Attch_5_-_Draft_DD_Form_254.pdf
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- Attached to
- Pulsed And Continuous wave Innovation For Integration and Effects Research (PACIFIER) Federal contract opportunity
- Solicitation number
- FA9451-18-S-0003
About this file
This Broad Agency Announcement from the Air Force Research Laboratory describes a five-year research program called "Pulsed And Continuous wave Innovation For Integration and Effects Research (PACIFIER)." The Air Force anticipates awarding a minimum of one contract per Call, with an estimated total funding of $97.5 million over the life of the program. Proposals are not submitted directly in response to the BAA, but rather in response to specific Calls that will be issued periodically with details on research areas, period of performance, funding, and due dates. Registration in the System for Award Management is required for proposal submission. Contract type will be determined on a per-Call basis but is anticipated to be cost-reimbursable. The Technical Point of Contact is Shane Johnson and the Contracting Point of Contact is Ashley Korman.
Attch 5 - Draft DD Form 254
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DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING
CONTRACT SECURITY CLASSIFICATION SPECIFICATION a. FACILITY CLEARANCE REQUIRED
TOP SECRET
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort)
b. LEVEL OF SAFEGUARDING REQUIRED
SECRET
2. THIS SPECIFICATION IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS FOR: (X and complete as applicable)
a. PRIME CONTRACT NUMBER X a. ORIGINAL (Complete date in all cases) Date (YYMMDD)
170905
b. SUBCONTRACT NUMBER b. REVISED (Supersedes all previous specs) Revision No. Date (YYMMDD) x c. SOLICITATION OR OTHER NUMBER FA9451-18-S-0003 Call 0001
DUE Date (YYMMDD) c. FINAL (Complete Item 5 in all cases) Date (YYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? YES X 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 FINAL DD Form 254? YES X NO. If Yes, complete the following:
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 b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION AFRL/RDLE (Bldg 400, 418, and 422) 3550 Aberdeen Ave SE Kirtland AFB, NM 87117
b. CAGE CODE
TBD
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
AFRL/RDMS
3550 Aberdeen Ave SE Kirtland AFB, NM 87117 505-853-3379
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
Develop pulsed laser technology. Develop/perform test and analysis activities to quantify laser effects thresholds for various materials, components and subsystems of interest to numerous AFRL/RDLE customers using laser systems available to, and developed by RDLE. Develop/perform M&S activities to support aforementioned activities.
10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES No 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION X a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER X
b. RESTRICTED DATA X b. RECEIVE CLASSIFIED DOCUMENTS ONLY X
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
X c. RECEIVE AND GENERATE CLASSIFIED MATERIAL X
d. FORMERLY RESTRICTED DATA X d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE X
e. INTELLIGENCE INFORMATION e. PERFORM SERVICES ONLY X
(1) Sensitive Compartmented Information (SCI) X
f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S.
PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES X
(2) Non-SCI X
g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL
INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION
CENTER X
f. SPECIAL ACCESS INFORMATION X h. REQUIRE A COMSEC ACCOUNT X
g. NATO INFORMATION X i. HAVE TEMPEST REQUIREMENTS X
h. FOREIGN GOVERNMENT INFORMATION
X
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
X
i. LIMITED DISSEMINATION INFORMATION X k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE X
j. FOR OFFICIAL USE ONLY INFORMATION X l. OTHER (Specify) X
k. OTHER (Specify) SIPRNet X Use of KAFB AIS / Classified AIS Processing
DD Form 254, DEC 1999 Previous editions are obsolete FA9451-18-S-0003 Call 0001 Attachment 5
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 Government authority. Proposed public releases shall be submitted for approval prior to release
Direct X Through (Specify):
Items intended for public release shall be processed through the AFRL RD/RV approval process 90 days prior to requested release date. Final approval must occur prior to release outside of government channels. Items submitted through the review process must derive from a government representative if being released by a DoD contractor. Unclassified information does not equal publically releasable. NO PUBLIC RELEASE IS AUTHORIZED FOR SCI, NON-SCI and SAP.
13. SECURITY GUIDANCE: The Security classification guidance need 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/guidelines/extracts reference herein. Add additional pages as needed to provide complete guidance).
