LCS SEC Attachment J-14 DD254.pdf

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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PREVIOUS EDITION IS OBSOLETE.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

1333 Isaac Hull Ave., S.E.

Washington, DC 20376-9917

3755 Brinser St San Diego, CA 92136-5299

The following Security Classification Guides (SCG) or subsequent revisions apply to this contract. Subsequent revisions will be provided by the NAVSEA Industrial and Operations Security Division (SEA 00P3) as Government Furnished Information (GFI) and shall be utilized by the Contractor on this contract. The Contractor must request copies of SCGs not in its possession by submitting a request to NAVSEAHQ_INDUSEC.fct@navy.mil. The Contractor must reference the contract number in the subject line of the request. Classified SCGs associated with this contract will be forwarded to the Contractor’s Facility Security Officer (FSO) under separate cover.

-SCG ID# 03-011.03 Aegis, MK7 05/4/2011,Unclassified -SCG ID# 03-017.04 Combatant Ships (Less Submarines) Unclassified -SCG ID# 03-053.01 Protection Technology Ship Passive Unclassified -SCG ID# 03-091.03 Surface Ship Low Observables Unclassified -SCG ID# 03-134.03 Ship Self Defense System (SSDS) MK 2/Open Architecture (OA) for LPD-17, LHD-1, LHA-6, LSD-41, CVN-68 and CVN-78 Class Ships Unclassified -SCG ID# 03-150.1 Littoral Combat Ship (LCS) Unclassified -SCG ID# 07-007.2 Degaussing and Deperming Unclassified -SCG ID# 08-003.01 ECM/ECCM, General Unclassified

Item: 10(a). COMSEC information/material will be processed IAW DoD 5220.22-M, Chapter 9, Section 4, and OPNAVINST 2221.5D dtd 8/15/16, and any additional security guidelines. Contractor personnel requiring COMSEC access must be U.S. Citizens and possess a final clearance at the appropriate level. All contractors shall be briefed before access to COMSEC is granted. Written concurrence of the NAVSEA Program Manager is required prior to subcontracting.

Item: 10(g) NATO. Access up to NATO SECRET is authorized for this contract. Protection of NATO information shall be in accordance with USAAN 01-07 and its applicable enclosures. Access to NATO requires a final U.S. Government National Security Clearance and must have a NATO security briefing from the Facility Security Officer (FSO). The prime contractor must receive approval from the individual identified in Item 17(a) of this DD 254 to impose NATO requirements or grant NATO access to a sub-contractor. Requests shall be submitted in writing.

Item: 10(h). Foreign Government Information is limited to United Kingdom, Denmark, Germany, Switzerland, Spain, Sweden, and Italy.

Item: 10(h). Foreign Government Information (FGI).

-Access to FGI does not include NATO information.

-Access to FGI will be provided by the Task Sponsor. The Contractor shall protect such information pursuant to the guidance received from the Task Sponsor and authority granted by the originating government.

-Prior approval of the Task Sponsor is required prior to subcontracting. Requests for approval must be submitted in writing via the certifying official of this DD Form 254.

-Access to FGI requires a final U.S. Government personnel security clearance at the appropriate level.

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: 10(g) NATO & 10(k) SIPRNet. Personnel assigned to this contract who require access to SIPRNet and/or SIPRNet Backbone equipment must receive a NATO security briefing, initial OPSEC awareness training nd derivative classification training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure all personnel receive an initial and annual NATO security briefing, OPSEC refresher training and derivative classification 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.

Item 11(e). Equipment Maintenance Services: This contract is for maintenance services on equipment which processes classified information at the Naval Sea Systems Command, Washington Navy Yard and/or its associated cleared facilities located at Naval Station San Diego. Actual knowledge of, generation, or production of classified information is not required for performance of this contract. Personnel cleared at the Secret level are required to perform this service because access to classified information cannot be precluded by escorting personnel. Classification guidance needed for performance will be provided by the using activity.

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.

Washington Navy Yard, DC 20376 Address: 1333 Isaac Hull Ave SE Washington Navy Yard, DC 20376