02_ATTACHMENT_16-R-EB05_DD254.pdf

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT Of DEFENSE .. FACHJTY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION TOP SECRET

(The requirements of the DoD Industrial Security Manual apply b. LEVEL OF SAFEGUARDING REQUIRED to all security aspects of this effort.)

SECRET

Z. THIS SPEaFICATION IS FOR: (X and COt1fJl&tR as appl/cableJ 3. THIS SPEaFICATION IS: (X and comple<e,,. applicable)

a. PRIME CONTRACT NUMBER DA TE (YYYYMMOO)

IC a. ORIGINAL (Complete dat<> in d CllSflS) 2016101106

b. SUBCONTRACT NUMBER b. REVISED I REVISION NO. DATE (YYYYMMOO) pnMous specs)

c. SOLICIT ATKIN OR OTHER NUMBER llJIJEDATE(YYYYJIMIOOJ DATE (YYYYMMOO)

IC NOOl73-16-R-EB05

c. FINAL (Complete Item 5 in d COS/JS)

4. IS THIS A FOLLOW-ON CONTRACT? YES l_JNO. If Vos, complete the folowing:

Classffled material l'1!C8lll9d ar generated LWlder NOOl73-14-D-2021 (Preceding Contract-) is transferred to this f- contract.

5. IS THIS A FINAL DD FORM Z547 l_JYES LJ!.._JNO. If Yes, complete the f-.g:

In response to the conlractor's qquest dated , retention of the classifled material is authorized far the period of

6. CONTRACTOR (Include ComrrHRial and ea....nmem Entity (CAGE} Code)

a. NAME, ADDRESS. ANO ZI' CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Adlhss, and Zip Code)

FOR RFP PURPOSES ONLY; NOT VALID FOR NIA

AClUALCONTRACT AWARD

7. SUBCONTRACTOR

a. NAME. ADIJR£SS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Adcnss. and Zip Code)

NIA NIA

8. ACTUAL PERFORMANCE

a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, -.S, and Zip Cade)

NIA NIA

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

ELECTRONIC SUPPORT MEASURES (EMS) BRANCH DIGITAL SIGNAL PROCESSING (DSP) AND SOITW ARE

DEVELOPMENT SUPPORT SERVICES.

10. CONTRACTOR Will REQUIRE ACCESS TO: YES NO 11. IN PERFORMNG THIS CONTRACT, THE CONTRACTOR WILL: YES NO

•· COMMUNICA00"5 SECURITY (COMSEC) INFORMAOON IC

.. .~OF~'/ili A GOVE AC-~rPf"' t 1tK IC

b. RESTRICTED DATA " b. RECEM CLASSIFIED DOCUMENTS ONL V IC

c. CAl11CAl. NUCLEAR WEAPON DESIGN INFORMATION IC c. RECEIVE AND GENERATE CLASSIRED MATERIAL IC

d. F~RLY RESTIUCltD DATA IC d. FABRICA1£. MODIFY. OR STORE CLASSIFIED HARDWARE JC

e. INTEWGENCE INFORMATION e. PERFORM SERVICES ONLY IC

(1) -C<ompoot- Inf....- {SCI) IC Ul~DTQ 1111" , U.S.

JHt. u . .s., IC

{2) Non-SCI IC g. c All IUllLI N R

1--~flDN

IC

f. SPECIAL ACCESS INFOOMA OON IC h. REQUIRE A COMSEC ACCOUNT IC

g. NATO IM'ORMAOON IC I. HAVE TEMPEST REQUIREMENTS IC

h. FOREIGN GOVEIMllENT NORMATIOH IC j. HAii£ OPERATKINS SECURITY (Ol'SEC) REQUIREMENTS IC

i. UMITEO -TION INFORMATION Ill' k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE ...

J. FOR OfflCIAL USE ONLY INFORMATION IC I. OTHER (Specify) IC

k. OTHER {SpBclfy)

UU tUKM .ii!::J4, U~\; 1999 PREVIOUS EDITION IS OBSOLETE.

Reset lorraine.pellegrino1 Text Box 262-16 Soli N00173-16-R-EB05 For Solicitation Purposes Only, Not Valid For Contract Award

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 C:J Direct ~ Through (Specify)

PUBLIC RELEASE OF ANY INFORMATION, TO INCLUDE SCI, IN CONJUNCTION WITH THIS CONTRACT, IS NOT

AUTHORIZED

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 co"espondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

Access to classified information is not required for the purpose of submitting a bid/proposal for this statement of work. However, prospective contractor's must 1) have the required TOP 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.

14. ADDITIONAL SECU~ITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. lJfJ Yes LJ No (If Y~s, 1dent1fy the pertinent contractual ~lauses 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.)

DoDM 5105.21, VOLUME 1-3, (SCI) ADMINISTRATIVE SECURITY MANUAL DoD 5520 22-M NISPOM" IC 704 SCI

PERSONNEL SECURITY ' . ' '

15. INSPECTIO~S. Eleme~ts of this contract are outside the inspection responsibility of the cognizant security office. ~ Yes [_j No (If Yes, exp/am and 1dent1fy specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)

DEFENSE SECURITY SERVICES (DSS) FOR COLLATERAL INSPECTIONS AND SSO NA VY FOR SCI INSPECTIONS

16. ~ERTIFl<?ATION AND SIGNATURE. Security req~irernei:its 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.

a. TYPED NAME OF CERTIFYING OFFICIAL b. TITLE c. TELEPHONE (Include Area Code)

VICKI L. CICALA

d. ADDRESS (Include Zip Code)

NAVAL RESEARCH LABORATORY

HEAD, INFORMATION SECURITY AND

SPECIAL PROGRAMS

17. REQUIRED DISTRIBUTION -~ a. CONTRACTOR

(202) 767-2240/2576

4555 OVERLOOK A VE. SW b. SUBCONTRACTOR - ._W7A"°;S5;H~IN~Gi;;T:i?Q"°'N~._~D~C;:--=2!!.0:!.37i...5~-::5~3:::2!!.0 ____________ -+-_J)C~ c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

I e~N: ~'111UR ~: ". ~, (\ , ~ n .'-~'.ul 0\ ~ d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION - !-- e. ADMINISTRATIVE CONTRACTING OFFICER

)( f. OTHERS AS NECESSARY 1230 1232. 5724 5702

DD FORM 254 (BACK), DEC 1999

harry.avig Typewritten Text

SSO NRL

harry.avig Typewritten Text harry.avig Typewritten Text harry.avig Typewritten Text lorraine.pellegrino1 Text Box 262-16 Soli N00173-16-R-EB05 For Solicitation Purposes Only, Not Valid For Contract Award