ATTCH_006_DD254.pdf
PDF 203 KB Posted
- Attached to
- Mk 187 HE-MF and Mk 92 BL&P AUR Projectiles
- Solicitation number
- N00174-19-R-0100
About this file
This solicitation requests proposals for the production of Mk 187 Mod 0 High Explosive Multi-Function and Mk 92 Mod 1 Blind Loaded & Plugged 5-inch Navy All Up Round projectiles. The Naval Surface Warfare Center Indian Head Explosive Ordnance Technology Division intends to award an indefinite delivery indefinite quantity contract for a base year plus two option years not exceeding three years total. Offerors must provide all required equipment, tooling, and manufacturing to produce the projectiles in accordance with specified requirements. Proposals are due by March 19, 2019. The agency will evaluate offers based on technical approach, past performance, price, and small business subcontracting plans to determine the most advantageous best value. The solicitation is available electronically through the Federal Business Opportunities website.
Attachment 006 - DD254 - Contract Security Classification Specification
View the file
Other files
| File | Type | Posted |
|---|---|---|
| N00174-19-R-0100-0004.pdf | ||
| N00174-19-R-0100-0003.pdf | ||
| N00174-19-R-0100-0002.pdf | ||
| N00174-19-R-0100-0001.pdf | ||
| ATTCH_001_Special_Shipping_Packaging_Form_4336_rev6.docx | DOCX document | |
| ATTCH_005_DD2345_Military_Critical_Tech_Data_Agreement.pdf | ||
| Exhibit_A_CDRL_A001-A027.pdf | ||
| ATTCH_003_PastPerformanceQuestionnaire.doc | DOC document | |
| ATTCH_004_NDA_N00174-19-R-0100.docx | DOCX document | |
| N00174-19-R-0100.pdf | ||
| ATTCH_002_Past_Performance_Matrix.doc | DOC document |
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CLASSIFICATION (When filled in): Unclassified
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AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 5
AEM LiveCycle Designer
DD FORM 254, APR 2018
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:
October 31, 2020
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
a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED
(See Instructions)
Confidential
b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/
MATERIAL REQUIRED AT CONTRACTOR FACILITY
Confidential
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)
a. PRIME CONTRACT NUMBER (See instructions.)
b. SUBCONTRACT NUMBER
c. SOLICITATION OR OTHER NUMBER
N00174-19-R-0100
DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable.)
a. ORIGINAL (Complete date in all cases.)
DATE (YYYYMMDD)
20190115
b. REVISED (Supersedes all previous specifications.)
REVISION NO. DATE (YYYYMMDD)
c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? No Yes 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? No Yes 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 This DD254 is for Solicitation Purposes Only. It must be returned to NSWC IHEODTD Security with a contract number and contractor's name when the contract is awarded for updating.
b. CAGE CODE
TBD
c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) Defense Security Service
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) Add Row Remove last Row Delete All Rows
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)
8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows
a. LOCATION(S) (For actual performance, see instructions.) b. CAGE CODE (If applicable, see Instructions.)
c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)
9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT
5" High explosive and training projectiles and major subassemblies. CLASSIFIED applies to MK 419 Mod 1 Multi-Funtion Fuze (MFF).
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10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION
b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION
(NATO) INFORMATION
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.) h. FOREIGN GOVERMENT INFORMATION
d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES
(ACCM) INFORMATION
e. NATIONAL INTELLIGENCE INFORMATION:
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)
k. OTHER (Specify) (See instructions.)
Military Critical Technology, Export Control, Access to Government Information Systems
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.)
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT
ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT
ACTIVITY
(Applicable only if there is no access or storage required at contractor facility.
See instructions.)
b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE, STORE, AND GENERATE CLASSIFIED
INFORMATION OR MATERIAL
d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
e. PERFORM SERVICES ONLY
f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE
THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST
TERRITORIES
g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE
TECHNICAL INFORMATION CENTER (DTIC) OR OTHER
SECONDARY DISTRIBUTION CENTER
h. REQUIRE A COMSEC ACCOUNT
i. HAVE A TEMPEST REQUIREMENT
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE
l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED
INFORMATION (CUI).
(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)
m. OTHER (Specify) (See 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)
DIRECT THROUGH (Specify below)
NSWC IHEODTD Public Affairs 3767 Strauss Avenue, Bldg 20, 1st Floor, Indian Head, MD 20640
Public Release Authority:
13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures
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.)
