ADDroved For RpIpa-cza gnm/noina - f-IA-mr-moc "A SG1J; DEPARTMENT OF DEFENSE 1. THE REQUIREMENTS OF THE DOD INDUSTRIAL SECURITY MANUAL .CONTRACT -SECURITY CLASSIFICATION SPECIFICATION APPLY TO ALL SECURITY ASPECTS OF THIS EFFORT. THE FACILITY CLEARANCE REQUIRE13 Ise, 2. 3- CONTRACT NUMBER OR OTHER 4. DATE TO BE S. THIS SPECIFICATION 1@- THIS SPECIFICATION IDENTIFICATION NUMBER COMPLETED (See "NOTE" below. It item b or c is -1X-d`-. IS FOR: (Prime contracts must be shown for all subcontracts) (Estimated) also enter date for item a) 0. 0. PRIME CONTRACT NUMBER 8. 0. DATE XX PRIME CONTRACT 30 Sep 92 XX ORIGINAL (Complete date in all cases) b- SUBCOP4TRACT(USO item b. FIRST TIER SUBCONTRACT NO. b. b- (R . V.1..- D #u ersed.s REVISION NO DATE 15 for subcontracting beyond second tier) p all . C. REQUEST FOR "D c . IDENTIFICATION NUMBER C. DUE DATE C. E U @OSAL FOR PRO ES T ZEI I FINAL R I FOR QUOTATION 6. Is this a follow-on contract? E-1 Yes LX4 No- if YES. complete the following: a. b. c. Accountability for classified material on preceding contract PRECEDING CONTRACT NUMBER DATE COMPLETED 1. is not, transferred to this follow-on contract. 7a. Name, Address & Zip Code of Prime Contractor b . FSC Number bCXn, 4ddr & ZI Code of Cognizant Security Office 59'h aes SAIC 1, ng 311 Park Place Blvd, Suite 360 ATTN: Directorate of Industrial Security 11099 LA Cienga Blvd, LA, CA 90045 Clearwater, FL 34619 8a. Name. Address & Zip Code of First Tier Subcontractor b . FSC Number c. Name, Address & Zip Code of Cognizant Security Office 9a. Name. Address & Zip Code of Second Tier Subcontra4itor. or b. FSC Number c. Name, Address & Zip Code of Cognizant Security Office facility associated with TFB, RFP OR RFQ When actual performance is at a location other than that specified, identify such other location in Item 15. _ 10m. General identification of the Procurement for which this specification applies b. DoDAAV Number of Procuring ActIvItT Identified in Item 16d. R&D Contract: Research and Analysis c. Are there additional security requirements established in accordance with paragraph 1-114 or 1-115. ISR? C2 Yes C3 No. V YES. Identify the pertinent contractual documents In Item 15. d. Are any elements of this contract outside the nspection responsibility of the cognizant security office? Yes C3 No. It YES, explain In Item IS and Identify specific areas or elements. ACCESS REQUIREMENTS Y ES NO ACCESS REQUIREMENTS (Continued) YES NO a. Access to Classified Warination only at other J. Access to SENSITIVE COMPARTMENTED INFORMATION. X nt t r/G t ti iti t ?@ v co rac o overnmen ac es. _ _ k. Access to other Special Access Program Information b Rec t f cl ifi i t th t d d i l (Spdcify in item 15). X . e o ass e ocumen s or o er ma er a p Access to U. S classified Information outside the U S L for reference only (no generation). . . . . Panama Canal Zone, Puerto Rico. U. S. Possession* X c. Receipt and generation of classified documents and Trust Territories. or other material. X e Documentation Center or Defense information D -_ d. Fabrication/Modification/Storage of classified hardware. =01, is Center Services way be requested. : X a. Graphic art% services only. X n. Classified ADP processing will be involved. f. Access to IPO information. X 0. REMARKS: DODD 5200 17 (M-2); DIAM' 50-3j" g. Access to RESTRICTED DATA. X . , DIAM 50-5 apply h. Access to classified COMSEC Information. X L Cryptographic Access Authorization required. X M Refer all questions pertaining to contract security classification specification to the official named below (NOPMALLY, thru ACO (item l6a); EMERGENCY, direct with written record of inquiry and response to ACO) (thru prime contractor for subcontracts). *6 The classification guidance contained in this specification and attachments referenced herein is complete and adequate. r or other C Activity name. address, Zip Code. telephone number and office symbol befense Intelligence Agency ATTN: DT-5A Washington, DC 20340-6053 SG1J Information. tcovT4-r3--d and Final Spa NO Original Specification (Item 5s) is authority for contractors go mark classified cilications (Items 5b and c) at* mIghority for contractors to rentark the regraded classified information. Such actions by contractors shall be taken In accordance with the provision& of the Industrial Security Manual. ENI-L"burln t$ FORM DD t JAN 782M EDITION OF I APR 71 IS OBSOLETE. ALSO REPLACES 00 FORM 254c WHICH IS OBSOLETE eu k k 799RO'6300bi" 77 Approved For Release 2003/09/09 0 CIA- r,_nn7AQP()n3()()()3qgap;L4 Form Approved CONTRACT DATA REQUIREMENTS LIST 7 OMB No. 0704-0188 ng or Is "t " d intsfi%M the da"Of n . and eting and ect of In1~10n. Send c ts a *Cj" est te