Attachment 4 - DD254 Draft.pdf

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YES NO

3. OT = "Other Functions" means the services are neither Closely Associated Functions (CL) nor Critical Functions (CT).

CERTIFIED BY: SIGNATURE: DATE (YYYMMDD)

2. CT = "Critical Functions" means functions that are necessary to the agency being able to effectively perform and maintain control of its mission and operations. Typically, critical functions are recurring and long-term in duration.

CERTIFICATION- INHERENTLY GOVERNMENTAL FUNCTIONS INDICATOR- version 2, dated 12/28/18 (to be attached with the Purchase Request -Service Requirements)

I certify that this service requirement as defined by DPAP memo, dated 25 Feb 2013 is:

1. CL = "Closely Associated Functions" means functions that are closely associated with inherently governmental functions; those contractor duties that could expand to become inherently governmental functions without sufficient management controls or oversight on the part of the Government.

13. Involve approval of position descriptions and performance standards for federal employees?

15h. Determining whether contract costs are reasonable, allocable, and allowable?

15d. Determining that prices are fair and reasonable?

15e. Awarding contracts?

15f. Administering contracts (including ordering changes in contract performance or contract quantities, making final determinations about a contractor's performance, including approving award fee determinations or past performance evaluations and taking actions based on those evaluations, and accepting or rejecting contractor products or services)?

15g. Terminating contracts?

15. Involve in Federal Procurement activities with respect to prime contracts:

15a. Determining what supplies or services are to be acquired by the government (although an agency may give contractors authority to a acquire supplies at prices within the specified ranges and subject to other reasonable conditions deemed appropriate by the agency?

15b. Participating as a voting member on any source selection boards?

15c. Approving of any contractual documents, including documents defining requirements, incentive plans, and evaluation criteria?

10. Involve selection or non-selection of individuals for federal government employment, including the interviewing of individuals for employment?

11. Involve direction and control of federal employees?

12. Involve direction and control if intelligence and counter-intelligence operations?

14. Involve determination of what government property is to be disposed of and on what terms (although an agency may give contractors authority to dispose of property at prices with specified ranges and subject to other reasonable conditions deemed appropriate by the agency?

6. Involve the conduct of foreign relations and the determination of foreign policy?

7. Involve determination of agency policy, such as determining the content and application of regulations?

8. Involve determination of budget policy, guidance, and strategy?

9. Involve determination of federal program priorities or budget requests?

5b. Involve security operations performed in environments where, in the judgment of responsible Federal official, there is a significant potential for security operations to evolve into combat. Where the U.S. military is present, the judgment of the military commander should be sought regarding the potential for the operations to evolve into combat?

5c. Involve security that entails augmenting or reinforcing others (whether private security contractors, civilians, or military units) that have become engaged in combat?

5a. Involve security operations performed in direct support of combat as part of a larger integrated armed forces?

1. Involve the direct conduct of criminal investigation?

2. Involve the control of prosecutions and performance of adjudicatory functions (other than those relating to arbitration or other methods of alternative dispute resolution)?

3. Involve the command of military forces, especially the leadership of military personnel who are performing a combat, combat support or combat service support role?

NAVSUP GOVERNMENTAL FUNCTIONS DETERMINATION WORKSHEET (version 2, dated 12/28/18) A tool to be used by customers when "Service Contract" is contemplated

"Inherently governmental function," as defined in section 5 of the Federal Activities Inventory Reform (FAIR) Act, Public Law 105-270, means a function that is so intimately related to the public interest as to require performance by Federal Government employees. The Office of Federal Policy Letter (OFPP) 11-01, Performance of Inherently Governmental and Critical Functions, provides the following examples of work that is inherently governmental. If the Services to be contracted involve any of the following functions listed below, then the function must be performed by federal government employees.

Section A: ILLUSTRATIVE LIST OF INHERENTLY GOVERNMENTAL Answer "YES" or "NO" to the functions below that apply based on the work statement or the way the contract is performed. Any "YES" response to a function below must be performed in-house and cannot be contracted. Does this function:

4. Involve combat?

5. Involve security provided under any of the circumstances set out below. This provision should not be interpreted to preclude contractors taking action in self-defense or defense of others against the imminent threat of death or serious injury:

16b. Negotiating the scope of work to be conducted under grants/cooperative agreements?

1a. Performing budget preparation activities, such as workload modeling, fact finding, efficiency studies, and should-cost analyses?

1b. Undertaking activities to support agency planning and reorganization?

1c. Providing support for developing policies, including drafting documents, and conducting analyses, feasibility studies, and strategy options?

contract is performed. For "Yes" answers, provide explanation in Section C and identify corrective action(s) to be taken to eliminate or mitigate the risk of performing services that are closely associated to inherently governmental functions. Does this function:

1. Involve services in support of inherently governmental functions, including, but not limited to the following?

24. Involve representation of the government before administrative and judicial tribunals, unless a statute expressly authorizes the use of attorneys whose services are procured through contract?

Section B: ILLUSTRATIVE LIST OF CLOSELY ASSOCIATED WITH INHERENTLY GOVERNMENTAL FUNCTIONS Pursuant to the requirements of 10 U.S.C. 2463, special consideration to using Federal employees to perform closely associated functions is required. Furthermore, it is required to the maximum extent practicable to minimize reliance on contractors performing work closely associated with inherently governmental functions consistent with 10 U.S.C. 2330a. Office of Federal Procurement Policy (OFPP) Letter 11-01, Performance of Inherently Governmental and Critical Functions, provides the following examples of work that is closely associated with inherently governmental functions that may be performed by either Federal employees or contractors.

20b. Routine voucher and invoice examination?

21. Involve control of the Treasury accounts?

22. Involve administration of public trusts?

23. Involve drafting of official agency proposals for legislation, congressional testimony, responses to audit reports from an inspector general, the Government Accountability Office, or other Federal audit entity?

20. Involve collection, control, and disbursement of fees, royalties, duties, fines, taxes and other public funds, unless authorized by statute, such as title 31 U.S.C> 952 (relating to private collection contractors) and title 31 U.S.C. 3718 (relating to private attorney collection services), but not including:

20a. Collection of fees, fines, penalties, costs or other charges from visitors to or patrons of mess halls, post or base exchange concessions, national parks, and similar entities or activities, or from other persons, where the amount to be collected can be readily controlled using standard cash management techniques?

18. Involve conduct of administrative hearings to determine the eligibility of any person for a security clearance, or involving actions that affect matters of personal reputation or eligibility to participate in government programs?

19. Involve approval of Federal licensing actions and inspections?

15i. Participating as a voting member on performance evaluation boards?

16. Involve in the selection of grant and cooperative agreement recipients including:

16a. Approval of agreement activities?

16c. Approval of modifications to grant/cooperative agreement budget and activities?

16d. Performance monitoring?

17. Involve approval of agency responses to Freedom of Information Act requests (other than routine responses that, because of statute, regulation, or agency policy, do not require the exercise of judgment in determining whether documents are to be released or withheld), and the approval of agency responses to the administrative appeals of denials of Freedom of Information Act requests?

Section A: ILLUSTRATIVE LIST INHERENTLY GOVERNMENTAL FUNCTIONS (continued) contract is performed. Any "YES" response to a function below must be performed in-house and cannot be contracted. Does this function:

9. Involve provision of non-law-enforcement security activities that do not directly involve criminal investigations, such as prisoner detention or transport and non-military national security details?

5. Involve service as arbitrators or provision of alternative dispute resolution (ADR) services?

6. Involve construction of buildings or structures intended to be secure from electronic eavesdropping or other penetration by foreign governments?

