Attachment 03 DD Form 254_ENG.pdf
PDF 72 KB Posted
- Attached to
- FDRMC ENGINEERING SUPPORT SERVICES
- Solicitation number
- N6817126RN005
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This document is a PDF rendering error message rather than a federal contract opportunity file. The file contains only Adobe Reader troubleshooting instructions and does not include any solicitation documents, contract information, statements of work, pricing details, or other substantive contracting materials. No contract-related content is available for summary.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 09 CDRL_A0003_ODC REPORT.pdf | ||
| Attachment 04 Calculation of Indirect Costs.xlsx | XLSX spreadsheet | |
| Solicitation - N6817126RN005.pdf | ||
| Attachment 08 CDRL_A0002_ROSTER.pdf | ||
| Attachment 07 CDRL_A0001_CO MGMT REPORT.pdf | ||
| Attachment 01 Past Performance Information.doc | DOC document | |
| Attachment 06 QUALITY ASSURANCE SURVEILLANCE PLAN.docx | DOCX document | |
| Attachment 02 Past Performance Questionnaire.docx | DOCX document | |
| Attachment 10 CDRL_A0004_TRIP REPORT.pdf | ||
| Attachment 05 Support for Unloaded Labor Rates and Costs.xlsx | XLSX spreadsheet |
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SAMPLE
PREVIOUS EDITION IS OBSOLETE.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.: |
| a. Facility clearance level. Select one.: 1 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: |
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| Select for "final.": 1 |
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| 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.": 1 |
| Select for "yes.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Enter preceding contract number.: N0018920F3045 |
| 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).: TBD |
| Enter CAGE code of the prime contractor.: TBD |
| Enter CAGE code of the prime contractor.: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: TBD |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: Francesca Testa, Division Security Manager |
FDRMC Naples, Italy PSC 817 Box 11 FPO, AE 09622
DSN: 314-626-2785
FRANCESCA.TESTA.CIV@us.navy.mil
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: Forward Deployed Regional Maintenance Center(s) |
FDRMC Naples, Italy, PSC 817 Box 11, FPO AE 09622 FDRMC Rota, Spain, PSC 819 Box 29, FPO, AE 09645 FDRMC Bahrain, PSC 851, Box 550, FPO, AE 09834
| Enter general unclassified description of this procurement.: ENGINEERING SUPPORT SERVICES IN SUPPORT OF FDRMC AND VARIOUS NAVAL VESSELS IN THE FDRMC AREA OF RESPONSIBILITY. |
| 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.": 1 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "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.": 1 |
| 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.": 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".: Transmissions by non-secure Email is not authorized. |
| Enter public release authority.: Submit ALL Public Releases to:FDRMC PAO - PSC 817 BOX 11, |
FPO AE 09622
| Select to add signature.: |
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| text: Delivery Order# |
THE CONTRACTING OFFICER IS David A. Biggs, david.a.biggs20.civ@us.navy.mil THE CONTRACTING OFFICERS REPRESENTATIVE IS Donna Leap, FDRMC CODE 1160, 314-626-0401, donna.m.leap.civ@us.navy.mil SECURITY POC: Francesca Testa, FDRMC SECURITY MANAGER AT FRANCESCA.TESTA.CIV@US.NAVY.MIL.
COPIES OF PRELIMINARY INQUIRIES OR INVESTIGATION REPORTS OF SECURITY INCIDENTS INVOLVING CLASSIFIED INFORMATION SHALL BE SCANNED AND FORWARDED TO THE FDRMC SECURITY MANAGER (FRANCESCA TESTA) AT FRANCESCA.TESTA.CIV@US.NAVY.MIL.
1B. CONTRACTOR CANNOT STORE CLASSIFIED MATERIAL/INFORMATION UNTIL DCSA HAS GRANTED THE FACILITY
SAFEGUARDING CAPABILITIES.
10G TO FACILITATE POTENTIAL ACCESS TO NATO CLASSIFIED INFORMATION, TO INCLUDE NATO ACCREDITED SIPRNET TERMINALS, ALL DOD MILITARY, CIVILIAN AND CONTRACTOR PERSONNEL WHO ARE BRIEFED ON THEIR REESPONSIBLITIES FOR PROTECTING U.S. CLASSIFIED MILITARY INFORMATION, SHALL ALSO BE BRIEFED ON THE REQUIREMENTS FOR PROTECTINGNATO INFORMATION, PER DEPUTY UNDER SECRETARY OF THE DEFENSE POLICY
SECURITY MEMO OF 5 DEC 01.
