Att 03 - DD254 Security Classification Specification.pdf
PDF 354 KB Posted
- Solicitation number
- N0042126R3006
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Other files
| File | Type | Posted |
|---|---|---|
| Att L1 - Section L.pdf | ||
| Att C3 - Fixed Time and Material Price Narrative.docx | DOCX document | |
| Att T1 - Sample Tasks.docx | DOCX document | |
| Att 01 - SOW.pdf | ||
| Att 07 - COR Designation Letter.pdf | ||
| Att 10 - TDL CDRL attachment COR_TPOC Dec 2024.xlsx | XLSX spreadsheet | |
| Att C2 - Cost Reimbursable Narrative.docx | DOCX document | |
| Att L2 - Labor Hours in Section L.xlsx | XLSX spreadsheet | |
| Att P1 - Key Personnel.docx | DOCX document | |
| Draft Solicitation - N0042126R3006.pdf | ||
| Att 06 - List of Authorized Key Personnel.pdf | ||
| Att 09 - TDL CDRL attachment COR only Dec 2024.xlsx | XLSX spreadsheet | |
| Att M1 - Section M.pdf | ||
| Att 02 - CSP.pdf | ||
| Att 04 - CSWF Qualification Matrix.xlsx | XLSX spreadsheet | |
| Att 05 - Data Item Transmittal Form.pdf | ||
| Att 08 - OCI List.pdf | ||
| Att 11 - List of Approved Subcontractors.pdf | ||
| Att 12 Wage Determination.pdf | ||
| Att C1 - Cost Reimbursable Workbook - TES revised.xlsx | XLSX spreadsheet |
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PREVIOUS EDITION IS OBSOLETE.
Page of
DD FORM 254, APR 2018
NEEDS DD67
(Updated 20250815)
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:
August 31, 2028 The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 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 Form 254, "DoD Contract Security Classification Specification"
| CurrentPage: |
| PageCount: |
| Classification (when form is filled in) (automatically filled from previous drop-down list): Unclassified |
| Serial Number: |
| 1. CLEARANCE AND SAFEGUARDING - a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED |
(See Instructions) - Select from drop-down list: 1
| 1. CLEARANCE AND SAFEGUARDING - b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL REQUIRED AT CONTRACTOR FACILITY - select from drop-down list: 2 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "a. ORIGINAL (Complete date in all cases.) ": 0 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "a. ORIGINAL (Complete date in all cases.) ": 1 |
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - a. PRIME CONTRACT NUMBER (See instructions.): Request for Proposal, Not Valid for Performance |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "b. REVISED (Supersedes all previous specifications.)": 0 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "b. REVISED (Supersedes all previous specifications.)": 0 |
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - b. SUBCONTRACT NUMBER: |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "c. FINAL (Complete Item 5 in all cases.)": 1 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - Select for "c. FINAL (Complete Item 5 in all cases.)": 0 |
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - c. SOLICITATION OR OTHER NUMBER: N0042126R3006 |
| 2. THIS SPECIFICATION IS FOR: (X and complete as applicable.) - c. SOLICITATION OR OTHER NUMBER - DUE DATE (YYYYMMDD): 20251114 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - a. ORIGINAL (Complete date in all cases.) : 20251118 |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - b. REVISED (Supersedes all previous specifications.) - REVISION NUMBER: |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - b. REVISED (Supersedes all previous specifications.) - DATE (YYYYMMDD): |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - c. FINAL (Complete Item 5 in all cases.): |
| 3. THIS SPECIFICATION IS: (X and complete as applicable.) - c. FINAL (Complete Item 5 in all cases.) - DATE (YYYYMMDD): |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 1 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 1 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 0 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "no.": 0 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 0 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 0 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 1 |
| 15. INSPECTIONS - Elements of this contract are outside the inspection responsibility of the CSO. - Select for "yes.": 1 |
| 4. IS THIS A FOLLOW-ON CONTRACT? - If yes - Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract. - Enter preceding contract number.: |
| 5. IS THIS A FINAL DD FORM 254? - In response to the contractor's request dated (date), retention of the classified material is authorized for the period of (period) - Enter contractor's request date in format YYYYMMDD.: |
| E5. IS THIS A FINAL DD FORM 254? - In response to the contractor's request dated (date), retention of the classified material is authorized for the period of - Enter period.: |
| 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): TBD |
| 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): Brundage, Janet L. |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 17. CERTIFICATION AND SIGNATURES - e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): TBD |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE - c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional): N/A |
| 8. ACTUAL PERFORMANCE (Click button to add more locations.) - Select to add row : |
| 8. ACTUAL PERFORMANCE - Select to remove last row: |
| 13. SECURITY GUIDANCE - Select to delete all signature rows: |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): NAWCAD Webster Field |
17100 Webster Field Saint Inigoes, MD 20684
