Attachment_4_-_DD254.pdf
PDF 387 KB Posted
- Attached to
- Non Destructive Test Inspector Services Federal contract opportunity
- Solicitation number
- N39040-16-T-0116
About this file
Attachment 4 DD254 2 pages
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N39040-16-T-0116-0003.pdf | ||
| N39040-16-T-0116-0002.pdf | ||
| N39040-16-T-0116-0001.pdf | ||
| WD_05-2241_(Rev.-18).txt | TXT text file | |
| N39040-16-T-0116.pdf | ||
| Attachment_3_QASP_Matrix_-_NDT.pdf | ||
| Attachment_1_NAVSHIPYD_PTSMH_INST_5090.30PNSYI_4110.1.pdf | ||
| Attachment_6_Past_Performance_Questionnaire_Form.doc | DOC document | |
| Attachment_7_PAST_PERFORMANCE_INFORMATION_FORM.doc | DOC document | |
| Attachment_2_QASP_-_NDT.pdf |
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
DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)
1. CLEARANCE AND SAFEGUARDING
a. FACILITY CLEARANCE REQUIRED
b. LEVEL OF SAFEGUARDING REQUIRED
2. THIS SPECIFICATION IS FOR: (X and complete as applicable)
a. PRIME CONTRACT NUMBER
b. SUBCONTRACT NUMBER
c. SOLICITATION OR OTHER NUMBER DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable)
a. ORIGINAL (Complete date in all cases)
REVISION NO.
c. FINAL (Complete Item 5 in all cases)
DATE (YYYYMMDD)
b. REVISED (Supersedes all previous specs)
DATE (YYYYMMDD)
DATE (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT? YES NO. If Yes, complete the following:
Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract.
5. IS THIS A FINAL DD FORM 254? YES NO. If Yes, complete the following:
In response to the contractor's request dated , retention of the classified material is authorized for the period of
6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
8. ACTUAL PERFORMANCE
a. LOCATION b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT
10. CONTRACTOR WILL REQUIRE ACCESS TO: 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:YES NO YES NO
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION
b. RESTRICTED DATA
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
d. FORMERLY RESTRICTED DATA
e. INTELLIGENCE INFORMATION
(1) Sensitive Compartmented Information (SCI)
(2) Non-SCI
f. SPECIAL ACCESS INFORMATION
g. NATO INFORMATION
h. FOREIGN GOVERNMENT INFORMATION
i. LIMITED DISSEMINATION INFORMATION
j. FOR OFFICIAL USE ONLY INFORMATION
k. OTHER (Specify)
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY
b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. RECEIVE AND GENERATE CLASSIFIED MATERIAL
d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
e. PERFORM SERVICES ONLY
f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES
g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION
CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER
h. REQUIRE A COMSEC ACCOUNT
i. HAVE TEMPEST REQUIREMENTS
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE
l. OTHER (Specify)
DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional X
12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release
a. TYPED NAME OF CERTIFYING OFFICIAL
Direct Through (Specify)
d. ADDRESS (Include Zip Code)
Yes No to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)* for review.
*In the case of non-DoD User Agencies, requests for disclosure shall be submitted to that agency.
13. SECURITY GUIDANCE. The security classification guidance needed for this classified effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended. (Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract.
(If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed.)
Yes No15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office.
(If Yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is needed.)
16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below.
b. TITLE c. TELEPHONE (Include Area Code)
e. SIGNATURE
17. REQUIRED DISTRIBUTION
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION
e. ADMINISTRATIVE CONTRACTING OFFICER
f. OTHERS AS NECESSARY
DD FORM 254 (BACK), DEC 1999
| fac_clear: Confidential |
| safe_level: None |
| prime_no: TBA |
| xprime: Yes |
| sub_no: |
| xsub: Off |
| xsolic: Yes |
| solic_no: N39040-16-T-0116 |
| due_date: |
| xspec3: Orig |
| orig_date: 20151215 |
| rev_no: |
| rev_date: |
| final_date: |
| xfollowon: No |
| prec_no: |
| xfinal: No |
| req_dated: |
| period: |
| ctr_name: |
| ctr_cage: |
| ctr_ofc: |
| sub_name: |
| sub_cage: |
| sub_ofc: |
| perf_loc: Portsmouth Naval Shipyard |
Bldg.20 2nd floor, Code 135 Kittery, ME. 03904-5000
| perf_cage: N39040 |
| perf_ofc: |
| gen_id: The contractor shall provide various qualified personnel capable of performing Non Destructive Test Inspection Services as requested by |
Portsmouth Naval Shipyard at any time during the period of performance of this contract.
| x10a: No |
| x10b: Yes |
| x10c: No |
| x10d: No |
| x10e1: No |
| x10e2: No |
| x10f: No |
| x10g: No |
| x10h: No |
| x10i: No |
| x10j: Yes |
| x10k: Yes |
| other10k: NNPI/U-NNPI (See Block 13) |
| x11a: Yes |
| x11b: No |
| x11c: No |
| x11d: No |
| x11e: Yes |
| x11f: No |
| x11g: No |
| x11h: No |
| x11i: No |
| x11j: No |
| x11k: No |
| x11l: Yes |
| other11l: See Block 13 |
| xrelease: No |
| release_thru: COMMANDER, NAVAL SEA SYSTEMS COMMAND (SEA 00D) |
| guidance: 1. In addition to clearances required herein, only employees certified by the contractor to be U.S. citizens or U.S. nationals will be |
permitted access to U.S. work sites.
2. Performance of work will require access to classified information, material, and/or areas. All contractor employees performing duties under this contract must have, at a minimum, a final-adjudicated Confidential Personnel Security Clearance (PCL) granted prior to being assigned to perform work at this facility. The contractor shall submit visit requests via the Joint Personnel Adjudication System (JP AS). Visit requests submitted by other means will not be accepted without Facility Security Officer signed verification as to the level of security clearance granted to each employee on the visit request.
3. (Block 10.b) Access to Restricted Data requires a final-adjudicated U.S. government Personal Security Clearance at the appropriate level and a valid, documented Need-to-Know.
4. (Block 10.j) Attachment I shall be referenced as guidance for the use, marking, access and protection of For Official Use Only (FOUO) information.
5. (Block 10.k) Attachment 2 shall be referenced as guidance for the handling and use ofNaval Nuclear Propulsion Information (NNPI.) Need to Know (NTK) verification must be provided to local Security Office prior to granting access to NNPI or areas containing Restricted Data (RD.)
| xaddlsec: No |
| addl_sec: |
| xinsp: No |
| inspections: |
| cert_name: |
| cert_title: |
| cert_phone: |
| cert_addr: |
| x17a: Yes |
| x17b: Off |
| x17c: Yes |
| x17d: Off |
| x17e: Yes |
| x17f: Yes |
| other_dist: |
File details come from the government source that posted it. Updated .