Contractor shall follow security classification guidance on information, hardware and equipment as provided in the following security classification guides: (Directed Energy (DE) Weapons and Counter-DE Capability Technologies, 12 Jul 10; Laser Lethality Countermeasures, and Counter-Countermeasures (LCCM), 01 Aug 11; Airborne Laser Program (ABL) SCG, 24 Apr 06). The Contracting Officer will provide other Security Classification Guides under separate cover as tasks are assigned. Revised Security Classification Guides will be provided under separate cover and may not require updating or revising the DD Form 254. The Contractor shall comply with any revisions to that Security Classification Guide. Document classification markings will be done in accordance with E.O. 13526 and DoDM 5200.01, Volume 2, Marking of Classified Information, 24 Feb 2012, and supplements thereto. The contractor must comply with special OPSEC requirements contained in the contract or addendum thereto. The requirements, restrictions and other safeguards prescribed by the National Industrial Security Program Operating Manual (NISPOM), DoD 5200.22-M, Feb 2006 and its supplements apply to all classified performance. The prime contractor must contact AFRL/RDMS at (505) 853-3379, AFRL Industrial Security Oversight Office for execution of the Visitor Group Security Agreement (VGSA), and submit a company letter identifying on-site key personnel management officials or company representatives and a security focal point of contact for security related matters (normally FSO) prior to on-base operations. Prime contractor is responsible to ensure on-base subcontractors execute a VGSA with AFRL/RDMS prior to on-base operations. The prime contractor must include a provision in each on-base subcontract requiring subcontractors to contact AFRL/RDMS and execute a VGSA prior to beginning on-base operations.
Program Manager: Shane Johnson, AFRL/RDLEF, 3550 Aberdeen Avenue SE, Kirtland AFB, NM 87117-5776 - (505) 846-2376
AFRL DET 8/RVKD CO, AFRL/RDMS Industrial Security PM, AFRL/RDMS OPSEC, AFRL/RDMZ PSO, AFOSI PSO, PJ DET 8 OL-A, AFNWC/NT2, SIO, AFNWC/NT2S, SSO, AFRL/RVIC, ISSM/O (IA), AFRL/RDMZ Chief Information Protection digitally sign on continuation sheet under Item 13 once contract is awarded and a Prime DD 254 is issued. Solicitations are only signed by the Contracting officer in Item 16.
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. (If Yes, X Yes No 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.)
The requirements for Special Access Programs (SAP) are established in the Air Force Special Access Program Security Directive.
Requirements for Special Access Materials are indicated in attachment Special Access requirements/Procedures. Defense Security Service (DSS) is relieved of inspection responsibility for portions performed on Kirtland AFB. See continuation page
15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, identify specific areas or X Yes No elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)
DSS is relieved of inspection responsibility for portions performed on Kirtland AFB. AFRL/RDMS has security oversight for collateral work conducted at AFRL on Kirtland AFB. AFNWC/NT2 has inspection oversight for Non-SCI Intelligence Classified. AFNWC/NT2S has inspection oversite for SCI Intelligence Classified. User Agency Program Managers have exclusive security oversight for all Special Access Program material released or developed under this contract. See continuation page
16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classif ied 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
Contracting Officer
c. TELEPHONE
(505) 846-
d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION AFRL DET 8/RVKDL X a. CONTRACTOR
3550 Aberdeen SE b. SUBCONTRACTOR
Kirtland AFB, NM 87117-5776 X c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
e. SIGNATURE d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION
X e. ADMINISTRATION CONTRACTING OFFICER
X f. OTHERS AS NECESSARY
DD Form 254, (BACK), DEC 1999 FA9451-18-S-0003 Call 0001
CONTINUATION OF DD254 FOR FA9451-18-S-0003 Call 0001
Item 10.a.: The contractor will need administrative access to classified COMSEC material. The contractor will not receipt, copy, or generate classified COMSEC material.
Item 10.e. (1): The contractor requires access to SCI intelligence materials. Access to intelligence information requires a final U.S. Government clearance at the appropriate level and will only be done at authorized government facilities. SCI requires a TS facility clearance. See attachment
Item 10.e. (2): The contractor requires access to NON-SCI intelligence materials. Access to intelligence information requires a final U.S. Government clearance at the appropriate level and will only be done at authorized government facilities. Prior approval of the contracting activity is required for subcontracting. Non-SCI intel can be at the SECRET level. See attachment
Item 10.f.: Special Access Requirements (SAR) procedures apply. User Agency Managers of Special Access Programs will grant access when the need-to-know is required to accomplish the required efforts under this contract.
Item 10.h.: The contractor is permitted access to Foreign Government information. Access to Foreign Government information requires a final U.S. Government clearance at the appropriate level.
Item 10.j.: FOUO information provided under this contract shall be safeguarded as specified in For Official Use Only (FOUO) Addendum. 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, for requirements.
Item 10.k.: Access to SIPRNET is required in performance of this contract.
Item 11.c.: The contractor requires access to classified source data up to and including TOP SECRET in support of the work effort. Any extracts or use of such data requires the contractor to apply derivative classifications and necessitates compliance with the NISPOM, Chap. 4, and use of bibliography, classification, declassification, and markings will be in accordance with EO 13526 and the DoDM 5200.01, Volume 2, Marking of Classified Information, 24 Feb 2012, and supplements thereto.
Item 11.d.: The contractor must provide adequate storage for classified hardware to the level of TOP SECRET which exceeds two cubic feet and is of size or quantity that cannot be safeguarded in an approved storage container.
Item 11.g.: The contractor is authorized to use the services of Defense Technical Information Center (DTIC) and is required to prepare and process a DD Form 1540, Registration for Scientific and Technical Information Services, and DD Form 2345, Military Critical Technical Data Agreement. The contracting activity must be involved in certifying need-to-know to DTIC. If you need help registering or filling out the forms please contact the DTIC Office at 1-800-225-3847.
Item 11j.: OPSEC. The contractor shall provide operations security (OPSEC) protection for all sensitive/critical information in accordance with AFI 10-701 and the (RV/RD OPSEC Plan or specific Program OPSEC Plan). The applicable Critical Information List (CIL) will be provided under separate cover. It is incumbent upon the contractor to request this document via the contracting officer or directly to the OPSEC Program Office. The contractor shall describe the steps necessary to protect sensitive and Critical Program Information (CPI) to their staff and communicate any sensitivity to the government for the work they complete. The contractor will include OPSEC awareness, Program Protection, and Counter Intelligence education and awareness training to all personnel as part of their standard security program on an annual basis. New contracted employees shall be trained within 90 days. Technology Protection unique security measures may apply. The contractor must also adhere to any Program Protection Plans (PPP) that may cover the protection of sensitive and/or CPI under their respective contract. On-site/on-base contractors will participate in the ongoing efforts and requirements laid out by the PRS OPSEC Program and Program Protection Lead.
1 FA9451-18-S-0003 Call 0001
Items intended for public release shall be processed through the internal AFRL RD/RV review process (OPSEC Tool). Final approval must occur prior to release outside of government channels. Items submitted to the OPSEC Tool must derive from a government representative if being released by a DoD contractor. Unclassified information does not equal publically releasable. All information deemed FOUO or unclassified must be marked according to the originating office's instructions and AFI 61-201.
FOIA requests for information are to be worked by the government Office of Primary Responsibility (appointed by the 377th FOIA Office) and the AFRL FOIA office. An OPSEC assessment will be completed on all information being released via the FOIA.
Proprietary information must be protected in accordance with non-disclosure and other applicable contractual (if any) agreements.
Item 11.l.: See Section I of the general provisions for the clause titled Notification of Government Security Activity, AF FAR Sup 5352.204-9000.
