ATTACHMENT_6_-_DD_254.pdf

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE a. FACILITY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION SECRET

(The requirements of the DoD Industrial Security Manual apply

b. LEVEL OF SAFEGUARDING REQUIRED to all security aspects of this effort.)

NONE

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

a. PRIME CONTRACT NUMBER x DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases)

20160225

b. SUBCONTRACTNUMBER b. REVISED I REVISION NO. DATE (YYYYMMDD) (Supersedes all previous specs) x c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD) DATE (YYYYMMDD)

HTC71 l-16-R-R015 c. FINAL (Complete Item 5 in all cases)

4. IS THIS A FOLLOW-ON CONTRACT? ~YES LJNO. If Yes, complete the following:

Classified material received or generated under HTC71 l-l l-D-R024 (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? L_jYES ~ NO. If Yes, complete the following:

In response to the contracto~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 b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

NOT APPLICABLE FOR SOLICIATIONS NIA NIA

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

NOT APPLICABLE FOR SO LI CIA TIONS NIA NIA

8. ACTUALPERFORMANCE

a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

Commander NIA Defense Security Service, (IOFWL) NA WCWD VX30 575, 1 Avenue, Suite 1 3452 E Foothill Blvd., Ste. 600 Code 519200 E Pasadena, CA 91107 ATTN: Mr. Suni Williams Tel. 626-639-0505 Pt. Mugu, CA 93042

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

This contract is in support of of air transportation of passengers and cargo, in and around Point Mugu California. It will provide services necessary for drone recovery services and range test support for the Naval Air Weapons Depot at Pt. Mugu. Fixed wing transportation is required in and around the Southern California area and within a 200 mile radius of Pt. Mugu. Rotary-wing service is required between Ventura Co. airport, Pt. Mugu, CA, Oxnard Airport, CA, San Nicolas Island, CA and Santa Cruz Island CA. Some of the cargo consists of classified test materials.

USTRANSCOM-FP-0008-16

10. CONTRACTOR WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION x a. 26N'tR'xe-f81hl °FXb'i'L1¥~/5R )..NJ8~rtJ~~7.N~bt1%'Y"v I HEK 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 1· ~~M~f'o'RFC'o. LusuF>"o~Mgg/b'~S" kN'Dvf~uAJN~~W1t~~1HH~ u" · x

(2) Non-SCI x g. BE AUTH?£:RIZED lO_~SE THE SERVICES OF DEFENSE TECHNICAL INFORMATION

CENTER DTIC) OR 0 HER 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 INFORM,\TION x I. OTHER (Specify) x

k. OTHER (Specify! x No use of SIPRNet is required

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7. O

ATTACHMENT 6

SOLICITATION HTC711-16-R-R015

12. PUBLIC RELEA~E. Any irformation (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manu~I or unless ii has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release CJ Direct [:8.J Through (Specify)

Office of Public Affairs (TCPA), USTRANSCOM, Scott AFB, IL 62225-5357, (618)-220-5102. The term "release" applies, but is not limited to, articles, speeches, photographs, brochures, advertisements, displays, presentations, diagrams, data, facility floor plan, etc. on any installation.

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.)

a. The contractor shall comply with FAR 52.204-2 that includes responsibility for ensuring all security requirements outlined in the National Industrial Security Operating Manual (NISPOM) and the Performance Work Statement (PWS) are accomplished upon award of the contract.

b. UNCLASSIFIED//FOR OFFICIAL USE ONLY (U//FOUO) INFORMATION may be accessed. U//FOUO information will be safeguarded per DoDM 5200.01, Vol. 4. U//FOUO information will not be discarded in trash bins or recycle bins.

c. Contractor employees may derivatively classify information only if they have been trained on derivative classification within the past two years. USTRANSCOM can provide this training by contact the Information Security Office at 618-220-6538 ..

d. Contractors will comply with the following Instructions:

1. OPSEC requirements in USTRANSCOM instruction 31-12 that includes the Critical Information List .

2. USTRANSCOM INSTRUCTION 31-02 (USTRANSCOM Classification Guide)

3. DoDM 5200.01, Vol. 2, (Marking of Classified Information)

4. DoD 4500.9-R, Part II, Appendix E, Defense Transportation Regulation's (movements) - DTR

e. No DoD classified information will be disseminated to anyone in the contractor company that is not performing on this contract.

f. Contractor employees will comply with all USTRANSCOM and Pt. Mugu security practices and policies.

See USTC INSTRUCTION 31-11.

g. Upon receipt of a contract, the designated contractor shall, within 60 days, provide the Cognizant Security Office listed in block

6c, a copy of the award DD-254 with any continuation pages, attachments or enclosures and the contract PWS.

i. Notes: Contractors will be made aware that the term "NOFORN" is identified as classified INTELLIGENCE information that may not be released to foreigners, without permission of the originator.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. Yes X 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.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. Yes X 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.)

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 b. TITLE c. TELEPHONE (Include Area Code)

STEVEN M STRAIT CHIEF, Force Protection Branch ( 618) 220-6531

d. ADDRESS (Include Zip Code) 17. REQUIRED DISTRIBUTION

USTRANSCOM X a. CONTRACTOR

508 Scott Drive, x b SUBCONTRACTOR t-S_c...,o~tt:::A::-i-:-lr'=F,..,o::::rc::::e_B_as_e_, _IL_. 6_2_2_2_5..,-5.,c.0_0_4 __ .,..,.. __________ +-.:_:~ c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

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

X e. ADMINISTRATIVE CONTRACTING OFFICER

X I. OTHERS AS NECESSARY