Att 2 DD254_Final.pdf
PDF 353 KB Posted
- Attached to
- WINN-TS - Mission Engineering & Analysis Department Support Services Federal contract opportunity
- Solicitation number
- N00421-22-R-0164
About this file
This document contains a draft Department of Defense Contract Security Classification Specification (DD Form 254) for a federal contract opportunity. The draft DD Form 254 specifies that the contract requires a facility security clearance at the Top Secret level and safeguarding of classified information at the Top Secret level. It indicates the contractor will require access to Secret Internet Protocol Router Network systems and will generate, receive, and store classified information and material. The contractor must also develop and maintain an operations security plan. Additional security requirements are outlined for classified subcontracting, public releases, intelligence information handling procedures, and courier transportation of classified materials. The contracting government agency is listed as the Naval Air Warfare Center Aircraft Division, and the document provides classification guidance and points of contact for the contract.
View the file
Other files for this federal contract opportunity
Show all 36
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CLASSIFICATION (When filled in): Unclassified
PREVIOUS EDITION IS OBSOLETE. Page 1 of 5DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 1 of 5DD FORM 254, MAY 2019
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:
20220531
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
Top 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
N00421-22-R-0164
DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable.)
a. ORIGINAL (Complete date in all cases.)
DATE (YYYYMMDD)
20220503
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
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.)
(If applicable, see Instructions.)
N/A
Naval Air Warfare Center Aircraft Division Patuxent River, 20670 MD
Naval Air Station Oceana, VA
b. CAGE CODE (If applicable, see Instructions.)
N/A
PREVIOUS EDITION IS OBSOLETE. Page 2 of 5DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 2 of 5DD FORM 254, MAY 2019
a. LOCATION(S) (For actual performance, see instructions.)
Naval Air Station LeMoore, CA
Naval Air Station Whidbey Island, WA
b. CAGE CODE (If applicable, see Instructions.)
N/A
Naval Air Station Fallon, NV
(If applicable, see Instructions.)
N/A
9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT
This contract is a single award indefinite delivery / indefinite quantity contract to support the mission of the DAiTA Group, the MEAD Department and the associated Naval Aviation WINN and Technical Support Services requirements.
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.)
Access to SIPRNET, DREN, SDREN
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)
PREVIOUS EDITION IS OBSOLETE. Page 3 of 5DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 3 of 5DD FORM 254, MAY 2019
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: NAWCAD DAiTA Group 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 A0N0000 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.
The COR, TPOC, and Government Security Office, concerning instances of possible loss, compromise, and electronic spillage of classified or controlled unclassified information shall be notified immediately upon discovery and/or no later than 72 hours of discovery.
Block 10e (2) – The contractor is authorized access to Non-SCI National Intelligence Information and/or Foreign Intelligence Information on behalf of Rebecca Ahne, NAVAIR Senior Intelligence Officer. A final security clearance at the appropriate level is required for access to Non-SCI National Intelligence Information and/or Foreign Intelligence information. Further security guidance for reproduction, release, retention, return, and destruction of National Intelligence Information is stipulated in the attached NAVAIR Memorandum titled POLICY GOVERNING RELEASE OF INTELLIGENCE TO CONTRACTORS dated 01 MARCH 2022. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/ Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
The Command Senior Intelligence Officer is the official approving authority for the release of all intelligence information pertaining to NAVAIR contracts and all affiliated sub-contracts. Contractor shall comply with NAVAL Air Warfare Center Aircraft Division Scientific and Technical Intelligence Liaison Officer memo of 01 March 2022. (attached)
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 Legacy FOUO 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 DoD Instruction 5200.48 (Controlled Unclassified Information) (CUI)) available at https://www.esd.whs.mil/Portals/54/Documents/DD/ issuances/dodi/520048p.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 Covered Defense Information (CDI), Legacy FOUO, and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting CUI/Legacy 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
PREVIOUS EDITION IS OBSOLETE. Page 4 of 5DD FORM 254, MAY 2019
May 2011.
Block 10.k – Secret Internet Protocol Network (SIPRNet, DREN, SDREN) 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).