8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): AFTAC Patrick Air Force Base 842 Falcon Avenue Patrick AFB, FL 32925
8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): USAF National Guard 193rd Special Operation Wing (SOW) 101 Mustang Alley Middletown, PA 17057
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): NAW Bahrain (Manama) |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Rijeka, Croatia |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): US Army Garrison, Stuttgart, Germany |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Iraq (Al Asad Airbase, Baghdad, Camp Taij, Iraq) |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Taranto Province NAW, Italy |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Japan (Kanoya Air Base, Sasebo, Yokosuka) |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Oman (Salalah and Dugm) |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Philippines (Manila, Zamboanga and/or Camp Navarro) |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Krakow, Poland |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Baledogle Air Field (Mogadishu), Somalia |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Thailand (Bangkok, Pattaya and/or Phuket) |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Dubai, UAE |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): MCAS Yuma, AZ |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Hawaii (Honolulu and Kaneohe Bay) |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): Tampa, FL (CENTCOM) |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): MCAS Cherry Point, NC |
| 8. ACTUAL PERFORMANCE - a. LOCATION(S) (For actual performance, see instructions.): NAS Patuxent River, MD 20670 |
| Enter general unclassified description of this procurement.: This Task Order will provide concept and technology development support, system development and design support, system integration and life cycle sustainment, analysis, and technical assessments; technical management support; and cybersecurity support to projects within the SAIW portfolio. The scope of this effort encompasses rapidly-developed engineering designs for end products intended for immediate warfighter operational use and may include Command, Control, Communications, Computers, Combat Systems, Cyber, Intelligence, Surveillance, and Reconnaissance (C6ISR) systems, subsystems, and components of strategic and tactical airborne, land-based, mobile, sea-based surface, and sub-surface platforms. |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "a. CONTRACTOR.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "f. OTHER AS NECESSARY.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "b. SUBCONTRACTOR.": 0 |
| 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.) - Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 1 |
| 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.) - Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| 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.) - Select for "h. REQUIRE A COMSEC ACCOUNT.": 1 |
| 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.) - Select for "h. REQUIRE A COMSEC ACCOUNT.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| 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.) - Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| 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.) - Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| 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: Select for "(1) Sensitive Compartmented Information (SCI).": 1 |
| 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: Select for "(2) Non-SCI.": 1 |
| 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.) - Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| 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.) - Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| 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.) - Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| 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.) - Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 1 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Enter specification for "other." (If more room is needed, continue in Item 13 or on additional page if necessary.): SIPRnet and JWICS access authorized at Government |
facilities only. DCSA accredited secret-level network
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Enter specification for "other." (If more room is needed, continue in Item 13 or on additional page if necessary.): COR: Darrell S. Mason (darrell.s.mason.civ@us.navy.mil)
Division Acquisition Lead: Paula Cooper (Paula.m.cooper13.civ@us.navy.mil)
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| 18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL - Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| 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.) - Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI)." (DoD Components: refer to DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.): 1 |
| 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.) - Select for "m. OTHER.": 0 |
| 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) - Select for "DIRECT": 0 |
| 12. PUBLIC RELEASE - Select for "THROUGH": 1 |
| 12. PUBLIC RELEASE - Enter specification for "through".: Transmissions by non-secure facsimile or email NOT authorized (by Prime of Subcontract(s)) |
| 12. PUBLIC RELEASE - Public Release Authority:: Submit ALL Public Release to: NAWCAD WOLF SAIW |
NAVAIR FORM 5720.10 must be completed and attached.
| 13. SECURITY GUIDANCE - Select to add signature row: |
| 13. SECURITY GUIDANCE - Select to remove last signature row: |
| Reviewing Official’s Office Symbol, phone and email (6): |
**The Solicitation Number for this effort has been updated (previously N00421-25-R-3035).**
**Correction (10k): "Joint Worldwide Intelligence Communications Systems (JWICS)" missing from the previously approved draft.**
Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposia must be submitted to A0N0000 for approval prior to presentation. Unclassified material submitted for public release (that is not to be presented at classified symposia) shall be forwarded for review prior to release as stated in item 12 above. All controlled unclassified and classified technical information shall be appropriately marked with distribution statements as specified in DoDI 5230.24 (Distribution Statements on Technical Documents)
Determination of need-to-know in connection with a classified visit is the responsibility of the individual/host who will disclose the classified information.
All contracts with non-Sensitive Compartmented Information and Non-Compartmented work that may reveal mission-related information of a sensitive activity or sensitive operation should be routed to the NAVAIR SIO for approval.
The COR, TPOC, and Government Security Office, concerning instances of possible loss, compromise, and electronic spillage of classified or controlled unclassified information shall be notified immediately upon discovery and/or no later than 72 hours of discovery.
Block 10.a / 11.h. – Classified COMSEC material is not releasable to contractor employees who have not received a final security clearance at the appropriate level. Cryptologic keying materials and Controlled Cryptographic Items (CCI) are controlled by Department of the Navy, NISPOM, and National Security Agency (NSA) guidelines. The contractor shall be guided by NSA/CSS Policy Manual 3-16 in the control and protection of COMSEC material/information at their facilities. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by DoD National Industrial Security Program Operating Manual (NISPOM) codifying 32 Code of Federal Regulation Part 117, NISPOM Rule, 24 February 2021, Department of the Navy Communications Materials System (CMS-1A) and Command policy and procedures. Written concurrence of the Technical Point of Contact identified in Block 16, or Contracting Officer Representative/Industrial Security Representative is required prior to subcontracting.
Block 10.d – Formerly Restricted Data (FRD) is not releasable to contractor employees who have not received a final security clearance at the appropriate level. Written concurrence of the Technical Point of Contact/Contracting Officer Representative identified in Block 16, or Industrial Security Representative (as applicable) is required prior to subcontracting.
Block 10.e. - National Intelligence Information: The Command Senior Intelligence Officer (SIO) as defined in DoDM 5105.21, Volume 1, 19 October 2012 is the official approving authority for all releases of intelligence information pertaining to NAVAIR contracts and all affiliated sub-contracts. This DD254 is only to be used for work related to NAVAIR platforms and programs and does not apply to non-NAVAIR work.
Per Intelligence Community Standard (ICD) 703-01, 10 September 2015, contractors are not authorized to disclose further or release intelligence to any of their components or employees or to another contractor (including sub-contractors) without the prior written notification and approval of the SIO unless such disclosure or release is authorized in writing at the initiation of the contract as an operational requirement.
In accordance with Department of Defense (DoD) Directive 5148.13, contractor personnel involved in intelligence and intelligence related activities are required to report any significant, highly sensitive matter, or questionable intelligence activities to appropriate government officials.
Block 10.e.(1) - Sensitive Compartmented Information - Contractor will require access to Sensitive Compartmented Information (SCI) in performance of this contract and requires a final Top Secret US. Government Personnel Security clearance based upon a Tier 5 background investigation, T5R or equivalent investigation and SCI Indoctrination. Contractor must provide individuals who are able to achieve and maintain the adjudicative standards set forth in the Intelligence Community Directive (ICD) 704 “Personnel Security Standards and Procedures Governing Eligibility for Access to Sensitive Compartmented Information and Other Controlled Access Program Information,” for continued employment. Contractor must have a CSSO that meet SCI eligibility requirements and is SCI indoctrinated. SCI billets on this contract require approval from the NAWCAD SSO and SIO. Contractor SCI nomination packages will be submitted to the NAWCAD Special Security Office for review and processing. No personnel will be authorized to perform SCI work on this effort, until approved for access by the NAWCAD SSO and SIO. SCI Nomination packages are to be submitted for ALL contractor personnel performing SCI work on this effort regardless of if the individual is already cleared. Before an employee departs, the contractor will ensure the employee goes through the NAWCAD Special Security Office (SSO) to be debriefed.