--Item 10.j: Controlled Unclassified Information (CUI), including For Official Use Only (FOUO) information, must be protected per DoD 5200.01-V4, as specified in the Statement of Work (SOW), para 6.7.4: It is emphasized that un-encrypted transmission of CUI/FOUO via the Internet is prohibited. Further guidance is provided in attachment 1.
--Item 10.k: NISPOM paragraph 11-202.b. identifies the process for access to information designated Military Critical Data. DD From 2345 must be submitted (directly) to the Defense Logistic Agency for access to unclassified military critical technical data. Export Controlled: All technical documents determined to contain export controlled technical data shall be marked "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161” and guidance contained in attachment 3.
Personnel accessing government IT systems in the performance of contract work must meet SECNAV M-5510.30 security/access requirements. Information Assurance: Contractor personnel supporting this task order who require access to DoD Information Systems are
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required to receive and complete initial IA orientation awareness training before being granted access to the system(s), and annual IA awareness training to retain access, as required IAW DoD 8570.01-M and DoDI 8500.2 E3.3.7. Access requests to DoD IT systems will utilize OPNAV 5239/14(July 2008) SAAR-N Form. Contractor personnel supporting some areas of this Task Order requiring privileged access to DoD systems (e.g. System Administrators) are required to meet the following additional Information Assurance performance requirements: in accordance with SECNAVINST 5510.30, performance requirements at the IT-1 Critical Sensitive position requires full positive adjudication of a Single Scope Background investigation. Additionally, per DoD Manual 8570-1M, performance requirements will be set at the Information Assurance Technical Level (IAT) II and all training and certification specifications are required to be met within 6 months for any currently contracted employee and must be met within 6 months of any newly reporting personnel being assigned. This contract may include IT Level 1, 2, and 3 access requirements. A favorably adjudicated SSBI, or Periodic Review (PR) of the SSBI, is required for personnel whose duties meet the criteria for an IT Level 1 designation. The SSBI or PR must be updated every 5 years. A favorably adjudicated NACLC investigation (or higher) for civilian personnel is required for IT Levels 2 and 3.
Automated Identification Systems (AIS) will be required at the CONFIDENTIAL level at the contractor's facility.
-- Item 11.c: The contractor requires access to classified source data up to and including the level identified in item 1a of this DD254.
Classified material generated in support of this contract shall be classified in accordance with the course material of the Navy Security Classification Guidance, which will be provided by the SCO. Automated Information Systems (AIS) must be certified and accredited by the Cognizant Security Agency (CSA) prior to processing classified information from NAVSEA.
-- Item 11.d: All classified data and hardware will be protected IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NSIPOM).
-- Item 11.f: Additional classified work may be performed in Government and contractor facilities.
-- Item 11.g: The contractor shall prepare and process DD Forms 1540 and 2345 prior to requesting these services.
--Item 11.j: Operations Security (OPSEC) requirements: Contractor personnel are subject to applicable provisions of NSWC IHEODTD
3070.3 OPSEC Program. Contractor personnel supporting this task order must complete annual government – provided OPSEC awareness training. Contractor personnel will have access to government Critical Information (CI) and Indicators and Observables that may indirectly disclose CI. CI includes, but is not limited to: Ship movements and schedules, weapons and sensor system installations, capabilities, and configurations; specific platform installations and characteristics, test schedules, deficiencies and vulnerabilities. Indicators and Observables may include, but are not limited to: Outdoors system testing; ship’s external hull or superstructure modifications; shipboard equipment, ordnance, weapons, fuels, and/or stores loading/unloading operations, and/or personnel or aircraft embarkation. No CI, Indicators, or Observables may be divulged to third parties (including other company employees who are not subject to this contract) without approval of the local command Security Officer, OPSEC Officer, or the NSWC IHEODTD OPSEC Program Manager.
______________See DD254, Block 13_____________________________ OPSEC Manager, NSWC IHEODTD
14. ADDITIONAL SECURITY REQUIREMENTS: Contractor employees embedded in government work spaces will be included in the command security education program per SECNAV M-5510.36 (11-4.2.a) and must complete prescribed DoD/DoN training requirements.
