Attachment_1_DD_Form_254.pdf

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

Secret Secret

DUE DATE (YYYYMMDD)

N00421-17-R-0018

c. SOLICITATION OR OTHER NUMBER

b. SUBCONTRACT NUMBER

Request for Proposal, not Valid for Performance

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.)

20171130

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?

N/A

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

N/A

b. CAGE CODE

Request for Proposal not, Valid for Performance

a. NAME, ADDRESS, AND ZIP CODE

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

N/A

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

b. CAGE CODE

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

N/A

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

N/A

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

See Actual Performance Continued

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

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

Contracted Air Services CAS) Terminal Attack Controller Trainer (TACT)

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

SIPRNet, STE, Secure Fax Access Authorized

DD FORM 254, NOV 2017 PREVIOUS EDITION IS OBSOLETE.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

CLASSIFICATION (When filled in):

U//FOUOCLASSIFICATION (When filled in):

U//FOUO

(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

Transmissions by non-secure facsimile or E-mail is NOT authorized (by Prime or subcontractor(s))

Submit ALL Public Releases to: Program Executive Office, PMA-226 NAVAIR FORM 5720.10 must be completed and attached.

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.)

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. All controlled unclassified and classified technical information shall be appropriately marked with distribution statements as specified in DoDI 5230.24 (Distribution Statements on Technical Documents) http://www.dtic.mil/whs/directives/corres/ pdf/523024p.pdf.

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

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

YesNo (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

NONE

OPSEC CDRL in Contract

(252)466-5357

e. POC TELEPHONE (Include Area Code.)

james.m.rhodes2@navy.mil

f. EMAIL ADDRESS (See instructions.)

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

N00421

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

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

J. Matt Rhodes

d. POC NAME (See instructions.)

Building 2272, Suite 149 Patuxent River, Md. 20670

c. ADDRESS (Include ZIP Code.)

Commander, Naval Air Warfare Center Aircraft Division (NAVAIRWARCENACDIV)

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.)

Davis, Mark A

(301) 342-6045

f. TELEPHONE (Include Area Code.)

mark.a.davis@navy.mil

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

Contracting Officer's Representative For Security (COSR)

b. TITLE Commander, Naval Air Warfare Center Aircraft Division (NAVAIRWARCENACDIV) Bldg. 2272, Rm. 074, Attn: 7.4.1 Security 47123 Buse Road Patuxent River, MD 20670-1547

c. ADDRESS (Include ZIP Code.)

Please see Item 13

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

N00421

U//FOUOCLASSIFICATION (When filled in):

U//FOUOCLASSIFICATION (When filled in):

BECK.JAMES.WI

LSON.1046542653

Digitally signed by

BECK.JAMES.WILSON.10465426

Date: 2017.12.27 12:55:14 -05'00'

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

N/A

b. CAGE CODE

N/A

7. SUBCONTRACTOR(S) (Continued)

N/A

b. CAGE CODE

N/A

b. CAGE CODE

N/A

b. CAGE CODE

N/A

b. CAGE CODE

MCAS Yuma, Yuma Air Station, Yuma AZ

N/A

b. CAGE CODE

Naval Air Station (NAS) Fallon NV

N/A

b. CAGE CODE

Marine Corps Air Ground Combat Center (MCAGCC) Twenty-nine Palms, CA

N/A

b. CAGE CODE

Marine Corps Air Station (MCAS) Cherry Point, NC – G10 Impact Range

8. ACTUAL PERFORMANCE (Continued)

Contracted Air Services CAS) Terminal Attack Controller Trainer (TACT)

9. GENERAL UNCLASSIFIED IDENTIFICATION OF THIS PROCUREMENT (Continued)

DD FORM 254, NOV 2017 Pages3of1Continuation Page

U//FOUO

CLASSIFICATION (When filled in): U//FOUO

CLASSIFICATION (When filled in):

15. INSPECTIONS (Continued)

OPSEC CDRL in Contract

14. ADDITIONAL SECURITY REQUIREMENTS (Continued)

10.a/11.h: Classified COMSEC material 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 Department of the Navy, NISPOM, and National Security Agency (NSA) guidelines. The contractor shall be guided by NSA/CSS Policy Manual 3-16 in the control and protection of COMSEC material/ information at their facilities. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by DoD 5520.22-M, EKMS 1 (series) and Command policy and procedures. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/Contracting Officer Security Representative (as applicable) is required prior to subcontracting.

10e(2): "The Command Senior Intelligence Officer (SIO) as defined in 5105.21, Volume 1 October 19, 2012, Sensitive Compartmented Information (SCI) Administrative Security Manual: Administration of Information and Information Systems Security, is the official approving authority for all releases of intelligence information pertaining to NAVAIR contracts and all affiliated sub-contracts.

Contractors are not authorized to disclose further or release intelligence to any of their components or employees or to another contractor (including sub-contractors) without the prior written notification and approval of the SIO unless such disclosure or release is authorized in writing at the initiation of the contract as an operational requirement.

