Exhibit_12_-_DD254_Sol_140D0425R0025.pdf

CLASSIFICATION (When filled in): Unclassified

DD FORM 254, APR 2018 Page 1 of 3 PREVIOUS EDITION IS OBSOLETE.

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:

June 30, 2025

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

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 DUE DATE (YYYYMMDD)

140D0425R0025 20250604

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

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

20250505

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

Classified material received or generated under

Yes If yes, complete the following:

(Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? No

In response to the contractor's request dated

Yes If yes, complete the following:

, 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)

TBD

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

N/A

(Name, Address, ZIP Code, Telephone required; Email Address optional)

N/A

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.)

Provided via individual Task Order Instructions (CONUS)

(If applicable, see Instructions.)

(Name, Address, ZIP Code, Telephone required; Email Address optional)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

PROVIDE AIRCRAFT SERVICES (ROTARY-WING) IN SUPPORT OF PEO IWS 1TE AND ASSOCIATED DOD PROGRAMS TEST

AND EVALUATION.

mailto:whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil

DD FORM 254, APR 2018 Page 2 of 3 PREVIOUS EDITION IS OBSOLETE.

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)

h. FOREIGN GOVERMENT INFORMATION

(If CNWDI applies, RESTRICTED DATA must also be marked.)

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI)

(See instructions.)

(1) Sensitive Compartmented Information (SCI) k. OTHER (Specify) (See instructions.)

(2) Non-SCI

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 g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

ACTIVITY SECONDARY DISTRIBUTION CENTER

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

See instructions.) h. REQUIRE A COMSEC ACCOUNT

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY i. HAVE A TEMPEST REQUIREMENT

c. RECEIVE, STORE, AND GENERATE CLASSIFIED j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

INFORMATION OR MATERIAL

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

e. PERFORM SERVICES ONLY (DoD Components: refer to DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

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

m. OTHER (Specify) (See instructions.)

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

TERRITORIES

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)

Transmissions by non-secure facsimile of E-mail is not authorized

(by Prime or Subcontractor(s))

Public Release Authority:

Submit ALL public releases to:

Commander, Naval Sea Systems Command (Code OOD)

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.)

10(j)/11(l): Controlled Unclassified Information including For Official Use Only and Covered Defense Information (meeting the definition of 48 CFR 252.204-7012(a)) generated and/or provided under this contract shall be marked and safeguarded as specified in DoD

Instruction 5200.48 (Controlled Unclassified Information) (CUI) available at https://www.esd.whs.mil/directives/issuances. Any product containing Covered Defense Information shall be assigned the appropriate distribution statement using the criteria set forth in DoDI

5230.24 (Distribution Statements on Technical Documents); and have this statement displayed per DoDI 5230.24, Enclosures 3-4.

All For Official Use Only (FOUO), Covered Defense Information (CDI), and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The contractor shall ensure that when transmitting FOUO/

CDI, over non-secure e-mail (e.g. not connected to the Navy Marine Corps Intranet through Broadband Unclassified Remote Access

System / Virtual Private network), those transmissions are encrypted using Department of Defense Public Key Infrastructure (PKI), or an approved DoD External Certificate Authority, in accordance with Public Key Infrastructure & Public Key Enabling, DoDI 8520.02, 24

May 2011.

http://www.esd.whs.mil/directives/issuances

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

- Security classification guides (OPNAVINST 5513 series) and controlled unclassified information (CUI) (e.g., FOUO, distribution statement controlled) are not authorized for public release; therefore, they cannot be posted on a publicly accessible web-server or transmitted over the internet unless appropriately encrypted. Request for public release cannot be transmitted via the internet until the contractor receives final approval from NAVSEA (SEA 00D).

- 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.

- Forward a copy of subcontractor DD 254s issued under this contract to the official shown in item 16 of this DD 254.

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

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

Interior Business Center, AQD

c. ADDRESS (Include ZIP Code)

381 Elden Street

Suite 4000

Herndon, VA 30170

d. POC NAME

Homer Shoup

e. POC TELEPHONE (Include Area Code)

+1 (571) 560-0003 b. ACTIVITY ADDRESS CODE (AAC) OF THE

CONTRACTING OFFICE (See Instructions) f. EMAIL ADDRESS (See Instructions)

140D04 homer_shoup@ibc.doi.gov

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)

Shoup, Homer, O.

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

140D04

h. SIGNATURE

b. TITLE

Contracting Officer

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

c. ADDRESS (Include ZIP Code)

381 Elden Street

Suite 4000

Herndon, VA 30170

f. TELEPHONE (Include Area Code)

+1 (571) 560-0003

i. DATE SIGNED (See Instructions)

g. EMAIL ADDRESS (See Instructions) homer_shoup@ibc.doi.gov

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

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

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER mailto:homer_shoup@ibc.doi.gov mailto:homer_shoup@ibc.doi.gov