7. Involve provision of inspection services?

8. Involve provision of legal advice and interpretations of regulations and statutes to government officials?

3. Involve dissemination of information regarding agency policies or regulations, such as conducting community relations campaigns, or conducting agency training courses?

4. Involve participation in a situation where it might be assumed that participants are agency employees or representatives, such as attending conferences on behalf of the agency?

II) providing support for assessing contract claims and preparing termination settlement documents?

1f. Preparation of responses to Freedom of Information Act requests?

2. Involve work situation that permits or might permit access to confidential business information or other sensitive information (other than situations covered by the National Industrial Security Program described in FAR 4.402(b))?

III) drafting the price negotiations and memorandums?

iii) contract management

I) assisting in the evaluation of a contractor's performance (e.g., by collecting information performing an analysis, or making a recommendation for a proposed performance rating?

II) developing inputs for government cost estimates?

III) drafting statements of work and other pre-award documents?

ii) source selection I) preparing a technical evaluation and associated documentation?

II) participating as a technical advisor to a source selection board or as a nonvoting member of a source selection evaluation board?

1d. Providing services to support the development of regulations and legislative proposals pursuant to specific policy direction?

1e. Supporting acquisition, including the areas of:

i) acquisition planning I) conducting market research?

Section B: ILLUSTRATIVE LIST OF CLOSELY ASSOCIATED WITH INHERENTLY GOVERNMENTAL FUNCTIONS Pursuant to the requirements of 10 U.S.C. 2463, special consideration to using Federal employees to perform closely associated functions is required. Furthermore, it is required to the maximum extent practicable to minimize reliance on contractors performing work closely associated with inherently governmental functions consistent with 10 U.S.C. 2330a. Office of Federal Procurement Policy (OFPP) Letter 11-01, Performance of Inherently Governmental and Critical Functions, provides the following examples of work that is closely associated with inherently governmental functions that may be performed by either Federal employees or contractors.

Section C: COMMENTS

Text1: JASON E. BARNHART

Text2: 20240708

2024-07-08T08:42:38-0400

BARNHART.JASON.EDWARD.1073242521

Check Box 01: Off

Check Box 02: Yes

Check Box 03: Yes

Check Box04: Off

Check Box 05: Off

Check Box 06: Yes cb001: Off cb002: Yes cb003: Off cb004: Yes cb005: Off cb006: Yes cb007: Off cb008: Yes cb009: Off cb010: Yes cb011: Off cb012: Yes cb013: Off cb014: Yes cb015: Off cb016: Yes cb017: Off cb018: Yes cb019: Off cb020: Yes cb021: Off cb022: Yes cb023: Off cb024: Yes cb025: Off cb026: Yes cb027: Off cb028: Yes cb029: Off cb030: Yes cb031: Off cb032: Yes cb033: Off cb034: Yes cb035: Off cb036: Yes cb037: Off cb038: Yes cb039: Off cb040: Yes cb041: Off cb042: Yes cb043: Off cb044: Yes cb045: Off cb046: Yes cb047: Off cb048: Yes cb049: Off cb051: Off cb050: Yes cb052: Yes cb053: Off cb054: Yes cb055: Off cb056: Yes cb057: Off cb058: Yes cb059: Off cb060: Yes cb061: Off cb062: Yes cb063: Off cb064: Yes cb065: Off cb066: Yes cb067: Off cb068: Yes cb069: Off cb070: Yes cb071: Off cb072: Yes cb073: Off cb074: Yes cb075: Off cb076: Yes cb077: Off cb078: Yes cb079: Off cb080: Yes cb081: Off cb082: Yes cb083: Off cb084: Yes cb085: Off cb086: Yes cb087: Off cb088: Yes cb089: Off cb090: Yes cb091: Off cb092: Yes cb093: Off cb094: Yes cb095: Off cb096: Yes cb097: Off cb098: Yes cb099: Off cb100: Yes cb101: Off cb102: Yes cb103: Off cb104: Yes cb105: Off cb106: Yes cb107: Off cb108: Yes cb109: Off cb110: Yes cb111: Off cb112: Yes cb113: Off cb114: Yes cb115: Off cb116: Yes cb117: Off cb118: Yes cb119: Off cb120: Yes cb121: Off cb122: Yes cb123: Off cb124: Yes cb125: Off cb126: Yes cb127: Off cb128: Yes cb129: Off cb130: Yes cb131: Off cb132: Yes cb133: Off cb134: Yes cb135: Off cb136: Yes

Text3:

DD254 CONTINUATION PAGE

While performing duties within Naval Information Forces (NAVIFOR) owned and operated facilities, the Contractor shall adhere to all service/component command/local security directives, regulations, and standard operating procedures at different contract performance locations. The Program Manager listed in Block 17 will provide a copy of all applicable security directives for this contract. Appropriate local service command security directives, regulations, and standard operating procedures will be provided by the requiring agency (normally through the Performance Monitor or command Contracting Officer’s Representative (COR)). 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 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. In performance of the statement of work, contractor employees will be required to sign EKMS local user agreements in order to perform maintenance of electronic security system components that will be stored in communication closets that contain EKMS equipment and material. Not authorized to have direct access to EKMS Equipment or material. In the performance of the statement of work, contractor employees may require access to NIPRNet and SIPRNet for submission of electronic security system designs and as built drawings.

Ref 10e(2): Prior approval of the contracting activity is required for sub-contracting.

Ref 10j: Contractor maintenance technicians will require a Top Secret clearance and indoctrination into SCI to perform duties requiring access to SCI facilities to conduct ESS preventive/corrective maintenance of the systems required to protect classified information. Contractors will produce no classified information. All designs and “as built” drawings will be maintained as Controlled Unclassified Information and must be turned over to the COR upon completion of work.

Ref 11j: The contractor shall comply with special OPSEC requirements contained in this contract or addendum thereto. The contracting office will be involved in approving OPSEC requirements for subcontracts. OPSEC clause is TBD and will be notated in the contract award.

SECTION 508 EXCEPTION REQUIRED DOCUMENTATION

PART I: IT PROCUREMENT REQUEST INFORMATION

Section 508 is a mandated requirement for all Information Technology (IT) procurement requests. If an exception does apply, this form must be completed justifying how the selected exception criteria aligns with the request. Please fill out the required information below and once this completed form has been validated, please attach to the IT procurement request in the "Section 508" section.

Note: This form is NOT required to be completed for IT procurement requests not claiming exception; however, completion of the Buy Accessible Wizard is required.

PART I: IT PROCUREMENT REQUEST INFORMATION

I.) ITPR NUMBER:

II.) SECTION 508 EXCEPTION CRITERIA: Please choose the applicable exception critiera (same criteria chosen in actual IT procurement request):

A. This part does not apply to any electronic and information technology operated by agencies, the function, operation, or use of which involves intelligence activities, cryptologic activities related to national security, command and control of military forces, equipment that is an integral part of a weapon or weapons system, or systems which are critical to the direct fulfillment of military or intelligence missions. Systems which are critical to the direct fulfillment of military or intelligence missions do not include a system that is to be used for routine administrative and business applications (including payroll, finance, logistics, and personnel management applications).

B. This part does not apply to electronic and information technology that is acquired by a contractor incidental to a contract

C. Except as required to comply with the provisions in this part, this part does not require the installation of specific accessibility-related software or the attachment of an assistive technology device at a workstation of a Federal employee who is not an individual with a disability.

D. When agencies provide access to the public to information or data through electronic and information technology, agencies are not required to make products owned by the agency available for access and use by individuals with disabilities at a location other than that where the electronic and information technology is provided to the public, or to purchase products for access and use by individuals with disabilities at a location other than that where the electronic and information technology is provided to the public.

E. This part shall not be construed to require a fundamental alteration in the nature of a product or its components.

F. Products located in spaces frequented only by service personnel for maintenance, repair, or occasional monitoring of equipment are not required to comply with this part.

PART II: JUSTIFICATION

EXPLAIN HOW THE INFORMATION CONTAINED IN THE IT PROCUREMENT REQUEST ALIGNS WITH THE EXCEPTION SELECTED ABOVE AND SUPPORTS COMMAND MISSION AND/OR ACTIVITIES. PLEASE BE SPECIFIC AS POSSIBLE. IF (A.) IS SELECTED, PLEASE EXPLAIN COMMAND MISSION.

TION

For assistance on how to complete this form, please contact your designated Customer Service Representative.

Group2: Choice1

ITPR Number: 384909

Text2: Provide commanders ashore and afloat, forward deployable, combat-ready information dominance forces capable of conducting prompt and sustained naval, joint and combined operations in support of U.S National Interests.

INDEPENDENT GOVERNMENT ESTIMATE

Base Year (30 Sep 24 – 29 Sep 25)

TASK NAME: NAVIFOR PREVENTIVE/CORRECTIVE MAINTENANCE

Labor Summary: Non Construction Minor Construction Dollars

Labor Hours Labor Hours

Contractor 2650 0 $267,644.47

DON Civilian 0 0 N/A

Military Installer 0 0 N/A

Site Support 0 0 N/A

Total Labor 2650 0 $267,644.47

Minor Construction: $0.00

Travel Summary:

Contractor $48,873.00

DoN, Military, Site etc (No G&A) $ 0.00

Total Travel Summary: $48,873.00

Material & Subcontract Summary:

Material – Contractor - $137,703.63

Subcontract – Contractor - $28,000.00

Subcontract – Government - $0.00

Government Furnished Equipment (No G&A) $0.00

Total Material & Subcontract Summary $165,703.63

Total G&A: $30,880.00

Estimated Project Total Cost $513,101.10 *NAVIFOR developed the Independent Government Estimate (IGE) utilizing historical contract prices and utilizing an escalation rate of 1.8% in accordance with the Producer Price Index (PPI) ending December 2018.

INDEPENDENT GOVERNMENT ESTIMATE

Option Year 1 (30 Sep 25 – 29 Sep 26)

TASK NAME: NAVIFOR PREVENTIVE/CORRECTIVE MAINTENANCE

Labor Summary: Non Construction Minor Construction Dollars

Labor Hours Labor Hours

Contractor 2650 0 $267,644.47

DON Civilian 0 0 N/A

Military Installer 0 0 N/A

Site Support 0 0 N/A

Total Labor 2650 0 $267,644.47

Minor Construction: $0.00

Travel Summary:

Contractor $48,873.00

DoN, Military, Site etc (No G&A) $ 0.00

Total Travel Summary: $48,873.00

Material & Subcontract Summary:

Material – Contractor - $137,703.63

Subcontract – Contractor - $28,000.00

Subcontract – Government - $0.00

Government Furnished Equipment (No G&A) $0.00

Total Material & Subcontract Summary $165,703.63

Total G&A: $30,880.00

Escalation Rate (1.8%) From Base Year $9,235.82

Estimated Project Total Cost $522,336.92 *NAVIFOR developed the Independent Government Estimate (IGE) utilizing historical contract prices and utilizing an escalation rate of 1.8% in accordance with the Producer Price Index (PPI) ending December 2018.

INDEPENDENT GOVERNMENT ESTIMATE

Option Year 2 (30 Sep 26 – 29 Sep 27)

TASK NAME: NAVIFOR PREVENTIVE/CORRECTIVE MAINTENANCE

Labor Summary: Non Construction Minor Construction Dollars

Labor Hours Labor Hours

Contractor 2650 0 $267,644.47

DON Civilian 0 0 N/A

Military Installer 0 0 N/A

Site Support 0 0 N/A

Total Labor 2650 0 $267,644.47

Minor Construction: $0.00

Travel Summary:

Contractor $48,873.00

DoN, Military, Site etc (No G&A) $ 0.00

Total Travel Summary: $48,873.00

Material & Subcontract Summary:

Material – Contractor - $137,703.63

Subcontract – Contractor - $28,000.00

Subcontract – Government - $0.00

Government Furnished Equipment (No G&A) $0.00

Total Material & Subcontract Summary $165,703.63

Total G&A: $30,880.00

Escalation Rate (1.8%) From Option Year 1 ($522,336.92) $9,402.06

Estimated Project Total Cost (Option Year 2) $531,738.98 *NAVIFOR developed the Independent Government Estimate (IGE) utilizing historical contract prices and utilizing an escalation rate of 1.8% in accordance with the Producer Price Index (PPI) ending December 2018.

INDEPENDENT GOVERNMENT ESTIMATE

Option Year 3 (30 Sep 27 – 29 Sep 28)

TASK NAME: NAVIFOR PREVENTIVE/CORRECTIVE MAINTENANCE

Labor Summary: Non Construction Minor Construction Dollars

Labor Hours Labor Hours

Contractor 2650 0 $272,644.47

DON Civilian 0 0 N/A

Military Installer 0 0 N/A

Site Support 0 0 N/A

Total Labor 2650 0 $272,644.47

Minor Construction: $0.00

Travel Summary:

Contractor $48,873.00

DoN, Military, Site etc (No G&A) $ 0.00

Total Travel Summary: $48,873.00

Material & Subcontract Summary:

Material – Contractor - $142,703.31

Subcontract – Contractor - $32,099.60

Subcontract – Government - $0.00

Government Furnished Equipment (No G&A) $0.00

Total Material & Subcontract Summary $179,703.63

Total G&A: $34,708.00

Escalation Rate (1.8%) From Option Year 2 ($531,908.22) $9,574.38

Estimated Project Total Cost (Option Year 3) $540,602.76 *NAVIFOR developed the Independent Government Estimate (IGE) utilizing historical contract prices and utilizing an escalation rate of 1.8% in accordance with the Producer Price Index (PPI) ending December 2018.

INDEPENDENT GOVERNMENT ESTIMATE

Option Year 4 (30 Sep 28 – 29 Sep 29)

TASK NAME: NAVIFOR PREVENTIVE/CORRECTIVE MAINTENANCE

Labor Summary: Non Construction Minor Construction Dollars

Labor Hours Labor Hours

Contractor 2650 0 $277,644.47

DON Civilian 0 0 N/A

Military Installer 0 0 N/A

Site Support 0 0 N/A

Total Labor 2650 0 $277,644.47

Minor Construction: $0.00

Travel Summary:

Contractor $48,873.00

DoN, Military, Site etc (No G&A) $ 0.00

Total Travel Summary: $48,873.00

Material & Subcontract Summary:

Material – Contractor - $147,703.31

Subcontract – Contractor - $32,099.60

Subcontract – Government - $0.00

Government Furnished Equipment (No G&A) $0.00

Total Material & Subcontract Summary $179,703.63

Total G&A: $34,708.00

Escalation Rate (1.8%) From Option Year 3 ($540,602.76) $9,730.85

Estimated Project Total Cost (Option Year 4) $550,759.23 *NAVIFOR developed the Independent Government Estimate (IGE) utilizing historical contract prices and utilizing an escalation rate of 1.8% in accordance with the Producer Price Index (PPI) ending December 2018.

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) ESS DD254 Continuation.docx

NCTAMSLANT, Norfolk, VA IWTG Norfolk, VA HQ IWTG, Virginia Beach, VA NCTS Hampton Roads, Norfolk, VA NCTS Bahrain, Manama Bahrain

Activity Security Manager

Norfolk, VA 23511 Address: 115 Lake View Parkway Suffolk, VA 23435