DD Form 254 for N5 Operational Doctrine 20120904

CONTRACT

N00019-95-G-0242

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

1. CLEARANCE AND SAFEGUARDING

Secret

Secret

b. LEVEL OF SAFEGUARDING REQUIRED

None

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a. PRIME CONTRACT NUMBER

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b. SUBCONTRACT NUMBER

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Date (YYYYMMDD)

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c. SOLICITATION OR OTHER NUMBER

H92240-12-R-9013

DUE DATE (YYYYMMDD)

20120904

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4. IS THIS A FOLLOW-ON CONTRACT? FORMCHECKBOX

YES FORMCHECKBOX

NO 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? FORMCHECKBOX

YES FORMCHECKBOX

NO 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

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b. CAGE CODE

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION

NSWC, Division N5 2000 Trident Way; Bldg 624

San Diego, CA 92155

b. CAGE CODE

N/A

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

Commander, Naval Special Warfare 2000 Trident Way

San Diego, CA 92155

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

POP: 12 months after award of contract with two option years (if exercised)

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e. INTELLIGENCE INFORMATION

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i. LIMITED DISSEMINATION INFORMATION

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k. OTHER (Specify)

NIPRNET/SIPRNET at government facilities only.

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DD Form 254, DEC 1999

PREVIOUS EDITION IS OBSOLETE

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release. Direct Through (Specify)

Requests must be forwarded through the certifying official (block 16), NAVSPECWARCOM Office of Public Affairs and the Contracting Officer To the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.

* In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency

13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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. The contractor may also challenge guidance or the classification assigned to any information or material furnished or generated under this contract; and may submit questions for interpretation of the 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. Add additional pages as needed to provide complete guidance.)

This DD254 is for Solicitation only.

While performing duties within NAVSPECWARCOM owned and operated facilities, the contractor must adhere to applicable security directives, regulations, and standard operating procedures at different contract performance locations. The Program Manager listed in block 16 will provide a copy of all applicable security directives for this contract. Appropriate applicable command security directives, regulations, and standard operating procedures will be provided by the requiring agency (normally through the Performance Monitor or component command COR). Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified information (furnished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the NAVSPECWARCOM Government Contracting Agency/Activity. Furthermore, the contractor will account for and return to the appropriate issuing office, all Common Access Cards (CAC), security badges, installation entry passes/vehicle decals issued to contractor personnel upon completion or termination of the classified contract, termination of employment, or suspension of classified clearance or access of any contractor employee.

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14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. FORMCHECKBOX

YES FORMCHECKBOX

NO

(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 Cognizant Security Office. Use Item 13 if additional space is needed.)

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15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the Cognizant Security Office. FORMCHECKBOX

YES FORMCHECKBOX

NO

(If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

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16. CERTIFICATION AND SIGNATURE. 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.

a. TYPED NAME OF CERTIFYING OFFICIAL

Mark Kauber

b. TITLE

Contracting Officer Representative

c. TELEPHONE (Include Area Code)

619-537-1245

Commander Naval Special Warfare Command 2000 Trident Way, Bldg. 624

San Diego, CA 92155-5599

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a. CONTRACTOR

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b. SUBCONTRACTOR

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c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

D. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

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E. ADMINISTRATIVE CONTRACTING OFFICER

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F. OTHERS AS NECESSARY

DD FORM 254 (BACK), DEC 1999

DD FORM 254 CONTINUATION PAGE

SECTION 13:

Ref 10j: FOUO information/provided under this contract shall be safeguarded as specified in the attachment, Protecting For Official Use Only (FOUO) Information.

Ref 11a: Contractor performance is restricted to NSWC. Using contractor or activity will provide security classification guidance for performance of this contract. Submit visit request to COR and/or Security Management Office for need-to-know verification.

All classified material generated under this contract will be derivatively classified IAW Executive Order13526, based on existing source documents or applicable classification guides.

SECTION 14:

While performing at Military Service/Component Command (NAVSPECWARCOM) owned and/or operated locations/facilities, the contractor will adhere to the respective Military Service/Component Command: Information Security Program, ADP and DoDIIS Programs, Physical Security Program, Industrial Security Program, and SCI/SAP Program (if applicable). Appropriate local service/component command security directives, regulations, and standard operating procedures will be provided by the requiring agency (normally through the Performance Monitor or component command COR) at these locations/facilities. Prior approval of the contracting activity is required for subcontracting. Access to intelligence information requires special briefings and a U.S. Government clearance at the appropriate level.

SECTION 15:

Defense Security Service is relieved of inspection responsibility within NAVSPECWARCOM owned and operated locations/facilities. Classified contract activities and performance at each Military Service’s locations/facilities are governed by applicable service/component command/local security directives, regulations, and standard operating procedures and are the responsibility of the respective Security Officers. Collateral contractor classified operations will be under the Security Cognizance of the services respective Security Management Office.

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