Solicitation_Attachment_1_-_Draft_DD254_Contract_Security_Classification_Specification.pdf

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

X

X

M00681-16-T-0042

X

X

1. CLEARANCE AND SAFEGUARDING

X X X

X X

X NO. If YES, complete the following:YES

Date (YYYYMMDD)

YES X

b. LEVEL OF SAFEGUARDING REQUIRED

a. FACILITY CLEARANCE REQUIRED

(Include Commercial and Government Entity (CAGE) Code)

4. IS THIS A FOLLOW-ON CONTRACT?

5. IS THIS A FINAL DD FORM 254?

7. SUBCONTRACTOR

8. ACTUAL PERFORMANCE

6. CONTRACTOR

h. FOREIGN GOVERNMENT INFORMATION

i. LIMITED DISSEMINATION INFORMATION

j. FOR OFFICIAL USE ONLY INFORMATION

10. THIS CONTRACT WILL REQUIRE ACCESS TO: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:

Date (YYYYMMDD)

2016-May-23

Revision No.

Previous edition is obsolete.DD Form 254, DEC 1999

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

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

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

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

NO. If Yes, complete the following:

Classified material received or generated under (Preceeding Contract Number) is transferred to this follow-on contract.

DEPARTMENT OF DEFENSE

a. ORIGINAL (Complete date in all cases)

b. REVISED (Supersedes all previous specs)

c. FINAL (Complete item 5 in all cases)

a. PRIME CONTRACT NUMBER

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER Due Date (YYYYMMDD) Date (YYYYMMDD)

(DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

RICO, US POSSESSIONS AND TRUST TERRITORIES

l. OTHER (Specify)

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

Secret

Secret

k. OTHER (Specify)

b. RESTRICTED DATA b. RECEIVE CLASSIFIED DOCUMENTS ONLY

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION X c. RECEIVE AND GENERATE CLASSIFIED MATERIAL X

X

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION X a. HAVE ACCESS TO CLASSIFIED INFO. ONLY AT ANOTHER

CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY

X

d. FORMERLY RESTRICTED DATA X d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE X

X

e. INTELLIGENCE INFORMATION e. PERFORM SERVICES ONLY X

XX f. HAVE ACCESS TO CLASSIFIED INFO. OUTSIDE THE U.S., PUERTO(1) Sensitive Compartmented Information (SCI)

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER XX(2) Non-SCI

f. SPECIAL ACCESS INFORMATION X h. REQUIRE A COMSEC ACCOUNT X

g. NATO INFORMATION X i. HAVE TEMPEST REQUIREMENTS X

MAWTS

P.O. BOX 99200

YUMA AZ 85369-9200

Threat Aircraft Exercise support for the Marine Aviation Weapons and Tactics Squadron One.

YES NOYES NO

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

In response to the contractor's request dated , retention of the identified classified material is authorized for the period of -apply to all security aspects of this effort.)

(The requirements of the DoD Industrial Security Manual

DD Form 254 (BACK), DEC 1999

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 U.S. Government authority. Proposed public releases shall be

Contracting Officer, Marine Corps Base Camp Pendleton

12. PUBLIC RELEASE.

submitted for approval prior to release X 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.

Contractor requires a secret clearance to obtain physical access to the work site. Contractor will not directly handle classified information, but will perform work in office where Classified material is available and discussed.

Requirements, in addition to ISM requirements, are established for this contract.

13. SECURITY GUIDANCE.

14. ADDITIONAL SECURITY REQUIREMENTS.

(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.)

Direct Through (Specify) guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended The security classification guidance needed for the classified effort is identified below. If any difficulty is encountered in applying this 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.)

Yes NoX

Yes X No

16. CERTIFICATION AND SIGNATURE.

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)

JAMES WUESTMAN CAPTAIN 928-269-3591

AND SUBCONTRACTOR

SECURITY ADMINISTRATION

17. REQUIRED DISTRIBUTION

MAWTS-1

JAMES WUESTMAN

PO BOX 99200

YUMA AZ 85369

(include Zip Code)d. ADDRESS

e. SIGNATURE

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released

(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.)

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

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHERS AS NECESSARY

a. CONTRACTOR

X