Access, processing, and storage of SCI information shall be conducted within an approved SCI accredited government facility only. Use of SCI facilities outside of NAVAIR/NAWCAD SSO cognizance requires an approved CUA/JUA. Naval Air Warfare Center Aircraft Division (NAWCAD) SIO has exclusive security responsibility for all SCI material under this contract. NAWCAD SIO is responsible for the release of and access to all Intelligence information/materials under this contract. Any task/delivery orders, with an SCI requirement, awarded under the contract requires a separate task/delivery specific DD254 before SCI is authorized. Further disclosure, to include subcontracting, of SCI is prohibited until receipt of approval from the SCI cleared COR/TPOC, NAWCAD SIO and NAWCAD SSO. Further security guidance is stipulated in the attached NAVAIR Memorandum titled POLICY GOVERNING RELEASE OF INTELLIGENCE TO CONTRACTORS dated 01 MAR 2022. The attached Navy SCI Addendum, dated Dec. 2022, provides necessary guidance for physical, personnel, information, and information systems security measures. The Navy SCI Addendum is part of the SCI security specifications for the contract. DoDM 5105.21, Vol 1-3., 32 Code of Federal Regulation Part 117, NISPOM, DoDM 5200.01 Vol 1-3 and DoDI 5200.48 apply.
In compliance with DoDD 5148.13 paragraph 4.1.e and SECNAVINST 3820.3F, all contractor personnel conducting Intelligence or Intelligence-related activities or supporting those efforts under Department of Defense authorities shall report any Questionable Intelligence Activity (QIA) or Significant or Highly Sensitive Matter (S/HSM) to the Naval Information Warfare Systems Command Intelligence Oversight Program Manager or Senior Intelligence Officer.
Questionable Intelligence Activity (QIA): Any Intelligence or Intelligence-related activity when there is reason to believe such activity may be unlawful or contrary to an Executive Order, Presidential Directive, Intelligence Community Directive, or applicable DoD policy governing that activity.
Significant or Highly Sensitive Matter (S/HSM): An Intelligence or Intelligence-related activity (regardless of whether the Intelligence or Intelligence-related activity is unlawful or contrary to an Executive Order, Presidential Directive, Intelligence Community Directive, or DoD policy), or serious criminal activity by Intelligence personnel, that could impugn the reputation or integrity of the Intelligence Community, or otherwise call into question the propriety of Intelligence activities. Such matters might involve actual or potential:
- Congressional inquiries or investigations.
- Adverse media coverage.
- Impact on foreign relations or foreign partners.
- Systemic compromise, loss, or unauthorized disclosure of protected information.
Block 10.e. (2) – The contractor is authorized access to Non-SCI National Intelligence Information and/or Foreign Intelligence Information on behalf of Rebecca Ahne, NAVAIR Senior Intelligence Officer. A final security clearance at the appropriate level is required for access to Non-SCI National Intelligence Information and/or Foreign Intelligence information. Further security guidance for reproduction, release, retention, return, and destruction of National Intelligence Information is stipulated in the attached NAVAIR Memorandum titled POLICY GOVERNING RELEASE OF INTELLIGENCE TO CONTRACTORS dated 01 MAR 2022. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/ Industrial Security Representative (ISR) (as applicable) is required prior to subcontracting.
