DD254 Signed.pdf

(Updated 20250815) CLASSIFICATION (When filled in): CUI

CLASSIFICATION (When filled in): CUI PREVIOUS EDITION IS OBSOLETE. Page 1 of 5DD FORM 254, APR 2018

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:

August 31, 2028

The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 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

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N4215825RS054

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

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

TBD

b. CAGE CODE

TBD

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) Add Row Remove Last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE

TBD

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

TBD

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove Last Row Delete All Rows

a. LOCATION(S) (For actual performance, see instructions.)

Norfolk Naval Shipyard, Portsmouth, VA Other Military Sites Private Shipyard Facilities in Hampton Roads, VA.

b. CAGE CODE (If applicable, see Instructions.)

TBD

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

IOFSV

277 Bendix Road, Ste. 200 Virginia Beach, VA 23452

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Non-nuclear touch labor Contractor support services for specific skills and trades to supplement NNSY organic workforce for upcoming availabilities.

PREVIOUS EDITION IS OBSOLETE. Page 2 of 5DD FORM 254, APR 2018

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 GOVERNMENT 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.)

NNPI / OPEN STORAGE SECRET

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 DoDI 5200.48, 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)

Commander, NNSY

Public Release Authority:

13. SECURITY GUIDANCE Add Signature Remove Last Signature Delete All Signatures

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.)

ALL PERSONNEL WORKING ON THIS CONTRACT MUST BE A U.S. CITIZEN AND POSSESS A FINAL DOD CLEARANCE OF AT LEAST SECRET OR EQUIVALENT LEVEL OF ACCESS. THE CONTRACTOR SHALL PROVIDE AND MAINTAIN A SYSTEM OF ADEQUATE SECURITY CONTROLS AS SET FORTH IN THE NATIONAL INDUSTRIAL SECURITY PROGRAM OPERATING MANUAL (NISPOM) CFR 32, CH 117. THE CONTRACTOR, AND ANY SUB-CONTRACTORS, SHALL ALSO COMPLY WITH THE DOD OPERATIONS SECURITY (OPSEC) PROGRAM MANUAL, DOD 5205.02-E, AND THE

CONTRACTOR OPSEC PLAN.

No Security Classification Guides (SCGs) currently exist for this contract. As required on individual Task Orders, SCGs would be provided for additional security guidance. In the absence of a SCG, classified information generated in support of this contract must be marked in accordance with the source material provided.

Contractor cannot store classified material/information based on the needs of this contract.

PREVIOUS EDITION IS OBSOLETE. Page 3 of 5DD FORM 254, APR 2018

Access to classified information, if applicable, will be provided by the sponsoring Program Office at the performance location reflected in Item 8 of this DD Form 254, and any other location established per this contract. The contractor shall comply with all access control and visitor procedures when traveling to any location determined by the sponsoring Program Office in performance of this contract.

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

Item: 10(b) & (k) 1. (U) Security Controls on the Dissemination of NNPI Received or Generated Under NAVSEA Contracts 12/1/2011.

Item: 10(b) & (k) 2. (U) OPNAVINST, N9210.3 Safeguarding of Naval Nuclear Propulsion Information (NNPI) 6/7/2010.

Item: 10(b) 3. (U) CG-RN-2, DOE-DoD Classification Guide for the NNPP dtd May 2024 (or successor), [overall SCG classification is

CONFIDENTIAL//RESTRICTED DATA]

Item: 10(b) 4. Access to NNPI RD for this contract requires a final U.S. Government National Security Clearance at the appropriate level and an NNPI RD security briefing from the Facility Security Officer (FSO).

Item: 10(b) & (k) 5. Processing of NNPI on non-federal IT systems requires NAVSEA 08 authorization per OPNAVINST N9210.3, using the procedures identified in NAVSEA ltr 08B/19-03823, dated 2 August 2019.

Item: 10(b) & (k) 6. The contractor must maintain a current Certification of eligibility from the Defense Logistics Agency, Joint Certification Office for access to export-controlled Controlled Unclassified Information (CUI), which includes U-NNPI. DD Form 2345, Militarily Critical Technical Data Agreement, applies.

Item: 10(b) & (k) 7. The Contractor must submit a request for sharing of NNPI RD to sub- contractors in writing to the NNSY (see block 17 on the DD254) and NAVSEA 08 for approval, including a copy of the draft sub-contractor DD254 and justification for access to RD.

Sharing of U-NNPI only requires an info-copy DD254 to be sent.

Item 11(f): Security officers onboard the designated ships and installations will maintain control of the classified information and conduct security inspections if required.

Item 11(j): The Contractor shall utilize the NNSY Critical Information and Indicators List(CIIL), to help identify and protect critical information associated with this contract.

Item 11(j): During the period of this contract, the Contractor may be exposed to, use, or produce, NNSY Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. NNSY'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): 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): NNSY'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 NNSY Public Affairs Office listed in Item 12 of this DD Form 254.

Item 11(j): Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise of government Classified or CI, Business Sensitive, Company Proprietary information related to this or other program must be immediately reported to the Facility Security Officer, Defense Counterintelligence & Security Agency and/or the Naval Criminal Investigative Service, and the NNSY Industrial Security (Code 1122). Questions concerning these requirements shall be directed to the NNSY Industrial Security (Code 1122).

Item 11(j): Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of US CFR 32, CH 117, National Industrial Security Program Operating Manual, therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NNSY NAVSEA C-1122 approves the OPSEC requirements.

Item 11(l): U-NNPI CUI must be protected in accordance with OPNAVINST N9210.3 and may not be stored or processed on Non-federal AIS without written authorization of NAVSEA 08, Naval Reactors.

Item 11(l): All Controlled Unclassified Information (CUI) associated with this contract must be safeguarded to prevent unauthorized public

PREVIOUS EDITION IS OBSOLETE. Page 4 of 5DD FORM 254, APR 2018 disclosure. CUI such as FOUO, Security Classification Guides (SCG), and other technical information with Distribution Statements B, C, D, E or F are not authorized for public release and cannot be placed on a publicly accessible web site or web server. All emails containing such information or attachments, shall be protected per NIST SP-800-171. All transmissions to personal email accounts (AOL, Yahoo, Hotmail, Comcast, etc.) and posting on social media websites (Facebook, Instagram, Twitter, LinkedIn, etc.) are prohibited. Destroy all CUI associated with this contract by any of the following approved methods: A cross-cut shredder; a certified commercial destruction vendor; a central destruction facility; incineration; chemical decomposition; pulverizing, disintegration; or methods approved for classified destruction.

Classified or unclassified technical papers to be presented at a classified symposium must be approved by the Contracting Officer's Representative (COR) and Subject Matter Expert (SME) prior to the presentation.

The Contractor must submit a request for sharing of classified and other sensitive information between prime contracts and subcontractors in writing to NNSY Industrial Security (Code 1122) Security Officer identified in block 17 of this form for approval. Each request must reference the specific contract as well as identify the specific information for which approval is being sought, a justification for needing to share the information, the name of other contractor and its contract number under which the requested information will be shared.

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 annual refresher 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.

All contractors requiring access to DoD or DoN Information Systems and computer networks will be required to complete all command access authorization documentation as well as provide evidence of the completion of initial/annual security requirements training. All contractors and FSOs will allow NNSY NAVSEA Personnel Security to own/service their respective personnel in the DoD System of Record (DISS or its successor system).

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.

Copies of preliminary inquiry or investigative reports of security incidents involving classified information shall be scanned and forwarded to the NNSY Industrial Security (Code 1122).

The contractor must also provide a copy of the subcontractor DD 254s issued under this contract to the COR and the NNSY Industrial Security (Code 1122).

Contact the COR and the certify official in block 17 on this DD254 for any security questions related to this contract.

All reports of contractor security violations associated with this contract shall be sent by the Cognizant DCSA field office directly to the certifying official in Item 17 of this DD254.

All security related requests pertaining to this contract shall be submitted in writing by the contractor’s Facility Security Officer (FSO) to the certifying official in Item 17 of this DD254.

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

PWS

NNSY OPSEC Enclosure (1) and (2)

NNST CIIL

NAME & TITLE OF REVIEWING OFFICIAL

Coffin, Chad J.

NNSY ALT OPSEC Program Manager

SIGNATURE

Items 10(b)&(k): Access to NNPI (UNNPI, NNPI NSI and NNPI RD) is authorized for this contract. Processing of NNPI on IT systems requires authorization of SEA08.

NAME & TITLE OF REVIEWING OFFICIAL

Bonnie R. Hilton (08)

Program Manager, Security Oversight

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.)

Item: 10(b)RD &/or 10(k) NNPI: Access to NNPI is required for this contract; (U) OPNAVINST, N9210.3 Safeguarding of Naval Nuclear Propulsion Information (NNPI) 6/7/2010 applies.

OPSEC requirements are imposed on this task. Refer to Item: 13 of this DD Form 254 for applicable guidance. These OPSEC requirements cannot be imposed on subcontractors without written consent from the NNSY OPSEC Program Manager. These requirements shall not be

PREVIOUS EDITION IS OBSOLETE. Page 5 of 5DD FORM 254, APR 2018 imposed at an additional cost to the government.

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.)

Item: 10(b)RD &/or 10(k) NNPI: NAVSEA 08 maintains authority to inspect for protection of NNPI (Unclassified, NSI and RD).

