J-10 DD 254 _LCS CM_EM IDIQ.pdf
PDF 74 KB Posted
- Attached to
- Request for Proposal - Littoral Combat Ships Continuous Maintenance and Emergent Maintenance IDIQ
- Solicitation number
- N4034521R0013
About this file
This DD Form 254 is a Department of Defense Contract Security Classification Specification for a contract to provide technical, program management, information technology, repair services and integrated logistics support to COMLOG WESTPAC Ship Repair Unit for maintenance coordination on assigned Littoral Combat Ships units. The contractor will require access to classified information up to the SECRET level, including casualty reports and long term ship schedules. The contractor must comply with NISPOM, OPSEC requirements and controls for controlled unclassified information. The cognizant government activities are NAVSUP FLC Site Singapore and COMLOG WESTPAC, located in Singapore. Public release of any information requires approval from COMLOG WESTPAC.
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DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
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DD FORM 254, APR 2018
NEEDS DD67
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:
May 31, 2022 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
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)
3. THIS SPECIFICATION IS: (X and complete as applicable.)
a. ORIGINAL (Complete date in all cases.)
b. REVISED (Supersedes all previous specifications.)
4. IS THIS A FOLLOW-ON CONTRACT?
If yes, complete the following:
Classified material received or generated under
5. IS THIS A FINAL DD FORM 254?
If yes, complete the following:
6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)
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)
8. ACTUAL PERFORMANCE (Click button to add more locations.)
10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)
e. NATIONAL INTELLIGENCE INFORMATION:
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.)
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)
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.)
List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)
14. ADDITIONAL SECURITY REQUIREMENTS
Requirements, in addition to NISPOM requirements for classified information, are established for this contract.
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.
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)
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.
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL
9.0.0.2.20120627.2.874785 DD 254, "DoD Contract Security Classification Specification"
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: |
| SerialNum: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2 |
| Select for "original.": 0 |
| Select for "original.": 0 |
| Enter prime contract number.: |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 0 |
| Select for "final.": 0 |
| Enter solicitation or other number.: |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: MEGAN STREET |
| Enter CAGE code of the prime contractor.: N5534 |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: COMLOG WESTPAC |
PSC 470 BOX 2400
FPO AP 96534
ATTN: YNC STREET, MEGAN
TEL: +65-6750-2442
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: COMLOG WESTPAC |
CHANGI NAVAL BASE
SHIP SUPPORT FACILITY
Enter general unclassified description of this procurement.:
PROVIDE TECHNICAL, PROGRAM MANAGEMENT, INFORMATION TECHNOLOGY, REPAIR SERVICES AND INTEGRATED LOGISTICS SUPPORT TO COMLOG WESTPAC SHIP REPAIR UNIT FOR MAINTENANCE COORDINATION ON ASSIGNED LCS UNITS.
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Enter infomration for "other.": |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 0 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: COMMANDER, LOGISTICS GROUP WESTERN PACIFIC |
| Enter public release authority.: No public release is authorized |
| Select to add signature.: |
| Select to remove last signature.: |
| text: All contractor personnel shall comply with the provisions of DoD 5220.22M (National Industrial Security Program Operating Manual), DoDM 5200.02 (DoD Personnel Security Program), DoDM 5200.01 Volumes 1-4 (DoD Information Security Program), Dept of Homeland Security Presidential Directive 12 (HSPD12), applicable Security Classification Guides, and any other applicable DoD, SECNAV/OPNAV, host or base security regulation or instruction. |
- Block 10(j): DoD M-5200.01Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) of 2/24/2012.
Logistics Services Center for access to unclassified, militarily critical technical data or other DoD sources.
- Block 11(a) Contractors identified in 6.a and 7.a will be working at a government facility located on a foreign (Singapore) naval base with US Government civilian and military employees. Their duties will frequently require access to CONFIDENTIAL information (e.g. casualty reports, ships schedules) and infrequently require access to SECRET information (e.g. long term ship schedules, exercise info).
-Block 10(c). Access only required. Contractors will not need to retain or store classified information.
Security classification guides (OPNAVINST 5513 series) and controlled unclassified information(CUI) (eg. FOLIO, 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 COMLOG WESTPAC.
Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to the COMLOG WESTPAC Security Manager or the designated Assistant Security Manager identified in Item 16 of this form.
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.
-All classified information involved in security incidents shall be retained and provided to the certifying official in Item 16 of this DD 254 for classification review.
-All reports of contractor security violations associated with this contract shall be sent by the Cognizant DSS field office directly to the certifying official in Item 16 of this DD254.
-Forward a copy of subcontractor DD 254s issued under this contract to the official shown in item 16 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 individual identified in Item 16 of this DD254.
The Program Sponsor for this task is Mr. Sean Jermyn, COMLOG WESTPAC SHIP REPAIR UNIT, DSN 315-421-2484
Contact YNC Megan Street (COMLOG WESTPAC Security Manager) at DSN 315-421-2442, megan.street@fe.navy.mil or Mr. Dave Matthews (COMLOG WESTPAC Assistant Security Manager) at DSN +65,6422-3680, dave.matthews@fe.navy.mil for any security questions related to this contract.
All security aspects of this contract fall under the cognizance of COMLOG WESTPAC. Contact the COMLOG WESTPAC Security Officer for any questions regarding the content of the DD form 254.
Identification: The contractor shall obtain government identification cards (Common Access Cards) for employees. Upon termination of employment, the contractor shall return all government identification cards to the government Security Office.
The contractor does require a favorable security clearance and must maintain favorable adjudication and eligibility or the contractor will be terminated from this contract.
| Click on this button to attach a file(s).: |
| rep: |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: |
| Enter GCA name.: NAVSUP FLC SITE SINGAPORE |
| Enter AAC of the contracting office.: N40345 |
| Enter address (include zip code).: NAVSUP FLEET LOGISTICS CENTER |
SITE SINGAPORE
CONTRACTING DEPARTMENT
PSC 470, BOX 2150
FPO AP 96534
Enter address (include zip code).: COMLOG WESTPAC
PSC 470 BOX 2400
FPO AP 96534
| Enter POC name.: Angela Dash |
| Enter telephone number (include area code).: 3154212839 |
| Enter email address.: angela.dash@fe.navy.mil |
| Enter email address.: megan.street@fe.navy.mil |
| Enter title.: COMLOG WESTPAC SECURITY MANAGER |
| Enter the datesigned in format YYYYMMDD.: |
File details come from the government source that posted it. Updated .