The contractor shall adhere to the Program Security Classification Guide (SCG) in accordance with Program Office (PO) guidance and all classification guidance signed by the DoN SAPCO and implemented by the PO.
An approved site specific OPSEC plan is required.
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.
Block 11.g - To use DTIC services, the contractor must register for an account at http://www.dtic.mil/dtic/registration/contractors/ index.html.
Block 11.i – TEMPEST information is not releasable to contractor employees who have not received a final security clearance at the appropriate level. The TEMPEST Requirements Questionnaire shall be submitted to the SPAWAR TEMPEST IPT in accordance with OPNAVINST C5510.93F, Navy Implementation of National Policy on Control of Compromising Emanations. Written concurrence of the Technical Point of Contact identified in block 16, or the Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
Block 11.j – 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) and data item description (DID-DI-MGMT-81999) are a component of the contract. A draft OPSEC Plan must be submitted to: Commander, Naval Air Systems Command, ATTN: NAWCAD DAiTA Group, Shaw Road, Bldg. 2187, 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.
Block 11.k – Contractor shall use approved courier methods per the NSA/CSS Policy Manual 3-16, and/or the Communications Security Materials System (CMS-1) Policy and Procedures Manual, Command policy, or the procedures of the Defense Courier Service for delivery of all Top Secret information. When utilizing the Defense Courier Service, 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 the TPOC listed in block 16d.
***********************************END DD254 ADDITIONAL DATA SHEET****************************************
List of Attachments [2] (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
NAME & TITLE OF REVIEWING OFFICIAL
Edward M. Sierra, NAWCAD Senior Intelligence Officer
SIGNATURE
14. ADDITIONAL SECURITY REQUIREMENTS
Requirements, in addition to NISPOM requirements for classified information, are established for this contract.
PREVIOUS EDITION IS OBSOLETE. Page 5 of 5DD FORM 254, MAY 2019
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
Naval Air Warfare Center Aircraft Division
b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)
N00421
c. ADDRESS (Include ZIP Code) Shaw Road, BLDG 2187 Patuxent River, MD 20670
d. POC NAME
Zachary Kennan
e. POC TELEPHONE (Include Area Code)
+1 (301) 342-2330
f. EMAIL ADDRESS (See Instructions) zachary.a.kennan.civ@us.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)
Davis, Mark A
b. TITLE
Contracting Officer Representative For Security
c. ADDRESS (Include ZIP Code) Commander, Naval Air Warfare Center Aircraft Division Bldg. 1489, Rm. 122, Attn: Industrial Security 22095 Fortin Circle, Patuxent River, MD 20670
d. AAC OF THE CONTRACTING OFFICE (See Instructions)
N00421
e. CAGE CODE OF THE PRIME CONTRACTOR
(See Instructions.)
f. TELEPHONE (Include Area Code)
+1 (301) 342-6045
g. EMAIL ADDRESS (See Instructions) mark.a.davis@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.)
DEPARTMENT OF THE NAVY
NAVAL AIR SYSTEMS COMMAND IN REPLY REFER TO
RADM WILLIAM A MOFFETT BUILDING 5510
47123 BUSE ROAD BLDG 2272 Ser V52/22-001 PATUXENT RIVER MARYLAND 20670-1547 01 Mar 2022
MEMORANDUM
From: Senior Intelligence Officer, Naval Air Systems Command, 48150 Shaw Road, Bldg 2109, Patuxent River, Maryland 20670
To: Distribution
Subj: POLICY GOVERNING RELEASE OF INTELLIGENCE TO CONTRACTORS
Ref: (a) DoDM 5105.21 SENSITIVE COMPARTMENTED INFORMATION (SCI)
ADMINISTRATIVE SECURITY MANUAL Vol 1, 16 MAY 2018
(b) DoD Directive 5148.13 INTELLIGENCE OVERSIGHT, 26 APR 2017
1. Per reference (a), the Command Senior Intelligence Officer is the official approving authority for release of intelligence information via NAVAIR contracts.
a. Contractors are not authorized to disclose further or release intelligence without the prior written notification and approval of the Senior Intelligence Officer. Contractors are not authorized to release intelligence information to sub-contractors without a sub-contract DD-254 signed by an Intelligence Officer with DD-254 signature authority appointed by the Senior Intelligence Officer.
i. All contracts and sub-contracts authorizing access to non-SCI intelligence information must include a copy of this memorandum and the following language in the DD-254:
The contractor is authorized access to non-SCI National Intelligence Information and/or Foreign Intelligence Information on behalf of Rebecca Ahne, NAVAIR Senior Intelligence Officer. A final security clearance at the appropriate level is required for access to Non-SCI National Intelligence Information and/or Foreign Intelligence information. Further security guidance for reproduction, release, retention, return, and destruction of National Intelligence Information is stipulated in the attached NAVAIR Memorandum titled POLICY GOVERNING RELEASE OF INTELLIGENCE TO CONTRACTORS dated 24 JANUARY 2022. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
ii. All contracts and sub-contracts authorizing access to the SECRET Internet Protocol Router Network, but not authorizing access to non-SCI intelligence, must include the following language in the DD-254:
The contractor is authorized access to the SECRET Internet Protocol Router Network; however, access to non-SCI intelligence information is not authorized.
iii. Contracts and sub-contracts authorizing access to the SECRET Internet Protocol Router Network, but DD-254 block 10e(2) is not selected meaning the contractor is not authorized access to non-SCI intelligence information, do not require review or signature by the Senior Intelligence Officer.
b. Intelligence released to contractors, all reproductions thereof, and all other material generated based on, or incorporating data there from, including authorized reproduction, remain the property of the US Government. Unless otherwise specified in the contract, the contractor shall return all intelligence documents to the Scientific and Technical Intelligence Liaison Office within 24 months of date of receipt, or the termination date of the contract. The contractor shall properly destroy and dispose of the intelligence information as soon as possible after it has served the purpose for which it was released by the government, developed, prepared, or retained after completion or termination of the contract in accordance with the NISPOM.
c. All intelligence information will be reviewed and validated by the Senior Intelligence
Officer prior to being utilized and/or delivered in a finished product. Intelligence information intended to be utilized form other contractual efforts satisfying this contract will be coordinated and approved prior to execution by all parties.
2. Per reference (b), contractor personnel involved in intelligence and intelligence-related activities are required to report any significant highly sensitive matter, or questionable intelligence activities, to the NAVAIR Senior Intelligence Officer.
3. The contractor must restrict access to only those individuals who are actually providing services under the contract with a valid need to know.
R. L. Ahne
2022-02-28T08:18:10-0500
AHNE.REBECCA.L.1113773843
DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of
DD FORM 254, MAY 2019
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:
20220531 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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil
WHS
List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) 2016TEMPESTQuestionnaireCurrentCy509.pdf 2022 DD254 STILO Memo 01MAR22.pdf
| 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.: 1 |
| 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: N00421-22-R-0164 |
| DueDate: |
| dateA: 2022-05-03 |
| 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: Davis, Mark A |
| Cage: N/A |
| Cage: N/A |
| Cage: N/A |
| Cage: N/A |
| Cage: N/A |
| Cage: N/A |
| CSO: |
N/A
CSO:
N/A
CSO:
N/A
CSO:
N/A
CSO:
N/A
CSO:
N/A
| addrow: |
| Removerow: |
| Click to delete a row: |
| Location: |
N/A Location: Naval Air Warfare Center Aircraft Division Patuxent River, 20670 MD
Naval Air Station Oceana, VA Location: Naval Air Station LeMoore, CA
Naval Air Station Whidbey Island, WA Location:
Naval Air Station Fallon, NV
| Block9: This contract is a single award indefinite delivery / indefinite quantity contract to support the mission of the DAiTA Group, the MEAD Department and the associated Naval Aviation WINN and Technical Support Services requirements. |
| a: 0 |
| a: 0 |
| a: 1 |
| f: 0 |
| f: 0 |
| f: 0 |
| b: 0 |
| b: 0 |
| b: 0 |
| g: 1 |
| g: 1 |
| c: 0 |
| c: 1 |
| c: 1 |
| h: 1 |
| h: 0 |
| d: 0 |
| d: 0 |
| d: 0 |
| i: 0 |
| i: 1 |
| SCI: 0 |
| NonSCI: 1 |
| j: 1 |
| j: 1 |
| k: 1 |
| k: 1 |
| Enter your name here.: Access to SIPRNET, DREN, SDREN |
| e: 1 |
| 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: NAWCAD DAiTA Group |
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 A0N0000 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.
