Attachment_2_DD254_-_N00421-15-R-0016.pdf
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- N00421-15-R-0016
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DRAFT Attachment 2 DD254
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DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
1. CLEARANCE AND SAFEGUARDING
a. FACILITY CLEARANCE REQUIRED
b. LEVEL OF SAFEGUARDING REQUIRED
2. THIS SPECIFICATION IS FOR: (X and complete as applicable)
a. PRIME CONTRACT NUMBER
b. SUBCONTRACT NUMBER
c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable)
a. ORIGINAL (Complete date in all cases)
REVISION NO.
c. FINAL (Complete Item 5 in all cases)
DATE (YYYYMMDD)
b. REVISED (Supersedes all previous specs)
DATE (YYYYMMDD)
DATE (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? YES 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 NO. If Yes, complete the following:
In response to the contractor's request dated , retention of the classified material is authorized for the period of
6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
10. CONTRACTOR WILL REQUIRE ACCESS TO: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:YES NO YES NO
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION
b. RESTRICTED DATA
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
d. FORMERLY RESTRICTED DATA
e. INTELLIGENCE INFORMATION
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
f. SPECIAL ACCESS INFORMATION
g. NATO INFORMATION
h. FOREIGN GOVERNMENT INFORMATION
i. LIMITED DISSEMINATION INFORMATION
j. FOR OFFICIAL USE ONLY INFORMATION
k. OTHER (Specify)
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY
b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE AND GENERATE CLASSIFIED 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 TEMPEST REQUIREMENTS
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
l. OTHER (Specify)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7.0
12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release
a. TYPED NAME OF CERTIFYING OFFICIAL
Direct Through (Specify)
d. ADDRESS (Include Zip Code)
Yes No to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary 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.)
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM 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.)
Yes No15. 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 inspections. Use Item 13 if additional space is needed.)
16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below.
b. TITLE c. TELEPHONE (Include Area Code)
e. SIGNATURE
17. REQUIRED DISTRIBUTION
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. OTHERS AS NECESSARY
DD FORM 254 (BACK), DEC 1999
SUPPLEMENTAL ATTACHMENT FOR SOLICITATION N00421-13-R-0113 DD254
Item 13 continued:
10k: Secret Internet Protocol Network (SIPRNET) access required. The contracotr 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 without the guidance and written permission of the NAVAIR/NAWCAD STILO. In the event that any special access is required, the COR or TPOC must modifiy the requirements for submission to AIR-7.4.1 for 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 is restricted to the Naval Air Warfare Center Aircraft Division, Patuxent River, MD. Security classification guidance shall be provided on site. The COR/TPOC is responsible ensuring that distribution statements are placed on all classified and unclassified technical documents.
11d: Contract shall be storing classified hardware at their facility and shall provide appropriate storage spaces.
11j: OPSEC: 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; at all other sites, the contractor shall comply with the local command and/or program OPSEC Plan.
11l: Contractor personnel may perform escort responsibilities for individuals whose contractual or program related efforts require access to sensitive areas. Only those contractor employees assigned to the particular program being visited may be utilized. In addition, contractor employees (assigned as escorts) shall complete local OPSEC and counterintelligence awareness training provided by NAWC security through their government point of contact.
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.
Visit request shall have “need-to-know” certified by the COR listed in Block 9. All visit requests to Military Installations for classifed or unclassifed visits from subcontractors will be sent via the prime contractor who will certify the need-to-know.
If additional security classification is required, contact the COSR.
| fac_clear: TOP SECRET |
| safe_level: SECRET |
| prime_no: TBD |
| xprime: Off |
| sub_no: |
| xsub: Off |
| xsolic: Yes |
| solic_no: N00421-15-R-0016 |
| due_date: |
| xspec3: Orig |
| orig_date: 20150430 |
| rev_no: |
| rev_date: |
| final_date: |
| xfollowon: Yes |
| prec_no: N00178-04-D-4011-M802 |
| xfinal: No |
| req_dated: |
| period: |
| ctr_name: Upon award, provide COSR with contract number, contractor's name and address, and cage code. Not valid for actual contract. |
| ctr_cage: N/A |
| ctr_ofc: N/A |
| sub_name: N/A |
| sub_cage: N/A |
| sub_ofc: N/A |
| perf_loc: N/A |
| perf_cage: N/A |
| perf_ofc: N/A |
| gen_id: Engineering and Technical Services in Support of the Air Combat Environment Test and Evaluation Facility (ACETEF) |
COR: Joel Carpenter, (301) 342-6919
| x10a: Yes |
| x10b: No |
| x10c: No |
| x10d: No |
| x10e1: No |
| x10e2: Yes |
| x10f: No |
| x10g: No |
| x10h: No |
| x10i: No |
| x10j: Yes |
| x10k: Yes |
| other10k: SIPRNET ACCESS REQUIRED |
| x11a: Yes |
| x11b: Yes |
| x11c: Yes |
| x11d: Yes |
| x11e: Yes |
| x11f: Yes |
| x11g: Yes |
| x11h: Yes |
| x11i: Yes |
| x11j: Yes |
| x11k: Yes |
| x11l: Yes |
| other11l: Contractor escort responsibilities |
| xrelease: No |
| release_thru: Transmission by non-secure facsimile or e-mail is NOT authorized (by Prime or subcontractor(s)) |
Submit ALL Public Releases to: 5.4.4.4 NAVAIR FORM 5720/1 must be completed and attached.
guidance: 10a: COMSEC Information is not releasable to contractor employees who have not received a FINAL Clearance at the appropriate security level. COMSEC access shall be IAW DoD 5220.22M. COMSEC information and materials are subject to the controls of and restrictions specified in the National Security Agency NSA/CSS Poly Manual, 3-16, dated 05 August 2005. When access is required at government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by EKMS 1A (or applicable series) and command policy and procedures. Written concurrence of the Contracting Officer's Security Representative (COSR) is required prior to subcontracting.
10e(2): Non-SCI Information is not releasable to contractor employees who have not received a Clearance at the appropriate security level. Written concurrence of the Contracting Officer's Security Representative (COSR) is required prior to subcontracting. Access to Intelligence Information required for performance. Contractor shall comply with Naval Air Warfare Center Aircraft Division Scientific and Technical Intelligence Liaison Officer memo of 01 JUN 99 (attached).
Reviewed by:______________________________________ Senior Intelligence Officer, Stephen Hendricks
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 (attached).
SEE SUPPLEMENTAL ATTACHMENT FOR ADDITIONAL SECURITY REQUIREMENTS
| xaddlsec: Yes |
| addl_sec: OPSEC CDRL in contract. |
| xinsp: No |
| inspections: NONE |
| cert_name: MARK A. DAVIS |
| cert_title: CONTRACTING OFFICER'S SECURITY REP. |
| cert_phone: (301) 342-6045 |
| cert_addr: COMMANDER, NAVAL AIR WARFARE CENTER AIRCRAFT DIV |
ATTN: 7.4.1, B2272, R074, 47123 BUSE ROAD
PATUXENT RIVER, MD 20670-1547
| cert_sign: |
| x17a: Yes |
| x17b: Off |
| x17c: Yes |
| x17d: Off |
| x17e: Off |
| x17f: Yes |
| other_dist: |
| Reset: |
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