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

a. GCA NAME

Norfolk Naval Shipyard Contracting

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

N42158

c. ADDRESS (Include ZIP Code) Norfolk Naval Shipyard Bldg 65 Portsmouth, VA 23709

d. POC NAME Jeremy Weible

e. POC TELEPHONE (Include Area Code)

+1 (757) 396-2063

f. EMAIL ADDRESS (See Instructions) jeremy.r.weible.civ@us.navy.mil

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)

Robert Baldwin

b. TITLE

Security Contracting Officer

c. ADDRESS (Include ZIP Code)

BLDG 1575

Norfolk Naval Shipyard Portsmouth, VA 23709

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N42158

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (757) 396-2667

g. EMAIL ADDRESS (See Instructions)

h. SIGNATURE

i. DATE SIGNED (See Instructions)

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.)

NAVSEA 08

Enclosure (2)

Norfolk Naval Shipyard Operations Security (OPSEC) Contract Requirements

Attach with Solicitation and Award Reference

DoDM 5205.02, Operations Security Program Manual, 3 November 2008

What is OPSEC?

OPSEC is a process used to protect sensitive information from exploitation by an adversary. Sensitive information, which is also referred to as Critical Information (CI), is defined as information that needs to be protected from unauthorized disclosure whether classified or unclassified.

What is an OPSEC Plan?

An OPSEC plan is used to record, identify and monitor the contractor’s OPSEC activities during the performance of the contract. After award but prior to availability start date, this OPSEC Plan must be signed by the Prime contractor and forwarded to the assigned contracting official by encrypted email, through the approved Department of Defense Safe (DoD) Secure Access File Exchange (SAFE) at https://safe.apps.mil, or by United States Postal Service.

Consideration shall be given depending on the type of work being performed, the environment, and circumstances in which contract performance will occur. In some cases, an OPSEC Plan will be required. In other cases, the contractors may only simply be required to receive this basic OPSEC contract requirements form.

☐ OPSEC Plan is required. Refer to OPSEC Plan for Contractors (separate attachment).

☐ OPSEC Plan is NOT required.

Responsibility of the Contractor

It is the responsibility of all contractors and subcontractors to avoid inadvertent disclosure of unclassified or classified information during the period of this contract.

OPSEC compromise is the disclosure of Critical Information (CI) or sensitive information, which has been identified by the Command and any higher headquarters to adequately protect its personnel and equipment.

During the period of this contract, contractor personnel may be exposed to, use, or produce, U.S. Government CI and observable indicators which may lead to disclosure of CI. NNSY CI will not be distributed to unauthorized third parties, including foreign government or companies under Foreign Ownership, Control or Influence (FOCI). The contractor shall protect all CI in a manner appropriate to the nature of the information.

U.S. Government CI shall not be publicized in corporate wide newsletters, trade magazines, displays, internet page or public websites. All transmission to personal email accounts (AOL, Yahoo, Gmail, Hotmail, Comcast, etc.,) and posting on social media websites (Facebook, Instagram, Twitter, LinkedIn, etc.,) is prohibited. Media requests related to this project shall be directed to NNSY Public Release Authority.

The Contractor and its personnel should realize that disclosure or compromise of CI to unauthorized persons, whether willfully or through gross negligence, carelessness, or indiscretion, may warrant action to remove the individual assigned or to terminate contract. Furthermore, such conduct may be cause for criminal prosecution and imposition of criminal and civil penalties.

Protect Controlled Unclassified Information (CUI): Unclassified information requiring safeguarding and dissemination controls, consistent with applicable law, regulation, or government-wide policy. Any attempt by unauthorized third parties to solicit, obtain, photograph or record incidents of loss or compromise of CUI or other pertinent sensitive

Enclosure (2)

OPSEC Contract Requirements (cont) information related to this contract shall be immediately reported to the organization’s Command Security Manager Code 1127 and the Information & Industrial Security Branch Code 1122.

NNSY Portable Electronic Device (PED) Policy

Portable electronic devices (PEDs) include, but are not limited to: pagers, mobile/cellular telephones (with/without cameras), personal digital assistants/job performance aids, laptop/notebook/handheld computers, digital imagery (still/video) devices, analog/digital sound recorders (e.g. I-PODs), Fit-Bits, I-Watches, video game devices, USB devices, and devices of similar capability, functionality, or design. These devices are controlled and their use is dependent upon Shipyard guidance. Before use, coordinate with your sponsor, who can assist you by obtaining and sharing these requirements/controls with you. It is expected that if additional guidance is needed, the sponsor will coordinate with NNSY Computer Security division and determine what can be used and what is prohibited. Failure to do so risks security violations for the holder of the device.

OPSEC Critical Information and Indicator List, including Countermeasures

Critical Information is an adversary’s target of choice. Seemingly, harmless UNCLASSIFIED data with other conversations, presentations, emails or documents could reveal classified information.

THREAT/RISK COUNTERMEASURES

EXAMPLES OF OUR

CRITICAL INFORMATION ARE, BUT NOT LIMITED TO:

• PERSONALLY IDENTIFIABLE INFORMATION (PII) –

INFORMATION ABOUT AN INDIVIDUAL THAT IDENTIFIES,

LINKS, RELATES, OR IS UNIQUE TO, OR DESCRIBES

INDIVIDUALS, FOR EXAMPLE, SOCIAL SECURITY NUMBER,

AGE, HOME ADDRESS, PERSONAL PRIVACY ISSUES,

DEMOGRAPHIC, MEDICAL STATUS, AND IDENTIFIERS

COVERED BY PRIVACY ACT.

• RESTRICT VERBAL DISCUSSION REGARDING NNSY

SHIPYARD RELATED WORK.

• OPERATION SCHEDULE, SHIP REPAIR SCHEDULE, DRILL

AND SUBMARINE DOCKING SCHEDULES.

• EQUIPMENT CAPABILITIES, LIMITATIONS AND

VULNERABILITIES.

• IDENTIFICATION OF SPECIFIC ASSETS, FACILITIES,

SYSTEMS, AND NETWORKS CRITICAL INFRASTRUCTURE.

• RESTRICT PHOTOGRAPHS, IMAGES AND VIDEOS TAKEN

WITHIN ANY SHIPYARD WORK AREAS, TO INCLUDE

DRYDOCKS, SHIPS, RESTRICTED AREAS AND CONTROLLED

ACCESS AREAS.

EXAMPLES OF OUR COUNTERMEASURES, BUT NOT

LIMITED TO

• Contractor shall not post classified information or Controlled Unclassified Information (CUI) to company websites, publications, newsletters or other media, images, data or information that reveal sensitive government operations, personnel, or equipment details.

• Shred ALL sensitive information, CUI and other pertinent critical information when no longer needed. Do not throw any shipyard related documents in the trash. Use the approved NSA crosscut shredders assigned.

• DO NOT post shipyard related information on public social media websites.

• Remove issued badges when you leave the shipyard, including lunch hours. Upon completion of contract, return all access badges, passes, keys before leaving NNSY premises. Badges and passes may not be duplicated, copied or loaned to others. Lost or stolen identification badges must be reported immediately.

• Report any unauthorized disclosure or, known and suspected compromises of critical information immediately to the unit sponsor, prime contract officer and the units Command Security Manager.

Norfolk Naval Shipyard Operations Security OPSEC Contract Requirements:

DoDM 520502 Operations Security Program Manual 3 November 2008:

OPSEC Contract Requirements cont:

NNSY Portable Electronic Device PED Policy:

Check Box3: Off

Check Box4: Yes

REV June 13, 2023

Enclosure (1)

Norfolk Naval Shipyard (NNSY) Operations Security (OPSEC) Assessment Questionnaire for Contracts

Tracking Number

Completing this form will help determine if the contractor could be exposed to, use, or produce, U.S.

Government critical information (CI), and determine if the contract needs an OPSEC plan.

1a. NAME OF NNSY REQUESTING ACTIVITY REPRESENTATIVE 1b. CODE 1c. PHONE OR IP EXTENSION

2. SELECT REQUESTING CONTRACT TYPE – CLASSIFIED CONTRACT UNCLASSIFIED CONTRACT

EXISTING or EXTENDING CONTRACT - YES NO IF YES, PLACE PREVIOUS TRACKING NUMBER HERE __________ 3a. NAME OF ASSIGNED CONTRACT REPRESENTATIVE 3b. EMAIL ADDRESS 3c. PHONE or IP EXTENSION NO

4. NAME OF CONTRACTING OFFICE OR GOVERNMENT CONTRACTING ACTIVITY (GCA)

Norfolk Naval Shipyard NAVFAC Other GCA ________________________________________________

5. TODAY’S DATE 6. PERFORMANCE START DATE 7. PERFORMANCE END DATE

Applicability and DoD Requirement This form is only completed by NNSY (UIC 42158) requiring activity representative requesting contract work on board NNSY. When submitting a requirement for a contract, this questionnaire shall be completed prior to solicitation or sole source award by the requiring activity, with the assistance from the assigned contracting representative, or Government Contracting Activity (GCA). The requiring activity representative, assigned contracting representative, or GCA must work with the NNSY OPSEC Program Manager (PM)to identify the scope of work to be performed and determine security provisions for Critical Information (CI) if disclosed in the Statement of Work (SOW), Request for Proposal (RFP), or Performance Work Statement (PWS).

Before the contracting representative submits to the supporting contracting company, the OPSEC PM is required to conduct an OPSEC review of the SOW, RFP, or PWS prior to the release to contract bidders. As a publicly released document, the SOW, RFP or PWS may reveal CI or indicators of CI.

What is an OPSEC Security Plan?

An OPSEC Plan is used to identify and monitor a contractor’s OPSEC activities during the performance of a contract. It is intended to be a living document that will require periodic updates throughout the life of the contract. The OPSEC plan; (1) Describes the OPSEC environment to include identification of CI, the OPSEC threat and vulnerabilities an adversary might exploit to acquire CI, (2) Documents the OPSEC risk analysis, (3) Identifies proposed and actual OPSEC measures,(4)Defines and assigns specific OPSEC responsibilities and ties the OPSEC Plan to the contractor’s corporate OPSEC Program, and (5) Serves as a repository of the OPSEC history of the contract.

If an OPSEC plan is required, the requirement activity representative, assigned contract representative, or GCA will forward the NNSY OPSEC Plan to the potential awardee by encrypted email, through Department of Defense Safe (DoD Safe) Secure Access File Exchange (https://safe.apps.mil). After award but prior to availability start date, the OPSEC plan must be signed by the Prime contractor and forwarded back to the assigned contracting official or the requirement activity representative by encrypted email. In other cases, the contractor may only simply be required to receive the basic OPSEC contract requirements, which means no OPSEC Plan is required.

Controlled by: DoN, NNSY Controlled by:

Manager CUI Category: OPSEC

LDC: DL ONLY

POC:

teresa.coon

Highlight

Assessment Questionnaire for Contracts – (cont) OPSEC Contract Requirements to Include in the Solicitation and Award

The OPSEC Contract Requirements and the OPSEC Standard Language are combined as one document. The OPSEC Contract Requirement document must be included in all solicitations and awards. This way, the OPSEC requirements are not buried in contract language and can be provided in a separate attachment.

NOTE: The OPSEC Standard Language must be included in all contract solicitation and the resulting contract awards in sufficient detail to ensure complete contractor understanding of all OPSEC provisions.

Assessment Questionnaire Complete the questionnaire, which identifies the scope of work to be performed. If any question below are answered “YES,” the contract may need an OPSEC Plan (Classified or Unclassified).

Will the contractor and subcontractors - Yes No

1. Work with Controlled Unclassified Information (CUI), Unclassified Naval Nuclear Propulsion Information (U-NNPI), or other pertinent sensitive information?

2. Work with any classified information, material or spaces, e.g., SECRET, CONFIDENTIAL - Restricted Data (C-RD), CONFIDENTIAL-National Security Information (C-NSI)?

3. Need escorted or un-escorted access on-board Surface Combatants, Virginia and Los Angeles Class Submarines and assigned Project locations?

4. Work with components, drawings, technical papers, architectural floor plans, diagrams inside or around any shipyard space, or equipment designed specifically for specialized production?

5. Need to access any NNSY information technology (IT) systems, to include installing audiovisual systems, installing software or repair IT systems in any shipyard space, ship or submarine?

6. Need to take photos or videos, around or in a shipyard workspace, including ships or submarines?

7. Use the US postal mail system for shipping and receiving of sensitive information or equipment?

Examples are but not limited - classified materials, sub safe equipment, computer parts, etc.

8. Repair or replace electrical equipment onboard a ship or submarine within the Controlled Industrial Area (CIA), this includes painting, installing, aligning, connecting, piping, hydrostatic testing, conducting operational test, removing existing insulation and lagging etc.

9. Conduct work within the CIA – not onboard a ship or submarine; such as dry docks, roadwork, working on cranes, storm drains, fence repair, trash removal, cleaning office spaces, food trucks etc.

10. Use computer equipment, such as company laptop or any company own electronic device to do work onboard NNSY? Understand NNSY Portable Electronic Device(PED) policy forbids the use of these items inside the CIA or other Naval Sea Systems Command spaces without permission from the NNSY Information Systems Security Manager (ISSM). Laptops, tablets, and other devices in this category cannot have web cameras and must be vetted through the ISSM and the Information Security Office.

11. Need access to classified networks, e.g., COMSEC, SIPRNET, and/or SECNET.

12. Make repair work or install alarm systems, building access codes or Intrusion Detection System (IDS), ATHOC/WAAN system, CCURE 9K Badging system.

13. Need access to shipyard-controlled spaces, e.g., SI, CNIA, NWA, OSC, OSS to include onboard a submarine?

14. Requires a Yellow or Red Badge, including access to (i.e. C-NNPI (C-RD/C-NSI))? If either, this will be a classified contract, which will require a DD 254.

15. Conduct work involving environmental, such as chemical storage, hazardous waste, food and water, safety/sanitation, ashore and afloat water/wastewater sanitation etc.

Add comments or any other additional procurement job work that needs protecting, not addressed.

Defense Federal Acquisition Regulation Supplement (DFARS) Clauses

Please include the DFARS clauses for all service support contracts that are appropriate.

Location of Work - Mark (N/A) if it does not apply

If the contractors are working on several vessels, various locations on the vessel(s) or throughout the shipyard, annotate in designated box below.

Vessel(s) Name: ____________________________________________________________________________________

Specific locations within the vessel(s), e.g., engine room: ____________________________________________________

Which Building(s), Room(s) & Floor(s):___________________________________________________________________

If other Shipyard location i.e., working on storm drains, streets, gates, fences ____________________________________

SI, CNIA, NWA, OSC, OSS, etc. _______________ In the CIA Not in the CIA

Which Pier(s) or Dry Dock(s): ________________________________________________________

Contractors involved with CUI in pursuant to contractual requirements must

Whenever the DoD provides CUI to, or CUI is generated by, non-DoD entities, protective measures and dissemination controls, including those directed by relevant law, regulation, or government-wide policy, will be articulated in the contract, grant, or other legal agreement, as appropriate.

Complete CUI training prior to arrival when required. Certificates must be provided to the OPSEC PM.

https://www.dodcui.mil/home/training

Certification and Concurrence

1. I hereby certify this document is true and correct to the best of my knowledge.

Requiring Representative __________________________ Signature

Assigned Contract Official __________________________

Date

2. Based on reviewing the SOW, RFP, or PWS, I concur with the requiring activity's representative assessment and validate the following Sensitive Activity And Intelligence Related Contracting (SAIRC) Questions.

1. Is there any portion of the work to be performed that cannot be published openly? Yes No N/A

2. Does the SOW, RFP or PWS or other requirements necessitate the use of sensitive compartmented information caveats / controls? Yes No N/A

3. Has the SOW, RFP, or PWS been cleared of any additional control markings, such as Distribution D, Export Controls, or Proprietary Business Information etc? Yes No N/A

4. Does the requirement support a sensitive activity or operations? Yes No N/A

Date Date

Industrial Security Validation

Meeting is required No Meeting is required

Industrial Security Officer Signature Date

1. SOW review for DD-254 requirement prior to solicitation. DD-254 required? Y N

HIGHLIGHT ANSWER

If NO, No further action required 2. Contractor security requirements meets suitability after review.

HIGHLIGHT ANSWER

Contractor 1: Company Name __________________________ Cage Code _____________ Suitable: Y N

Contractor 2: Company Name __________________________ Cage Code _____________ Suitable: Y N

Contractor 3: Company Name __________________________ Cage Code _____________ Suitable: Y N

Contractor 4: Company Name __________________________ Cage Code _____________ Suitable: Y N

Contractor 5: Company Name __________________________ Cage Code _____________ Suitable: Y N

3. Award winning company DD-254 Received by C1122 and entered into CCD.

3. OPSEC PM concurs with assessment.

OPSEC Program Manager __________________________

OPSEC PM’s Determination

OPSEC Plan is required No OPSEC Plan is required

3. OPSEC PM concurs with assessment.

OPSEC Program Manager __________________________ _________________________ Date undefined: 25-051

1a NAME OF NNSY REQUESTING ACTIVITY REPRESENTATIVE: Roslyn Hern

1b CODE: C900R

1c PHONE OR IP EXTENSION: 7574064712

IF YES PLACE PREVIOUS TRACKING NUMBER HERE:

3a NAME OF ASSIGNED CONTRACT REPRESENTATIVE: Jeremy Weible

3b EMAIL ADDRESS: jeremy.r.weible.civ@us.navy.mil

3c PHONE or IP EXTENSION NO: 757-396-2063

4 NAME OF CONTRACTING OFFICE OR GOVERNMENT CONTRACTING ACTIVITY GCA: On

NAVFAC: Off

Other GCA:

5 TODAYS DATE:

6 PERFORMANCE START DATE:

7 PERFORMANCE END DATE:

Controlled by DoN NNSY Controlled by ManagerCUI Category OPSEC LDC DL ONLY POC: NNSY Code 452

Jeremy Weible, C452, Jeremy.r.weible.civ@us.navy.mil

Assessment Questionnaire for Contracts cont:

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Information Systems Security Manager ISSM Laptops tablets and other devices in this category cannot:

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Add comments or any other additional procurement job work that needs protecting not addressedRow1:

Assessment Questionnaire for Contracts cont_2:

Please include the DFARS clauses for all service support contracts that are appropriate:

If other Shipyard location ie working on storm drains streets gates fences:

SI CNIA NWA OSC OSS etc: SI, CNIA, NWA, OSC, OSS

In the CIA: Off

Not in the CIA: Off

Which Piers or Dry Docks: various piers and dry docks TBD

Assessment Questionnaire for Contracts cont_3:

Industrial Security Officer:

Date_5:

Contractor 1 Company Name:

Cage Code:

Contractor 2 Company Name:

Cage Code_2:

Contractor 3 Company Name:

Cage Code_3:

Contractor 4 Company Name:

Cage Code_4:

Contractor 5 Company Name:

Cage Code_5:

Date_6:

Date17_af_date: 3/10/25

Date18_af_date: 9/30/25

Date19_af_date: 9/29/30

Date23_af_date:

Check Box29: Off

Check Box30: Yes

Check Box31: Off

Check Box32: Yes

Text33: USS Montpelier, USS John Warner, USS Eisenhower, USS New Hampshire, USS Newport News, USS Bush, USS Montana, USS Florida, USS Daniel Webster, USS Georgia, USS Ford, USS Pasadena and any additional ships at NNSY during 5 year term.

