Solicitation DD254.pdf

CLASSIFICATION (When filled in): Unclassified

PREVIOUS EDITION IS OBSOLETE. Page 1 of 13DD 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:

June 30, 2025

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)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

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

FA8251-24-R-B001

DUE DATE (YYYYMMDD)

20240930

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20240221

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.

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

TBD

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

TBD

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 b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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.)

TBD

b. CAGE CODE

(If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

TBD

a. LOCATION(S) (For actual performance, see instructions.)

Andrews AFB, MD

113 MXG/MXS

3252 East Perimeter Road, Bldg 3109 Andrews AFB, MD 20762-5011

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

PREVIOUS EDITION IS OBSOLETE. Page 2 of 13DD FORM 254, APR 2018

a. LOCATION(S) (For actual performance, see instructions.)

Atlantic City IAP, NJ

177 MXG/MXMVT

400 Langley Road, Bldg 440 Egg Harbor Township, NJ 08234-9500

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Baltimore ANG, MD

175 MXS/MXMVE

2701 Eastern Blvd Baltimore, MD 21220

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Boise ANG, ID

124 MXS/MXMVT

4100 W Aeronca Street, Bldg 1530 Boise, ID 83705-8033

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Buckley ANG, CO

140 MXS/MXMVT

18860 East Breckenridge Ave Buckley ANG, Aurora, CO 80011-9507

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Carswell (NAS Fort Worth JRB), TX

301 MXS/MXMVT

1650 Lyons Drive NAS Fort Worth, TX 76127-6222

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Dannelly Field, AL

187 MXM/MXMVA

5187 Selma Hwy, Bldg 1305 Montgomery, AL 36108-4824

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Duluth IAP, MN

148 FW/MXMV

4621 Phantom Drive, Bldg 212 Duluth IAP, MN 55811-6002

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Edwards AFB, CA

412 MXS/MXI

300 E Yeager Blvd, Bldg 1600 Edwards AFB, CA 93524-0001

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Eglin AFB, FL

96 MXS/MXMK

107 N Barrancas Ave, Bldg 100 Eglin AFB, FL 32542-6818

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO)

PREVIOUS EDITION IS OBSOLETE. Page 3 of 13DD FORM 254, APR 2018

a. LOCATION(S) (For actual performance, see instructions.)

Eielson AFB, AK

354 MXS/MXM

629 Loop Access Road Eielson AFB, AK 99702-2700

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Fort Wayne, IN

122 MXS/MXMVT

3005 Ferguson Road Fort Wayne IAP, IN 46809-3158

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Hill AFB, UT

516 SWES/MXDPE

7278 4th Street, Bldg 100 Bay O Hill AFB, UT 84056-5205

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Hill AFB UT

523 EMXS/MXDPB

7274 Wardleigh Road, Bldg 5 Hill AFB, UT 84056-5205

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Hill AFB UT

523 EMXS/MXDSP

7278 4th Street, Bldg 100 Hill AFB, UT 84056-5205

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Holloman AFB, NM

49 CMS/MXMVA

1197 Levitow Blvd, Ste 40 Holloman AFB, NM 88330-8277

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Homestead AFB, FL

482 MXS/MXMVT

29050 Coral Sea Blvd Homestead ARB, FL 33039-1299

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Lackland AFB, TX

149 MXMS/MXM

108 Hensley Ste 3 Lackland AFB, TX 78236-0126

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Luke AFB, AZ

56 CMS/MXMVA

14440 West Starfighter Street, Bldg 959 Luke AFB, AZ 85309-1800

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO)

PREVIOUS EDITION IS OBSOLETE. Page 4 of 13DD FORM 254, APR 2018

a. LOCATION(S) (For actual performance, see instructions.)

Madison (Truax) ANG, WI

115 MXS/MXMVT

3110 Mitchell Street Madison, WI 53704-2591

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

McEntire ANG, SC

169 MXS/MXMVT

1325 S Carolina Road Ste 13 McEntire ANGB, SC 29044-5000

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Nellis AFB, NV

57 MXG/NAM

4150 Tyndall Ave Bldg 415a Nellis AFB, NV 89191-5000

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Selfridge ANG, MI

127 MXS/MXMVT

28732 Wilbur Wright Blvd, Bldg 18 Selfridge ANGB, MI 48045-5198

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Shaw AFB, SC

20 CMS/MXMVT

558 Killian Ave Shaw AFB, SC 29152-5198

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Sheppard AFB, TX

982 MXS/MANN

620 Ave J, Ste 4 Sheppard AFB, TX 76311-2613

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Sioux Falls (Foss), SD

114 MXS/MXMVA

1201 West Algonquin St Sioux Falls, SD 57104-0264

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Toledo, OH (Express IAP)

180 MXM/MXMVT

2660 S Eber Road Swanton, OH 43558-9645

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Tucson IAP, AZ

162 MXM/MXMVT

1650 E Perimeter Way Tuscon, AZ 85706-6079

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO)

PREVIOUS EDITION IS OBSOLETE. Page 5 of 13DD FORM 254, APR 2018

a. LOCATION(S) (For actual performance, see instructions.)

