Attachment_3-_DD254_temp.doc

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N00421-15-R-0009
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N000421-15-C-0012

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

Secret

(The requirements of the DoD National Industrial Security Program Operating Manual
b. LEVEL OF SAFEGUARDING REQUIRED
apply to all security aspects of this effort.)
None
2. THIS SPECIFICATION IS FOR: (X and complete as applicable)
3. THIS SPECIFICATION IS: (X and complete as applicable)

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases)
DATE (YYYYMMDD)
X
RFP N00421-14-R-0009
X

20151001

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs)

Revision Number
DATE (YYYYMMDD)
c. SOLICITATION OR OTHER NUMBER
DUE DATE (YYYYMMDD)
c. FINAL (Complete Item 5 in all cases)
DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT?

YES
X
NO. If YES, complete the following:

Classified material received or generated under _ (preceding contract number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254?

YES
X
NO. If YES, complete the following:

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

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

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

Company Name

7. SUBCONTRACTOR

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

N/A

8. ACTUAL PERFORMANCE

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

TBD

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Engineering Products and Technical Services in support of Air Traffic Control and Landing Systems.

COR: Adam Andersen, Code 4.11.1, 301-342-6262 COR: Kevin Bongiovanni, Code 4.11.1, 301-995-6324

10.

THIS CONTRACT WILL REQUIRE ACCESS TO:

YES
NO
11.

IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:

YES
NO

a.

COMMUNICATIONS SECURITY (COMSEC) INFORMATION

X a.

HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY X b.

RESTRICTED DATA

X
b.

RECEIVE CLASSIFIED DOCUMENTS ONLY

X c.

CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

X
c.

RECEIVE AND GENERATE CLASSIFIED MATERIAL

X d.

FORMERLY RESTRICTED DATA

X
d.

FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

X e.

INTELLIGENCE INFORMATION:

e.

PERFORM SERVICES ONLY

X

(1) SENSITIVE COMPARTMENT INFORMATION (SCI)

X
f.

HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES X

(2) NON-SCI

X g.

BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER X f.

SPECIAL ACCESS INFORMATION

X
h.

REQUIRE A COMSEC ACCOUNT

X g.

NATO INFORMATION

X i.

HAVE TEMPEST REQUIREMENTS

X h.

FOREIGN GOVERNMENT INFORMATION

X
j.

HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

X i.

LIMITED DISSEMINATION INFORMATION

X
k.

BE AUTHORIZED TO USE THE DEFENSE COURIER service

X j.

FOR OFFICIAL USE ONLY INFORMATION

X l.

OTHER (Specify).

k. OTHER (Specify)

SIPRnet access authorized at Government facilities only
X

12.

PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except a provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. government authority. Proposed public releases shall be submitted for approval prior to release

Direct
X
Through (Specify):

Transmission by non-secure facsimile or E-mail is NOT authorized (by Prime or sub contractor(s)).

Submit ALL Public Releases to: Air 4.11.1 Program Management lead identified in item 9;

NAVAIR FORM 57201/1 must be completed and attached.

to the Directorate for Freedom of Information and Security Review, Office of the Assistant Security of Defense (Public Affairs)* for review.

*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.

13. SECURITY GUIDANCE. The security classification guidance needed for this classified effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended. (Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposia must be submitted to AIR-7.4.1 for approval prior to presentation. Unclassified material submitted for public release (that is not to be presented at classified symposia) shall be forwarded for review prior to release as stated in item 12 above. Transmission by non-secure facsimile of technical papers, briefings or presentations is NOT authorized.

Determination of need-to-know in connection with a classified visit is the responsibility of the individual/host who will disclose the classified information.

10a – Access to Classified COMSEC material is required; a COMSEC account is not required for this effort; COMSEC is not releasable to contractor employees who have not received a FINAL security clearance at the appropriate level. Cryptologic keying materials and Controlled Cryptographic Items (CCI) are controlled by the Department of the Navy, NISPOM, and National Security Agency (NSA) guidelines. The contractor shall be guided by NSA/CSS Policy Manual, 3-16 and CNSSP 1 & CNSSP 3 in the safeguarding, control and protection of COMSEC material/information. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by Command policy and procedures. Written concurrence of the TPOC/COR, identified in Block 9, is required prior to subcontracting.

10e (2) – Access to intelligence information required for performance. Non-SCI Intelligence Information is not releasable to contractor employees who have not received a FINAL security clearance at the appropriate level. Contractor shall comply with Naval Air Warfare Center Aircraft Division Scientific and Technical Intelligence Liaison Officer Memo of 03 MAR 09 (attached).

Reviewed by: __________________________________________________ NAVAIR Scientific Technical Intelligence Liaison Office (STILO)

10g – Personnel not assigned to a NATO staff position, but requiring access to NATO Secret, or access to the NATO accredited SIPRNET terminals, must possess the equivalent FINAL U.S. Security Clearance based upon the appropriate personnel security investigation required.

Written concurrence of the TPOC/COR, identified in Blk 9, is required prior to subcontracting. See addendum for additional security guidance.

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements, 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 cognizant security office. Use item 13 if additional space is needed.)
X
YES

NO

OPSEC

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspectors. Use item 13 if additional space is needed.)

YES
X
NO

None

16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below.

a. TYPED NAME OF CERTIFYING OFFICIAL
b. TITLE
c. TELEPHONE (Include Area Code)
James W. Beck
Contracting Officer’s Security Representative (COSR)
e-mail: @navy.mil
d. ADDRESS (Include Zip Code)
17. REQUIRED DISTRIBUTION
Commander, Naval Air Systems Command
X
a.

CONTRACTOR

Bldg. 2272, Rm 074, Attn: 7.4.1 Security b.

SUBCONTRACTOR

47123 Buse Road
X
c.

COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

Patuxent River, MD 20670 d.

U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

e. SIGNATURE
X
e.

ADMINISTRATIVE CONTRACTING OFFICER

X
f.

OTHERS AS NECESSARY

DD 254-Addendum (Item 13):

10g – NATO access shall be in compliance with DoD Directive 5100.55 (ref: hhh); DoD Directive C-5220.29 (ref: iii), NISPOM and USSAM Instructions 1-69 and 1-70.

10j – For Official Use Only (FOUO) information generated and/or provided under this contract shall be safeguarded and marked as specified in DoD 5400.7-R, Chapter 3 and DoD 5200.1-R, Appendix 3.

DoD 5400.7-R, Chapter 3 can be found at the following website (print pages 31 thru 42):

http://www.dtic.nil/whs/directives/corres/pdf/54007r.pdf DoD 5200.1-R, Appendix 3 can be found at the following website (print pages 138 thru 149):

http://www.dtic.nil/whs/directives/corres/pdf/52001r.pdf 10k – Secret Internet Protocol Network (SIPRNET) access authorized at government facilities only. The contract shall not access, download, or further disseminate any special access data (i.e., intelligence, NATO, COMSEC, etc.) outside the execution of the defined contract requirements and/or without the guidance and written permission of the NAVAIR/NAWCAD STILO. In the event that any special access is required, the TPOC/COR must submit modification request to STILO and AIR-7.4.1 for review/approval of the DD Form 254 revision. Contractor shall prepare and submit to AIR-7.2.6, along with DD Form 254, the SIPRNET Access Request (SAR) Form prior to receiving access.

11a - Classified performance will take place at NAWCAD St. Inigoes, MD; NAS Norfolk, VA; NAS Oceana, VA; NAS Portsmouth, VA; NAS Jacksonville, FL; NAS Pensacola, FL: Naval Station, San Diego, CA; and Lemoore, CA; Puget Sound Naval Shipyard and Intermediate Maintenance Facility, Bremerton, WA; NAS Everett, WA; Seattle WA; NAS Whidbey Island, WA; Pascagoula, MS; Northrop Grumman Shipyard, Newport News, VA.; others as identified /approved by the COR/TPOC and NAVAIR SIO.

11f – Access to OCONUS locations will be determined by Air Traffic Control &Landing Systems (ATC&LS) support requirements to ships deployed. Locations may include, but are not limited to: Sasebo, Japan; Yokosuka, Japan; Iwakuni, Japan; and other ATC&LS system locations.

11g – To use DTIC services, the contractor must register for an account at: http://www.dtic.mil/dtic/registration/contractors/index.html.

11j – While performing aboard NAVAIR sites, the contractor shall comply with the provisions of OPNAVINST 3432.1 and the local command 3432 instruction series for Operations Security; and Program Specific Program Protection Plan (PPP) for the protection of the Critical Program Information (CPI) identified in the Programs’ PPP. At all other Field Activities the contractor shall comply with the local command and/or Program OPSEC Plan and/or Program Protection Plan (PPP).

The following security classification guide, and subsequent upgrades/revision(s), is required for performance of this contract. Classification guidance and all revisions/updates will be provided to the contractor by the Program Office.

02-274.1 Joint Precision Approach and Landing System (JPALS) PEO(T) PMA-213 9/21/2009

02-270.1 Navy Unmanned Combat Air System CV Demonstration (UCAS-D) PMA-268 6/24/2010

OPNAVINST S5512.3B Dual Band Radar (DBR) dated 6 Nov 1984 will be delivered under separate cover.

If additional security classification is required, contact the COR or TPOC listed in block 9.

-----------------------------------------------------END OF DD FORM 254 ADDITIONAL DATA SHEET----------------------------------------------- DD Form 254 DEC 99

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