DD254.pdf

CLASSIFICATION (When filled in): FOR OFFICIAL USE ONLY

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AEM LiveCycle Designer

DD FORM 254, APR 2018

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:

October 31, 2020

The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

FA8730-19-R-0005

DUE DATE (YYYYMMDD)

20190308

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20190219

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No Yes 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? No Yes 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(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

TBD

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)

a. NAME, ADDRESS, AND ZIP CODE

N/A

b. CAGE CODE

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

N/A

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.)

See Continuation Page

b. CAGE CODE

(If applicable, see Instructions.)

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

N/A

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Provide acquisition, upgrade and sustainment of a family of physical and electronic security systems.

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10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

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

b. RESTRICTED DATA

g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

Unclassified Nuclear Controlled Information (UCNI) (SIPRNET), Program Protection Plan

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

Perform Classified AIS processing

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)

DIRECT THROUGH (Specify below)

AFLCMC/HBU program office. See continuation page

Public Release Authority:

66 ABG/PA, 9 Eglin Street, Hanscom AFB, MA 01731-2100

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.)

Ref All Blocks. Not all Security Requirements included in this proposal DD254 will be required for all Delivery Orders. A Specific DD254 will be issued for each Classified Delivery Order. Unclassified Delivery Orders may not require a DD254.

Ref Block 1a and 1b FAR Clause 52.204-2 applies.

Ref Block 1b Safeguarding of Classified will not be required for all Delivery Orders.

Ref Block 8: Work will be performed at various CONUS and OCONUS locations.

Ref Block 10a: COMSEC requirements apply. COMSEC information includes accountable or non-accountable COMSEC information and controlled cryptographic items (CCI). COMSEC/Cryptographic, Safeguarding requirements apply. See AFMAN 17-1302 Communications Security (COMSEC) Operations for details. Access to COMSEC information is authorized to the prime contractor only. Further release requires prior approval from the owner of the COMSEC information. DFARS clause 252.239-7016 applies.

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Ref Block 10.d: Access to Formerly Restricted Data (FRD) requires a final U.S. Government clearance at the appropriate level.

Ref Block 10e (2): Contractor will require access to intelligence information and must comply with directions provided by the Contracting Officer’s Representative (COR). The Program Manager has determined that disclosure does not create an unfair competitive advantage for the contractor or a conflict of interest with the contractor's obligation to protect the information. In accordance with para 8.9.2.2 of AFMAN 14-304, the COR will identify what intelligence information is required for the contractor to satisfy the contract and will submit that information to the Servicing Senior Intelligence Officer (SIO) for approval prior to granting access.

Ref block 10g: To facilitate potential access to NATO classified information, all DoD military, civilian, and contractor personnel who are briefed on their responsibilities for protecting U. S. classified military information, shall also be briefed on the requirements for protecting NATO information. NATO briefing required prior to granting access. See NISPOM Chapter 10, Section 7, for details.

Ref Block 10j: See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 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.

Ref. Block 10k: Proper protection of DoD Unclassified Nuclear Controlled Information (UCNI) is required. See DoD Instruction 5210.83.

See block 14. Mark UCNI material in accordance with DoDM 5200.01, Volume 4.

Ref Block 10k: Access to Secret Internet Protocol Router Network (SIPRNET) is authorized. SIPRNET users shall receive the Air Force North Atlantic Treaty Organization (NATO) Security Awareness Briefing and sign an acknowledgment prior to SIPRNET access. A formal NATO briefing is required when 1) the SIPRNET enclave, or other classified networks, is approved for NATO and no additional security measures are in place to preclude access or 2) Access to NATO information is authorized. Formal NATO briefings shall be accomplished IAW the NISPOM, Para 10-706.

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

Ref Block 11c: Any classified information generated in the performance of this contract shall require the contractor to either apply derivative classification and markings consistent with the source material, or be governed by the referenced Security Classification Guides (SCG) referenced in Block 13.

Ref Block 11h: COMSEC/Cryptographic, Safeguarding requirements apply. See AFI 33-201 Volume 2, Communications Security (COMSEC) User Requirements for details.

Ref Block 11i: Tempest Requirements only apply to some systems operated by contractors on military installations.

Ref. Block 11j: C-UAS Operations Security (OPSEC) Critical Information List will be provided separately. See DoD Operations Security (OPSEC) Program Manual and AFI 10-701 Operations Security (OPSEC), Chapter 6 for additional information.

Ref Block 11l See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 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.

Ref Block 11m: CLASSIFIED AIS PROCESSING: Prior to classified AIS processing in the contractor facility, the contractor will ensure that computer systems comply with chapter 8 of the NISPOM.

Ref Block 12: Public Release: Proposed public releases shall be submitted for approval prior to release through AFLCMC/HBU in accordance with procedures outlined by the 66th Air Base Group Office of Public Affairs (66 ABG/PA). Material proposed for public release must be processed through appropriate channels and approved in accordance with AFI 35-102, Security and Policy Review Process;

and DoD Instruction 5230.29, Security and Policy Review of DoD Information for Public Release. Information requiring higher level review will be elevated by 66 ABG/PA through the Air Force Installation and Mission Support Center Public Affairs office (AFIMSC/PA).