Text34: All spaces inboard and outboard ship as requred.

Text35:

Check Box36: Yes

Check Box37: Off

Check Box38: Off

Check Box39: Yes

Check Box40: Yes

Check Box41: Off

Check Box42: Yes

Check Box43: Off

Check Box44: Off

Check Box45: Yes

Check Box46: Off

Check Box47: Yes

Check Box48: Off

Check Box49: Yes

Check Box50: Yes

Check Box51: Off

Check Box52: Off

Check Box53: Yes

Check Box54: Yes

Check Box55: Off

Check Box56: Off

Check Box57: Yes

Check Box58: Off

Check Box59: Yes

Check Box60: Yes

Check Box61: Off

Check Box62: Yes

Check Box63: Off

Check Box64: Yes

Check Box65: Off

Check Box66: Yes

Check Box67: Off

Check Box70: Off

Check Box72: Yes

Check Box73: Off

Dropdown78: [CUI ]

Check Box71: Yes

Check Box1: Yes

Check Box2: Off

2025-03-11T07:24:01-0400

WEIBLE.JEREMY.RUSSELL.1034445822

Date21_af_date: 9/11/25

2025-03-10T15:16:31-0400

HERN.ROSLYN.A.1049845762

Date2_af_date: 3/10/25

Date3_af_date:

2025-03-11T08:17:11-0400

COFFIN.CHAD.JEREMY.1141598330

2025-03-11T08:17:24-0400

COFFIN.CHAD.JEREMY.1141598330

Date7_af_date:

Check Box4: Off

Check Box6: Yes

Check Box7: Off

Check Box8: Off

Check Box9: Yes

Check Box10: Off

Check Box12: Yes

Check Box13: Off

Check Box14: Off

Check Box15: Off

Check Box16: Yes

Check Box17: Off

PERFORMANCE WORK STATEMENT

NORFOLK NAVAL SHIPYARD PRODUCTION SUPPORT TOUCH LABOR

INDEFINITE DELIVERY/INDEFINITE QUANTITY

1.0 INTRODUCTION

1.1 Scope: This Performance Work Statement (PWS) supports touch labor requirements under Norfolk Naval Shipyard (NNSY) Naval Supervisory Authority (NSA) Lead Maintenance Activity (LMA) cognizance. The purpose of this Firm-Fixed-Price (FFP) contract is to provide a specific supply of production touch labor to support the repair, maintenance and alterations requirements for U.S. Navy waterborne vessels, surface ships and submarines at any location under NNSY NSA/LMA cognizance.

The Contractor(s) shall provide all labor, labor skill sets, management, supervision, coordination, safety management, environmental management, material, equipment, and transportation necessary to perform the requirements of each Task Order issued. The Contractor shall ensure adequate (required quantity and skill set) resources are dedicated to complying with the standards, guidelines and procedures as stated to satisfy the requirements of associated Task Orders.

1.2 Level of Effort: The table accompanying this PWS as Attachment 1, represents the level of effort in man-days of direct labor needed, straight time (ST) hours and over time (OT) hours for each of the ELIN labor category services for the five-year ordering period. The total number of man days of direct labor includes subcontracted labor hours, but does not include holiday, sick leave, vacation, and other absence hours. One man day equals eight hours.”

2.0 GENERAL CONTRACT REQUIREMENTS

2.1 Vessel Knowledge: The Contractor shall have expertise and experience for the performance of this contract involving naval ship/vessels to include, but not limited to, the following characteristics:

Types of Vessels: Waterborne vessels, Surface Ships and Submarines Structural Material:

Steel, Aluminum, Composites, and Wood

Propulsion Method:

Gas Turbines, Diesel and Steam

Design Types:

Hull, Mechanical, Electrical and Electronic Design; Basic Commercial Off-the-Shelf to Militarized Special Designs

2.2 Ship, Submarine and Vessel Repair Projects: The Contractor shall provide the following, in support of ship and vessel project, to include but not limited to, welding; marine pipefitting; shipfitting; blasting; painting;

equipment in-place repair, removal, repair, and installation; sheet metal forming, shaping, cutting and stamping;

electrical/electronic repairs and modernization; electrical/electronic alteration; pump/motor and ship’s mechanical systems repair and alignment; tank cleaning; rigging; and temporary scaffolding removal/installation.

2.3 Task Requirements: A Performance Work Statement (PWS), which includes specific requirements of work items/work requirements, deliverables, documentation, training; applicable Government/departmental/industry standards, on-boarding timeline, etc., will be delineated in each Task Order Request for Proposal (RFP).

