Attachment 2 - DD 254.pdf

CLASSIFICATION (When filled in): Unclassified

PREVIOUS EDITION IS OBSOLETE. Page 1 of 5

AEM LiveCycle Designer

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:

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N00167-23-R-0xxx

DUE DATE (YYYYMMDD)

20230501

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20230612

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

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

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

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

NSWC Carderock Division Fort Lauderdale Detachment 91 North Beach Road Dania Beach, FL 33004-3035

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

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

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

NSWCCD Detachment Dania, FL, (Code 756), also known as the South Florida Ocean Measurement Facility (SFOMF), requires technical and administrative services in support of South Florida Waterfront and Maritime Operations (SFWMO). Service requirements include support for operating and maintaining data acquisition systems, providing deck crew onboard a multipurpose vessel, installing, maintaining, and repairing shore based sensors and systems, operating, maintaining and repairing small boats, forklifts, and various vehicles such as a golf cart.

Maintaining and repairing remote operated vehicles (ROV), equipment shelters, and corrosion research equipment, weight handling equipment (WHE), observation towers, and tracking systems for SFOMF RDT&E activities. Providing these diverse services requires coordination between SFOMF and other on-site contractors (e.g. Logistics contract). Although most of these services can be scheduled in advance, sometimes services are required with little advance notice (i.e., emergent support/services).

PREVIOUS EDITION IS OBSOLETE. Page 2 of 5

AEM LiveCycle Designer

DD FORM 254, APR 2018

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

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) Public Release Authority:

No Public Release Authorized

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.)

COR: Kameron Corregan (954) 926-4009; CPOC: Charles Renno (619) 553-7502

Item: 10(i). ACCM: Shall be authorized by SUB073 (SSIPO) and/or PMS 450

Item: 10(i). Access to ACCM by contractor personnel performing on this contract shall be on a case-by-case basis. Individual requests shall be submitted to the program sponsor for review and approval. Associated guidance will be provided by the program sponsor and shall be based on strict need-to-know. ACCM documents and materials shall be marked as specified in DoDM 5200.01, Volume 2, Enclosure 4 dtd February 24, 2012; Incorporating Change 3, Effective May 14, 2019.

Item 10(j): Controlled Unclassified Information (CUI) generated and/or provided under this contract shall be checked and safeguarded as specified in DoDM 5200.01, DoD Information Security Program: Controlled Unclassified Information (CUI) Vol. 4, available at http://www.dtic.mil/whs/directives/corres/pdf/520001_vol4.pdf.

PREVIOUS EDITION IS OBSOLETE. Page 3 of 5

AEM LiveCycle Designer

DD FORM 254, APR 2018

Item 10(k) SIPRNet: This contract does not require access to NATO classified information and there is not a need to know for NATO classified information. Personnel assigned to this contact who require access to SIPRNet and/or SIPRNet Backbone equipment must receive a NATO security briefing, derivative classification, and OPSEC training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure all personnel receive an initial and annual NATO security briefing and derivative classification training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information System Security Manager (ISSM) no later than the individual's due date. The contractor shall not use the SIPRNet for anything except that which is required for this contract.

Item 11(a): All classified information/material shall be provided by the contractor facility or Government Contracting Activity (GCA) and safeguarded at the approved actual performance sites.

Item 11(j): The Contractor shall utilize NSWC Carderock Division (NSWCCD) Critical Information and Indicators List to help identify and protect critical information associated with this contract.

Item 11(j): Continued: During the period of this contract, the Contractor may be exposed to, use, or produce, NSWCCD Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. NSWCCD CI will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI).

Item 11(j): Continued: Assembled large components/systems being transported to and from testing areas, other production or government facilities (whether or not on public roadways) shall be in an enclosed van trailer or covered flatbed trailer. Component/System outside storage, staging, and test areas shall be shielded/obscured from public view wherever physically possible.

Item 11(j): Continued: NSWCCD CI shall not be publicized in corporate wide newsletters, trade magazines, displays, intranet pages or public facing websites. Media requests related to this project shall be directed to NSWCCD Public Release Authority listed in Item 17 of the DD Form 254.

Item 11(j): Continued: Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise of government Classified or CI, Business Sensitive and Company Proprietary information related to this contract or other programs must be immediately reported to the Facility Security Officer, DCSA and/or the Naval Criminal Investigative Service, and NSWC Carderock Security Code 105. Questions concerning these requirements should be directed to NSWC Carderock Security Code 105.

Item 11(j): Continued: Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of DoD 5220.22- M, National Industrial Security Program Operating Manual, 32 CFR part 117 therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NSWCCD approves the OPSEC requirements.

Item 11(l): Legacy information from existing documents (e.g. Technical Manuals) marked For Official Use Only or FOUO, that is used to create a new document/correspondence, shall follow the minimum marking requirements of DoDI 5200.48, Section 3, paragraph 3.4.a, and include the acronym "CUI" in the banner and footer of the document.

-Item 11(l). Continued: Nonfederal information systems storing and processing CUI shall be protected per NIST SP-800-171, Protecting Controlled Unclassified Information in Nonfederal Systems and Organizations or subsequent revisions.

-Item 11(l). Continued: Sanitize or destroy CUI media digital and non-digital associated with this contract in accordance with organizational policies and procedures; and NIST SP 800-171. Digital media sanitization includes clearing, purging, cryptographic erase, and destruction, etc. Paper media must be destroyed in a way rendering it unreadable, indecipherable, and irrecoverable (cross-cut shredder, burning, melting, pulping, a certified commercial destruction vendor, etc.).

-Item 11(l). Continued: All transmissions to personal email accounts (AOL, Yahoo, Hotmail, Comcast, etc.) and posting on social media websites (Facebook, Instagram, Twitter, LinkedIn, etc.) are prohibited.

a. The following Security Classification Guides (SCGs), or subsequent revisions, apply to this contract. Subsequent revisions shall be provided by the Government Contracting Activity as Government Furnished Information and shall be executed by the Contractor at no additional cost to the government. Should additional SCGs be identified during the span of contract performance, GCA will provide the SCGs when identified.

-OPNAVINST S5513.7D SCG 07-07

b. Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NSWCCD Contracting Officer's Representative prior to the presentation.

c. SCGs and controlled unclassified information (e.g., FOUO or distribution statement controlled) are not authorized for public release.

PREVIOUS EDITION IS OBSOLETE. Page 4 of 5

AEM LiveCycle Designer

DD FORM 254, APR 2018

Documents of this type cannot be posted on a publicly accessible websites or transmitted over the internet unless appropriately encrypted.

Request for public release cannot be transmitted via the internet until the contractor receives final approval from NSWCCD Security Office (Code 105).

d. Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to the NSWCCD Security Office (Code 105), identified in Item 17a of this form.

e. Personnel designated as derivative classifiers shall receive derivative classification training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure personnel receive initial and biennial training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information Assurance Manager, via the COR, no later than the individual's due date.

f. All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

g. All classified information involved in security incidents shall be retained and provided to the certifying official in Item 17a of this DD254 for classification review.

h. All security related issues, incidents, or requests pertaining to this contract shall be presented in writing by the contractor's FSO to the individual identified in Item 17a of this DD254. The contractor shall abide by other reporting requirements outlined in the NISPOM.

i. Forward a copy of all (existing or proposed) subcontractor(s) DD254 issued under this contract to the official shown in Item 17a of this

DD254.

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

Item: 10(i). Access to ACCM is approved for this contract. NAME & TITLE OF REVIEWING OFFICIAL

James H. Zeigler (70812) ACCM Safeguard Administrator

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.)

Item: 10(i). “NAVSEA INSTRUCTION S5510.18 SECURITY POLICY FOR STEALTH PERFORMANCE DATA WITH ALTERNATIVE COMPENSATORY CONTROL MEASURES (ACCMs) applies.”

Item: 10(i). FP/ACCM: This contract requires access to information subject to Alternative Compensatory Control Measures (ACCMs) as identified in Item 10(i), FP/ACCM. Chairman of the Joint Chiefs of Staff Manual CJCSM 3213.02C dtd 31 March 2009 The Joint Staff Focal Point (FP) Program applies.

OPSEC requirements are imposed on this task. Refer to Item: 13 of this DD Form 254 for applicable guidance. These OPSEC requirements cannot be imposed on subcontractors without written consent from the NSWCCD OPSEC Program Manager. These requirements shall not be imposed at an additional cost to the government.

15. INSPECTIONS

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

No Yes If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item

13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted.

(See instructions for additional guidance or use of the fillable PDF.)

Item: 10(i). FP/ACCM: This contract requires access to information subject to Alternative Compensatory Control Measures (ACCMs) as identified in Item 10(i), FP/ACCM. Information controlled under the ACCM policy is subject to inspection in accordance with Item 14.

DCSA retains CSO authority and shall be afforded access to ACCM information as necessary to fulfill its responsibility as described in

NAVSEAINST S5510.18.

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

a. GCA NAME

NSWCCD

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

N00167

c. ADDRESS (Include ZIP Code) 9500 MacArthur Blvd.

Bethesda, MD 20817

d. POC NAME

Charles Renno

e. POC TELEPHONE (Include Area Code)

+1 (619) 553-7502

f. EMAIL ADDRESS (See Instructions) charles.l.renno.civ@us.navy.mil

17. CERTIFICATION AND SIGNATURES

PREVIOUS EDITION IS OBSOLETE. Page 5 of 5

AEM LiveCycle Designer

DD FORM 254, APR 2018

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)

Wallmark, Adam M.

b. TITLE

Cognizant Security Officer

c. ADDRESS (Include ZIP Code) 9500 MacArthur Blvd.

Bethesda, MD 20817

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N00167

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (703) 582-4135

g. EMAIL ADDRESS (See Instructions) adam.m.wallmark.civ@us.navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20230612

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.)

COR/CPOC

ACCM (SUB073, PMS 450)

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

Fort Lauderdale Detachment 91 North Beach Road Dania Beach, FL 33004-3035

ACCM (SUB073, PMS 450)

Item: 10(i). ACCM: Shall be authorized by SUB073 (SSIPO) and/or PMS 450

Item: 10(i). Access to ACCM by contractor personnel performing on this contract shall be on a case-by-case basis. Individual requests shall be submitted to the program sponsor for review and approval. Associated guidance will be provided by the program sponsor and shall be based on strict need-to-know. ACCM documents and materials shall be marked as specified in DoDM 5200.01, Volume 2, Enclosure 4 dtd February 24, 2012; Incorporating Change 3, Effective May 14, 2019.

Item 10(j): Controlled Unclassified Information (CUI) generated and/or provided under this contract shall be checked and safeguarded as specified in DoDM 5200.01, DoD Information Security Program: Controlled Unclassified Information (CUI) Vol. 4, available at http://www.dtic.mil/whs/directives/corres/pdf/520001_vol4.pdf.

Item 10(k) SIPRNet: This contract does not require access to NATO classified information and there is not a need to know for NATO classified information. Personnel assigned to this contact who require access to SIPRNet and/or SIPRNet Backbone equipment must receive a NATO security briefing, derivative classification, and OPSEC training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure all personnel receive an initial and annual NATO security briefing and derivative classification training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information System Security Manager (ISSM) no later than the individual's due date. The contractor shall not use the SIPRNet for anything except that which is required for this contract.

Item 11(a): All classified information/material shall be provided by the contractor facility or Government Contracting Activity (GCA) and safeguarded at the approved actual performance sites.

Item 11(j): The Contractor shall utilize NSWC Carderock Division (NSWCCD) Critical Information and Indicators List to help identify and protect critical information associated with this contract.

Item 11(j): Continued: During the period of this contract, the Contractor may be exposed to, use, or produce, NSWCCD Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. NSWCCD CI will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI).

Item 11(j): Continued: Assembled large components/systems being transported to and from testing areas, other production or government facilities (whether or not on public roadways) shall be in an enclosed van trailer or covered flatbed trailer. Component/System outside storage, staging, and test areas shall be shielded/obscured from public view wherever physically possible.

Item 11(j): Continued: NSWCCD CI shall not be publicized in corporate wide newsletters, trade magazines, displays, intranet pages or public facing websites. Media requests related to this project shall be directed to NSWCCD Public Release Authority listed in Item 17 of the DD Form 254.

Item 11(j): Continued: Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise of government Classified or CI, Business Sensitive and Company Proprietary information related to this contract or other programs must be immediately reported to the Facility Security Officer, DCSA and/or the Naval Criminal Investigative Service, and NSWC Carderock Security Code 105. Questions concerning these requirements should be directed to NSWC Carderock Security Code 105.

Item 11(j): Continued: Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of DoD 5220.22- M, National Industrial Security Program Operating Manual, 32 CFR part 117 therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NSWCCD approves the OPSEC requirements.

Item 11(l): Legacy information from existing documents (e.g. Technical Manuals) marked For Official Use Only or FOUO, that is used to create a new document/correspondence, shall follow the minimum marking requirements of DoDI 5200.48, Section 3, paragraph 3.4.a, and include the acronym "CUI" in the banner and footer of the document.

-Item 11(l). Continued: Nonfederal information systems storing and processing CUI shall be protected per NIST SP-800-171, Protecting Controlled Unclassified Information in Nonfederal Systems and Organizations or subsequent revisions.

-Item 11(l). Continued: Sanitize or destroy CUI media digital and non-digital associated with this contract in accordance with organizational policies and procedures; and NIST SP 800-171. Digital media sanitization includes clearing, purging, cryptographic erase, and destruction, etc. Paper media must be destroyed in a way rendering it unreadable, indecipherable, and irrecoverable (cross-cut shredder, burning, melting, pulping, a certified commercial destruction vendor, etc.).

-Item 11(l). Continued: All transmissions to personal email accounts (AOL, Yahoo, Hotmail, Comcast, etc.) and posting on social media websites (Facebook, Instagram, Twitter, LinkedIn, etc.) are prohibited.

a. The following Security Classification Guides (SCGs), or subsequent revisions, apply to this contract. Subsequent revisions shall be provided by the Government Contracting Activity as Government Furnished Information and shall be executed by the Contractor at no additional cost to the government. Should additional SCGs be identified during the span of contract performance, GCA will provide the SCGs when identified.

-OPNAVINST S5513.7D SCG 07-07

b. Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NSWCCD Contracting Officer's Representative prior to the presentation.

c. SCGs and controlled unclassified information (e.g., FOUO or distribution statement controlled) are not authorized for public release. Documents of this type cannot be posted on a publicly accessible websites or transmitted over the internet unless appropriately encrypted. Request for public release cannot be transmitted via the internet until the contractor receives final approval from NSWCCD Security Office (Code 105).

d. Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to the NSWCCD Security Office (Code 105), identified in Item 17a of this form.

e. Personnel designated as derivative classifiers shall receive derivative classification training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure personnel receive initial and biennial training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information Assurance Manager, via the COR, no later than the individual's due date.

f. All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

g. All classified information involved in security incidents shall be retained and provided to the certifying official in Item 17a of this DD254 for classification review.

h. All security related issues, incidents, or requests pertaining to this contract shall be presented in writing by the contractor's FSO to the individual identified in Item 17a of this DD254. The contractor shall abide by other reporting requirements outlined in the NISPOM.

i. Forward a copy of all (existing or proposed) subcontractor(s) DD254 issued under this contract to the official shown in Item 17a of this DD254.

ACCM Safeguard Administrator

Item: 10(i). FP/ACCM: This contract requires access to information subject to Alternative Compensatory Control Measures (ACCMs) as identified in Item 10(i), FP/ACCM. Chairman of the Joint Chiefs of Staff Manual CJCSM 3213.02C dtd 31 March 2009 The Joint Staff Focal Point (FP) Program applies.

OPSEC requirements are imposed on this task. Refer to Item: 13 of this DD Form 254 for applicable guidance. These OPSEC requirements cannot be imposed on subcontractors without written consent from the NSWCCD OPSEC Program Manager. These requirements shall not be imposed at an additional cost to the government.

Bethesda, MD 20817 Address: 9500 MacArthur Blvd.

Bethesda, MD 20817