Intelligence released to contractors, all reproductions thereof, and all other material generated based on, or incorporating data there from (including authorized reproductions), remain the property of the US Government. The contractor shall return all intelligence documents to the Science Technology Intelligence Liaison Office (STILO) within 36 months of date of receipt, or the termination date of the contract, whichever occurs first.

All intelligence information will be reviewed and validated by the SIO prior to being utilized and or delivered in a finish product . Intelligence information intended to be utilized from other contractual efforts satisfying this contract will be coordinated and approved prior to execution by all parties.

In accordance with Department of Defense (DOD) Directive 5148.13, contractor personnel involved in intelligence and intelligence-related activities are required to report any significant, highly sensitive matter, or questionable intelligence activities to appropriate government officials."

13. SECURITY GUIDANCE (Continued)

Pages3of2Continuation PageDD FORM 254, NOV 2017

U//FOUO

CLASSIFICATION (When filled in): U//FOUO

CLASSIFICATION (When filled in):

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

Senior Intelligence Officer, Rebecca L. Ahne

OPSEC CDRL in contract

10.g: To facilitate potential access to NATO classified information, to include NATO accredited SIPRnet terminals, all DoD military, civilian, and contractor personnel who are briefed on their responsibilities for protecting U.S. classified military information, shall also be briefed on the requirements for protecting NATO information, per Deputy Under Secretary of Defense Policy Security Memo of 5 Dec 01. Written concurrence of the Contracting Officer/Technical Point of Contact, identified in Block 9, required prior to subcontracting.

10j/11l.: Controlled Unclassified Information including For Official Use Only information generated and/or provided under this contract shall be marked and safeguarded as specified in DoDM 5200.01 (DoD Information Security Program: Controlled Unclassified Information (CUI) Vol. 4 (enclosure 3 pages 11-18) available at http://www.dtic.mil/whs/directives/corres/pdf/520001_vol4.

All For Official Use Only (FOUO) and program sensitive data transmitted and stored via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting FOUO, over non-secure e-mail (e.g. not connected to the Navy Marine Corps Intranet through Broadband Unclassified Remote Access System / Virtual Private network), those transmissions are encrypted using Department of Defense Public Key Infrastructure (PKI), or an approved DoD External Certificate Authority, in accordance with Public Key Enabling, DoDI 8520.02, 24 May 2011.

10.k: Secret Internet Protocol Network (SIPRnet) access authorized. The contractor shall not access, download, or further disseminate any information or data that falls outside the scope and execution of the defined contract requirements. In the event any additional access is required, the Technical Point of Contact/Contracting Officer Representative must modify the requirements for DD Form 254 revision. Contractor shall prepare and submit all required documentation as required by Command policy prior to receiving access. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/Contracting Officer Security Representative (as applicable) is required prior to subcontracting.

Block 10k: Use of Secure Terminal Equipment (STE) for transmission of classified U. S. Government information is authorized. Secure Facsimile:

Receipt and transmission of Classified Information authorized via Secure Facsimile. Written concurrence of the Contracting Officer Representative/ Technical Point of Contact, identified in Block 9, or Contracting Officer’s Security Representative (as applicable), is required prior to subcontracting.

13. SECURITY GUIDANCE (Continued)

Pages3of3Continuation PageDD FORM 254, NOV 2017

U//FOUO

CLASSIFICATION (When filled in): U//FOUO

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

OPSEC CDRL in contract

11.c: Information Systems (IS) shall be protected in accordance with DoD 8510.01 and/or per guidance in the DoD 5220.22-M, National Industrial Security Operating Manual (NISPOM).

Specific Security Classification Guidance (SCGs), to include subsequent upgrades/revision(s), applying to classified performance on this contract, shall be provided by the Contracting officer Representative or Technical Point of Contact, identified in Blk 9, as Government Furnished Information (GFI); and shall be executed by the Contractor without obligation to modify this DD Form 254. If additional security classification is required, contact the COR identified in Blk 9.

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

11.j: OPSEC: The contractor shall develop, implement, and maintain a facility level OPSEC Program to protect critical information to be used at the contractor facility during the performance of this contract. Contract data requirements list (CDRL A006) and data item description (DID-DI- MGMT-80934C)) are a component of the contract. A draft OPSEC Plan must be submitted to: Commander, Naval Air Systems Command, ATTN:

(Specialized and Proven Aircraft Program Office (PMA-226) 47123 Buse Road; Building 2272, Suite 149; Patuxent River, Md. 20670), within 90 days of contract award. A final OPSEC Plan is due 45 days from the date that the draft OPSEC Plan is approved. The Contractor shall be responsible for subcontractor implementation of the OPSEC Program requirements for this contract.

11.k: Contractor shall use the Defense Courier Service for delivery of all COMSEC and/or Top Secret information. The Contractor shall forward their USTRANSCOM IMT10 Defense Courier Account Record form to the COR/TPOC to verify clearances and sign Part II.

If additional security classification assistance is required, please contact COR/TPOC listed in block 16.

13. SECURITY GUIDANCE (Continued)

Pages3ofContinuation PageDD FORM 254, NOV 2017

U//FOUO

CLASSIFICATION (When filled in): U//FOUO

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