Att_J-6_-_DD254_-_Signed.pdf
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- Attached to
- San Diego DDG 51 Post-Shakedown Availability Execution Federal contract opportunity
- Solicitation number
- N00024-16-R-2310
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Attachment J-6 - DD 254
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DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
1. CLEARANCE AND SAFEGUARDING
a. FACILITY CLEARANCE REQUIRED
b. LEVEL OF SAFEGUARDING REQUIRED
2. THIS SPECIFICATION IS FOR: (X and complete as applicable)
a. PRIME CONTRACT NUMBER
b. SUBCONTRACT NUMBER
c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable)
a. ORIGINAL (Complete date in all cases)
REVISION NO.
c. FINAL (Complete Item 5 in all cases)
DATE (YYYYMMDD)
b. REVISED (Supersedes all previous specs)
DATE (YYYYMMDD)
DATE (YYYYMMDD)
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 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 OFFICE (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
10. CONTRACTOR WILL REQUIRE ACCESS TO: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:YES NO YES NO
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION
b. RESTRICTED DATA
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
d. FORMERLY RESTRICTED DATA
e. INTELLIGENCE INFORMATION
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
f. SPECIAL ACCESS INFORMATION
g. NATO INFORMATION
h. FOREIGN GOVERNMENT INFORMATION
i. LIMITED DISSEMINATION INFORMATION
j. FOR OFFICIAL USE ONLY INFORMATION
k. OTHER (Specify)
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY
b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE AND GENERATE CLASSIFIED MATERIAL
d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
e. PERFORM SERVICES ONLY
f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES
g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION
CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER
h. REQUIRE A COMSEC ACCOUNT
i. HAVE TEMPEST REQUIREMENTS
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
l. OTHER (Specify)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.
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 releases shall be submitted for approval prior to release
a. TYPED NAME OF CERTIFYING OFFICIAL
Direct Through (Specify)
d. ADDRESS (Include Zip Code)
Yes No 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 classifiection 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 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.)
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 No15. 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.)
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.
b. TITLE c. TELEPHONE (Include Area Code)
e. SIGNATURE
17. REQUIRED DISTRIBUTION
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION
e. ADMINISTRATIVE CONTRACTING OFFICER
f. OTHERS AS NECESSARY
DD FORM 254 (BACK), DEC 1999
| DD254 Fillable with Security Page and Electronic Signature |
| ddform 254 cont |
| ddform254cont1 |
| ddform254cont2 |
| FillText1: Off |
| a_PRIME_CONTRACT_NUMBER: |
| FillText3: Off |
| b_SUBCONTRACT_NUMBER: |
| FillText5: Yes |
| c_SOLICITATION_OR_OTHER_N: N00024-16-R-2310 |
| DUE_DATE_YYYYMMDD: |
| 3_A: Original. |
| DATE_YYYYMMDD: 20160607 |
| 3_B: Off |
| REVISION_NO: |
| DATE_YYYYMMDD1: |
| 3_C: Off |
| DATE_YYYYMMDD2: |
| 4_Yes: Off |
| 4_No: No |
| YES1: |
| 5_Yes: Off |
| 5_No: No |
| FillText12: |
| FillText11: |
| a_NAME_ADDRESS_AND_ZIP_CO: |
| b_CAGE_CODE: |
| c_COGNIZANT_SECURITY_OFFI: |
| a_NAME_ADDRESS_AND_ZIP_C1: |
| b_CAGE_CODE1: |
| c_COGNIZANT_SECURITY_OFF1: |
| a_LOCATION: |
| b_CAGE_CODE2: |
| c_COGNIZANT_SECURITY_OFF2: |
| 9_GENERAL_IDENTIFICATION: CONDUCT POST SHAKEDOWN AVAILABILTIES IN SUPPORT OF THE DDG 51 AEGIS DESTROYER PROGRAM. |
| a_COMMUNICATIONS_SECURIT1: Off |
