Solicitation_DD254.pdf

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N0010423RDC85
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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

20220531 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information 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 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. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, 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 CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

17. CERTIFICATION AND SIGNATURES

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. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

CurrentPage:
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Classification:
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a. Facility clearance level. Select one.: 2
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2
Choose Yes or No: 0
Choose Yes or No: 1
Prime:
Choose Yes or No: 0
Choose Yes or No: 0
Sub:
Choose Yes or No: 1
Choose Yes or No: 0
Soli: N0010422X0019
DueDate:
dateA: 2021-11-02
RevisionNum:
dateB:
Final:
dateC:
No: 1
No: 1
No: 1
No: 1
Yes: 0
Yes: 0
Yes: 0
Yes: 0
Enter your name here.:
ReqDated:
Enter your name here.:
Name: General Dynamics Mission Systems, Inc.

12450 Fair Lakes Circle, Fairfax, VA 22033 USA

Name: Derek Kuhn
Cage: 34EA9
Cage: Same as 6B
Cage: N/A
CSO: IOFCC2 Chantilly2 Field Office

13873 Park Center Road Suite 225 Herndon, VA, 20171 571-373-5205 dss.chantilly2@mail.mil

CSO: Same as 6C
addrow:
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Location: Same as 6A
Block9: NSN 0OH 5895 LLH7E4077, P/N 8624533-1, BUY, SYNTHESIZER, SPY 6 RADAR

SPY 6 RADAR Security Classification Guide # 03-152.06 Applies.

a: 0
a: 0
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f: 0
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c: 0
c: 1
c: 1
h: 0
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d: 0
d: 1
d: 0
i: 0
i: 0
SCI: 0
NonSCI: 0
j: 1
j: 0
k: 0
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Enter your name here.:
e: 0
e: 1
l: 1
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direct: 0
thru: 1
Enter your name here.: PAO AT NAVSUP WSS- MECHANICSBURG, 5450 CARLISLE PIKE, MECHANICSBURG PA 17055-0788 PHONE 7176051429
PublicAuthority:
AddSig:
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text: Ref 10j/11l: Handle CUI IAW DODI 5200.48

DODM 5200.01 Volume 4 has been replaced with DODI 5200.48.

Ref 11c: NICN LLH7E4077 and SCG 03-152.06 are both classified as SECRET. If necessary the vendor should reach out to their NAVSUP Contracting Officer to request a copy of the classified SCG from Andrew Bowen and Chris Weidensaul. The contractor requires access to classified source data up to and including SECRET in support of the work effort. Any extracts or use of such data requires the contractor to apply derivative classifications and markings consistent with the source documents. Use of “Multiple Sources” on the “Derived From” line necessitates compliance with the NISPOM, paragraph 4-208a, and the use of a bibliography.

Ref 11d: Contractor must provide adequate storage at their facility for classified hardware to the level of SECRET.

Compliance with FAR clause 52.247-68, Report of Shipment (REPSHIP), is required: Classified material deliveries require use and performance of FAR clause 52.247-68 REPSHIP to provide point of contact verification and shipment notification, and coordinate classified material deliveries with the destination Transportation Officer (TO).

Per the DoD 5220.22M and DoD 5220.22-R, contractors requiring access to classified information under the performance of this contract must be U.S. citizens and possess a DoD issued security clearance for the appropriate level. Additionally, access to classified information will be limited to those personnel with the appropriate clearance and a valid need-to-know. Contractor personnel needing access to Restricted Data and classified information will hold a clearance at the appropriate level. The contractor shall properly safeguard For Official Use Only (FOUO) information from disclosure and will use it solely for contract performance.

All Classified material will be returned or destroyed as delineated in paragraph 5-701, Section 7 of the DoD 5220.22M, National Industrial Security Program Operating Manual unless:

a. A written request is submitted to and authorization is received from the NAVSUP Security Classification Program Manager to retain specifically identified classified material.

b. The NAVSUP Security Classification Program Manager has directed its return.

-Contractor personnel shall not discuss classified information or unclassified technical sensitive information on an unsecured telephone, or disclose such information to any unauthorized personnel. Contract performance does not require the use of a STE telephone for secure voice communications.

-In support of the Loss Prevention Program, the contractor will immediately report any compromise or suspected compromise of classified material, suspicious behaviors/activities, and missing, lost, stolen, or recovered property to the using agency's Security Officer and the contractor's Cognizant Security Office for immediate attention and corrective security measures.

-Transportation of classified items should be IAW DTR 4500.9-R -The Prime Contractor will invoke the foregoing provisions on all subcontracts that may be initiated in association with this contract.

-Any classified material produced under the terms of this contract will be marked, handled, stored and transmitted in accordance with the DOD 5220.22M, National Industrial Security Program Operating Manual.

attachmentsList:
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Enter your name here.:
GCAName: NAVSUP Weapons Systems Support
AAC: N00104
AAC: N00104
Address: •5450 Carlisle Pk

Mechanicsburg PA, 17055 Address: 5450 Carlisle Pk Mechanicsburg PA, 17055

POCName: Christian Spangenberg
Phone: 7176055192
Phone: 7176052674
Email: christian.spangenber@navy.mil
Email: derek.l.kuhn4.civ@us.navy.mil
Title: NAVSUP Security Classification Program Manager
Enter the date using the format DD-Mon-YYYY: 20230321

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