1.13 DD254_60IDIQDRAFT.pdf

PDF 71 KB Posted Mar 11, 2026

Attached to: Information Warfare Analytical Operational Test and Evaluation Support Services
Solicitation number: N0018926RW005
Issued by: Department of the Navy Naval Supply Systems Command

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Written by GovTribe AI · Mar 11, 2026

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Past_Performance_Information_Form.docx	DOCX document	Mar 11, 2026

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PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 254, APR 2018

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

June 30, 2025 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

17. CERTIFICATION AND SIGNATURES

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, "DoD Contract Security Classification Specification"

CurrentPage:

PageCount:

Select classification from drop-down list.: Unclassified

SerialNum:

a. Facility clearance level. Select one.: 1

b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4

Select for "original.": 1

Enter prime contract number.:

Select for "revised.": 0

Enter subcontract number.:

Select for "final.": 0

Enter solicitation or other number.:

Enter due date in format YYYYMMDD.:

Enter date in format YYYYMMDD.:

Enter revision number.:

Enter date in format YYYYMMDD.:

Enter final specification.:

Enter date in format YYYYMMDD.:

Select for "no.": 1

Select for "yes.": 0

Enter preceding contract number.:

Enter contractor's request date in format YYYYMMDD.:

Enter period.:

Enter typed name of certifying official (last, first, middle initial).:

Enter CAGE code of the prime contractor.: N57023

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: Defense Counterintelligence and Security Agency

Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: OPTEVFOR

7970 Diven Street, Bldg CA-10 Norfolk, VA 23505-1498

Select to add row to locations.:

Select to remove last row from locations.:

Select to delete all signatures.:

Enter location(s).: OPTEVFOR

7970 Diven Street, Bldg CA-10 Norfolk, VA 23505-1498 Enter general unclassified description of this procurement.: Provide technical and analytic support to Operational Test and Evaluation Force (OPTEVFOR) 60 Division in the definition, conduct, and analysis of structured Operational Test and Evaluation (OT&E) of US Navy Command, Control, Communications, Computers, Intelligence, Space, Business, and Enterprise Information systems.

Security Information: A Separate DD254 will be issued for each Task Order issued under the Contract cited in block 2.a. of this DD254. All T/O's issued shall not have a DD254 issued that exceed the requirements specified in this contract level DD254.

Select for "a. CONTRACTOR.": 0

Select for "a. CONTRACTOR.": 1

Select for "f. OTHER AS NECESSARY.": 0

Select for "f. OTHER AS NECESSARY.": 1

Select for "b. SUBCONTRACTOR.": 1

Select for "b. SUBCONTRACTOR.": 0

Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 1

Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0

Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0

Select for "h. REQUIRE A COMSEC ACCOUNT.": 0

Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0

Select for "i. HAVE A TEMPEST REQUIREMENT.": 0

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 1

Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 1

Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1

Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0

Enter infomration for "other.": OPTEVFOR SSO Mr. Dan Fugett

Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0

Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1

Select for "m.OTHER.": 0

Select for "direct.": 0

Select for ": 0

Enter specification for "through".:

Enter public release authority.: Public Release of Information is NOT Authorized.

Select to add signature.:

Select to remove last signature.:

text: The following provisions apply for the protection of Controlled Unclassified Information (CUI):

1. Foreign nationals (Non U.S. citizens) will be denied access to CUI unless expressly permitted by the OPTEVFOR Command Security Manager.

2. Compliance with OPTEVFOR Instruction 5239.7 Protection of Controlled Unclassified Information is required.

8a. Operational Test and Evaluation Force, 7970 Diven St, Norfolk VA 23505-1498.

10 b. In the performance of this contract the employees may require access to govt networks that are authorized to process and store Naval Nuclear Propulsion Information (NNPI) in support of the operations of the platform or may have the need to embark on ships designated as NNPI platforms such as submarines and aircraft carriers. No U.S. naval nuclear propulsion information, classified or unclassified, may be disclosed to any foreign national or foreign government except under an approved government-to-government agreement, executed in accordance with the Atomic Energy Act of 1954, as amended; such disclosures are authorized only through specially designated official channels. Any employees requiring access to unclassified or classified NNPI networks or platforms will be briefed by a US government official and will sign a briefing acknowledgment that the government will retain on file. Reference 10 b. Access to Restricted Data requires a final U.S. Government clearance at the appropriate level.

