Attachment_5_-_Draft_DD254.pdf
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- Solicitation number
- N00421-19-R-0064
About this file
This document contains a Draft DD254 form and related information for solicitation N00421-19-R-0064. The DD254 form specifies security requirements for a contract to provide technical support services to the Air Combat Environment Test and Evaluation Facility (ACETEF). Key details include: the contractor will require access to Secret and Special Access Required information and SIPRNet; the performance location is Naval Air Warfare Center Aircraft Division in Patuxent River, MD; the contracting agency is the Department of the Navy Naval Air Systems Command; the contract number is N00421-19-R-0064; and the period of performance and response date are not specified on the form. The contractor must follow security guidelines for classified information and special briefing requirements apply for NATO access.
DD 254
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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PREVIOUS EDITION IS OBSOLETE.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:
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. 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.)
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 List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) New DD254 STILO Memorandum 06NOV2018.pdf
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| Classification: Unclassified |
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| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
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| Soli: N00421-19-R-0064 |
| DueDate: 2019-11-22 |
| dateA: 20191025 |
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| Enter your name here.: N0042116D0013 |
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TBD
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| Name: Davis, Mark A. |
| Cage: TBD |
| Cage: N/A |
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CSO:
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| Location: Naval Air Warfare Center Aircraft Div., Patuxent River, MD |
| Block9: This contract is a single award indefinite delivery / indefinite quantity contract to perform research, development, management, design, documentation, fabrication, installation, integration, test, evaluation, operation and maintenance for the IBST and associated AARDT&E capabilities, laboratories and facilities. Specific requirements will be derived from the scope of this statement of work and documented through individual Delivery Orders (DO) or Task Orders (TO). |
These laboratories and facilities include, but are not limited to the following:
• Threat Air Defense Laboratory
• Electronic Warfare Integrated Systems Test Laboratory
• Communication Navigation and Identification (CNI) Laboratory
• Electro-Optical/Infrared Laboratory
• Kathy S. Johnson Radar Laboratory
• Advanced Systems Integration Laboratory
• Aircraft Anechoic Test Facility
• Electromagnetic Interference Chambers
• Shielded Hangar
• TEMPEST*
• Electromagnetic Immunity/Interference
• Joint Simulation Environments
• DAiTA Managed Research, Development and Platform Laboratories
COR: Terry Caulley, 5.4 (301) 757-0584
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| Enter your name here.: SIPRNET ACCESS REQUIRED |
| Enter your name here.: SIPRNET Access required |
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| Enter your name here.: F-35 Joint Program Office (JPO) |
200 12th Street, Suite 600, Arlington, VA 22202 PublicAuthority: Public Affairs Officer Continuation (See Section 13)
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Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposium must be submitted to AI R-7.4.1 for approval prior to presentation . Unclassified material submitted for public release (that is not to be presented at classified symposium) 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.
DoD 5220.22-M, National Security Program Operating Manual (NISPOM), latest version.
Item 12: Public Release Authority
*Public release of Special Access Program (SAP) related data is NOT authorized without prior coordination through the Air Force Office of Special Investigations (AFOSI), Office of Special Projects (PJ) Security Director and subsequent approval of the Original Classification Authority (OCA) and Air Force Special Access Program Central Office (AFSAPCO). Submit all proposed public disclosures related to SAP data to the Government Program Manager (GPM) and the Air Force Office of Special Investigations (AFOSI), Office of Special Projects (PJ) Program Security Officer (PSO).
Item 10a: Contractor is authorized to receive Government furnished cryptographic equipment. Access to classified COMSEC information requires a final US Government clearance at the appropriate level. COMSEC/Crypto key up to the Secret level may be required in support of this contract. Further disclosure of COMSEC information by a contractor, to include sub-contracting, requires prior approval of the GCA. Non-accountable COMSEC information, though not tracked in the COMSEC material control system, may still require a level of control within a document control system. Refer to NSA/CSS Manual 3-16, "Control of Communications Security Material," and the Committee on National Security Systems Instruction (CNSSI) 4001, "Controlled Cryptographic Items" for guidance.
Item 10f: (JSF ONLY) Contractor is authorized to receive and generate up to Secret/Special Access Required (S//SAR) Information for Senior Bolt (SBT), in accordance with the policy and guidelines established in the Air Force Instruction (AFI) 16-701, DoDM 5205.07 Volume 1-4 , and SBT SCG date 23 Mar 13. By signing this portion of the DD254 JPO signatories will be responsible only for the Secret/Special Access Information part of this contract in support of F-35. NAVAIR will be responsible for all other Navy activities related to this effort." SAP Security Policy documents:
- DoD Manual 5205.07, Vol 1: DoD Special Access Program (SAP) Security Manual: General Procedures, dated 18 Jun 2015
- DoD Manual 5205.7, Vol 2: DoD Special Access Program (SAP) Security Manual: Personnel Security, dated 24 Nov 2015
- DoD Manual 5205.7, Vol 3: DoD Special Access Program (SAP) Security Manual: Physical Security, dated 31 Dec 2015
- DoD Manual 5205.7, Vol 4: DoD Special Access Program (SAP) Security Manual, dated 10 Oct 2013, and Air Force Marking Guide for Special Access Programs, Rev 1, dated 16 Oct 2013.
