Attachment 4 - N66604-25-Q-0047 SCO Validated.pdf
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- Attached to
- 8(a) Set-Aside for Calibration and Metrology Lab Services Federal contract opportunity
- Solicitation number
- N6660425Q0047
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| File | Type | Posted |
|---|---|---|
| II.E. Attachment 2 - Sections LM FINAL.docx | DOCX document | |
| Attachment 8 - CDRLs.pdf | ||
| Attachment 7 - QASP.docx | DOCX document | |
| Attachment 3 - Wage Determination 15-4089 Rev 29 Area RI.txt | TXT text file | |
| Attachment 6 - Performance Requirements Summary Table.docx | DOCX document | |
| N6660425Q0047.pdf | ||
| Attachment 1 - SOW.docx | DOCX document | |
| II.E. Attachment 2 - Sections LM FINAL.docx | DOCX document | |
| Attachment 5 - GFP Form (Incidental).docx | DOCX document |
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PREVIOUS EDITION IS OBSOLETE.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" Hide Attachment Bar
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: Unclassified |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: N66604-25-Q-0047 |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: 20250430 |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 0 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: Competitive Solicitation: This DD Form 254 is for Bidding Purposes Only A certified DD Form 254 will be provided upon Contract Award |
Not Valid for Contract Performance
| Enter typed name of certifying official (last, first, middle initial).: N/A |
| Enter typed name of certifying official (last, first, middle initial).: Chaves, Christopher, D |
| Enter CAGE code of the prime contractor.: N/A |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: N/A |
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: NUWC Division Newport |
1176 Howell Street Newport, RI 02841 Enter location(s).: AUTEC 801 Clematis Street, Suite 1 West Palm Beach, FL 33401 Enter location(s).: AUTEC Base, Andros Island, Bahamas:
Naval Undersea Warfare Center Det AUTEC
PSC 1012 FPO, AA 34058
Enter general unclassified description of this procurement.:
Calibration Lab Support Services
Estimated End Date: 6/13/2030
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| 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.": COR |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 0 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: Commander, Naval Undersea Warfare Center, Division Newport |
| Enter public release authority.: |
| Select to add signature.: |
| Select to remove last signature.: |
| text: |
This DD254 is for solicitation purposes only; therefore, it shall be returned to the NUWCDIVNPT Industrial Security Office to be updated before the contract DD254 can be issued to the contractor.
-----------------------NAVAL UNDERSEA WARFARE CENTER INFORMATION----------------------
This is to advise you that the following information is current verification information for the facility under this contract or award. The following mailing addresses are authorized under the cage codes identified on this DD254.
Cage Code: XXXXX Physical Location: XXXXX Classified Mailing Address: XXXXX (“Not Authorized for this contract” if no Safeguarding in Item 1b & Location not listed in Item 8) Classified Hardware Mailing Address: XXXXX Classified Overnight Address: XXXXX
All classified data and hardware shall be protected I.A.W. Part 117 of Title 32, Code of Federal Regulations (CFR).
All contract personnel shall have a favorably adjudicated background investigation or interim clearance granted per established DoD personnel security requirements for routine and privileged access to government information systems and physical access to facilities and locations supporting the contract.
Classified or unclassified technical papers to be presented at a classified symposium shall be approved by the NUWCDIVNPT Contracting Officer's Representative (COR) prior to the presentation.
Security classification guides and controlled unclassified information (CUI) (e.g., legacy 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 NUWCDIVNPT Code 00.
All reports of contractor security violations associated with this contract shall be sent by the DCSA field office directly to NUWCDIVNPT Industrial Security Team at nuwc_npt_indsec3.fct@navy.mil.
All security related issues, requests, or incidents, pertaining to this contract, shall be submitted in writing by the contractor’s Facility Security Officer (FSO) to NUWCDIVNPT Industrial Security Team at nuwc_npt_indsec3.fct@navy.mil. The contractor shall abide by other reporting requirements outlined in Part 117 of Title 32, CFR.
All classified information involved in security incidents shall be retained and a synopsis of the incident shall be provided to the NUWCDIVNPT Industrial Security Team at nuwc_npt_indsec3.fct@navy.mil for review.
The Contractor shall submit a letter of request, on company letterhead, for sharing of classified and other sensitive information or data between prime contracts to the NUWCDIVNPT Industrial Security Team at nuwc_npt_indsec3.fct@navy.mil. Each request shall reference contract number N66604-25-Q-0047 (to be updated upon award) to identify the specific information for which approval is being sought, a justification for needing to share the information, the name of other contractor and its contract number under which the requested information will be shared.
The Contractor shall submit a letter of request, on company letter, to flow down security access to NUWCDIVNPT Industrial Security Team at nuwc_npt_indsec3.fct@navy.mil. Each request shall reference contract number N66604-25-Q-0047 (to be updated upon award) to identify the specific information for which approval is being sought, a justification for needing to share the information, the name of other contractor, CAGE Code, and the subcontract number.
