Attachment_7_-_DD_254.pdf
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- Attached to
- Advanced Sensor System Development and Execution (ASSDE) Federal contract opportunity
- Solicitation number
- N00421-19-R-0069
About this file
This sources sought notice requests capability statements from businesses for a potential indefinite delivery indefinite quantity contract to provide advanced sensor system development and execution services to the Naval Air Warfare Center Aircraft Division. Services may include engineering, research, development, testing, and evaluation of electro-optical/infrared, hyperspectral/multispectral imaging, light detection and ranging, radio detection and ranging, signals intelligence, chemical/biological/radiological/nuclear/explosive, and sound navigation and ranging sensor technologies. The period of performance is anticipated to be five years with a mix of on-site and off-site work at government facilities in Patuxent River, Maryland and Yuma Proving Grounds, Arizona as well as contractor facilities. Responses are requested by March 29, 2019 and must include company information, technical capabilities, and experience on similar contracts. The anticipated contract type is cost-plus-fixed-fee.
Attachment 7 - DD 254
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CLASSIFICATION (When filled in): Unclassified
PREVIOUS EDITION IS OBSOLETE. Page # of ##
AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page # of ##
AEM LiveCycle Designer
DD FORM 254, APR 2018
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
a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED
(See Instructions)
Top Secret
b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/
MATERIAL REQUIRED AT CONTRACTOR FACILITY
Secret
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)
a. PRIME CONTRACT NUMBER (See instructions.)
Request for Proposal, Not Valid for Performance
b. SUBCONTRACT NUMBER
c. SOLICITATION OR OTHER NUMBER
N00421-19-R-0069
DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable.)
a. ORIGINAL (Complete date in all cases.)
DATE (YYYYMMDD)
20190703
b. REVISED (Supersedes all previous specifications.)
REVISION NO. DATE (YYYYMMDD)
c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? No Yes 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? No Yes 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 Request for Proposal, Not valid for performance
b. CAGE CODE
N/A
c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) N/A
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) Add Row Remove last Row Delete All Rows
a. NAME, ADDRESS, AND ZIP CODE N/A
b. CAGE CODE
N/A
c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) N/A
8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows
a. LOCATION(S) (For actual performance, see instructions.)
Webster Field Annex, St. Inigoes, MD Patuxent River, MD Yuma Proving Grounds, AZ
b. CAGE CODE (If applicable, see Instructions.)
N/A
c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional) N/A
9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT
Contractors will provide services in support of of the design, development and demonstration of sensor technologies to include, but not limited to, Electo-Optical/Infrared Hyper-Spectral/Multi-Spectral Imaging (EO/IR HSI/MSI), Light Detection and Ranging (LIDAR), Radio Detection and Ranging (RADAR), Signals Intelligence (SIGINT), Chemical/Biological/Radiation/Nuclear/Explosive (CBRNE) and Sound Navigation and Ranging (SONAR) technologies for a variety of platforms, manned and unmanned airborne, shipborne and fixed and mobile ground stations. These services include, but are not limited to, project management, research, analysis, design, parts and material procurement, demonstration, test and evaluation, user/maintainer training, and associated software development.
PREVIOUS EDITION IS OBSOLETE. Page # of ##
AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page # of ##
AEM LiveCycle Designer
DD FORM 254, APR 2018
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 f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION
b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION
(NATO) INFORMATION
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.) h. FOREIGN GOVERMENT INFORMATION
d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES
(ACCM) INFORMATION
e. NATIONAL INTELLIGENCE INFORMATION:
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)
k. OTHER (Specify) (See instructions.)
SIPRNet access required at government facilities in the United States only
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.)
b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE, STORE, AND GENERATE CLASSIFIED
INFORMATION OR 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 A TEMPEST REQUIREMENT
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE
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 THROUGH (Specify below)
Transmissions by non-secure facsimile or E-mail is NOT authorized (by Prime or subcontractor(s))
Public Release Authority:
Submit ALL Public Releases to: AIR 4.11 NAVAIR FORM 5720.10 must be completed and attached
13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures
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.)
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.
All contracts with non-Sensitive Compartmented Information and Non-Compartmented work that may reveal mission-related information of a sensitive activity or sensitive operation should be routed to the NAVAIR STILO for approval.
All instances of loss, compromise and electronic spillage of classified or controlled unclassified information shall be reported to the COR, PREVIOUS EDITION IS OBSOLETE. Page # of ##
AEM LiveCycle Designer DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page # of ##
AEM LiveCycle Designer
DD FORM 254, APR 2018
TPOC, and Government Security Office within 24 hours of the incident occurring.
Block 10a. Classified COMSEC material is not releasable to contractor employees who have not received a FINAL security clearance at the appropriate level. Cryptographic keying materials and Controlled Cryptographic Items (CCI) are controlled by Department of Navy, NISPOM, and National Security Agency (NSA) Guidelines. The contractor shall be guided by NSA/DSS 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 5220.11-M, EKMS 1(series) Command policy and procedures. Written concurrence of the COR/TPOC, identified in Block 9, is required prior to subcontracting.
Block 10.e(2) –No contractor access to Non-SCI intelligence information or Foreign Intelligence Information required (Secret Internet Protocol Network (SIPRNet) access requirement only). If additional access via SIPRNet is required, the Technical Point of Contact/ Contracting Officer Representative must modify/revise the requirements of DD254 for Scientific Technical Intelligence Liaison Officer (STILO) approval and signature.
Block 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 16, is required prior to subcontracting.
Block 10.h –No contractor access to Foreign Government Information required (Secret Internet Protocol Network (SIPRNet) access requirement only). If additional access via SIPRNet is required, the Technical Point of Contact/Contracting Officer Representative must modify/revise the requirements of DD254 for access to Foreign Government Information.
Block 10.j/11.l – Controlled Unclassified Information including For Official Use Only and Covered Defense Information (meeting the definition of 48 CFR 252.204–7012(a)) 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.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/520001-V4p.pdf. Any product containing Covered Defense Information shall be assigned the appropriate distribution statement using the criteria set forth in DoDI 5230.24 (Distribution Statements on Technical Documents); and have this statement displayed per DoDI 5230.24, Enclosure 3-4.
All For Official Use Only (FOUO), Covered Defense Information (CDI), and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting FOUO/CDI, 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 Infrastructure & Public Key Enabling, DoDI 8520.02, 24 May 2011.
Block 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 identified in Block 16, or Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
Block 11.c- Information Systems (IS) shall be protected in accordance with DoDI 8510.01and/or per guidance in the DoD 5220.22-M, National Industrial Security Operating Manual (NISPOM).
Block 11.d-Contractor shall provide adequate storage at their facility for classified hardware. Classified shipments are not to exceed two cubic feet. Larger size shipments require prior coordination with the Facility Security Officer (FSO) to confirm facility storage capacity.
Preparation and transmission of material for shipment will be in accordance the DoD 5220.22-M, NISPOM, and the DoD 52001.01 V3, DoD Information Security Program Manual.
Block 11.f –The contractor shall require access at U.S. and/or partner nation’s controlled facilities in various OCONUS locations in performance of a task order under this contract.
Block 11.j – OPSEC: While performing aboard NAVAIR or other U.S. military 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 comply with any and all additional OPSEC security plans and requirements of the Hosting Command. All applicable OPSEC Plans will be provided by TPOC
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AEM LiveCycle Designer
DD FORM 254, APR 2018
identified in Block 16. The prime contractor is responsible for subcontractor implementation of Operations Security.
If additional security classification assistance is required, please contact the COR/TPOC listed in block 16d.
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 16, 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 16d.
***********************************END OF DD254 ADDITIONAL DATA SHEET*************
List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
Add Attachment View Selected Attachment Remove Selected Attachment
N/A NAME & TITLE OF REVIEWING OFFICIAL
N/A
SIGNATURE
14. ADDITIONAL SECURITY REQUIREMENTS
Requirements, in addition to NISPOM requirements for classified information, are established for this contract.
No Yes 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.)
OPSEC CDRL in Contract
15. INSPECTIONS
Elements of this contract are outside the inspection responsibility of the CSO.
No Yes 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)
a. GCA NAME
NAVAIR Patuxent River, MD Contracts
b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)
N00421
c. ADDRESS (Include ZIP Code) 21983 Bundy Road Building 441, AIR-251 Patuxent River, MD 20670
d. POC NAME
Robert Kellner
e. POC TELEPHONE (Include Area Code)
+1 (301) 995-9835
f. EMAIL ADDRESS (See Instructions) robert.j.kellner@navy.mil
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.
a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)
Yates, Ruth B.
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AEM LiveCycle Designer
DD FORM 254, APR 2018
b. TITLE
Contracting Officer Representative for Security (COSR)
c. ADDRESS (Include ZIP Code) Commander, Naval Air Warfare Center Aircraft Division Bldg, 2272, Rm. 074, Attn: 7.4.1 Security 47123 Buse Road, Patuxent River, MD 20670
d. AAC OF THE CONTRACTING OFFICE (See Instructions)
N00421
e. CAGE CODE OF THE PRIME CONTRACTOR
(See Instructions.)
N/A
f. TELEPHONE (Include Area Code)
+1 (301) 995-6045
g. EMAIL ADDRESS (See Instructions) ruth.yates@navy.mil
h. SIGNATURE
i. DATE SIGNED (See Instructions)
18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL
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. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)
katy.gates@navy.mil dana.tippett@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:
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 (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)
| CurrentPage: |
| PageCount: |
| Classification: Unclassified |
| SerialNum: |
| a. Facility clearance level. Select one.: 1 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 2 |
| Choose Yes or No: 0 |
| Choose Yes or No: 1 |
| Prime: Request for Proposal, Not Valid for Performance |
| Choose Yes or No: 0 |
| Choose Yes or No: 0 |
| Sub: |
| Choose Yes or No: 1 |
| Choose Yes or No: 0 |
| Soli: N00421-19-R-0069 |
| DueDate: |
| dateA: 2019-07-03 |
| RevisionNum: |
| dateB: |
| Final: |
| dateC: |
| No: 1 |
| No: 1 |
| No: 0 |
| No: 1 |
| Yes: 0 |
| Yes: 0 |
| Yes: 1 |
| Yes: 0 |
| Enter your name here.: |
| ReqDated: |
| Enter your name here.: |
| Name: Request for Proposal, Not valid for performance |
| Name: N/A |
| Name: Yates, Ruth B. |
| Cage: N/A |
| Cage: N/A |
| Cage: N/A |
| Cage: N/A |
| CSO: N/A |
| CSO: N/A |
| CSO: N/A |
| addrow: |
| Removerow: |
| Click to delete a row: |
| Location: Webster Field Annex, St. Inigoes, MD |
Patuxent River, MD Yuma Proving Grounds, AZ
| Block9: Contractors will provide services in support of of the design, development and demonstration of sensor technologies to include, but not limited to, Electo-Optical/Infrared Hyper-Spectral/Multi-Spectral Imaging (EO/IR HSI/MSI), Light Detection and Ranging (LIDAR), Radio Detection and Ranging (RADAR), Signals Intelligence (SIGINT), Chemical/Biological/Radiation/Nuclear/Explosive (CBRNE) and Sound Navigation and Ranging (SONAR) technologies for a variety of platforms, manned and unmanned airborne, shipborne and fixed and mobile ground stations. These services include, but are not limited to, project management, research, analysis, design, parts and material procurement, demonstration, test and evaluation, user/maintainer training, and associated software development. |
| a: 1 |
| a: 0 |
| a: 1 |
| f: 0 |
| f: 1 |
| f: 1 |
| b: 0 |
| b: 0 |
| b: 0 |
| g: 1 |
| g: 0 |
| c: 0 |
| c: 1 |
| c: 0 |
| h: 1 |
| h: 0 |
| d: 0 |
| d: 1 |
| d: 0 |
| i: 0 |
| i: 0 |
| SCI: 0 |
| NonSCI: 1 |
| j: 1 |
| j: 1 |
| k: 1 |
| k: 0 |
| Enter your name here.: SIPRNet access required at government facilities in the United States only |
| Enter your name here.: katy.gates@navy.mil |
dana.tippett@navy.mil
| e: 0 |
| e: 1 |
| l: 1 |
| m: 0 |
| direct: 0 |
| thru: 1 |
| Enter your name here.: Transmissions by non-secure facsimile or E-mail is NOT authorized (by Prime or subcontractor(s)) |
| PublicAuthority: Submit ALL Public Releases to: AIR 4.11 |
NAVAIR FORM 5720.10 must be completed and attached
| AddSig: |
| RemoveSig: |
| text: 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.