Tulsa IAP, OK

138 MXM/MXMVT

9100 E 46th North Tulsa, OK 74115-1000

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Aviano AB, Italy

31MXS/MXMV

946 Transmitter Road Aviano AB, Italy, AE 09604-6235

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Al Udeid AB, Qatar

379 EMX/MXMV

5477 Bomber and Precision Drive Al Udeid AB, Qatar, APO, AE 09309-1217

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Spangdahlem AB

52 MXS/MXMVA

Bldg 216 , Arnold Blvd Spangdahlem AB, Germany, AE 09123-3645

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Kadena AB, Japan

523EMXS

Unit 5160, Box 10

APO, AP 96368-5160

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Kunsan AB, Korea

8MXS

Unit 2021, Bldg 2223

APO, AP 96264-2021

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Misawa AB, Japan

35MXS

Unit 5013, Bldg 3263

APO, AP 96319-5013

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

a. LOCATION(S) (For actual performance, see instructions.)

Osan AB, Korea

51MXS

Unit 2059

APO, AP 96278-2059

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) See Item 15, Ref 8.a

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

This requirement supports the Avionics Intermediate Shop (AIS) Product Support Integration (PSI) Program for an independent, prime non-manufacturing Product Support Integrator (PSI) to provide single-point solutions for F-16 Advanced Avionics Intermediate Shop (AdC AIS), Improved Avionics Intermediate Shop (IAIS), Versamodule Extensions for Instrumentation Improved Avionics Intermediate Shop (VXI-IAIS), Rackmount Improved Avionics Intermediate Shop (R-IAIS), AIS Automated Test Equipment (ATE) Components, ancillary Support Equipment (SE), and Test Program Set (TPS) system hardware and software sustainment and procurement activities. This requirement includes Link 16 and TACAN waveform emulator and F-16 Integrated Viper EW suite (IVEWS).

PREVIOUS EDITION IS OBSOLETE. Page 6 of 13DD FORM 254, APR 2018

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.)

See Block 13

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 DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

The AFFARS Clause 5352.204-9000 applies. Contractor will process classified information on a computer system (AIS).

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)

75 ABW Public Affairs Office, 7981 Georgia Street, Hill AFB, UT 84056 (801-777-5201)

Public Release Authority:

AFIMS, Public Affairs (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330-1690

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. 8a: Performance location indicated in block 8a also includes any other location assigned to the unit on each military installation. E.G.

Flightline and Hangars as applicable. Overseas locations that may require performance completed in direct support of contract requirement. Refer to attachment AFSC FMS for details.

Ref. 10.a: COMSEC safeguarding requirements apply. See the 32 CFR Part 117/NISPOM, Section 117.21. 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. Contractor will comply with Air Force COMSEC guidance.

PREVIOUS EDITION IS OBSOLETE. Page 7 of 13DD FORM 254, APR 2018

Ref. 10.g: The contractor is permitted access to classified North Atlantic Treaty Organization (NATO) information in performance of this contract. The government project manager is the designated representative that will ensure the contractor Facility Security Officer and concerned employees are NATO briefed prior to access being granted. Prior approval of the contracting officer is required for subcontracting. Access to NATO requires a final U.S. Government clearance at the appropriate level.

Ref. 10.j.: CUI information provided under this contract shall be safeguarded as specified in DoD Instruction 5200.48, DoD Information Security Program: Controlled Unclassified Information (CUI).

Ref. 10.k: Contractor is subject to TDY at CONUS/OCONUS locations for less than 90 days, using F-16 AIS systems that utilize classified drives when classified F-16 Line Replaceable Units (LRUs) are being tested in direct support of contract requirements. Refer to section 8a.

for performance locations.

Ref. 11.c: The contractor requires access to classified source data up to and including 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's: F-16 Multi-Mission Fighter, Dated 1 June 2006, Revised 2 March 2016; the Multi-functional Information Distribution System Joint Tactical Radio System (MIDS JTRS) SCG ID# 08-116.01, Naval Air System Command, PMA/PMW-101, Original Date 17 October 2014, Change Date 12 April 2021; and the Link 16 Waveform SCG, ID# 08-118, Naval Air Systems Command, PMA/PMW-101, Original Date 11 June 2020, Change Date 11 June 2020. The applicable SCGs 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 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.f: USAF Overseas contract performance as an intermittent visitor will be at the following locations:

US OCONUS Locations and Servicing IP offices:

-Aviano AB, Italy, 31MXS

31 FW/IP

Unit 3160 Box 205

APO AE 09604

31FW.InformationProtection@us.af.mil

-Spangdahlem AB, Germany, 52CMS

52 FW/IP

Unit 3660 Box 155

APO AE 09126-3660

52FW.IP@us.af.mil

-Kadena AB, Japan, 523EMXS

8 WG/IP

Unit 5212 (Box 10)

APO AP 96368

18WG.IP@us.af.mil

-Kunsan AB, Korea, 8MXS

8 FW/IP

Bldg 755 Room 218

APO AP 96264-2023

8FW.IPUSM@us.af.mil

-Misawa AB, Japan, 35MXS

35 FW/IP

Unit 5009

APO AP 96319-5009

35FW.IP@us.af.mil

-Osan AB, Korea, 51MXS

51 FW/IP

PREVIOUS EDITION IS OBSOLETE. Page 8 of 13DD FORM 254, APR 2018

Unit 2067

APO AP 96278-2067

51FW.IP@us.af.mil

-Al Udeid AB, Qatar, 379 EMXS

379 AEW/IP

Unit 61217

APO AE 09309-1217

379aew.ip@auab.afcent.af.mil

Foreign military/gov contract performance s an intermittent visitor locations (See attachment AFSC FMS):

-Belgium: CCV & C Air Mat, Martelarenstraat AB -Denmark: Skrydstrup AB Vojens -Greece: Volos; Soudabay AB; Aroxos AB -Netherlands, Woenstrecht AB -Norway, Bodo Avionics AB -Portugal: Monte Real, Leiria -Poland: 31st AB Krzesiny -Romania: Borcea AB -Turkey: Akinci AB Ankara; Konya AB; Balikeshir; Merzifon AB, Amasya; Bandirma; Diyarbakir -Indonesia: Iswajudi AFB -Korea: JungWon AB; ROKAF Kunsan -Singapore: Changi AB; Tengah AB -Taiwan: Chiai AB; Hualien AB -Thailand: Korat, Nakhon Ratchasima; Udorn, Udon Thani; Takhil AB Wing 4 Chai Nat -Bahrain: Shaikh Isa AB -Egypt: AnShans AB, Cairo; Beni Suef AB, Beni Suef; AbuSwayr AB, Ismalaya; Gianaklis AB, Alexandria; Fayid AB; Cairo West AB -Iraq: Balad AB -Israel: Hazerim AB; Ramat David AB; Hatzor AB; Zrifin AB; Mitzpe Ramon AB -Jordan: Muwaffaq Salti -Morocco: Ben Guerir AB, Ben Guerir -Oman: Thumrait AB -Pakistan: Shahbaz AB, Jacobabob; Mushaf AB, Saragoda -Chile: Iquique AB

A copy of the DD Form 254 must be provided to the AF SSA responsible for overseas inspections and security oversight at the performance location. The applicable Director of Information Protection (Headquarters United States Air Force in Europe (HQ USAFE/ IP), Headquarters Pacific Air Force (HQ PACAF/IP) for Asia-Pacific Regions, Headquarters Air Combat Command (HQ ACC/IP) for South America Regions (AF South), and US Central Command (USCENTCOM) for Middle East/Southeast Asia will be provided copies of the DD Form 254, as applicable.

Ref. 11.h: A COMSEC account will be established and COMSEC will be protected per the 32 CFR PART 117/NISPOM, Section 117.21.

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. Contractors are prohibited from releasing unclassified information to the public without approval of the contracting activity.

Ref 11.m. The contractor is designated as an Integrated Visitor Group and will adhere to the Hill AFB Visitor Group Security Addendum attached in Item 13 while performing on Hill AFB, and will request installation specific security policies from the Servicing Security Activities listed in Item 15 “Ref: 8.a”, at least 30 days prior to beginning operations.

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

Mr. Brian Fisher

416 SCMS/GUMAA

AIS Systems Sustainment Program Manager

NAME & TITLE OF REVIEWING OFFICIAL

Brian Fisher

SIGNATURE

Mr. Damon Byrd

416 SCMS/GUBAB

Security Manager

NAME & TITLE OF REVIEWING OFFICIAL

Damon Byrd

SIGNATURE

PREVIOUS EDITION IS OBSOLETE. Page 9 of 13DD FORM 254, APR 2018

Mr. Michael R Yohnke

AFLCMC/WFNH

Foreign Disclosure Office

NAME & TITLE OF REVIEWING OFFICIAL

Michael R Yohnke Lead, FDO

SIGNATURE

Mr. James Hagemier

75 ABW/IPD

Industrial Security Specialist

NAME & TITLE OF REVIEWING OFFICIAL

James Hagemier

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.)

