J-4_Exhibit_D_DD254.pdf

SER: O22-L4

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD lndustrial Security Manuat apply to all security aspects of this effort.)

1. CLEARANCEAND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

SECRET

b, LEVEL OF SAFEGUARDING REQUIRED

NONE

2. THIS SPECIFICATION lS FOR: (X and comptete as appticabte) 3. THIS SPECIFICATION lS:. (X and complete as applicable)

a. PRIME CONTRACT NUMBER x a. ORIGINAL (Complete date in all cases)

DAIL (YYYYMMUU)

2014/03/06

b. SUBCONTRACT NUMBER b. REVISED

(Supersedes all previous specs)

REVISION NO. DATE (YYYYMMDD)

x

c. SOLICITATION OR OTHER NUMBER

I

DUE DATE (YYYYMMDD)

N00r73-r4-R-BZ0l I

c. FINAL (Complete ltem 5 in all cases)

DATE (YYYYMMDD)

4. lS THIS A FOLLOW-ON CONTRACT? | | YES I X I NO lF Yes, complete the following:

Classified material received or generated under (Preceding Contract Number)istansfered to this follow-on contract.

5. IS THIS A FINAL DD FORM 254?

ln response to the contractor's request dated I YES I X I NO. lf Yes, complete the following:

, retention of ttle classified material is authorized for the period of

6. CONTRACTOR (lrclude Commercial aN coverilnent Entty {CAGE) Code)

a. NAME, ADDRESS, AND ZIPCODE

FOR RFP PLIRPOSES ONLY;NOT VALID FOR

ACTUAL CONTRACT AWARD

b. CAGE CODE c. COGNIZANT SECURITY OFFICE {Name, Address, and Zip Code)

NiA

7. SUBCONTRACTOR

A. NAMI, AUUXT,SS, ANU ZIP UUUE

N/A

b. CAGE CODE c, COGNIZANT SECURITY OFFICE {Nane, Address, and Zip Code)

N/A

8. ACTUALPERFORMANCE

a. LOCATION

N/A b, CAGE CODE c. COGNIZANT SECURIry OFFICE (Name, Address, and Zip Code)

N/A

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

R&D SUPPORT FORNA\TY TECHNOLOGY CENTER SAFETY & SURVIVABILIT.

10. CONTRACTOR WLL REQUIRE ACGESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. COMMUNICATIONSSECURITY(COMSEC) INTORMATION ,< a- HAVL ACCLss IO CNSsITILU INf UtsMA IIUN UNLY A I ANU INEH

CONTRACTOR'S FACILTTY OR A @VERNMENT ACTIVITY x

b. RESTRICTED DATA x b- RECEIVE CIASSIFIED DOCUMENTS ONLY x

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION r c. RECEIVE AND GENERATE CIASSIFIED MATERIAL x

d. FORMERLY RESTRICTED DATA x d. FABRICATE, MODIFY. OR STORECLASSIFIED HARDWARE x

e. INTELUGEIICE INFORMATION e. PERFORM SERVICES ONLY x

(1) Sensitiw Compartmented lnfmaton (SCl) x IU U.5. ULA55IIIEU INIUHMAIIUN UUI>IUL I S POSSFSSIONS AND TRUST TERRITORIES x

{2) Non-SCl r s' THORIZED TO USE THE SERVICLS OT L}ETtN5t I TCHNIUAL INIURMA I IUN'R (DTICI OR OTHER SECONDARY DISTRIBUTION CENTER x

f. SPECIAL ACCESS INFORMATION x h. REQUIRE A COfi,lSEC ACCOUNT x

g. NATO INFORMATION r i. HAVE TEMPEST REQUIREMENTS x

h. FOREIGN GOVERNMENT INFORMATION x J- HAVE OPERATIONS SECURTTY (OPSEC) REQUIREMENTS x i, LIMITEDDISSEMINATIONINFORMATION v K BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE r

FOR OFTICIAL USE ONLY INFORMATION x l. OTHER {Specify) x

k. OTHER (Specify) x

PREVIOUS EDITION IS OBSOLETE.

12' PUBLIC RELEASE. Any information (classified or unctassified) pertaining to this contract shatt not be released for pubtic dissemination excepr as provided by the Industrial Security Manual or unless it has been approved for public re,eas€ by appropriate U.S. Government authority. Proposed public reteases shall be submitted for approvat prior to retease I--l oirect [Tl rhrorgt, (specify)

COMMANDING OFFICER, NAVAL RESEARCH LABORATORY, WASHINGTON, DC2O315-5320, CODE 6186 to the Directorate for Freedom of lnformation and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.

* ln the case of non-DoD U*r Agencies, requests for disclosure shall be submitted to that agency.

SECURITY GUIDANCE. The security classifiection guidance needed for this classified effort is identified below. lf any difficutty is encountered in apptying this guidance or if any other cortributing 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 furnislEd or generated under this contrast;

and to submit any guestions 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, ar fo{ward undet separate conespondence, any documents/guides/extacts refercnced herein. Add additional pages as needed to ptovide complete guidance.)

Access to classified information is rot required for the purpose of submitting a bid/proposal for this statement of work. However, prospective contractor's must 1) have the required SECRET facility clearance at the time of proposal submission and 2) personnel available with favorably adjudicated investigations and final DoD granted personnel security clearances required for the performance of the contract.

ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to tSM reguirements. are estabtished for this contract.

(ff Yes, identify the Wtinent contractual clauses in the contact document itself, or prcvide an aryrcpriate statement which identifies requirerents. Ptovide a copy of the requirements to the cognizant s*urity offrce. Use ltem 73 if additioml space is neded-)

15. INSPECTIONS. Etements of this contract are outside the inspectlon responsibility of the cognizant security office. I I Yes I X I lto (ff Yes, explain and idffitify specific areas or elenents arued out and the actlvity responsible for inspections. Ue ltem 13 if additional space is

16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified information to b€ released or grenerated under this classified effort. All questions shall be referred to the official named below.

a. TYPED NAME OF CERTIFYING OFFICIAL b. TITLE

HEAD, INFORMATION SECURITY AND

SPECIAL PR

c. TELEPHONE (lrclude Area Code)

d. ADDRESS (l{rclude Zip Code)

NAVAL RESEARCH LABORATORY

4555 O\'ERLOOKAVE. SW

a. CONTRACTOR b, SUBCONTMCTOR

c. COGNIZANT SECURITY OFFTCE FOR PRIME ANO SUBCONTRACTOR d, U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

e. ADMINISTRATIvE CONTRACTING OFFICER

17, REQUIRED DISTRIBUT]ON

r. orHERs As NECESSARY 1230- 61ir0J