| a_COMMUNICATIONS_SECURIT2: Yes |
| b_RESTRICTED_DATA1: Off |
| b_RESTRICTED_DATA2: Yes |
| c_CRITICAL_NUCLEAR_WEAPO1: Off |
| c_CRITICAL_NUCLEAR_WEAPO2: Yes |
| d_FORMERLY_RESTRICTED_DA1: Off |
| d_FORMERLY_RESTRICTED_DA2: Yes |
| 1_Sensitive_Compartmente1: Off |
| 1_Sensitive_Compartmente2: Yes |
| 2_NonSCI1: Off |
| 2_NonSCI2: Yes |
| f_SPECIAL_ACCESS_INFORMA1: Off |
| f_SPECIAL_ACCESS_INFORMA2: Yes |
| g_NATO_INFORMATION1: Off |
| g_NATO_INFORMATION2: Yes |
| h_FOREIGN_GOVERNMENT_INF1: Off |
| h_FOREIGN_GOVERNMENT_INF2: Yes |
| i_LIMITED_DISSEMINATION_1: Off |
| i_LIMITED_DISSEMINATION_2: Yes |
| j_FOR_OFFICIAL_USE_ONLY_I: Yes |
| j_FOR_OFFICIAL_USE_ONLY_1: Off |
| k_OTHER_Specify: Off |
| k_OTHER_Specify1: Yes |
| other1: |
| a_COMMUNICATIONS_SECURIT3: Off |
| a_COMMUNICATIONS_SECURIT4: Yes |
| b_RESTRICTED_DATA3: Off |
| b_RESTRICTED_DATA4: Yes |
| c_CRITICAL_NUCLEAR_WEAPO3: Yes |
| c_CRITICAL_NUCLEAR_WEAPO4: Off |
| d_FORMERLY_RESTRICTED_DA3: Off |
| d_FORMERLY_RESTRICTED_DA4: Yes |
| e_INTELLIGENCE_INFORMATI3: Off |
| e_INTELLIGENCE_INFORMATI4: Yes |
| 1_Sensitive_Compartmente3: Off |
| 1_Sensitive_Compartmente4: Yes |
| 2_NonSCI3: Yes |
| 2_NonSCI4: Off |
| f_SPECIAL_ACCESS_INFORMA3: Off |
| f_SPECIAL_ACCESS_INFORMA4: Yes |
| g_NATO_INFORMATION3: Off |
| g_NATO_INFORMATION4: Yes |
| h_FOREIGN_GOVERNMENT_INF3: Off |
| h_FOREIGN_GOVERNMENT_INF4: Yes |
| i_LIMITED_DISSEMINATION_3: Off |
| i_LIMITED_DISSEMINATION_4: Yes |
| FillText13: Off |
| FillText14: Yes |
| 1_OTHER_Specify: |
| 12_Public_Release_Direct: Off |
| 12_Public_Release_Through: Through. |
| security: -This DD254 is for solicitation purposes only; therefore, it must be returned to SEA 00P3 to be updated with a contract number upon contract award before the contract DD254 can be issued to the contractor. |
SECURITY CLASSIFICATION GUIDANCE IS AS FOLLOWS:
-OPNAVINST 5513.2 SCG ID# 02-039.04 Unclassified SH-60B Multi-Mission Helicopter 12/10/2013 -OPNAVINST 5513.2 SCG ID# 02-071.04 Unclassified Tomahawk Cruise Missile 08/17/2010 -OPNAVINST 5513.3 SCG ID# 03-011.03 Unclassified Aegis, MK7 05/4/2011 -OPNAVINST 5513.3 SCG ID# 03-012.05 Unclassified MK 15 Close in Weapon System (CIWS) 05/18/2011 -OPNAVINST 5513.3 SCG ID# 03-017.04 Unclassified Combatant Ships (Less Submarines) 05/17/2013 -OPNAVINST 5513.3 SCG ID# 03-035.04 Unclassified Inventory Management Data, Conventional Naval Ordnance (Except Chemical/Biological and RDT&E Dollar Amounts) 12/20/2011 -OPNAVINST 5513.3 SCG ID# 03-037.02 Unclassified MK 41 Vertical Launch System (VLS) 05/16/2011 -OPNAVINST 5513.3 SCG ID# 03-044.02 Unclassified Shipboard Inertial Navigation System (SINS) 06/27/2011 -OPNAVINST 5513.3 SCG ID# 03-052.03 Confidential Propulsors 05/5/2011
| 14_Yes: Off |
| 14_No: No |
| addit_sec: |
| 15_Yes: Off |
| 15_No: No |
| Inspections: |
| a_TYPED_NAME_OF_CERTIFYIN: Aaron J. Stewart |
| b_TITLE: Contracting Officer for Security Matters |
| d_ADDRESS_Include_Zip_Cod: 1333 Isaac Hull Ave SE |
Washington Navy Yard, DC 20376
| FillText21: Yes | |
| FillText22: Off | |
| FillText23: Yes | |
| 2016-06-16T14:06:57-0400 | |
| STEWART.AARON.J.1074565669 |
| FillText24: Off |
| FillText25: Yes |
| FillText26: Off |
| f_OTHERS_AS_NECESSARY: |
| Reset: |
| solic_con2: N00024-16-R-2310 |
| Text12: 4 |
| Text15: of |
| Text13: 3 |
| Text17: 4 |
| Text11: -----------See Continuation Page of ---------------------- |
| Dropdown20: [Secret] |
| Dropdown21: [Secret] |
| Dropdown22: [COMMANDER, NAVAL SEA SYSTEMS COMMAND (SEA 00D)] |
| Text23: 202-781- |
| t: 2071 |
| Text1: -OPNAVINST 5513.3 SCG ID# 03-053.01 Unclassified Protection Technology Ship Passive 08/30/2013 |
