J-25 DD 254.pdf

PDF 946 KB Posted

Attached to
Carrier Engineering Maintenance Assist Team (CEMAT) Federal contract opportunity
Solicitation number
N0002419R4304
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This document is a Department of Defense Contract Security Classification Specification (DD Form 254) for the procurement of Carrier Engineering Maintenance Assist Team (CEMAT) and Surface Engineering Maintenance Assist Team (SEMAT) services. The contractor will require access to Restricted Data, Formerly Restricted Data, and Nuclear Naval Propulsion Information at the Secret level. The contractor must adhere to operations security requirements and protect Controlled Unclassified Information. Work will be performed at aircraft carrier and surface ship maintenance locations including Norfolk, VA; Newport News, VA; Portsmouth, VA; San Diego, CA; Bremerton, WA; Everett, WA; and Yokosuka, Japan. The Naval Sea Systems Command is the contracting activity, and the period of performance is the base year plus four option years.

View the file

Other files for this federal contract opportunity

Other files attached to Carrier Engineering Maintenance Assist Team (CEMAT), newest first.
File Type Posted
CEMAT Q and A - 04SEP20.pdf PDF
N00024-19-R-4304-0004.pdf PDF
N00024-19-R-4304-0004 Conformed.pdf PDF
N00024-19-R-4304-0003 Conformed.pdf PDF
N00024-19-R-4304-0003.pdf PDF
CEMAT Q and A - 27AUG20.pdf PDF
N00024-19-R-4304-0002 Conformed.pdf PDF
CEMAT Q and A - 14AUG20.pdf PDF
N00024-19-R-4304-0002.pdf PDF
N00024-19-R-4304-0001 Conformed.pdf PDF
CEMAT SEMAT Q and A - 11AUG20.pdf PDF
N00024-19-R-4304-0001.pdf PDF
J-5 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-04NW.pdf PDF
J-14 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-12NW.pdf PDF
J-8 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-06NW.pdf PDF
EXHIBIT A-CEMAT CDRLs 6.16.2020 signed.pdf PDF
J-3 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-02NW.pdf PDF
J-1 TAM.pdf PDF
EXHIBIT A-DD 1423 GLOSSARY.pdf PDF
J-12 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-10NW.pdf PDF
J-7 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-05NW.pdf PDF
J-23 Attachment Key Personnel List.pdf PDF
J-17 042-007 Security Requirements for Work Within Norfolk Naval Shipyard.pdf PDF
J-24 Non-Key Reference Guide.pdf PDF
J-4 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-03NW.pdf PDF
N00024-19-R-4304 RFP - CEMAT SEMAT.pdf PDF
J-21 NAVSEA INST 5100.3E.pdf PDF
L-2 RIS Past Performance Questionnaire (PPQ) CEMAT.docx DOCX document
J-19 042-037 General Requirements for Work Within Naval Station Norfolk.pdf PDF
L-3 Cost Proposal Format CEMAT.xlsx XLSX spreadsheet
J-20 077-001 Hazardous Waste Produced on Naval Vessels.pdf PDF
J-10 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-08NW.pdf PDF
J-13 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-11NW.pdf PDF
J-2 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-01NW.pdf PDF
J-9 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-07NW.pdf PDF
J-6 FY20 099-05PH MISC.pdf PDF
J-11 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-09NW.pdf PDF
L-1 Bidder Question Submittal Form CEMAT.xlsx XLSX spreadsheet
J-16 042-006 General Occupational Safety Health and Environment (OSHE) Requirements for Work Within Norfolk Naval Shipyard.pdf PDF
J-22 Contractor Badging and Access Requirements Solicitation (HL).pdf PDF
J-18 042-010 Nuclear Powered Ships-Nuclear Support Ships.pdf PDF
J-15 042-005 NNSY Work Authorization Form (WAF) Requirements.pdf PDF
Show all 42

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

CLASSIFICATION (When filled in): Unclassified N00024-19-R-4304

PREVIOUS EDITION IS OBSOLETE. Page 1 of 6

AEM LiveCycle Designer

DD 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:

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N00024-19-R-4304

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20200715

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.N50054-14-D-1408

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

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.)

Mid-Atlantic Regional Maintenance Center 9727 Avionics Loop Norfolk VA 23511-21245299

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

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) Mid-Atlantic Regional Maintenance Center

SMO: 550054

Security Manager: David Shutter Phone Number: (757) 400-0357

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

Puget Sound Naval Shipyard and Intermediate Maintenance Facility Code 1120 1400 Farragut Avenue Stop 2014 Bremerton WA 98314-2014

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

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) Puget Sound Naval Shipyard and Intermediate Maintenance Facility

SMO: 1120

Security Manager: John Swokowski Phone Number: (360) 476-3238

PREVIOUS EDITION IS OBSOLETE. Page 2 of 6

AEM LiveCycle Designer

DD FORM 254, APR 2018

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

Southwest Regional Maintenance Center 3755 Brinser Street Suite 1 San Diego CA 92136-5299

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

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

SMO: 1110

Security Manager: David Lewis Phone Number: (619) 556-5537

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

New award for Carrier Engineering Maintenance Assist Team (CEMAT) / Surface Engineering Maintenance Assist Team (SEMAT) in support of maintenance and planning for the overhaul and repair of equipment and systems associated with U.S. Navy Aircraft Carriers (CVN) and west coast U.S. Navy Surface Ships.

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 GOVERMENT 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 - NUCLEAR WORK AREA"

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 DoDM 5200.01, Volume 4 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, Naval Sea Systems Command (SEA 00D)

Public Release Authority:

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

PREVIOUS EDITION IS OBSOLETE. Page 3 of 6

AEM LiveCycle Designer

DD FORM 254, APR 2018

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.)

This DD254 is for solicitation purposes only; therefore, it must be returned to SEA 00P3 to be updated upon contract award before the contract DD254 can be issued to the contractor.

No security classification guides currently exist for this contract. Classified information generated in support of this contract must be marked in accordance with the source material provided by the program office.

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. (C-RD) CG-RN-1, REV.3, CHANGES 1-20, DOE-DOD SCG for the NNPI which includes Interpretive Guidance Bulletins 1-19.

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 NAVSEA Industrial and Operations Security Division (SEA 00P3) at NAVSEAHQ_INDUSEC.fct@navy.mil 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: 10(b) RD & (d) FRD. Contractor will receive and come into contact with Restricted Data (RD), and Formerly Restricted Data (FRD) on classified capabilities, operational and technical performance specifications, parameters and test data. RD/FRD information will be handled and controlled in accordance with the requirements of the NISPOM. Contractor is permitted access to RD/FRD in performance of the contract.

Item: 10(b) RD & (d) FRD Continued: RD/FRD access requires a final U.S. Government clearance at the appropriate security level prior to access to RD/FRD. The highest level of classification is SECRET, with access requirements to program related information. Program related accesses, however, will require Contractor employees to have a current T5. FRD access is handled in the same manner as NSI. The FSO will initially be briefed by a Government representative.

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: 11(b). Classified information will be safeguarded in accordance with the classification guidance identified in the source material.

Item: 11(j). The Contractor shall utilize the NAVSEA Critical Information and Indicators List, Ser 00P-293/111 of March 24, 2020 to help identify and protect critical information associated with this contract.

Item: 11(j). Continued: During the period of this contract, the Contractor may be exposed to, use, or produce, NAVSEA Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. NAVSEA’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). Continued: 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). Continued: NAVSEA’s CI shall not be publicized in corporate wide newsletters, trade magazines, displays, intranet pages or

PREVIOUS EDITION IS OBSOLETE. Page 4 of 6

AEM LiveCycle Designer

DD FORM 254, APR 2018

public facing websites. Media requests related to this project shall be directed to NAVSEA Public Release Authority listed in Item 12 of this DD Form 254.

Item: 11(j). Continued: Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise of government Classified or CI, Business Sensitive and Company Proprietary information related to this contract or other programs must be immediately reported to the Facility Security Officer, DCSA and/or the Naval Criminal Investigative Service, and SEA 00P3. Questions concerning these requirements shall be directed to SEA 00P3.

Item: 11(j). Continued: Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of DoD 5220.22-M, National Industrial Security Program Operating Manual, therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NAVSEA approves the OPSEC requirements.

Item: 11(l). All CUI associated with this contract must be safeguarded to prevent unauthorized public disclosure. CUI such as FOUO, 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.

Item: 11(l) (Cont.). 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.

Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NAVSEA HQ Contracting Officer's Representative (COR) in concert with SEA 00P3 and PEO Ships prior to the presentation.

The Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to SEA 00P3 at NAVSEAHQ_INDUSEC.fct@navy.mil. Each request must reference contract number N00024-19-R-4304 to 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 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 Industrial Security mailbox: NAVSEAHQ_INDUSEC.fct@navy.mil

The contractor must scan and forward the subcontractor’s DD 254s issued under this contract to the Industrial Security mailbox:

NAVSEAHQ_INDUSEC.fct@navy.mil

SEA 00P3 POC: Ms. Bonnie Hilton at 202.781.3235

PREVIOUS EDITION IS OBSOLETE. Page 5 of 6

AEM LiveCycle Designer

DD FORM 254, APR 2018

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

Supply chain risk provisions are applicable to this contract.

NAME & TITLE OF REVIEWING OFFICIAL

Kerry D. Moore (00P5) Deputy Technology Protection

SIGNATURE

Operation Security (OPSEC) requirements for this contract is reflected in item 13 of the DD Form 254 under item: 11(j).

NAME & TITLE OF REVIEWING OFFICIAL

James T. Williams (00P3) 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

Tina J. Williams (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 & 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 NAVSEA OPSEC Program Manager. These requirements shall not be 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 & (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

PEO AIRCRAFT CARRIERS

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

N00024

c. ADDRESS (Include ZIP Code) 1333 Isaac Hull Avenue SE Stop 9917 Washington Navy Yard, DC 20376

d. POC NAME

CDR Jesse Black

e. POC TELEPHONE (Include Area Code)

+1 (202) 781-2521

f. EMAIL ADDRESS (See Instructions) jesse.h.black@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)

Hilton, Bonnie R.

b. TITLE

Security Contracting Official

c. ADDRESS (Include ZIP Code) Naval Sea Systems Command 1333 Isaac Hull Avenue SE Stop 9917 Washington Navy Yard, DC 20376

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N00024

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (202) 781-3235

g. EMAIL ADDRESS (See Instructions) bonnie.hilton@navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20200715

PREVIOUS EDITION IS OBSOLETE. Page 6 of 6

AEM LiveCycle Designer

DD FORM 254, APR 2018

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.)

SEA 08

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

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 Hide Attachment Bar

CurrentPage:
PageCount:
Classification: Unclassified N00024-19-R-4304
SerialNum:
a. Facility clearance level. Select one.: 2
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2
Choose Yes or No: 0
Choose Yes or No: 1
Prime:
Choose Yes or No: 0
Choose Yes or No: 0
Sub:
Choose Yes or No: 1
Choose Yes or No: 0
Soli: N00024-19-R-4304
DueDate:
dateA: 2020-07-15
RevisionNum:
dateB:
Final:
dateC:
No: 0
No: 1
No: 0
No: 0
Yes: 1
Yes: 0
Yes: 1
Yes: 1
Enter your name here.: N50054-14-D-1408
ReqDated:
Enter your name here.:
Name: TBD
Name: TBD
Name: Hilton, Bonnie R.
Cage:
CSO: Mid-Atlantic Regional Maintenance Center

SMO: 550054

Security Manager: David Shutter Phone Number: (757) 400-0357 CSO: Puget Sound Naval Shipyard and Intermediate Maintenance Facility

SMO: 1120

Security Manager: John Swokowski Phone Number: (360) 476-3238 CSO: Southwest Regional Maintenance Center

SMO: 1110

Security Manager: David Lewis Phone Number: (619) 556-5537

addrow:
Removerow:
Click to delete a row:
Location: Mid-Atlantic Regional Maintenance Center

9727 Avionics Loop Norfolk VA 23511-21245299 Location: Puget Sound Naval Shipyard and Intermediate Maintenance Facility Code 1120 1400 Farragut Avenue Stop 2014 Bremerton WA 98314-2014 Location: Southwest Regional Maintenance Center 3755 Brinser Street Suite 1 San Diego CA 92136-5299

Block9: New award for Carrier Engineering Maintenance Assist Team (CEMAT) / Surface Engineering Maintenance Assist Team (SEMAT) in support of maintenance and planning for the overhaul and repair of equipment and systems associated with U.S. Navy Aircraft Carriers (CVN) and west coast U.S. Navy Surface Ships.
a: 0
a: 0
a: 1
f: 0
f: 0
f: 1
b: 1
b: 1
b: 0
g: 0
g: 0
c: 0
c: 0
c: 1
h: 0
h: 0
d: 1
d: 0
d: 0
i: 0
i: 0
SCI: 0
NonSCI: 0
j: 1
j: 1
k: 1
k: 0
Enter your name here.: "NNPI - NUCLEAR WORK AREA"
Enter your name here.: SEA 08
e: 0
e: 1
l: 1
m: 0
direct: 0
thru: 1
Enter your name here.: Commander, Naval Sea Systems Command (SEA 00D)
PublicAuthority:
AddSig:
RemoveSig:
text: This DD254 is for solicitation purposes only; therefore, it must be returned to SEA 00P3 to be updated upon contract award before the contract DD254 can be issued to the contractor.

No security classification guides currently exist for this contract. Classified information generated in support of this contract must be marked in accordance with the source material provided by the program office.

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. (C-RD) CG-RN-1, REV.3, CHANGES 1-20, DOE-DOD SCG for the NNPI which includes Interpretive Guidance Bulletins 1-19.

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 NAVSEA Industrial and Operations Security Division (SEA 00P3) at NAVSEAHQ_INDUSEC.fct@navy.mil 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: 10(b) RD & (d) FRD. Contractor will receive and come into contact with Restricted Data (RD), and Formerly Restricted Data (FRD) on classified capabilities, operational and technical performance specifications, parameters and test data. RD/FRD information will be handled and controlled in accordance with the requirements of the NISPOM. Contractor is permitted access to RD/FRD in performance of the contract.

Item: 10(b) RD & (d) FRD Continued: RD/FRD access requires a final U.S. Government clearance at the appropriate security level prior to access to RD/FRD. The highest level of classification is SECRET, with access requirements to program related information. Program related accesses, however, will require Contractor employees to have a current T5. FRD access is handled in the same manner as NSI. The FSO will initially be briefed by a Government representative.

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: 11(b). Classified information will be safeguarded in accordance with the classification guidance identified in the source material.

Item: 11(j). The Contractor shall utilize the NAVSEA Critical Information and Indicators List, Ser 00P-293/111 of March 24, 2020 to help identify and protect critical information associated with this contract.

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

Item: 11(j). Continued: Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise of government Classified or CI, Business Sensitive and Company Proprietary information related to this contract or other programs must be immediately reported to the Facility Security Officer, DCSA and/or the Naval Criminal Investigative Service, and SEA 00P3. Questions concerning these requirements shall be directed to SEA 00P3.

Item: 11(j). Continued: Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of DoD 5220.22-M, National Industrial Security Program Operating Manual, therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NAVSEA approves the OPSEC requirements.

Item: 11(l). All CUI associated with this contract must be safeguarded to prevent unauthorized public disclosure. CUI such as FOUO, 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.

Item: 11(l) (Cont.). 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.

Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NAVSEA HQ Contracting Officer's Representative (COR) in concert with SEA 00P3 and PEO Ships prior to the presentation.

The Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to SEA 00P3 at NAVSEAHQ_INDUSEC.fct@navy.mil. Each request must reference contract number N00024-19-R-4304 to 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 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 Industrial Security mailbox: NAVSEAHQ_INDUSEC.fct@navy.mil

The contractor must scan and forward the subcontractor’s DD 254s issued under this contract to the Industrial Security mailbox: NAVSEAHQ_INDUSEC.fct@navy.mil

SEA 00P3 POC: Ms. Bonnie Hilton at 202.781.3235

text: Supply chain risk provisions are applicable to this contract.
text: Operation Security (OPSEC) requirements for this

contract is reflected in item 13 of the DD Form 254 under item: 11(j).

text: 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.
Click on this button to attach a file(s).:
rep: Kerry D. Moore (00P5)

Deputy Technology Protection rep: James T. Williams (00P3) OPSEC Program Manager rep: Tina J. Williams (08) Program Manager, Security Oversight

Sig:
Enter your name here.: Item: 10(b)RD & 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 NAVSEA OPSEC Program Manager. These requirements shall not be imposed at an additional cost to the government.

Enter your name here.: Item: 10(b) RD & (k) NNPI: NAVSEA 08 maintains authority to inspect for protection of NNPI (Unclassified, NSI and RD)
GCAName: PEO AIRCRAFT CARRIERS
AAC: N00024
AAC: N00024
Address: 1333 Isaac Hull Avenue SE Stop 9917

Washington Navy Yard, DC 20376 Address: Naval Sea Systems Command 1333 Isaac Hull Avenue SE Stop 9917 Washington Navy Yard, DC 20376

POCName: CDR Jesse Black
Phone: 2027812521
Phone: 2027813235
Email: jesse.h.black@navy.mil
Email: bonnie.hilton@navy.mil
Title: Security Contracting Official
Enter the date using the format DD-Mon-YYYY: 20200715

File details come from the government source that posted it. Updated .