10.J / 11.L CONTRACTORS RECEIVING, TRANSMITTING OR ACCESSING CONTROLLED UNCLASSIFIED INFORMATION (CUI) ON OR THROUGH ITS CONTRACTOR INFORMATION SYSTEM(S) MUST SAFEGUARD THE INFORMATION TO AVOID COMPROMISE, INCLUDING BUT NOT LIMITED TO DISCLOSURE OF INFORMATION TO UNAUTHORIZED PERSONS, UNAUTHORIZED MODIFICATION, DESTRUCTION, OR LOSS OF AN OBJECT, OR THE COPYING OF INFORMATION TO UNAUTHORIZED MEDIA, AS REQUIRED PER DFARS SECTION 204.7303 AND 204-7304 INCLUDING CLAUSES 252.204.7008, 252.204.7009 AND 252.204.7312. CONTRACTORS SHALL REPORT TO THE DOD EACH CYBER INCIDENT THAT AFFECTS UNCLASSIFIED CONTROLLED TECHNICAL INFORMATION RESIDENT ON OR TRANSITING CONTRACTOR INFORMATION SYSTEMS IN ACCORDANCE WITH ABOVE REPORTING CRITERIA AND REQUIREMENTS FOR SAFEGUARDING OF UNCLASSIFIED CONTROLLED TECHNICAL INFORMATION. FOR INFORMATION ON HANDLING CUI SEE DoD INSTRUCTION 5200.48 CONTROLLED UNCLASSIFIED INFORMATION (CUI).
11.A CONTRACT PERFORMANCE IS RESTRICTED TO FDRMC LOCATIONS IN NAPLES, ITALY; MANAMA, BAHRAIN;
ROTA, SPAIN; AND US NAVAL VESSELS IN OVERSEAS PORTS. SECURITY CLASSIFICATION GUIDANCE WILL BE
PROVIDED BY FDRMC.
11.F ACCESS TO CLASSIFIED U.S. GOVERNMENT INFORMATION MAY BE REQUIRED AT THE FOLLOWING OVERSEAS LOCATIONS: LOCATIONS IN NAPLES, ITALY; MANAMA, BAHRAIN; ROTA, SPAIN; AND US NAVAL VESSELS IN OVERSEAS PORTS. ANTI-TERRORISM/FORCE PROTECTION BRIEFINGS ARE REQUIRED FOR ALL PERSONNEL (MILITARY, DOD CIVILIAN, AND CONTRACTOR) PRIOR TO COMMENCEMENT OF FOREIGN TRAVEL. THE BRIEFING IS ALSO AVAILABLE AT HTTPS://TWMS.NAVY.MIL/SELFSERVICE. SERE 100.2 LEVEL A CODE OF CONDUCT TRAINING IS ALSO REQUIRED PRIOR TO OCONUS TRAVEL FOR ALL PERSONNEL. SERE 100.2 TRAINING CAN BE ACCESSED VIA THE
INTERNET - TRAINING IS AVAILABLE AT:
1.NAVY KNOWLEDGE ONLINE (NKO) - HTTPS://WWW.NKO.NAVY.MIL
2. JOINT KNOWLEDGE ONLINE (JKO) - HTTP://JKO.JFCOM.MIL
3. HTTPS://JKODIRECT.JTEN.MIL/ATLAS2/FACES/PAGE/LOGIN/LOGIN.SEAM
RECOMMEND COURSE NUMBER: J3T: COURSE #: A-US1329
COUNTRY SPECIFIC TRAINING IS REQUIRED FOR EACH DESTINATION YOU INTEND TO VISIT. SPECIALIZED TRAINING FOR SPECIFIC LOCATIONS, SUCH AS SOUTHCOM HUMAN RIGHTS, OR U.S. FORCES KOREA ENTRY TRAINING, MAY
ALSO BE REQUIRED.
11.J THE CONTRACTOR IS REQUIRED TO PROTECT CRITICAL INFORMATION ASSOCIATED WITH THIS CONTRACT TO PREVENT UNAUTHORIZED DISCLOSURE AND SHALL OBSERVE OPSEC REQUIREMENTS. ALL WORK IS TO BE PERFORMED IN ACCORDANCE WITH DOD AND NAVY OPERATIONS SECURITY (OPSEC) REQUIREMENTS AND IN ACCORDANCE WITH THE FDRMC OPSEC INSTRUCTIONS AND CRITICAL INFORMATION LIST (CIL).
| Click on this button to attach a file(s).: |
| rep: Francesca Testa |
Division Security Manager
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: |
| Enter GCA name.: NAVSUP Fleet Logistics Center, Sigonella |
| Enter AAC of the contracting office.: N68171 |
| Enter address (include zip code).: PSC 817 BOX 50 |
FPO, AE 09622
| Enter POC name.: Donna Leap |
| Enter telephone number (include area code).: 3146260401 |
| Enter email address.: donna.m.leap.civ@us.navy.mil |
| Enter title.: |
| Enter the datesigned in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .