A5 - DD 254.pdf
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- Solicitation number
- N4002725R3000
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PREVIOUS EDITION IS OBSOLETE.
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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 |
| Enter serial number.: N4002725R3000 |
| 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.: N40027-25-R-3000 |
| Enter due date in format YYYYMMDD.: 20250401 |
| Enter date in format YYYYMMDD.: 20250401 |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 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).: Actkins III, Phillip |
| Enter CAGE code of the prime contractor.: |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: |
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: P.O. Box 280057 |
Naval Station Mayport Bldg 1488, Massey Avenue Jacksonville, FL 32228-0057
| Enter general unclassified description of this procurement.: This requirement is for non-personal services to provide Combat System Technical Support to SERMC in support of the overall Naval Sea Systems Command (NAVSEA) mission objectives of Fleet Technical Assistance (FTA), Total Ship Readiness Assessments (TSRA), Integrated Class Maintenance Plans (ICMP), Mandatory Technical Requirement (MTR) Assessments, and Board of Inspection and Survey (INSURV). |
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| 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.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Enter infomration for "other.": Access to SIPRnet |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 0 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: Commanding Officer, Southeast Regional Maintenance Center, |
Jacksonville, FL 32228-0057
| Enter public release authority.: Commander, Naval Sea Systems Command (SEA 00G) |
| Select to add signature.: |
| Select to remove last signature.: |
| text: The following Security Classification Guides (SCGs) or subsequent revisions apply to this contract. Subsequent revisions will be provided by the SERMC Security Division (Code 1110) as Government Furnished Information (GFI) and shall be utilized by the Contractor on this contract. The Contractor must request copies of SCGs not in its possession by submitting a request to SERMC_MYPT_SECURITY@navy.mil. The Contractor must reference the contract number in the subject line of the request. Classified SCGs associated with this contract will be forwarded to the Contractor’s Facility Security Officer (FSO) under separate cover (CUI only). |
SCG ID# 03-011.3 Aegis, MK7 SCG ID# 03-017.4 Combatant Ships (Less Submarines) SCG ID# 02-272 Common Control Systems SCG ID# 05-160.01 Consolidated Afloat Network and Enterprise Services SCG ID# 03-150.1 Littoral Combat Ship SCG ID# 07-007.2 Degaussing and Deperming SCG ID# 08.018.1 Radar, General
All personnel performing classified duties under this contract shall possess at minimum, a DoD industrial Security Clearance of at least SECRET for all personnel assigned to perform work on board U.S. Navy ships. Contractor requests for visit authorizations shall be submitted in accordance with 32 Code of Federal Regulation Part 117, National Industrial Security Program Operating Manual (NISPOM) Rule, as early as possible and not later than five working days prior to visit (except in cases of urgency). Each visit authorization request that is submitted for contractor personnel shall not exceed a year from the date of request.
Item: 10(j): All Controlled Unclassified Information associated with this contract must be protected per the guidance provided for Item 11(1) of this DD Form 254.
Item: 10(k) SIPRNet. Personnel assigned to this contract who require access to SIPRNet and/or SIPRNet Backbone equipment must receive an initial and annual NATO security Briefing and Training, OPSEC Awareness Training, Security Refresher and Derivative Classification Training prior to access from the SERMC Security Officer and during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the SERMC Security Officer (Code 1110) no later than the individual's due date.
Item 11(a): Contractor access to classified information will be provided at the location identified in Item 8.a of this DD Form 254 Southeast Regional Maintenance Center, Bldg. 1488, Massey Avenue, Naval Station Mayport, Jacksonville, FL 32228-0057. However, upon request, contractor access to classified information may be provided at locations outside the continental United States (OCONUS), and onboard U.S. Naval assets (ships/vessels) forward deployed at various OCONUS locations.
Item 11(f): Contractor access to classified information associated with this contract may be provided at locations outside the continental United States (OCONUS), and onboard U.S. Naval assets (ships/vessels) forward deployed at various OCONUS locations. Security Officers onboard the designated ships and installations will maintain control of the classified information and conduct security inspections if required.
Item: 11(j). The Contractor shall utilize the SERMC Critical Information and Indicator List (CIIL), SERMCNOTE 5510 to help identify and protect critical information associated with this contract.
Item 11(j) Continued: During the period of this contract, the Contractor may be exposed to, use, or produce, SERMC CIIL and/or observables and indicators which may lead to discovery of CI. SERMC's CIIL will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI).
Item: 11(j). Continued: Assembled large components/systems being transported to and from testing areas, other production or government facilities (whether or not on public roadways) shall be in an enclosed van trailer or covered flatbed trailer. Component/System outside storage, staging, and test areas shall be shielded/obscured from public view wherever physically possible.
Item 11(j) Continued: SERMC’s CIIL shall not be publicized in corporate wide newsletters, trade magazines, displays, intranet pages or public facing websites. Media requests related to this project shall be directed to SERMC Public Release Authority listed in Item 12 of this DD Form 254.
-Item: 11(j). Continued: Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise of government Classified or CI, Business Sensitive and Company Proprietary information related to this contract or other programs must be immediately reported to the Facility Security Officer, Defense Counterintelligence and Security Agency (DCSA) and/or the Naval Criminal Investigative Service (NCIS), and Code 1110. Questions concerning these requirements shall be directed to Code 1100B.
Item 11(j) Continued: Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of 32 Code of Federal Regulation Part 117, National Industrial Security Program Operating Manual (NISPOM) Rule, therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless SERMC approves the OPSEC requirements. The contractor shall assign an OPSEC point of contact for this contract at no additional cost to the Government. This individual may be the FSO.
Item 11(l): Legacy information from existing documents (e.g. Technical Manuals) marked For Official Use Only (FOUO), that is used to create a new document/correspondence, shall follow the minimum marking requirements of DoDI 5200.48, Section 3, paragraph 3.4.a, and include the acronym "CUI" in the banner and footer of the document. Nonfederal information systems storing and processing Controlled Unclassified Information (CUI) shall be protected per NIST SP-800-171, or subsequent revisions. All CUI associated with this contract must be safeguarded to prevent unauthorized public disclosure. CUI, Security Classification Guides (SCG), and other technical information with Distribution Statements B, C, D, E or F are not authorized for public release and cannot be placed on a publicly accessible web site or web server. All transmissions to personal email accounts (AOL, Yahoo, Hotmail, Comcast, etc.) and posting on social media websites (Facebook, Instagram, Twitter, LinkedIn, etc.) are prohibited. Destroy all CUI associated with this contract by any of the following approved methods: A cross-cut shredder; a certified commercial destruction vendor; a central destruction facility; incineration; chemical decomposition; pulverizing, disintegration; or methods approved for classified destruction.
Item: 11(l). Cancel: DoD Manual 5200.01, Volume 4, “DoD Information Security Program: Controlled Unclassified Information,” February 24, 2012, as amended. Add: DoD Components: refer to DoD Instruction 5200.48 Controlled Unclassified Information (CUI) March 6, 2020, only for specific CUI protection requirements. Non-DoD Components: see instructions
Classified or unclassified technical papers to be presented at a classified symposium must be approved by the SERMC Contracting Officer in concert with Code 1110 prior to the presentation.
All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list (EPL) for high security crosscut paper shredders, or other approved method for destroying classified information.
The Waterfront Restricted Area (WRA) is a Level TWO Restricted Area and shall be treated as Restricted Area. Contractor personnel must have proper clearances to accomplish work within the WRAs. The Contractor shall be responsible to ensure that Contractor personnel meet all applicable security requirements, and hold proper clearances to support the availability.
Copies of preliminary inquiry or investigative reports of security incidents involving classified information shall be scanned and forwarded to the SERMC Security Division mailbox: SERMC_MYPT_SECURITY@navy.mil.
The contractor must scan and forward the subcontractor’s DD 254s issued under this contract to the SERMC Security Division mailbox: SERMC_MYPT_SECURITY@navy.mil.
text: Security Classification Guide requirements for this contract is reflected in item 13 of the DD Form 254.
text: Operation Security (OPSEC) requirements for this contract is reflected in item 13 of the DD Form 254 under item: 11(j).
| Click on this button to attach a file(s).: |
| rep: Mr. Ezra Mead |
Program Manager rep: Mr. Tyson Taplin Assistant OPSEC Program Manager
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: OPSEC requirements are imposed on this task. Refer to Item 13 of this DD Form 254 for applicable guidance. These OPSEC requirements cannot be imposed on subcontractors without written consent from the SERMC OPSEC Program Manager. These requirements shall not be imposed at an additional cost to the Government. |
| Enter GCA name.: Southeast Regional Maintenance Center |
| Enter AAC of the contracting office.: N40027 |
| Enter AAC of the contracting office.: N40027 |
| Enter address (include zip code).: P.O. Box 280057 |
Naval Station Mayport Jacksonville, FL 32228-0057 Enter address (include zip code).: Southeast Regional Maintenance Center P.O. Box 280057 Jacksonville, FL 32228-0057
| Enter POC name.: Mr. Martinez Miller |
| Enter telephone number (include area code).: 9042705126 |
| Enter telephone number (include area code).: 9042705126 |
| Enter email address.: martinez.a.miller.civ@us.navy.mil |
| Enter email address.: phillip.actkins.civ@us.navy.mil |
| Enter title.: Security Officer |
| Enter the datesigned in format YYYYMMDD.: 20250408 |
File details come from the government source that posted it. Updated .