DD 254 - 20200305 - 20SSN01.pdf

CLASSIFICATION (When filled in): Unclassified

SER: 090-20

SER: 090-20

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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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N00014-20-S-SN-01

DUE DATE (YYYYMMDD)

20200515

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20200221

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No Yes If yes, complete the following:

Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? No Yes If yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE

For Special Notice Purposes only Formal DD254 will be issued upon contract award

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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)

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

BAA N00014-20-S-SN-01: “Next Generation Naval Mining.”

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10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA

g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT THROUGH (Specify below)

Office of Naval Research One Liberty Center, 875 N. Randolph Street, Arlington, VA 22203

Public Release Authority:

Emily Medina; (703) 696-4025; emily.medina@navy.mil

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.)

* This DD254 serves as guidance for contractors requesting classified information from “Next Generation Naval Mining.” Industry Day on 13 March 2020*

**Any classified information generated in the performance of this contract shall be classified according to the markings shown on the source material. Further classification guidance will be provided as necessary by the Program Officer.

* Some classified information will contain Non-SCI SECRET/NoFORN information.

-OPNAVINST 3811.1F, Threat Support to the Defense Acquisition System of 16 May 2016 -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 -DoD M-5200.01 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) of 2/24/2012

**The contractor will follow all the required policies and procedures as written in the National Industrial Security Program Operating Manual (NISPOM) dated Feb. 28, 2006, to include Change 2 dated May 18, 2016.

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- Item 10.e (2): Access to Non-SCI information requires a need-to-know and a final U.S. Government clearance commensurate with the level of this contract. Prime contractor shall submit a written request to release Intelligence Information to the official listed in Item 17.a

- Item 11(b): Classified information will be safeguarded in accordance with the classification guidance identified in the source material.

Contractor will receive classified for reference only; however, if any classified information is generated in the performance of this contract, it shall be derivatively classified and marked consistent with the source material. All classified information received under this contract is the property of the U.S. Government.

- Item 11(g) Contractor shall prepare and process DD forms and 2345 prior to requesting these services

**Classified Documents pertaining to this program are:

- Industry Day presentation and supporting material

1. Submit formal request with BAA Number, Program Title, Company Name, Company CAGE Code, Classified mailing address, and the requesting security officer's point of contact information, including telephone number on company letterhead. Submit requests to the official listed in Item 16.a.

2. Offerors are required to destroy or return to sender all held copies of classified documents received no later than 30 May 2020. Send copy of destruction report to the attention of Document Control and the address listed in Item 17.c below.

Program Office: Emily Medina, ONR Code 321 Office of Naval Research One Liberty Center 875 N. Randolph Street Arlington, VA 22203-1995

(703) 696-4025; emily.medina@navy.mil

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

NAME & TITLE OF REVIEWING OFFICIAL SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.

No Yes 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)

a. GCA NAME

Office of Naval Research

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

N00014

c. ADDRESS (Include ZIP Code)

875 N. Randolph Street Arlington, VA 22203

d. POC NAME

Patrick R. Colleran

e. POC TELEPHONE (Include Area Code)

+1 (703) 696-4617

f. EMAIL ADDRESS (See Instructions) patrick.colleran@navy.mil

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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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

Woodfolk, Torri D.

b. TITLE

Contracting Officer for Security Matters

c. ADDRESS (Include ZIP Code)

Office of Naval Research 875 N. Randolph Street, Suite 624 Arlington, VA 22203

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N00014

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (703) 696-8177

g. EMAIL ADDRESS (See Instructions) torri.powell@navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20200305

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

ONR 32, 0543, 25

WOODFOL

K.TORRI.D

ANIELLE.1

383982894

Digitally signed by

WOODFOLK.T

ORRI.DANIEL

LE.1383982894

Date: 2020.03.05 08:37:31 -05'00'

ATTACHMENT TO DD FORM 254 CONTRACT: N00014-20-S-SN-01

INTELLIGENCE INFORMATION SHEET

1. The material does not become the property of the contractor and may be withdrawn at any time. Upon expiration of the contract, all intelligence released and any material using data from the intelligence will be returned to the releasing contracting command or activity [Chief of Naval Research (ONR 43)] for final disposition unless retention is authorized. The contracting command or activity [Chief of Naval Research (ONR 43)] will provide a copy of the retention authorization to ONI-5.

