Attachment 3 - DD 254.pdf

PDF 637 KB Posted

Attached to
Request for Proposal M67854-23-R-1000 SBNVG
Solicitation number
M67854-23-R-1000
Issued by

View the file

Other files

Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

ADDITIONAL GUIDANCE

DD-254 Contract Number: M67854-23-R-1000

01/10/2023

ADDITIONAL GUIDANCE:

(a) Security Classification Guides (SCGs) required during this contract, if applicable, will be listed in Block 13, Security Guidance. A copy of these orders will be provided to the contractor by MARCORSYSCOM’s Government Contracting Activity (GCA) under separate cover. Only the SCGs listed will be provided.

(b) In the event classified mail is required for program support, provide the tracking number to the CMCC Custodian at MCSC_CMCC@usmc.mil. The CLASSIFIED mailing address is listed below.

Outer Envelope: Inner Envelope:

DEPARTMENT OF THE NAVY DEPARTMENT OF THE NAVY

ATTN CMCC ATTN CMCC POC NAME PROJECT

COMMANDER MCSC COMMANDER MCSC

2200 LESTER STREET 2200 LESTER STREET

QUANTICO VA 22134-5050 QUANTICO VA 22134-5050

OFFICIAL BUSINESS

(c) In addition to the reporting requirements directed by the 32 CFR Part 117 NISPOM, the contractor will provide a concurrent report of loss or compromise of classified information to the CMCC Custodian. The UNCLASSIFIED mailing address is listed below.

DEPARTMENT OF THE NAVY

ATTN CMCC CUSTODIAN

COMMANDER MCSC

2200 LESTER STREET

QUANTICO VA 22134-5050

OFFICIAL BUSINESS

(d) Contractors will conduct a security review and comply with MARCORSYSCOMO 5720.2B, “PUBLIC RELEASE REVIEW PROCESS” prior to entering government information on a home page (contractor or government web page site). A copy of this order will be provided to the contractor by MARCORSYSCOM’s GCA under separate cover.

(e) All contractor personnel performing on this contract will be correctly listed in Defense Information Security System (DISS), and DISS will be utilized for classified visit certifications and shall not exceed a 12 month period.

(f) All MARCORSYSCOM Badges and Common Access Cards (CACs) issued under this contract must be returned immediately to the MARCORSYSCOM AC/S G-2 (Personnel Security, Room 145) upon termination of contract, or individual terminations. When an individual contractor is terminated, for any reason, it is the responsibility of the Facility Security Officer (FSO) to immediately notify the AC/S G-2.

(g) All SIPRNET Tokens issued under this contract must be returned immediately to AC/S G-6 (Bldg 2201A) upon termination of contract, or individual terminations. The FSO shall immediately notify (within 24 hours) the AC/S G-2 when a SIPRNET Token employee is no longer on the contract.

(h) Per the NISPOM rule at 32 CFR, Section 117.13(d)(5); Classified Information Retention: Clarifies for the contractor that upon completion of a classified contract, the ‘‘contractor must return all government provided or deliverable information to the custody of the government.” If retention of the classified information is required after the contract has been completed, the contractor must submit a formal request with justification, and receive retention authority from the GCA. If authorized by the GCA, the contractor may retain the classified material for a predetermined time-frame agreed upon by both parties. A Final DD-254 will be issued by the GCA indicating the contractor’s request date and the retention date which will be indicated on line 5 of the DD-254.

(i) All work performed in support of this contract will follow SECNAVINST 5510.30C, SECNAVINST 5510.36B, and the DoDI 5205.13 (DIB Cyber Security). Additional, work performed within MARCORSYSCOM sites/spaces will follow the COMMAND ORDER 5530.2A (Access Control Order) and MARCORSYSCOMO P5510.2B Security mailto:MCSC_CMCC@usmc.mil https://www.govinfo.gov/content/pkg/FR-2020-12-21/pdf/2020-27698.pdf#page=5

ADDITIONAL GUIDANCE

DD-254 Contract Number: M67854-23-X-XXXX

01/10/2023

Manual for all security guidance and instructions. A copy of these orders will be provided to the contractor by MARCORSYSCOM’s GCA under separate cover.

(j) In addition to this DD-254, the contractor shall comply with the Federal Acquisition Regulation (FAR) clauses 52.204-2, “Security Requirements” and 52.204-21, “Basic Safeguarding of Covered Contractor Information Systems.”

