Attachment J-1 - DD254.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PREVIOUS EDITION IS OBSOLETE.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)

3755 Brinser St, Suite 1 San Diego, CA 92136

3755 Brinser St, Suite 1 San Diego, CA 92136 Block9: Southwest Regional Maintenance Center (SWRMC), as a Naval Sea Systems Command (NAVSEA) Regional Maintenance Center (RMC), has primary mission responsibilities to provide direct support to Type Commanders and their U.S. Navy fleet assets. SWRMC provides waterfront Fleet Technical Assistance (FTA), assessments, techniques, and training associated with the operation, installation, maintenance, repair, and readiness of shipboard equipment and systems. Using Information Technology (IT) and leveraging specialized experiences of the Command’s personnel and contracting resources, SWRMC has implemented various programs to increase the reliability and maintainability of shipboard Hull, Mechanical, and Electrical (HM&E) systems. These functional area services are often referred to as SWRMC Engineering Department’s Pillars of Support.

E-Mail: stephanie.m.higgins9.civ@us.navy.mil

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 SWRMC.

Contractor must submit a request for sharing of classified and CUI in writing to the SWRMC Contracts Office, identified in block 16 of this form.

The contractor may receive unclassified informational materials from the Government that are marked as Controlled Unclassified Information (CUI). This information is not authorized for release to the general public. Pertinent information is to be released only to contractor personnel who have a need to know for the purpose of contract execution or as directed by associated document markings or distribution statements. The contractor shall take proper safeguards to ensure that any such material received will be properly protected from unauthorized or inadvertent disclosure. If there are any questions regarding the requirements for protection or the release of CUI, the contractor shall refer those questions to the ACO.”

Item 10(j): All Controlled Unclassified Information associated with this contract must be protected per the guidance provided for Item 11(l) of this DD Form 254.

Item 10(k). SIPRNet. 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, derivative classification, and OPSEC 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 and derivative classification training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information System Security Manager (ISSM) 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(a): Access at the actual work/performance location will not include the generation of classified information. Access to classified material will be for review only as necessary for the execution of the contract. All work will be completed at the government facility identified in Item 8.

Item 11(j): The Contractor shall protect critical information associated with this contract to prevent unauthorized disclosure. The SWRMC Critical Information List, SWRMCNOTE 5510 of August 29, 2022 will be identified under separate cover.

Item 11(j) Continued: Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of Part 117 of Title 32, Code of Federal Regulations; National Industrial Security Program Operating Manual (NISPOM), therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless SWRMC 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).

Item 11(j) Continued: During the period of this contract, the Contractor may be exposed to, use, or produce, SWRMC Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. SWRMC’s CI will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI).

Item 11(j) Continued: Intra-office communications and electronic emails shall be encrypted and protected when containing SWRMC’s CI.

The transfer of unclassified technical data to and from the government or other associated activities must be accomplished via encrypted email or https://safe.apps.mil.

Item 11(j) Continued: 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.

Item 11(j) Continued: SWRMC’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 SWRMC Public Release Authority listed in Item 12 of this DD Form 254.

MAINTENANCE CENTER

3755 Brinser St, Suite 1 San Diego, CA 92136 Address: SOUTHWEST REGIONAL MAINTENANCE CENTER 3755 Brinser St, Suite 1 San Diego, CA 92136