7.__DD_Form_254.pdf

CLASSIFICATION (When filled in):

DEPARTMENT OF DEFENSE 0MB No. 0704-0567 CONTRACT SECURITY CLASSIFICATION SPECIFICATION 0MB approval expires

(Please read Instructions BEFORE completing this application.) (The requirements of the National fndustdal Security Program October 31, 2020 (NISP) apply to afl security aspects of this effort. involving classified information.)

The public reporting burden for this colle:::lion of information, 0704-0567, is estimated 10 average 70 minutes per response, Including the time for reviewing instructions. searching ex.is�nt; Uata sources, gathering and maintaining \he data needed, and comp le.ling and reviewing \he conection of information. Send comments regard;ng this burden estimate or any ether aspe:t of tti:s collection of informa!icm, including suggestions fo11educin9 lhe burden, to the Department of Defense. Washington Headquarters Services, al whs.mc-a!ex.esd.mb,:.<ld-dod-informa!ion-collections@maii.mR. Respondents should be aware that notwi1hs!anding ariy clher provision of law. no pe1son shall be subject lo any penalty fo: failing lo complywilh a co!leclion of i:l!ormation if i! does not c'isplay a curmnUyvalid 0MB control number.

RE:TURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED b. LEVEL OF SAFEGUARDING FOR CLASSIFl!::D INFORMATION/MATERIAL

(See instructions.) REQUIRED AT CONTRACTOR FACILITY

Confidential Confidentit1l

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

a. PRIME CONTRACT NUMBER (See instructions.) DATE (YYYYMMDD)

a. ORIGINAL (Complete date in aff cases.)

20170622

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes REVISION NO. DATE (YYYYMMDD)

X c. SOLICITATION OR OTHER NUMSER DUE DATE (YY'l"YMMDD) afl previous specifications.)

FD1060-J 7-00305

DATE (YYYYMMOD)

c. FINAL (Complete Item 5 in afl cases.)

4. IS THIS A FOLLOW-ON CONTRACT? __j NO �YES. lf Yes, complete the following:

Classified material received or generated under (Preceding Contract Numbe;) is transferred to this follow-on contract.

5. is TATS A FrN'AC:bD FORM 254? '"CJNO--""" -�-YES:-lfYes�wcompleHnne�rorrow,ng:·- ----· ... -·-� -"· ••rn••••·-�---•••••m--••• -·-·-,-ln response to the contractor's request dated , retention of the classified material is authorized for the period of:

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

a. NAME, ADDRESS, AND ZIP CODE D. CAGE CODE c. COGNIZANT SECURITY OFFIC: (CSO) (Name, Address. ZIP Code, Tefephone)J

Source List Will Be Supplied See6a See 6a

7. SUBCONTRACTOR(S) (Click button to add more subcontractors.)

a. NAME, ADDRESS, AND ZIP CODE D. CAGE CODE c. COGNIZANT SECURITY OFFICE{S) (CSOs) (Name, Address, ZIP Code, Telephone)

NIA NIA NIA

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

a. LOCATION(S) (For actual performance, see instructions.) D.CAGE CODE c. COGNIZANT SECURITY OFFJCE{S) {CSOs) (Name, Address, ZIP Code, (If applir:ab!e, Telephone) (If applicable, see instructions,) smi ins/!uctions.}

TBD

TBD TBD

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT (Click here if more space is needed.)

AN/ALQ-131 (V} ECM SYSTEM AND ASSOCIATED SERVICES, DATA, MATERIAL AND SUPPORT EQUIPMENT

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X aJI that apply. Provide details in Blocks 13 or 14 asset forth In the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA g. NORTH ATLANTIC IRl:ATY ORGANIZATION (NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORt..1ATION (CNWOI) \ h. FOREIGN GOVERMENT INFORMATION

(ff CNWDI applies, RESTRICTED DATA must also be marked.)

I i. ALTERNATIVE COMPENSATORY CONTROL MEASURES (ACCM)

d. FORMERLY RESTRICTED DATA INFORMATJON

e. NATIONAL INTELLIGENCE INFORMATION: X j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See ins/ructions.)

(1) Sensitive Compartmented Information (SCI) ___J k. OTHER (Specify) (See ins/ructions.)

(2) Non�SCI

DD FORM 254, NOV 2017 PREVIOUS EDITION IS OBSOLETE. Adobe UveCycle Designer ES4

CLASSIFICATION (When filled in): t(Ala4.("s"I FEED