SEASABER_DD_Form_254_N00024-17-R-5392_(2.22.17).pdf

PDF 4 MB Posted

Attached to
FY18-22 SURFACE NAVY LASER WEAPON SYSTEM (SNLWS) INCREMENT 1 DEVELOPMENT AND PRODUCTION
Solicitation number
N00024-17-R-5392
Issued by

About this file

Attachment 4 - SEASABER DD Form 254

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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:

File details come from the government source that posted it. Updated .