The contractor shall provide a copy of subcontractor DD254s issued under this contract to NUWCDIVNPT Industrial Security Team at nuwc_npt_indsec3.fct@navy.mil.
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 shall 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.
The contractor shall adhere to NUWDIVNPT Security Manuals, Instructions, Directives, and Standard Operating Procedures (SOP) while working onboard NUWCDIVNPT, NUWCDIVNPT Facilities onboard NAVSTANPT, or any NUWDIVNPT Detachment.
-----------------------------------Sections 10 and 11 Statements---------------------------------------------
Item 10(j): All Controlled Unclassified Information (CUI) associated with this contract must be protected per the guidance provided for Item 11(l) of this DD Form 254.
Item 11(a): All classified information/material shall be provided by the contractor facility or Government Contracting Activity (GCA) and safeguarded at the approved actual performance site.
Item 11(e) Equipment Maintenance Services: This contract is for maintenance services on equipment, which processes classified information at the Naval Undersea Warfare Center, Division Newport and/or its associated cleared detachments. Actual knowledge of, generation, or production of classified information is not required for performance of this contract. Personnel cleared at the (SECRET) level are required to perform this service because access to classified information cannot be precluded by escorting personnel. Classification guidance needed for performance shall be provided by the using activity.
Item 11(e) Logistic Services: Contract is for logistics services at Naval Undersea Warfare Center, Division Newport. Under this contract, material is received, prepared for shipment, transported, and stored. Cleared personnel (Secret) are required to perform this service.
11(j): The contractor shall protect critical information associated with this contract to prevent unauthorized disclosure. The NUWC Division Newport (NUWCDIVNPT) Critical Information and Indicators List (CIIL) is identified under separate cover. The CIIL shall be reviewed annually by NUWCDIVNPT to ensure current relevancy and disseminated as required.
11(j): Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of DoD 5220.22-M, National Industrial Security Program Operating Manual, therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NUWCDIVNPT approves the OPSEC requirements. The contractor shall assign an OPSEC point of contact for this contract at no additional cost to the Government. This individual may be the Facility Security Officer (FSO).
11(j): During the period of this contract, the Contractor may be exposed to, use, or produce, NUWCDIVNPT Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. NUWCDIVNPT’s CI will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI).
11(j): CUI correspondence transmitted internally on the contractor's unclassified networks or information systems, and externally, shall be protected per NIST SP-800-171, Protecting Controlled Unclassified Information in Non-federal Systems and Organizations.
11(j): Assembled large components/systems being transported to and from testing areas, other production or government facilities (whether or not on public roadways) shall be in an enclosed van trailer or covered flatbed trailer. Component/System outside storage, staging, and test areas shall be shielded/obscured from public view wherever physically possible.
11(j): NUWCDIVNPT'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 NAVSEA/NUWCDIVNPT Public Release Authority listed in Item 12 of this DD Form 254.
11(j): Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise of government Classified or CI, Business Sensitive, Company Proprietary information related to this or other NUWCDIVNPT program must be immediately reported to the Facility Security Officer and Defense Security Service and/or the Naval Criminal Investigative Service, and the NUWCDIVNPT Information, Industrial, and Operations Security POCs identified on this DD-254. Questions concerning these requirements shall be directed to the NUWCDIVNPT Information, Industrial, and Operations Security POCs.
Item 11(l): Legacy information from existing documents (e.g. Technical Manuals) marked For Official Use Only or FOUO, that is used to create a new document/correspondence, shall follow the minimum marking requirements of DoDI 5200.48, Section 3, paragraph 3.4.a, and include the acronym "CUI" in the banner and footer of the document. Nonfederal information systems storing and processing CUI shall be protected per NIST SP-800-171, or subsequent revisions, and/or I accordance with DFARS clause 252.204-7012. 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.
text:
| Click on this button to attach a file(s).: |
| rep: Charles Morrison |
NUWCDIVNPT OPSEC Program Manager
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: Item 11(j): Operations Security (OPSEC) requirements are imposed for this contract under section 11(j) and are reflected in Item 13 of this DD Form 254. The contractor shall not impose additional security requirements including OPSEC on its subcontractor without written approval from the NUWCDIVNPT OPSEC Program Manager identified on this DD Form 254. These additional security requirements shall not be at an additional cost to the government. |
| Enter GCA name.: Naval Undersea Warfare Center, Newport |
| Enter AAC of the contracting office.: N66604 |
| Enter AAC of the contracting office.: N66604 |
| Enter address (include zip code).: NUWCDIVNPT |
1176 Howell Street Newport, RI 02841 Enter address (include zip code).: NUWCDIVNPT 1176 Howell Street Newport, RI 02841
| Enter POC name.: COR identified in section G of contract |
| Enter telephone number (include area code).: 4018322551 |
| Enter email address.: nuwc_npt_indsec3.fct@navy.mil |
| Enter title.: Security Contracting Officer |
| Enter the date signed in format YYYYMMDD.: 20250430 |
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