document
FA855226RB001 RFP Attachment 7 Transmittal Letter.docx DOCX document
FA855226RB001 RFP Attachment 11 Cost Model.xlsx XLSX spreadsheet
FA855226RB001 RFP Attachment 12 Cost Price Spreadsheet (TRV).xlsx XLSX spreadsheet
FA855226RB001 RFP Attachment 5 Cross Reference Matrix.docx DOCX document
FA855226RB001 RFP Attachment 9 Subcontractor and Teaming Member Consent Form.docx DOCX document
FA855226RB001 RFP Attachment 8 Client Authorization Letter.docx DOCX document
FA855226RB001 RFP Attachment 6 Present and Past Performance Questionnaire.docx DOCX document
FA855226RB001 RFP Attachment 10 VPP DART-TCIR Chart.xlsx XLSX spreadsheet
FA855226RB001.pdf PDF
FA855226RB001 RFP Attachment 2 How to Post Offer on PIEE.pdf PDF
FA855226RB001 RFP Attachment 19 SRD (CUI).pdf PDF
FA855226RB001 RFP Attachment 22 Special Packaging Instructions.pdf PDF
FA855226RB001 RFP Attachment 1 Instructions to Register a PIEE Account.pdf PDF
FA855226RB001 RFP Attachment 3 Past Performance Information for Offerors.pdf PDF
FA855226RB001 RFP Attachment 4 FACTS Sheet.docx DOCX document
FA855226RB001 RFP Attachment 5 Cross Reference Matrix.docx DOCX document
FA855226RB001 RFP Attachment 6 Present and Past Performance Questionnaire.docx DOCX document
FA855226RB001 RFP Attachment 7 Transmittal Letter.docx DOCX document
FA855226RB001 RFP Attachment 9 Subcontractor and Teaming Member Consent Form.docx DOCX document
FA855226RB001 RFP Attachment 10 VPP DART-TCIR Chart.xlsx XLSX spreadsheet
FA855226RB001 RFP Attachment 21 AFMC FORM 158.pdf PDF
FA855226RB001 RFP Attachment 8 Client Authorization Letter.docx DOCX document
FA855226RB001 RFP Attachment 11 Cost Model.xlsx XLSX spreadsheet
FA855226RB001 RFP Attachment 13 Pre-Award Survey.pdf PDF
FA855226RB001 RFP Attachment 14 Section L.pdf PDF
FA855226RB001 RFP Attachment 17 CDRLs.pdf PDF
FA855226RB001 RFP Attachment 23 Delivery Schedule.pdf PDF
FA855226RB001 RFP Attachment 12 Cost Price Spreadsheet (TRV).xlsx XLSX spreadsheet
FA855226RB001 RFP Attachment 15 Section M.pdf PDF
FA855226RB001 RFP Attachment 16 PWS (CUI).pdf PDF
FA855226RB001 RFP Attachment 20 AFMC FORM 807.pdf PDF
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PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 254, APR 2018

NEEDS DD67

(Updated 20250815)

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:

August 31, 2028 The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 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.)

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)

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 Form 254, "DoD Contract Security Classification Specification"

CurrentPage:
PageCount:
Classification (when form is filled in) (automatically filled from previous drop-down list): Unclassified
Serial Number:
1. CLEARANCE AND SAFEGUARDING - a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions) - Select from drop-down list: 2

1. CLEARANCE AND SAFEGUARDING - b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL REQUIRED AT CONTRACTOR FACILITY - select from drop-down list: 4
3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "a. ORIGINAL (Complete date in all cases.) ": 0
3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "a. ORIGINAL (Complete date in all cases.) ": 1
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - a. PRIME CONTRACT NUMBER (See instructions.):
3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "b. REVISED (Supersedes all previous specifications.)": 0
3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "b. REVISED (Supersedes all previous specifications.)": 0
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - b. SUBCONTRACT NUMBER:
3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "c. FINAL (Complete Item 5 in all cases.)": 1
3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "c. FINAL (Complete Item 5 in all cases.)": 0
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - c. SOLICITATION OR OTHER NUMBER: FA8552-26-R-B001
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - c. SOLICITATION OR OTHER NUMBER - DUE DATE (YYYYMMDD): 20260731
3. THIS SPECIFICATION IS: (X and complete as applicable.) - a. ORIGINAL (Complete date in all cases.) : 20260416
3. THIS SPECIFICATION IS: (X and complete as applicable.) - b. REVISED (Supersedes all previous specifications.) - REVISION NUMBER:
3. THIS SPECIFICATION IS: (X and complete as applicable.) - b. REVISED (Supersedes all previous specifications.) - DATE (YYYYMMDD):
3. THIS SPECIFICATION IS: (X and complete as applicable.) - c. FINAL (Complete Item 5 in all cases.):
3. THIS SPECIFICATION IS: (X and complete as applicable.) - c. FINAL (Complete Item 5 in all cases.) - DATE (YYYYMMDD):
15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 1
15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 1
15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 0
15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 1
15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 0
15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 0
15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 1
15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 0
4. IS THIS A FOLLOW-ON CONTRACT? - If yes - Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract. - Enter preceding contract number.:
5. IS THIS A FINAL DD FORM 254? - In response to the contractor's request dated (date), retention of the classified material is authorized for the period of (period) - Enter contractor's request date in format YYYYMMDD.:
E5. IS THIS A FINAL DD FORM 254? - In response to the contractor's request dated (date), retention of the classified material is authorized for the period of - Enter period.:
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. - a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions):

TBD

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. - a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions):

N/A

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. - a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions): Danko, Millie
17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): TBD
17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A
17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): TBD
17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A
8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional):

TBD

8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional):

N/A

8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional):

