HR001122S0017_Attachment_5_Security_Classification_Guide_and_Classified_Addendum_Request_Form.pdf

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Attached to
Modular Efficient Laser Technology (MELT) Federal contract opportunity
Solicitation number
HR001122S0017
Issued by
Defense Advanced Research Projects Agency

About this file

This document contains a request form and instructions for requesting a security classification guide and classified addendum for the DARPA solicitation HR001122S0017 Modular Efficient Laser Technology. The request form collects company and facility security clearance information. Proposers must have an accredited facility and secure communications systems in order to receive the classified scope of work. The completed request form should be emailed to HR001122S0017@darpa.mil. DARPA will verify clearances and facilities before distributing the documents. Proposers are advised to allow 10 business days to process requests. Relevant technical background should be included as an attachment. The goal of the solicitation is to demonstrate next generation scalable high energy laser sources.

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DISTRIBUTION STATEMENT A. Approved for public release: distribution unlimited.

HR001122S0017 Modular Efficient Laser Technology ATTACHMENT 5: Security Classification Guide and Classified Addendum Request Form

INSTRUCTIONS:

A formal request for the HR001122S0017 Security Classification Guide (SCG) and Classified BAA Addendum may be submitted by filling out this SCG and Classified Addendum Request Form and emailing the completed Request Form to HR001122S0017@darpa.mil with subject line titled, “Request HR001122S0017 SCG and Classified Addendum.” All fields in the request form must be completed (do not leave any fields blank). Incomplete request forms will be returned. Any questions on how to fill out the request form can be emailed to HR001122S0017@darpa.mil.

Proposers should submit this request to have classified material released to them in support of HR001122S0017. The intent is for proposers to request and receive this material in advance of Abstract Due Date such that 45 days is available for the full proposal before the proposal deadline.

The SCG and Classified Addendum Request Form (Attachment 5) is the only method of request that will be accepted for the SCG and classified addendum (see Attachment 4 for information on requesting the MELT CUI addendum). Security classification guidance via a SCG and a DD Form 254, "DoD Contract Security Classification Specification," will be provided. DARPA will verify the facility clearance and the clearance of the recipient before e-mailing (via approved system) and/or mailing the SCG and classified addendum.

Proposers that meet the personnel and physical security requirements along with a background in developing high energy laser sources for defense systems may request this SCG and classified addendum. The DARPA PM has the final authority to determine if a proposer meets the identified requirements. Proposers should allow at least ten (10) business days for processing requests and delivery of the SCG and classified addendum. DARPA will notify the proposer’s Contractor Program Security Officer (CPSO) of the approval. Requests will be handled on a first in, first out basis. Incomplete or inaccurate forms will be returned to sender along with a notification of what needs to be corrected and the new request will be processed based on the date of when the revised request form is received.

It is the proposer’s responsibility to ensure that they fully familiarize themselves with the MELT SCG prior to reading the classified addendum and preparing a proposal for submission. It is expected that responses to the MELT BAA and classified addendum will contain information classified up to the SECRET level. Precautions for the handling and transmission of this material should be considered in the logistics and timeline of proposal submission.

HR001122S0017 SCG AND CLASSIFED ADDENDUM

REQUEST FORM

Date (MM/DD/YYYY)

Performance Location CAGE Code (use actual location where work would be performed)

Corporate CAGE Code

Company Name (as listed in NISS)

Do you currently have an accredited facility (YES or NO)?

Do you currently hold an accredited space and systems (YES or NO)?

What systems do you have access to and are they network or standalone?

Please provide information on host Cognizant Authority (Facility Accreditation letter)

Physical Location Address (use actual location where work would be performed)

Contracting Office Address

Facility Clearance Status/Level

Safeguarding Level

Defense Counterintelligence & Security Agency (DCSA) Field Office Name

DCSA Field Office Phone

Performance Location Contractor Program Security Officer (CPSO) Name

Performance Location CPSO Phone

Unclassified Email Address

Classified Email Address

Corporate CPSO

(if Corporate is different than where work would be performed)

Phone Number

Corporate CPSO Email

Secure Fax Number

Technical Point of Contact

Phone Number

Please attach a synopsis of your relevant technical background of at most one page

Date MMDDYYYY:
Performance Location CAGE Code use actual location where work would be performed:
Corporate CAGE Code:
Company Name as listed in NISS:
Do you currently have an accredited facility YES or NO:
Do you currently hold an accredited space and systems YES or NO:
What systems do you have access to and are they network or standalone:
Please provide information on host Cognizant Authority Facility Accreditation letter:
Physical Location Address use actual location where work would be performed:
Contracting Office Address:
Facility Clearance StatusLevel:
Safeguarding Level:
Defense Counterintelligence Security Agency DCSA Field Office Name:
DCSA Field Office Phone:
Performance Location Contractor Program Security Officer CPSO Name:
Performance Location CPSO Phone:
Performance Location CPSO Unclassified Email Address:
Performance Location CPSO Classified Email Address:
Corporate CPSO Name if Corporate is different than where work would be performed:
Corporate CPSO Phone Number:
Corporate CPSO Unclassified Email Address:
Corporate CPSO Email Classified Email Address:
Secure Fax Number:
Technical Point of Contact Name:
Technical Point of Contact Phone Number:
Technical Point of Contact Unclassified Email Address:
Technical Point of Contact Classified Email Address:
Please attach a synopsis of your relevant technical background of at most one page:

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