MGS_3_DD254_Update_Draft.pdf
PDF 131 KB Posted
- Attached to
- Missile Guidance Set Repair Contract (MGS) 3. 0
- Solicitation number
- FA821420R7002
About this file
This document is a draft Department of Defense Contract Security Classification Specification and associated federal contract opportunity for the Missile Guidance Set Repair Contract (MGS) 3.0. Under the contemplated contract, The Boeing Company will provide technical and repair expertise to service Minuteman III missile guidance systems and associated depot support equipment. The scope of work includes disassembly, refurbishment, measurement/testing, reassembly to render systems serviceable for strategic alert, and compatibility with existing or future Minuteman III sustainment programs. Additionally, the contractor will perform demilitarization and disposal tasks to support retirement of the Minuteman III weapon system. The solicitation number is FA821420R7002 and the issuing agency is the Department of the Air Force Materiel Command Nuclear Weapons Center. The response due date is January 31, 2021. The contractor will require facility and personnel security clearances up to the Top Secret level to access classified information as needed to perform repairs on the missile guidance systems.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| FA821420R7002_______0002.pdf | ||
| FA821420R7002_001.pdf | ||
| CDRL_Package_MGS_3_signed.pdf | ||
| MGS_3_GRID.docx | DOCX document | |
| MGS_3_PWS_FINAL.pdf | ||
| FA821420R7002.pdf | ||
| MGS_3_Award_Fee_Plan_SIGNED_14_Oct_20.pdf |
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CLASSIFICATION (When filled in):
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AEM LiveCycle Designer
DD FORM 254, APR 2018
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:
October 31, 2020
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
a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED
(See Instructions)
Top Secret
b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/
MATERIAL REQUIRED AT CONTRACTOR FACILITY
Top Secret
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)
a. PRIME CONTRACT NUMBER (See instructions.)
b. SUBCONTRACT NUMBER
c. SOLICITATION OR OTHER NUMBER
FA8214-20-R-7002
DUE DATE (YYYYMMDD)
20210131
3. THIS SPECIFICATION IS: (X and complete as applicable.)
a. ORIGINAL (Complete date in all cases.)
DATE (YYYYMMDD)
20201005
b. REVISED (Supersedes all previous specifications.)
REVISION NO. DATE (YYYYMMDD)
c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? No Yes If yes, complete the following:
Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract.FA8214-15-D-0002
5. IS THIS A FINAL DD FORM 254? No Yes If yes, complete the following:
In response to the contractor'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 The Boeing Company Guidance Repair Center 801 Irving-Wick Drive West Heath, OH. 43056-6117
b. CAGE CODE
05HA6
c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) DCSA Field Office (IOFND) 17177 N. L aurel Park Dr ive, Suite 423 Livonia. MI 48152-2659 dss.dss-northern.dss-isfo.mbx.detroit-field-office@mail.mil
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) Add Row Remove last Row Delete All Rows
a. NAME, ADDRESS, AND ZIP CODE N/A
b. CAGE CODE
N/A
c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) N/A
8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows
a. LOCATION(S) (For actual performance, see instructions.)
The Boeing Company Guidance Repair Center 801 Irving-Wick Drive West Heath, OH. 43056-6117
b. CAGE CODE (If applicable, see Instructions.)
05HA6
c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) DCSA Field Office (IOFND) 17177 N. L aurel Park Dr ive, Suite 423 Livonia. MI 48152-2659 dss.dss-northern.dss-isfo.mbx.detroit-field-office@mail.mil
9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT
Repair Minuteman NS-50 Missile Guidance Systems (MGS's) and demilitarization of classified systems, sub-assemblies and components relative to the Minuteman.
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10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION
b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION
(NATO) INFORMATION
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.) h. FOREIGN GOVERMENT INFORMATION
d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES
(ACCM) INFORMATION
e. NATIONAL INTELLIGENCE INFORMATION:
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)
k. OTHER (Specify) (See instructions.)
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.)
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT
ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT
ACTIVITY
(Applicable only if there is no access or storage required at contractor facility.
