Attachment_1_-_DD_254.pdf

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

I 1. CLEARANCE AND SAFEGUARDING

I a. FACILITY CLEARANCE REQUIRED (The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)

! Secret II b. LEVEL OF SAFEGUARDING REQUIRED

Secret i 2. THIS SPECIFICATION IS FOR: (x and complete as applicable)

I Ia. PRIME CONTRACT NUMBER

ib. SUBCONTRACT NUMBER

!c. SOLICITATION OR OTHER NUMBER

1 N00024-14-R-521 0

I 4. IS THIS A FOLLOW-ON CONTRACT?

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

! X jb. REVISED (supersedes all 1 Revision No. !'Date (YY-MMM-DD) 1 lprev1ousspecs) 01 14-Jun-02

I ia. ORIGINAL (Complete date in all cases.) !Date (YY-MMM-DDl i I 1 13-Dec-16

c. FINAL (Complete Item 5 in all cases) [Date (YY-MMM-DD) I

If Yes, complete the following:

I Classified material I received or generated

(Preceeding Contract Number) is transferred to this following-on

----------------------------------contract.

LJYES LX_jNO. If Yes, complete the following: 1 5. IS THIS A FINAL DO FORM 254?

I .I In response to the contractor's request dated _ ____ • retention of the classified material is authorized for the period of ___ _ ___ .. _____ _

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

I a. NAME, ADDRESS, AND ZIP CODE 1 b. CAGE CODE I c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code) i

I

I

17. SUBCONTRACTOR

I b. CAGE CODE I C. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code) 1

a. NAME, ADDRESS, AND ZIP CODE

I

I

I

I I

! 8. ACTUAL PERFORMANCE

I b. CAGE CODE 1 c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

I I

I a. LOCATION

I I

Is. GENERAL IDENTIFICATION OF THIS PROCUREMENT I

1 Common Display System (CDS) Build to Print

'10. CONTRACTOR WILL REQUIRE ACCESS TO: jYES\ NO \11.1N PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: IYEs

1 No!

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

: b. RESTRICTED DATA

I c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION j d. FORMERLY RESTRICTED DATA i e. INTELLIGENCE INFORMATION

(1) Sensitive compartmented information (SCI)

I (2) Non-SCI j f. SPECIAL ACCESS INFORMATION

: g. NATO INFORMATION

~ h. FOREIGN GOVERNMENT INFORMATION I j i. LIMITED DISSEMINATION INFORMATION

I i X I X

X X

X X X X lx j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

X k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

' j. FOR OFFICIAL USE ONLY INFORMATION 'j X i. OTHER (Specify) ~-------------------~~~~ I k. OTHER (Specify) I X

DO FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLET

X

X', 1 X I I X I

I X Xi X I xi X X

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public release shall be submitted for approval prior to release.

, I Direct I X j Through (Specify)

COMMANDER, NAVAL SEA SYSTEMS COMMAND (SEA OOD)

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 discloure shall be submitted to that agency.

113, SECURITY GUIDANCE. The Security classification guidance needed for this classified effort is identified below. If any difficulty is encountered in applying 1 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 j changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract, and to submit any 1 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 I correspondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

I

I I

SECURITY CLASSIFICATION GUIDANCE IS AS FOLLOWS:

-DoD M-5200.01 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) of 2/24/2012

-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.

-Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NAVSEAHQ Contracting Officer's Representative prior to the presentation.

-Security classification guides (OPNAVINST 5513 series) and controlled unclassified information (e.g., FOUO, 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 NAVSEA

(SEA OOD).

-Contractor must submit a request for sharing of classified and other sensitive information between prime contractors in writing to the NAVSEA Office of Security Programs (SEA 09P3) identified in block 16 of this form for approval.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. L_j Yes LxJ No (If Yes, identify the pertinent contractual clauses in the contract itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the cognizant security office. Use item 13 if additional space needed.)

j15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. LJ Yes LxJ No , (If Yes, explain and idenifty specific areas or elements carved out and the activity responsible for inspections. Use item 13 if additional space i is needed.)

i 16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified information to be [ released or generated under the classified effort. All questions shall be referred to the official named below.

I a. TYPED NAME OF CERTIFYING OFFICIAL I b. TITLE

I

c. TELEPHONE (Include Area code)

CHRISTINE HANSEN

·. d. ADDRESS (Include Zip Code)

1333 ISAAC HULL AVE., S.E.

WASHINGTON, DC 20376-9917

I SECURITY CONTRACTING OFFICER

I (202) 433-5028

117. REQUIRED DISTRIBUTION

IX! a. CONTRACTOR c_::::j b. SUBCONTRACTOR L.JLj c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR i I d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMIN.

r--~--------t----JL-----------------1Xl e. ADMINISTRATIVE CONTRACTING OFFICER i=J f. OTHERS AS NECESSARY

PREVIOUS EDITION IS OBSOLET

! 13. SECURITY GUIDANCE. The Security classification guidance needed for this classified effort is identified below. If any difficulty is encountered in applying i 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 I changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract, and to submit any

I . questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handed 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.)

-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 for high security crosscut paper shredders, or other approved method for destroying classified information.

-All reports of contractor security violations associated with this contract shall be mailed by the Cognizant DSS field office directly to the certifying official in block 16 of this DD254.

-All classified information involved in security incidents shall be retained and provided to the certifying official in block 16 (a) of this DD 254 for classification review.

-Forward a copy of subcontractor DD 254s issued under this contract to the official shown in item 16a 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 block 16(a) of this DD254.

-Block 1 O(h): Foreign Government Information is limited to Australia, Japan, and South Korea.

-Block 11 (g): Contractor shall prepare and process DD forms 1540 and 2345 prior to requesting these services.

-The Program Sponsor for this contract is Mr. Bruce Barton, IWS 1, 202-781-1949.

-Contact Ms. Christine Hansen (SEA 09P3) at (202) 781-3148 or christine.r.hansen@ navy. mil for any security questions related to this contract.

-This DD254 is for solicitation purposes only; therefore, it must be returned to SEA 09P3 to be updated with a contract number when contract award is made before it can be issued to the contractor

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLET