Attachment 4_DD-254.pdf

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Attached to
N3220525R6003 - SURTASS-E RFP
Solicitation number
N3220525R6003
Issued by

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SF1449 - N3220525R60030007 per Amendment 0007.pdf PDF
SF1449 - N3220525R60030006 - per Amendment 0006.pdf PDF
Solicitation Amendment N3220525R60030006 SF 30.pdf PDF
SF1449 - N3220525R60030005 - per Amendment 0005.pdf PDF
Solicitation Amendment N3220525R60030005 SF 30.pdf PDF
A0004 Attachment 1_SPECIALTIME 2026 (02-26).docx DOCX document
SF1449 - N3220525R60030004 - per Amendment 4.pdf PDF
Solicitation Amendment N3220525R60030004 SF 30.pdf PDF
A0003 Attachment 9_ ATFP.pdf PDF
A0003 Attachment 12_ SFLLL.pdf PDF
A0003 Attachment 7_PWS (Performance Work Statement).docx DOCX document
A0003 Attachment 3_ GFP.xlsx XLSX spreadsheet
A0003 Attachment 5_DD-254 Rev.pdf PDF
A0003 Attachment 1_SPECIALTIME 2026 (02-26).docx DOCX document
A0003 Attachment 6_ Crew Complement.docx DOCX document
A0003 Attachment 21_Guidelines for Off-Hire.pdf PDF
A0003 Attachment 20_ Reserved.xlsx XLSX spreadsheet
A0003 Attachment 13_ MSC SOM.pdf PDF
Enclosure 1 for Amendment 0002 _ QA_s.docx DOCX document
Enclosure 1 for A0003_A0003 Changes.docx DOCX document
Solicitation Amendment N3220525R60030003 SF 30.pdf PDF
SF1449 - N3220525R60030003 - per Amendment 3.pdf PDF
SF 1449 - N3220525R6003 Original Posting.pdf PDF
SF 1449 - N3220525R60030002 per Amendment 2.pdf PDF
Attachment 6_PWS (Performance Work Statement) Rev 1 per Amendment 0002.pdf PDF
Attachment 13 _ MSCSP Rev 1 per Amendment 0002.docx DOCX document
Solicitation Amendment N3220525R60030002 SF 30.pdf PDF
Attachment 12_CDRL Rev 1 per Amendment A0002.docx DOCX document
Attachment 14_Technical Evaluation Worksheet Rev 1 per Amendment 0002.xlsx XLSX spreadsheet
Attachment 3_Basic Pricing Data Rev 1 per Amendment 0002.xlsx XLSX spreadsheet
Attachment 7_Request for Clarifications Rev 1 per Amendment 0002.docx DOCX document
Attachment 16 _ Amendment 0002 QA_s.docx DOCX document
Attachment 9 _ CBRN Rev 1 per Amendment 0002.pdf PDF
Attachment 8_ ATFP Rev 1 per Amendment 0002.pdf PDF
Solicitation Amendment N3220525R60030001 SF 30.pdf PDF
Attachment 8_ ATFP.pdf PDF
Attachment 15_ Shipyard Data.xlsx XLSX spreadsheet
Attachment 13_ MECSP.docx DOCX document
Attachment 9_ CBRN.pdf PDF
Attachment 7_ Request for Clarifications.docx DOCX document
Attachment 12_ CDRL.docx DOCX document
Attachment 10_ SFLLL.pdf PDF
Attachment 6_ PWS (Performance Work Statement).pdf PDF
Attachment 5_ Crew Complement.docx DOCX document
Attachment 3_Basic Pricing Data.xlsx XLSX spreadsheet
Attachment 2_ GFP.xlsx XLSX spreadsheet
Attachment 14_ Technical Evaluation Worksheet.xlsx XLSX spreadsheet
Attachment 11_ MSC SOM.pdf PDF
Attachment 1_ Wage Determination.pdf PDF
SF 1449 - N3220525R6003.pdf PDF
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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.: CUI
SerialNum:
a. Facility clearance level. Select one.: 2
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4
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Enter prime contract number.:
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Enter solicitation or other number.: N3220525R6003
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Enter preceding contract number.:
Enter contractor's request date in format YYYYMMDD.:
Enter period.:
Enter typed name of certifying official (last, first, middle initial).: TBD
Enter CAGE code of the prime contractor.:
Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: Commander Military Sealift Command