All contractor employees who do not have a personnel security clearance must be eligible for at least a favorable investigation (NAC) in order to be granted unescorted entry into a Restricted Area.

Ref 11.f.: Disclosure of information related to this contract to citizens, or representatives, of multiple countries shall be in accordance with DoDD 5230.11 and the most current version of the applicable Delegation of Disclosure Letter.

Ref. 11.j: The contractor must comply with the U.S. Government, DoD, Air Force, AFMC, Hill AFB, and 748 SCMG 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.)

Ref. 8.a: The Defense Counterintelligence and Security Agency (DCSA) is relieved of all industrial review responsibilities for contractor performance on government installations identified in section 8.a. The following SSAs have exclusive oversight responsibilities while operation on the installations:

Andrews AFB, MD:

11 WG/IP

190 Menoher Dr 30 Andrews AFB, MD 20762 316WG/IPWorkflow@us.af.mil

Atlantic City IAP, NJ:

177 FW/IP

400 Langley Road Egg Harbor Township, NJ 08234 177.FW.IP.Org@us.af.mil

Baltimore ANG, MD:

175 WG/IP

2701 Eastern Boulevard Baltimore, MA 21220-2899 175.WG.IP.Org@us.af.mil

Boise ANG, ID:

124 FW/IP

4474 S. DeHaviland St.

Boise, ID 83705 124.FW.IP.Information.Protection.Org@us.af.mil

Buckley ANG, CO:

140 WG/IP

40 S Aspen Street Buckley AFB, CO 80011 140.WG.IP.Org@us.af.mil

PREVIOUS EDITION IS OBSOLETE. Page 10 of 13DD FORM 254, APR 2018

NAS Fort Worth JRB, TX:

301 FW/IP

Carswell AFB, TX 301FW-IP.Info.Protection@us.af.mil

Dannelly Field, AL:

187 FW/IP

5187 Selma Hwy.

Montgomery, AL 36108 187.FW.IP.Org@us.af.mil

Duluth IAP, MN:

148 FW/IP

4680 Viper Street Duluth, MN 55811 148.FW.IP.Org@us.af.mil

Edwards AFB, CA:

412 TW/IP

15 S. Muroc Drive Edwards AFB, CA 93524 412TW.IP@us.af.mil

Eglin AFB, FL:

96 TW/IP

101 West D ave Ste 14 Eglin AFB, FL 32542 96ABW.IP.Workflow@us.af.mil

Eielson AFB, AK:

354 FW/IP

451 Division St. Bldg 3134 Eielson AFB, AK 9970 354FW.IP@us.af.mil

Fort Wayne, IN:

122 FW/IP

3005 W. Ferguson Road Fort Wayne, IN 46809 122.FW.FW.IP.Org@us.af.mil

Hill AFB, UT:

75 ABW/IP

7981 Georgia St., Bldg. 1102 Hill AFB, UT 84056 75abw.ipd.industrial.security@us.af.mil

Holloman AFB, NM:

49 WG/IP

490 First Street Holloman AFB, NM 88330 49.FW.Information.Protection@us.af.mil

Homestead AFB, FL

482 FW/IP

29050 Coral Sea Blvd Homestead AFB, FL 33039-1299 482FW.IP@us.af.mil

Lackland AFB, TX:

PREVIOUS EDITION IS OBSOLETE. Page 11 of 13DD FORM 254, APR 2018

502 ABW/IP

1701 Kenley Ave.

Lackland AFB, TX 78236 502ABW.IP.USMWorkflow@us.af.mil

Luke AFB, AZ:

56 FW/IP

7254 North Fighter Country Ave.

Luke AFB, AZ 85309 56FW.IPO@us.af.mil

Madison (Truax) ANG, WI:

115 FW/IP

3110 Mitchell Street Madison, WI 53704 115.FW.Security.Managers@us.af.mil

McEntire ANG, SC:

169 FW/IP

1325 South Carolina Rd Suite 1 Eastover, SC 29044 169.FW.Unit.Security.Managers@us.af.mil

Nellis AFB, NV:

99 ABW/IP

5503 Pease Drive, Suite 132 Las Vegas, NV 89191 99ABW.IP@us.af.mil

Selfridge ANG, MI:

127 WG/IP

29553 George Ave Selfridge ANGB, MI 48045 127.WG.IP.Office.Org@us.af.mil

Shaw AFB, SC:

20 SW/IP

524 Nelson Ave.

Shaw AFB, SC 29152 20FWIP@us.af.mil

Sheppard AFB, TX:

82 TRW/IP

419 G. Ave Sheppard AFB, TX 76311-2852 82TRW.IP@us.af.mil

Sioux Falls (Foss), SD:

