Attachment J.9 HSHQDC-09-R-00008(D).pdf

3SHQDC-09-R-OOOOS(D)

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION

SPECIFICATION

(Zhe requirements of the Do0 Industrial Security Manual apply to a1 security aspects of this effort)

TO BE ANNOUNCEDIPOSTEDIISSUED (TBA, MAY BE PENCILED

IN UPON ISSUE)

b. SUBCONTRACT NUMBER

5. IS THIS A FINAL DD FORM 2547 I YES NO. ~f Yes, compf+ the following:

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

b. LEVEL OF SAFEGUARDING REQUIRED x

In Response tothe contractor's request dated - , retention ofthe ide@ifed classified material is author~zed for the period of

2. THIS SPEClFlCATlON IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS: (X and complete as applicable) I a. PRIME CONTRACT NUMBER I X I I Date (WMMDLn

a. ORIGINAL (Complete date in all cases)

b. REVISED (Supersedes Reiisiori ko all previous specs)

040402

Date ( WMMDO)

Q. GENERAL IDENTIFICATION OF THE PROCUREMENT

4. IS THIS A FOLLOW-ON CONTRACT?

c. SOLICITATION OR OTHER NUMBER

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

(U) Contractor lth, ecori6mikE and national security importance to the United States of contractor will assemble a committee of experts in chemistry, I

c. FINAL (Complete item 5 In all cases)

YES NO. If Yes. complete the fo~~owirr$:

Due Date ( YYMMDO)

0 4 0 4 0 2

a. NAME. ADDRESS, AND ZIP CODE

I I I I I

C. CRITICAL NUCLEAR W E A ~ N ~ E S I G N INFORMATION , ( C. RECEIVE AND GENERATE CLASSIFIED MATERIAL

Date ( WMMDO)

Classified material received or generated under (Preceding Contract Number) IS trahsferred t o t h ~ s follow-an contract.

1 d. FORMERLY RESTRICTED DAI~ I I I d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE I I

B CAGE CODE

I I I

I . % " .

e. INTELLIGENCE INFORMATION: G -3i" i e PERFORM SERVICES ONLY

' C. COGNlkANT SECURITY OFFICE (Name. Address, and Zip Code)

I 1 I CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER I I

I 1 I I I

1 f. SPECIAL ACCESS INFORMATION I 1 1 h. REQUIRE A COMSEC ACCOUNT I I

(1) Sensitive Compartmented Information (%I) f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U S..

PUERTO RICO. U.S. POSSESSIONS AN0 TRUST TERRITORIES

J-, .t-- e m , I I I 8. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION I I

g. NATO INFORMATION

h. FOREIGN GOVERNMENT INFORMATION

I. LIMITED DISSEMINATION INFORMATION

j. FOR OFFICIAL USE ONLY INFORMATION

k. OTHER (Specify) Sensitive But Unclassified (SBU) SEE ITEM 13 & 14

I. HAVE TEMPEST REQUIREMENTS

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

I. OTHER (Specify)

DD Form 254-E, JAN 95 Previous editions are obsolete Computer Generated Form

Direct (1 Through (Specify):

NO INFORMATION MAY BE RELEASED TO THE PUBLIC WITHOUT THE EXPRESS WRIlTEN CONSENT OF THE DHS.

(Fill in as appropriate forthe ed to provide complete guidance.)

dditional space is needed.)

Office of Security b. SUBCONTRACTOR

c. COONIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

HSHQDC-09-R-00008(D)

DD Form 254-E Reverse, JAN 95