See instructions.)
b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE, STORE, AND GENERATE CLASSIFIED
INFORMATION OR MATERIAL
d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
e. PERFORM SERVICES ONLY
f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE
THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST
TERRITORIES
g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE
TECHNICAL INFORMATION CENTER (DTIC) OR OTHER
SECONDARY DISTRIBUTION CENTER
h. REQUIRE A COMSEC ACCOUNT
i. HAVE A TEMPEST REQUIREMENT
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE
l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED
INFORMATION (CUI).
(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)
m. OTHER (Specify) (See 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)
DIRECT THROUGH (Specify below) Public Release Authority:
None Authorized
13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures
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.)
Ref. 10.a: COMSEC safeguarding requirements apply. See the NISPOM chapter 9, section 4 for details. For on-base performance, COMSEC is incumbent on the government. Access on a government installation is granted by the user agency. Access to COMSEC information is restricted to U.S. Citizens holding a final U.S. government clearance at the appropriate level. Personnel must receive the required COMSEC briefing. Prior approval is required from the Government Contracting Activity prior to granting access to COMSEC information to a subcontractor.
Ref. 10.b: The contractor is permitted access to RESTRICTED DATA (RD) in performance of this contract. Access to RD requires a U.S.
Government clearance at the appropriate level.
Ref. 10.c: The contractor is permitted access to Critical Nuclear Weapon Design Information (CNWDI) in performance of this contract.
Access to CNWDI requires a special briefing and debriefing. The government program manager or designated representative will ensure contractor employees are briefed for CNWDI. Prior to granting subcontractors access to CNWDI approval must be obtained from the Government Contracting Activity.
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Ref. 10.d.: The contractor is permitted access to FORMERLY RESTRICTED DATA (FRD) in performance of this contract. Access to FRD requires a U.S. Government clearance at the appropriate level.
Ref. 10.h: The contractor is permitted access to Foreign Government Information in performance of this contract. Access to Foreign Government Information requires a valid need-to-know and final U.S. Government clearance at the appropriate level. Prior approval of the contracting activity is required for subcontracting. Refer to the NISPOM chapter 10, section 3 for additional security requirements.
Ref. 10.j: CUI information provided under this contract shall be safeguarded as specified in DOD Manual 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI).
Ref. 10.k: The contractor is permitted access to the Secret Internet Protocol Router Network (SIPRNet). Actual knowledge, generation, or production of NATO information is not required for performance on this contract; however, a NATO awareness briefing will be completed prior to granting access to the SIPRNet.
Ref. 11.c: The contractor requires access to classified source data up to and including (TOP SECRET) in support of the work effort. All classified information received or generated will be properly stored and handled according to the markings on the material. Contractor will abide by the following security classification guidance: (Intercontinental Ballistic Missile (ICBM) SCG effective date 23 Oct 2008 with most current letter change 9). The applicable SCG will be provided under a separate cover. At the termination or expiration of this contract, the U.S. Government will be contacted for proper disposition instructions.
Ref. 11.d: The contractor must provide adequate storage for classified hardware and materials to the level of (TOP SECRET) which exceeds 2 cubic feet and is of size and quantity that it cannot be safeguarded in a General Service Administration (GSA) approved security container.
Ref 11.g: The contractor is authorized to use the services of the Defense Technical Information Center (DTIC). The contractor must prepare a DD Form 1540, Registration for Scientific and Technical Information Services, for GCA submittal. The contractor may submit a DD Form 2345, Military Critical Technical Data Agreement, (after registration with DTIC) to the Defense Logistics Services Center for access to unclassified, militarily critical technical data from other DoD sources. Reference the NISPOM chapter 11, section 2 for preparation of these forms. The GCA must be involved in certifying need-to-know for contractors to utilize DTIC.
Ref 11.h: A COMSEC account will be established and COMSEC will be protected per the NISPOM chapter 9, section 4.
Ref 11.i. TEMPEST requirements are as follows:
Ref 11.k: This contract requires the use of the Defense Courier Service (DCS). The government contracting activity will request written approval for DCS services from the Commander, Defense Courier Service, ATTN: Operations Division, United States Transportation Command, 508 Scott Drive, Scott Air Force Base, IL 62225. Prior approval is required from the contracting activity, prior to authorizing a subcontractor to utilized DCS services.
