FA8650-17-S-1070-Atch3.pdf
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- Attached to
- Classification of Vibrating Systems (CLOVIS)
- Solicitation number
- FA8650-17-S-1070
About this file
Draft DD Form 254
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Other files
| File | Type | Posted |
|---|---|---|
| FA8650-17-S-1070-Amd2.pdf | ||
| FA8650-17-S-1070-Amd1.pdf | ||
| FA8650-17-S-1070.pdf | ||
| FA8650-17-S-1070-Atch5.pdf | ||
| FA8650-17-S-1070-Atch6.pdf | ||
| FA8650-17-S-1070-Atch1.pdf | ||
| FA8650-17-S-1070-Atch4.pdf | ||
| FA8650-17-S-1070-Atch2.pdf | ||
| FA8650-17-S-1070-NOCA.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
b. LEVEL OF SAFEGUARDING REQUIRED
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)
b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specs)
Revision No. DATE (YYYYMMDD)
c. SOLICITATION OR OTHER NUMBER 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 b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and ZIP Code)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and ZIP Code)
8. ACTUAL PERFORMANCE
a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and ZIP Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
10. THIS CONTRACT 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 INFOR-
MATION 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 ONLYINFORMATION l. OTHER (Specify)
k. OTHER (Specify)
DD Form 254, DEC 1999 (EF) PREVIOUS EDITIONS ARE OBSOLETE
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 to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs) * for review.
Direct Through (Specify
* 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.)
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, 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 cognizant security office. Use item 13 if additional space is needed.)
YES NO
15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (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.)
YES NO
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 b. TITLE c. TELEPHONE (Include Area Code)
d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
e. SIGNATURE d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION
e. ADMINISTRATIVE CONTRACTING OFFICER
f. OTHERS AS NECESSARY
DD Form 254 (BACK), DEC 1999
AFRL /RYOY COORDINATION:
| a FACILITY CLEARANCE REQUIRED: SECRET |
| b LEVEL OF SAFEGUARDING REQUIRED: SECRET |
| a PRIME CONTRACT NUMBER: |
| b SUBCONTRACT NUMBER: |
| Revision No: |
| If yes complete the following: |
| Preceding Contract Number: |
| Check Box 2a: Off |
| Check Box 2b: Off |
| Check Box 2c: Yes |
| Check Box 3a: Yes |
| Check Box 3b: Off |
| Check Box 3c: Off |
| Check Box 4: No |
| Check Box 5: No |
| Check Box 10a: No |
| Check Box 10b: No |
| Check Box 10c: No |
| Check Box 10d: No |
| Check Box 10e1: No |
| Check Box 10e2: No |
| Check Box 10f: No |
| Check Box 10g: No |
| Check Box 10h: No |
| Check Box 10i: No |
| Check Box 10j: Yes |
| Check Box 10k: No |
| Check Box 11a: No |
| Check Box 11b: No |
| Check Box 11c: Yes |
| Check Box 11d: No |
| Check Box 11e: No |
| Check Box 11f: No |
| Check Box 11g: Yes |
| Check Box 11h: No |
| Check Box 11i: No |
| Check Box 11j: No |
| Check Box 11k: No |
| Check Box 11l: Yes |
| Check Box 12: No |
| Check Box 14: Yes |
| Check Box 15: Yes |
| Check Box 17a: Yes |
| Check Box 17f: Yes |
| Check Box 17e: Yes |
| Check Box 17d: Off |
| Check Box 17c: Yes |
| Check Box 17b: Off |
| 12 Public Release: a. Information requiring AF or DoD-level review will be forwarded by the entry-level public affairs office thru 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. |
b. AFRL/RYMM, 2241 Avionics Circle, WPAFB, OH 45433 for non-SAR related material. Transmission of public release request via e-mail is not authorized.
| 17f Other text: |
| 6a NAME ADDRESS AND ZIP CODE: TBD |
| 14 ADDITIONAL SECURITY REQUIREMENTS: Ref Blk 11j: OPSEC requirements apply. See Statement of Objectives (SOO) for requirements. |
| 13 SECURITY GUIDANCE: The National Industrial Security Program Operating Manual (NISPOM), February 2006, applies. |
a. Ref Blk 10j: See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoD 5400.7‑R/Air Force Manual 33‑302, DoD Freedom of Information Act (FOIA) Program, and AFI 16-1404, Air Force Information Security Program, for requirements.
f. Ref Blk 11c: Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the source material or be governed by the current version of the Electro-Optical Targeting Sensors Security Classification/Declassification Guide (SCDG), revision dated 20 Feb 15, OPR: AFRL/RYM, WPAFB, OH 45433. SCDG will be supplied under separate cover.
g. Security POC: Gayle Wolfe, AFRL/RYOY, (937) 713-8538, gayle.wolfe@us.af.mil
h. Program POC: Brian Stadler, AFRL/RYMM, (937)713-8238, brian.stadler@us.af.mil
i. Ref Blk 17e (ACO): TBD
j. Ref Blk 17f (Distribution): AFRL/RYOY, 2241 Avionics Circle, WPAFB, OH 45433, gayle.wolfe@us.af.mil *****See Continuation Sheet*****
| 15 INSPECTIONS: |
| 16a TYPED NAME OF CERTIFYING OFFICIAL: ANAR WAGNER |
| 16b TITLE: Contracting Officer |
| 16c TELEPHONE: (937) 713-9977 |
| 16d ADDRESS: AFRL/RQKSR |
2130 8th Street Blg 45
WPAFB OH 45433
9 GENERAL IDENTIFICATION OF THIS PROCUREMENT: Classification of Vibrating Systems (CLOVIS). Program objective is the analysis of airborne vibration sensor data and measured ground truth data to develop algorithms and software to aid in the identification of ground targets. Software will be integrated with sensor to assess efficacy of software performance in flight test.
| 8a ACTUAL Location: N/A | |
| 8b ACTUAL CAGE CODE: N/A | |
| 8c ACTUAL COGNIZANT SECURITY OFFICE: N/A | |
| 7a SUB NAME ADDRESS AND ZIP CODE: N/A | |
| 7b SUB CAGE CODE: N/A | |
| 7c SUB COGNIZANT SECURITY OFFICE: N/A | |
| 6b CAGE CODE: TBD | |
| 6c COGNIZANT SECURITY OFFICE: TBD | |
| 5 Requested Date: | |
| 5 Authorized Period: | |
| 4 SOLICITATION or OTHER NUMBER: FA8650-17-S-1070 | |
| 3c FINAL DATE: | |
| 3b REVISED DATE: | |
| 3a ORIGINAL DATE: 20170523 | |
| 2017-05-31T08:22:02-0400 | |
| MAY.ENOCH.D.II.1080567452 |
| 10k: |
| Other: |
| 11l: |
| Other: |
Pre-contract award access to classified is not required.
File details come from the government source that posted it. Updated .