2. Contractors will not release the intelligence material to any activity or person of the contractor's organization not directly engaged in providing services under the contract or to another contractor (including sub-contractors), government agency, private individual, or organization without prior approval of the originator of the material, as outlined in governing directives, and prior approval and certification of need-to-know by the designated project manager/contract sponsor [Chief of Naval Research (ONR 43)].

3. Intelligence material will not be released to foreign nationals or immigrant aliens who may be employed by the contractor, regardless of the level of their security clearance or access authorization, except with the specific permission of ONI-5 requested via the Chief of Naval Research (ONR 43).

4. Intelligence material will not be reproduced without prior approval of the originator. All intelligence material shall bear a prohibition against reproduction while in the custody of the contractor.

5. Contractors will maintain records which will permit them to furnish, on demand, the names of individuals who have access to intelligence material in their custody.

ATTACHMENT TO DD FORM 254 CONTRACT NO.: N00014-20-S-SN-01

CONTROLLED UNCLASSIFIED INFORMATION (CUI) ADDENDUM

1. General: In addition to classified information, certain types of unclassified information also require application of access and distribution controls and protective measures for a variety of reasons. Such information is referred to collectively as Controlled Unclassified Information (CUI). This CUI Addendum identifies the controls and protective measures developed for DoD CUI (i.e., For Official Use Only (FOUO).

a. For Official Use Only (FOUO): FOUO is a dissemination control applied by the Department of

Defense to unclassified information when disclosure to the public of that particular record, or portion thereof, would reasonably be expected to cause a foreseeable harm to an interest protected by one or more of Freedom of Information Act (FOIA) Exemptions 2 through 9, DoD 5400.7-R, and the Privacy Act of 1974, as amended.

2. CUI Markings: Prescribed marking of CUI documents and other media containing CUI will be in accordance with DoDM 5200.01, Volume 4.

3. Access to CUI: No person may have access to information designated as CUI unless that person has been determined to have a valid need for such access in connection with the accomplishment of a lawful and authorized Government purpose. Refer to DoDM 5200.01 Volume 4 for specific access requirements for each type of CUI.

4. Protection of CUI: During working hours, reasonable steps shall be taken to minimize the risk of access by unauthorized personnel (e.g., not reading, discussing, or leaving CUI material unattended where unauthorized personnel are present). After working hours, CUI may be stored in unlocked containers, desks, or cabinets if Government or Government-contract building security is provided. If such building security is not provided or is deemed inadequate, the information shall be stored in locked desks, file cabinets, bookcases, locked rooms, etc. Refer to DoDM 5200.01 Volume 4 for specific requirements for each type of CUI.

5. Dissemination of CUI: Each category of CUI has specific requirements for how that information can be disseminated via mail, e-mail, posted on websites, etc. Refer to DoDM 5200.01, Volume 4 for specific requirements for how each type of CUI can be disseminated.

6. Destruction of CUI: CUI material shall be disposed of according to the provisions of DoDM 5200.01, Volume 4. Any method approved for the destruction of classified can be used to destroy

CUI.

7. Unauthorized Disclosure of CUI: Unauthorized disclosures of CUI information does not constitute a security violation however, appropriate management action shall be taken to fix responsibility for unauthorized disclosure of CUI whenever feasible or required by other guidance. Appropriate disciplinary action shall be taken against those responsible. Unauthorized disclosure of some CUI, e.g., information protected by “The Privacy Act of 1974, as amended” or export-controlled technical data may also result in civil and criminal sanctions against responsible persons. All unauthorized disclosures of CUI will be immediately reported to the Security Manager of the Government Agency sponsoring the contractor.