Attachment 1 - DD 254.pdf

CLASSIFICATION (When filled in): Unclassified

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DD FORM 254, APR 2018

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:

October 31, 2020

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)

Top Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Top Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

Request for Proposal, Not Valid for Performance

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N00421-20-R-0146

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20210325

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

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.

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

Request for Proposal, Not Valid for Performance

b. CAGE CODE

N/A

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

N/A

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) Add Row Remove last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE

N/A

b. CAGE CODE

N/A

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

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows

a. LOCATION(S) (For actual performance, see instructions.)

Naval Air Warfare Center Aircraft Division (NAWCAD) Webster Outlying Field (WOLF), St. Inigoes, MD

b. CAGE CODE (If applicable, see Instructions.)

N/A

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

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Contract is for Special Communications Mission Solutions (SCMS) Division Special Communication Rapid Integration Facility (SCRIF) production, engineering, integration, and installation support for the development, kitting, assimilation, verification, logistics support, in-service support, and program planning of Command, Control, Communications, Computers, Intelligence, Surveillance, and Reconnaissance (C5ISR) equipment.

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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.)

SIPRNet, STE, Secure Fax Access Authorized

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)

Transmissions by non-secure facsimile or E-mail is NOT authorized (by Prime or subcontractor(s))

Public Release Authority:

Submit ALL Public Releases to: NAWCAD WOLF (SCMS) Div.

NAVAIR FORM 5720.10 must be completed and attached.

13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures

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.)

Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposia must be submitted to AIR-7.4.1 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) http://www.dtic.mil/whs/directives/corres/pdf/523024p.pdf.

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 STILO for approval.

The COR, TPOC, and Government Security Office, concerning instances of possible loss, compromise, and electronic spillage of classified

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or controlled unclassified information shall be notified immediately upon discovery and/or no later than 72 hours of discovery.

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 5520.22-M, EKMS 1 (series) and Command policy and procedures.

Written concurrence of the Technical Point of Contact identified in Block 16, or Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.

10e (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 15 MAY 2019. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/ Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.

10.g – 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.

10.h –No contractor access to Foreign Government Information required (Secret Internet Protocol Network (SIPRNet) access requirement only). If additional access via SIPRNet is required, the Technical Point of Contact/Contracting Officer Representative must modify/revise the requirements of DD254 for access to Foreign Government Information.

10.j – Controlled Unclassified Information including Legacy FOUO and Covered Defense Information (meeting the definition of 48 CFR 252.204–7012(a)) 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 Technical Documents); 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, 24 May 2011.

10.k – 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. 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.

10k -Use of Secure Terminal Equipment (STE) 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 Contracting Officer Representative/Technical Point of Contact, identified in Block 16, or Contracting Officer Representative for Security (as applicable), is required prior to subcontracting.

11.c - Information Systems (IS) shall be protected in accordance with DoDI 8510.01 and/or per guidance in the DoD National Industrial Security Operating Manual (NISPOM).

The following Security Classification Guide apply to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer Security Representative (as applicable) as Government Furnished Information (GFI) and shall be executed by the Contractor without obligation to modify this DD Form 254.

UNITED STATES SPECIAL OPERATIONS COMMAND SECURITY CLASSIFICATION GUIDE FOR SPECIAL OPERATIONS

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FORCES TACTICAL RADIO PROGRAM (STC) dated 27 October 2014.

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 shipment will be in accordance the DoD National Industrial Security Operating Manual (NISPOM), and the DoD 52001.01 V3. DoD Information Security Program Manual.

11.f - The contractor shall require access at OCONUS locations in Afghanistan, Iraq, United Arab Emirates, Germany, Italy, Great Britain, Korea, Japan, Canada, in performance of this contract.

11.g - To use DTIC services, the contractor must register for an account at http://www.dtic.mil/dtic/registration/contractors/index.html.

11.i - TEMPEST information is not releasable to contractor employees who have not received a final security clearance at the appropriate level. The TEMPEST Requirements Questionnaire shall be submitted to the SPAWAR TEMPEST IPT in accordance with OPNAVINST C5510.93F, Navy Implementation of National Policy on Control of Compromising Emanations. Written concurrence of the Technical Point of Contact identified in block 16, or the Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.

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-81999) are a component of the contract. A draft OPSEC Plan must be submitted to: Commander, Naval Air Systems Command, ATTN: Special Communications Mission Solutions (SCMS) Division 17100 Webster Field Road, Bldg. 8185, St. Inigoes, MD 20684-4009, 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.

11.k - Contractor shall use approved courier methods per the NSA/CSS Policy Manual 3-16, and/or the EKMS 1E (series) Policy and Procedures for Navy Tiers 2 & 3, 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.

If additional security classification assistance is required, please contact COR/TPOC listed in block 16

**********************************END ADDITIONAL DATA SHEET FOR DD FORM 254****************************

List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

2019 DD254 STILO Memorandum 15MAY2019.pdf

Add Attachment View Selected Attachment Remove Selected Attachment

NAME & TITLE OF REVIEWING OFFICIAL

Pete Crosby, NAWCAD SIO

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.)

OPSEC CDRL in contract

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

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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

Naval Air Warfare Center Aircraft Division

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

N00421

c. ADDRESS (Include ZIP Code) Naval Air Warfare Center Aircraft Division 17100 Webster Field Road, B8185 St. Inigoes, MD 20684-4009

d. POC NAME

Johnny Trifone

e. POC TELEPHONE (Include Area Code)

+1 (301) 995-6007

f. EMAIL ADDRESS (See Instructions) johnny.trifone@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)

Davis, Mark A

b. TITLE

Contracting Officer's Security Representative (COSR)

c. ADDRESS (Include ZIP Code) Commander, Naval Air Warfare Center Aircraft Division Bldg. 2272, Rm. 074, Attn: Industrial Security 47123 Buse Road, Patuxent River, MD 20670

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N00421

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (301) 342-6045

g. EMAIL ADDRESS (See Instructions) mark.a.davis@navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20210330

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.)

See Item 16

TEMPEST REQUIREMENTS QUESTIONNAIRE

(FOR NAVY AND MARINE CORPS FACILITIES)

1. Should the criteria of OPNAVINST C5510.93F apply, provide the following requested data and submit to:

COMMANDING OFFICER

NAVAL INFORMATION WARFARE CENTERS

CODE 59440

PO BOX 190022

NORTH CHARLESTON SC 29419-9022

2. Provide the name, address, position title and phone number (at the facility where classified processing will occur) of a point of contact who is knowledgeable of the processing requirements, the types of equipment to be used and the physical layout of the facility.

3. Provide the specific geographical location, address and zip code, where classified processing will be performed.

4. What are the classification level(s) of material to be processed/handled by electronic or electromechanical information system(s) and what percentage is processed at each level?

5. What special categories of classified information are processed?

6. Is there a direct connection (wireline or fiber) to a Radio Frequency (RF) transmitter(s) located either locally or at a remote site?

7. Are there any RF transmitters located within 6 meters of the system processing National Security Information or the system’s RED signal lines?

8. Describe how access is controlled to your facility including the building, compound, plant, property, and/or parking lots. Where are visitors first challenged/identified? Include controls such as alarms, guards, patrols, fences and warning signs. Provide a simple block diagram of the equipment, the facility and the surrounding areas. The diagram(s) should extend out to the nearest uncontrolled area on each side of the facility, such as a military base perimeter, plant property line, commercial building or residential area.

9. Are there other tenants in the building who are not U.S. department/agencies or their agents?

10. Are there any known foreign business or government offices in adjacent buildings?

11. Provide the make and model number of all equipment used to process, transfer or store classified information. Include computers, peripherals, network servers, network hardware, multiplexers, modems, encryption devices (COMSEC), etc.

12. Have on-site TEMPEST tests been conducted on any of these equipment(s)? If so, which ones? When was the test(s) conducted? Who conducted the test(s)? Have all deficiencies (if any) been resolved?

13. Has a TEMPEST Facility Zoning test been conducted? If so, who conducted the testing and when?

TEMPEST REQUIREMENTS QUESTIONNAIRE

(FOR CONTRACTOR FACILITIES)

1. This TEMPEST Requirements Questionnaire (TRQ) must be completed and sent to the contracting authority and the Certified TEMPEST Technical Authority (CTTA) within 30 days after contract award for all contracts where classified National Security Information (NSI) will be processed and the requirements of item 13 of the DD Form 254 have been met.

2. The prime contractor cannot pass TEMPEST requirements to subcontractors.

Subcontractors must submit a Contractor TRQ prior to processing.

3. The TRQ is for information collection only. It is not a directive or an implied requirement, nor is it an encouragement to procure TEMPEST equipment or any type of shielding for use on this contract. DO NOT initiate any changes to equipment of facilities for TEMPEST unless it has been recommended by the CTTA and specifically directed by the contracting authority.

4. The contracting authority will not issue any directives concerning TEMPEST until after the contractor submitted TRQ has been evaluated by the CTTA and resulting recommendations received. To fully evaluate the TRQ, the CTTA may request additional information concerning the facility, its physical control, the equipment which will be used to process NSI, etc.

5. The contractor shall ensure compliance with any TEMPEST countermeasure(s) specifically directed in writing by the contracting authority.

6. Please answer the following questions promptly and return the information to the contracting authority identified in item 16 of the DD Form 254 and to the CTTA at:

7. Provide the name, address, position title and phone number (at the facility where classified processing will occur) of a point of contact who is knowledgeable of the processing requirements, the types of equipment to be used and the physical layout of the facility.

8. Provide the specific geographical location, address and zip code, where classified processing will be performed.

9. What are the classification level(s) of material to be processed/handled by electronic or electromechanical information system(s) and what percentage is processed at each level?

10. What special categories of classified information are processed?

11. Is there a direct connection (wireline or fiber) to a Radio Frequency (RF) transmitter(s) located either locally or at a remote site?

12. Are there any RF transmitters located within 6 meters of the system processing National Security Information or the system’s RED signal lines?

13. Describe how access is controlled to your facility including the building, compound, plant, property, and/or parking lots. Where are visitors first challenged/identified? Include controls such as alarms, guards, patrols, fences and warning signs. Provide a simple layout of the facility and adjacent uncontrolled areas, if available.

14. Are there other tenants in the building who are not U.S. department/agencies or their agents?

15. Are there any known foreign business or government offices in adjacent buildings?

16. Provide the make and model number of all equipment used to process, transfer or store classified information. Include computers, peripherals, network servers, network hardware, multiplexers, modems, encryption devices (COMSEC), etc.

17. Have on-site TEMPEST tests been conducted on any of these equipment(s)? If so, which ones? When was the test(s) conducted? Who conducted the test(s)? Have all deficiencies (if any) been resolved?

18. Has a TEMPEST Facility Zoning test been conducted? If so, who conducted the testing and when?

19. Is this company foreign-owned or controlled? If so, what is the country?

20. Provide the name, code, telephone number and address of the contracting officer’s representative, the contract number and the sponsoring command.

DRAFT

SAMPLE

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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:

October 31, 2020 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.)

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 List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) 2019 DD254 STILO Memorandum 15MAY2019.pdf 2016TEMPESTQuestionnaireCurrentCy509.pdf

Request for Proposal, Not Valid for Performance Name:

N/A

N/A

CSO:

N/A

CSO:

N/A

Naval Air Warfare Center Aircraft Division (NAWCAD) Webster Outlying Field (WOLF), St. Inigoes, MD

See Item 16

NAVAIR FORM 5720.10 must be completed and attached.

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 STILO 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.

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 5520.22-M, EKMS 1 (series) and Command policy and procedures. Written concurrence of the Technical Point of Contact identified in Block 16, or Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.

10e (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 15 MAY 2019. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/ Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.

10.g – 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.

10.h –No contractor access to Foreign Government Information required (Secret Internet Protocol Network (SIPRNet) access requirement only). If additional access via SIPRNet is required, the Technical Point of Contact/Contracting Officer Representative must modify/revise the requirements of DD254 for access to Foreign Government Information.

10.j – Controlled Unclassified Information including Legacy FOUO and Covered Defense Information (meeting the definition of 48 CFR 252.204–7012(a)) 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 Technical Documents); 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, 24 May 2011.

10.k – 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. 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.

10k -Use of Secure Terminal Equipment (STE) 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 Contracting Officer Representative/Technical Point of Contact, identified in Block 16, or Contracting Officer Representative for Security (as applicable), is required prior to subcontracting.

11.c - Information Systems (IS) shall be protected in accordance with DoDI 8510.01 and/or per guidance in the DoD National Industrial Security Operating Manual (NISPOM).

The following Security Classification Guide apply to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer Security Representative (as applicable) as Government Furnished Information (GFI) and shall be executed by the Contractor without obligation to modify this DD Form 254.

UNITED STATES SPECIAL OPERATIONS COMMAND SECURITY CLASSIFICATION GUIDE FOR SPECIAL OPERATIONS FORCES TACTICAL RADIO PROGRAM (STC) dated 27 October 2014.

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 shipment will be in accordance the DoD National Industrial Security Operating Manual (NISPOM), and the DoD 52001.01 V3. DoD Information Security Program Manual.

11.f - The contractor shall require access at OCONUS locations in Afghanistan, Iraq, United Arab Emirates, Germany, Italy, Great Britain, Korea, Japan, Canada, in performance of this contract.

11.g - To use DTIC services, the contractor must register for an account at http://www.dtic.mil/dtic/registration/contractors/index.html.

11.i - TEMPEST information is not releasable to contractor employees who have not received a final security clearance at the appropriate level. The TEMPEST Requirements Questionnaire shall be submitted to the SPAWAR TEMPEST IPT in accordance with OPNAVINST C5510.93F, Navy Implementation of National Policy on Control of Compromising Emanations. Written concurrence of the Technical Point of Contact identified in block 16, or the Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.

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-81999) are a component of the contract. A draft OPSEC Plan must be submitted to: Commander, Naval Air Systems Command, ATTN: Special Communications Mission Solutions (SCMS) Division 17100 Webster Field Road, Bldg. 8185, St. Inigoes, MD 20684-4009, 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.

11.k - Contractor shall use approved courier methods per the NSA/CSS Policy Manual 3-16, and/or the EKMS 1E (series) Policy and Procedures for Navy Tiers 2 & 3, 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.

If additional security classification assistance is required, please contact COR/TPOC listed in block 16

**********************************END ADDITIONAL DATA SHEET FOR DD FORM 254****************************

17100 Webster Field Road, B8185 St. Inigoes, MD 20684-4009 Address: Commander, Naval Air Warfare Center Aircraft Division Bldg. 2272, Rm. 074, Attn: Industrial Security 47123 Buse Road, Patuxent River, MD 20670