Block 10.g – Contractors that are granted access to SCI must be briefed into NATO Secret. Personnel not assigned to a NATO staff position, but requiring access to NATO Secret, must possess the equivalent final U.S. Security Clearance based upon the appropriate Personnel Security Investigation required. A special NATO Briefing is required prior to access. A final security clearance at the appropriate level is required for access to NATO information. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/ Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
Block 10.h – Foreign Government Information (FGI) is not releasable to contractor employees who have not received a final security clearance at the appropriate level. Written concurrence of the Technical Point of Contact/Contracting Officer Representative identified in Block 16, or Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
Block 10.j/11.l – Controlled Unclassified Information including Legacy FOUO and Covered Defense Information (meeting the definition of DFARS Clause 252.204–7012 Safeguarding covered defense information and cyber incident reporting) generated and/or provided under this contract shall be marked and safeguarded as specified in DoD Instruction 5200.48 (Controlled Unclassified Information) (CUI)) available at https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/520048p.PDF. Any product containing Covered Defense Information shall be assigned the appropriate distribution statement using the criteria set forth in DoDI 5230.24 (Distribution Statements on DoD Technical Information); and have this statement displayed per DoDI 5230.24, Enclosure 3-4.
All Covered Defense Information (CDI), Legacy FOUO, and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting CUI/Legacy FOUO/CDI over non-secure e-mail (e.g. not connected to the Navy Marine Corps Intranet through Broadband Unclassified Remote Access System/Virtual Private network), those transmissions are encrypted using Department of Defense Public Key Infrastructure (PKI), or an approved DoD External Certificate Authority, in accordance with Public Key Infrastructure & Public Key Enabling, DoDI 8520.02, 18 May 2023.
Block 10.k – Joint Worldwide Intelligence Communications Systems (JWICS) and Secret Internet Protocol Network (SIPRNet) access authorized. The contractor shall not access, download, or further disseminate any information or data that falls outside the scope and execution of the defined contract requirements. In the event any additional access is required, the Technical Point of Contact/Contracting Officer Representative must modify the requirements for DD Form 254 revision. Contractor shall prepare and submit all required documentation as required by Command policy prior to receiving access.
Secure Terminal Equipment Authorized, Secure Facsimile Required, or Automated Information System Processing Required as appropriate. Use of Secure Terminal Equipment (STE) or vIPer phone for transmission of classified U.S Government information is authorized. Secure Facsimile: Receipt and transmission of Classified Information authorized via Secure Facsimile. Written concurrence of the Industrial Security Representative/Technical Point of Contact, identified in Block 16, or Contracting Officer Representative for Security (as applicable), is required prior to subcontracting.
Block 11.c- Information Systems (IS) shall be protected in accordance with DoDI 8510.01 and/or per guidance in the DoD National Industrial Security Program Operating Manual (NISPOM) codifying 32 Code of Federal Regulation Part 117, NISPOM Rule, 24 February 2021.
Block 11.d-Contractor shall provide adequate storage at their facility for classified hardware. Classified shipments are not to exceed two cubic feet. Larger size shipments require prior coordination with the Facility Security Officer (FSO) to confirm facility storage capacity. Preparation and transmission of material for shipment will be in accordance the DoD National Industrial Security Program Operating Manual (NISPOM) codifying 32 Code of Federal Regulation Part 117, NISPOM Rule, 24 February 2021 and the DoD 5200.01 V3, DoD Information Security Program Manual.
Block 11.f –The contractor shall require access at Bagram, Afghanistan; Manama, Bahrain; Rijeka, Croatia; Stuttgart, Germany; Al Asad Airbase, Iraq; Baghdad, Iraq; Camp Taij, Iraq; Taranto Province, Italy; Kanoya Air Base, Japan; Sasebo, Japan; Yokosuka, Japan; Salalah, Oman; Philippines (Manila, Zamboanga and/or Camp Navarro); Krakow, Poland; Baledogle Air Field (Mogadishu), Somalia; and Thailand (Bangkok, Jordan, Pattaya and/or Phuket); Dubai, UAE; and other countries in Europe, Asia, the Middle East and Africa in performance of this contract.
Block 11.g – To use DTIC services, the contractor must register for an account at http://www.dtic.mil/dtic/registration/contractors/index.html.
