Attachment5-DDForm254.pdf

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements o f the DoD Industrial Security Manual apply to all securitv asoects o f this effort.1 - , I SECRET

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

a. PRIME CONTRACT NUMBER

X

This DD Form 254 i s for proposal purposes only.

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

5. IS THIS A FINAL DD FORM 254? YES NO. I f Yes, complete the following:

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

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

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

a. LOCATION

a. ORIGINAL (Complete date in all cases)

4. IS THIS A FOLLOW-ON CONTRACT?

b. SUBCONTRACT NUMBER

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code) a. NAME, ADDRESS, AND ZIP CODE

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7. SUBCONTRACTOR

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9. GENERAL IDENTIFICATION OF THlS PROCUREMENT

DATE (YYYYMMDD)

A YES NO. I f Yes, complete the following: .

c. SOLICITATION OR OTHER NUMBER

HSCG32-08-R-ROO007

b. CAGE CODE

a. NAME, ADDRESS. AND ZIP CODE

System Engineering and Technical Assistance (SETA)

DATE (YYYYMMDD)

DATE (YYYYMMDD)

b. REVISED (Supersedes all previous specs)

DUE DATE (YYYYMMDD)

2008/0412 1

10. CONTRACTOR WILL REQUIRE ACCESS TO: I YES I NO 11 1. IN PERFORMING THlS CONTRA-. THE CONTRACTOR WILL: I YES I NO I

REVISION NO.

b. CAGE CODE

g. NATO INFORMATION t( i. HAVE TEMPEST REQUIREMENTS

c. FINAL (Complete Item 5 in all cases)

c. COGNIZANT SECURITY OFFICE (Name, Address, andzip Code)

h. FOREIGN GOVERNMENT INFORMATION j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

i. LIMITED DISSEMINATION INFORMATION x k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

j. FOR OFFICIAL USE ONLY INFORMATION X I. OTHER (Specify)

k. OTHER (Specify) K

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I D FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.

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I 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 0 Direct Through (Specify)

U.S. Coast Guard Research and Development Center 1082 Shennecossett Road Groton, CT 06340-6048 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 classifiection 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; 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. Add additional pages as needed to provide complete guidance.)

I Specific security guidance will be provided by the task order COTR.

I A copy of any DD Form 254 issued to a subcontractor shall be forwarded to the RDC Contracting Officer.

DoD 5400.7, Chapter 4: For Official Use Only (FOUO) information provided under this contract shall be placed in an out-of-sight location if the work area is accessible to persons who do not have a need for the information during working hours. During nonworking hours, the information shall be stored to preclude unauthorized access. Filing FOUO with unclassified records in unlocked files or desks is adequate when internal building security is provided during nonworking hours. When such internal security control is not exercised, locked buildings or rooms will provide adequate after-hours protection or the material can be storec in locked receptacles such as file cabinets, desks, or bookcases. Destruction will be by the same means as classified information (i.e.

shredding, burning, etc.) in accordance with NISPOM DoD 5220.22-M requirements.

) 12. PUBLIC RELEASE. Any information (classified or unclassifie@ pertaining to this contract shall not be released for public dissemination except as provided

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14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements..are established for this contract. u (If Yes, identify the pertinent contractual clauses in the contract document itselc or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the cognizant security office. Use Item 73 if additional space is needed.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. Yes NO

(If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 73 ifadditionaHce is needed.)

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d. ADDRESS (Include Zip Code) 17 . REQUIRED DISTRIBUTION

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.

I U.S. Coast Guard Research and Development Center a. CONTRACTOR

1082 Shennecossett Road b. SUBCONTRACTOR

Groton. CT 06340-6048 C. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE I d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

c. TELEPHONE (Include Area Code)

(860) 44 1-2837

a. TYPED NAME OF CERTIFYING OFFICIAL

JAMES B. HAZLIN

a e. ADMINISTRATIVE CONTRACTING OFFICER

b. TITLE

CCOTR

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I f. OTHERS AS NECESSARY

DD FORM 254 (BACK), DEC 1999

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