Item 13.:
AFRL/RVKDL, Contracting Officer, , 3550 Aberdeen Avenue SE, Kirtland AFB, NM 87117:
_____________________________________ Date ____________
AFRL/RDMS, Industrial Security, 3550 Aberdeen Avenue SE, Kirtland AFB, NM 87117:
____________________________________ Date ____________
AFRL/RDMS (OPSEC Security), 3550 Aberdeen Avenue SE, Kirtland AFB, NM 87117:
____________________________________Date _____________
AFRL/RDMZ, PSO, 3550 Aberdeen SE, Kirtland AFB, NM 87117:
_____________________________________ Date: ____________
AFOSI PSO, PJ DET 8 OL-A, P.O. Box 5520, Kirtland AFB, NM 87185:
___________________________________ Date _________________
2 FA9451-18-S-0003 Call 0001
AFNWC/NT2 (SIO), 1350 Wyoming Blvd SE, Kirtland AFB NM 87117:
___________________________________ Date_______________
AFNWC/NT2S (SSO), 1350 Wyoming Blvd SE, Kirtland AFB, NM 87117:
__________________________________ Date _______________
AFRL/RVIC ISSM/O (IA), 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117:
___________________________________ Date ________________
AFRL/RDMZ, Chief Information Protection (IP), Scott M. Green, Kirtland AFB, NM 87117
__________________________________ Date: ______________
Item 14: The contractor will provide AFRL/RDMS, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117, and the Servicing Security Activity (SSA) with all information required by the Notification of Government Security Activity Clause, and any additional information and/or documentation that is required by that office.
Item 15: Defense Security Service (DSS) retains security oversight responsibility for all Non-SAP material released or developed under this contract off government installations. Security oversight and inspections for Special Access Programs will be provided by SAF/AAZ, or other organizations as appropriate.
3 FA9451-18-S-0003 Call 0001
FOR OFFICIAL USE ONLY (FOUO) ADDENDUM
The following procedures will be used to protect FOR OFFICIAL USE ONLY (FOUO) material:
1. HANDLING: Access to FOUO material shall be limited to those employees needing the material to do their jobs. The FOUO marking is assigned to material created by a DoD user agency. FOUO is not a classification, but requires extra precaution to insure it is not released to the public.
2. MARKING UNCLASSIFIED: UNCLASSIFIED//FOR OFFICIAL
deemed to be FOUO will be portion marked (U//FOUO) at the beginning of the item. FOUO material released to a
CONTAINS MATERIAL EXEMPT FROM MANDATORY DISCLOSURE UNDER THE FREEDOM OF
3. MARKING CLASSIFIED: In a classified document, mark:
of the paragraph.
b. The top and bottom of each page that has both FOUO and classified material with the highest security classification of the material on that page.
UNCLASSIFIED// lassified material.
d. If a classified document also contains FOUO material or if the classified material becomes FOUO when declassified, place the following statement on the bottom of the cover or the first page under the classification marking:
If declassified, review the document to make sure material is not FOUO and not exempt under AFI 37-131 before
UNCLASSIFIED//FOR
OFFICIAL USE ONLY
f. Ensure documents that transmit FOUO material call attention to any FOUO attachments.
4. FOUO DETERMINATION: All documents determined to contain FOUO information will identify the FOUO exemption criteria from the Freedom Of Information Act (FOIA), by citing the applicable paragraph number. FOUO material released to a contractor by a DoD user agency must have t
CONTAINS MATERIAL EXEMPT FROM MANDATORY DISCLOSURE UNDER THE FREEDOM OF
5. STORAGE: During normal duty hours, place FOUO material in an out-of-sight location, if your work area is accessible to persons who do not have a valid need for the material. After normal duty hours, store FOUO material to prevent unauthorized access. File with other unclassified records in unlocked files or desks when internal building security is provided. When there is not internal security, locked buildings or rooms usually provide adequate after-hours protection.
For additional protection, store FOUO material in locked container such as file cabinets, desks, or bookcases. Expenditure of funds for security container or closed areas solely for the protection of FOUO material is prohibited.
6. TRANSMISSION: FOUO material shall be transmitted by the same methods as other unclassified material. Discussion of FOUO material on the telephone is authorized if necessary for the performance of the contract. FOUO material may be transmitted over telephone lines in digital form, by telecopies, or by other DSN Teletype lines without encryption.
7. RELEASE: FOUO ma
8. DESTRUCTION: When no longer needed, FOUO material shall be disposed of by a method that precludes its disclosure to unauthorized individuals.
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