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DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(Please read Instructions BEFORE completing this application.) (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. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See instructions.)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL

REQUIRED AT CONTRACTOR FACILITY

Top Secret None (See instructions)

DUE DATE (YYYYMMDD)c. SOLICITATION OR OTHER NUMBER

b. SUBCONTRACT NUMBER

TBD

a. PRIME CONTRACT NUMBER (See instructions.)

DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.)

DATE (YYYYMMDD)REVISION NO.b. REVISED (Supersedes all previous specifications.)

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

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

YES. If Yes, complete the following:✖ NO4. IS THIS A FOLLOW-ON CONTRACT?

, retention of the classified material is authorized for the period of: In response to the contractor's request dated

YES. If Yes, complete the following:✖ NO5. IS THIS A FINAL DD FORM 254?

SSO Arlington 2000 Navy Pentagon Washington, D.C. 20350-2000 SMO Code- N326662

c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone)

TBD

b. CAGE CODE

THIS DD254 IS FOR SOLICITATION PURPOSES ONLY. A

PRIME CONTRACT DD254 WILL BE PROVIDED UPON

CONTACT AWARD.

a. NAME, ADDRESS, AND ZIP CODE

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code.)

SSO Arlington 2000 Navy Pentagon Washington, D.C. 20350-2000 SMO Code- N326662

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone)

TBD

b. CAGE CODE

TBD

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Click button to add more subcontractors.)

SSO Arlington 2000 Navy Pentagon Washington, D.C. 20350-2000 SMO Code- N326662

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone) (If applicable, see instructions.)

b. CAGE CODE (If applicable, see instructions.)

VARIOUS as contained in PWS para 4.3 (including Corey Field, Pensacola FL )

a. LOCATION(S) (For actual performance, see instructions.)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

TECHNICAL SUPPORT SERVICES (TSS) MULTIPLE AWARD CONTRACT (MAC). N1 requires technical support services for N16 CIO statutory oversight responsibilities which includes IT Enterprise Architecture (EA), Portfolio Management (PfM), Governance Operations, and IM/IT Requirements Management. Contractors shall provide technical CIO support services for OPNAV N1 for IT Enterprise. The support will require direct interaction with action officers and program managers across the MPTE enterprise as well as all other Navy Enterprises and Enablers to support N1IM/IT responsibilities. In addition, support will require the development and refinement of legacy IS sustainment and transformation to the optimized MPT&E operational construct. Finally, the contractors will provide a continuum of on-site and off-site support to N1’s action officers, program managers and analysts at all echelon levels, for multiple commands, and at multiple geographic locations.

The contractor shall provide support in ten (10) core areas: (1) CIO Strategic Support, (2) Data and Information Management, (3) Engineering Support,

(4) IT System Support, (5) Network Support, (6) Information Assurance/Cyber Security, (7) Enterprise Business Intelligence/Enterprise Business Analytics, (8) Software Development, (9) Hardware Maintenance and Development, and (10) Business Process Re-engineering.

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT (Click here if more space is needed.)

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

d. FORMERLY RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

b. RESTRICTED DATA

✖e. NATIONAL INTELLIGENCE INFORMATION:

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

k. OTHER (Specify) (See instructions.)

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES (ACCM)

INFORMATION

h. FOREIGN GOVERMENT INFORMATION

g. NORTH ATLANTIC TREATY ORGANIZATION (NATO) INFORMATION

Personally Identifiable Information (PII) Access to government NIPR/SIPR/JWICS

DD FORM 254, NOV 2017 PREVIOUS EDITION IS OBSOLETE. Adobe LiveCycle Designer ES4

Add More Items

Add More Items

Add Page

CLASSIFICATION (When filled in):

UNCLASSIFIEDCLASSIFICATION (When filled in):

UNCLASSIFIED

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

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.)

h. REQUIRE A COMSEC ACCOUNT

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE (DCS)

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS✖

i. HAVE A TEMPEST REQUIREMENT

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION OR

MATERIAL

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

e. PERFORM SERVICES ONLY✖

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE 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

No public release of information is authorized without approval.

NO RELEASE OF SCI INFORMATION IS AUTHORIZED

THROUGH (Specify)✖ PUBLIC RELEASE AUTHORITY:

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. Click button to add additional pages as needed to provide complete guidance.)

All contract requirements and actions will be performed as a part of a Multiple Award Contract (MAC) at approved sites as designated by the Task Order.

Security classification guidance for this contract is the DoD National Industrial Security Program Operating Manual (NISPOM), Dod 5220.22m. All contractor personnel shall comply with provisions of NISPOM.

• Access to SCI Information is limited to US Government SCI Facilities Only.

• All SCI security guidance will be provided by the designated Government SSO.

• All SCI “Visit Requests” will have the need to know certified by the COR/CRM prior to processing by the designated Special Security Officer/Facility Security Officer (FSO) .

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements for classified information, 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 CSO. Use Item 13 or click button if additional space is needed.)

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. Click button or use Item 13 if additional space is needed.)

YesNo✖

TBD

This contract requires access to SCI information in accordance with DoD 5105.21-M-1. It requires additional security protection measures not contained in the NISPOM and will be provided by the designated Government SSO.

e. POC TELEPHONE (Include Area Code.) f. EMAIL ADDRESS (See instructions.)

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See instructions.)

d. AAC OF THE CONTRACTING OFFICE (See instructions.)

e. CAGE CODE OF THE PRIME CONTRACTOR (See instructions.)

d. POC NAME (See instructions.)

c. ADDRESS (Include ZIP Code.) a. GCA NAME

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See instructions.)

ARBEC, Michelle C.

703-604-5427

f. TELEPHONE (Include Area Code.)

michelle.arbec@navy.mil

g. EMAIL ADDRESS (See instructions.) h. SIGNATUREh. DATE

Chief, MPTE Information Technology Requirements

b. TITLE

OPNAV N16

Naval Support Facility 701 S. Courthouse Road Arlington, VA 22204

c. ADDRESS (Include ZIP Code.)

2018-01-10

f. OTHERS AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)✖

e. ADMINISTRATIVE CONTRACTING OFFICER✖

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

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR✖

b. SUBCONTRACTOR

a. CONTRACTOR✖

DD FORM 254 (BACK), NOV 2017

Add Page

Add Page

Add Page

UNCLASSIFIEDCLASSIFICATION (When filled in):

UNCLASSIFIEDCLASSIFICATION (When filled in):

TDB

15. INSPECTIONS (Continued)

1. This is a MAC service contract. Biennial review will not be conducted.

2. The contractor shall implement procedures whereby any loss, compromise, or suspected loss or compromise of classified information or material and loss of unclassified material issued under this contract, shall be promptly reported to the Cognizant Security Office.

3. Information on this contract is no releasable to personnel possessing reciprocal clearance without written approval

4. Only persons actually performing classified tasks on this contract shall be cleared to the appropriate level in accordance with the National Industrial Security Program Operating Manual (NISPOM).

5. Upon termination of this contract, all documentation shall be returned with the appropriate accountability and control records.

6. Block 10.e(1) &(2) – Intelligence information will be handled and controlled as indicated in the NSPOM. Access to Intelligence information requires a final U.S. Government clearance at the appropriate level. Reference DoDM 5150.21 v1-3.

7. Block 10.j – The following procedures will be used to protect FOR OFFICIAL USE ONLY (FOUO) material: Reference: DoD5400.7-R, DoD Freedom of Information Act Program, September 1998.

8. Block 11.e – Classifications markings on material to be furnished will provide the classification guidance necessary for the performance on the contract.

9. Block 11.j – Contractor will understand and practice sound OPSEC principles in accordance with OPNAVINST 3432.1 and SECNAV M-5510.36 and will ensure that employees receive OPSEC training provided by the Government upon initial assignment and annually thereafter.

14. ADDITIONAL SECURITY REQUIREMENTS (Continued)

SUBCONTRACTOR IS NOT AUTHORIZED TO WORK ON TS/SCI INFORMATION UNTIL APPROVAL HAS BEEN

GRANTED. ONCE APPROVAL HAS BEEN GRANTED, AN APPROVED DD254 WILL BE ISSUED.

All provisions of the Navy DD Form 254 Addendum, dated August 18, 2017, (see attachment) will must be met in performance of TS/SCI requirements as specified by the Performance-Based Work Statement for Technical Services Support (TSS) Contract for The Manpower Personnel Training and Education (MPTE) Enterprise, paragraph 4.6.2.4.

13. SECURITY GUIDANCE (Continued)

Pages1of1Continuation PageDD FORM 254, NOV 2017 New Page

UNCLASSIFIED

CLASSIFICATION (When filled in): UNCLASSIFIED

CLASSIFICATION (When filled in):

Additional persons assisting with completion of form (signatures and titles)

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(Please read Instructions BEFORE completing this application.) (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. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See instructions.)

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/MATERIAL REQUIRED AT CONTRACTOR FACILITY

DUE DATE (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER

b. SUBCONTRACT NUMBER

a. PRIME CONTRACT NUMBER (See instructions.)

DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.)

DATE (YYYYMMDD)

REVISION NO.

b. REVISED (Supersedes all previous specifications.)

DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases.)

(Preceding Contract Number) is transferred to this follow-on contract.

Classified material received or generated under YES. If Yes, complete the following:

NO

4. IS THIS A FOLLOW-ON CONTRACT?

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

In response to the contractor's request dated YES. If Yes, complete the following:

NO

5. IS THIS A FINAL DD FORM 254?

c. COGNIZANT SECURITY OFFICE (CSO) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code.)

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Click button to add more subcontractors.)

c. COGNIZANT SECURITY OFFICE(S) (CSOs) (Name, Address, ZIP Code, Telephone) (If applicable, see instructions.)

b. CAGE CODE (If applicable, see instructions.)

a. LOCATION(S) (For actual performance, see instructions.)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT (Click here if more space is needed.)

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

d. FORMERLY RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

b. RESTRICTED DATA

e. NATIONAL INTELLIGENCE INFORMATION:

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

k. OTHER (Specify) (See instructions.)

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES (ACCM) INFORMATION

h. FOREIGN GOVERMENT INFORMATION

g. NORTH ATLANTIC TREATY ORGANIZATION (NATO) INFORMATION

DD FORM 254, NOV 2017

PREVIOUS EDITION IS OBSOLETE.

Adobe LiveCycle Designer ES4 CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

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.)

h. REQUIRE A COMSEC ACCOUNT

k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE (DCS)

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

i. HAVE A TEMPEST REQUIREMENT

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED INFORMATION OR MATERIAL

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

e. PERFORM SERVICES ONLY

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

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)

PUBLIC RELEASE AUTHORITY:

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. Click button to add additional pages as needed to provide complete guidance.)

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements for classified information, 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 CSO. Use Item 13 or click button if additional space is needed.)

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. Click button or use Item 13 if additional space is needed.)

Yes No

e. POC TELEPHONE (Include Area Code.)

f. EMAIL ADDRESS (See instructions.)

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See instructions.)

d. AAC OF THE CONTRACTING OFFICE (See instructions.)

e. CAGE CODE OF THE PRIME CONTRACTOR (See instructions.)

d. POC NAME (See instructions.)

c. ADDRESS (Include ZIP Code.)

a. GCA NAME

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See instructions.)

f. TELEPHONE (Include Area Code.)

g. EMAIL ADDRESS (See instructions.)

h. SIGNATURE

h. DATE

b. TITLE

c. ADDRESS (Include ZIP Code.)

f. OTHERS AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

e. ADMINISTRATIVE CONTRACTING OFFICER

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

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

b. SUBCONTRACTOR

a. CONTRACTOR

DD FORM 254 (BACK), NOV 2017

CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

7. SUBCONTRACTOR(S) (Continued)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. NAME, ADDRESS, AND ZIP CODE

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

c. COGNIZANT SECURITY OFFICE(S) (Name, Address, ZIP Code, Telephone)

b. CAGE CODE

a. LOCATION(S) (For actual performance, see instructions.)

8. ACTUAL PERFORMANCE (Continued)

9. GENERAL UNCLASSIFIED IDENTIFICATION OF THIS PROCUREMENT (Continued)

DD FORM 254, NOV 2017

Pages of Continuation Page CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

15. INSPECTIONS (Continued)

14. ADDITIONAL SECURITY REQUIREMENTS (Continued)

13. SECURITY GUIDANCE (Continued) Pages of Continuation Page

DD FORM 254, NOV 2017

CLASSIFICATION (When filled in):

CLASSIFICATION (When filled in):

Additional persons assisting with completion of form (signatures and titles) 9.0.0.2.20120627.2.874785

