Draft DD 254 6.9.pdf

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NIWDC CREQ # 26-16

CONTINUATION OF BLOCK 13 OF THE DD FORM 254

Solicitation or Contract # N0018920P0584

Ref 4: The classified portion of work has been completed on the contract cited in this block. The processing of classified will no longer be done under this contract. All classified material/ information associated with this contract is authorized to be transferred to the contract number cited in block 2a.

Ref 8a: Contractor’s primary place of performance

• Naval Information Forces, 115 Lakeview Parkway, Suffolk, VA 23435

• Naval Information Warfighting Development Center, 7941 Blandy Rd, Norfolk, VA

23551

• Naval Information Warfighting Development Center NW NSA, Relay Rd, Chesapeake, VA 23322

• Naval Information Warfare Training Group 2555 Amphibious Drive, Virginia Beach, VA 23455

• Meetings, visits and conferences at various other secure government or government approved facilities may be required.

• Government agency or activity will provide security classification guidance for performance of this contract.

• Submit visit request to COR and/or Security Management office for need-to-know verification.

Ref 10e (1): SCI Access required. No public release of information authorized, public disclosure or confirmation of any subject related to the support contract is not authorized without first obtaining written approval from the KO.

Ref 10e (2): Non-SCI Information is not releasable to contractor employees who have not received clearance at the appropriate security level. Written concurrence of the KO is required prior to subcontracting. Access to Intelligence information required for performance.

Ref 10g: The contractor is permitted access to North Atlantic Treaty Organization (NATO) information in performance of this contract. Access to NATO information requires a final U.S. Government clearance at the appropriate level. The government program/project manager is the designated representative that will secure the contractor security manager and concerned employees are NATO briefed prior to access being granted. The contractor will maintain strict compliance regarding NATO information IAW NISPOM Ch. 10, Sec. 7.

Prior approval of the contracting activity is required for subcontracting.

Ref 10j: Controlled Unclassified Information (CUI) Information generated and/or provided under this contract shall be safeguarded and marked as specified in 5200.1- R, DODM 5200.01-V4 and SECNAV M5510.36

Ref 10k: NIPRNET and SIPRNET access required at NIWDC and other secure government facilities.

Ref 11a: Contractor performance is restricted to NAVAL INFORMATION WARFARE DEVELOPMENT CENTER, 7941 BLANDY RD STE 500, NORFOLK, VA 23551 and various other secure government or government approved facilities, Government agency or activity will provide security classification guidance for performance of this contract. Submit visit request to COR and/or Security Management office for need-to-know verification.

Ref 11j: IAW DODM 5205.02M, protect information listed in the NIWDC Critical Information List and any other sensitive, but unclassified information that may be useful to our adversaries. Abide by OPSEC policies and procedures, as detailed in DOD 5205.02M, COMNAVIFORINST 3432.1A, and/or as directed by the NIWDC OPSEC Officer or an OPSEC Representative. Accomplish CNIWDC initial OPSEC training within 10 days of in-processing. Complete annual OPSEC training. Notify Directorate OPSEC Coordinator or the OPSEC officer of recommendations for the OPSEC program or potential OPSEC concerns.

POC: CNIWDC OPSEC Officer (757) 836-2674.

Access Requirements: Contractor will be required to have a TOP SECRET/SENSITIVECOMPARTMENTED INFORMATION (TS/SCI) clearance to support this contract. Some work will require SECRET clearance requiring the individual to have an NMCI SIPRNET account access to NATO SECRET information and NMCI NIPRNET FOR OFFICIAL USEONLY information.

• While performing duties within NIWDC owned and operated facilities, the contractor must adhere to all service/component command/local security directives, regulations, and standard operating procedures at different contract performance locations. The program manager listed in Block 16 will provide a copy of all applicable security directives for this contract. Appropriate local service command security directives, regulations, and standard command COR). Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified information (furnished or generated) to the source from which received unless retention or other disposition instructions are authorized in writing by the NIWDC Government

Contracting Agency/Activity. Furthermore, the contractor will account for and return to the appropriate issuing office, all identification badges and/or entry passes/vehicle decals issued to contractor personnel upon completion or termination of classified contract, termination of employment, or suspension of classified clearance or access of any contractor employee.

• All classified material generated under this contract will be derivatively classified IAW EO 12958as amended, based on existing source documents or applicable classification guides.

• NIWDC Contracting Authority will be notified prior to any portion of this contract being subcontracted out.

• All classified information documentation, reports, and correspondence received or generated in hardcopy format is the property of the U.S. government and will at no time leave the classified government location for any reason. At the expiration of the contract task order, the US government will be contacted for proper disposition instructions.

• Access to other government facilities while under TAD orders of NIWDC will be handled via the NIWDC Security Office.

• If subcontracting, guidance provided in the Prime Contract DD Form 254 will apply in entirety to the subcontractor.

• All classified source documents will include applicable guidance from the NIWDC

SSO.

• The contractor will generate deliverables as directed by the PWS.

• All information protection protocols will be provided by NIWDC SSO.

• Any performance limitations requiring protection will be provided by NIWDC SSO.

• The contractor will be provided a SIPR computer to perform the duties of the PWS.

All data generated will require proper classification at all times. Data will remain classified until a change in classification status is determined by NIWDC.

Contracting Officer’s Representative (COR): Kermit Sears Naval Information Warfare Development Center (N014) 7941 Blandy Road, Norfolk, VA 23551 757 836-2804 Kermit.l.sears.civ@us.navy.mil

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:

May 31, 2022 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.)

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)

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 Hide Attachment Bar

277 BENDIX ROAD, ST 200

VIRGINIA BEACH, VA 23452

757-216-0434

7941 BLANDY RD STE 500

NORFOLK, VA 23551-2419

Location: INFORMATION WARFARE TEAM TRAINING FACILITY CONSTRUCTION SITE

708 OMAHA BEACH RD

VIRGINIA BEACH, VA 23459

NO PUBLIC RELEASE OF SCI INFORMATION

PublicAuthority: Mr. Jude Klena NAVIFOR General Counsel 757-203-3028

Contracting Officer Representative Review text:

Security Officer Approval

1968 Gilbert Street Ste 600 Norfolk, VA 23511 Address: 7941 Blandy Rd STE 500

NORFOLK, VA 23551