TBD

8. ACTUAL PERFORMANCE (Click button to add more locations.) - Select to add row :
8. ACTUAL PERFORMANCE - Select to remove last row:
13. SECURITY GUIDANCE - Select to delete all signature rows:
8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.):

TBD

Enter general unclassified description of this procurement.: HH-60W Degraded Visual Environment System (DVES)
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 1
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 1
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 1
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0
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.) - Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0
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.) - Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1
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.) - Select for "h. REQUIRE A COMSEC ACCOUNT.": 0
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.) - Select for "h. REQUIRE A COMSEC ACCOUNT.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0
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.) - Select for "i. HAVE A TEMPEST REQUIREMENT.": 0
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.) - Select for "i. HAVE A TEMPEST REQUIREMENT.": 0
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: Select for "(1) Sensitive Compartmented Information (SCI).": 0
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: Select for "(2) Non-SCI.": 0
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.) - Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1
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.) - Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1
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.) - Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1
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.) - Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Enter specification for "other." (If more room is needed, continue in Item 13 or on additional page if necessary.): HH-60W Program Protection Plan
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Enter specification for "other." (If more room is needed, continue in Item 13 or on additional page if necessary.): See Blk 13
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0
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.) - Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI)." (DoD Components: refer to DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.): 1
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.) - Select for "m. OTHER.": 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 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) - Select for "DIRECT": 0
12. PUBLIC RELEASE - Select for "THROUGH": 1
12. PUBLIC RELEASE - Enter specification for "through".: a. AFLCMC/WIHB Robins AFB GA 31098 for non-SAR related material.
12. PUBLIC RELEASE - Public Release Authority:: See Block 13
13. SECURITY GUIDANCE - Select to add signature row:
13. SECURITY GUIDANCE - Select to remove last signature row:
Reviewing Official’s Office Symbol, phone and email (6): a. The National Industrial Security Program Operating Manual (NISPOM), 32 C.F.R. Part 117, December 2021 applies.

b. Ref Item 10j: See DoDI 5200.48_DAFI 16-1403, Controlled Unclassified Information (CUI) and DoDM 5400.07/Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program, and AFI 16-1404, Air Force Information Security Program, for requirements.

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

d. Ref Blk 11a: Contract performance is restricted to the government/contractor locations identified in 8a.

Contractor will reference the appropriate security classification guidance when generating or deriving classified material or hardware. All classified information received or generated will be properly stored and handled according to the markings on the material. All classified information received or generated is the property of the U.S. Government. At the termination or expiration of the contract, the U.S. Government will be contacted for proper disposition instructions. Contractor will abide by and shall apply derivative classification and markings governed by the current version of the following security classification guidance:

SCG: HH-60W Combat Rescue Helicopter, Dated 27 Oct 2022

OPR: AFLCMC/WIH

e. 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 forwarded 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.

f. Ref Item 18f: Ensure certification and signatures are completed by contracting officer and distribution is accomplished to locations identified in 8a and 8c above and to the following:

AFLCMC IP AFLCMC/WIU HQ Defense Counterintelligence and Security Agency 1801 Tenth St., Bldg 8, Rm 103 370 Richard Ray Blvd 27130 Telegraph Rd WPAFB, OH 45433-7629 Robins AFB, GA 31098 Quantico, VA 22134

g. Program Manager: Mr. David Jones, AFLCMC/WIHB, 478-327-4312

h. Security Manager: Ms. Brandi Ellingham, AFLCMC/WIU, 478-327-4572

Reviewing Official’s Office Symbol, phone and email (6): AFLCMC/WIHB

478-327-4312 DSN 497

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form) - Click on this button to attach a file(s).:
NAME & TITLE OF REVIEWING OFFICIAL (6): DAVID JONES

Acquisition Program Manager NAME & TITLE OF REVIEWING OFFICIAL (6): Frank Maguire Chief of Security/WIH

17. CERTIFICATION AND SIGNATURES - h. SIGNATURE :
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.): Ref Blk 10k: Program Protection Plans (PPP) will be provided by the Government activity.

Ref Item 11j: OPSEC requirements apply. See Performance Work Statement for requirements.

Ref 14: Per AFI 10-254 all contractors will be Anti-terrorism Level 1 trained.

Ref 14: Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreement Clause, DAFFARS 5352.204-9000 to the Servicing Security Activity (SSA) address where the work will be performed.

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC) - a. GCA NAME: AFLCMC/WIUK
17. CERTIFICATION AND SIGNATURES - d. AAC OF THE CONTRACTING OFFICE (See Instructions): FA8552
17. CERTIFICATION AND SIGNATURES - d. AAC OF THE CONTRACTING OFFICE (See Instructions): FA8552
17. CERTIFICATION AND SIGNATURES - c. ADDRESS (Include ZIP Code): AFLCMC/WIUK

235 Byron Street, Suite 19A Robins AFB, GA 31098

17. CERTIFICATION AND SIGNATURES - c. ADDRESS (Include ZIP Code): AFLCMC/WIUK 235 Byron Street, Suite 19A Robins AFB, GA 31098

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC) - d. POC NAME: Millie Danko
17. CERTIFICATION AND SIGNATURES - f. TELEPHONE (Include Area Code): 4789260037
17. CERTIFICATION AND SIGNATURES - f. TELEPHONE (Include Area Code): 4789260037
17. CERTIFICATION AND SIGNATURES - g. EMAIL ADDRESS (See Instructions): millie.danko@us.af.mil
17. CERTIFICATION AND SIGNATURES - g. EMAIL ADDRESS (See Instructions): millie.danko@us.af.mil
17. CERTIFICATION AND SIGNATURES - b. TITLE : Contracting Officer
17. CERTIFICATION AND SIGNATURES - i. DATE SIGNED (See Instructions): 20260622

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