Attachment J.1_BIDDING 041-20_DD254_signed PKG.pdf

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UNCLASSIFIED

BIDDING 041-20

CONTINUATION – DD FORM 254 ITEM 13

DODM 5200.01, VOL IV

24 FEB 2012

CONTROLLED UNCLASSIFIED INFORMATION (CUI)

1. DEFINITION. Controlled Unclassified Information is defined as unclassified information meeting standards for safeguarding and dissemination controls pursuant to law, regulations, and government-wide policies under Executive Order 13556, which establishes a uniform program for designation of information meeting the standards for CUI, uses standardized marking, and ensures information is only controlled when needed.

2. CATERGORIES OF CUI. CUI consists of the following;

For Official Use Only (FOUO) information;

Privacy Act Information (See PII attachment);

Department of State Sensitive But Unclassified (SBU) information;

Department of Defense (DoD) and Department of Energy (DoE) Unclassified Controlled Nuclear Information (UCNI);

Drug Enforcement Administration (DEA) Sensitive Information;

Foreign Government Information (FGI);

Unclassified Navy Nuclear Propulsion Information (U-NNPI); and

National Geospatial Intelligence Agency Limited Distribution Information

3. GENERAL GUIDANCE: Controlled Unclassified Information (CUI) such as FOUO, Security Classification Guides (SCG), and other information with Distribution Statements B thru F, are not authorized for public release and cannot be placed on a publicly accessible web site or web server.

a. Distribution statements for classified documents will be determined by the Security Classification Guide used to mark the document.

b. All technical data provided to the contractor by the government will be protected from public disclosure in accordance with the markings contained therein.

c. Any material produced under the terms of this contract will be classified directly from the source document(s) from which it was obtained. It will be marked with the most restrictive downgrading/declassification statement contained in such documents.

4. TRANSMITTAL. All emails containing such information or attachments must be appropriately marked, and digitally signed and encrypted if being transmitted within Navy networks, or outside a Navy network to an approved contractor email address. All transmissions to personal email accounts (AOL, Yahoo, Hotmail, Comcast, etc.) are prohibited.

CONTINUATION – DD FORM 254 ITEM 13

5. OFFSITE HANDLING. The contractor shall provide adequate physical protection to such information as to preclude access by any person or entity not authorized such access by the government.

6. DISCLOSURE POLICY: All other information relating to the items to be delivered or services to be performed under this contract may not be disclosed by any means without prior approval of the authorized representative of the contracting officer. Dissemination or public disclosure includes, but is not limited to, permitting access to such information by foreign nationals or by any other person or entity; publication of technical or scientific papers; advertising; or any other proposed public release. Due to the sensitivity of this program, no classified material received or generated under this contract will be transferred to any other contractor or agency without the approval of the Contracting Officer or Contracting Officer’s Representative (COR).

7. FACILITY VISITS: All visit requests for contractor personnel visiting NSWCDL shall meet the following requirements;

a. Requests must be sent through the Joint Personnel Adjudication System (JPAS), under SMO code 001785 for GENSER and 001783 for SCI.

b. Visit requests for Contractor Personnel not submitted via JPAS shall be faxed to the COR, TPOC or the respective department administrative office no later than five (5) working days prior to the intended visit for NEED-TO-KNOW certification. All requests shall contain the information required by Chapter 6, NISPOM, and shall not exceed 12 months.

c. Visit requests for subcontractors to other activities will have a NEED-TO-KNOW certified by the prime contractor.

d. Information on this contract is not releasable to personnel possessing limited (reciprocal) clearances without the written approval of NSWCDD.

Additional guidance can be found at DODM 5200.01, VOL IV.

N0017820R4406

Section 01 00 00 - General Requirements

GENERAL REQUIREMENTS

01010 SCOPE OF SERVICES

1. SCOPE OF SERVICES

1.1. The Contractor shall provide all management, labor, material, equipment, transportation, supervision, and environmental and quality controls, to accomplish simultaneous maintenance, sustainment, repair, and minor construction projects at the following locations: Naval Surface Warfare Center Dahlgren Division (NSWCDD);

Pumpkin Neck Annex Explosive Experimental location in King George, VA; NSWCDD Dam Neck Activity (DNA) in Virginia Beach, VA; Surface Warfare facilities at Wallops Island on the Eastern Shore, VA; and NSWCDD facilities located at the Naval Observatory in Washington, DC.

