DD0254_-_MRDSS_--Final_2_Aug_2016.docx

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

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases)

DATE (YYYYMMDD)

20160802

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

FA8771-16-R-0016

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

TBD

7. SUBCONTRACTOR

8. ACTUAL PERFORMANCE

a. LOCATION

AFLCMC/HIBD

201 East Moore Drive MAFB Gunter Annex, AL

See Block 13

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Provide project management, systems engineering, technical and functional support are required for the maintenance, enhancement and sustainment of the Medical Readiness Decision Support System (MRDSS) as an operational program within the United States Air Force community.

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)

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 42d ABW/PA, 50 South LeMay Plaza, Maxwell AFB AL 36112 through the MAJCOM/DRU Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security 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.)

1. The contractor shall adhere to DoD 5220.22-M, Industrial Security Program Regulation, Air Force Instruction 16-140, Air Force Industrial Security Program, DODM 5200-1, Volumes 1-4, DoD Information Security Program Management, Vols 1-4, Air Force Instruction 16-1404, Air Force Information Security Program while operating on Air Force installations.

2. Reference Block 8c. Servicing Security Activity: 42 SFS/S5X/IP, 55 LeMay Plaza South, Maxwell AFB AL 36112

3. Reference Block 10j. For Official Use Only (FOUO) Information provided under this contract will be safe guarded IAW DODM

5200.1 DOD Information Security Program, Volume 3, Enclosure 3, paragraph 2, DoD 5400. 7R. DoD Freedom of Information Act Program and DoD 5400. 7 R/AF Supplement 1, DoD Freedom of Information Act Program.

4. Reference Block 11a. Actual performance and production of classified information is not required for performance of this contract. Using activity will furnish complete classification guidance for the service to be performed. Contractors requiring access (remote/onsite) to Defense Information Systems Agency (DISA). The highest level of classification for this contract is SECRET. Contract performance is restricted to AFLCMC/HIBD, 201 E. Moore Drive, Bldg 856, MAFB-Gunter Annex, AL 36114.

5. Reference Block 11j. OPSEC requirements apply, contractors will participate in the AFLCMC/HI Operations Security program.

6. Period of Performance. Base Period: 02 Feb 2017 – 01 Feb 2018; Option Year One: 01 Feb 2018 – 01 Feb 2019; Option Year Two: 02 Feb 2019 – 01 Feb 2020; Option Year Three: 02 Feb 2020 – 01 Feb 2021; Option Year Four: 02 Feb 2021 – 01 Feb 2022

7. Program Manager: Mr. Keith Engholm, GS-12, (334) 416-2617

8. Coordination: AFLCMC/Det 5/CCI Mark Jozwiak,, NH 03 ///MAJ////20170727 42 SFS/S5X/IP Carl Howard, GS-11, DAFC ///CEH///20170728

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.)

A long term Visitor Group Security Agreement (VGSA) will be executed between the Maxwell AFB Installation Commander or designee and the contractor.

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.)

DSS is relieved of inspections of the contractor operations on Maxwell AFB AL. 42 SFS/S5X/IP; email 42ABW.IP.Workflow@us.af.mil, phone: 334-953-1708, will perform inspections of the contractor operations on Maxwell AFB, AL.

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

MARIA L. JONES

b. TITLE

Contracting Officer

c. TELEPHONE (Include Area Code)

334-416-2653

d. ADDRESS (Include Zip Code)

AFLCMC/HIK

201 East Moore Drive, Room 125 MAFB Gunter Annex, AL 36114

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

e. SIGNATURE

DD FORM 254 (BACK), DEC 1999