EXCEPTION TO SF 30. APPROVED BY NARS 5/79
STANt ARp FORM 30, JULY 1966
i
I. AMENDMENI/MODIFICAItON NO.
I
2. EFFECTIVE DATE
I
3. tEQUISITKW/POKCHASE REQUEST NO.
I
4. MOJEC1 NO. (tf
P00002
5. ISSUED BY
Virginia Contracting Activity
ATTN: RS-Q2
Washington, DC
20301
2. EFFECTIVE DATE
3. BEQUISITION/PUBCHASE BEQUEST NO.
30SEP81
1208/5702/81
HIASA7
ADMINISTERED BY (If other Amm Urn
f
DCASMA San Francisco
1250 Bayhill Drive
San Bruno,
CA
94066
S0507A
7. CONTBACTOB
NAME AND ADDRESS
FACILITY CODE
AMENDMENT OF
SOUCITATTON NO^.
(Street, city,
county, etmte,
and ZIP
Code)
SRI International
333 Ravenswood Avenue
Menlo Park,
CA
94025
m
no. MDA903-81-C-0292
DATED 06APR81
(Set Hock II)
JSee Mock 9)
9. THIS BLOCK APPLIES ONLY TO AMENDMENTS OF SOLICITATIONS
”
TK* obov* number
solicitotion
tt omended
tet for*
in
block
12.
The hour end dole specified for receipt of Offers CD it extended, CD is not extended.
Offerors must ocknowledye receipt of this amendment prior to the hour ond date specified in the sotkrtahon, or as amended, by one of the (oAowing methods:
(o} By signing and returning
copies of this amendmen 1; (b) By acknowledging
receipt of this omendmwrt on eoch copy of the offer submitted; or
(c) By seporate
letter
or
telegram
which includes o reference to the
solicitation ond amendment numbers. FAILURE Of YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE ISSURfG OFFICE PRIOR TO THE HOUR AND
DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER.
K, by
virtue of
this amendment you desine to change an offer already submitted, such chonge may be made by telegram
or letter, provided such telegram or
letter mokes reference
to the
solicitation and
this amendment, and is received prior to the opening hour and date specified.
ACCOUNTING AND APPROPRIATION DATA (If required)
——
. appropriation data, etc.) set forth in black 12.
ACRN:
AB
2112020 25-2037 P381321. 03250-2572 S18128 2P29
$189,892.00
THIS BLOCK APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS
(o)
l_J
This Change Order
is issued pursuant to
The Changes set forth in block 12 are made to the above numbered controct/order.
(b) CD
The above numbered contract/order
is modified
to
reflect the
administrative changes (such as changes in paying office, appropriation data, etc.) set forth in black 12.
(c)
[23 ^ Supplemental Agreement
is entered into pursuant to authority of _
10 u.s.c.
2304(a) (11
)
h modifies the above numbered controct os set forth in block
12.
12. DESCRIPTION OF AMENDMENT/MODIFICATION
A.
Delete any and all references to Contract No. MDA903-8I-C-0292 and substitute therefor
Contract No. MDA908-81-C-0004.
B.
Add the following as task number 2.1.10 to the Statement of Work
(Classified)
dated
19MAR 8l
:
(U) 2.1.10
Continue development and evaluation of CRV training program.
C.
Add task numbers 2.1 and 2.2 of the Contractor's technical proposal number ESU 81-60
(Classified),
dated 23MAR81, to the Statement of Work (Classified) dated I9MAR8I.
These tasks shall be renumbered 2.3 and 2.4 respectively.
D.
Add an additional paragraph or section to the quarterly and final reports specified
in paragraph C.2 of the contract to cover the tasks added by this modification.
E.
Add the following as paragraph H.9 of the
contract:
( continued
)
Except ot provided herein, oM term* and conditions of the document referenced m block
8, as heretofore changed, remain enrfcnnperl ond In Ml force and effect.