Security Directorate N021 471 East C Street, Building SP-47 Naval Station Norfolk, VA 23511-2419

Select to add row to locations.:
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Select to delete all signatures.:
Enter location(s).: All performance will be conducted on vessel

Homeport/Staging Area - JEB Little Creek Norfolk, VA Worldwide deployable Enter general unclassified description of this procurement.: Military Sealift Command (MSC) Special Mission Ships (PM2) requires the use of one offshore support vessel (OSV) to serve as a host ship for the Expeditionary Surveillance Towed Array Sensor System (SURTASS-E).

The vessel shall provide services for minor maintenance support of Government Furnished Equipment (GFE), personnel support for up to 30 US Government employees (A/D or CIV) embarked persons, and power and UNCLAS communications to GFE (direct telephone line to pilot house, 1MC - general announcing speaker, fire detector/alarm etc...). All classified communications and equipment are owned and operated by US government personnel (PMS 485/IOSC).

The vessel may be required to store government furnished ordnance, explosives, and weapons per US Coast Guard requirements. The vessel will be based at Joint Expeditionary Base Little Creek in Norfolk, Va.

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Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0
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Select for "h. REQUIRE A COMSEC ACCOUNT.": 0
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Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0
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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.": See Item 11(m) guidance in Item 13.
Enter infomration for "other.": MSC Security Directorate N021
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Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1
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Enter public release authority.: Military Sealift Command, Public Affairs Office, Code N02P

471 E. C St.; Norfolk, VA 23511-2419

Select to add signature.:
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text: Item 1(a)/1(b): This clause applies to the extent that this contract involves access to information classified "Confidential," "Secret," or

"Top Secret." The Contractor shall comply with- The Security Agreement DD Form 441, including the Part 117 of Title 32 CFR; and any revisions to that manual, notice of which has been provided to the Contractor. If, subsequent to the date of this contract, the security classification or security requirements under this contract are changed by the Government and if the changes cause an increase or decrease in security costs or otherwise affect any other term or condition of this contract, the contract shall be subject to an equitable adjustment as if the changes were directed under the Changes clause of this contract. The Contractor agrees to insert terms that conform substantially to the language of this clause, including this paragraph but excluding any reference to the Changes clause of this contract, in all subcontracts under this contract that involve access to classified information.

Item 1(a)/1(b) continued: All safeguarding, certifications, and inspections, to include that associated with COMSEC, classified systems, and Automated Information Systems (AIS) are under the cognizance of the GFP (PMS 485).

Item 10(j): All Controlled Unclassified Information (CUI) associated with this contract must be protected IAW the guidance provided in Item 11(l) of this DD Form 254.

Item 10(k): Specific billets (All deck officers like the Master, Chief Mate, Second & Third Mate) as specified in the contract, shall have access to SECRET information regarding mission operation. Employment must be by U.S. citizens and possess at least a SECRET clearance. All designated personnel who maintain a security clearance and handle classified information must attend Counterintelligence Awareness and Reporting (CIAR) training. See DoDD 5240.06, Counterintelligence Awareness and Reporting, for guidance. The Contractor shall ensure that any classified information disclosed to its employees is no further released or made available to other employees, or any other person who does not have a comparable clearance and a "Need to know". The MSC Administrative or Operational Commander designated for the contract will be responsible for releasing classified information to the contractor’s shipboard personnel and will provide the Master with the applicable Security Classification Guide (SCG).