Ref 11.l: In accordance with DFARS Subpart 252.204-7012, contractors and subcontractors will safeguard covered defense information that resides in or transits through contractor information systems by applying specified network security controls, and will report cyber incidents.
13a. Program Manager/Contracting Officer Representative: Jonathan Hall, AFNWC/NMSG, (801) 586-6602
13b. DD Form 254 review 8 Oct 2025
List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
Add Attachment View Selected Attachment Remove Selected Attachment
NAME & TITLE OF REVIEWING OFFICIAL
Brian Birkeland AFNWC/NMAC Program Manager
SIGNATURE
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DD FORM 254, APR 2018
NAME & TITLE OF REVIEWING OFFICIAL
LASHONDA AROCHA, NH-03
SSA, 75 ABW/IPD
SIGNATURE
14. ADDITIONAL SECURITY REQUIREMENTS
Requirements, in addition to NISPOM requirements for classified information, are established for this contract.
No Yes 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.)
Ref. 10.e.(2): The contractor will require access to, and receipt of, classified intelligence documents in the performance of this contract.
Contractor shall restrict access to those individuals with a valid need-to-know who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, or other government agencies and private individuals or organizations is prohibited unless authorized in writing by the COR with prior approval of SSO HILL. See Non-Sensitive Compartmented Information (SCI) Clauses in attachment within Item 13 for details.
Ref 11.i: See TEMPEST addendum in attachment within Item 13 for details.
Ref 11.j: The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Hill AFB, and AFNWC/NIOS Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced in attachment within Item 13.
15. INSPECTIONS
Elements of this contract are outside the inspection responsibility of the CSO.
No Yes 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)
a. GCA NAME
AFNWC/PZBB
b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)
FA8214
c. ADDRESS (Include ZIP Code) 6008 Wardleigh Road, Bldg 1580 Hill AFB, UT 84056
d. POC NAME
Shila F. Weese
e. POC TELEPHONE (Include Area Code)
+1 (801) 586-4939
f. EMAIL ADDRESS (See Instructions) shila.weese@us.af.mil
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.
a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)
Weese, Shila F.
b. TITLE
Contracting Officer
c. ADDRESS (Include ZIP Code) 6008 Wardleigh Road, Bldg 1580 Hill AFB, UT 84056
d. AAC OF THE CONTRACTING OFFICE (See Instructions)
FA8214
e. CAGE CODE OF THE PRIME CONTRACTOR
(See Instructions.)
f. TELEPHONE (Include Area Code)
+1 (801) 586-4939
g. EMAIL ADDRESS (See Instructions) shila.weese@us.af.mil
h. SIGNATURE
i. DATE SIGNED (See Instructions)
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND
SUBCONTRACTOR
d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY
ADMINISTRATION
e. ADMINISTRATIVE CONTRACTING OFFICER
f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)
75 ABW/IPD (lashonda.arocha.2@us.af.mil)
Ref: (Block 10.e. (2))
Non-Sensitive Compartmented Information (SCI) Intelligence Information Clauses
Contract/Solicitation Number: FA8214-20-R-7002, Expiration Date 8 Oct 2025
1. Special Requirements of Intelligence Information: The contractor will require access to, and receipt of, classified intelligence documents in the performance of this contract. In addition to the requirements and controls for classified material in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), the contractor shall adhere to the National Security Act of 1947, as amended; Executive Order (EO) 12333, as amended; EO 13526; EO 13549; EO 12829; EO 12968, as amended; 32 CFR Part 2001; 32 CFR Part 2003, 32 CFR Part 2004; and other applicable provisions of law; ICD 501; ICD 703; ICD 710; DCID 6/6 and AFMAN 14- 304.
2. Name, organization, Telephone number and address of the contract Officer Representative (COR):
Contracting Officer Representative
Office Symbol
Phone Number
Jonathan K. Hall
AFNWC/NMSG
801-586-6602
3. Intelligence Information Access:
a. Contractor shall restrict access to those individuals with a valid need-to-know who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, or other government agencies and private individuals or organizations is prohibited unless authorized in writing by the COR with prior approval of SSO HILL.
b. Contractor shall not release intelligence data to foreign nationals or immigrant aliens regardless of their security clearance or contract status without advanced written permission from the COR, SSO HILL, Foreign Disclosure Policy Office, and HQ AFMC/A2S.
c. Contractor shall ensure the each employee having access to intelligence material is fully aware of the special security requirements for this material and maintains records in a manner that permits the contractor to furnish on demand the names of individuals who have access to the material in their custody.
d. Contractor shall restrict access to those individuals with a valid need-to-know who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, or other government agencies and private individuals or organizations is prohibited unless authorized in writing by the COR with prior approval of SSO HILL.
4. Intelligence Information Materials:
a. Contact SSO HILL for permission to make extra copies of intelligence data required by the contractor if approval has not previously been stipulated above, or been stipulated in the release letter. The COR then maintains accountability of copies and ensures all information is returned to the Air Force upon contract termination/expiration.
SMO: SSO HILL – AFLCMC/INLS Address: 6137 WARDLEIGH ROAD DSN: 777-0484/Comm: 801-777-0484 HILL AFB, UT 84056-5843
b. Maintain a record of all intelligence materials released to the contractor, and ensures all data is returned to the COR within 2 years after final delivery of goods and services or after completion or termination of the classified contract, whichever comes first. If retention is required beyond the 2 year period the contractor must request and receive written authority from the COR in the form of a signed Final DD FM 254/Contract Security Classification Specification identifying the period of retention and disposition instructions for the intelligence materials, once the specified period of retention ends.
c. Contractor shall maintain accountability for all intelligence released in his/her custody. Contractors must agree that all intelligence data released to them, all reproductions, and other material generated (including authorized reproductions) is the property of the US Government and will be returned upon request of the sponsoring agency or expiration date of the contract, whichever comes first.
d. Contractor shall not reproduce intelligence without permission from SSO HILL through the COR. If approved, must control each copy in the same manner as the original.
e. Contractor shall not reproduce intelligence without advance approval from the COR, except for working papers and derivative material produced in the publication process. Working papers and derivative material produced in the publication process do not need destruction approval.
5. Electronic Processing: Information assurance and electronic processing; information security (computer) and network connectivity require accreditation of the equipment connectivity. Networks processing corporate unclassified and/or other collateral information will follow the cognizant authority policy requirements. Prior authorization by a cognizant authority must be obtained before operation.
Ref Item 11.j. OPSEC requirements are as follows:
Reference: National Security Decision Directive (NSDD) 298
DOD 5205.02
DODD 5205.02E
AFI10-701AFGM_2018-01
All contractors, subcontractors, their employees, associates, and consultants who have access to critical information must comply with the DOD and Air Force-sponsored Operations Security (OPSEC) program. The OPSEC Program is directed by NSDD298, DOD Publications, and applicable Air Force guidance.
OPSEC is a systematic means of identifying and protecting information, which an adversary could use to their advantage or to our disadvantage. Critical Information (CI) is generally unclassified but can become classified through compilation. This sensitive information has been identified by the organization’s OPSEC program as requiring protection. OPSEC Measures (OM) are control standards with which all personnel must comply in order to protect CI against adversaries.
RESPONSIBILITIES:
The AFNWC/NMOS OPSEC Program Coordinator Brent Molnar will provide / approve
OPSEC training curriculum for use by the contractor. Critical Information and Indicator Listings (CIILs) will be protected by all contract personnel. Approved organizational OPSEC measures will be used by all contract personnel to protect critical information in their possession and protect against current foreign intelligence and industrial espionage threats. The OPSEC PM/Coordinator and the Lead contractor must ensure all contract personnel working on the contract or having access to CI attend initial and annually recurring refresher training and that the approved curriculum is presented. Training will be provided before contract personnel are allowed access to or handling of critical information. All contract personnel will comply with the organizations OPSEC standards and practices as trained. Additional training may be required based on updates to critical information, OPSEC measures, intelligence threat/vulnerability, or other fundamental changes to the OPSEC program. The OPSEC Coordinator is responsible for contacting the OPSEC Program
Manager if OPSEC isn’t written into the contract.
