Attachment 3 N0042121R0112BIDDD254signed.pdf
PDF 420 KB Posted
- Attached to
- Programmatic, Flight Test Engineering, and Administrative Support to Naval Test Wing Atlantic Federal contract opportunity
- Solicitation number
- N0042121R0112
About this file
This document is a Department of Defense Contract Security Classification Specification (DD Form 254) for a solicitation from the Naval Air Warfare Center-Aircraft Division seeking programmatic, flight test engineering, and administrative support services for the Naval Test Wing Atlantic. Key details include the contractor requiring Secret facility clearance and safeguarding, as well as access to SIPRNet and secure communications at government facilities. The contractor shall also implement and maintain an OPSEC program, and classified information generated will be guided by provided Security Classification Guides. The period of performance is undefined as this is a solicitation document. The Naval Air Warfare Center Aircraft Division is the contracting government agency.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 01 to N0042121R0112.pdf | ||
| Final RFP Questions-Answers.pdf | ||
| Question 12 - NTWL TEPL Customer_Labor Cat Est.pdf | ||
| Amendment 01 to Attachment 1 TEPL SOW.pdf | ||
| Attachment 2 TEPL SAC.doc | DOC document | |
| Attachment CA-2 TEPL Subcontactor Cost Breakout.xlsx | XLSX spreadsheet | |
| N0042121R0112 Released.pdf | ||
| Exhibit A CDRLS_TEPL FO.pdf | ||
| Attachment 1 TEPL SOW.pdf | ||
| Attachment P-1 Past Peformance Information Form.pdf | ||
| Attachment CA-1 TEPL Prime Cost Breakout.xlsx | XLSX spreadsheet | |
| Attachment P-2 CPAQ.pdf |
Show all 12
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CLASSIFICATION (When filled in):
PREVIOUS EDITION IS OBSOLETE. Page 1 of 5DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 1 of 5DD FORM 254, MAY 2019
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:
20220531
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
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
N00421-21-R-0112
DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable.)
a. ORIGINAL (Complete date in all cases.)
DATE (YYYYMMDD)
20210420
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
b. CAGE CODE
N/A
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.)
b. CAGE CODE (If applicable, see Instructions.)
N/A
9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT
Programmatic, Flight Test Engineering, and Administrative Support to Naval Test Wing Atlantic
PREVIOUS EDITION IS OBSOLETE. Page 2 of 5DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 2 of 5DD FORM 254, MAY 2019
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 Access Authorized at Gov. Facility Only
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: Naval Test Wing Atlantic (NTWL) 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 A0N0000 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
PREVIOUS EDITION IS OBSOLETE. Page 3 of 5DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 3 of 5DD FORM 254, MAY 2019 or controlled unclassified information shall be notified immediately upon discovery and/or no later than 72 hours of discovery.
10.a – 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 –To facilitate potential access to NATO classified information, to include NATO accredited SIPRNet terminals, all DoD military, civilian, and contractor personnel who are briefed on their responsibilities for protecting U.S. classified military information, shall also be briefed on the requirements for protecting NATO information, per Deputy Under Secretary of Defense Policy Security Memo of 5 Dec 01.
Written concurrence of the Contracting Officer/Technical Point of Contact, identified in Block 16, is required prior to subcontracting.
10.h – Foreign Government Information (FGI) is not releasable to contractor employees who have not received a final security clearance at the appropriate level. 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.
10.j/11.l – 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 8510.01and/or per guidance in the DoD National Industrial Security Operating Manual (NISPOM).
The following Security Classification Guide(s) 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.
PREVIOUS EDITION IS OBSOLETE. Page 4 of 5DD FORM 254, MAY 2019
((02-235.04) - MH-60R MULTI MISSION HELICOPTER - dated 08 June 2020 (02-265.03) - MH-60S FLEET COMBAT SUPPORT HELICOPTER - dated 11 May 2015 (02-071.07) - TOMAHAWK CRUISE MISSLE - dated 01 May 2020 (02-257.02) - P-8A MULTI MISSION AIRCRAFT - dated 21 March 2016 (02-041.03) - P-3C (ORION) MARITIME PATROL AIRCRAFT - dated 06 April 2017 (02-018.06) - E-2C/D HAWKEYE - dated 31 March 2021
11.j – OPSEC: The contractor shall develop, implement, revise, and maintain a facility level OPSEC Program to protect critical information to be held, provided, used, handled, discussed, processed, stored, transmitted or delivered at the contractor facility, or a subcontractor’s facility, during the performance of this contract. The contractor’s established OPSEC Program and Plan, developed under contract N00421-17-C-0049, shall be implemented and/or revised per GCA request, and shall be maintained throughout performance of this contract. The Contractor shall be responsible for subcontractor implementation of the OPSEC Program requirements for this contract.
If additional security classification assistance is required, please contact the TPOC listed in block 16d.
******************************END DD254 ADDITIONAL DATA SHEET*********************************************
List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
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 in contract
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.)
16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)
a. GCA NAME
Naval Air Warfare Center Aircraft Divsion
b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)
N00421
c. ADDRESS (Include ZIP Code) 22541 Millstone Rd, Bldg 304, Patuxent River, MD 20670.
d. POC NAME
Matthew Funk
e. POC TELEPHONE (Include Area Code)
+1 (301) 757-0605
f. EMAIL ADDRESS (See Instructions) matthew.funk@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.
PREVIOUS EDITION IS OBSOLETE. Page 5 of 5DD FORM 254, MAY 2019
a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)
Davis, Mark A
b. TITLE
Contracting Officer Representative For Security
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)
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.)
DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of
DD FORM 254, MAY 2019
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:
20220531 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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil
WHS
List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) 2019DD254STILOMemorandum15MAY2019.pdf
| 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: 0 |
| Choose Yes or No: 1 |
| Prime: Request For Proposal, Not Valid For Performance |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Sub: |
| Choose Yes or No: 1 |
| Choose Yes or No: 0 |
| Soli: N00421-21-R-0112 |
| DueDate: |
| dateA: 2021-04-20 |
| RevisionNum: |
| dateB: |
| Final: |
| dateC: |
| No: 0 |
| No: 0 |
| No: 0 |
| No: 1 |
| Yes: 0 |
| Yes: 0 |
| Yes: 1 |
| Yes: 0 |
| Enter your name here.: |
| ReqDated: |
| Enter your name here.: |
| Name: |
Request For Proposal, Not Valid For Performance Name:
N/A
| Name: Davis, Mark A |
| Cage: N/A |
| Cage: N/A |
| Cage: N/A |
| CSO: |
N/A
CSO:
N/A
CSO:
N/A
| addrow: |
| Removerow: |
| Click to delete a row: |
| Location: |
N/A Block9:
Programmatic, Flight Test Engineering, and Administrative Support to Naval Test Wing Atlantic
| a: 1 |
| a: 0 |
| a: 1 |
| f: 0 |
| f: 0 |
| f: 0 |
| b: 0 |
| b: 0 |
| b: 0 |
| g: 1 |
| g: 0 |
| c: 0 |
| c: 1 |
| c: 1 |
| h: 1 |
| h: 0 |
| d: 0 |
| d: 0 |
| d: 0 |
| i: 0 |
| i: 0 |
| SCI: 0 |
| NonSCI: 1 |
| j: 1 |
| j: 1 |
| k: 1 |
| k: 0 |
| Enter your name here.: SIPRNet /STE Access Authorized at Gov. Facility Only |
| e: 0 |
| e: 1 |
| l: 1 |
| m: 0 |
| direct: 0 |
| thru: 1 |
| Enter your name here.: Transmissions by non-secure facsimile or E-mail is NOT authorized (by Prime or subcontractor(s)) |
| PublicAuthority: Submit ALL Public Releases to: Naval Test Wing Atlantic (NTWL) |
NAVAIR FORM 5720.10 must be completed and attached.
| AddSig: |
| RemoveSig: |
| text: Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposia must be submitted to A0N0000 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 or controlled unclassified information shall be notified immediately upon discovery and/or no later than 72 hours of discovery.
10.a – 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 –To facilitate potential access to NATO classified information, to include NATO accredited SIPRNet terminals, all DoD military, civilian, and contractor personnel who are briefed on their responsibilities for protecting U.S. classified military information, shall also be briefed on the requirements for protecting NATO information, per Deputy Under Secretary of Defense Policy Security Memo of 5 Dec 01. Written concurrence of the Contracting Officer/Technical Point of Contact, identified in Block 16, is required prior to subcontracting.
10.h – Foreign Government Information (FGI) is not releasable to contractor employees who have not received a final security clearance at the appropriate level. 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.
10.j/11.l – 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 8510.01and/or per guidance in the DoD National Industrial Security Operating Manual (NISPOM).
The following Security Classification Guide(s) 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.
((02-235.04) - MH-60R MULTI MISSION HELICOPTER - dated 08 June 2020 (02-265.03) - MH-60S FLEET COMBAT SUPPORT HELICOPTER - dated 11 May 2015 (02-071.07) - TOMAHAWK CRUISE MISSLE - dated 01 May 2020 (02-257.02) - P-8A MULTI MISSION AIRCRAFT - dated 21 March 2016 (02-041.03) - P-3C (ORION) MARITIME PATROL AIRCRAFT - dated 06 April 2017 (02-018.06) - E-2C/D HAWKEYE - dated 31 March 2021
11.j – OPSEC: The contractor shall develop, implement, revise, and maintain a facility level OPSEC Program to protect critical information to be held, provided, used, handled, discussed, processed, stored, transmitted or delivered at the contractor facility, or a subcontractor’s facility, during the performance of this contract. The contractor’s established OPSEC Program and Plan, developed under contract N00421-17-C-0049, shall be implemented and/or revised per GCA request, and shall be maintained throughout performance of this contract. The Contractor shall be responsible for subcontractor implementation of the OPSEC Program requirements for this contract.
If additional security classification assistance is required, please contact the TPOC listed in block 16d.
******************************END DD254 ADDITIONAL DATA SHEET*********************************************
| attachmentsList: |
| AddAttachment: |
| ViewAttachment: |
| RemoveAttachment: |
| rep: Pete Crosby, NAWCAD SIO |
| Sig: |
| Enter your name here.: OPSEC in contract |
| GCAName: Naval Air Warfare Center Aircraft Divsion |
| AAC: N00421 |
| AAC: N00421 |
| Address: 22541 Millstone Rd, Bldg 304, |
Patuxent River, MD 20670.
Address: Commander, Naval Air Warfare Center Aircraft Division Bldg. 2272, Rm. 074, Attn: Industrial Security 47123 Buse Road, Patuxent River, MD 20670
| POCName: Matthew Funk |
| Phone: 3017570605 |
| Phone: 3013426045 |
| Email: matthew.funk@navy.mil |
| Email: mark.a.davis@navy.mil |
| Title: Contracting Officer Representative For Security |
| Enter the date using the format DD-Mon-YYYY: |
File details come from the government source that posted it. Updated .