Attachment_1_Contract Security Classification Specification DD Form 254.pdf
PDF 66 KB Posted
- Attached to
- Engineering, Ship Installation Drawing Support
- Solicitation number
- N42158-20-R-N001
About this file
This Department of Defense Contract Security Classification Specification (DD Form 254) outlines classified information access requirements for a Navy engineering and technical services contract. The contractor will require access to Confidential information, including Naval Nuclear Propulsion Information, and must provide a facility clearance and safeguarding measures. All personnel accessing classified data must be U.S. citizens with a final Confidential clearance. The contractor and any subcontractors shall comply with Department of Defense Operations Security requirements and develop an Operations Security Plan. The government contracting activity is the Naval Sea Systems Command Norfolk Naval Shipyard, with proposals due by April 15, 2020 to the specified points of contact.
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DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of AEM LiveCycle Designer
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:
May 31, 2022 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
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| Classification: |
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| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2 |
| Choose Yes or No: 0 |
| Choose Yes or No: 1 |
| Prime: |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Sub: |
| Choose Yes or No: 1 |
| Choose Yes or No: 0 |
| Soli: N4215820RN001 |
| DueDate: |
| dateA: 2020-03-20 |
| RevisionNum: |
| dateB: |
| Final: |
| dateC: |
| No: 1 |
| No: 1 |
| No: 0 |
| No: 0 |
| Yes: 0 |
| Yes: 0 |
| Yes: 1 |
| Yes: 1 |
| Enter your name here.: |
| ReqDated: |
| Enter your name here.: |
| Name: |
| Cage: |
| CSO: |
| addrow: |
| Removerow: |
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| Location: |
| Block9: Engineering and Technical services in support of COde 200, Norfolk Naval Shipyard (NNSY), Portsmouth, Virginia 23709-N42158 |
| a: 0 |
| a: 0 |
| a: 1 |
| f: 0 |
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| c: 1 |
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| h: 0 |
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| d: 0 |
| d: 0 |
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| i: 0 |
| i: 0 |
| SCI: 0 |
| NonSCI: 0 |
| j: 1 |
| j: 1 |
| k: 1 |
| k: 0 |
| Enter your name here.: NNPI, UNNPI, CONFIDENTIAL |
| e: 0 |
| e: 1 |
| l: 0 |
| m: 0 |
| direct: 0 |
| thru: 1 |
| Enter your name here.: Commander, Norfolk Naval Shipyard |
| PublicAuthority: |
| AddSig: |
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| text: ALL PERSONNELL ACCESSING CLASSIFIED INFORMATION ON THIS CONTRACT MUST BE A U.S. CITIZEN AND POSSESS |
A FINAL DOD CLEARANCE OF AT LEAST CONFIDENTIAL. THE CONTRACTOR SHALL PROVIDE AND MAINTAIN A SYSTEM OF ADEQUATE SECURITY CONTROLS AS SET FORTH IN THE NATIONAL INDUSTRIAL SECURITY PROGRAM OPERATING MANUAL (NISPOM) DOD 5220.22-M. THE CONTRACTOR, AND ANY SUB-CONTRACTORS, SHALL ALSO COMPLY WITH THE DOD OPERATIONS SECURITY (OPSEC) PROGRAM MANUAL, DOD 5205.02-M, AND THE
CONTRACTOR OPSEC PLAN.
H-18 NAVSEA 5252.227-9100 PROTECTION OF NAVAL NUCLEAR PROPULSION
INFORMATION (JAN 1986) (MODIFIED) (JUN 2013)
(a) During the performance of this contract Naval Nuclear Propulsion Information (NNPI) may be developed or used. Naval Nuclear Propulsion Information is defined as that information and/or hardware concerning the design, arrangement, development, manufacturing,testing, operation, administration, training, maintenance, and repair of the propulsion plants of Naval Nuclear Powered Ships including the associated shipboard and shore-based nuclear support facilities. Appropriate safeguards must be proposed by the Contractor and approved by the Contracting Officer for Security for the safeguarding from actual, potential or inadvertent release by the Contractor, or any subcontractor, of any Naval Nuclear Propulsion Information in any form, classified or unclassified. Such safeguards shall ensure that only Governmental and Contractor parties, including subcontractors, that have an established need-to-know, have access in order to perform work under this contract, and then only under conditions which assure that the information is properly protected. Access by foreign nationals or immigrant aliens is not permitted. A foreign national or immigrant alien is defined as a person not a U.S. citizen or a U.S. National. U.S. citizens representing a foreign government, foreign private interest or other foreign nationals, are considered to be foreign nationals for industrial security purposes, and the purpose of this restriction. In addition, any and all issue or release of such information beyond such necessary parties, whether or not ordered through an administrative or judicial tribunal, shall be brought to the attention of the Contracting Officer for Security.
(b) The Contracting Officer for Security shall be immediately notified of any litigation, subpoenas, or requests which either seek or may result in the release of NNPI.
(c) In the event that a court or administrative order makes immediate review by the Contracting Officer for security impractical, the Contractor agrees to take all necessary steps to notify the court or administrative body of the Navy's interest in controlling the release of such information through review and concurrence in any release.
(d) The Contracting Agency reserves the right to audit Contractor facilities for compliance with the above restrictions.
(e) Exceptions to these requirements may only be obtained with prior approval from the Commander, Naval Sea Systems Command (Contact SEA 00P3).
All involved in the contracting and acquisition process should be knowledgeable of OPSEC-related contract requirements at NNSY. When a contract involves classified, critical, or sensitive information, an OPSEC Plan will be required IAW SECNAVINST 3070.2 and
NAVSEA INST 3432.1A.
Item: 10(k) Processing of NNPI on non-federal IT systems requires NAVSEA 08 authorization per OPNAVINST N9210.3, using the procedures identified in NAVSEA ltr 08B/19-03823, dated 2 August 2019.
Item: 10(k) The contractor must provide a copy of subcontractor DD254s issued under this contract, where NNPI is shared, to NAVSEA 08 Security, via the POC in Block 17 of this DD254.
| Click on this button to attach a file(s).: |
| rep: |
| Sig: |
| Enter your name here.: Item: 10(k) NNPI/UNNPI/CONFIDENTIAL: Access to NNPI/UNNPI/CONFIDENTIAL is required for this contract; (U) OPNAVINST, N9210.3 Safeguarding of Naval Nuclear Propulsion |
Information (NNPI) 6/7/2010 applies.
| Enter your name here.: Item: 10(k) NNPI/UNNPI/CONFIDENTIAL: NAVSEA 08 maintains authority to inspect for protection of NNPI/UNNPI/CONFIDENTIAL. |
| GCAName: NNSY Service Contracts Division, Code 410 |
| AAC: N42158 |
| Address: Norfolk Naval Shipyard |
Service Contracts Division, Code 400
| POCName: |
| Phone: |
| Email: |
| Title: |
| Enter the date using the format DD-Mon-YYYY: |
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