Attachment_3_-_DD254.pdf

SER·048-17 .

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE a. FACILITY CLEARANCE REQUIRED

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

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

NONE

2. THIS SPECIFICATION IS FOR: (X and complete as applicable} 3. THIS SPECIFICATION IS: (X and complete as applicable}

a. PRIME CONTRACT NUMBER DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases)

2017103/16 b . SUBCONTRACT NUMBER b. REVISED I REVISION ~o. DATE (YYYYMMDD)

(Supersedes all

2017110120 previous specs)

c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD) DATE (YYYYMMDD)

c. FINAL (Complete Item Sin all cases)

NOOl 73-18-R-WROl

4. IS THIS A FOLLOW-ON CONTRACT? __jYES LJLj 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? L__j YES lJLjNO. 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}

FOR RFP PURPOSES ONLY; NOT VALID FOR NIA NIA

ACTUAL CONTRACT AW ARD

7. SUBCONTRACTOR

a. NAME. ADDRESS. AND ZIP CODE b. CAGE CODE c . COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code}

NIA NIA NIA

8. ACTUAL PERFORMANCE

a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code}

NAY AL RESEARCH LABORATORY (MRY) NIA NIA

7 GRACE HOPPER A VE.

MONTEREY, CA 93943

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

TO PROVIDE CLASSIFIED AND UNCLASSIFIED SCIENTIFIC RESEARCH WORK PRODUCT

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION )C a . HAV!;:_ACCESS lO_CLASSIFIED IN•UKMATION ONLY AT ANOIHtR

)C CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY

b . RESTRICTED DATA " b . RECEIVE CLASSIFIED DOCUMENTS ONLY " c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION )C c. RECEIVE AND GENERATE CLASSIFIED MATERIAL

" d. FORMERLY RESTRICTED DATA "

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE )C

e. INTELLIGENCE INFORMATION e. PERFORM SERVICES ONLY " (1) Sensitive Compartmented Information (SCI)

f. ~~~rMcRc:;g~ Jf§ .ur~>s~t~~R:l~§0A~6<tifjN 1flrR~NbW1~§ THE u.s .. )C

(2) Non-SCI

g. ~~~+1E'RHl6'¥~%1oo¥~I:J~I:e6~g~~? 8'~¥~1'B'UNT1bJ t1~~1fRAL INFORMATION " f . SPECIAL ACCESS INFORMATION )( h. REQUIRE A COMSEC ACCOUNT )(

g. NATO INFORMATION )C i. HAVE TEMPEST REQUIREMENTS )C

h. FOREIGN GOVERNMENT INFORMATION )C j . HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

" i. LIMITED DISSEMINATION INFORMATION

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

" j . FOR OFFICIAL USE ONLY INFORMATION )C I. OTHER (Specify)

" k. OTHER (Specify)

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE.

Reset

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)

COMMANDING OFFICER, NAVAL RESEARCH LABORATORY, WASHINGTON, DC 20375-5320, CODE 7501 to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs) • for review.

• 1n 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 diffkulty 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 classifiep effort. Attach, or forward under separate correspondence. any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

***UPDATED BLOCK 2c. UPDATED BLOCK 13*** I. Specifically designated contractor personnel assigned to this contract must possess a favorably adjudicated DoD Tier 3 investigation and a final SECRET DoD granted personnel security clearance. The number of SECRET clearances requested from DSS is anticipated not to exceed 6

2. The contractor will NOT be required generate, receive or store CLASSIFIED material at the contractor's facility.

3. Contractors issued a DoD interim secret security clearance may ONLY work on unclassified tasks as outlined in the SOW. (Specifically contractors issued a DoD interim secret security clearance may NOT work on tasks outlined in the SOW marked "Classified task"such as 3.1.4.1 , 3.1.5.5, 3.1.6.11 ,

3.2. 1.2, 3.2. 1.7, 3.2.5.2, 3.2.5.3, 3.2.5.5, 3.2.6.1 , 3.2.6.2, 3.2.6.3, 3.3.1.5 , 3.3.1.6, 3.3.3.2, 3.3.3.3, 3.3.3 .4, 4.1, 4.2, 4.3, 4.4.1.1 , 4.4.1.2, 4.4.4.1 , 4.4.5.2, and 4.4.5.6).Unclassified IA or IT positions are NOT authorized with a DoD issued interim secret clearance. Contract Facility Security Officers (FSOs), and/or NRL CO Rs, are required to report immediately to Code 1230 any derogatory information regarding a contractor holding an interim Secret clearance, either on- or off-site. FSOs and NRL CORs shall also notify Code 1230 when a contractor's interim or final clearance has been declined or revoked.

4. A visit request is required for all personnel assigned to work on this contract. Visit requests must include full name, SSN, contract number and relevant task or program name for those performing on the contract with interim secret clearance. The visit should also indicate any required computer access at an NRL-site or access by remote means and if Government furnished computer equipment will be required.

5. Prime contractor will forward a copy of all subcontracts and task orders, related to this contract, regardless of classification, must be approved in advance, in writing, by the official named in para 16a below. The prime contractor will coordinate the approval of all subcontracts and task orders with the COR named in para IO. The COR will in tum, coordinate the approved paperwork with the official named in block 16a below.

6. Proprietary, Privacy Act or FOUO information associated with this contract, must be handled/controlled IA W DoD 5200.0 I Vol. 4.

7. NATO briefings required. NA TO access authorized at SECRET level only. Initial NA TO briefings must be within a 5 year scope of the completed investigation. Visit request and a copy of NA TO indoctrination must be sent to Code 1231 for all initial NATO briefings, prior to access. NA TO briefing date must be within the current year. Annual refresher briefings for NA TO access are required. A copy of the signed annual re-briefings must be forwarded to NRL Code 1231 annually.

8. Foreign Nationals are not authorized to work on this contract.

9. All contractors (including subcontractors) identified in the Statement of Work shall supplement their current security practices by requiring any personnel involved in executing the contract to complete. Government-sponsored and administered Operations Security (OPSEC) training, OPSE-130 I and any OPSEC guidance that may pertain to the project.

I 0. The NRL COR for this contract is Douglas Westphal, NRL Code 7501 , (831 ) 656-4743 . The NRL security point of contact is the official named in 16a below.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements. are established for this contract. )( Yes No (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 7 3 if additional space is needed.)

SEE BLOCK 13 PARA 9

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. Yes )( No {If Yes. explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 7 3 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.

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

VICKI L.CICALA

d. ADDRESS {Include Zip Code)

HEAD, INFORMATION SECURITY AND

SPECIAL PROGRAMS

17. REQUIRED DISTRIBUTION

K a. CONTRACTOR

b. SUBCONTRACTOR

(202) 767-2576

....,_:...c.;~::?'-::::"'::"c:='-!.>."S:-""-'==-'T-~=->i;~---------------t--"'---t c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

" e. ADMINISTRATIVE CONTRACTING OFFICER

" f. OTHERS AS NECESSARY 1230 7502 750)