The OPSEC PM/Coordinator for the organization will track OPSEC training statistics for all personnel working on the contract, when each individual has received the required OPSEC training, and when refresher training is due. Forward training statistics to the installation OPSEC PM at the end of each calendar quarter and/or upon request. The OPSEC Coordinator will provide a copy of the Wing/Complex OPSEC Plan to the contractor upon request and the contractor is subject to the requirements of that plan. The Wing/Complex OPSEC Plan is “for official use only” and distribution outside the constraints of the contract in part or in its entirety is prohibited. Upon completion of the contract, the contractor will destroy the OPSEC Plan by shredding the document so that it cannot be reconstructed and deleting any electronic copies.
Contactors with OPSEC requirements within a contract must ensure employees receive OPSEC training as specified within the contract. Accomplishment of training must not exceed 90 days from initial assignment to a contract with OPSEC requirements. Annual training will be accomplished NLT 30
September of each year. The contractor personnel will not be given access to an organization’s CIIL until after training has been completed and documented by the organization OPSEC Coordinator.
Prior to seeking approval through Hill AFB Public Affairs, any information to be released outside of official U.S. Government channels, via any media, must be approved through an OPSEC review by the
AFNWC/NMSG PM/Coordinator. All personnel must promptly report OPSEC related incidents, issues, and concerns to the AFNWC/NMSG PM/Coordinator, 801-586-6602 who will then report it to the installation
PM, 801-586-8008.
Prime Contract or Solicitation #: FA8214-20-R-7002
DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of AEM LiveCycle Designer
DD FORM 254, APR 2018
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:
October 31, 2020 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 List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) MGS 3.0 - DD-254 addendums.docx
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| a. Facility clearance level. Select one.: 1 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 1 |
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| Soli: FA8214-20-R-7002 |
| DueDate: 20210131 |
| dateA: 2020-10-05 |
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| Enter your name here.: FA8214-15-D-0002 |
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| Enter your name here.: |
| Name: The Boeing Company Guidance Repair Center |
801 Irving-Wick Drive West Heath, OH. 43056-6117
| Name: N/A |
| Name: Weese, Shila F. |
| Cage: 05HA6 |
| Cage: N/A |
| Cage: 05HA6 |
| CSO: DCSA Field Office (IOFND) |
17177 N. L aurel Park Dr ive, Suite 423 Livonia. MI 48152-2659 dss.dss-northern.dss-isfo.mbx.detroit-field-office@mail.mil
| CSO: N/A |
| CSO: DCSA Field Office (IOFND) |
17177 N. L aurel Park Dr ive, Suite 423 Livonia. MI 48152-2659 dss.dss-northern.dss-isfo.mbx.detroit-field-office@mail.mil
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| Location: The Boeing Company Guidance Repair Center |
801 Irving-Wick Drive West Heath, OH. 43056-6117
| Block9: Repair Minuteman NS-50 Missile Guidance Systems (MGS's) and demilitarization of classified systems, sub-assemblies and components relative to the Minuteman. |
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| Enter your name here.: 75 ABW/IPD (lashonda.arocha.2@us.af.mil) |
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| text: Ref. 10.a: COMSEC safeguarding requirements apply. See the NISPOM chapter 9, section 4 for details. For on-base performance, COMSEC is incumbent on the government. Access on a government installation is granted by the user agency. Access to COMSEC information is restricted to U.S. Citizens holding a final U.S. government clearance at the appropriate level. Personnel must receive the required COMSEC briefing. Prior approval is required from the Government Contracting Activity prior to granting access to COMSEC information to a subcontractor. |
Ref. 10.b: The contractor is permitted access to RESTRICTED DATA (RD) in performance of this contract. Access to RD requires a U.S. Government clearance at the appropriate level.
Ref. 10.c: The contractor is permitted access to Critical Nuclear Weapon Design Information (CNWDI) in performance of this contract. Access to CNWDI requires a special briefing and debriefing. The government program manager or designated representative will ensure contractor employees are briefed for CNWDI. Prior to granting subcontractors access to CNWDI approval must be obtained from the Government Contracting Activity.
Ref. 10.d.: The contractor is permitted access to FORMERLY RESTRICTED DATA (FRD) in performance of this contract. Access to FRD requires a U.S. Government clearance at the appropriate level.
Ref. 10.h: The contractor is permitted access to Foreign Government Information in performance of this contract. Access to Foreign Government Information requires a valid need-to-know and final U.S. Government clearance at the appropriate level. Prior approval of the contracting activity is required for subcontracting. Refer to the NISPOM chapter 10, section 3 for additional security requirements.
