Attachment_J-07_18-R-5113_DD254_Signed.pdf
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- Attached to
- Electronic Warfare Training Systems (EWTS) Federal contract opportunity
- Solicitation number
- N00024-18-R-5113
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J-07 DD254
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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: Yes |
| a_PRIME_CONTRACT_NUMBER: N00024-18-R-5113 |
| FillText3: Off |
| b_SUBCONTRACT_NUMBER: |
| FillText5: Off |
| c_SOLICITATION_OR_OTHER_N: N00024-17-NR-46554 |
| DUE_DATE_YYYYMMDD: |
| 3_A: Off |
| DATE_YYYYMMDD: 20161206 |
| 3_B: Revised. |
| REVISION_NO: 01 |
| DATE_YYYYMMDD1: 20171012 |
| 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: Support to PEO IWS 1IT, PEO IWS 2E/D, and PMS 339 in the areas of: systems engineering, hardware design and development, software design and development, testing, training, maintenance, repair, production, logistics and liaison as required. |
| 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: Yes |
| 1_Sensitive_Compartmente4: Off |
| 2_NonSCI3: Off |
| 2_NonSCI4: Yes |
| 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
-Item 8, Actual Performance: 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(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.
| 14_Yes: Off |
| 14_No: No |
| addit_sec: |
| 15_Yes: Yes |
| 15_No: Off |
| Inspections: Item 11(f): DSS is relieved from security/inspection responsibilities for all classified material. The CSO for those locations as identified by the program manager and approved by the COR has oversight for all classified material. |
| a_TYPED_NAME_OF_CERTIFYIN: Aaron J. 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 | |
| 2017-10-12T14:50:04-0400 | |
| STEWART.AARON.J.1074565669 |
| FillText24: Yes |
| FillText25: Yes |
| FillText26: Yes |
| f_OTHERS_AS_NECESSARY: See Item 11(f) |
| Reset: |
| solic_con2: N00024-18-R-5113 Rev01 |
| Text12: 3 |
| Text15: of |
| Text13: 3 |
| Text11: -----------See Continuation Page of ---------------------- |
| Dropdown20: [Secret] |
| Dropdown21: [Secret] |
| Dropdown22: [COMMANDER, NAVAL SEA SYSTEMS COMMAND (SEA 00D)] |
| Text23: 202-781- |
| t: 2071 |
| Text1: -Item 11(f): Security officers onboard the designated ships and installations will maintain control of the classified information and conduct security inspections if required. |
-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: Thomas. H. Brady, IWS 1IT1 COR, Thomas.H.Brady@Navy.mil 202-781-2022
-Contact Mr. Aaron J. Stewart (SEA 00P3) at (202) 781-2071 or NAVSEAHQ_INDUSEC@navy.mil for any security questions related to this contract.
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