DFARS Clause 252.204-7000 applies.

Ref Block 12 (cont): 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. Information requiring AF or DoD-level review will be reviewed 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.

Ref. Block 13: The National Industrial Security Program Operating Manual (NISPOM), February 2006 Incorporating Change 2 dated May

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18, 2016 and its supplements apply to all classified contract performance to include all provisions of E.O. 13526 (Classified National Security Information), dated December 29, 2009, regarding classification and marking guidance.

Integrated Base Defense Security Classification Guide System /Electronic Security Equipment (IBDSS/ESE) Security Classification Guide 15 June 2011 or any subsequent revisions.

Medusa System of Systems Security Classification Guidance Memorandum dated 20170511, AFLCMC/HB

153 Common Remotely Operated Weapons Station (CROWS) SCG 17 May2015, Picatinny Arsenal

Light Counter Mortar Radar (LCMR) Family of Systems (FOS) SCG dated 20120918, US Army CECOM

Memorandum, Subject “Lightweight Counter-Mortar Radar Guidance for Air Surveillance Variant Configurations” 31 January 2014, US Army CECOM

DoD Military Ground Based Counter Radio Controlled Improvised Explosive Device Electronic Warfare (CREW) Pgm. SCG 7 FEB 2018, US Army PEO IEW&S

The Contractor will notify the Government Contracting Activity and the Government Security Manager within 48 hours of any incident involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessment of potential impact pending formal inquiry/investigation. Actual or suspected compromise of Covered Defense Information will be reported IAW DFARS Clause 252.204-7012.

Program Manager: Capt Carl McSherry, carl.mcsherry.1@us.af.mil

Security Manager: Mr. Stephen Sifakis, USAF AFLCMC/HBU, Stephen.Sifakis.1@us.af.mil

Contract Expiration date: 1 May 2021

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

AFLCMC/EZSP (Industrial Security) NAME & TITLE OF REVIEWING OFFICIAL

SEAN D. CRONE, Industrial/Information Security Protection

SIGNATURE

AFLCMC/HBU NAME & TITLE OF REVIEWING OFFICIAL

STEPHEN SIFAKIS, NH-03

Security Manager

SIGNATURE

AFLCMC/HBUN NAME & TITLE OF REVIEWING OFFICIAL

CARL T. MCSHERRY, Capt, USAF Project Manager

SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.)

Ref. Block 10k: Proper protection of DoD Unclassified Nuclear Controlled Information (UCNI) is required. See DoD Instruction 5210.83.

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

Ref. Block 11j: OPSEC Requirements apply. Critical Information List will be provided separately.

Ref Block 11i: Tempest Requirements, DFARS Clause 252.239-7000 applies.

CRONE.SEAN.D

AVID.1265845467

Digitally signed by

CRONE.SEAN.DAVID.1265845

Date: 2019.03.18 12:18:12 -04'00'

SIFAKIS.STEPHEN.G

REGORY.1010270940

Digitally signed by

SIFAKIS.STEPHEN.GREGORY.

1010270940 Date: 2019.03.19 07:51:20 -04'00'

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15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

No Yes 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 10a/11h: Installation COMSEC Office inspectors, HQ AFMC COMSEC staff and AFMIC COMSEC staff have sole inspection oversight for COMSEC materials provided to the contractor by Air Force COMSEC Account.

Ref Blk 11l: Contractor performance will occur at various military installations. DSS is relieved of all inspection responsibilities for contractor performance on the installation. The local servicing security activity will maintain security oversight.

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

a. GCA NAME

AFLCMC/HBUK

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

FA8730

c. ADDRESS (Include ZIP Code)

AFLCMC/HBUK

3 Eglin Street, Bldg 1612 Hanscom AFB, MA 01731-2100

d. POC NAME

Andrew J. Sibley

e. POC TELEPHONE (Include Area Code)

+1 (781) 225-2418

f. EMAIL ADDRESS (See Instructions) andrew.sibley@us.af.mil

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)

Sibley, Andrew J.

b. TITLE

Contracting Officer

c. ADDRESS (Include ZIP Code)

AFLCMC/HBUK

3 Eglin Street, Bldg 1612 Hanscom AFB, MA 01731-2100

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA8730

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

N/A

f. TELEPHONE (Include Area Code)

+1 (781) 225-2418

g. EMAIL ADDRESS (See Instructions) andrew.sibley@us.af.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20190319

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

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. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

AFLCMC IP 2145 Monahan Way, WPAFB, OH 45433-7629, AFLCMCIP.Workflow@us.af.mil

HQ Defense Security Service, 27130 Telegraph Rd, Quantico, VA 22134

SIBLEY.

ANDRE

W.J.1501 071729

Digitally signed by

SIBLEY.ANDR

EW.J.15010717

Date: 2019.03.19 15:25:20 -04'00'