1.2. In addition to standard maintenance, sustainment, repair, and minor construction, the following are considered within the scope of this contract:

a) Joint scoping of project requirements between the Contractor and NSWCDD Government to jointly identify project requirements for individual Task Orders.

b) Field surveying of sites to document existing conditions (e.g. utilities, grading, sidewalks, etc.), and mapping of new site conditions required to update GIS (graphic information system).

c) Soil boring sampling at potential work sites; analyzing the samples and providing test reports to the

Government in determining soil-bearing capacity of a given site.

d) Sampling and testing of potential existing hazardous construction materials (e.g. lead paint, flooring mastic, pipe insulation, etc.). Providing test reports to the Government documenting materials sampled.

e) Performing and providing engineering analysis and evaluations to determine the structural or electrical capacity to support mission equipment.

f) Providing energy computations for infrastructure solutions including: energy or thermal performance of wall and roof systems; projecting energy performance of new systems (e.g. new boiler, AHU, hot water heater, etc.)

1.3. Work performed under this contract will be complex in nature, and require multiple disciplines working simultaneously to include coordination with Architect-Engineer (A-E) Contractors as necessary. All such work shall be accomplished in strict accordance with all applicable Navy and local instructions, processes, and procedures and applicable building and life safety code requirements.

2. HOURS OF OPERATION

Normal working hours at all locations are Monday through Friday, 0600 to 1700. Work shall not occur outside those hours unless previously approved by the Contracting Officer, or specified in a Task Order. In the event that

Government testing schedules interfere with the Contractor’s planned work schedule, and that interference will cause a delay in schedule or increase in price, notify the Contracting Officer immediately.

01020 TASK ORDER PROCESS

1. ORDERING PROCEDURES

1.1. All subsequent Task Orders under this Multiple Award Construction Contract (MACC) will be awarded as

Firm-Fixed-Price (FFP). The Government will utilize either a Best Value Tradeoff or Lowest Price Technically

Acceptable (LPTA) process in award decisions as deemed appropriate by the Government for each individual Task

Order. The Contracting Officer may decide to award a non-competitive Task Order after consideration of:

1. Contract minimums

2. Urgency of requirement

3. Capacity to perform

1.2. For competitive Task Orders, the Contracting Officer will issue a Task Order Request (TOR) to the MACC once construction projects are identified. The TOR will include all specifications necessary for the Contractor to adequately bid on the work, as well as the disclosure of magnitude as required by FAR 36.204.

1.3. A site visit will be scheduled as necessary to review and clarify the requirements of the TOR, verify existing conditions, and obtain whatever measurements and information are necessary to develop a complete and accurate

Task Order Proposal (TOP).

2. CONTRACTOR PROPOSALS

An acceptable TOP shall consist of the following:

2.1. Cover Sheet: Each TOP cover sheet shall include contract number, project number, project title, contact information for the Contractor, performance period, assumptions, exceptions, and the date to which the proposal will be valid. At a minimum each proposal shall be valid for 120 calendar days unless a longer period is requested in the

RFP.

2.2. Price: An electronic copy of the Contractor’s pricing, with sufficient data to substantiate pricing (data other than certified cost or pricing, ref. FAR 52.215-20 Alt IV). The Government reserves the right to request additional pricing information after receipt and evaluation of proposals.

2.3. Project Schedule: Each TO proposal shall include a brief critical path schedule, taking into account the major work elements, mobilization, material delivery times, anticipated weather delays, and final inspection. The proposed timeline should be of sufficient detail to demonstrate that the Offeror can meet the Governments proposed Period of

Performance (PoP).

3. PERIOD OF PERFORMANCE

3.1. If the Government has a maximum PoP it will be stated in the TOR. If not the Contractor can propose a PoP using the brief critical path schedule. The PoP shall start on the TO award date. The calculated PoP is made up of the following:

Pre-Construction Period: Not more than 30 calendar days. Time allotted to the Contractor to submit insurance and bonding information, submission of preconstruction submittals required by specifications, and onsite mobilization.

Physical Construction: Varies by TO. Time allotted to the Contractor to complete all construction activities required by the TO.

Project Closeout: Not more than 30 calendar days. Time allotted to the Contractor to prepare all project close out submittals and submit application for final payment.

4. EVALUATION

The Government will evaluate TOPs based on criteria stated in the TOR.

5. COMMENCEMENT OF WORK

5.1. TOs will be issued by the Contracting Officer using the Department of Defense (DD) Form 1155, Order for

Supplies and Services. Each TO will include the following information:

Date of Task Order;

Contract Number and Task Order Number;

Item Number, description, material submittal requirements, quantity and unit prices for items and total;

Task order price and delivery or performance date;

Accounting and appropriation data;

Liquidated damage, if any; and;

Any statement of work, drawings or other pertinent data.