Ref. 10.j: CUI information provided under this contract shall be safeguarded as specified in DOD Manual 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI).
Ref. 10.k: The contractor is permitted access to the Secret Internet Protocol Router Network (SIPRNet). Actual knowledge, generation, or production of NATO information is not required for performance on this contract; however, a NATO awareness briefing will be completed prior to granting access to the SIPRNet.
Ref. 11.c: The contractor requires access to classified source data up to and including (TOP SECRET) in support of the work effort. All classified information received or generated will be properly stored and handled according to the markings on the material. Contractor will abide by the following security classification guidance: (Intercontinental Ballistic Missile (ICBM) SCG effective date 23 Oct 2008 with most current letter change 9). The applicable SCG will be provided under a separate cover. At the termination or expiration of this contract, the U.S. Government will be contacted for proper disposition instructions.
Ref. 11.d: The contractor must provide adequate storage for classified hardware and materials to the level of (TOP SECRET) which exceeds 2 cubic feet and is of size and quantity that it cannot be safeguarded in a General Service Administration (GSA) approved security container.
Ref 11.g: The contractor is authorized to use the services of the Defense Technical Information Center (DTIC). The contractor must prepare a DD Form 1540, Registration for Scientific and Technical Information Services, for GCA submittal. The contractor may submit a DD Form 2345, Military Critical Technical Data Agreement, (after registration with DTIC) to the Defense Logistics Services Center for access to unclassified, militarily critical technical data from other DoD sources. Reference the NISPOM chapter 11, section 2 for preparation of these forms. The GCA must be involved in certifying need-to-know for contractors to utilize DTIC.
Ref 11.h: A COMSEC account will be established and COMSEC will be protected per the NISPOM chapter 9, section 4.
Ref 11.i. TEMPEST requirements are as follows:
Ref 11.k: This contract requires the use of the Defense Courier Service (DCS). The government contracting activity will request written approval for DCS services from the Commander, Defense Courier Service, ATTN: Operations Division, United States Transportation Command, 508 Scott Drive, Scott Air Force Base, IL 62225. Prior approval is required from the contracting activity, prior to authorizing a subcontractor to utilized DCS services.
Ref 11.l: In accordance with DFARS Subpart 252.204-7012, contractors and subcontractors will safeguard covered defense information that resides in or transits through contractor information systems by applying specified network security controls, and will report cyber incidents.
13a. Program Manager/Contracting Officer Representative: Jonathan Hall, AFNWC/NMSG, (801) 586-6602
13b. DD Form 254 review 8 Oct 2025
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| rep: Brian Birkeland AFNWC/NMAC |
Program Manager rep: LASHONDA AROCHA, NH-03
SSA, 75 ABW/IPD
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| Enter your name here.: Ref. 10.e.(2): The contractor will require access to, and receipt of, classified intelligence documents in the performance of this contract. Contractor shall restrict access to those individuals with a valid need-to-know who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, or other government agencies and private individuals or organizations is prohibited unless authorized in writing by the COR with prior approval of SSO HILL. See Non-Sensitive Compartmented Information (SCI) Clauses in attachment within Item 13 for details. |
Ref 11.i: See TEMPEST addendum in attachment within Item 13 for details.
Ref 11.j: The contractor must comply with the U.S. Government, DOD, Air Force, AFMC, Hill AFB, and AFNWC/NIOS Operation Security (OPSEC) Programs. The contractor must comply with any additional OPSEC requirements referenced in attachment within Item 13.
| GCAName: AFNWC/PZBB |
| AAC: FA8214 |
| AAC: FA8214 |
| Address: 6008 Wardleigh Road, Bldg 1580 |
Hill AFB, UT 84056 Address: 6008 Wardleigh Road, Bldg 1580 Hill AFB, UT 84056
| POCName: Shila F. Weese |
| Phone: 8015864939 |
| Phone: 8015864939 |
| Email: shila.weese@us.af.mil |
| Email: shila.weese@us.af.mil |
| Title: Contracting Officer |
| Enter the date using the format DD-Mon-YYYY: |
File details come from the government source that posted it. Updated .