Attachment_1_-_DD254.pdf

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD Industrial Security Manual apply

! 1. CLEARANCE AND SAFEGUARDING

I a. FACILITY CLEARANCE REQUIRED

Secret to all security aspects of this effort.)

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

· ~a. PRIME CONTRACT NUMBER

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ib. SUBCONTRACT NUMBER i j X lc. SOLICITATION OR OTHER NUMBER 1 N00024-14-R-5217

!Date (dd mmm WYY) I I

b. LEVEL OF SAFEGUARDING REQUIRED

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

I Ia. ORIGINAL (Complete date in all cases.) )Date (YY-MMM-DDl I 1 13-Sep-04 I X lb. R~VISED (supersedes all /Revision No. /Date (YY-MMM-DD) prev1ous specs)

01 14-Jun-02

ic. FINAL (Complete Item 5 in all cases) Date (YY-MMM-DDl

4. IS THIS A FOLLOW-ON CONTRACT?

Classified material I received or generated j~/YES Lx_jNO. If Yes, complete the following:

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

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

j 5. IS THIS A FINAL DD FORM 254? LJYES Lx_jNO. If Yes, complete the following:

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)

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

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i 7. SUBCONTRACTOR

! a. NAME, ADDRESS, AND ZIP CODE

I 8. ACTUAL PERFORMANCE

j a. LOCATION

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.• 9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

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I b. CAGE CODE I

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I j c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

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

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/ Technical Insertion (TI) 16 Common Display Systems (CDS) Development and Production.

1 10. CONTRACTOR WILL REQUIRE ACCESS TO:

j a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION i b. RESTRICTED DATA

! c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

d. FORMERLY RESTRICTED DATA

I e. INTELLIGENCE INFORMATION j (1) Sensitive compartmented information (SCI)

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

: g. NATO INFORMATION

• h. FOREIGN GOVERNMENT INFORMATION

i. LIMITED DISSEMINATION INFORMATION

I j. FOR OFFICIAL USE ONLY INFORMATION

k. OTHER (Specify)

DD FORM 254, DEC 1999

i d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE j e. PERFORM SERVICES ONLY

I f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

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g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION

CENTER IDTIC\ OR OTHER SECONDARY DISTRIBUTION CENTER

I h. REQUIRE A COMSEC ACCOUNT

i. HAVE TEMPEST REQUIREMENTS

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

I i. OTHER (Specify) xl I I

PREVIOUS EDITION IS OBSOLET

IX

!x x:

Xr X

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I, X

X i 12. PUBLIC RELEASE. Any infonnation (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided I 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 [X] Through (Specify)

COMMANDER, NAVAL SEA SYSTEMS COMMAND (SEA OOD)

to the Directorate for Freedom of lnfonnation 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. .

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: 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 i~dic~tes a need for changes in this guidance,_the co~tractor is authorized and encouraged to provide recommended j changes; to challenge the gUidance or the classificatiOn ass1gned to any 1nformat1on or matenal furnished or generated under th1s 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. Add additional pages as needed to provide complete guidance.)

SECURITY CLASSIFICATION GUIDANCE IS AS FOLLOWS:

-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.

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

-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. ~Yes l_L 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.)

[15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. l_j Yes [X] No

{If Yes, explain and idenifty specific areas or elements carved out and the activity responsible for inspections. Use item 13 if additional space is needed.) .

] 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 j b. TITLE [ c. TELEPHONE (Include Area code)

CHRISTINE HANSEN : SECURITY CONTRACTING OFFICER I (202) 433-5028

d. ADDRESS (Include Zip Code)

13331SAAC HULL AVE., S.E.

WASHINGTON, DC 20376-9917

1 17. REQUIRED DISTRIBUTION

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~ a. CONTRACTOR ; I b. SUBCONTRACTOR i X I c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR , · d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMIN.

!-----.-...----...,.---t--..._.....---:--f-------------- X e. ADMINISTRATIVE CONTRACTING OFFICER

. . f. OTHERS AS NECESSARY

VIOUS 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 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 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 OSS field office directly to the certifying official in block 16 of this 00254.

-All classified information involved in security incidents shall be retained and provided to the certifying official in block 16 (a) of this 00 254 for classification review.

-Forward a copy of subcontractor 00 254s issued under this contract to the official shown in item 16a of this 00254.

-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 00254.

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

-Block 11 (g): Contractor shall prepare and process 00 forms 1540 and 2345 prior to requesting these services.

-The program sponsor for this contract is: Ms. Robin Zapert, PEO IWS 1.0, (202)781-2915

-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 00254 is for solicitation purposes only; therefore, it must be returned to SEA 09P3 to be updated with a contract number upon contract award before the contract 00254 can be issued to the contractor

DO FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLET