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1250 Bayhill Drive
San Bruno,
CA
94066
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Approved For Release 2001/04/02
: CIA-RDP96-00788R001 5001 10007-8
DRAFT
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Approved For Release 200lBS^TciA-RDP96 -00788R001 5001 10007-8
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department of defense
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TJ " , “°,D. W0US T "' AL SECURITY MANUAL
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EFFORT.
THE FACILITY CLEARANCE REQUIRED
IS; SFPRFT
t?
t
THIS SPECIFICATION
IS FOR:
a
,
'
'
J
- CONTRACT NUMBER OR OTHER
IDENTIFICATION number
(Prime contract • must be
eft own
t° r
eiibcunfracf e)
4.
DATE TO BE
COMPLETED
(Eatimatad)
T
.
This specification
IS:
("S*e "NQTK" h*fcne.
//
f /mm
jb at c ia
,,Xtd* t
t
also enter data
(or item a)
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X
PRIMS CONTRACT
'
a. J
* rilMf CONTRA cV~NLIMO t H
a.
30 Sep
R 3
x
a.
-
—-
*>
ORIGINAL fCamfjfefe
date
irt alt
o'atc
'
i
f
i.
*>• SUBCONTRACT (1/na Itam
IS
far subcontracting
beyond emcond tier)
f>.
FIRST TIER SUBCONTRACT No.
b.
b . ns VISED
(etsperemdee
«?/ prevtaue
epee lit cel font*)
”«*; vision"
NO.
DATE
K.
I
C BEQUEST FOB BIO.
WE QUEST FOR PROPOSAL
OR RKQFOH QUOTATION
r.
ioen riFicATioN number "
"Huk’dat
c,
'
FINAL
DATE
<*
5.
U IM. . follow-on com, act?
L.IVaa
D<] No.
If YES, complete tha following.
—
J
b.
PRECEDING CONTRACT NUMBER
DATE COMPLETED
3 *
LJ l» no<.
transferred to thle follow-on contract.
c, ACC cunliability for clsksifled material on preceding contract
7*.
Name, Address & Zip Code of Prime Contractor
JSRI
International
(333
Ravensu/ood Ave
MD25-
'<©
*»•
Nam*, Aririreaa H Zip Cud* of Flrtt Tie, Subcontractor
[FSC Number
b.
FSC Number
N/A
I
Kama, Address h Zip Co<J*
of Second Tier Subcontractor,
facility assucluicd with IFB, SfFP OH RKQ
*
N/A
b.
FSC Number
A^
r*“*
'*%
Code of ^o|ni.r*nr s* curtly Office
DCASR Los Angeles,
ATTN:
Directorate,
of Industrial Security,
11099 LaCiengl
Blvd,
Los Angleles,
CA
90045
Name, Address & Zip Cod* of Cognizant Security Office
Nume, Address & lip Codn
of Cognisant Security Office
agsa.^" * clu “ 1
othr r
, h .n
, hal
,|,, r
| fl , d
, uch o|her
i ec.„Uon ,n
Is”
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G*n«r.l Identification of th«
>‘ruc urenient
for which (Ida »it*ri4Ta(Tnn~ippTi*7
j
Intelligency Study/Analy sis
c.
Are there addition*!
security requirement a established In
,
pertinent contractual document* In Item
15.
b~
"CotSXiCB HumEitr of
-
ProctwTng
iTcTTvily’
j
identified
In Item 164
t cord am
r with paragraph I-1M or 1113, (pR ?
y*
l* YES, identify the
d,
Are any element* of thl#
<
f contract oulnide
the Inspection responsibility of Ihe cognisant security office ?
r~
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K**»
Identify specific nirni
or element*.
‘
i
Y*«
€3 No.
If YES,
« xplttln
Iti
ACCESS REQUIREMENTS
a.
Access
to Classified information Only
at other
contract of/Governrr.r nt
actlvitir h.
b.
Receipt of classified documents or other mater iu!
for reference only (no g*n«rntinn)
c.
Receipt and generation of claaalfled document,
or other material.
t).
F abric .Hon /Mod lllc At ton/ SI or age of Uaeelflrd i„
••
Graphic
arts services only.
f.
Access
to IPO information,
«•
Accese
to RESTRICTED DATA.
Ac rest
to classified COMSEC
information.
l.
Cryptographic Access Authorisation required,
v es
12.
Refer
all
quest, ions pertaining to contr
X
X
ACCESS REQUIREMENTS (Continued)
lu--—tttl-‘LMy..‘;ITtv * COMPAKTMENTBD INFORMATION.
k.
Aeca.i to other Special Acceae program ifdormetlo
(Spicily in Him
IS).
1.
Access
to U.
S. cl at nlfUd information out •id* the \j,"j
Pan .me Canal Zo„., Puerto Pico,
U.
S. Paaaeeaiant
•nd Trust Territories,
m *
Documental ion Center or Defense Information
Analysis Center Services may bn requested.
JIl
^
1 m
d_A^ _P roc* s » ling w ill be Involved.
o.
REMARKS:
lx..-4
x
%
i
act
security classification
UMSKGBNCr. M.'c, with WNN .,1 r.c u.J ol h^y andZ^: ,7A CO) ’Xu
A".!--. "T*
thru A CO (Hon, it,),
B
he cUaalflcr.il,>n Buklanc* contained
In Ihli apecHU-atlon'iii
, ..
“ ,,d
raferanced berelnl'aTompl.l.
,n*d .denuTte
b.JTyp.,1 name,
Illle and
>l S n.t„re
of pra(r.,n/|iraj*rl mana.e,
or other
~ J,=-
dr signaled official
ru prime confracfor for «ubcontrnc tm).
• it
(p
)
Acllvlly name, ndd.eee,
Zl,, Code, l.l-ThTn’e n umhi7»nlTf7lc .‘“.TT.loT
Original Sped(icaiion (Item 5a) i» touthorlty
outhorlty lor contract,,,,
remark ,h. roUrJZ 7lT.[wZ\[lon^,a‘”e "1“ "’f0™*" 0”'
Ffnaf 5p e
t ll~Z7a~l77^nr.7^7r«.‘
of the Industrial Sar.tr/fh Manual.
,^ r,“lrd
'"‘’rmallan.
Such action, by contractor, .ha, I b .
, ccor^ c , w„h
(h , proW . /(m .
DD, FORM
JAn
76.^proved F6f Retease 2OO4/O4/02 ai CIAhRBP96-OQ788ROO150lQ1 e1 0007-8
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