Attachment J-2 - DD254.pdf

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

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PREVIOUS EDITION IS OBSOLETE.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)

FOR SOLICITATION PURPOSES ONLY; NOT VALID FOR CONTRACT AWARD

See Block 13

Block9:

Sustainment and support of limited manufacture, assembly, and test of the TI16 Suite of equipment, spares, and associated technical services. Ordnance Alteration (ORDALT) Kits and related procurements, products, installation and harvesting services and Engineering Services, Supportability and Life Cycle Support to the Air Dominance Department of the Naval Surface Warfare Center, Port Hueneme Division (NSWC PHD), Port Hueneme California.

Access to classified information is not required to respond. All responses shall be unclassified.

All access to classified information will be on-site at government locations; classification guidance will be provided on-site by the User Activity.

8a. Performance location will include Naval Surface Warfare Center Port Hueneme Division, 4363 Missile Way,Port Hueneme, CA as well as Mayport, FL; Dahlgren, VA; Virginia Beach, VA; Kauai, HI; San Diego, CA; Norfolk, VA; aboard Aegis ships, both in homeport and worldwide; other locations as identified per SOW, Order, Task Instruction, or other contractual authorization.

10e(2) 1: Access to non-SCI intelligence information is not required for contract performance, however inadvertent access may occur because intelligence data is available on SIPRNET. The contractor shall not intentionally access or download intelligence data.

10e(2) 2: Security Controls on the Dissemination of Intelligence Information Received or Generated under NAVSEA Contracts of December 1996

10(2) 3: OPNAVINST 3811.1E, Threat Support to the Defense Acquisition System of 04 Jan 2012

10(2) 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

10.e.(2)5: NAVSEAINST 3800.1B Intelligence information; acquisition, dissemination and utilization of 14 Sept 83

10g. There is no actual requirement for NATO access, however inadvertent access may occur because NATO information is available on the SIPRNET. The contractor shall not intentionally access or download NATO information. NATO access requires a final U.S. Government clearance and special briefings, at the appropriate level, prior to access. Written approval of the Contracting Officer is required prior to subcontracting a NATO requirement.

10h. There is no actual requirement for FGI access, however inadvertent access may occur because FGI information is available on the SIPRNET. The contractor shall not intentionally access or download FGI.

10(j), 11l.: Controlled Unclassified Information (CUI) shall be protected in accordance with DoDI 5200.48 Controlled Unclassified Information dated March 6, 2020 (which cancelled and replaced DoD M-5200.01 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) dated 2/24/2012.) It is emphasized that CUI information may not be transmitted via unprotected systems, e.g., the internet, unless fully encrypted to current DoD standards.

10 k. SIPRNET access at government locations is authorized. Personnel with SIPRNet access must complete the “NAVSEA Web-based Training for Derivative Classifiers” hosted on TWMS on an initial and thereafter biennial basis during the life of this contract. See also comments for 10e(2), 10g, and 10h. regarding contractor access to SIPRNET or SIPRNET backbone equipment. The contractor's use of SIPRNET is restricted to that which is required to perform on this contract. Written approval of the Contracting Officer is required prior to subcontracting a SIPRNET requirement.

11f. 11(f): Access to U.S. classified information may be required at Yokosuka, Japan; Rota, Spain; Romania; Poland; other European Union locations; Persian Gulf Theater, and aboard Aegis ships, both in homeport and worldwide. Additional locations may be required, as identified per SOW, Order, Task Instruction, or other contractual authorization. DoD components are responsible for providing the day-to-day oversight and management of contractors collocated with and supporting government customers. Security officers on-board the designated ships and installations will maintain control of the classified information and conduct security inspections if required.

11j. OPSEC requirements are in addition to the requirements of the NISPOM. Prime Contractors may not impose OPSEC requirements on subcontractors without the GCA approval. Information must be protected in accordance with the identified Operation Security Plan:

OPSEC Plan TI 16 Sustainment, Installation, Procurement and Engineering Services, dated 6 June 2019 is an attachment to the contract.

Item 11m. OTHER:

-Contract Couriers: Facility Security Officer (FSO) will provide required courier briefings to employees authorized to courier classified information for this contract. FSO will provide NSWC PHD security office a list of personnel authorized and briefed to courier classified material. This list will be reconciled and forwarded to the security office as changes occur.

- 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.

- Contractors responsible for unauthorized disclosure of PII may be held accountable for any costs associated with breach mitigation, including those incurred as a result of having to notify personnel.

- Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NSWC PHD Contracting Officer’s Representative prior to the presentation.

- Security classification guides (OPNAVINST 5513 series) and controlled unclassified information (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 NSWC PHD Public Affairs.

- Contractor must submit a request for sharing of classified and other sensitive information between prime contractors in writing to the certifying official identified in Block 17(a) of this form for approval.

- All security related issues, incidents, or requests pertaining to this contract shall be presented in writing by the contractor's Facility Security Officer (FSO) to the individual identified in block 17(a) of this DD254. The contractor shall abide by other reporting requirements outlined in the NISPOM.

- 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 17 of this DD Form 254.

- All classified information involved in security incidents shall be retained and provided to the certifying official in Block 17(a) of this DD Form 254 for classification review.

- All classified paper documents destroyed by shredding must be done 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. Destruction may also be accomplished by other approved methods for destruction of classified information.

- Forward a copy of subcontractor DD Form 254s issued under this contract to NSWC PHD Security at the address in Block 17(a) of this DD Form 254.

- When submitting visit request to NSWC PHD, use its Security Management Office (SMO) number (633946).

- All security aspects of this contract fall under the cognizance of NSWC PHD. Security POCs: David Haugland, Security Manager, Code 105, (805) 228-6163; Beth Scott, Security Specialist, Code 1051, (805) 228-5708, elizabeth.a.scott1@navy.mil at the address in Block 17.

On-Site Contractors:

1. Contractor employees must check out with NSWC PHD Security when departing NSWC PHD at the end of employment with their company or firm, end of procurement, when transferred to a different procurement, or upon being denied access to Government materials or information. The contractor shall return the items listed below to the custody of PHD NSWC Security Office, Bldg. 1380 or the local site security manager listed below.

• Common Access Cards (CACs), except issued to retired military personnel and retired civil servants on that basis.

• Pass/passes, except those issued to retired military personnel and retired civil servants on that basis.

2. Contractor personnel shall comply with all DoD, DoN, NAVSEA, NSWC PHD local Navy installation, and PHD NSWC security instructions, policies, procedures and guidance as they apply to the contractor. This includes all training requirements outlined in the NSWC PHD Security Manual. Contractor is required to return all government furnished equipment and government furnished material to the government at the end of this contract.

NSWC PHD site Security Managers:

NSWC PHD ARDEL Facility: Samuel (Glenn) McIntyre; samuel.mcintyre@navy.mil; (808) 335-4612 NSWC PHD Detachment White Sands: Janna Koenig; janna.koenig@navy.mil; (575) 678-6050 NSWC PHD Mayport; Patrick Delly; patrick.delly@navy.mil; (912) 573-4250 NSWC PHD San Diego; Millie Ann Watson; millie.watson@navy.mil; (619) 556 -9194 NSWC PHD Virginia; Marvin Abuan; marvin.g.abuan@navy.mil; (757) 492-5064

NSWC PHD Code 10S2

4363 MISSILE WAY

PORT HUENEME, CA 93043

Address: COMMANDING OFFICER, NSWC PHD

4363 MISSILE WAY, CODE 1051

PORT HUENEME, CA 93043