114 FW/IP

1201 W. Algonquin St Sioux Falls, SD 57104 114FS.IP@us.af.mil

Toledo, OH (Express IAP)

180 FW/IP

2660 S. Eber Rd.

Swanton, OH 43588 180.FW.IP.Org@us.af.mil

Tucson IAP, AZ:

PREVIOUS EDITION IS OBSOLETE. Page 12 of 13DD FORM 254, APR 2018

162 FW/IP

1650 E. Perimeter Way Tucson, AZ 85706 162.WG.IP@us.af.mil

Tulsa IAP, OK

138 FW/IP

9100 E 46th St N Tulsa, OK 74115 138.FW.IP.Org@us.af.mil

Aviano AB, IT

31 FW/IP

Unit 3160 Box 205

APO AE 09604

31FW.InformationProtection@us.af.mil

Al Udeid AB, QAT

379 AEW/IP

Unit 61217

APO AE 09309-1217

379aew.ip@auab.afcent.af.mil

Spangdahlem AB, GER

52 FW/IP

Unit 3660 Box 155

APO AE 09126-3660

52FW.IP@us.af.mil

Kadena AB, Japan

18 WG/IP

Unit 5212 (Box 10)

APO AP 96368

18WG.IP@us.af.mil

Kunsan AB ROK

8 FW/IP

Bldg 755 Room 218

APO AP 96264-2023

8FW.IPUSM@us.af.mil

Misawa AB JP

35 FW/IP

Unit 5009

APO AP 96319-5009

35FW.IP@us.af.mil

Osan AB ROK

51 FW/IP

Unit 2067

APO AP 96278-2067

51FW.IP@us.af.mil

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

PREVIOUS EDITION IS OBSOLETE. Page 13 of 13DD FORM 254, APR 2018

a. GCA NAME

AFMC OL_PZABB

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

FA8251

c. ADDRESS (Include ZIP Code)

AFMC OL_PZABB

6050 Gum Lane Hill AFB, UT 84056

d. POC NAME

Christian Barwick

e. POC TELEPHONE (Include Area Code)

+1 (801) 775-4631

f. EMAIL ADDRESS (See Instructions) christian.barwick@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)

Barwick, Christian

b. TITLE

Contracting Officer

c. ADDRESS (Include ZIP Code)

AFMC OL_PZABB

6050 Gum Lane Hill AFB, UT 84056

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA8251

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (801) 775-4631

g. EMAIL ADDRESS (See Instructions) christian.barwick@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.)

a. Ref. 18.a: See Block 6.a.

b. Ref. 18.c: See Block 6.c.

c. Ref. 18.d: See Item 13, Continuation

d. Ref. 18.e: See Block 17

e. Ref. 18.f: See Block 8.a. for Performance locations and Blocks 8.c. and 15 Servicing Information Protection Office identifiers

Intermittent Visitor Addendum

Intermittent Visitor Security Oversight Responsibilities and Supervision:

The intermittent visitor's Home Office (HOF) will provide all Servicing Security Activities (SSA) identified within Item 15, Ref 8.a, a copy of the most recent list of key management personnel

(KMP) and will immediately notify the SSA’s of any changes occurring to the KMP list.

Access to Classified Information:

All access to classified material by intermittent visitor personnel including oral and/or visual at the

Government Contracting Agency (GCA) locations identified within Items 8.a – 8.c will be under control of the GCA. The GCA maintains accountability, control, and ownership of all classified information involved under the terms of this contract at all times. The intermittent visitor's access to classified information will be controlled by the GCA and limited to “contract-specific, need-to-know” information only.

Transmission of Classified Material:

Contractor employees may hand carry classified on the installations identified within Item 15, Ref

8.a, if they have been designated as a courier in writing per DoD 5220.22-M, Section 5, Paragraph 5-410. If contractor employees will be required to pass through a manned entry point or checkpoint on the installation/s, they must have a courier card or letter of authorization. The courier must ensure the classified is packaged IAW DoD 5220.22-M, Section 5, Paragraph 5-401. All intermittent visitor contractor employees hand carrying classified must receive the proper training and be briefed regarding their responsibilities.

Security Incidents and Possible Compromises of Classified:

The intermittent visitor must immediately report any security incidents through the supported GCA to the SSA. The SSA will ensure the supported GCA’s unit commander/director appoints inquiry or investigation officials in accordance with DoDM 520001V1_AFMAN16-1404V1. Inquiry or investigation officials coordinate findings and reports with the appointing official and SSA.

The SSA coordinates and/or reports security violations committed by intermittent visitor employees to the appropriate Defense Security Service (DSS) Cognizant Security Agency (CSA), base contracting office, and the visitor’s group HOF, if /when appropriate.