Item 10(k) continued: In performance of this contract, contractors shall follow security guidance IAW Part 117 of Title 32 CFR (NISPOM) for industrial security guidance, SECNAVINST 5510.30, Personnel Security Program for personnel security guidance, DODM 5200.01 Vol I-III Information Security Program, for information security guidance and handling of CUI. All classified documents, when no longer needed, shall be destroyed as classified waste in accordance with Part 117 of Title 32 CFR, and DODM 5200.01 Vol I-III

Item 10(k) continued: The Contractor performing duties under this contract must adhere to all service/component command/local security directives, regulations and standard operating procedures at all contract performance locations.

Item: 11(a)/11(m): Contractor access to classified information will be view only. Classified information will be provided to the contractor within a portable government sponsor owned and operated space, that is affixed to the ship. The contractor will not generate, maintain or store tangible possession of any classified documents or information outside of government sponsor owned space.

Item 11(j): The Contractor shall utilize the Military Sealift Commands' Critical Information and Indicators List, which will be identified or provided by the Contracting Officer or Contracting Officer Representative to help identify and protect critical information associated with this contract. During the performance period of this contract, the Contractor may be exposed to, use, or produce, MSC Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. MSC's CI will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI). MSC’s 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 MSC Public Release Authority listed in Item 12 of this DD Form 254. 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. Performance under this contract requires the contractor to adhere to OPSEC requirements IAW DODM 5205.02, OPSEC Program Manual. OPSEC requirements are additional to the requirements of Part 117 of Title 32 CFR, therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless MSC approves the OPSEC requirements.

IItem 11(l): All Controlled Unclassified Information associated with this contract must be safeguarded to prevent unauthorized public disclosure. CUI such as FOUO, SCG, and other technical information are not authorized for public release and cannot be placed on a publicly accessible web site or web server. All emails containing such information or attachments, shall be protected per NIST SP-800-171, or subsequent revisions. All transmissions to personal email accounts (AOL, Yahoo, Hotmail, Comcast, etc.) and posting on social media websites (Facebook, Instagram, Twitter, LinkedIn, etc.) are prohibited. Destroy all CUI associated with this contract by any of the following approved methods: A cross-cut shredder; a certified commercial destruction vendor; a central destruction facility; incineration;

chemical decomposition; pulverizing, disintegration; or methods approved for classified destruction.

Item 11(l) continued: The Contractor shall implement InfoSec measures for its contractor furnished unclassified information technology system(s) used in performance of this contract. InfoSec measures shall be compliant with DFARS 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting. At a minimum, the security standards extracted from the referenced National Institute of Standards and Technology (NIST) Special Publication 800-171, Protecting Controlled Unclassified Information in Non-federal Information Systems and Organizations or accepted equivalents, shall be incorporated into any InfoSec program the contractor establishes.

Click on this button to attach a file(s).:
rep: COR
rep: PM23 Project Officer/Manager
rep: MSC OPSEC Program Manager

Philip F. Reilly rep: COMSUBPAC (Sponsor) CAPT James T. Thorp, Dir IUSS Programs rep: N021 Industrial Security Damien L. Holmes

Enter signature.:
Explain and identify specific areas and government activity responsible for inspections.: See Item 11(j): OPSEC requirements identified in Item 13.

See Item 11(l): CUI requirements identified in Item 13.

Explain and identify specific areas and government activity responsible for inspections.: All Classified material is generated, stored, communicated via Sponsor GFP (PMS 485/PEO SUBS). All safeguarding, certifications, and inspections, to include that associated with COMSEC, classified systems, and Automated Information Systems (AIS) are under the cognizance of the GFP (PMS 485/PEO SUBS).
Enter GCA name.: Commander, Military Sealift Command
Enter AAC of the contracting office.: N32205
Enter address (include zip code).: Commander Military Sealift Command

Contracting Directorate N10 471 East C Street, Naval Station Norfolk, VA 23511-2419

Enter address (include zip code).: Commander Military Sealift Command Contracting Directorate N10 471 East C Street, Naval Station Norfolk, VA 23511-2419

Enter POC name.: Tiffany YB Greene
Enter telephone number (include area code).: 7574432743
Enter email address.: tiffany.y.greene.civ@us.navy.mil
Enter title.:
Enter the date signed in format YYYYMMDD.:

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