Amendment_0001_N0038322R761N.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. Contract ID Code

Page of Pages

1 5 2.Amendment/Modification No. 3.Effective Date 4.Requisition/Purchase Req. No. 5.Project No.

03 May 2022

N0038321Y0761/1103683126

6. Issued By CODE N00383 7. Administered By (If other than Item 6)

NAVSUP Weapon Systems Support-Philadelphia

ATTN: Kathryn Hull, Code N731.11

Phone 215-697-1219, Fax 215-697-1227

Email: kathryn.s.hull.civ@us.navy.mil

700 Robbins Avenue

Philadelphia, PA 19111-5098

8. Name and Address of Contractor (No., Street, County, State, and Zip) 9A. Amendment of Solicitation No.

N00383-22-R-N761N

9B. Dated (See Item 11)

29 March 2022

10A. Modification of Contract/Order No.

10B. Dated (See Item 13)

Code Facility Code

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

( ) The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of offers _ is extended, x_is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items 8 and 15, and returning __ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SEPCIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such changes may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify Authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (Such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b)

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

10 U.S.C. 2304 ( ) ( ), if applicable and by mutual agreement of the parties

D. OTHER (Specify type of modification and authority)

This modification is issued in accordance with the terms of the BOA/contract, and by mutual agreement of the parties.

E. IMPORTANT: Contractor ( X ) is not, ( ) is required to sign this document and return ___ copies to the issuing Office. Attn: Code

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.

The purpose of this amendment is to incorporate the following changes:

1. The revised Attachment C, DD254 Revision 001 dated 03 May 2022 is hereby incorporated into RFP N00383-22-R-

761N. See the attached.

2. All other terms and conditions remain the same.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

NSN 7450-01-152-8070 30-105 STANDARD FORM 30 Prescribed by GSA FAR (48CRF) 53.243

CLASSIFICATION (When filled in): Unclassified

PREVIOUS EDITION IS OBSOLETE. Page 1 of 4DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 1 of 4DD FORM 254, MAY 2019

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:

20220531

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

N00383-22-G-T201

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specifications.)

REVISION NO.

DATE (YYYYMMDD)

20220503

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No Yes If yes, complete the following:

Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract.N00383-17-G-BG01

5. IS THIS A FINAL DD FORM 254? No Yes If yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of:

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

a. NAME, ADDRESS, AND ZIP CODE

L3 Technologies, Inc 150 Constitution Dr Menlo Park, CA 94025-1141

b. CAGE CODE

50643

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

Defense Counterintelligence Security Agency (IOFNS) 42808 Christy Street Suite 209 Fremont, CA 94538 Phone: 510-897-1370

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)

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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

a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

This DD-254 concerns the Repair BOA for the repair and testing of the E2C Rotodome Antenna P/N: 29905-1, NSN: 5985-01-414-4928, E2C Rotary Coupler Assembly P/N: 26710-2, NSN: 5985-01-408-0379, E2D Rotodome Antenna P/N: 123GSR36-3, NSN: 1680-01-661-4905, E2D Rotary Coupler Assembly P/N: 59300-3, NSN: 5985-01-660-0367.

CO Kathryn Hull, Phone: (215) 697-1219, Email: kathryn.hull@navy.mil, TPOC: Owen Ryan, Phone: (215)-697-4257, Email: owen.ryan@navy.mil Planner: Kristina Gaytan, Phone: (215)-697-4330, Email: kristina.gaytan@navy.mil

N00383-22-R-761N Amendment 0001 ATTACHMENT C 2

PREVIOUS EDITION IS OBSOLETE. Page 2 of 4DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 2 of 4DD FORM 254, MAY 2019

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA

g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT THROUGH (Specify below)

PAO AT NAVSUP WSS Philadelphia, 700 Robbins Ave, Bldg 1, Rm 1203, Philadelphia, PA. 19111 Phone:215-697-3177

Public Release Authority:

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.)

Reference Block 10a: Classified COMSEC material is not releasable to contractor employees who have not received a FINAL clearance at the appropriate security level. COMSEC access shall be IAW DoD 5220.22-M. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by Command policy and procedures. Written concurrence of the CO is required prior to subcontracting.

Reference Block 10e(2): Contractor will require access to intelligence information. The Program Manager has determined that disclosure does not create an unfair competitive advantage for the contractor or a conflict of interest with the contractor's obligation to protect the information and will submit a written request to the NAVSUP OSM SIO for approval prior to granting access. Access to SIPRNET is required. NATO briefing required prior to granting access.

Reference Block 10J: See Attached FOUO Reference Block 11C: Any classified information generated in the performance of this contract shall require the contractor to apply derivative classification and markings consistent with the secure material.

Reference Block 11D: The contractor is required to provide adequate and approved storage for classified hardware or material to the level of SECRET which because of size or quantity cannot be safeguarded in an approved storage container.

