REQUEST FOR CONTRACT ASSISTANCE

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001500110043-8
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: September 6, 2000
• Sequence Number: 43
• Publication Date: January 3, 1982
• Content Type: CONT

DEPARTM N OF DEFENSE HE UIR S k
APPLY TO ALL SECURITY ASPECTS OF THIS SECRET
TRACT SECURITY CLASSIFICATION SPECIFICATION EFFORT. THE FACILITY CLEARANCE REQUIRED IS:
3e CONTRACT NUMBER OR OTHER
4.
DATE TO BE
S. THIS SPECIFICATION t5: ;'
'
"
AT10N
THIS S
IDENTIFICATION NUMBER
COMPLETED
d
.
(See "NOTE" below, 11 item b or c is "X
IS FOR:
IS FO
(prime contracts must be shown
(Estimeted)
f also enter date for item a)
for all subcontracts)
DATE
a
a: PRIME CONTRACT NUMBER
c+
' 83
30 Sep
X
.
ORIGINAL (Complete
ACT
t
date in all cases)
b. REVISED
REVISION
DATE
NjA
item
CT(U
FIRST TIER SUBCONTRACT NO,
b
b.
(supersedes
pvo
alt p
NO.
trsctin
r fcatyone
d tier)
DUE DATE
C
DATE
'
IDENTIFICATION NUMBER
,
OR Bt D.
C. REQUEST F
FINAL
REOUEST FOR RROROSAL
OR REO FOR OUOT ATION
this a follow-on contract? [J Yea No. If YES, complete the following:
PRECEDING CONTRACT NUMBER DATE COMPLETED
=Is ' [] is not, transferred to this follow-on contract.
erne. Address is Zip Code of prime Contractor '
1. Tnt.erp.ational
3 Ravenswood Ave
No Park, CA 94025
amt, Address & Zip Code of First Tier Subcontractor
dame, Address I. Zip Code of Second Tier Subcontractor, or
acility associated with IFB, RFP OR RFQ a
c. Name, Address b. Zip Code of Cognizant Security Office
DCASR, Los Angeles,.ATTN:Directora
of Industrial Security,11099 LaCie
Blvd, Los Angeles, CA 90045
c. Name, Address iS. Zip Code of Cognizant Security Office
c. Name, Address !s Zip Code of Cognizant Security Office
When actual performance is at a location other than that specified, identify such other location in Item IS. -.
--D-oTlAAD Number of Procuring Act
General identification of the Procurement for which this specification applies identified in Item l6d.
telligence Study/Analysis
Are there additional secwity requirements established in occordance with paragraph 1-114 or 1-115, ISR'? Q?Yes No. If YES, identify the
pertinent contractual documents In Item I5.
explain in
o If YES
lfl
?
,
ee
L-J Yes
Are any elements of this contract outside the inspection responsibility of the cognizant security o
sbrication/Modification/Storage of classified hardware.
A
A
j. Access to SENSTTTVE COMPARTMENTED INFORMATION.
It. Access to other Special Access Program information
(Specify in item J5).
1. Access to U. S. classified information outside the U. S.
Panama Canal Zone, Puerto Rico, Ii. S. Possessions
and Trust Territories.
m. ? Defense Documentation Center or Defense information
Analysis Center Services may be requested.
o. REMARKS:
Refer all questions pertaining to contract security clsssificption specification to the official named below (NORMALLY. thru ACO (item 16e);
EMERGENCY, diiect with written record of inquiry and response to ACO) (thru prime contractor for subcontracts).
a. The classification guidance contained in this specification and attachments referenced herein is complete and adequate.
C. Activity name. address, Zip Code. telephone number and office
a. Typed name, title and signature of program/project manager or other
ROBERT J. JACHIM
e
ga
e withthand e provisions i i
-NOTE: Onftnal 5pec!licslion (Siam Se) is authari r7- for contractors to mark classified information. o b,n Rec flee h.7 Final
sons
wkencint accordanct b
symbol
ryry FORK 254 EDITION OF I APR 71 IS OBSOLETE ALSO REPLACES DO FORM 254c WHICH IS OBSOLETE
DV I JAN 7e
 Approved For Release 2001/04/02 : CIA-RDP9?_6-Q0788ROQDQ?Q,Q43?;GYr.