~U
’
'
;
n TOSIGN?HIS
^DEMENT
NOT *eou,red
[Xj CONTRACTOR/OFFEROR IS REQUIRED to SIGN IMS document and RETURN
COPIES TO ISSUING OFFICE
W. NAME OF CON ^
Approved For Release 2001/04/02
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Contract MDA903~8l~C'”0292
Modification P00002
(New Contract MDA908-8lC-0004)
Page 2 of 5
H- 9
PSE OF HUMAN SUBJECTS (1978 Aug)
(a)
The following definitions are used In this clause:
(1)
At risk aeans
that the human subject may be exposed to the
possibility of Kara - physical, biological, psychological, sociological,
or
other - as a consequence of an act or omlaslon that goes beyond the applica-
tion of those established and accepted Methods or procedures
tdiich are In his
best Interests,
or that Increases ordinary risks of dally life,
including the
recognised risks inherent in his chosen occupation or field of service.
rn
Human Subject Kane an, human batng uho, knovlnjly or ®ko<rtngl)r.
i: -as-assfers
the scope of this contract.
(b)
The Contractor, before undertaking to perform any study involving
human subjects, whether at risk or not, shall Insure that the following minimum
conditions are complied with:
Cl)
The proposed study has been reviewed «jd approved by •committee
meeting the requirements set forth In Chapter 46 of Title 45 of the Code
-Federal Regulations.
(2)
The number of human subjects used will be kept to the minimum
number that will reasonably achieve the required results.
(3)
The study must be such as to contribute significantly to scientific
knowledge and have reasonable prospects of yielding Important results essential to
an Army research program.
(4)
The study will be conducted only by persons possessing the requisite
scientific qualifications.
The highest degree of skill and care will be required
during all stages of study of persons who conduct or assist in the study.
(5)
The human subject will be informed that at any time during the
course of his plrtic^tion L has the right to revoke his consent and withdraw
from participation without prejudice to himself.
( 6 )
Participation by subjects will be immediately terminated if it sub-
sequently appears that the risk to the subjecta is significantly greater than
anticipated at the time review and approval was granted.
(7)
There ehall be no greater intrusion into the privacy of
the human
.object thin’l.^Wr —..fry for the conduct of ^.tudylnvo..;
Ex-
cept for the .ub.ls.lon of r.port. «nd other dot.
*^H
information obtained about human subjects as a result of their part
pa
be held as confidential as the law allows.
(8 )
The study will be conducted so ms to avoid all unnecessary physical
or mental suffering or injury.
Approved For Release 2001 /Q4/8&h£lA-RDP96-00788R001 5001 10012-2
Approved For Release 2001/04/02
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Contract MDA903-8I-C-0292
Modification P00002
(New Contract MDA908-8l-C-0004)
Page
3 of
(9)
Ho study will be conducted if there is any inherent reason to believe
that death or disabling injury is likely to occur.
Sufficient animal or laboratory
experiments,
or other evaluations', must have been completed
to give assurance
of
acceptable risks prior to the use of human subjects.
(10)
The degree of risk to be taken will never exceed that which is
Justified
by the benefit to the subject and/or the humanitarian Importance
of
the knowledge
to be gained.
(11)
A physician will be responsible for the medical care of subjects.
Even if not
the project leader,
the physician will have authority to terminate
the study at any time that he believes death, injury or harm is likely to result.
(12)
Proper preparations will be made, and adequate facilities provided,
to protect the subject against all foreseeable possibilities of injury, disability,
or death.
This includes but
is not limited to hospitalisation and medical treatmen
as may be required.
In addition, all apparatus and instruments necessary to deal
with likely emergency situations will be available.
(13)
Human subjects will have no physical or mental conditions which will
make participation more hazardous for them than it would be for normal healthy
persons, unless such condition is a necessary prerequisite for the particular
study involved.
In any such case, the use of human subjects with such pre-exist ng
conditions must have been specifically described and Justified in the scope of the
work to be performed under this „ contract.
,
(14)
The scientifically qualified person conducting the study, and each
member of his research team, will be prepared to terminate the subject's partici-
pation at any atage if he has reason to believe, in the exercise of the good faith,
superior skill, and careful judgment required of him, that continuation Is likely
to result in injury, disability, or death to the human subject.
(c)
The Contractor, before permitting any person to participate as a human
aubject, whether at risk or not, shall insure that the following minimum conditions
are complied with:
(1)
Legally effective informed consent will be obtained by adequate
and appropriate methods
in accordance with the provisions of this clause.
(2)
All consent must be voluntary.
