SEASABER_DD_Form_254_N00024-17-R-5392_(2.22.17).pdf
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- Solicitation number
- N00024-17-R-5392
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Attachment 4 - SEASABER DD Form 254
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| File | Type | Posted |
|---|---|---|
| SEASABER_SSD_Terms_of_Use_Agreement_(17-R-5392).pdf | ||
| Attachment_2_-_Classified_Material_Request_Form.docx | DOCX document | |
| Attachment_3_-_Question_Submittal_Form.xlsx | XLSX spreadsheet |
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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
michael.chapkovich Highlight michael.chapkovich Highlight
| 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: N00024-17-R-5392 |
| DUE_DATE_YYYYMMDD: |
| 3_A: Original. |
| DATE_YYYYMMDD: 20170222 |
| 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: See Item 13 |
| b_CAGE_CODE2: |
| c_COGNIZANT_SECURITY_OFF2: See Item 13 |
| 9_GENERAL_IDENTIFICATION: CONTRACT FOR DEVELOPMENT AND FIELDING A SEA SABER INCREMENT 1, LEVERAGING MATURE TECHNOLOGY TO DELIVER PROVEN LASER WEAPON CAPABILITY TO THE FLEET. |
| a_COMMUNICATIONS_SECURIT1: Yes |
| a_COMMUNICATIONS_SECURIT2: Off |
| 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: Yes |
| g_NATO_INFORMATION2: Off |
| h_FOREIGN_GOVERNMENT_INF1: Yes |
| h_FOREIGN_GOVERNMENT_INF2: Off |
| 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: Yes |
| k_OTHER_Specify1: Off |
| other1: SIPRNET |
| a_COMMUNICATIONS_SECURIT3: Yes |
| a_COMMUNICATIONS_SECURIT4: Off |
| b_RESTRICTED_DATA3: Off |
| b_RESTRICTED_DATA4: Yes |
| c_CRITICAL_NUCLEAR_WEAPO3: Off |
| c_CRITICAL_NUCLEAR_WEAPO4: Yes |
| 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: -The following Security Classification Guide(s) or subsequent revisions apply to this contract. Subsequent revisions shall be provided by the Government Contracting Activity (GCA) as Government Furnished Information (GFI) and shall be executed by the Contractor. |
SCG ID# 03-017.04 Combatant Ships (Less Submarines) Unclassified SCG ID# 03-024.03 Explosive Ordnance Disposal (EOD) Nonnuclear Unclassified SCG ID# 03-025.02 High-Explosives Unclassified SCG ID# 03-028.02 Fuzes Unclassified SCG ID# 03-045.02 Non-Nuclear Warhead Development, Advanced Unclassified SCG ID# 03-052.03 Propulsors Confidential SCG ID# 03-053.01 Protection Technology Ship Passive Unclassified SCG ID# 03-090.02 Camouflage Unclassified SCG ID# 03-091.03 Surface Ship Low Observables Unclassified SCG ID# 03-097.02 Dynamic Armor Confidential SCG ID# 03-109.02 Low Observables Multi-Function Stack Unclassified SCG ID# 03-124.02 CVN Passive Protection System Confidential
| 14_Yes: Off |
| 14_No: No |
| addit_sec: |
| 15_Yes: Off |
| 15_No: No |
| Inspections: |
| a_TYPED_NAME_OF_CERTIFYIN: Aaron Stewart |
| b_TITLE: Security Contracting Officer |
| d_ADDRESS_Include_Zip_Cod: 1333 Isaac Hull Ave SE |
Washington Navy Yard, DC 20376
| FillText21: Yes | |
| FillText22: Off | |
| FillText23: Yes | |
| 2017-02-22T06:44:31-0500 | |
| STEWART.AARON.J.1074565669 |
| FillText24: Off |
| FillText25: Yes |
| FillText26: Off |
| f_OTHERS_AS_NECESSARY: |
| Reset: |
| FillText15: |
| FillText16: |
| solic_con2: N00024-17-R-5392 |
| Text12: 4 |
| Text15: of |
| Text13: 3 |
| Text17: 4 |
| Text11: -----------See Continuation Page of ---------------------- |
| Dropdown20: [Top Secret] |
| Dropdown21: [None] |
| Dropdown22: [COMMANDER, NAVAL SEA SYSTEMS COMMAND (SEA 00D)] |
| Text23: 202-781- |
| t: 2071 |
| Text1: SCG ID# 03-129.03 Advanced Enclosed Mast/Sensor (AEM/S) System Low Observable Unclassified |
SCG ID# 03-136.01 Signatures of Wakes of Surface Vessels by Remote Sensing Unclassified SCG ID# 03-137.01 Signatures of Surface Ship Wakes Secret SCG ID# 03-139.01 Carrier Protection Program Confidential SCG ID# 05-031.02 Security Alarm System, Circuit FZ, 4FZ, and 5FZ Unclassified SCG ID# 05-055.02 Silencing Data, Ship Confidential SCG ID# 05-056.04 Propulsors, Submarine Confidential SCG ID# 08-007.03 Laser Weapon Systems and Technology Unclassified SCG ID# 08-054.01 Electromagnetic Environmental Effects (E-3) Program Unclassified SCG ID# 08-115 AN/SEQ-3(XN-1) Laser Weapon System Unclassified
Classified Security Classification Guides (SCG) associated with this contract will be forwarded under separate cover.
-Item 8(a)1: NAVSEA Headquarters, Naval Systems Engineering Directorate (SEA 05), Washington, DC
-Item 8(a)2: Once actual performance or additional locations are identified, an updated DD254 must be sent to SEA 00P3 or the POC in block 16.a for approval.
-Item 10(a): COMSEC information/material will be processed IAW DoD 5220.22-M, chapter 9, section 4, and OPNAVINST 2221.5C, and any additional security guidelines. Contractor personnel requiring COMSEC access must be U.S. Citizens and possess a final clearance at the appropriate level. All contractors shall be briefed before access to COMSEC is granted. Written concurrence of the NAVSEA Program Manager is required prior to subcontracting.
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): The Contractor will have access to information from the following foreign governments: Australia, Canada, Finland, France, India, Japan, The Netherlands, United Kingdom.
Item 10(j): DoD M-5200.01 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) of 2/24/2012.
Item 10(k), SIPRNet: Personnel assigned to this contact who require access to SIPRnet and/or SIPRnet Backbone equipment must receive a NATO security briefing and derivative classification training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure all personnel receive an initial and annual NATO security briefing along with initial and biennial derivative classification 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.
Text2: 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.
-This DD254 is for solicitation purposes only; therefore, it must be returned to SEA 00P3 to be updated upon contract award before the contract DD254 can be issued to the contractor.
-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 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 security related issues, incidents, or requests pertaining to this contract shall be presented in writing by the contractor's Facility Security Officer (FSO) to the individual identified in block 16(a) of this DD254. The contractor shall abide by other reporting requirements outlined in the NISPOM.
-Forward a copy of subcontractor DD 254s issued under this contract to the official shown in item 16 of this DD254.
-The program sponsor for this contract is: Kinsey, Bryan, PEO IWS 2, 202-781-2685, bryan.kinsey@navy.mil
-Contact Mr. Aaron J. Stewart (SEA 00P3) at (202) 781-2071 or NAVSEAHQ_INDUSEC@navy.mil for any security questions related to this contract.
Text4:
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