5.2. The Contracting Officer will issue Notice to Proceed NTP after receipt and approval of all required pre-construction submittals. In rare circumstances, on projects deemed emergencies, the Contracting officer may issue verbal direction prior to the issuance of the written TO. In those circumstances, the NTP shall be the date the

Contractor received the verbal NTP from the Contracting Officer with written notification to follow with seventy-two (72) hours.

01030 SAFETY

1. SAFETY

1.1. The Contractor shall comply with the requirements of NSWCDD, Department of the Navy (DON), and DOD safety policies and practices currently in force and all subsequent revisions. Established policies, directives, and guidance relating to safe operating practices and personnel safety are mandatory and shall be complied with at all times. The Contractor shall monitor and observe all activities and personnel to ensure strict adherence and compliance to applicable standard operating procedures and safety procedures. The Contractor shall observe all applicable technical, safety, and policy requirements as applies to the handling of hazardous materials.

1.2. The Contractor shall address and comply with all applicable workplace and work environment conditions for compliance with the intent and letter of Federal, State, local and DoD Occupational Safety and Health laws and regulations, policies, and practices.

1.3. All operations are subject to DOD/DON/NSWCDD safety inspections. The Contractor shall support NSWCDD annual safety and environmental facility audits and data collection efforts. The Contractor shall be responsible to correct any deficiencies noted in the annual inspection.

2. ENVIRONMENTAL AND HAZARDOUS MATERIALS HANDLING

2.1 The Contractor, suppliers, and Sub-contractors shall comply with all certification, licensing, and training requirements for all federal, state, and local laws and regulations with respect to the handling and disposal of hazardous materials.

2.2 The Contractor shall create a Hazardous Material Management Plan (HMMP) (CDRL A002) at locations where the Contractor disposes of hazardous materials such as batteries; fluorescent tubes, caulking tubes, and refrigerant.

Contractor shall utilize hazardous materials collection points or Government collection centers for discarded hazardous material.

2.3 Asbestos and lead‐based paint assessments may be required on this contract to determine the presence of hazardous material during demolition or at utility points of connections. Work on and around waterfront structures, including under deck and underwater, and work in confined spaces may be required on this contract. The Contractor shall be able to accept work that involves asbestos, lead paint, Poly‐Chlorinated Biphenyls (PCB) s, and other hazardous materials, work on and under waterfront structures, and in confined spaces.

01040 SECURITY

1. SECURITY

This contract may require access of classified information up to and including Secret. The Contractor shall possess a

Secret Clearance and their employees requiring access to classified information shall be eligible to possess a security clearance. The Department of Defense Contract Security Classification Specification (DD Form 254)

(Exhibit A) will provide the security classification requirements for each Task Order. The Contractor shall obtain personnel Interim Secret security clearances prior to starting to work on tasks requiring clearances. Access to classified spaces and material and generation of classified material shall be in accordance with the relevant DD

Form 254. All Contractor personnel requiring unescorted access to NSWCDD facilities shall be required to possess and maintain a minimum of a Secret security clearance.

2. Portable Electronic Devices

2.1 Non-Government and personally owned portable electronic devices (PEDs) are prohibited in all NSWCDD buildings with the exception of personally owned cell phones which are authorized for use in spaces up to and including Controlled Access Areas. The Contractor shall ensure the onsite personnel remain compliant with this

PED policy. NSWCDD instruction defines PEDs as the following: any electronic device designed to be easily transported, with the capability to store, record, receive or transmit text, images, video, or audio data in any format via any transmission medium. PEDs include, but are not limited to, pagers, laptops, radios, compact discs, and cassette players/recorders. In addition, this includes removable storage media such as flash memory, memory sticks, multimedia cards and secure digital cards, micro-drive modules, ZIP drives, ZIP disks, recordable CDs, DVDs, MP3 players, iPad, digital picture frames, electronic book readers, kindle, nook, cameras, external hard dish drives, and floppy diskettes.

2.2 PEDs belonging to an external organization shall not be connected to NSWCDD networks or infrastructure without prior approval from the NSWCDD Information Assurance and Compliance Branch. This approval will be granted using the TARIS form and action tracker process.

2.3 Personally owned hardware or software shall not be connected or introduced to any NSWCDD hardware, network, or information system infrastructure.

3. Electronic Spillages

3.1. Electronic spillages (ES) are unacceptable and pose a risk to national security. An electronic spillage is defined as classified data placed on an information system (IS), media or hardcopy document possessing insufficient security controls to protect the data at the required classification level, thus posing a risk to national security (e.g., sensitive compartmented information (SCI) onto collateral, Secret onto Unclassified, etc.). The Contractor's performance as it relates to ES will be evaluated by the Government. ES reflects on the overall security posture of the Government and a lack of attention to detail with regard to the handling of classified information of IS security discipline and will be reflected in the Contractor's performance rating. In the event that a Contractor is determined to be responsible for an ES, all direct and indirect costs incurred by the Government for ES remediation will be charged to the Contractor.

3.2 NSWCDD Command Security will continue to be responsible for the corrective action plan in accordance with the security guidance reflected on the Department of Defense (DOD) Contract Security Classification Specification -

DD254. Command Security will identify the Contractor facility and contract number associated with all electronic spillages during the investigation that involve Contractor support. Command Security will notify the Contracts

Division with the Contractor facility name and contract number, incident specifics and associated costs for cleanup.

The Contracting Officer will be responsible to work with the Contractor Facility to capture the costs incurred during the spillage clean up. The Contractor is also responsible for taking Information Security Awareness training annually, via their Facility Security Officer (FSO), as part of the mandatory training requirements.

4. Operations Security (OPSEC)

4.1. The Contractors (including Sub-contractors) shall supplement their current security practices by requiring any personnel involved in executing this contract to complete Government-sponsored and administered Operations

Security (OPSEC) training. In addition, the Contractor shall be aware of the Critical Information List (CIL) for the organization they are supporting as well as the OPSEC plan for NSWCDD. Upon contract award, all identified

Contractors and Sub-contractors shall sign a Contractor's conformance statement and submit it to the NSWCDD

COR named in block 13 of the DD 254 thereby acknowledging that they will meet the requirements of this contract.

The COR shall contact their Department Training Coordinator to schedule key employees to attend the Government-sponsored OPSEC training. The Contractor shall immediately notify the Government upon the discovery of any nonconformance with the OPSEC Plan.

01050 GENERAL REQUIREMENTS

1. PROJECT REQUIREMENTS

1.1. Each Task Order (TO) will specify the project requirements. The following are required in all TOs:

a) Procuring all construction equipment, materials, and documentation necessary for timely completion of projects. The Contractor shall maintain all certification and re-certification equipment paperwork; inspection records (QA/QC form filled out by Government TPOC to inspect prior to small projects, attached to SR ticket); and permits and licenses for heavy equipment operation.

b) Providing a project schedule at the beginning of each Task Order. A Government approved scheduled is required prior commencing work on any project. The Contractor shall be required to maintain the construction schedule throughout the duration of the project and adjust the schedule accordingly based on any project delays or efficiencies incurred throughout the course of the project.

c) Conducting a site visit prior to commencing work in order to verify existing conditions; coordinating with

NSWCDD/NAVFAC to confirm location and type of existing utilities at buildings or sites that may be impacted by construction work.

d) Regularly inspecting all work to ensure it is in accordance with all project requirements, design documents, and safety requirements.

e) Obtaining all permits and regulatory approvals required to perform work (ex: Virginia Department of

Environmental Quality, VDEQ).

f) Operation and Maintenance Support Information (OMSI): Providing training to the Government on operating and maintaining all critical systems. The Contractor shall submit to the Government all O&M manuals at the conclusion of each Task Order.

2. REGULATIONS

2.1 All work performed under this contract shall be performed following applicable Government plans, standards, policies, and processes. The Contractor’s activities shall conform to the systems test and operations environment and standards including all updates, improvements, and additions to these process documents made over the life of the contract. The Contractor shall use the Department of Defense (DoD) Unified Facilities Criteria (UFC) for facilities and infrastructure construction and modification. All documentation shall be developed within the software environment specified by the Government, Microsoft Office toolset and other specific tools and environments as stipulated in each Task Order. Deviations from these processes, policies, and procedures are not authorized without advance approval by the COR.

2.2. All projects under this contract shall comply with the most recent edition of applicable federal, state, and local laws, codes, and regulations including but not limited to the following (any exception must be approved in writing by the CO):

1. OPNAVINST 5100.23 (21 JUL 2011)

2. OPNAVINST 5100.27 (02 MAY2008)

3. OPNAVINST 5090.1 (10 JAN 2014)

4. NAVSEA S0420-AA-RAD-010 (19 JUL 2007)

5. NAVFAC P-307 (03 JUNE 2012)

6. NAVSUP Publication 538 (01 APR 2012)

7. NSWCDDINST 5100.1 (15 APR 2012)

Reference https://doni.documentservices.dla.mil.