It must be the knowing consent of
the individual or his legally authorized representative, ao situated as to be able
to exercise free power of choice without there having been any use of force,
fraud,
deceit, duress, constraint, coercion, or lawful or improper inducement.
The ele-
ments of information necessary to such consent Include:
(i)
A (air explanation of the procedures to be followed, and their
purposes,
including identification of any procedures which are experimental.
(ii)
A description of any attendant discomforts or risks reasonably
to be anticipated.
Approved For Release 2001 /0(WQ2t3.£a^-RDP96-00788R001 5001 1001 2-2
Approved For Release 2001/04/02
: CIA-RDP96-007$8R001 5001 1001 2-2
Contract MDA903“8l“C”O292
Modification P00002
(New Contract No. MDA9O8-8I-C-OOO4)
Page
^ of
(ill)
A description of any banefits reasonably to be anticipated.
(lv)
A disclosure of sny appropriate alternative procedures that
•lght be advantageous to the subject*
(v)
An offer to answer any questions concerning the procedure.
SSSSTJS S.-SK.V&S
for negligence*
Is prohibited.
.
.
.
«r his legally authorised representative
(e)
Prior consent by a subject
«or hi
tUJ ^ ^ vrlclng whenever It
shall be obtained In all cases.
Such cone
for- my ^ r,»d to the subject
Is reasonably possible
to do *°’
in any event he or his legally
or hi. legally authorised
Opportunity to read it and
to
authorised representative oust be g
form should then be signed by the
ash questions they might have.
h
i»or.«-ntative and by a witness not directly
subject or his legally
*;»th°r****.!!P!!y £ Osed only Jdien it has been specifi-
Involved in the study.
Oral consent may
*0 ^ performed under
telly described and justified 1® j ' hv°the contracting officer.
When so author-
this contract or approved inwr*t*“8
y
_ji
mMat standards as apply to
Led and used, oral
£ ISject or hi. legally author-
written consent, except that the signature o
laed representative is not required.
(f)
Prior to conduct of the ntudy, ^t-t^^^JL^means^y^ich informed
to the contracting officer a del
£
SldT ^n completion of
the
consent will be obtained, to include
y
contracting officer detailed report demon-
study, the contractorwill submitt
th
include cople8 of the written consent if
strating compliance with paragrap
,
)
>
such was obtained.
(%)
The Contractor *hUl not
thl. conttect
sets
Trieoner. .f «t XU »t he wX under .ny elrcu«t.ne...
Add the following as paragraph H.10 of the
contract:
H.10
All persons participating as human subjects,
as defined by
'
H Qfa)( 2) hereof,
shall be known to possess the abilities and qualities
which will be obserred ani amiyrea during the
conduct of this contract.
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 5001 1001 2-2
. Approved For Release 2001/04/02
: CIA-RDP96-00788JR001 5001 1001 2-2
Contract No. MDA903-8I-C-0292
Modification P00002
(New Contract No. MDA908-81-C-0004)
Page
5 of
requirements in the performance of contract MDA908-81-C-0004
modified shall be maintained in accordance with the revised DD Form 254
attached hereto.
The highest
classification involved
in the performance
of this
contract as modified
is TOP SECRET.
SGFOIA2
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 5001 1001 2-2
B
/ Y.
,
1 Approved For Release 2001/04/02
: CIA-RDP96-00788jp001 5001 1001 2-2
DEPARTMENT OF DEFENSE
1. THE REQUIREMENTS OF THE DOO INDUSTRIAL SECURITY MANUAL
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
V°/LL SECUR,TY ASPECTS OF this
j
c pr^t
EFFORT.
THE FACILITY CLEARANCE REQUIRED IS: IO P
Jgcrei;
this specification
IS FOR:
PRIME CONTRACT
s - contract number or other
IDENTIFICATION NUMBER
(Prime contract 9 must be shown
/or all subcontracts)
a.
PRIME CONTRACT NUMBER
MDA908-81-C-0004
b.
FIRST TIER SUBCONTRACT NO.
IDENTIFICATION NUMBER
THIS SPECIFICATION
IS:
(Saa “NOTE” halow.
if Ham b or c la
mtao antar data for itam m)
82APR05
original (Complata
date
in att caaaa)
8iapro6
REVISION
OATE
N °‘ 1
8IAUG21
c
- REQUEST FOR BID.