The COR, TPOC, and Government Security Office, concerning instances of possible loss, compromise, and electronic spillage of classified or controlled unclassified information shall be notified immediately upon discovery and/or no later than 72 hours of discovery.
Block 10e (2) – The contractor is authorized access to Non-SCI National Intelligence Information and/or Foreign Intelligence Information on behalf of Rebecca Ahne, NAVAIR Senior Intelligence Officer. A final security clearance at the appropriate level is required for access to Non-SCI National Intelligence Information and/or Foreign Intelligence information. Further security guidance for reproduction, release, retention, return, and destruction of National Intelligence Information is stipulated in the attached NAVAIR Memorandum titled POLICY GOVERNING RELEASE OF INTELLIGENCE TO CONTRACTORS dated 01 MARCH 2022. Written concurrence of the Technical Point of Contact/Contracting Officer Representative/ Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
The Command Senior Intelligence Officer is the official approving authority for the release of all intelligence information pertaining to NAVAIR contracts and all affiliated sub-contracts. Contractor shall comply with NAVAL Air Warfare Center Aircraft Division Scientific and Technical Intelligence Liaison Officer memo of 01 March 2022. (attached)
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 Legacy FOUO 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 DoD Instruction 5200.48 (Controlled Unclassified Information) (CUI)) available at https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/520048p.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 Covered Defense Information (CDI), Legacy FOUO, and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting CUI/Legacy 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, DREN, SDREN) 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).
The contractor shall adhere to the Program Security Classification Guide (SCG) in accordance with Program Office (PO) guidance and all classification guidance signed by the DoN SAPCO and implemented by the PO.
An approved site specific OPSEC plan is required.
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.
Block 11.g - To use DTIC services, the contractor must register for an account at http://www.dtic.mil/dtic/registration/contractors/ index.html.
Block 11.i – TEMPEST information is not releasable to contractor employees who have not received a final security clearance at the appropriate level. The TEMPEST Requirements Questionnaire shall be submitted to the SPAWAR TEMPEST IPT in accordance with OPNAVINST C5510.93F, Navy Implementation of National Policy on Control of Compromising Emanations. Written concurrence of the Technical Point of Contact identified in block 16, or the Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.
Block 11.j – 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) and data item description (DID-DI-MGMT-81999) are a component of the contract. A draft OPSEC Plan must be submitted to: Commander, Naval Air Systems Command, ATTN: NAWCAD DAiTA Group, Shaw Road, Bldg. 2187, 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.
Block 11.k – Contractor shall use approved courier methods per the NSA/CSS Policy Manual 3-16, and/or the Communications Security Materials System (CMS-1) Policy and Procedures Manual, Command policy, or the procedures of the Defense Courier Service for delivery of all Top Secret information. When utilizing the Defense Courier Service, 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 the TPOC listed in block 16d.
***********************************END DD254 ADDITIONAL DATA SHEET****************************************
| attachmentsList: |
| AddAttachment: |
| ViewAttachment: |
| RemoveAttachment: |
| rep: Edward M. Sierra, NAWCAD Senior Intelligence Officer |
| Sig: |
| Enter your name here.: OPSEC CDRL in contract |
| GCAName: Naval Air Warfare Center Aircraft Division |
| AAC: N00421 |
| AAC: N00421 |
| Address: Shaw Road, BLDG 2187 |
Patuxent River, MD 20670 Address: Commander, Naval Air Warfare Center Aircraft Division Bldg. 1489, Rm. 122, Attn: Industrial Security 22095 Fortin Circle, Patuxent River, MD 20670
| POCName: Zachary Kennan |
| Phone: 3013422330 |
| Phone: 3013426045 |
| Email: zachary.a.kennan.civ@us.navy.mil |
| Email: mark.a.davis@navy.mil |
| Title: Contracting Officer Representative For Security |
| Enter the date using the format DD-Mon-YYYY: |
File details come from the government source that posted it. Updated .