2.3. The Contractor shall comply with the requirements of NAVSEA and NSWCDD instructions / manuals found at https://wwwdd.csd.disa.mil/program/Security_Office/index.html regarding performance in Government facilities.

2.4. Contractor Personnel

The Contractor shall employ a sufficient number of qualified personnel to adequately perform and oversee all work under this contract. When work is performed at any site, the assigned Lead (i.e. Superintendent, Supervisor, Foreman, etc.) or an appointed alternate shall be available as a liaison for the Government. Any appointed alternate shall be authorized to act on behalf of the contractor.

2.5. Employee Equipment

Contractor shall provide all required Personal Protective Equipment (PPE) and any special equipment required for safe and timely completion of projects. Certain Safety items will need to be approved by NSWCDD Base Safety prior to use (example: safety harness for fall protection).

2.6. Employee Requirements

The Contractor shall ensure that the employees and Sub-contractor employees have current, valid licenses and certifications necessary to perform their functions. Any cost or time associated with obtaining licenses or certifications shall be at the Contractor’s expense. Training necessary to ensure that personnel performing under this contract maintain the knowledge and skills to successfully perform the required functions is the responsibility of the

Contractor. The Contractor shall ensure manufacturer certified maintenance personnel perform maintenance and repair on mechanical and electrical critical systems in accordance with this PWS.

https://doni.documentservices.dla.mil/ https://wwwdd.csd.disa.mil/program/Security_Office/index.html

2.7. Employee Conduct

The Base Commander has authority to refuse access to any person working under this contract for reasons of misconduct, security, or if found to be or suspected to be under the influence of alcohol, drugs, or any other incapacitating agent (ref. 18 U.S.C.1382 (1972)). Assignment, transfer, and reassignment of Contractor personnel shall be at the discretion of the Contractor. However, when the Government directs, the Contractor shall remove from contract performance any person who endangers life, property, or national security through improper conduct.

All Contractor personnel engaged in work while on Government property shall be subject to the Standards of

Conduct contained in SECNAVINST 5370.2J. All persons engaged in work while on Government property shall be subject to search of their persons (no bodily searches) and vehicles at any time by the Go1vernment, and shall report any known or suspected security violations to the appropriate Security Department.

2.8. Employee Required Training

The Contractor shall have personnel certified in Hazard Communication (HAZCOM). On a Task Order basis, contractor personnel may be required to take training mandated by NSWCDD. Examples include but are not limited to Anti-Terrorism Training, Annual NSWCDD environmental awareness, Privacy Training, and Information

Assurance Training.

3. Mandatory Requirements

All Mandatory Requirements shall be maintained throughout the life of the Contract. The mandatory requirements are as follows:

Requirement 1: Facility Security Clearance:

The Contractor’s primary facility for supporting this contract is required to have and maintain a Facility Security clearance of SECRET. No safeguarding of classified material is authorized at the Contractor’s facility.

Requirement 2: Personnel Security Clearances:

All personnel assigned to this contract shall possess, and maintain at a minimum, SECRET security clearances. An interim SECRET (S) clearance is acceptable.

Requirement 3: Facility Location:

The Prime Contractor’s primary facility providing support to this requirement must be located within 100 miles of

NSWCDD in Dahlgren, VA.

01060 CONTRACT DATA REQUIREMENTS LIST (CDRL)

1. CDRL A001 – CONTRACTOR’S PERSONNEL ROSTER

Within ten business days of Task Order issue, the Contractor shall submit a list of all employees working on the project to the Contracting Officer. This list shall include each employee's name, work assignment, and confirmation of a Secret level security clearance. Changes to the personnel list shall be submitted at least ten business days in advance. In emergency situations and cases of adverse actions where ten business days’ notice is not possible, the

Contractor shall submit the required information regarding the change in writing to the Contracting Officer

Representative (COR) not later than 24 hours after the replacement employee is on board.

2. CDRL A002 – HAZARDOUS MATERIALS MANAGEMENT PROGRAM (HMMP) PLAN

The Contractor shall submit a Hazardous Material Management Plan (HMMP) as addressed in paragraph 2.2 of

Section 01010.

