DD_254_WR-ALC_Production_Support_F3QCCL6312A002.pdf
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- WR-ALC PRODUCTION SUPPORT
- Solicitation number
- FA8571-17-R-0004
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Attachment 1 DD254 Memo to File
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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
N/A
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)
20170214
b. SUBCONTRACT NUMBER b. REVISED
(Supersedes all previous specs)
REVISION NO. DATE (YYYYMMDD)
c. SOLICITATION OR OTHER NUMBER
F3QCCL6312A002
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
TBD
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
TBD
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE
N/A
b. CAGE CODE
N/A
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
N/A
8. ACTUAL PERFORMANCE
a. LOCATION
402 AMXG
Robins AFB, GA 31098
b. CAGE CODE N/A
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
78 ABW/IPD
985 Macon Street Robins AFB, GA 31098
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
AIRCRAFT AUGMENTEE CONTRACT SUPPORT SERVICES FOR DEPOT-AIRCRAFT MANENANCE FACILITIES, 560 AFCT
MAINTENANCE SQUADRON (560 AMXS)
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)
Visitor Group Security Agreement (VGSA) required;
AFFARS 5352.204-9000 applies. See Block 14.
k. OTHER (Specify)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional X
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. *78 ABW/PA, 125 MLK, Jr Blvd, 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.)
Ref. 8a, and 11a. Contract performance is restricted to 402d AMXG, Robins AFB, GA. Using activity will provide security classification guidance for performance of this contract.
Ref. 10j. FOUO information provided under this contract shall be safeguarded as specified in DoDM 5200.01-V4, DoD Information Security Program: Controlled Unclassified Information (CUI).
Ref. 11e. This contract is for maintenance services only. Actual knowledge of, generation, or production of classified information is not required for performance of the contract. Cleared personnel are required to perform this service because access to classified information cannot be precluded by escorting personnel.
Ref 11j. Contractor personnel will participate in the OPSEC program administered locally by the AF activity.
Ref 17f. 402 AMXSS/MXDSAB; 402 AMXSS/MXDPAC (Security Office); 78 ABW/IPD
CONTRACTING OFFICER REPRESENTATIVE SECURITY MANAGER SERVICING SECURITY ACTIVITY (SSA)
Eric Lester Robert Sprague Melvese Harris WR-ALC/OBC Security Manager Industrial Security Specialist
478-497-4746 402 AMXG/MXDSM 78 ABW/IP
Robins AFB, GA 31098 Robins AFB, GA 31098 Robins AFB, GA 31098 eric.lester@us.af.mil DSN 497- 5180 DSN 472-1977
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.)
Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreements 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.
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.)
Industrial security reviews for long term visitor groups will be conducted by the SSA while operating on an Air Force Installation.
The contractor will comply with the visitor group security agreement provided by the USAF Program/Project Manager at the performance location.
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
Jennifer L. Roe
b. TITLE
Contracting Officer
c. TELEPHONE (Include Area Code)
478-926-0337
d. ADDRESS (Include Zip Code)
375 Perry Street, Bldg 255, Ste A Robins AFB, GA 31098
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 Item 13 Above
e. SIGNATURE
DD FORM 254 (BACK), DEC 1999
mailto:eric.lester@us.af.mil
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| SPRAGUE.ROBERT.W.1039888226 |
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| HARRIS.MELVESE.M.1229928453 |
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