Approved For kelease 2003109110: CIA-RDP96-0079211@@100140017-4 1. THE REQUIREMCNTS OF THE 000 INDUSTRIAL SECURITY MANUAL DEPARTMENT OF DEFENSE CONTRACT SECURITY CLASSIFICATION SPECIFICAT APPLY TO ALL SECURITY ASPECTS OF THIS ION 1 Top Secret ,,, EFFORT. THE FACILITY CLEARANCE REOUIRED CONTRACT NUMBER OR OTHER 4. DATE TO BE THIS SPECIFICATION IS: THIS SPECIFICATION IDENTIFICATION NUMBER COMPLETED (Sea "NOT911 below. It ilom b Of c I* -.X'd'.' 15 FOR: b h i me contracts must own e s (Pr lot all subcontracts) (Estimated) also enter dole few Item a) a. PRIME CONTRACT NUMBER A. DATE X PRIME COV41TRACT MDA908-81-C-0004 82APR05 OPRIGINAL(COMPIOCO 81APRC6 I date in all casov) b. SUDCONTRACT(1186 from b. FIRST TIER SUBCONTRACT NO, b. b. REVISED REVISION (supersedes NO. DATE Is for subcontracting nd s c nd fier) X V 1 :I/ 1 04L W BIAUG21 e o beyo P. i C . . C- REQUEST FOR 610. C. IDENTIFICATION NUMBER E DATE C. DATE REQUEST FOR PROPOSAL FINAL OR REQ FORQUOTATION Is this sjollow_@Qn.coitrtrsct? 1X3 Yt.% No. if YES. complete the following: a. JIDA 903-81-C-0292 b. c. Accountability for classified kinsterial an preceding contract PRECEDING CONTRACT NUMBER DATE COMPLETED [nis Ej is not, transferred to this follow-on contract. a. Name, Address in Zip Code of Prime Contractor b. FSC Number c. Name. Address & Zip Code of Cognisantsec-urit-y-off-ic-. SRI International DCASR Los Angeles, ATTN: Directorate of i 333 Ravenswood Ave I@du s@rial Security, 11095-S.La Cienga Menlo Park, CA hvd.,, Los Angeles, CA 90045 it, Name. Address & Zip Code of First Tier Subcontractor b. IFSC Number c. Name, Address & Zip Code of Cognizant Security Office Name, Address & Zip Code of Second Tier Subcontractor, or b. FSC Number c, Name, Address & Zip Cade of Cognizant Security Office focility osouciated with IFB, RFP OR RFQ When actual performance is at a location other then that specified, identify such other Ipcotion in lien) 15, Oa, Genera! identification of the Procurement for which this specification #Applies b. Do Number of P-r-oc-ur-ing XctIvIty S&T Intelligence Study/Analysis idirnuived in Item 16d. Are there odditionol security requirements established in accordance with paragraph 1-114 or 1-115, ISR? M Yer No. If YES, identify the pertinent contractual documents in Item I$. Are any elements of this contract outside the @nspection responsibility of the cognizant security office? F-I Yen No. If YES, explain in Item 15 and identify specific areas or elements ACCESS REOUIREMENTS YES NC ACCESS REQUIREMENTS (Continued) YES NO Access to Classified Information Only at other I. Access to SENSITIVE COMPARTMENTED INFORMATION. C01114`800T /Government activities. X - k. Access to other Special Access Program Lisfonmation Receipt of classified docurnents or other material (Specify in Item 15). . for reference .nly in%, jeneralinn) X 1. Access to U. S. classified information oulaide the U. S. Panama Canal Zone. Puerto Rico, U. S. Possession& X Receipt and generation of classified documents X and Trust TerTitories, or other material. T Defense Documentation Center or Defense information _ Febricatiori/Modificatiot%/Storalze of classified hardware. X Analysis Center Servicirt may be requested. X Graphic aris services only. Classified ADP processing will be involved. 7_ Access to 1PO Information. _ o. REMARKS: Access to RESTRICTED DATA. - - - T _ _ DOD DIR 5200 17 - X . Access to classified COMSEC information. DOD DIR 5200JR Cryptographic Access Authorization required, X 2. Refer all questions pertaining to contract security classification specification to the official named below (NORMALLY, thru ACO (Item J60); EAfERGENCY, direct with written record of Inquiry and response to A CO) (thru prime contiector for vubcontraclo). SIC ments referenced herein is complete and adequate. c. Activity name. address, Zip Code, telephone umber and office symbol Defense Intelligence Agency SC-1 vtput,y LjIrt:f;L'LIr'CIL't! Wr Z)L;1evL1T1[; UTM7 ATTN: DT-lA Technical Intelligence Washinqton, D.C. 20301 SG1, ]2e-fen e Intelligance Agency I ZLL. Original Specificaiion (Item So) is authority for contractors to mark cl,essil Ions (Items 56 and C) are authority for contractors to remark the rogradee classified information. Su@ actions oy contractors shelf be taken in accordance with the provisions of the Industrial Security Manual. FORM Approved For Release 2003109110: CIA-RDP96-00-PJZR0W1U6140617-4 @D, JAN 78254 DITION OF I APR 71 IS OBSOLETE. ALSO REPLACES DD FORM 254c WHICH IS OBSOLETE Approved For Rk'ase 2003/09/10: CIA-RDP96-00792 ROW 00 140017-4 DD Form 254 (Continued) (4) Certification of clearance investigation and clearance, date clearance granted, and name of agency granting clearance. c. Final classification of the information generated under this Contract is the responsibility of DIA'(DT-lA). Information generated under this Contract is subject to the guidelines contained in DoD Regulation 5200JR, dated 2 November 1978, which implements EO 12065 which became effective 1 December 1978. Technical reports classified as.high as TOP SECRET SI/SAO will be provided the Contractor by DIA and other DoD activities, and other DoD contractors for use in connection with this Contract. These reports may be retained for t 'he duration of this Contract unless no longer needed. Upon termination of this Contract, the reports shall be returned to the sender (if required) or destroyed in accordance with current security regulations. If these documents are to be retained beyond the ending date of this Contract, written justification must be forwarded to and authorization given by the Contracting Officer. e. All copies of final documents generated by'the Contractor under this Contract will be transmitted to DIA (DT-lA) for dissemination to the Grill Flame Committee. No other distribution is authorized. f. Use of the ARFCOS system is required. Approved For Release 2003/09/10 : CIA-RDP96-00792ROO0100140017-4