Local Contractor Badge and Common Access Card (CAC):

Intermittent visitor employees must have and wear (between waist and shoulders on his/her outermost garment) either a GCA issued contractor identification badge or a company issued contractor identification badge at all times while on the confines of the installations identified in Item

15, Ref 8.a. When required for contract performance, locally developed installation badges will be issued to intermittent visitor personnel for entry into designated areas. Entry credentials are issued at the request of the GCA. Contractor personnel who will require access to DOD computer network systems and/or require the use of a Common Access Card (CAC) for installation entry control or physical access to facilities during normal business hours when government personnel are present shall request a CAC through the GCA’s unit Contractor Verification Systems Trusted Agent.

Contractor personnel who are not authorized a CAC will be required to obtain a Defense Biometrics

Identification System (DBIDS) card or other Physical Access Control System (PACS) passes IAW

AFI 31-113.

Disposition of Identification Credentials:

When an employee leaves the installation for another assignment, retires or terminates from the contract, all identification credentials (Restricted/Controlled Area credentials, PACS Passes, CAC, etc.) that have been issued to the individual will be returned to the issuing officials. The GCA and/or contractor will immediately notify the issuing officials for an appropriate update in the Defense

Biometric Identification System (DBIDS), Defense Enrollment Eligibility Reporting System

(DEERS), or other applicable system when a contractor refuses to return any issued access media.

Subcontracts:

Whenever the HOF or intermittent visitor enters into a subcontract arrangement with another contractor for classified performance on the installations identified within Item 8.a of this DD FM

254, a copy of this attachment will be included within the subcontractor’s DD FM 254.

Integrated Visitor Group Addendum

Integrated Visitor Group Security Oversight Responsibilities and Supervision:

The visitor group's HOF will provide all SSA’s identified within Item 15, Ref 8.a, a copy of the most recent list of key management personnel (KMP) and will immediately notify the SSA’s of any changes occurring to the KMP list.

Access to Classified Information:

All access to classified material by on-base visitor group personnel including oral and/or visual at the GCA locations identified within Items 8.a – 8.c will be under control of the GCA. The GCA maintains accountability, control, and ownership of all classified information involved under the terms of this contract at all times. The visitor group’s access to classified information will be controlled by the GCA and limited to “contract-specific, need-to-know” information only.

Storage of Classified Material:

The visitor group is not authorized to store classified material at the GCA locations identified within Items 8.a – 8.c. All classified material will be returned and secured in the designated government security container as directed by the supported unit.

Under the terms of this agreement, the GCA will have access to and control all security containers. The responsibility for setting the storage container combination rests with the GCA. Each container will have a government safe custodian appointed. The Standard Form (SF) 700, Security Container Information, will be used to identify persons having knowledge of the combination(s). This form will be posted inside the locking drawer of each security container.

If within the scope of the contract, contractors categorized as visitor groups are permitted to conduct end of day checks, have access to GSA approved security containers, and/or have access to applicable alarm codes for secure areas.

Transmission of Classified Material:

The on-base visitor group is not authorized direct receipt or dispatch of classified material at the GCA locations identified within Items 8.a – 8.c, through U.S. postal channels or commercial carrier. Receipt or dispatch must be to or through the supported GCA.

Classified material will be transmitted via U.S. postal channels directly from the sponsoring GCA and must be prepared in accordance with DoDM 5200.01, Volume 3, Enclosure 4, and processed through the classified information control system of the

GCA.

Contractor employees may hand carry classified on the installations identified within

Item 15, Ref 8.a, if they have been designated as a courier in writing by the GCA’s commander or designee per DoDM 5200.01, Volume 3, Enclosure 4. If contractor employees will be required to pass through a manned entry point or checkpoint on the installations, they must have a courier card or letter of authorization. The courier must ensure the classified is packaged IAW DoDM 5200.01, Volume 3, Enclosure 4.

All visitor group contractor employees hand carrying classified must receive the proper training and be briefed regarding their responsibilities.

Reproduction of Classified Material:

Only GCA approved and controlled reproduction equipment will be used by the visitor group, when so authorized, per DoDM 5200.01, Volume 3, Enclosure 2.

The visitor group cannot reproduce classified material without permission of the GCA.

Security Education: The visitor group’s security focal point shall:

Ensure visitor group employees attend and participate in the Security Education

Program, to include initial, recurring, and derivative classification security training, of the sponsoring GCA organizations. The sponsoring GCA unit security manager will ensure integrated visitor group personnel are included in the information security education program and will be responsible for administering security education training per DoDM 5200.01, Volume 3, Enclosure 5 and DoDM

520001V1_AFMAN16-1404V1.

Security Incidents and Possible Compromises of Classified:

The visitor group must immediately report any security incidents, outlined in DOD

MANUAL 5200.01 Volume 3, Enclosure 6, through the supported GCA to the

SSA. The SSA will ensure the supported GCA’s unit commander/director appoints inquiry or investigation officials in accordance with DoDM

520001V1_AFMAN16-1404V1. Inquiry or investigation officials coordinate findings and reports with the appointing official and SSA.

The SSA coordinates and/or reports security violations committed by visitor group employees to the appropriate Defense Security Service (DSS) Cognizant Security

Agency (CSA), base contracting office, and the visitor’s group HOF, if and when appropriate.

Local Contractor Badge and Common Access Card (CAC):

Visitor group employees must have and wear (between waist and shoulders on his/her outermost garment) either a GCA issued contractor identification badge or a company issued contractor identification badge at all times while on the confines of the installations identified in Item 15, Ref 8.a. When required for contract performance, locally developed installation badges will be issued to visitor group personnel for entry into designated areas. Entry credentials are issued at the request of the GCA. Contractor personnel who will require access to DOD computer network systems and/or require the use of a Common Access Card (CAC) for installation entry control or physical access to facilities during normal business hours when government personnel are present shall request a CAC through the GCA’s units Contractor Verification Systems Trusted Agent. Contractor personnel who are not authorized a CAC will be required to obtain a Defense Biometrics Identification

System (DBIDS) card or other Physical Access Control System (PACS) passes IAW

AFI 31- 113.

Disposition of Identification Credentials:

When an employee leaves the installation for another assignment, retires or terminates from the contract, all identification credentials (Restricted/Controlled Area credentials, PACS Passes, CAC, etc.) that have been issued to the individual will be returned to the issuing officials. The GCA and/or contractor will immediately notify the issuing officials for an appropriate update in the Defense Biometric Identification

System (DBIDS), Defense Enrollment Eligibility Reporting System (DEERS), or other applicable system when a contractor refuses to return any issued access media.

Contract and Associated DD Form 254: The visitor group’s on-base management personnel and the GCA security manager will maintain a file containing a copy of all contracting documents, to include any associated DD Form 254s (prime and subcontracts).

Security Reviews:

Industrial security program reviews/inspections of visitor groups will be IAW

DODM5220.22v2_AFMAN 16-1406v2 and DoDM 520001V1_AFMAN16-

1404V1.

The SSA conducts reviews/inspections, if applicable, in the following manner:

(1) The SSA will notify and schedule all reviews/inspections through the AF activity’s unit security manager. These reviews/inspections will be conducted per

DoDM 520001V1_AFMAN16-1404V1 and supplements thereto. A copy of the review/inspection report will be provided to the GCA, who, in-turn will provide the visitor group a copy of all portions of the report applicable to their performance. The visitor group is not required to acknowledge receipt, nor respond unless directed to do so in the report.

(2) The visitor group will also be included in the GCA’s security self-assessment program IAW AFI 90-201, The Air Force Inspection System, to monitor the visitor group’s performance and compliance.

Subcontracts:

Whenever the HOF or on-base visitor group enters into a subcontract arrangement with another contractor for classified performance on the installations identified within Item 8.a of this DD FM 254, a copy of this attachment will be included within the subcontractor’s DD FM 254.

Contract Number Solicitation Number

Prime Contractor Country Foreign Installation/CTR Name(s)/Location(s)/US Military Installations

Is location a foreign contractor company?

(Yes/No)

Is there a FMS Case(s) for this country?

(Yes/No/NA)

List FMS Case Number(s) Is there a Letter of Offer and Acceptance [LOA] associated with the FMS case(s) available? (Yes/No)

Specific to access to classified information for this effort: Is any classified information approved for release to foreign nationals of the country in identified row? (e.g. If info is REL TO//Belgium approved via the FDO process-DDL, for example, would support a "yes" answer) (Yes/No)

Does the country have an International Agreement, GSOMIA, or SSA in place? (Yes/No/NA). If yes, indicate which one(s) in the notes/remarks column.

Notes/Remarks

FA8251-24-R-B001 TBD Belgium CCV & C Air Mat, Martelarenstraat AB No Yes BE-D-QBL Yes YES GSOMIA

Host country only approved access to REL/TO classified information;

host country responsible for CTR oversight IAW with all applicable agreements.

