DD254_Rev_1.pdf

SER: 063-15

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The rquirements of tle DoD lndustrial Security Manuat apptlr to all security aspcts of this elF6t.)

1. CTEARATIICE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

SECRET

b, LEVELOFSAFEGUARDINGREQUIRED

SF,CRF-T

2. THIS SPECIFICATION lS FOR: (x antt cffiptete as a4babb) 3. THIS SPECIFICATIONI.S: {x and cffipbte as awticabte)

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Conplete date in a{ aes)

DATE (YWYMMDD)

20tsto5/19

b. SUBCONTRACT NUMBER x

b. REVTSED I REV|S|ON NO.

(Supqedes ail I preibus sp*s) I I

OATE UYYYMMDD)

20150805 r c. SOUCITATION OR OTHER NUMBER

N00173-15-R-SE04

DUE DATE (YYYYMMDD)

c. RNAL {Complete ltem 5 in ail cag.s)

OATE (YYYYMMDD)

4. ISTHIS A FOLLOW-ON CONTRACP I IYES I X I tuo- tf yes. comptetethefotbwing:

Classifid material ree-ivF-d or generated under {heetritry Contmct Nunbs)ist:ansferred to this Folklw-on contract.

5. IS THIS A FINAL DD FORM 254?

ln response to the Bntactor's request dated I YES I X I *O. lf Yes, @mptete the foflowing:

, retertion of the classified material is authsized for the period of

6. CONTRACTffi 4nctub Cannsciat and Gruemmafi Entity (CAG1 Coe)

a. NAME, ADDRESS, AND ZIPCODE

FOR RIP PURPOSES ONLY; NOT VATID FOR

ACTUAL CONTRACT AVTARD

b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Nam, Address, aml Zip Cade)

N/A

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE

NiA

b. CAGE CODE c. COGNIZANT SECURIry OFFICE (Name, Addes, and Zip Code)

NiA

8. ACTUATPERFORMANCE

a, LOCATION

N/A b- CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Addre$. ild Zip Cocte)

N/A

9. GENERAL IDENTIFICATION OF THIS PR(rcUREME?{T

CESARS

10. CONTRACTOR W|LL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WI.J.: YES NO

a. COMMUNIAnONS SECURITY {coMSEC} INFoRMATION x a. IN}URMAIUN UNLY AI MIHLR A GOVERNMENT ACT'VIry r

b. RESTRICTED DATA x b. RECEIVE CLASSIFIID DOCUMENTS ONLY r

c. CHTrcAL NUCLEAR WEAPON DESIGN INFORMATION * c. RECEIVE AND GENERATE CLASSIFIED MATERIAL r

d. FORMERLY RESTRICTED DATA x d. FABRICATE. fi/IODIFY, OR STORE CLASSIfIED HARDWARE x

e. INTELLIGENG INFORMATION e. PERFORM SERVICES ONLY r

{1) S6sitive CmpBrtrented lnfomEtbn (SCl) I GVE AULE> TU U.5. UIJD)rEU trITUKMAI UN UU I5IUI IpItPTO ern il q mssFssnNs aNn f$tsTFpprToprFs x

(2) N@sl x g. iL INTUHMA I I{JN ,

f. SPECIAL ACCESS INFORMATION x h. REQUIREACOMSECACCOUNT x

q. NATOINFORMAnON x i. HAVE TEMPEST REQUIREMENTS *

h. FOREIGN GOVERNMENT INFORMATION x J. HAVE @ERATONS SECURTTY (OPSEC} REQUIREMENTS x

i. UMITED DISSEMINATION INFORMANON ( K. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVrcE ( J. FOR OFFEIAL USE ONLY INFORMATION x r. oTHER (SpeciA r k- OTHER (SFciU x

EDITION IS OBSOLETE

ericsogard Typewritten Text

N00173-15-R-SE04

Amendment 0005 Attachment (1)

12- ruBtrc RELEASE' Any information {clasified or uratassifed) pstaining to thb contract shall not be rebasd for public dissminatbn ex@pt as provided by the lndustrial Secur\t Manual or unbss it has been appro\red for public release by appmpaiate U.S. Government authority. proposed public releases shall besubmittedforapprcvat piortoret*r" f]] Ot*t lTl rn-rgh (Speci,y)

PUBLIC RELEASE IS NOT AUTHORIZED IN CONJUNCTION WTIH THIS CONTRACT

to the Directotate for Freedom of lnformation and Secrrfty Review, OfFice of the Assistam Secretary of Defens (Pubtic Affairs)x for revb\rv.

*ln the case of non-DoD User Agencies, requests ftr discbsue shall be submitted to that agerEy.

13. SECURITY GUIDANCE. The secuity classifbctbn guidance ne€de{, ftr this ctassirred effort is identifed betow. lf any difficutty is encountereoin appying this guidane or if any other mntributing fadot indicates a need For cianges in this gui.tance, the contractor is authorizd and en&uraged to provide recommended changes; to chalbnge tt|e guidarrce or the elassification assigned to any information or material fffnislred or gensated uruter this contract;

and to submit any questions for intsF€tation of this guidarce to the olTicjal i.rstified below, P€nding final (bcision, the infrymation irwolvd shail be lBrdled and prottrted at tl€ highest level of classification assigned or recommn(&d. (Fitl in as appropriate far the classifid effort- Attach, or fdward un@t separate corr*Pndence, any clocuments/gai(b{extacts referenced larcin- AcH atfritionaf pages as r,eed€cl to Fovi(re complete guidance-)

***Paragraph 4 ofthe continuation page updated***

1 . Access to classified information WILL be required for the purpose of submitting a bid/proposal for 'his statement of work.

Prospective contractors must 1) have the required SECRET facility clearance and SECRET safeguarding capability at the time of the bid/proposal submission and 2) have personnel available with a favorably adjudicated DoD investigation and fina1 DoD granted Secret personnel security clearance. See the attached DD 254 continuation page to request classified information in conjunction with this bidlproposal.

ADDITIONAL SECURITY REQUIREMENTS. Requirements. in addition to tSM requiments, are established for this contracr.

(ff Yes, iclstify the pdtirrent @ntractual ctauses in tle contract documdrt it*tf. or pmvide an appropriate staterFlnt whbh i&rrtifies requkenEnts. Provicle a copy of the tqukwrrts to tlB cqniaft s*rsity office. lJse tten 7 3 if acktitidnt space is nerbd.)

'15. INSPECTONS. Ebrnents of this conract are oLtsi(b the inspection responsibitity of $E cogniant wurity office. I I Vo I X I ttto (ff Yes. explain and ideatiFy qeciftc areas or elenents caNed ad and frE fftivity rs5l,ll,nsiD,e for ir,5,ryctlons. lJse ltem 13 if adcfitionat spee is

16. CERTIFEATIOI\I AnE) SGNATURE. Securilr requilernents stated trerein are complete ard a@uate for safeguardirq the classified infsmauon to be rebased a generated under this clresified effort. All questions shall be refened to the offbiat named below.

b- TITLE

T{EAD, INFORMATION SECURIry AND

VAL RESEARCH LABORATORY

555OVERLOOKAVE. SW

a. CoNTMCTOR b, SUBCONTRACTOR

c. COGNIZANT SECIJRITY OFFICE FOR PRIME AND SUBCONTRACTOR d, U.S, ACIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATON

e. ADMINISTRATIVE CONTRACTING OFf ICER

r. orHERs As NEcrssenv 1230. 5665- 5602

13. SECURTTY GUTDANCE (CON',T.)

Solicitation or Contract # N$173-1$R-SEM Page# 2

L. To request a classified bid proposal package in response to this RFP, please fax only the following information to the officials named in paragraph 5 below:

Contract Facility Name Contract facility classified mailing address and cage code Visit request (on company letterhead, signed by the relevant company FSO), noting contractor name(s), date and place of birth, clearance level, date of completed investigation /security clearance and granting authority.

Annotate that the reason for the visit request is for access to classified information in response to bid proposal NOOI-73-L5-R-SEO4. Only the contractors listed and approved on the forwarding visit request(s), will be sent and authorized access to the classified bid proposal package.

2. All information, classified and unclassified, sent in the classified bid proposal package for response to this RFP, must be returned back to the NRL technical POC, noted in paragraph 5, with the contractor bid proposal submission. No retention, further dissemination or disclosure of the bid/proposal classified and unclassified material is authorized.

3. Proprietary, Privacy Act or For Official Use Only lnformation associated with this contract, must be handled and controlled in accordance with DoDM 5200.01. Classified information in regards to this contract will be handled, marked and stored in conjunction with OPNAVINST S5513.8C (3.1) and (7.3). The NRL Technical POC will provide

SCG with classified bid proposal package.

4. Classified technical bid proposals in response to this RFP should be sent to the NRL Technical POC, paragraph 5, via US Registered mail, U.S. Postal Service Express Mail within and between the 50 States, the District of Columbia, and the Commonwealth of Puerto Rico and overnight via Federal Express at the following NRL classified mailing address: (Do not fax classified material)

Outer envelope Commanding Officer Naval Research Laboratory 4555 Overlook Ave SW

Washi ngton DC 2037 5-5324 Attn: Registered Mail Section lnner envelope Commanding Officer Naval Research Laboratory 4555 Overlook Ave SW

Washington DC 20375-5320 Attn: Christopher Dunay, Code 5751

5. Contract Points ofContact:

NRL Security POC - Vicki Cicala, l202l767-9046 - Fax - Unclass only N RL Technical POC - Christopher Dunay (ZO2l 767-1494 - Fax - Unclass only

DDFORM254 (13 CON',T.), MAY2010