Information pertaining to classified contracts or projects, even though such information is considered unclassified. shall ndt be released for public
dissemination except as provided by the Ind atria] Security Manus) (paragraph So and Appendix IX),
proposro public releases shall be- submitted for approval prior to release 1 ] Direct Through (Specify).,
ublic release is not authorized.
to the Directorate For Freedom of Information and See %rity Review,
accordance with paragraph So of the Industrial Security Manual.
? In the case of non-DoD User Agencies, see footnote, paragraph So, Industrial Security Manuel.
Security Classification Specifications for this solicitationidontract are identified below ("X" applicable box(es) and supply attachments as required).
Any narrative or classification guide(s) furnished shall be annotated or have information appended to clearly and precisely identify each element of
information which requires a classification. When a classification guide is utilized, that portion of the guide(s) pertaining to the specific eontractuml
effort may be extracted and furnished the contractor. When s total guide(s) is utilized , each individual portion of the guide(s) which pertains to the
contractual effort shall be clearly identified in Item 34b. The following information must be provided for each item of classified information Identified
in an extract or guide:
(I) Category of classification. (1I) Date or event for declassification or review for declassification, and (III) The date or event for downgrading
(71 Applicable).
The official named in Item 12b, is responsible for furnishing the contractor copies of all guides and changes thereto that are made a part of this
specification. Classified information may be attached or furnished under separate cover.
A completed narrative is (1) ) attached, or (2) U transmitted under separate cover and made a part of this specification.
cover. (Liar guides under Item 15 or in on attachment by title, reference number and date).
Ej b. The following classification guide(s) is made a part of this specification and is-(I) [D attached, or (2) l'_J transmitted under separate
CJ C. Service-type contract/subcontract. (Specify instructions in accordance with ISR/ISM, as appropriate.).
'J d. "Xr' only if this, is a final specification and Item 6 is a "NO" answer. In response to the contractor's request dated
retention of the identified classified material is authorized for a period of
provide date such review is due:
If "X'd"
uired
DD Form 254 is re
f
hi
,
.
q
t
s
al review o
e. Annu ill
declasaiticatior., and it applicable, downgrading instructions).
er classification
ro
ate
t
i
l
,
p
p
us
r
b
o. Remarks enever poss
e, 3:. All contractor personnel to be granted access to classified information re-
a.
or generated under this contract must be US citizens granted a final
SECRET clearance by the government prior to being given access.
D. Unclassified information released or generated under this contract shall be
=estricted'in its dissemination to contractor and government personnel involved
in the contract. Release in-open source Literature or exhibition ofsuch
information is prohibited.
. Recipients of information under this contract may not release information
:o subcontractors without permission of the contracting agency.
3. Final classification of the information generated under this contract'-is
onsibility of the contracting agency. Information generated under this
he res
p
contract is subject to the guidlines contained in DoD Regulation 5200..18, which
implements EO 12356 which became effective 1 August 1982.
__. All copies'of final documents generated by the contractor under this con-
tract will be transmitted to the contracting agency for dissemination to
authorized recipients.
6a. Contract security Classification specifications for Subcontracts issuing from this contract will be approved by the Office named in item 16e below, or
by the prime contractor, as authorized. This Contract Security Classification Specification and attachments referenced herein are approved by the Veer
Agency Contracting Officer or his Representative named in Item )6b below.
=ZE QurR ED DISTR rB UTION:
[M Prime Contractor (]lam 7a)
Cognizant Security office (Item 7c)
Administrative Contracting office (Item 16e)
= Quality Assurance Representative
Subcontractor (Item 8e)
? Cognizant Security'Office (item 8c)
Program/Project manager (Iterp 12b)
u U. S. Activity Re spons Ible for Overseas Security
Administration
I
d. Approving official's activity address and Zip Code
DCASMA San Francisco
1250 Bayhill Drive
San Bruno, CA 94066
e, f:a.me, address and Ztp Cdr of Adn,'r,irtretivc Contracting Office
Approved For Release 2001%10 ': CIA-RDP96-00788 R001500110043-8