Block 11.j – The contractor shall develop, implement, and maintain a facility level OPSEC Program to protect critical information to be used at the contractor facility during the performance of this contract. Contract data requirements list (CDRL) and data item description (DID-DI-MGMT-81999A) are a component of the contract. A draft OPSEC Plan must be submitted to: Commander, Naval Air Systems Command, ATTN: (NAWCAD WOLF (SAIW Division)/17134 Webster Field Rd., Bldg. 8225, St. Inigoes MD, 20684), within 90 days of contract award. A final OPSEC Plan is due 45 days from the date that the draft OPSEC Plan is approved. The Contractor shall be responsible for subcontractor implementation of the OPSEC Program requirements for this contract.
Block 11.k – Contractor shall use approved courier methods per the NSA/CSS Policy Manual 3-16, and/or the Communications Security Materials System (CMS-1) Policy and Procedures Manual, Command policy, or the procedures of the Defense Courier Service for delivery of all COMSEC and/or Top Secret information. When utilizing the Defense Courier Service, the contractor shall forward their USTRANSCOM IMT10 Defense Courier Account Record form to the COR/TPOC to verify clearances and sign Part II.
Specific Security Classification Guidance (SCGs), to include subsequent upgrades/revision(s), applying to classified performance on this contract, shall be provided by the Contracting Officer Representative or Technical Point of Contact, identified in Blk 16, as Government Furnished Information (GFI); and shall be executed by the Contractor without obligation to modify this DD Form 254. If additional security classification is required, contact the COR identified in Blk 16d.
Block 12. – Release of SCI is NOT authorized.
| List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form) - Click on this button to attach a file(s).: |
| NAME & TITLE OF REVIEWING OFFICIAL (6): Darrell Mason, COR |
| NAME & TITLE OF REVIEWING OFFICIAL (6): Eric Bryan, NAWCAD SIO |
| NAME & TITLE OF REVIEWING OFFICIAL (6): J Heath Wilton, NAWCAD SSO |
| 17. CERTIFICATION AND SIGNATURES - h. SIGNATURE : |
| 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.): DoDM 5105.21, Vol 1-3., 32 Code of Federal Regulation Part 117, NISPOM, DoDM 5200.01 Vol 1- and DoDI 5200.48 |
Handling and processing of SCI information at accredited Government facilities only. Use of SCI facilities outside of NAVAIR SSO cognizance requires an approved CUA/JUA.
The attached Navy SCI Addendum, dated Dec. 2022, provides necessary guidance for physical, personnel, information, and information systems security measures. The Navy SCI Addendum is part of the SCI security specifications for the contract.
(Block 11.a. requirement) OPSEC in contract.
| 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.): NAWCAD SIO has exclusive security responsibility for SCI classified material under this contract. DCSA is relieved of security inspection responsibility for all SCI material. DCSA retains oversight/inspection responsibilities for facility clearance requirements and collateral information outside of Navy facilities. |
| 16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC) - a. GCA NAME: Naval Air Warfare Center Aircraft Division |
| 17. CERTIFICATION AND SIGNATURES - d. AAC OF THE CONTRACTING OFFICE (See Instructions): N00421 |
| 17. CERTIFICATION AND SIGNATURES - c. ADDRESS (Include ZIP Code): 17134 Webster Field Rd. |
Bldg. 8225 St. Inigoes MD, 20684
17. CERTIFICATION AND SIGNATURES - c. ADDRESS (Include ZIP Code): 48150 Shaw Road Patuxent River MD 20670
| 16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC) - d. POC NAME: Darrell S. Mason |
| 17. CERTIFICATION AND SIGNATURES - f. TELEPHONE (Include Area Code): 3019958453 |
| 17. CERTIFICATION AND SIGNATURES - f. TELEPHONE (Include Area Code): 3017573251 |
| 17. CERTIFICATION AND SIGNATURES - g. EMAIL ADDRESS (See Instructions): darrell.s.mason.civ@us.navy.mil |
| 17. CERTIFICATION AND SIGNATURES - g. EMAIL ADDRESS (See Instructions): janet.l.brundage.civ@us.navy.mil |
| 17. CERTIFICATION AND SIGNATURES - b. TITLE : Security Specialist |
| 17. CERTIFICATION AND SIGNATURES - i. DATE SIGNED (See Instructions): 20251118 |
File details come from the government source that posted it. Updated .