(k) Certain contractors may be issued Courier Cards/Letters by MARCORSYSCOM CMCC Custodian if the classified material is transferred between two Government agencies within Marine Corps Base Quantico (MCBQ). All Courier Advisory forms must be read, signed, and witnessed by the CMCC Custodian. It is the responsibility of the contractor’s parent company to issue courier documentation for any courier actions where the contractor begins or ends their courier duties at their facility, another approved contractor’s facility, or another Government agency.

PREVIOUS EDITION IS OBSOLETE.

Page of

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
SerialNum: M67854-23-R-1000
a. Facility clearance level. Select one.: 2
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2
Select for "original.": 0
Select for "original.": 1
Enter prime contract number.:
Select for "revised.": 0
Select for "revised.": 0
Enter subcontract number.:
Select for "final.": 1
Select for "final.": 0
Enter solicitation or other number.: M67854-23-R-1000
Enter due date in format YYYYMMDD.: 20230522
Enter date in format YYYYMMDD.: 20230216
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.": 0
Select for "no.": 1
Select for "yes.": 1
Select for "yes.": 0
Select for "yes.": 1
Select for "yes.": 0
Enter preceding contract number.: M19-D-1501 M19-F-1501
Enter contractor's request date in format YYYYMMDD.:
Enter period.:
Enter typed name of certifying official (last, first, middle initial).: This DD-254 is for SOLICITATION Purposes Only.

The COR must contact the Security Officer designated in Section 17 with a prime contractor name, CAGE Code and contract number as soon as possible to ensure a revised DD-254 is prepared and ready for contract award.

Enter typed name of certifying official (last, first, middle initial).: Forward a copy of ALL SIGNED Sub-DD-254s to the Security Officer designated in Block 17.

Enter typed name of certifying official (last, first, middle initial).: Newton, Dana M.
Enter CAGE code of the prime contractor.: N/A
Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).:
Select to add row to locations.:
Select to remove last row from locations.:
Select to delete all signatures.:
Enter location(s).: MARCORSYSCOM

Quantico & Stafford Locations (678545)

Enter location(s).: Additional Locations TBD at Time of Award
Enter general unclassified description of this procurement.: The contractor will provide support to the Squad Binocular Night Vision Goggle (SBNVG), PM Infantry Weapons.

This contract will require the contractor to manufacture and deliver the SBNVG system. This effort includes all spares, repair parts, and technical documentation (including software upgrades) to support the mission objectives.

Select for "a. CONTRACTOR.": 0
Select for "a. CONTRACTOR.": 0
Select for "a. CONTRACTOR.": 0
Select for "f. OTHER AS NECESSARY.": 0
Select for "f. OTHER AS NECESSARY.": 0
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.": 0
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.": 1
Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0
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.": 0
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.": 0
Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0
Enter infomration for "other.":
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".: Commander, Marine Corps Systems Command (AC/S G-2)

2200 Lester Street, Quantico, VA 22134-5050

Enter public release authority.: All requests must be approved by AC/S G-2, OPSEC, & Office of Public Affairs & Communication (OPAC): MCSCPAO@usmc.mil
Select to add signature.:
Select to remove last signature.:
text: This effort has been reviewed and found not to include any of the following thresholds which would dictate higher level review:

Is any portion of the SOW, PWS or supporting documents classified?

Does the SOW, PWS or other requirements necessitate the use of Sensitive Compartmented Information (SCI) caveats/controls?

Does the requirement support a sensitive activity, sensitive operation or the use of tradecraft?

Is there any portion of the work to be performed that cannot be published openly? (This does not include CUI markings.)

The Security Classification Guides (SCGs) utilized for this effort are:

1. US Army Project Manager, Soldier Sensors and Lasers, Security Classification Guide for Image Intensifier Devices, dated 31 Oct 2013

2. US Army Night Vision and Electronic Sensors Directorate Security Classification Guide for Infrared Focal Plane Technology Development for Uncooled Sensors, dated 3 Dec 2013

FOLLOW ON M67854-19-D-1501 TO M67854-19-F-1501

10j. The contractor shall comply with the requirements of the SECNAVINST 5510.36B and DoDI 5200.48 for guidance when access to CUI is required in performance of this contract.