10 e.(1) All contractor personnel under this Contract are required to have, the appropriate level of personnel security clearance before performing any work under the specific TO. Contractor personnel are required to have (Task Order Specific) up to an active Top Secret (TS) clearance with Sensitive Compartmented Information (SCI) eligibility before performing any work. OPTEVFOR will be the sponsoring government agency for all read-ins into the SCI programs under this TO. SCI read in’s are conducted every Wednesday at 1300 by the OPTEVFOR SSO. SCI intelligence access information is only required during conduct of Test and Evaluation of systems under test in support of this contract.

10 e.(2) Non-SCI intelligence information access is only required due to access to COTF SIPR NETWORK in the performance of this contract.

10 g. NATO information access is only required due to access to OTF SIPR NETWORK in the performance of this contract.

10 j. The "CUI" information provided under this contract shall be safeguarded as it is applied to OTF instructions.

11 a. Have access to classified information only at another contractors facility or at a government activity identified in Block 8.

11 j. OPSEC requirements IAW: NISPOM, NTTP 3013, Appendix J, OPNAVINST 4332.1A and OTF INST 3432.1C. Sensitive unclassified information–which is also referred to as critical information or critical program information (CPI)–is defined as information that is not classified but which needs to be protected from unauthorized disclosure. Examples are information labeled “For Official Use Only (FOUO),”proprietary information, contractor sensitive information, limited distribution information, and Personally Identifiable Information (PII).

11 l. The "CUI" information provided under this contract shall be safeguarded as it is applied to OTF instructions.

NATO BRIEFING IS ONLY REQUIRED TO BE DONE AT OTF AND HELD IN OTF SECURITY. NATO WILL NOT BE PUT INTO JPAS.CLASSIFIED MATERIAL MAY BE REMOVED FROM OTF BY CONTRACTORS WITH THE APPROVAL OF THE SSO/CSM/ACSM. ALL MATERIAL WILL BE ACCOUNTED FOR BY OTF SECURITY AND MUST BE RETURNED UPON COMPLETION OF THE CONTRACT.

For further information contact the Special Security Officer / Mr. Dan Fugett 757-457-6406 or, Command COR: Timothy R. Burrows; (757) 457-6563; Department of the Navy (DON) Personnel Security Program (PSP), SECNAVINST 5510.36A; Department of the Navy Information Security Program, SECNAV M5510.36 , National Industrial Security Program Operating Manual, DOD 5520.22M

a. All Visit requests to activities other than those not listed in the statement of work or this DD 254 shall have "Need to Know" certified by the OPTEVFOR Security Department. The Contractor Company will not submit any visit request for their contractors working on this contract. All visit requests will be done by OPTEVFOR Security Department. Contract companies are not required to submit any visit request for their employees.

b. All contractors will be required to do a full check-in regardless if they work on-site or off-site. All contractors are required to show up to OPTEVFOR with their own Work Authorization Memo (WAM) on company letterhead with an original signature by their companies approving authority. Photo copies of WAMS will not be accepted.

Click on this button to attach a file(s).:

rep:

Enter signature.:

Explain and identify specific areas and government activity responsible for inspections.:

Enter GCA name.: Fleet Logistics Center, Norfolk VA

Enter AAC of the contracting office.: N00189

Enter AAC of the contracting office.: N57023

Enter address (include zip code).: 1968 Gilbert Street, Ste 600

Norfolk VA 23511-3392 Enter address (include zip code).: 7970 Diven Street Norfolk VA 23505-1498

Enter POC name.: Ms Kirstin Hofer

Enter telephone number (include area code).: 7574431977

Enter email address.: kirstin.hofer@navy.mil

Enter title.: Contracting Officer Representative (COR)

Enter the date signed in format YYYYMMDD.:

File details come from the government source that posted it. Updated Mar 11, 2026.