REQUEST FOR PROPOSAL
OR REQ FOR QUOTATION
6.
Is this .fo)low-on contract ?
Yes _
I
I No.
If YES, complete the following;
.• .MDA903-81 -C-0292
b.
c. Accountability for classified material on preceding contract
PRECEDING CONTRACT NUMBER
DATE COMPLETED
*
OXu
L J Is not,
transferred to this follow-on contract.
7a.
Name, Address & Zip Code of prime Contractor
*
SRI
International
333 Ravenswood Ave
Menlo Park
b,
FSC Number
c.
Name, Address & Zip Code of Cognisant Security Office
DCASK ^ Los Angeles 9 ATTN: Directorate
of*
Industrial Security^ llOg^S. La Cienga
BlvcU ,
Los Angeles ,
CA
90CA5
6a.
Name. Address & Zip Code of First Tier Subcontractor
*
|b.
FSC Number
|c,
Name. Address & Zip Code of Cognisant Security Office
9a.
Name, Address
fc Zip Code
of Second Tier Subcontractor, or
b.
FSC Number
c.
Name, Address & Zip Code of Cognisant Security Office
facility associated with IFB, RFP OR RFQ
*
*
When actual performance
is
at
a location other than that
specified, identify such other 'location in Item
15.
tOa.
Genera! identification of the Procurement
for which this specification applies
S&T Intelligence Study/Analysis
oDAAD Number of Procuring Activity
identified in Item
16a.
c.
Are there additional security requirements established in accordance with paragraph 1-114
or
1-115. ISR?
Yes
QQ No.
If YES, identify the
pertinent contractual documents
in Item
15.
d.
Are any elements of this contract outside the inspection responsibility of the cognisant security office? Q Yes
[v] No.
If YES
explain in
Item
15 and identify specific areas or elements.
ACCESS REQUIREMENTS (Continued)
j.
Access to SENSITIVE COMPARTMENTED INFORMATION.
k.
Access to other Special Access Program information
(Spaciiy in item 15)*
1.
Access to U.
S. classified information outside the U.
S.
Panama Canal
Zone, Puerto Rico, U.
S. Possessions
and Trust Territories,
m.
Defense Documentation Center or Defense information
Analysis Center Services may be requested.
n.
Classified ADP processing will be involved.
o.
REMARKS;
ACCESS REQUIREMENTS
YES
l~"
a.
Access to Classified Information Only
at other
contractor/Govcmment activities.
b.
Receipt of classified documents or other material
for reference only ('no generation)
c.
Receipt and generation of classified documents
or other material.
d.
Fabricatlon/Modlfication/Storage of classified hardware.
e.
Graphic arts services only.
f.
Access to IPO information.
g.
Access to RESTRICTED DATA.
h.
Access to classified COMSEC
information .
KH
D0D DIR 5200.17
i.
Cryptographic Access Authorisation required.
rjH
D0D DIR 5200. 1R
12.
Refer
all questions pertaining to contract security classification specification to the official named below (NORMALLY» thru ACO (item 16e):
EMERGENCY* direct with written record of inquiry and teaponae to ACO) (thru prime contractor for subcontracts).
a.
The classification guidance contained in this specification and attachments referenced herein
is co^lete and adequa te.
k*
Activity name, address, Zip Code, telephone number and office symbol
Defense
Intelligence Agency
Deputy Directorate fbr Scientific and
ATTN:
DT-1A
Technical
Intelligence
'
SG1J
Washington.
D.r.
?mm
qm
i
Defense
In telligence Aaencv
b(j1J
£!2ie.;
0r
'f
,n
f'
authority lor contractor* to ramark the retraded claeellled information.
Such action < by contractor* ahall be taken In accordance with the provlelone
of the Industrial Security Manual .
form
.
Approved For Keiease
*',L,
1 JAN 76
EDITION OF
« APR 71 IS OBSOLETE.
ALSO REPLACES DD FORM 254c WHICH
15 OBSOLETE
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 5001 1001 2-2
13s.
Information pertaining to classified contracts or projects, even though such Information is considered unclassified, shall not be released for public
dissemination except as provided by the Industrial Security Manual (paragraph So and Appendix IX)*
b.
