Attachment 4 FY22 CC DD 254 (Draft) 24 Mar 2021.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

DD FORM 254, APR 2018

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

May 31, 2022 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

Program Manager (PM):

LCDR Maura Betts NAWCTSD Orlando Tel: (407) 380-8469 Email: maura.betts@navy.mil

Block 7.a: The Prime contractor is responsible for issuing required DD 254 to each subcontractors.

*********************************************CONTINUES*******************************************************

CONTINUATION ITEM 13 - Contract # N61340-21-R0032

Block 10.e(2): No access to Non-SCI intelligence information or Foreign Intelligence Information required. Access to the Secret Internet Protocol Router Network (SIPRNet) access requirement only. If additional access via SIPRNet is required, the Technical Point of Contact (TPOC)/Contracting Officer Representative (COR) must modify/revise the requirements of DD254 for Scientific Technical Intelligence Liaison Officer (STILO) approval and signature.

Block 10.j & 11.l: Controlled Unclassified Information including For Official Use Only 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 DoDI 5200.48 (Controlled Unclassified Information (CUI)) available at https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/520048p.PDF?ver=2020-03-06-100640-800

- 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. http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/523024p.pdf?ver=2017-11-01-154045-003

- All For Official Use Only (FOUO), Covered Defense Information (CDI), and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption.

- The Contractor shall ensure that when transmitting 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.

- All information/material received and/or generated is the property of the U.S. Government. At the termination or expiration of this contract, the U.S. Government will be contacted for proper disposition instructions.

Block 10.k: Secret Internet Protocol Network (SIPRnet), STE/VOIP 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.

- FGI: No contractor access to Foreign Government Information (FGI) required (Secret Internet Protocol Network (SIPRNet) access requirement only). If additional access via SIPRNet is required, the Technical Point of Contact (TPOC)/Contracting Officer Representative (COR) must modify/revise the requirements of DD254 for access to Foreign Government Information.

- NATO: This contract does not require access to NATO classified information and there is not a need to know for NATO classified information. 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 Security Representative (COSR) is required prior to subcontracting.

Block 11.c: The Contrator will receive, store and generate Classified information or material.

Block 11.j: The contractor shall develop, implement and maintain a facility level OPSEC Program to protect critical information to be used at the facility during the performance of this contract.

- Contract data requirements list (CDRL) and data item description (DID-DI-MGMT-80934C) are a component of the contract.

- Withing 90 Days of Contract Award - A DRAFT OPSEC Plan must be submitted to:

12211 Science Drive Orlando FL 32826 (NAWCTSD ORLANDO)

- 45 Days from Draft OPSEC Plan approved date - A FINAL OPSEC Plan is due and must be submitted to:

12211 Science Drive Orlando FL 32826 (NAWCTSD ORLANDO)

**********************************************CONTINUES****************************************************** CONTINUATION ITEM 13 - Contract # N61340-21-R0032

Cont. Block 11.j:

-The Prime Contractor shall be responsible for subcontractor implementation of the OPSEC Program requirements for this contract.

Block 11.m: Additional Information.

-International Traffic and Arms Regulation - The contractor shall ensure that foreign persons, as defined under section 120.16 of the International Traffic and Arms Regulation (ITAR) (22 CFR, Parts 120 – 130), are not given access to U.S. Government controlled unclassified information, sensitive information, defense articles, defense services, or technical data, as defined in the ITAR, Part 120, without proper issuance of an export license from the U.S. Government authority.

-Supply Chain Risk Management (SCRM) For National Security Systems - The Contractor shall mitigate supply chain risk in the provision of supplies and services to the Government per FAR 252.239-7018, Supply Chain Risk, and CNSSD -505, Supply Chain Risk Management (SCRM). The contractor shall, implement a process for managing supply chain risk by identifying susceptibilities, vulnerabilities, and threats throughout the supply chain and developing mitigation strategies to combat those threats whether presented by the supplier, the supplied product and its subcomponents, or the supply chain (e.g., initial production, packaging, handling, storage, transport, mission operation, and disposal.

-Government-Issued Personal Identification Credentials - The contractor and subcontractor(s) (when applicable) shall:

Account for all forms of U.S Government-provided identification credentials (CACs and/or U.S. Government-issued badges) issued to the contractor or their employees in connection with contract performance.

Have in place an established and enforced “out-processing” policy for employees that leave the company, including suspension of account access, CAC/ID Badges turn in.

Ensure that out-processed employees receive debriefings on the need to maintain confidentiality of U.S. Government Controlled Unclassified Information.

-Personnel Security – Reporting of Adverse or Derogatory Information related to Contractors - The Contractor shall report to the NAWCTSD Security Office adverse or derogatory information pertaining to on-site CSS personnel (when applicable) or contractor personnel in direct support of this contract. Adverse or derogatory information reporting of contractor personnel. Ex. Domestic Violence arrest, or other violent or sexual crime arrest or self-report.

When contractor personnel receive a revocation of an Interim or denial for the issuance of a CAC until final adjudication When a denial or suspension of clearance occurs for a contractor employee When contractor employee receives a final denial of eligibility for a security clearance.

-Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposia must be submitted to government sponsor 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.

-Contractors shall comply with security procedure and all additional OPSEC security plans and requirements in effect at all Government sites visited and where work to take place as listed in Block 8.

-All instances of loss, compromise and electronic spillage of classified or controlled unclassified information shall be reported to the COR, TPOC, and Government Security Office within 24 hours of the incident occurring.

-Determination of need-to-know in connection with a classified visit is the responsibility of the individual/host who will disclose the classified information.

-The contractor shall not release any classified information to a "Non U.S. Citizen" or persons holding “Reciprocal Clearances" without written authorization from this activity.

-All contractor personnel shall comply with DoD Security Agreement (DD Form 441), as well as the National Industrial Security Program Operating Manual (NISPOM), DoD 5220.22-M.

-Contractors shall perform work in accordance with Statement of Work (SOW).

Block 12: Transmissions by non-secure facsimile or E-mail is NOT authorized by Prime or subcontractor(s).

****************************************NO FURTHER ENTRIES**************************************************

12211 Science Drive Orlando, FL 32826-3275 Address: Naval Air Warfare Center Training Systems Division (NAWCTSD) 12211 Science Drive Orlando, FL 32826-3275