Attachment_D_DD_254.pdf

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PREVIOUS EDITION IS OBSOLETE.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

I0FSI

CSO: Defense Security Service

I0FSI

Security Classification Guides to be used with this contract are as follows:

OPNAVINST 5513.7 SCG 07-18.3

--Item 10.k: NISPOM paragraph 11-202.b. identifies the process for access to information designated Military Critical Data. DD From 2345 must be submitted (directly) to the Defense Logistic Agency for access to unclassified military critical technical data. Export Controlled: All technical documents determined to contain export controlled technical data shall be marked "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161” and guidance contained in attachment 3.

Personnel accessing government IT systems in the performance of contract work must meet SECNAV M-5510.30 security/access requirements. Information Assurance: Contractor personnel supporting this task order who require access to DoD Information Systems are required to receive and complete initial IA orientation awareness training before being granted access to the system(s), and annual IA awareness training to retain access, as required IAW DoD 8570.01-M and DoDI 8500.2 E3.3.7. Access requests to DoD IT systems will utilize OPNAV 5239/14(July 2008) SAAR-N Form. Contractor personnel supporting some areas of this Task Order requiring privileged access to DoD systems (e.g. System Administrators) are required to meet the following additional Information Assurance performance requirements: in accordance with SECNAVINST 5510.30, performance requirements at the IT-1 Critical Sensitive position requires full positive adjudication of a Single Scope Background investigation. Additionally, per DoD Manual 8570-1M, performance requirements will be set at the Information Assurance Technical Level (IAT) II and all training and certification specifications are required to be met within 6 months for any currently contracted employee and must be met within 6 months of any newly reporting personnel being assigned. This contract may include IT Level 1, 2, and 3 access requirements. A favorably adjudicated SSBI, or Periodic Review (PR) of the SSBI, is required for personnel whose duties meet the criteria for an IT Level 1 designation. The SSBI or PR must be updated every 5 years. A favorably adjudicated NACLC investigation (or higher) for civilian personnel is required for IT Levels 2 and 3.

-- Item 11.c: The contractor requires access to classified source data up to and including the level identified in item 1a of this DD254. Classified material generated in support of this contract shall be classified in accordance with the course material of the Navy Security Classification Guidance, which will be provided by the SCO. Automated Information Systems (AIS) must be certified and accredited by the Cognizant Security Agency (CSA) prior to processing classified information from NAVSEA.

--Item 11.j: Operations Security (OPSEC) requirements: Contractor personnel are subject to applicable provisions of NSWC IHEODTD 3070.3 OPSEC Program. Contractor personnel supporting this task order must complete annual government – provided OPSEC awareness training. Contractor personnel will have access to government Critical Information (CI) and Indicators and Observables that may indirectly disclose CI. CI includes, but is not limited to: Ship movements and schedules, weapons and sensor system installations, capabilities, and configurations; specific platform installations and characteristics, test schedules, deficiencies and vulnerabilities. Indicators and Observables may include, but are not limited to: Outdoors system testing; ship’s external hull or superstructure modifications; shipboard equipment, ordnance, weapons, fuels, and/or stores loading/unloading operations, and/or personnel or aircraft embarkation. No CI, Indicators, or Observables may be divulged to third parties (including other company employees who are not subject to this contract) without approval of the local command Security Officer, OPSEC Officer, or the NSWC IHEODTD OPSEC Program Manager.

______________See DD254, Block 13_____________________________ OPSEC Manager, NSWC IHEODTD

14. ADDITIONAL SECURITY REQUIREMENTS: Contractor employees embedded in government work spaces will be included in the command security education program per SECNAV M-5510.36 (11-4.2.a) and must complete prescribed DoD/DoN training requirements. Contractor employees shall review each NSWC IHEODTD Security Training Bulletin online at the training website. Embedded employees with a Secret or above security clearance must annually attend a locally provided NCIS counterintelligence briefing. Derivative classifiers (i.e., those who create new documents, including e-mails, based on existing classification guidance) shall receive training in derivative classification as required by DoDM 5200.01 V-1 with an emphasis on avoiding over-classification, once a year. Training is available on the DSS website.

Contracting authority will provide security classification guidance on-site for the services to be performed. (to include Alternate Compensatory Control Measures where applicable).

• Classified or unclassified technical papers to be presented at classified symposiums must be approved by the Contracting Officer’s Representative PRIOR TO presentation.

• All contractor requests for sharing of classified and other sensitive information between prime contractors must be forwarded in writing to the government security office identified in Item 16.d of this DD254 form for approval.

• Copies of all subcontract DD254s must be provided to the government security office identified in Item 16.d of this DD254.

• Security Classification Guides (OPNAVINST 5513 Series) and unclassified limited distribution documents (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 to current DoD standards. Requests for public release cannot be transmitted via the Internet until the contractor receives final approval from the government.

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 for high security crosscut paper shredders, or other APPROVED method for destroying classified information.

All reports of contractor security violations associated with this contract shall be mailed by the Cognizant DSS field office directly to the certifying official in block 16 of this DD254.

All classified information involved in security incidents shall be retained and provided to the certifying official in block 16 (a) of this DD 254 for classification review.

All security related requests pertaining to this contract shall be submitted in writing by the contractor's Facility Security Officer (FSO) to the individual identified in block 16(a) of this DD254.

All security aspects of this contract fall under the cognizance of NSWC IHEODTD Command. Contact the NSWC IHEODTD Security Contracting Officer for any questions regarding the content of the DD form 254.