Attachment 3 - Draft DD254.pdf
PDF 67 KB Posted
- Solicitation number
- N0018923R0009
About this file
This document is a draft DD254 form for a classified federal contract. The form identifies Naval Information Forces as the government contracting activity seeking support services related to maritime operations center activities and operational level of war issues. Key details include that the contractor will require access to proprietary business information of other companies and must agree to internal controls and firewalls to protect such information, as well as sign non-disclosure agreements. Contractor personnel will perform work onsite at government facilities and require SECRET clearances, and will adhere to all applicable military installation security directives. The contractor will provide support in areas such as operational planning, assessment, targeting, and integration of kinetic and non-kinetic capabilities to address manpower, personnel, training and education gaps.
The related federal contract opportunity is solicitation number N0018923R0009 for technical services to support NAVIFOR's maritime operations center and address operational level of war issues. Specifically, the contractor will work to develop solutions across the DOTMLPF-P spectrum to refine capability gaps in command and control, ballistic missile defense, and maritime fires integration.
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Other files
| File | Type | Posted |
|---|---|---|
| N0018923R0009 0004 Modified Copy.pdf | ||
| N0018923R0009 0004 Conformed Copy.pdf | ||
| N0018923R0009 0003 Modified Copy.pdf | ||
| Questions and Answers_Revised 16.pdf | ||
| N0018923R0009 0003 Conformed Copy.pdf | ||
| Attachment I - Pricing Spreadsheet_Revised.xlsx | XLSX spreadsheet | |
| N0018923R0009 0002 Conformed Copy.pdf | ||
| Attachment 3 - Draft DD254_Revised.pdf | ||
| Questions and Answers.pdf | ||
| Attachment 2 - Wage Determinations_Revised.docx | DOCX document | |
| N0018923R0009 0002 Modified Copy.pdf | ||
| Attachment 6 - Acronym List.xlsx | XLSX spreadsheet | |
| Attachment 4 - Past Performance Information Form_Revised.docx | DOCX document | |
| N0018923R0009 Amendment 0001.pdf | ||
| Attachment 5 - Past Performance Report Form.docx | DOCX document | |
| Attachment 4 - Past Performance Information Form.docx | DOCX document | |
| N0018923R0009.pdf | ||
| Attachment 1- Pricing Spreadsheet.xlsx | XLSX spreadsheet | |
| Attachment 2 - Wage Determinations.docx | DOCX document |
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DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of AEM LiveCycle Designer
DD FORM 254, APR 2018
NEEDS DD67
DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)
OMB No. 0704-0567 OMB approval expires:
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 (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
| CurrentPage: |
| PageCount: |
| Classification: |
| SerialNum: |
| a. Facility clearance level. Select one.: 1 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2 |
| Choose Yes or No: 1 |
| Choose Yes or No: 1 |
| Prime: TBD |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Sub: |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Soli: TBD |
| DueDate: |
| dateA: |
| RevisionNum: 1 |
| dateB: |
| Final: |
| dateC: |
| No: 1 |
| No: 1 |
| No: 0 |
| No: 1 |
| Yes: 0 |
| Yes: 0 |
| Yes: 1 |
| Yes: 0 |
| Enter your name here.: |
| ReqDated: |
| Enter your name here.: |
| Name: N/A |
| Cage: N/A |
| Cage: N/A |
| Cage: N/A |
| CSO: TBD |
| CSO: N/A |
| CSO: Mr. Jason Barnhart |
115 Lake View Parkway Suffolk, VA 23435-2660 jason.e.barnhart.civ@us.navy.mil
| addrow: |
| Removerow: |
| Click to delete a row: |
| Location: Naval Information Forces (NAVIFOR) |
115 Lake View Parkway Suffolk, VA 23435-2660
| Block9: NAVIFOR identified knowledge gaps with respect to assistance in generating policy and performing advisory services for the domain. The Contractor will have access to proprietary or business sensitive information of other companies. As such, the Contractor must agree to implement the internal controls necessary, to include internal firewalls, to protect this information from unauthorized use or disclosure and to refrain from using the information for any purpose other than that for which it was furnished. Contractor employees shall sign a non-disclosure agreement prior to performance under this contract and submit an OCI Mitigation Plan upon award. A majority of the contractor support will be executed on-site at NAVIFOR or designated government facilities. The contractor is not anticipated to retain any classified information at their facilities. |
| a: 0 |
| a: 1 |
| a: 1 |
| f: 0 |
| f: 0 |
| f: 0 |
| b: 1 |
| b: 1 |
| b: 0 |
| g: 0 |
| g: 0 |
| c: 0 |
| c: 1 |
| c: 1 |
| h: 0 |
| h: 0 |
| d: 1 |
| d: 0 |
| d: 0 |
| i: 0 |
| i: 0 |
| SCI: 1 |
| NonSCI: 0 |
| j: 1 |
| j: 1 |
| k: 0 |
| k: 0 |
| Enter your name here.: |
| e: 1 |
| e: 1 |
| l: 1 |
| m: 0 |
| direct: 0 |
| thru: 1 |
| Enter your name here.: Not Authorized |
| PublicAuthority: Not Authorized |
| AddSig: |
| RemoveSig: |
| text: While performing duties within NAVIFOR owned and operated facilities, the Contractor must also adhere to all service/component command/local security directives, regulations, and standard operating procedures at different contract performance locations. Appropriate local service command security directive, regulations, and standard operating procedures will be provided by the requiring agency (normally through the Performance Monitor or command TPOC). Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the Contractor will return all classified information (furnished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the NAVIFOR Government Contracting Agency/Activity. Furthermore, the Contractor will account for and return to the appropriate issuing office, all identification badges and/or entry passes/vehicle decals issued to Contractor personnel upon completion or termination of the classified contract, termination of employment, or suspension of classified clearance or access of any Contractor employee. At a minimum, all contractor personnel will be required to have a SECRET clearance to support this contract. |
| attachmentsList: |
| AddAttachment: |
| ViewAttachment: |
| RemoveAttachment: |
| rep: SSO |
| Sig: |
| Enter your name here.: Contractors performing on this contract a military installations are required to conduct command and unit specific security training (Initial/Refresher INFOSEC, OPSEC, EMSEC, AT/FP, Etc.) This training will be provided by the responsible military organization. Each contractor performing on this contract shall earn and maintain appropriate credentials from the Cyber IT/CSWF Qualification Matrix (described in SECNAV M-5239.2) associated with the specialty area and proficiency level commensurate with the scope of major assigned duties for the position and tasking being performed and Participate in continuous learning (CL) program as described in SECNAVINST 1543.2. |
| GCAName: NAVSUP Fleet Logistics Center Norfolk |
| AAC: N00189 |
| Address: Contracting Department |
1968 Gilbert Street, Suite 600 Norfolk, VA 23511-3392 Address: Commander, Naval Information Forces 115 Lake View Parkway Suffolk, VA 23435
| POCName: TBD |
| Phone: |
| Email: |
| Title: |
| Enter the date using the format DD-Mon-YYYY: |
File details come from the government source that posted it. Updated .