Contractor employees shall review each NSWC IHEODTD Security Training Bulletin online at the training website. Embedded employees with a Secret or above security clearance must annually attend a locally provided NCIS counterintelligence briefing. Derivative classifiers (i.e., those who create new documents, including e-mails, based on existing classification guidance) shall receive training in derivative classification as required by DoDM 5200.01 V-1 with an emphasis on avoiding over-classification, at least once every 2 years. Training is available on the DSS website.
Contracting authority will provide security classification guidance on-site for the services to be performed. (to include Alternate Compensatory Control Measures where applicable).
• Classified or unclassified technical papers to be presented at classified symposiums must be approved by the Contracting Officer’s Representative PRIOR TO presentation.
• All contractor requests for sharing of classified and other sensitive information between prime contractors must be forwarded in writing to the government security office identified in Item 16.d of this DD254 form for approval.
• Copies of all subcontract DD254s must be provided to the government security office identified in Item 16.d of this DD254.
• Security Classification Guides (OPNAVINST 5513 Series) and unclassified limited distribution documents (e.g. FOUO, Distribution Statement Controlled) are not authorized for public release; therefore they cannot be posted on a publicly accessible web server or transmitted over the Internet unless appropriately encrypted to current DoD standards. Requests for public release cannot be transmitted via the Internet until the contractor receives final approval from the government.
Security Classification Guides (SCGs)to be used with this contract: OPNAVINST S5513.3, SCG ID: 03-082.02.
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All classified documents must be destroyed using a national security agency (NSA) approved high Security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other APPROVED method for destroying classified information.
All reports of contractor security violations associated with this contract shall be mailed by the Cognizant DSS field office directly to the certifying official in block 16 of this DD254.
All classified information involved in security incidents shall be retained and provided to the certifying official in block 16 (a) of this DD 254 for classification review.
All security related requests pertaining to this contract shall be submitted in writing by the contractor's Facility Security Officer (FSO) to the individual identified in block 16(a) of this DD254.
All security aspects of this contract fall under the cognizance of NSWC IHEODTD Command. Contact the NSWC IHEODTD Security Contracting Officer for any questions regarding the content of the DD form 254.
List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
Add Attachment View Selected Attachment Remove Selected Attachment
NAME & TITLE OF REVIEWING OFFICIAL
Raymond S. Bean OPSEC Manager
SIGNATURE
14. ADDITIONAL SECURITY REQUIREMENTS
Requirements, in addition to NISPOM requirements for classified information, are established for this contract.
No Yes 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.)
Protect Controlled Unclassified Information/For Official Use Only Information, Military Critical Technology and Export Controlled per Item 13 remarks.
15. INSPECTIONS
Elements of this contract are outside the inspection responsibility of the CSO.
No Yes 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)
a. GCA NAME
NSWC IHEODTD
b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)
N00174
c. ADDRESS (Include ZIP Code) 4081 North Jackson Road Building 841 Indian Head, MD 20640
d. POC NAME
Jim Mickolajczyk
e. POC TELEPHONE (Include Area Code)
+1 (973) 724-9147
f. EMAIL ADDRESS (See Instructions) james.mickolajczyk@navy.mil
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.
a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)
Morgan, Megan C
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b. TITLE
Security Specialist
c. ADDRESS (Include ZIP Code)
NSWC IHEODTD
4108 Artisans Court Bldg 1730, Room 105
d. AAC OF THE CONTRACTING OFFICE (See Instructions)
e. CAGE CODE OF THE PRIME CONTRACTOR
(See Instructions.)
00174
f. TELEPHONE (Include Area Code)
+1 (301) 744-1512
g. EMAIL ADDRESS (See Instructions) megan.morgan@navy.mil
h. SIGNATURE
i. DATE SIGNED (See Instructions)
20190115
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND
SUBCONTRACTOR
d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY
ADMINISTRATION
e. ADMINISTRATIVE CONTRACTING OFFICER
f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)
CONTROLLED UNCLASSIFIED INFORMATION (INCLUDES FOR OFFICIAL USE ONLY INFORMATION)
Ref: (a) DoD Regulation 5200.01-V4, DoD Information Security Program
(b) SECNAV M-5510.36, DON Information Security Program Manual
Contractor may be required to handle Controlled Unclassified Information (CUI). There are numerous types of CUI, e.g. documents with limited distribution statements, documents marked as For Official Use Only (FOUO), etc. The minimum level of protection for all CUI is adherence to FOUO protection standards. Distribution Statements (DS) and warning labels, such as the Arms Export Control Act Warning, identify additional protection requirements for a given document. Minimum FOUO protection requirements/controls applicable to the performance of this contract for CUI are listed below. Additional protection requirements, as marked on a given CUI document, are in addition to the standards listed.
1. Handling/Storage: Access to FOUO is limited to those needing it to conduct official business for the Department of Defense (DoD). FOUO information is not classified information, but requires extra precautions to ensure it is not released to the public. During business hours, reasonable steps shall be taken to minimize risk of access by unauthorized personnel. After business hours, FOUO information shall be stored in unlocked containers, desks, or cabinets if Government or Government-contracted building security is provided. If it is not, store in locked desks, file cabinets, bookcases, locked rooms, or similar items.
2. Transporting/Transmitting/Release/Destruction: FOUO information shall be transported in a manner that prevents disclosure of the contents. FOUO information may be sent via USPS first-class mail, parcel post, or – for bulk shipments – 4th class mail. Electronic transmission of FOUO information (voice, data, or facsimile) shall be by approved secure communications systems. Transmission via unsecure fax is acceptable if an authorized person is standing by on the receiving end to take custody. All emails containing FOUO or attachments with FOUO must be digitally signed and encrypted when transmitted within a Navy network or to an approved contractor email address. Transmission of FOUO (i.e. any CUI) to personal email accounts (e.g. AOL, Yahoo, Hotmail, Comcast, etc.) is strictly prohibited. FOUO sent out of the contractor’s facility electronically must be encrypted (DoD FIPS 140-2 standard). FOUO material shall not be released outside the contractor’s facility except to representatives of DoD. When no longer needed, destroy FOUO by a method that precludes its disclosure to unauthorized individuals.
3. Markings: Unclassified documents (paper or electronic) generated in support of this contract which contain FOUO are to be marked “For Official Use Only” at the bottom on the outside of the front cover (if any), on each page containing FOUO information, and on the outside of the back cover (if any). Each paragraph containing FOUO information shall be marked as such. Within a classified document, an individual page with both FOUO and classified information shall be marked at the top and bottom with the highest security classification of information appearing on the page. Individual paragraphs shall be marked at the appropriate classification level, as well as unclassified or FOUO, as appropriate. Within a classified document, an individual page that contains FOUO information but no classified information shall be marked “For Official Use Only” at the top and bottom of the page, as well as each paragraph that contains FOUO information. Other records, such as photographs, films, tapes, or slides, shall be marked “For Official Use Only” or “FOUO” in a manner that ensures that a recipient or viewer is aware of the status of the information therein. DS on technical documents identify access restrictions. DS “B” through “D” preclude public release and while not marked as FOUO, are subject to all FOUO protection requirements, including the prohibition on unencrypted transmission over the public Internet.
Attachment 1 to Contract # N00174-19-R-0100
ATTACHMENT 2: Contract # N00174-19-R-0100
EXPORT CONTROLLED ADDENDUM
1. HANDLING: Access to Export Controlled material shall be limited to those employees needing the material to conduct official business for the Department of Defense. Export Controlled is not a classification, but requires extra precautions to ensure it is not improperly released.
2. STORAGE: During normal duty hours, place Export Controlled material in an out-of-sight location if your work area is accessible to persons who do not have a valid need for the material. After normal duty hours, store Export Controlled material to prevent unauthorized access. File with other unclassified records in unlocked files or desks when internal building security is provided. When there is not internal security, locked buildings or rooms usually provide adequate after-hours protection. For additional protection, store Export Controlled material in locked containers such as file cabinets, desks or bookcases. Expenditure of funds for security containers solely for the protection of Export Controlled material is prohibited.
3. TRANSPORTING: Export Controlled information shall be transported in a manner that prevents disclosure of the contents. Export Controlled information may be sent via first-class mail or parcel post. Bulky shipments, such as distributions of Export Controlled Directives or testing materials, that otherwise qualify under postal regulation, may be sent by fourth-class mail.
4. TRANSMISSION: Export Controlled can be transmitted electronically within the contractor’s facility. Export Controlled sent out of the contractor’s facility must meet FIPS 140-2 encryption.
5. RELEASE: Export Controlled material shall not be released outside the contractor’s facility except to DoD employees. Subcontracting must be authorized by the COSR.
6. DESTRUCTION: When no longer needed, Export Controlled material shall be disposed of by a method that precludes its disclosure to unauthorized individuals.