3. CDRL A003 – MONTHLY STATUS REPORT

Contractor shall provide a Monthly Status Report for each project in which the support was provided. The report shall discuss major impacts, issues, and steps for remediation of issues, proposals to improve operational efficiencies, effectiveness, quality, or the customer experience.

Projected Task Order Completion schedule – This should be the CDRL

01070 CONSTRUCTION WAGE RATE DETERMINATION

Construction Wage Determination(s) shall be current and site specific to each order and incorporated at the time the order is placed.

CONTINUATION – DD FORM 254 BLOCK 13

BLOCK 13 CONTINUATION STATEMENTS:

1. CLASSIFIED OR UNCLASSIFIED TECHNICAL PAPERS TO BE PRESENTED AT A

CLASSIFIED SYMPOSIUM MUST BE APPROVED BY THE NSWCDD CONTRACTING

OFFICER'S REPRESENTATIVE PRIOR TO THE PRESENTATION.

2. SECURITY CLASSIFICATION GUIDES (SCG’s) AND UNCLASSIFIED LIMITED DOCUMENTS

(E.G., FOUO, DISTRIBUTION STATEMENT CONTROLLED) ARE NOT AUTHORIZED

FOR PUBLIC RELEASE; THEREFORE, THEY CAN NOT 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 THE COR.

3. ALL CONTRACTOR REQUESTS FOR SHARING OF CLASSIFIED AND OTHER

SENSITIVE INFORMATION BETWEEN PRIME CONTRACTS MUST BE FORWARDED IN

WRITING TO THE NSWCDD SECURITY OFFICE POC IDENTIFIED IN BLOCK 17 OF THIS

FORM FOR APPROVAL.

4. 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.

5. 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(EPL) FOR HIGH SECURITY CROSSCUT PAPER

SHREDDERS, OR OTHER APPROVED METHOD FOR DESTROYING CLASSIFIED

INFORMATION.

6. ALL CLASSIFIED INFORMATION INVOLVED IN SECURITY INCIDENTS SHALL BE RETAINED

AND PROVIDED TO THE CERTIFYING OFFICIAL IN ITEM 17 OF THIS DD 254 FOR

CLASSIFICATION REVIEW.

7. 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 16(A) OF THIS

DD254. THE CONTRACTOR SHALL ABIDE BY OTHER REPORTING REQUIREMENTS

OUTLINED IN THE NISPOM.

8. FORWARD A COPY OF SUBCONTRACTOR DD 254S ISSUED UNDER THIS CONTRACT TO

THE OFFICIAL SHOWN IN ITEM 16 OF THIS DD254.

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

THIS DD-254 IS FOR BIDDING PURPOSES ONLY

THIS DD-254 IS A GUIDE FOR BIDDING PURPOSES ONLY. AN ORIGINAL DD-254 WILL BE ISSUED UPON AWARD OF CONTRACT.

6149 Welsh Rd. Ste 239, Dahlgren, VA 22448 PublicAuthority: Naval Surface Warfare Center, Dahlgren Division (Code 10) 6149 Welsh Rd. Ste 239, Dahlgren, VA 22448

contract.

2. The contractor is not authorized to release any data to foreign nationals or foreign representatives without an approved export license.

3. Block 10j: CUI encompasses what was previously stated as FOUO and PII. DoD components refer to DoDM 5200.01, VOL 4, "DoD Information Security Program: Controlled Unclassified Information (CUI)," available at http://www.esd.whs.mil/DD/DoD-Issuances/ when considering protection for CUI.

4. Block 11a: Contract Performance is restricted to: Naval Surface Warfare Center Dahlgren Division, Dahlgren VA, Naval Surface Warfare Center Dahlgren, Pumpkin Neck Annex, King George, VA, NSWC Dahlgren Division, Dam Neck Activity, Virginia Beach, VA, Surface Warfare facilities at SCSC Wallops Island VA, and NSWCDD facilities at the Naval Observatory, Washington, DC.

5. Block 11e: Maintenance and repair services only.

6. Block 11l: CUI encompasses what was previously stated as FOUO and PII. DoD components refer to DoDM 5200.01, VOL 4, "DoD Information Security Program: Controlled Unclassified Information (CUI)," available at http://www.esd.whs.mil/DD/DoD-Issuances/ when considering protection for CUI.

7. See attachments for additional security guidance.

text:

OPSEC review conducted

OPSEC PM

Dahlgren, VA 22448 Address: Naval Surface Warfare Center Dahlgren Division 6146 Tisdale Road, Suite 237 Dahlgren VA 22448-5158