Attachment 6 - DD254.pdf
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- N00024-14-R-6410
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Attachment 6 - DD254
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Attachment 6 DD254 – Contract Security Classification Specification
DEPARTMENT OF DEFENSE 1. CLEARANCE AND SAFEGUARDING
CONTRACT SECURITY CLASSIFICATION SPECIFICATION a. FACILITY CLEARANCE REQUIRED
SECRET
(The requirements of the DoD Industrial Security Manual apply to all aspects of this effort)
b. LEVEL OF SAFEGUARDING REQUIRED
SECRET
2. THIS SPECIFICATION IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS: (X and complete as applicable)
a. PRIME CONTRACT NUMBER a. ORIGINAL (Complete date in all cases) Date (YYMMDD)
20151028
b. SUBCONTRACT NUMBER
b. REVISED (Supersedes all previous specs)
Revision No.
Date (YYMMDD)
c. SOLICITATION OR OTHER NUMBER Due Date (YYMMDD) c. FINAL (Complete Item 5 in all cases) Date (YYMMDD)
N00024-15-R-6406
4. IS THIS A FOLLOW-ON CONTRACT? YES NO. If Yes complete the following
Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract
5. IS THIS A FINAL DD FORM 254? YES NO. If Yes complete the following
In response to the contractor's request dated , retention of the identified classified material is authorized for the period of .
6. CONTRACTOR (Include Commercial and Government Entity ( CAGE) Code)
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICES ( Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
PRODUCTION-FABRICATION, PROCURE, ASSEMBLE, TEST AND DELIVER MK 54 MOD 0 LWT HARDWARE AND
ASSOCIATED PRODUCTS.
10. THIS CONTRACT WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO
a. COMMUNICATIONS SECURITY (COMSEC)
INFORMATION
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY
b. RESTRICTED DATA b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION c. RECEIVE AND GENERATE CLASSIFIED MATERIAL
d. FORMERLY RESTRICTED DATA: d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
e. INTELLIGENCE INFORMATION: e. PERFORM SERVICES ONLY
(1) Sensitive Compartmented Information (SCI) f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO
RICO, U.S. POSSESSIONS AND TRUST TERRITORIES
(2) Non-SCI g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL
INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER
(SEE BLOCK 13 FOR ADDITIONAL GUIDANCE)
f. SPECIAL ACCESS INFORMATION h. REQUIRE A COMSEC ACCOUNT
g. NATO INFORMATION i. HAVE A TEMPEST REQUIREMENT
h. FOREIGN GOVERNMENT INFORMATION j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
i. LIMITED DISSEMINATION INFORMATION k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
j. FOR OFFICIAL USE ONLY INFORMATION l. OTHER (Specify).
k. OTHER Specify)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. 1 of 3
DD FORM 254 (BACK), DEC 1999 PREVIOUS EDITION IS OBSOLETE. 2 of 3
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
Direct
Through (Specify):
COMMANDER, NAVAL SEA SYSTEMS COMMAND (SEA 00D)
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 disclosure shall be submitted to that agency.
13. SECURITY GUIDANCE. The security classification guidance 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 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 document/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.
SECURITY CLASSIFICATION GUIDANCE IS AS FOLLOWS:
OPNAVINST S5513.5B-139 (U) MK 48 ADCAP (MOD 5 & BEYOND), MK 50, & OR MK 54
NARRATIVE 9T-FOUO (U) APPENDIX 3 OF DOD 5200.1-R AND APPENDIX 3 OF UNDER SECRETARY OF DEFENSE
MEMO DATED APRIL 16 2004
NARRATIVE 9T-USUI (U) MINIMUM PROTECTION REQ FOR UNCL/SENSITIVE UNCL INF
- 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.
- CONTRACTOR MUST SUBMIT A REQUEST FOR SHARING OF CLASSIFIED AND OTHER SENSITIVE
INFORMATION BETWEEN PRIME CONTRACTS IN WRITING TO THE NAVSEA OFFICE OF SECURITY PROGRAMS
(SEA 09P) IDENTIFIED IN BLOCK 16 OF THIS FORM FOR APPROVAL.
SECURITY CLASSIFICATION GUIDES (OPNAVINST 5513 SERIES) AND UNCLASSIFIED LIMITED DOCUMENTS (e.g., FOUO, DISTRIBUTION STATEMENT CONTROLLED) ARE NOT AUTHORIZED FOR PUBLIC RELEASE: THEREFORE THEY CANNOT BE POSTED ON A PUBLICALLY ACCESSIBLE WEBSERVER OR TRANSMITTED OVER THE
INTERENT UNLESS APPROPRIATELY ENCRYPTED. REQUEST FOR PUBLIC RELEASE CANNOT BE
TRANSMITTED VIA THE INTERENT UNTIL CONTRACTOR RECEIVES FINAL APPROVAL FROM COMMANDER, NAVAL SEA SYSTEMS COMMAND (SEA 00D). APPROPRIATE ENCRYPTION IS ANY PRODUCT THAT MEETS THE
REQUIREMENTS OF FIPS 140.2 OR HIGHER.
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, 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 cognizant security office. Use Item 13 if additional space is needed.)
Yes No
15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.
Yes No
16. CERTIFICATION AND SIGNATURE. 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.
a. TYPED NAME OF CERTIFYING OFFICIAL
SIDDIQ R.K. BROWN
b. TITLE
CONTRACTING OFFICER FOR SECURITY
c. TELEPHONE (Include Area Code)
(202) 433-5350
d. ADDRESS (Include ZIP Code) 17. REQUIRED DISTRIBUTION
1333 ISAAC HULL AVENUE S.E. STOP 9917
WASHINGTON NAVY YARD, DC 20376-9917
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
e. SIGNATURE
d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION
e. ADMINISTRATIVE CONTRACTING OFFICER
f. OTHERS AS NECESSARY
DD FORM 254 (CONT.), DEC 1999 PREVIOUS EDITION IS OBSOLETE. 3 of 3
13. SECURITY GUIDANCE. The security classification guidance 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 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 document/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.
SECURITY GUIDANCE - BLOCK 13 - CONTINUTATION
- 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 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 IN BLOCK 16(A) OF THIS DD254.
- BLOCK 11G: CONTRACTOR SHALL PREPARE AND PROCESS DD FORMS 1540 AND 2345 PRIOR TO REQUESTING
THESE SERVICES.
- FORWARD COPY OF SUBCONTRACTOR DD254’S ISSUED UNDER THIS CONTRACT TO THE OFFICIAL
IDENTIFIED IN ITEM 16A.
- THE PROGRAM SPONSOR FOR THIS CONTRACT IS:
MR. RODERICK BRAGG, PMS 404P, (202) 781-4957
- CONTACT MR. SIDDIQ BROWN (SEA 09P3), SIDDIQ.BROWN@NAVY.MIL, (202) 781-0871, FOR ANY SECURITY
QUESTIONS RELATED TO THIS CONTRACT.
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