7. MARKINGS:
a. For standard written or printed material, the following warning statement shall appear on the face of the document and title page. If the technical information is not in standard written or printed form and does not have a cover or title page, the distribution statement shall be conspicuously stamped, printed, or written by other means.
“WARNING – This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec. 2751 et seq.) or Executive Order 12470. Violators of these export laws are subject to severe criminal penalties.”
b.
The following destruction statement will be applied to all technical documents containing Export Controlled information. “Destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
c. Other records, such as photographs, films, tapes, slides, and AIS storage media shall also be marked with the above warning and destruction statement.
DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of AEM LiveCycle Designer
DD FORM 254, APR 2018
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:
October 31, 2020 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 List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) CUI Contract Clause.doc Export Controlled Statement.doc
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| Classification: Unclassified |
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| a. Facility clearance level. Select one.: 3 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 3 |
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| Choose Yes or No: 1 |
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| Soli: N00174-19-R-0100 |
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| dateA: 20190115 |
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| Name: This DD254 is for Solicitation Purposes Only. It must be returned to NSWC IHEODTD Security with a contract number and contractor's name when the contract is awarded for updating. |
| Name: Morgan, Megan C |
| Cage: TBD |
| Cage: 00174 |
| CSO: Defense Security Service |
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| Block9: 5" High explosive and training projectiles and major subassemblies. CLASSIFIED applies to MK 419 Mod 1 Multi-Funtion Fuze (MFF). |
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| Enter your name here.: Military Critical Technology, Export Control, Access to Government Information Systems |
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| Enter your name here.: NSWC IHEODTD Public Affairs |
3767 Strauss Avenue, Bldg 20, 1st Floor, Indian Head, MD 20640
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| text: --Item 10.j: Controlled Unclassified Information (CUI), including For Official Use Only (FOUO) information, must be protected |
per DoD 5200.01-V4, as specified in the Statement of Work (SOW), para 6.7.4: It is emphasized that un-encrypted transmission of CUI/FOUO via the Internet is prohibited. Further guidance is provided in attachment 1.
--Item 10.k: NISPOM paragraph 11-202.b. identifies the process for access to information designated Military Critical Data. DD From 2345 must be submitted (directly) to the Defense Logistic Agency for access to unclassified military critical technical data. Export Controlled: All technical documents determined to contain export controlled technical data shall be marked "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161” and guidance contained in attachment 3.
Personnel accessing government IT systems in the performance of contract work must meet SECNAV M-5510.30 security/access requirements. Information Assurance: Contractor personnel supporting this task order who require access to DoD Information Systems are required to receive and complete initial IA orientation awareness training before being granted access to the system(s), and annual IA awareness training to retain access, as required IAW DoD 8570.01-M and DoDI 8500.2 E3.3.7. Access requests to DoD IT systems will utilize OPNAV 5239/14(July 2008) SAAR-N Form. Contractor personnel supporting some areas of this Task Order requiring privileged access to DoD systems (e.g. System Administrators) are required to meet the following additional Information Assurance performance requirements: in accordance with SECNAVINST 5510.30, performance requirements at the IT-1 Critical Sensitive position requires full positive adjudication of a Single Scope Background investigation. Additionally, per DoD Manual 8570-1M, performance requirements will be set at the Information Assurance Technical Level (IAT) II and all training and certification specifications are required to be met within 6 months for any currently contracted employee and must be met within 6 months of any newly reporting personnel being assigned. This contract may include IT Level 1, 2, and 3 access requirements. A favorably adjudicated SSBI, or Periodic Review (PR) of the SSBI, is required for personnel whose duties meet the criteria for an IT Level 1 designation. The SSBI or PR must be updated every 5 years. A favorably adjudicated NACLC investigation (or higher) for civilian personnel is required for IT Levels 2 and 3.
Automated Identification Systems (AIS) will be required at the CONFIDENTIAL level at the contractor's facility.
-- Item 11.c: The contractor requires access to classified source data up to and including the level identified in item 1a of this DD254. Classified material generated in support of this contract shall be classified in accordance with the course material of the Navy Security Classification Guidance, which will be provided by the SCO. Automated Information Systems (AIS) must be certified and accredited by the Cognizant Security Agency (CSA) prior to processing classified information from NAVSEA.
-- Item 11.d: All classified data and hardware will be protected IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NSIPOM).
-- Item 11.f: Additional classified work may be performed in Government and contractor facilities.