N00383-22-R-761N Amendment 0001 ATTACHMENT C 3

PREVIOUS EDITION IS OBSOLETE. Page 3 of 4DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 3 of 4DD FORM 254, MAY 2019

Reference Block 11J: Operation Security (OPSEC) The Contractor shall develop, implement, and maintain an OPSEC program to protect controlled unclassified and classified activities, information, equipment, and material used or developed by the Contractor and any subcontractor during performance of the contract. This program may include Information Assurance and Communications Security (COMSEC). The OPSEC program shall be in accordance with National Security Decision Directive (NSDD) 298, and at a minimum shall include:

1) Assignment of responsibility for OPSEC direction and implementation.

2) Issuance of procedures and planning guidance for the use of OPSEC techniques to identify vulnerabilities and apply applicable countermeasures.

3) Establishment of OPSEC education and awareness training.

4) Provisions for management, annual review, and evaluation of OPSEC programs.

5) Flow down of OPSEC requirements to subcontractors when applicable.

The Contractor is responsible for subcontractor implementation of the OPSEC program requirements for this contract

Compliance with FAR clause 52.247-68, Report of Shipment (REPSHIP), is required: Classified material deliveries require use and performance of FAR clause. 52.247-68.

REPSHIP to provide point of contact verification and shipment notification, and coordinate classified material deliveries with the destination Transportation Officer (TO).

Per the National Industrial Security Program Operating Manual (32 Part CFR 117), contractors requiring access to classified information under the performance of this contract must be U.S. citizens and possess a DoD issued security clearance for the appropriate level.

Additionally, access to classified information will be limited to those personnel with the appropriate clearance and a valid need-to-know.

Contractor personnel needing access to Restricted Data and classified information will hold a clearance at the appropriate level. The contractor shall properly safeguard For Official Use Only (FOUO) information from disclosure and will use it solely for contract performance.

117.13 (5) Upon completion of a classified contract, the contractor must return all USG provided or deliverable information to the custody of the USG.

(i) If the GCA does not advise to the contrary, the contractor may retain copies of the USG material for a period of two years following the completion of the contract. The contract security classification specification, or equivalent, will continue in effect for this two-year period.

(ii) If the GCA determines the contractor has a continuing need for the copies of the USG material beyond the two year period, the GCA will issue a final contract security classification specification, or equivalent, for the classified contract and will include disposition instructions for the copies.

-In support of the Loss Prevention Program, the contractor will immediately report any compromise or suspected compromise of classified material, suspicious behaviors/activities, and missing, lost, stolen, or recovered property to the using agency's Security Officer and the contractor's Cognizant Security Office for immediate attention and corrective security measures.

-Transportation of classified items should be IAW DTR 4500.9-R -The Prime Contractor will invoke the foregoing provisions on all subcontracts that may be initiated in association with this contract.

-Any classified material produced under the terms of this contract will be marked, handled, stored and transmitted in accordance with the National Industrial Security Program Operating Manual.

Contractor personnel shall not discuss classified information or unclassified technical sensitive information on an unsecured telephone, or disclose such information to any unauthorized personnel. Contract performance does not require the use of a STE telephone for secure voice communications.

Any Classified material produced under the terms of this contract will be marked, handled, stored and transmitted in accordance with DOD 5220.22M requirements.

The Contractor shall invoke the foregoing provisions on all subcontracts that may be initiated in association with this contract.

All questions and / or concerns regarding this DD Form 254 will be directed to the NAVSUP WSS POC, Frank Farkas, at COMM:

(215)697-4923; DSN: 442-4923; Email: frank.g.farkas1@navy.mil

The security classification guide number is E-2C/D Hawkeye ID: 02-18.6, 31 March, 2021

N00383-22-R-761N Amendment 0001 ATTACHMENT C 4

PREVIOUS EDITION IS OBSOLETE. Page 4 of 4DD FORM 254, MAY 2019

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

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

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

No Yes 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.

No Yes 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)

a. GCA NAME

NAVSUP WSS

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

N731.11

c. ADDRESS (Include ZIP Code)

700 Robbins Ave, Bldg 1 Philadelphia, PA 19111

d. POC NAME

Kate Hull

e. POC TELEPHONE (Include Area Code)

+1 (215) 697-1219

f. EMAIL ADDRESS (See Instructions) kathryn.s.hull.civ@us.navy.mil

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

Frank Farkas

b. TITLE

NAVSUP WSS Security Classification Program Manager

c. ADDRESS (Include ZIP Code)

700 Robbins Ave, Bldg 1, RM 1400 Philadelphia, PA 19111

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N98421

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

N/A

f. TELEPHONE (Include Area Code)

+1 (215) 697-4923

g. EMAIL ADDRESS (See Instructions) frank.g.farkas.civ@us.navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20220503

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

FARKAS.

FRANK.G

EORGE.1

097747284

Digitally signed by

FARKAS.FRAN

K.GEORGE.109

7747284 Date: 2022.05.03 13:10:27 -04'00'

N00383-22-R-761N Amendment 0001 ATTACHMENT C 5