-OPNAVINST 5513.3 SCG ID# 03-063.08 Unclassified Standard Missile 2/3/4/6 (SM 2/3/4/6) 10/01/2012 -OPNAVINST 5513.3 SCG ID# 03-171 Unclassified AN/SLQ-25, AN/SLQ-25A, AN/SLQ-25C and AN/SLQ-25() Torpedo Countermeasures (NIXIE) 01/24/2013 -OPNAVINST 5513.3 SCG ID# 03-082.02 Unclassified Surface Ship Anti-Submarine Warfare (ASW) and Underwater Acoustics Equipment (Less Weapons, Torpedo Defense and Fire Control Equipment) to Include the AN/ARR-75, AN/SKR- 4, AN/SQQ-23 (SERIES), AN/SQR-15, AN/SQR-17 (SERIES), AN/SQR-18(SERIES), AN/SQR-19, AN/SQS-26 (SERIES)), AN/SQS-35, AN/SQS- 38, AN/SQS-53A, AN/SQS-56, AN/UQN-1 SERIES), AN/UQN-4 (SERIES), AN/WQC-2(SERIES) and AN/WQC-6 06/3/2011 -OPNAVINST 5513.3 SCG ID# 03-088.02 Unclassified ASW Combat System AN/SQQ-89(V) 06/3/2011 -OPNAVINST 5513.3 SCG ID# 03-091.03 Unclassified Surface Ship Low Observables 06/29/2011 -OPNAVINST 5513.5 SCG ID# 05-031.02 Unclassified Security Alarm System, Circuit FZ, 4FZ, and 5FZ 4/15/2011 -OPNAVINST 5513.5 SCG ID# 05-139.2 Unclassified MK 48 ADCAP (MOD 5 and Beyond), MK 50 and/or Mk 54 Torpedoes 7/23/2007 -OPNAVINST 5513.6 SCG ID# 06-021.1 Unclassified Satellite Communications, Fleet (FLTSATCOM) 11/27/2007 -OPNAVINST 5513.7 SCG ID# 07-007.2 Unclassified Degaussing and Deperming 9/1/2010 -OPNAVINST 5513.8 SCG ID# 08-018.1 Unclassified RADAR, GENERAL 2/15/1989 ***SCG ID# 08-018.1 is pending Original Classification Authority (PEO IWS) rewrite and Interagency Security Classification Appeals Panel (ISCAP) waiver approval. Until the SCG update, derivatively mark documents with an OADR declassification date as follows: "Declassify 25 years from the date of the document."*** -OPNAVINST 5513.8 SCG ID# 08-038.05 Secret AN/SLQ 32 (V) (All Variants) and Block Upgrades Under the Surface Electronic Warfare Improvement Program (SEWIP) 6/10/2011
-Item 10(j): DoD M-5200.01 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) of 2/24/2012.
-Item 11(c): The contractor requires access to classified source data up to and including the level identified in item 1a of this DD form 254. Classified material generated in support of this contract shall be classified in accordance with the source material of the Navy Security Classification Guidance, which will be provided by NAVSEA 00P3 or the Program Office. Automated Information Systems (AIS) must be certified and accredited by the Cognizant Security Agency (CSA) prior to processing classified information from NAVSEA.
-Item 11(g): DD Form 1540 “Registration for Scientific and Technical Information Services” must be completed for registration with DTIC. The contractor may also submit DD Form 2345 “Militarily Critical Technical Data Agreement” (after registration with DTIC) to the Defense Logistics Services Center for access to unclassified, militarily critical technical data from other DoD sources.
Text2: -Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NAVSEAHQ Contracting Officer's Representative (COR) 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 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 00D).
-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 00P3) identified in Item 16 of this form.
-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.
-All classified information involved in security incidents shall be retained and provided to the certifying official in Item 16 of this DD 254 for classification review.
-All reports of contractor security violations associated with this contract shall be sent by the Cognizant DSS field office directly to the certifying official in Item 16 of this DD254.
-Forward a copy of subcontractor DD 254s issued under this contract to the official shown in item 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 identified in Item 16 of this DD254.
-The program sponsor for this contract is Mr. Nicholas Pospula, PMS 400D62, at (202) 781-0156
-Contact Mr. Todd Goings (SEA00P3) at (202) 781-1339 or todd.goings@navy.mil for any security questions related to this contract.
Text4:
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