DD Form 254 template by Ua4DeN1t

VIEWS: 46 PAGES: 2

									                        DEPARTMENT OF DEFENSE                                                                      1. CLEARANCE AND SAFEGUARDING
             CONTRACT SECURITY CLASSIFICATION SPECIFICATION                                                        a. FACILITY CLEARANCE REQUIRED
                                                                                                                   SECRET
                       (The requirements of the DoD Industrial Security Manual apply                               b. LEVEL OF SAFEGUARDING REQUIRED
                                        to all aspects of this effort)                                             NONE
2. THIS SPECIFICATION IS FOR: (X and complete as applicable)                                    3. THIS SPECIFICATION IS: (X and complete as applicable)
          a. PRIME CONTRACT NUMBER                                                                       a. ORIGINAL (Complete date in all cases)                 Date (YYMMDD)
          F42                                                                                                                                                     20060320
          b. SUBCONTRACT NUMBER                                                                          b. REVISED (Supersedes         Revision No.              Date (YYMMDD)
                                                                                                         all previous specs)


          c. SOLICITATION OR OTHER NUMBER                    Due Date (YYMMDD)                           c. FINAL (Complete Item 5 in all cases)                  Date (YYMMDD)


4. IS THIS A FOLLOW-ON CONTRACT?                                YES          X       NO. 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?                                 YES          X       NO. If Yes complete the following


In response to the contractor's request dated        ____________ , retention of the identified classified material is authorized for the period of __________
6. CONTRACTOR (Include Commercial and Government Entity ( CAGE) Code)
a. NAME, ADDRESS, AND ZIP CODE                                                         b. CAGE CODE           c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)




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




8. ACTUAL PERFORMANCE
                                                                                       b. CAGE CODE           c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
a.     LOCATION
AIR FORCES NORTHERN (FIRST AIR FORCE)
(AFNORTH (1AF)), TYNDALL AFB, FL;
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT


OPERATIONAL EXERCISE ENGINEERING ANALYSIS AND ASSESSMENT SUPPORT

10. THIS CONTRACT WILL REQUIRE ACCESS TO:                              YES       NO      11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:                               YES   NO
a. COMMUNICATIONS SECURITY (COMSEC)                                                      a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
 INFORMATION
                                                                        X                CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY
                                                                                                                                                                             X
b. RESTRICTED DATA                                                                       b. RECEIVE CLASSIFIED DOCUMENTS ONLY
                                                                                 X                                                                                                 X
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION                                            c. RECEIVE AND GENERATE CLASSIFIED MATERIAL
                                                                                 X                                                                                                 X
d. FORMERLY RESTRICTED DATA:                                                             d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
                                                                                 X                                                                                                 X
e. INTELLIGENCE INFORMATION:                                                             e. PERFORM SERVICES ONLY
                                                                                                                                                                                   X
     (1) Sensitive Compartmented Information (SCI)                                       f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO
                                                                                         RICO, U.S. POSSESSIONS AND TRUST TERRITORIES
                                                                                                                                                                                   X
     (2) Non-SCI                                                                         g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL
                                                                        X                INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER
                                                                                                                                                                                   X
f. SPECIAL ACCESS INFORMATION                                                            h. REQUIRE A COMSEC ACCOUNT
                                                                                 X                                                                                                 X
g. NATO INFORMATION                                                                      i. HAVE A TEMPEST REQUIREMENT
                                                                        X                                                                                                          X
h. FOREIGN GOVERNMENT INFORMATION                                                        j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
                                                                        X                                                                                                          X
i. LIMITED DISSEMINATION INFORMATION                                                     k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
                                                                                 X                                                                                                 X
j. FOR OFFICIAL USE ONLY INFORMATION                                                     l. OTHER (Specify)
                                                                        X                                                                                                          X
k. OTHER Specify)
                                                                        X
Automated Information Systems

DD Form 254, DEC 1999                                                        Previous editions are obsolete
12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the industrial
Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public release shall be submitted for approval prior to release


                  Direct
                                             X       Through (Specify):
325 FW/PA, 445 Suwannee Rd, Suite 129, Tyndall AFB, FL 32403
325 CONS/LGCAB, 501 Illinois Ave, Suite 5, Tyndall AFB, FL 32403
Note: Public release of classified information, to include SCI is not authorized
to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.
*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.
13. SECURITY GUIDANCE. The security classification guidance 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 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 document/guides/extracts referenced herein.
Add additional pages as needed to provide complete guidance.
Contract Expiration Date: ????; Contract Monitor: Col Donald L. Whitehead, Chief, Financial Management, DSN: 523-3903 COMM: (850)283-3903
Ref 10a. Contractor will require access to COMSEC information at the on-base locations listed in item 8a. Contractor will not require their own COMSEC
account. Access will be controlled by the sponsoring agency. Contractor will protect COMSEC material IAW directives deemed necessary by the installation
COMSEC officer. Access to COMSEC material by personnel is restricted to U.S. citizens holding final U.S. Government clearances. Such information is not
releasable to personnel holding only reciprocal clearances. Contractor is authorized to perform duties as a Primary/Alternate COMSEC Responsible Officer
(CRO) after completing CRO training.
Ref 10e(2). The contract will be administered under the following documents: See attachment 2.
Ref 10g. Special briefings are required for access to NATO IAW AFI 31-406, Applying NATO Protection Standards. Prior approval of the contracting activity
is required for submcontracting. Access to classified NATO information requires a final U.S. Government clearance at the appropriate level.
Ref 10h. Access requires a final U.S. Government clearance at the appropriate level.
Ref 10j. FOUO information provided under this contract shall be managed and safeguarded IAW DoD 5400.7-R, Chapter 4, DoD Freedom of Information
Act (FOIA).
Ref 10k. Contractor will require access to SIPRNET.
Ref 11a. The highest level of security clearance required for contract performance is Secret. Security classification guidance of information, hardware, and
equipment is provided in DoD Instruction Number S-3600.2, Information Operations Security Classification Guide, dated 6 Aug 98. See Attachment 1. The
government will oversee the handling and storage of classified information in support of this contract. The government will provide storage capability for all
classified material required for this contract. Contractor personnel deployed to overseas locations may have access to classified information under the
control of U.S. Military, Host Nation Military, or Embassy personnel. All classified information shall be returned to the government upon termination of the
contract.
Ref 14 cont. Visitor Groups will safeguard all collateral classified information IAW DoD 5200.1-R, Information Security Program; AFI 31-401, Information
Security Program Management; AFI 31-601, Industrial Security Program Management, and other directives deemed necessary by the SSA. See attached
Release of SCI Intelligence/Non-Intelligence Information (Attached) for additional security requirements. See attached non-SCI Release of Intelligence
Information (Attachment 3) for additional security requirements. Prior approval of the contracting activity is required for subcontracting. Access to
intelligence information requires special briefings and a final U.S. Government clearance at the appropriate level.
Ref17f. 325 SFS/SFAI, Tyndall AFB, FL 32403.


14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. (If Yes, identify the pertinent                                     Yes              No
contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements
                                                                                                                                                                                     X
to the cognizant security office. Use Item 13 if additional space is needed.)
Visitor Group contractors are required to enter into a security agreement with the host base Information Security Program Manager. Provide the information
requested by the Notification of Government Security Activity Clause, AFFARS 5352.204.9000, and Visitor Group Security Agreements Clause, AFFARS
5352.204.9001, to the Servicing Security Activity (SSA). (Continued in item 13 above)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas or                      Yes              No
elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.
                                                                                                                                                                                     X

When contractors are designated as Visitor Groups on Air Force installations, Industrial Security Reviews for collateral classified information will be
conducted by the Servicing Security Activity.
16. CERTIFICATION AND SIGNATURE. 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.
a. TYPED NAME OF CERTIFYING OFFICIAL                                                                                                                             c.      TELEPHONE (Include Area Code)
                                                                              b.     TITLE




d. ADDRESS (Include ZIP Code)                                                                                                  17. REQUIRED DISTRIBUTION


                                                                                                                                 X       a. CONTRACTOR


                                                                                                                                         b. SUBCONTRACTOR

                                                                                                                                 X       c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
e. SIGNATURE
                                                                                                                                 X       d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

                                                                                                                                 X       e. ADMINISTRATIVE CONTRACTING OFFICER

                                                                                                                                 X
                                                                                                                                         f. OTHERS AS NECESSARY       See Item 13
DD Form 254 (Back), DEC 1999

								
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