All contracts with non-Sensitive Compartmented Information and Non-Compartmented work that may reveal mission-related information of a sensitive activity or sensitive operation should be routed to the NAVAIR STILO for approval.
All instances of loss, compromise and electronic spillage of classified or controlled unclassified information shall be reported to the COR, TPOC, and Government Security Office within 24 hours of the incident occurring.
Block 10a. Classified COMSEC material is not releasable to contractor employees who have not received a FINAL security clearance at the appropriate level. Cryptographic keying materials and Controlled Cryptographic Items (CCI) are controlled by Department of Navy, NISPOM, and National Security Agency (NSA) Guidelines. The contractor shall be guided by NSA/DSS 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 5220.11-M, EKMS 1(series) Command policy and procedures. Written concurrence of the COR/TPOC, identified in Block 9, is required prior to subcontracting.
Block 10.e(2) –No contractor access to Non-SCI intelligence information or Foreign Intelligence Information required (Secret Internet Protocol Network (SIPRNet) access requirement only). If additional access via SIPRNet is required, the Technical Point of Contact/Contracting Officer Representative must modify/revise the requirements of DD254 for Scientific Technical Intelligence Liaison Officer (STILO) approval and signature.
Block 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 16, is required prior to subcontracting.
Block 10.h –No contractor access to Foreign Government Information required (Secret Internet Protocol Network (SIPRNet) access requirement only). If additional access via SIPRNet is required, the Technical Point of Contact/Contracting Officer Representative must modify/revise the requirements of DD254 for access to Foreign Government Information.
Block 10.j/11.l – Controlled Unclassified Information including For Official Use Only and Covered Defense Information (meeting the definition of 48 CFR 252.204–7012(a)) 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.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/520001-V4p.pdf. Any product containing Covered Defense Information shall be assigned the appropriate distribution statement using the criteria set forth in DoDI 5230.24 (Distribution Statements on Technical Documents); and have this statement displayed per DoDI 5230.24, Enclosure 3-4.
All For Official Use Only (FOUO), Covered Defense Information (CDI), and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting FOUO/CDI, 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 Infrastructure & Public Key Enabling, DoDI 8520.02, 24 May 2011.
Block 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 identified in Block 16, or Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
Block 11.c- Information Systems (IS) shall be protected in accordance with DoDI 8510.01and/or per guidance in the DoD 5220.22-M, National Industrial Security Operating Manual (NISPOM).
Block 11.d-Contractor shall provide adequate storage at their facility for classified hardware. Classified shipments are not to exceed two cubic feet. Larger size shipments require prior coordination with the Facility Security Officer (FSO) to confirm facility storage capacity. Preparation and transmission of material for shipment will be in accordance the DoD 5220.22-M, NISPOM, and the DoD 52001.01 V3, DoD Information Security Program Manual.
Block 11.f –The contractor shall require access at U.S. and/or partner nation’s controlled facilities in various OCONUS locations in performance of a task order under this contract.
Block 11.j – OPSEC: While performing aboard NAVAIR or other U.S. military 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 comply with any and all additional OPSEC security plans and requirements of the Hosting Command. All applicable OPSEC Plans will be provided by TPOC identified in Block 16. The prime contractor is responsible for subcontractor implementation of Operations Security.
If additional security classification assistance is required, please contact the COR/TPOC listed in block 16d.
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 16, 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 16d.
***********************************END OF DD254 ADDITIONAL DATA SHEET*************
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| Enter your name here.: OPSEC CDRL in Contract |
| GCAName: NAVAIR Patuxent River, MD Contracts |
| AAC: N00421 |
| AAC: N00421 |
| Address: 21983 Bundy Road |
Building 441, AIR-251 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: Robert Kellner |
| Phone: 3019959835 |
| Phone: 3019956045 |
| Email: robert.j.kellner@navy.mil |
| Email: ruth.yates@navy.mil |
| Title: Contracting Officer Representative for Security (COSR) |
| Enter the date using the format DD-Mon-YYYY: |
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