WHS/ESD/DD

DD 254, Nov 2017, "DoD Contract Security Classification Specification" No No No No Yes

a. Facility clearance level. Select one.: 1
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4
2.c. Due date (four digit year, two digit month, two digit day.:
2.c. Solicitation or other number.:
Mark X if solicitation or other number.: Off
2.b. Subcontract number.:
Mark X if Subcontract.: Off
2.a. Prime contract number.: TBD
Date (4 digit year, 2 digit month, 2 digit day).:
Date (4 digit year, 2 digit month, 2 digit day).:
3.b. If revised, revision number.:
Date (Complete in all cases) (4 digit year, 2 digit month, 2 digit day).:
12. Public Release. Proposed public releases shall be submitted for approval prior to release: X first box if Direct, second box if Through.:
4. If yes: Classified material received or generated under. Enter the preceding contract number, (enter Preceding contract number) is transferred to this follow on contract.:
Retention of the classified material is authorized for the period of::
5. If yes, complete the following: In response to the contractors request dated::
6.c. Cognizant security office. (Name, address, and zip code).: SSO Arlington

2000 Navy Pentagon Washington, D.C. 20350-2000 SMO Code- N326662

6.b. CAGE code.: TBD
6. Contractor. a. Name, address, and zip code.: THIS DD254 IS FOR SOLICITATION PURPOSES ONLY. A

PRIME CONTRACT DD254 WILL BE PROVIDED UPON

CONTACT AWARD.

c. Cognizant security office. (Name, address, and zip code).: SSO Arlington 2000 Navy Pentagon Washington, D.C. 20350-2000 SMO Code- N326662

b. CAGE code.: TBD
7. Subcontractor(s). a. Name, address, and zip code.: TBD
8.c. Cognizant security office (Name, address, and zip code).: SSO Arlington

2000 Navy Pentagon Washington, D.C. 20350-2000 SMO Code- N326662

8.b. CAGE code.:
8. Actual performance. a. Location.: VARIOUS as contained in PWS para 4.3 (including Corey Field, Pensacola FL )
9. General unclassified description of this procurement.: TECHNICAL SUPPORT SERVICES (TSS) MULTIPLE AWARD CONTRACT (MAC). N1 requires technical support services for N16 CIO statutory oversight responsibilities which includes IT Enterprise Architecture (EA), Portfolio Management (PfM), Governance Operations, and IM/IT Requirements Management. Contractors shall provide technical CIO support services for OPNAV N1 for IT Enterprise. The support will require direct interaction with action officers and program managers across the MPTE enterprise as well as all other Navy Enterprises and Enablers to support N1IM/IT responsibilities. In addition, support will require the development and refinement of legacy IS sustainment and transformation to the optimized MPT&E operational construct. Finally, the contractors will provide a continuum of on-site and off-site support to N1’s action officers, program managers and analysts at all echelon levels, for multiple commands, and at multiple geographic locations.

The contractor shall provide support in ten (10) core areas: (1) CIO Strategic Support, (2) Data and Information Management, (3) Engineering Support, (4) IT System Support, (5) Network Support, (6) Information Assurance/Cyber Security, (7) Enterprise Business Intelligence/Enterprise Business Analytics, (8) Software Development, (9) Hardware Maintenance and Development, and (10) Business Process Re-engineering.

10. Contractor will require access to: X if COMSEC information.: Off
X if restricted data.: Off
X if NATO information.: Off
X if other.: Yes
X if CUI.: Yes
X if alternative compensatory control measures (ACCM) information.: Off
X if foreign government information.: Off
X if formerly restricted data.: Off
X if formerly restricted data.: Yes
X if formerly restricted data.: Yes
X if special access program (SAP) information.: Off
X if CNWDI.: Off
Specify other require;ments (see instructions).: Personally Identifiable Information (PII)

Access to government NIPR/SIPR/JWICS

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Classification (when filled in).: UNCLASSIFIED
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11. In performing this contract, the contractor will: X if have access to classified information only at another contractor's facility or a government activity.: Yes
X if receive and store classified documents only.: Off
X if require a COMSEC account.: Off
X if be authorized to use the Defense Courier Service.: Off
X if have access to CUI.: Off
X if have OPSEC requirements.: Yes
X if have a TEMPEST requirement.: Off
X if receive, store, and generate classified material.: Off
X if have access to U.S. classified information outside the U.S., Puerto Rico, U.S. possessions and trust territories.: Off
X if authorized to use the services of DTIC or other secondary distribution center.: Off
X if perform services only.: Yes
X if fabricate, modify, or store classified hardware.: Off
X if other.: Off
If through, specify.: No public release of information is authorized without approval.

NO RELEASE OF SCI INFORMATION IS AUTHORIZED

Public release authority::
13. Security guidance.: All contract requirements and actions will be performed as a part of a Multiple Award Contract (MAC) at approved sites as designated by the Task Order.

Security classification guidance for this contract is the DoD National Industrial Security Program Operating Manual (NISPOM), Dod 5220.22m. All contractor personnel shall comply with provisions of NISPOM.

• Access to SCI Information is limited to US Government SCI Facilities Only.

• All SCI security guidance will be provided by the designated Government SSO.

• All SCI “Visit Requests” will have the need to know certified by the COR/CRM prior to processing by the designated Special Security Officer/Facility Security Officer (FSO) .

13. Security guidance.: SUBCONTRACTOR IS NOT AUTHORIZED TO WORK ON TS/SCI INFORMATION UNTIL APPROVAL HAS BEEN

GRANTED. ONCE APPROVAL HAS BEEN GRANTED, AN APPROVED DD254 WILL BE ISSUED.

All provisions of the Navy DD Form 254 Addendum, dated August 18, 2017, (see attachment) will must be met in performance of TS/SCI requirements as specified by the Performance-Based Work Statement for Technical Services Support (TSS) Contract for The Manpower Personnel Training and Education (MPTE) Enterprise, paragraph 4.6.2.4.

15. Inspections. X first box if yes, second box if no.:
15. Inspections. X first box if yes, second box if no.:
15. Inspection. If yes is checked, explain and identify specific areas or elements carved out and the activity responsible for inspections.: TBD
15. Inspection. If yes is checked, explain and identify specific areas or elements carved out and the activity responsible for inspections.: TDB
14. Additional security requirements. If yes, identify.: This contract requires access to SCI information in accordance with DoD 5105.21-M-1. It requires additional security protection measures not

contained in the NISPOM and will be provided by the designated Government SSO.

14. Additional security requirements. If yes, identify.: 1. This is a MAC service contract. Biennial review will not be conducted.

2. The contractor shall implement procedures whereby any loss, compromise, or suspected loss or compromise of classified information or material and loss of unclassified material issued under this contract, shall be promptly reported to the Cognizant Security Office.

3. Information on this contract is no releasable to personnel possessing reciprocal clearance without written approval

4. Only persons actually performing classified tasks on this contract shall be cleared to the appropriate level in accordance with the National Industrial Security Program Operating Manual (NISPOM).

5. Upon termination of this contract, all documentation shall be returned with the appropriate accountability and control records.

6. Block 10.e(1) &(2) – Intelligence information will be handled and controlled as indicated in the NSPOM. Access to Intelligence information requires a final U.S. Government clearance at the appropriate level. Reference DoDM 5150.21 v1-3.

7. Block 10.j – The following procedures will be used to protect FOR OFFICIAL USE ONLY (FOUO) material: Reference: DoD5400.7-R, DoD Freedom of Information Act Program, September 1998.

8. Block 11.e – Classifications markings on material to be furnished will provide the classification guidance necessary for the performance on the contract.

9. Block 11.j – Contractor will understand and practice sound OPSEC principles in accordance with OPNAVINST 3432.1 and SECNAV M-5510.36 and will ensure that employees receive OPSEC training provided by the Government upon initial assignment and annually thereafter.

e. POC telephone number (include area code).:
f. Email address (see instructions).:
d. Activity address code of the contracting office.:
d. POC name (last, first, middle initial).:
d. Cognizant security office. (Name, address, and zip code).:
16.a. Government contracting authority (GCA) name.:
17.a. Typed name of government or contractor security official (last, first, middle initial).: ARBEC, Michelle C.
f. Telephone number (include area code).: 703-604-5427
g. Email address (see instructions).: michelle.arbec@navy.mil
b. Title.: Chief, MPTE Information Technology Requirements
c. Address (include ZIP Code).: OPNAV N16

Naval Support Facility 701 S. Courthouse Road Arlington, VA 22204

h. Date signed.: 2018-01-10
i. Signature (click to sign).:
Specify other distribution.:
17.f. Mark X if others as necessary.: Yes
17.e. Mark X if administrative contracting officer.: Yes
17.d. Mark X if U.S. activity responsible for overseas security administration.: Off
17.c. Mark X if Cognizant Security Office for prime and subcontractor.: Yes
17.b. Mark X if Subcontractor.: Off
17. Required distribution. a. Mark X if Contractor.: Yes
b. Activity address code of the contracting office.:
e. CAGE code of the prime contractor.:
9. General identification of this procurement.:
Total number of pages.: 1.00000000
Page number of this page.: 1.00000000
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