Proposed public releases shall be submitted for approval prior to release
T“J Direct
CJ Through (Spmcify):
Public Release of SCI
is not Authorized.
to the Directorate For Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Atimlre) • for review in
accordance with paragraph So of the Industrial Security Manual.
• In the case of non-DoD Veer Agencies, «ee loo fnote, paragraph So, Indus triet Security MenueJ,
__
...
14.
Security Classification Specifications for this solicitation 'contract are Identified below (•*X•* applicable box(ee) and supply attachment# 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 utilised, that portion of the guldc(m) pertaining to the specific contractual
effort may be extracted and furnished the contractor.
When
a total guide(s) is utilized
, aach individual portion of the guide(s) which pertains to the
contractual effort ahall be clearly identified in Item |4b.
The following information must be provided for each item of classified information Identified
in an extract or guide:
(I) Category of claasification.
(II) Date or event for declassification or review for declassification, and
(III) The date or event for downgrading
<7f 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 msy be attached or furnished under separate cover.
a. A completed narrative
is. (I)
attached, or (2)
f7~] transmitted under separate cover and made a part of this specification.
Cj b.
The following classification guide(s) is made a part of this specification and
is (1)
attached, or (2)
transmitted under separate
cover,
(Limt guides under /lam 15 or in an attachment by
IfHe, reference number and dale).
I
j c.
Service-type contract/subcontract.
(Specify inetructions In mccordmnce erith lSR/ISM, as appropriate .).
n d.
"X” only
if this is a final specification and Item 6 is a *'NOM answer.
In response to the contractor’s request dated
retention of the Identified classified material, is authorised for a period of
{—
|
e .
Annual review of this DD Form 254 ie required.
If "X’d". provide date such review is due:
15.
Remark. (Whentv.r po**lb/e, lllu.tr.lt proper eI«**l«e»Mon, dec/»»»<tte»!fon, and Tl applicable, downer.dint Instruction.!.
T~~7~7T7r
a.
This contract requires access
to SCI.
The Defense Intelligence Agency has exclusive
security responsibility for such information released
to the contractor or developed
under this contract.
DIAM 50-5 provides the necessary guidenace for physical,
personnel
and information security measures and
is
a part of the security specifications for this
contract.
DCASR
is relieved of responsibility for all
SCI material
or information
released to the contractor under this contract.
b.
Foreign national
employees of the Contractor or subcontractor s)
are not authorized
access
to classified information resulting from or use
in the performance of this
Contract.
c.
The Contractor shall
notify the C0TR in writing
no later than five
(5) days after
receipt of the contract of the following information regarding the individuals assigned
to work on this contract.
( 1 )
Name
(2)
Date and Place of Birth
(3)
Social
Security Number
(SEE CONTINUATION SHEET)
16a
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 authorised.
This Contract Security Classification Specification and attachments referenced herein are approved by the Veer
Agency Contracting Officer or his Representative named in Item 16b below.
REQUIRED DISTRIBUTION:
f~K Prime Contractor (Item 7m)
SG 1 J
jy
t Cognisant Security Office (Item 7c)
BH Administrative Contracting Office (Item 16e)
SG 1 J
HTl Quality Assurance Representative
I
1 Subcontractor (Item Be)
PH Cognisant Security Office (Item Be)
(
\ Program/Project Manager (Item 12b)
|—
\
tj.
S. Activity Responsible for Overseas Security Administration
ADDITIONAL DISTRIBUTION:
j-, D
Approved For Release 2001/04/0!
i rector
Defense-'ffwtel 1 ige.
The Pentagon,
RSS
Washington,
D.C-
USA, Deputy
security Services
I Zip Code
Agency
20301
Approved For Release 2001/04/02
CIA-RDP96-00788R001 5001 1 001 2-2
j'
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
D I A
' ( DT - 1 A )
.
Information generated
under this Contract
is
subject
to the guidelines contained
in
DoD
Regulation
5200. 1R,
dated
2 November
1978,
which implements
EO 12065
which became effective
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 the
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-1A)
for
dissemination to the Grill
Flame Committee.
No other distribution
is
authorized.
f.
Use of the ARFCOS system
is
required..
Approved For Release 2001/04/02
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