11c. Receive, store, and generate classified information or material. The contractor requires access to classified source data up to and including the classification levels identified in item 1a of this DD-254 in support of this work effort. In addition, the contractor’s facility will receive classified information and/or derivatively classify information. As identified in item 1b is the classification level of safeguarding (storage), receiving, generating, and/or fabricating of classified information approved at the contractor’s facility. If the contractor will be co-located in MARCORSYSCOM spaces during anytime within the full performance of this contract, they will comply with and be held accountable for the requirements of SECNAVINST 5510.30C, SECNAVINST 5510.36B, and any additional security requirements provided by MARCORSYSCOM’s Government Contracting Activity (GCA), the Industrial Security Office (ISO), and the CMCC Custodian. The contractor shall comply with the requirements of the Information Systems Security Programs as described in the 32 CFR Part 117 NISPOM, OPNAVINST 5239.2, and local command information systems security instructions. All classified systems, regardless of the level of data processed, will be accredited in accordance with the above instructions. The contractor will reference the appropriate Security Classification Guidance (SCG) when generating or deriving classified material or hardware. Classified material received, generated, fabricated, or modified by this contract may be destroyed prior to the end of the contract with written Government approval. Prior to any destruction of classified material a full listing of documents will be provided to the MARCORSYSCOM’s GCA and the CMCC Custodian for review and approval. A destruction report shall be submitted listing what was destroyed and a listing of all remaining classified material. Upon completion of the classified contract, the contractor must return all government provided or deliverable information to the custody of the government. If retention of the classified information is required after the contract has been completed, the contractor must submit a formal request with justification, and receive retention authority from the GCA. If authorized by the GCA, the contractor may retain the classified material for a predetermined time-frame agreed upon by both parties. A Final DD-254 will be issued by the GCA indicating the contractor’s request date and the retention date which will be indicated on line 5 of the DD-254. All classified information will be physically sighted by the facility security officer (FSO), or designee, and will be forwarded to the CMCC Custodian by 31 December annually, and whenever there is a custodian turnover. The contractor will ensure all articles (including graphics) intended for public release or posting on Internet/World Wide Web sites will be processed through the Public Affairs Office as listed in Item 12.

11j. See [14.] Additional Security Requirements for OPSEC Requirements while performing aboard NAVY/USMC sites.

11l. Receive, Store, or Generate Controlled Unclassified Information (CUI). In addition to classified information, certain types of unclassified information also require distribution controls and protective measures for a variety of reasons. Refer to DoDI 5200.48 for guidance with identification and protection of CUI.

To view the attachment(s), click the > symbol on the far left side of the page. Then click the paperclip to view the embedded attachment(s).

Per MCO 5510.18B (1) The DD-254 shall be signed by the COSR. At no time shall DD-254s be accepted if found to be signed by the FSO or other contractor unless that DD-254 is for a subcontract. The DD-254 is invalid unless signed by the proper official.

NOTE: The appointed Contracting Officer Security Representative (COSR) listed in Section 17 is the authorized official for MARCORSYSCOM.

At the end of period of performance for this effort, the COSR designated in Section 17 must be notified by the Prime Contractor in order to close out this DD-254. If applicable, coordinate the return of classified material from contractor's facility.

text:

Signature authority for this effort is:

Click on this button to attach a file(s).:
rep: Joshua Adams

Project Officer, Optics Team

Enter signature.:
Explain and identify specific areas and government activity responsible for inspections.: 11j. OPSEC Requirements. While performing aboard NAVY/USMC sites, the contractor shall comply with the provisions of DoD Directive 5205.02E, "DoD Operations Security (OPSEC) Program," SECNAVINST 3070.2A, MARCORSYSCOMO 3070.1B, MCO 3070.2A, and the MARCORSYSCOMO P5510.2C Security Manual, at all other sites the contractor shall comply with the local command and/or program OPSEC plan.
Enter GCA name.: PM, INFANTRY WEAPONS, SBNVG
Enter AAC of the contracting office.: M67854
Enter AAC of the contracting office.: M67854
Enter address (include zip code).: Commander, MARCORSYSCOM

2200 Lester Street Quantico, VA 22134-5050 Enter address (include zip code).: Commander, MARCORSYSCOM 2200 Lester Street Quantico, VA 22134-5050

Enter POC name.: Joshua Adams
Enter telephone number (include area code).: 7034324914
Enter telephone number (include area code).: 7034324140
Enter email address.: joshua.r.adams@usmc.mil
Enter email address.: dana.newton@usmc.mil
Enter title.: Industrial Security Specialist
Enter the date signed in format YYYYMMDD.:

File details come from the government source that posted it. Updated .