LCS SEC Attachment J-16 Contract Security Classification Specification DD Form 254 dtd May 20.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

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:

20220531 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.)

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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

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

7341 Office Park Place, Ste. 203 Melbourne, FL 32940

This is the follow-on Sustainment Execution Contract for the East Coast LCS class homeported in Mayport, FL. The scope would include continuous and emergent maintenance, planned maintenance, and facility maintenance.

-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

8a(1): SERMC, P.O. Box 280057, Naval Station Mayport, Bldg 1488, Massey Avenue, Jacksonville, FL 32228-0057 8b(1): N/A 8c(1): NAVSEA 00P, 1333 Isaac Hull Ave., S.E., Washington, DC 20376-9917

8a(2) & 11: Various locations as identified by the Program Manager and approved by the COR. A copy of this DD Form 254 will be provided to the Cognizant Security Office (CSO) by those locations identified by the Program Manager prior to the contractor's arrival. For those locations identified by the Program Manger that are contractor's facilities, the Program Manager must forward the contractor's facility CAGE code for vetting by SEA 00P3 prior to access to classified.

8b(2): N/A 8c(2): N/A

-Item 10(a): Access to secure communication through a government facility to relay classified information in the event of OCONUS work as necessary for the performance of this contract.

-Item 10(g): 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 16(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(j) &11(l): All Controlled Unclassified Information (CUI) associated with this contract must be safeguarded to prevent unauthorized public disclosure. CUI such as FOUO, Security Classification Guides (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(a): Access to classified information at the place of performance is for review only as necessary for the execution of the contract.

-Item 11(e): Equipment Maintenance Services - 4e Work Specs developed for equipment/systems that may process actual knowledge of, generation or production of classified information is not required for performance of this contract.

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

-Security classification guides (OPNAVINST 5513 series) and controlled unclassified information(CUI) (e.g., FOUO, distribution statement controlled) are not authorized for public release; therefore, they cannot be transmitted via the internet until the contractor receives final approval from NAVSEA (SEA 00D).

-The Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to the NAVSEA Industrial and Operations Security Division (SEA 00P3) at NAVSEAHQ_INDUSEC.fct@navy.mil. Each request must reference contract number N00024-16-D-4321 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 biennial training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information Assurance Manager 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 NAVSEA 00P3 Industrial Security mailbox: NAVSEAHQ_INDUSEC.fct@navy.mil

The contractor must also provide a scanned copy of the subcontractor DD 254s issued under this contract. Industrial Security mailbox: NAVSEAHQ_INDUSEC.fct@navy.mil for any security questions related to this contract.

-The Program Sponsor for this contract is Michael Tolson, PEO LCS 505 (202) 781-1908.

-Contact Mr. Tony A. Smith (SEA 00P3) at (202) 781-1954 or NAVSEAHQ_INDUSEC@navy.mil for any security questions related to this contract.

Washington Navy Yard, DC 20376