2.4 Hot Work: The Contractor shall perform hot work as defined at the task order level. Hot work is defined as all flame heating, welding, torch cutting, brazing, carbon arc gouging, or any work that produces heat, by any means, of 400 degrees Fahrenheit (204 degrees Celsius) or more. In the presence of flammables or flammable atmospheres, hot work includes other ignition sources such as spark or arc producing tools or equipment, static discharges, friction, impact, open flames or embers, and non-explosion proof lights, fixtures, motors or equipment.

2.5 Hazardous Energy Control Work: The Contractor shall follow NNSY’s Hazardous Energy Control (HEC) Program. HEC involves use of Lockout/Tags-Plus (LOTP) procedures to protect employees by locking out hazardous energy of all types. A Tags-Plus system may be used if the hazardous energy source cannot be locked out; however, a strict approval process is required to use HEC tags. NNSY’s HEC instruction is the NAVSEA Occupational Safety, Health and Environment Control Manual (OSHECM) Chapter 250 with NNSY’s Appendix H (latest revision); for the purpose of this information, the term OSHECM Chapter 250 includes the use of NNSY’s Appendix H. For the intent of NNSY’s HEC program, use of the term “Lockout” will be used to also represent Lockout/Tags-Plus should this system ever be used.

2.6 Hazardous Material: The Contractor Supervisor shall ensure contractor personnel handling/using hazardous materials in accordance with NAVSHIPYDNORINST P5090.2 Volume III Chapter 5, Hazard Communication. Examples of hazardous materials include, but are not limited to, materials that exhibit flammable, combustible, ignitable, reactive, poisonous, corrosive, or toxicity characteristics such as paints, solvents, adhesives, cleaners, pesticides, acids, bases, greases, oils, lubricants, and oxidizers. The Contractor Supervisor shall ensure that contractor employees are trained on the location and content of applicable Safety Data Sheets (SDS), and ensure employees are knowledgeable on how to access SDS.

2.7.1 The Contractor and any Subcontractor(s) shall comply with the requirements of applicable safety and health laws and regulations such as Occupational Safety and Health standards which include Maritime Standards Code of Federal Regulations (CFR) (29 CFR 1915), General Industry Standards (29 CFR 1910), and other applicable federal, state and local environmental protection laws, codes, ordinances and regulations, in disturbing or removing paint during data collection for a specific task. All paints on naval vessels are considered to contain heavy metals, i.e., lead, chromium or cadmium unless it can be established otherwise by laboratory analysis.

2.8 Material and Equipment:

2.8.1 Contractor Furnished Material

2.8.1.1 The Contractor shall provide personal hand tools and other work apparel typically provided for accomplishment of work when required to include, but not limited to, respirators and fall protection devices.

2.8.1.1.1 The Contractor shall validate any measuring device (e.g. machinist scale) being bought into the shipyard as a tool against a calibrated/checked standard.

2.8.1.2 The Contractor shall provide Personal Protective Equipment (e.g. safety shoes, helmets and eye protection).

2.8.1.3 The Government may inspect any contractor-owned safety equipment (e.g harnesses).

2.8.2 Government Furnished Equipment

2.8.2.1 The Government may provide powered tools and tools that require calibration before use (e.g. torque wrenches, dial calipers, micrometers).

2.9 Trade Specific Requirements:

2.9.1 Qualifications

2.9.1.1 Contractor shall maintain:

2.9.1.1.1 A Personal Fall Arrest System (PFAS) program in accordance with 29 CFR 1915.159, Subpart I.

2.9.1.1.2 A Confined/Enclosed Space Entry program in accordance with 29 CFR 1915, Subpart B.

2.9.1.1.2.1 The Contractor, by accepting work under this contract and subsequent associated Task Order(s), shall accept the Navy competent person services of NNSY.

Confined and Enclosed Entry: S6470-AA-SAF-010- Rev. 4 - Technical Manual for Naval Maritime Confined Space, section 2.8.2 authorizes naval maritime facilities, at the discretion of the naval maritime facility commander, to provide Navy competent person services to contractors in those situations where the provision of such services is advantageous to the government and the contractor desires and agrees to accept such services. Competent person services must be provided in accordance with 29 CFR 1915 and section 2-8 of S6470-AA-SAF-010- Rev. 4.

2.9.1.1.3 A Respirator program in accordance with 29 CFR 1910.134, Subpart I.

2.9.1.1.4 A training plan for PFAS. The Contractor shall submit copies of the training plan for PFAS, Confined/Enclosed Space, and Respirator programs with their proposal.

2.9.1.2 Contractor personnel reporting to NNSY shall be qualified to work in confined spaces such as tanks, voids, and any other areas that require gas-free controls.

2.9.1.3 The Contractor shall provide personnel qualified to wear safety harnesses and work from scaffolds/platforms where drop off will be…