LM_DD254_FA8540-21-D-0001_Draft.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 254, MAY 2019

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

20220531 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

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

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

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

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

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information needed for this 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. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

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 CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

17. CERTIFICATION AND SIGNATURES

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. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

5600 Sand Lake Road Orlando, FL 32819-8907 407-356-4044

Melbourne Field Office (IOFSM) 7341 Office Park Place Ste. 203 Melbourne, FL 32940 321-610-9870

985 Macon Street Robins AFB GA 31098

Page Road, Bldg. 640 Robins AFB, GA 31098

The Contractor will notify the Government Contracting Activity and the Government Security Manager within 48 hours of any incident involving the actual or suspected compromise/loss of classified information to enable the Government to conduct immediate assessment of potential impact pending formal inquiry/investigation. Actual or suspected compromise of Covered Defense Information will be reported IAW DFARS Clause 252.204-7012.

Ref Item 4: Follow-on Contract. All classified material/information associated with this contract is authorized to be transferred to the contract number cited in block 2a.

Incorporates updated LANTIRN SCG dated 2 March 2020

Ref. 8.a: Work performance requires compliance to Cybersecurity requirements from DCSA with regard to approved Operating System (OS) used in tactical programming process. The Windows 7 OS must continue to be used for this work due to incompatibility of supported legacy software tools with newer Windows 10 OS, therefore the following controls are unable to be met: SA-22 Unsupported System Components and SI-2 Flaw Remediation.

Ref. 10j: See DoDM: 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoD 5400.7/Air Force Manual 33-302, DoD Freedom of Information Ac (FOIA) Program, and AFI 16-1404, Air Force Information Security Program, for requirements.

Ref. 11.c: Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the source material.

Ref. 11.d: The contractor is required to provide adequate and approved storage for classified hardware or material to the level of SECRET, which exceeds two cubic feet but not more than one hundred cubic feet.

Ref. 11.e: Contract is for engineering services. Classification markings on the material to be furnished will provide the guidance necessary for performance of the contract.

Ref. 11.j: OPSEC requirements apply. On-base visitor group contractor personnel will participate in the OPSEC program administered by the AF activity. See Performance Work Statement (PWS) for requirements.

Ref. Blk 12: Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. Information requiring AF or DoD-level review will be reviewed by the unit's OPSEC Program Manager or Coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/PAX), 1690 Air Force Pentagon, Washington DC 2033-1690.

Ref. Blk 18f: Ensure certification and signatures are completed by contracting officer and distribution is made to the following organizations:

78 ABW/IP AFLCMC/WNE-IP (Security) AFLCMC/WNK AFLCMC/IP 985 Macon Street 235 Byron Street, Suite 19A 420 Richard Ray 2145 Monahan Way Robins AFB, GA 31098 Robins AFB, GA 31098 Robins AFB, GA 31098 WPAFB, OH 45433-7625 Attn: Melvese Harris Attn: Wendy Myers Attn: Cheri Thetford

Lockheed Martin Integrated Service USAF Program Manager 5600 Sand Lank Rd, MP 49 AFLCMC/WNY Orlando, FL 32809 235 Byron Street, Suite 19A Attn: Amanda Griffin Robins AFB, GA 31098 Attn: Travern Poole

LANTIRN USAF Pgm Manager

235 Byron St. Ste 19A Robins AFB, GA 31098 Address: 420 Richard Ray Blvd, Suite 100 Robins AFB, GA 31098-1638