24R0003 IX (E) Notional DD254.pdf
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- Solicitation number
- N3220524R0003
About this file
This document is a Department of Defense Contract Security Classification Specification (DD Form 254) outlining classified information handling requirements for a solicitation seeking a surface support vessel to serve as a host ship for Naval Special Warfare operations. Commander, Military Sealift Command is seeking a vessel through solicitation N3220524R0003 to be based in Little Creek, Virginia and operate for up to 45 days without resupply, with messing, berthing and administrative facilities for sponsor personnel. The vessel will be used to launch and recover underwater systems, support boats and U.S. Navy divers for training, developing operating procedures and providing mission support. Contractor and subcontractor personnel requiring access to classified information up to the Secret level must possess the appropriate clearance and attend counterintelligence training. The specification identifies control and handling requirements for classified information and controlled unclassified information to be accessed during mission planning and execution. Military Sealift Command will maintain security oversight while the vessel is in a U.S. military installation.
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PREVIOUS EDITION IS OBSOLETE.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.: CUI |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: |
| Enter due date in format YYYYMMDD.: 20240831 |
| Enter date in format YYYYMMDD.: |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 0 |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Enter preceding contract number.: N3220519C3514 |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: TBD |
| Enter typed name of certifying official (last, first, middle initial).: Holmes, Damien L. |
| Enter CAGE code of the prime contractor.: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: Defense Counterintelligence and Security Agency |
San Antonio Field Office (IOFSS) 1777 NE Loop 410, Suite 801 San Antonio, TX 78217 Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: Military Sealift Command, Security Office, Code N021 471 East C Street, Bldg. SP-47 Naval Station Norfolk, VA 23511-2419 Industrial Security Officer: Damien L Holmes (757) 341-7270
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: Worldwide with the vessel primarily in Little Creek, VA. |
| Enter general unclassified description of this procurement.: Military Sealift Command (MSC) requires a surface support vessel (SSV) to serve as host ship for Naval Special Warfare (NSW) and will be based in Little Creek, VA. This vessel will be utilized for training purposes, development of operating procedures and mission support. Specifically, the vessel will be used to launch and recover underwater systems, their supporting surface safety boats and U.S. Navy Divers. The vessel will have messing, berthing and administrative facilities for Sponsor personnel, and shall operate for up to forty-five (45) days without re-supply. |
| Select for "a. CONTRACTOR.": 0 |
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| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| 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 "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| 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 "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 0 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Enter infomration for "other.": Defense Counterintelligence and Security Agency |
San Antonio Field Office (IOFSS) 1777 NE Loop 410, Suite 801 San Antonio, Texas 78217
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 0 |
| Select for "m.OTHER.": 0 |
| Select for "direct.": 1 |
| Select for ": 0 |
| Enter specification for "through".: |
| Enter public release authority.: Military Sealift Command, Public Affairs Office, Code N02P |
471 E. C St. Norfolk, VA 23511-2419
| Select to add signature.: |
| Select to remove last signature.: |
| text: |
A. Crewmembers as specified in the contract shall have access to SECRET information regarding mission operation employment. They must be US citizens and possess at least a SECRET clearance. All designated personnel who maintain a security clearance and have access to classified information must attend Counterintelligence Awareness and Reporting (CIAR) Training. See DoD Directive Number 5240.06 for guidance.
B. If subcontractors are used, this form must be modified to include subcontractor information. The Contractor will ensure all subcontractors follow security guidance.
C. The Contractor shall ensure that any classified information disclosed to its employees is not further released or made available to other employees, or any other person who does not have a comparable clearance and a "Need to know".
Item: 10(b). Access to restricted data requires a final U.S. Government clearance at the appropriate level. Classified information used in mission planning and execution will be accessed on areas specified in the PWS Section 4.1.2 only.
Item: 10(j). All Controlled Unclassified Information (CUI) associated with this contract must be protected per the guidance provided for restricted data. Additional protection for CUI is provided at https://www.esd.whs.mil/directives/issuances/ and would include basic engineering data for underwater systems, their logistics requirements.
Item: 11(e). Perform services only; actual knowledge of classified information is required by the Master and Chief Mate in mission planning and performance of their duties piloting the vessel and supervising mission operations conducted by other crew. Aural and visual access to classified information is reasonably expected by other crew members in the daily performance of their duties.
Contracting Officer: Franklin Orvin, MSC HQ N103A, (757) 341-4628 Program Office Representative: Frederick Turgeon, MSC HQ PM41, (757) 341-5681 Sponsor Representative: Adam Piepkorn, (757) 763-3824
| Click on this button to attach a file(s).: |
| rep: Frederick Turgeon, Program Office Representative |
| rep: Franklin Orvin, Contracting Officer |
| rep: Adam Piepkorn, Sponsor Representative |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: Military Sealift Command will maintain security cognizance while vessel is at a US military installation: |
Security Office, (757) 443-2872, (757) 341-7270 Fax: (757) 443-2938 MSC_DISTRO_N021@us.navy.mil
| Enter GCA name.: Commander, Military Sealift Command |
| Enter AAC of the contracting office.: N32205 |
| Enter AAC of the contracting office.: N32205 |
| Enter address (include zip code).: Commander, Military Sealift Command |
471 E. C St. Bldg. SP-64 Norfolk, VA 23511 Enter address (include zip code).: Military Sealift Command 471 E. C St.
Norfolk, VA 23511
| Enter POC name.: Franklin C. Orvin |
| Enter telephone number (include area code).: 7573414628 |
| Enter telephone number (include area code).: 7573417270 |
| Enter email address.: franklin.c.orvin.civ@us.navy.mil |
| Enter email address.: damien.l.holmes.civ@us.navy.mil |
| Enter title.: MSC Industrial Security Officer |
| Enter the date signed in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .