Attachment 4 DD254 SeaPort PSSE Solicitation C271 REV 1.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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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 (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Groton, CT Yorktown, VA Kings Bay, GA Submarines CONUS & OCONUS

NAVSEAINST 4350.2C Contract Work Onboard Nuclear Powered Ships SECNAVINST 5510.30B (06 OCT 06) Dept. of Navy Personnel Security Program (PSP) Instruction NARRATIVE 9T-FOUO (U) Extract DOD 5400.7-R FOUO Instructions SCG ID# 05-092.02 MK 48 Torpedo MOD 0 to MOD 4m SCG ID# 05-104.03 Submarine Combat Systems SCG ID# 05-129.02 Submarine Vertical Launch System

Item 8: Various locations identified by the Program Manager and approved by the COR. Copy of this DD254 will be provided to the CSO by those locations identified by the Program Manager prior to the contractor's arrival. For locations identified by the Program Manger that are contractor's facilities, the Program Manager must forward the contractor's facility CAGE code for vetting by MARMC Security (C1110) prior to access to classified.

Item 10.e.(2):

(1) - Intelligence Information, Non-SCI: Non-SCI requirements are hereby authorized. Questions regarding Item 10e(2) and requests for retention or release of intelligence shall be through the Office of Naval Intelligence NAVSEA 00G (NAVSEA STILO/SSO) at 202-781-5516.

(2) - Security Controls on the Dissemination of Intelligence Information Received or Generated under NAVSEA Contracts of December 1996.

(3) - OPNAVINST 3811.1E, Threat Support to the Defense Acquisition System of 04 Jan 2012.

(4) - OPNAVINST 3880.6A, Scientific and Technical Intelligence Liaison Officer (STILO) Program and Intelligence Support for the Naval Research, Development, Test and Evaluation, and Acquisition Communities, of 05 Nov 07.

(5) - NAVSEAINST 3800.1B Intelligence information; acquisition, dissemination and utilization of 14 Sept 83.

Item 10.j.: DoD M-5200.01 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) of 2/24/2012.

Item 10.k.: This contract does not require access to NATO classified information and there is not a need to know for NATO classified information. Personnel assigned to this contact who require access to SIPRNET and/or SIPRNET Backbone equipment must receive a NATO security briefing and derivative classification training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure all personnel receive an initial and annual NATO security briefing along with initial and biennial derivative classification training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information Assurance Manager no later than the individual's due date. The contractor shall not use the SIPRNET for anything except that which is required for this contract.

Item 11.d.: All classified data and hardware will be protected IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM).

Item 11.f.: Security officers onboard the designated ships and installations will maintain control of the classified information and conduct security inspections if required. DSS is relieved from security/inspection responsibilities for all classified material. The Cognizant Security Office (CSO) for those locations as identified by the program manager and approved by the COR has oversight for all classified material.

Item 11.g.: DD Form 1540 “Registration for Scientific and Technical Information Services” must be completed for registration with DTIC. The contractor may also submit DD Form 2345 “Militarily Critical Technical Data Agreement” (after registration with DTIC) to the Defense Logistics Services Center for access to unclassified, militarily critical technical data from other DoD sources.

Item 11.j.: OPSEC requirements are additional to the requirements of the NISPOM. Prime Contractors may not impose OPSEC requirements on their subcontractors unless the GCA approves the OPSEC requirements. Information must be protected in accordance with the Operation Security Plan provided.

Item 11.k.: Only certain classified information qualifies for shipment by DCS. Prior approval of the KO is required before a prime contractor can authorize a subcontractor to use the services of DCS.

- Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NAVSEAHQ Contracting Officer's Representative (COR) prior to the presentation.

- Security classification guides (OPNAVINST 5513 series) and CUI (e.g., FOUO, distribution statement controlled) are not authorized for public release; therefore, they cannot be posted on a publicly accessible web-server or transmitted over the internet unless appropriately encrypted. Request for public release cannot be transmitted via the internet until the contractor receives final approval from MARMC Security (Code 1110).

- Contractor must submit request for sharing of classified and other sensitive information between prime contracts in writing to the official in Item 17.

- Personnel designated as derivative classifiers shall receive derivative classification training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure personnel receive initial and biennial training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information Assurance Manager no later than the individual's due date.

- All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS Evaluated Products List (EPL) for high security crosscut paper shredders, or other approved method for destroying classified information.

- All classified information involved in security incidents shall be retained and provided to the official in Item 17 for classification review.

- All security related issues, incidents, or requests pertaining to this contract shall be presented in writing by the contractor's FSO to the official in Item 17. The contractor shall abide by other reporting requirements outlined in the NISPOM.

- All reports of contractor security violations associated with this contract shall be sent by the Cognizant DSS field office directly to the official in Item 17.

- All security related requests pertaining to this contract shall be submitted in writing by the contractor’s FSO to the official in Item 17. Contractor cannot have access to or store classified material/information until Defense Security Service (DSS) has granted them a facility clearance and safeguarding capability. Classification guides will be issued once the facility is cleared.

- Forward a copy of subcontractor DD254s issued under this contract to the official in item 17.

Contract Program Sponsor: Larry Lentz, MARMC C271, (757) 400-3032, larry.d.lentz.civ@us.navy.mil Security Contact: Mr. John Johnson, MARMC C1111, (757) 400-0356, john.e.johnson58.civ@us.navy.mil

========== OPTIONAL ADDITIONAL STATEMENTS ==========

This DD254 is for solicitation purposes only; therefore, it must be returned to MARMC Security C1110 to be updated with a contract number upon contract award before the contract DD254 can be issued to the contractor.

Norfolk, VA 23511-2124 Address: 9727 Avionics Loop, Norfolk VA, 235111-2124