FA8251-24-R-B001 TBD Denmark Skrydstrup AB Vojens No Yes DE-D-QAK Yes YES GSOMIA

Host country only approved accest o REL/TO classified information;

FA8251-24-R-B001 TBD Greece Volos No Yes GR-D-QAG Yes YES GSOMIA

FA8251-24-R-B001 TBD Greece Soudabay AB No Yes

FA8251-24-R-B001 TBD Greece Aroxos AB No Yes

FA8251-24-R-B001 TBD Netherlands Woenstrecht AB No Yes NE-D-QAZ Yes YES GSOMIA

Host country only approved accest o REL/TO classified information;

FA8251-24-R-B001 TBD Norway Bodo Avionics AB No Yes

NO-D-QBU

Yes YES GSOMIA host country will be provided all country/region specicfc SCGs (as applicable); host country responsible for CTR oversight IAW with all applicable agreements.

FA8251-24-R-B001 TBD Portugal Monte Real, Leiria No Yes PT-D-QAV Yes YES GSOMIA

Host country only approved accest to REL/TO classified information;

FA8251-24-R-B001 TBD Poland 31st AB Krzesiny No Yes

PL-D-QBC

FA8251-24-R-B001 TBD Turkey Akinci AB Ankara No Yes

TK-D-GEA

FA8251-24-R-B001 TBD Turkey Konya AB No Yes

FA8251-24-R-B001 TBD Turkey Balikeshir No Yes

FA8251-24-R-B001 TBD Turkey Merzifon AB, Amasya No Yes

FA8251-24-R-B001 TBD Turkey Bandirma No Yes

FA8251-24-R-B001 TBD Turkey Diyarbakir No Yes

FA8251-24-R-B001 TBD Indonesia Iswajudi AFB No Yes

ID-D-QAX Yes YES GSOMIA

FA8251-24-R-B001 TBD Korea JungWon AB No Yes KS-D-QEW Yes YES GSOMIA

FA8251-24-R-B001 TBD Korea ROKAF Kunsan No Yes KS-D-QEW Yes YES GSOMIA

FA8251-24-R-B001 TBD Singapore Changi AB No Yes

SN-D-GFM Yes YES GSOMIA contractor

Acceptance [LOA] associated with the classified information approved for release to foreign nationals of the country in identified row? (e.g. If info is REL TO//Belgium approved via the

SSA in place? (Yes/No/NA). If yes, FA8251-24-R-B001 TBD Singapore Tengah AB No Yes

SN-D-GFM Yes YES GSOMIA

FA8251-24-R-B001 TBD Taiwan Chiai AB No Yes TW-D-GDP Yes YES GSOMIA

FA8251-24-R-B001 TBD Taiwan Hualien AB No Yes TW-D-GDP Yes YES GSOMIA

FA8251-24-R-B001 TBD Thailand Korat, Nakhon Ratchasima No Yes

TH-D-GBX Yes YES GSOMIA

FA8251-24-R-B001 TBD Thailand Udorn, Udon Thani No Yes

FA8251-24-R-B001 TBD Thailand Takhil AB Wing 4 Chai Nat No Yes

FA8251-24-R-B001 TBD Bahrain Shaikh Isa AB No Yes BA-D-QAT Yes YES GSOMIA & SSA

FA8251-24-R-B001 TBD Egypt AnShans AB, Cairo No Yes

EG-D-QFZ

FA8251-24-R-B001 TBD Egypt Beni Suef AB, Beni Suef No Yes

FA8251-24-R-B001 TBD Egypt AbuSwayr AB, Ismalaya No Yes

FA8251-24-R-B001 TBD Egypt Gianaklis AB, Alexandria No Yes

FA8251-24-R-B001 TBD Egypt Fayid AB No Yes

FA8251-24-R-B001 TBD Egypt Cairo West AB No Yes

FA8251-24-R-B001 TBD Iraq Balad AB No Yes IQ-D-QBZ Yes YES GSOMIA & SSA

FA8251-24-R-B001 TBD Jordan Muwaffaq Salti No Yes

JO-D-QCU Yes YES GSOMIA & SSA contractor

Acceptance [LOA] associated with the classified information approved for release to foreign nationals of the country in identified row? (e.g. If info is REL TO//Belgium approved via the

SSA in place? (Yes/No/NA). If yes, FA8251-24-R-B001 TBD Morocco Ben Guerir AB, Ben Guerir No Yes MO-D-QAK Yes YES GSOMIA

FA8251-24-R-B001 TBD Oman Thumrait AB No Yes

MU-D-QAO Yes YES GSOMIA

FA8251-24-R-B001 TBD Pakistan Shahbaz AB, Jacobabob No Yes PK-D-QAO Yes YES GSOMIA

FA8251-24-R-B001 TBD Pakistan Mushaf AB, Saragoda No Yes PK-D-QAO Yes YES GSOMIA

FA8251-24-R-B001 TBD Israel Hazerim AB No Yes

IS-D-QFS

FA8251-24-R-B001 TBD Israel Ramat David AB No Yes

FA8251-24-R-B001 TBD Israel Hatzor…