-- Item 11.g: The contractor shall prepare and process DD Forms 1540 and 2345 prior to requesting these services.
--Item 11.j: Operations Security (OPSEC) requirements: Contractor personnel are subject to applicable provisions of NSWC IHEODTD 3070.3 OPSEC Program. Contractor personnel supporting this task order must complete annual government – provided OPSEC awareness training. Contractor personnel will have access to government Critical Information (CI) and Indicators and Observables that may indirectly disclose CI. CI includes, but is not limited to: Ship movements and schedules, weapons and sensor system installations, capabilities, and configurations; specific platform installations and characteristics, test schedules, deficiencies and vulnerabilities. Indicators and Observables may include, but are not limited to: Outdoors system testing; ship’s external hull or superstructure modifications; shipboard equipment, ordnance, weapons, fuels, and/or stores loading/unloading operations, and/or personnel or aircraft embarkation. No CI, Indicators, or Observables may be divulged to third parties (including other company employees who are not subject to this contract) without approval of the local command Security Officer, OPSEC Officer, or the NSWC IHEODTD OPSEC Program Manager.
______________See DD254, Block 13_____________________________ OPSEC Manager, NSWC IHEODTD
14. ADDITIONAL SECURITY REQUIREMENTS: Contractor employees embedded in government work spaces will be included in the command security education program per SECNAV M-5510.36 (11-4.2.a) and must complete prescribed DoD/DoN training requirements. Contractor employees shall review each NSWC IHEODTD Security Training Bulletin online at the training website. Embedded employees with a Secret or above security clearance must annually attend a locally provided NCIS counterintelligence briefing. Derivative classifiers (i.e., those who create new documents, including e-mails, based on existing classification guidance) shall receive training in derivative classification as required by DoDM 5200.01 V-1 with an emphasis on avoiding over-classification, at least once every 2 years. Training is available on the DSS website.
Contracting authority will provide security classification guidance on-site for the services to be performed. (to include Alternate Compensatory Control Measures where applicable).
• Classified or unclassified technical papers to be presented at classified symposiums must be approved by the Contracting Officer’s Representative PRIOR TO presentation.
• All contractor requests for sharing of classified and other sensitive information between prime contractors must be forwarded in writing to the government security office identified in Item 16.d of this DD254 form for approval.
• Copies of all subcontract DD254s must be provided to the government security office identified in Item 16.d of this DD254.
• Security Classification Guides (OPNAVINST 5513 Series) and unclassified limited distribution documents (e.g. FOUO, Distribution Statement Controlled) are not authorized for public release; therefore they cannot be posted on a publicly accessible web server or transmitted over the Internet unless appropriately encrypted to current DoD standards. Requests for public release cannot be transmitted via the Internet until the contractor receives final approval from the government.
Security Classification Guides (SCGs)to be used with this contract: OPNAVINST S5513.3, SCG ID: 03-082.02.
All classified documents must be destroyed using a national security agency (NSA) approved high Security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other APPROVED method for destroying classified information.
All reports of contractor security violations associated with this contract shall be mailed by the Cognizant DSS field office directly to the certifying official in block 16 of this DD254.
All classified information involved in security incidents shall be retained and provided to the certifying official in block 16 (a) of this DD 254 for classification review.
All security related requests pertaining to this contract shall be submitted in writing by the contractor's Facility Security Officer (FSO) to the individual identified in block 16(a) of this DD254.
All security aspects of this contract fall under the cognizance of NSWC IHEODTD Command. Contact the NSWC IHEODTD Security Contracting Officer for any questions regarding the content of the DD form 254.
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| rep: Raymond S. Bean |
OPSEC Manager
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| Enter your name here.: Protect Controlled Unclassified Information/For Official Use Only Information, Military Critical Technology and Export Controlled per Item 13 remarks. |
| GCAName: NSWC IHEODTD |
| AAC: N00174 |
| AAC: 1051 |
| Address: 4081 North Jackson Road |
Building 841 Indian Head, MD 20640 Address: NSWC IHEODTD 4108 Artisans Court Bldg 1730, Room 105
| POCName: Jim Mickolajczyk |
| Phone: 9737249147 |
| Phone: 3017441512 |
| Email: james.mickolajczyk@navy.mil |
| Email: megan.morgan@navy.mil |
| Title: Security Specialist |
| Enter the date using the format DD-Mon-YYYY: 20190115 |
File details come from the government source that posted it. Updated .