- Risk Management Framework (RMF), dated 18 Dec 2013, and the Joint Special Access Program Implementation Guide (JSIG), Rev 4, dated 11 Apr 2016. The Security Classification Guides for each of these programs will be forwarded under separate cover due to their level of classification.
Item 10g: Use of NATO information is authorized and special briefings are required for access to NATO. See NISPOM Chapter 10, Section 7, for details. Disclosure to foreign nationals will be in accordance with established ITAR and J-35 JPO Policy and Procedures.
10g: 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 Representative/Technical Point of Contact, identified in Block 9, required prior to subcontracting.
10h - Foreign Government Information (FGI) is not releasable to contractor employees who have not received a FINAL Clearance at the appropriate security level. Written concurrence of the Contracting Officer Representative/Technical Point of Contact, identified in Block 9, is required prior to subcontracting.
10j, 11l: For Official Use Only information generated and/or provided under this contract shall be marked and safeguarded as specified in DoDM 5200.0 I (DoD lnformation 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.pdf and DoD 5400.7-R, Freedom of lnformation Program Chapter 3 (pages 31-42) available at http://www.dtic.mil/whs/directives/correslpdf/540007r.pdf. 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 I 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 Infrastructure & Public Key Enabling, Do DI 8520.02, 24 May 2011.
10.m - 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, identified in Block 9, 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 Contracting Officer Representative/Technical Point of Contact, identified in Block 9, is required prior to subcontracting.
11a. All classified informational material shall be provided by the contractor facility or Government Contracting Agency (GCA) and safeguarded at the approved actual performance site. User agency will provide security classification guidance for performance of this contract. Any classified information generated in performance of this contract shall be classified in accordance to the marking shown on the source material. Security classification guide (s), and subsequent upgrades/revision(s), apply to classified performance on this contract and shall be identified at the individual task order / delivery order level. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative, identified in Block 9, as Government Furnished lnformation (GFI), and shall be executed by the Contractor without obligation to modify this DD Form 254.
11j - OPSEC: While performing at NAVAIR or NAVAIR sites, the contractor shall comply with the provisions of OPNAVINST 3432.1, the local Command/Facility 3432 instruction series (OPSEC) as well as any procedures identified in Program Specific Operations Security Plans and Program Protection Plans (PPP) as applicable. The Contractor shall be responsible for subcontractor implementation of the OPSEC Program requirements for this contract.
Item 11j: OPSEC applies to the Special Access portions of this contract and will be conducted in accordance with Air Force Instructions (AFI) 16-701 and DoDM 5205.07 Volume 1-4 and as described in the Special Access Program's SCG. Specifically, an OPSEC orientation must be provided to newly assigned personnel in concert with the Special Access Program indoctrination. OPSEC will also be covered in annual refresher training. Areas to be briefed include vulnerabilities to program information and compensatory measures used, significance of unclassified data, appropriate actions/responses to requests for information and any lessons learned. Emphasis should center on security as an integral element of day-to-day activities.
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| rep: Lorreen Kieschnick, |
Deputy Security Director F-35 Joint Program Office rep: JEFFREY S. WILSON, AFOSI Special Projects (PJ) F-35 Program Security Officer
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| Enter your name here.: Special Access Program requirements and procedures will be governed by the Air Force Instructions (AFI) 16-701 and DoD Manual 5205.07 volumes I – IV include but not limited to, Intelligence Community Directives (ICDs) of a security relevant nature. In accordance with the DoD SAPCO Memorandum, Transition to the Risk Management Framework, dated December 18, 2013, certification and authorization of any information system after December 18, 2016 must be accomplished utilizing the Risk Management Framework (RMF) and the Joint Special Access Implementation Guide (JSIG), Rev 4, dated January 21, 2016. All new Special Access Required information systems must utilized RMF and JSIG for certification and authorization as they are created. OPSEC requirements apply. |
| Enter your name here.: AFOSI PJ Security Director will maintain inspection authority and security cognizance for all classified material and/or information within accredited Special Access Facilities (SAPF’s) used in support of this contract. DSS Security has been relieved of security cognizance for the SAP facilities, F-35 JPO Arlington, VA will have security cognizance over collateral material classified by the JSF SCG located at the F-35 facility. “US Army CUSR will maintain security cognizance over NATO material” |
| GCAName: Naval Air Warfare Center - Aircraft Division |
| AAC: N00421 |
| AAC: N00421 |
| Address: |
21983 Bundy Road Patuxent River, MD 20670 Address: Commander, Naval Air Warfare Center Aircraft Division Bldg 2272, Rm. 074, Attn: 7.4.1 Security 47123 Buse Road Patuxent River, MD 20670
| POCName: Christopher Pennini |
| Phone: 3017575980 |
| Phone: 3013426045 |
| Email: christopher.pennini@navy.mil |
| Email: mark.a.davis@navy.mil |
| Title: Contracting Officer's Rep for Security |
| Enter the date using the format DD-Mon-YYYY: |
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