Atch_J-6_DD254.doc

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

UNCLASSIFIED

b. LEVEL OF SAFEGUARDING REQUIRED

NONE

a. PRIME

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs)

N4523A-15-R-5019 UNCLASSIFIED

DUE DATE (YYMMDD)

2015/07/28

4. THIS IS A FOLLOW-ON CONTRACT? YES X 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. X If Yes, complete the following:

In response to the contractor’s request dated , retention of the identified 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

Bremerton, Washington

b. CAGE CODE

c. COGNIZANT SECURITY OFFICE(Name, Address, and Zip Code)

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

Interior marine decking and flooring installation, repair and maintenance requirements on U.S. Navy waterborne vessels, surface ships, and submarines visiting or homeported in locations identified in Block 8a.

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

FACILITY OR A GOVERNMENT ACTIVITY

X

b. RESTRICTED DATA

X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION

X

d. FORMERLY RESTRICTED DATA

X

e. INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented information (SCI)

PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

X

(2) Non-SCI

CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

X

f. SPECIAL ACCESS INFORMATION

X

g. NATO INFORMATION

X

h. FOREIGN GOVERNMENT INFORMATION

X

i. LIMITED DISSEMINATION INFORMATION

X

l. OTHER (Specify)

k. OTHER (Specify)

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the iNISPOM 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

Direct x Through (Specify):

Industry Management Department Code 400 ATTN: Decking Contracting Officer 808 Burwell Street Bremerton, WA 98337-1447 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.)

Known “For Official Use Only (FOUO)” information is required for the following documents:

a. Navy Ships Technical Manuals (NSTM)

b. General Specifications for Overhaul (GSO)

All FOUO documents will be identified in individual Delivery Orders

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to NISPOM requirements, are established for this contract. (If Yes, identify the FORMCHECKBOX Yes FORMCHECKBOX No pertinent contractual clauses in the contract document itself, or provide any 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.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific FORMCHECKBOX Yes FORMCHECKBOX No 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.

a. TYPED NAME OF CERTIFYING OFFICIAL

Mary C. Cruz

b. TITLE

Industrial Security Officer

c. TELEPHONE (Include Area Code)

(360) 476-8867

c. ADDRESS (Include Zip Code) Puget Sound Naval Shipyard & IMF C/1122.2 1400 Farragut Avenue

Bremerton, WA 98314

17. REQUIRED DISTRIBUTION

FORMCHECKBOX

a. CONTRACTOR

FORMCHECKBOX

b. SUBCONTRACTOR

FORMCHECKBOX

c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

FORMCHECKBOX

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

FORMCHECKBOX

e. ADMINSTRATIVE CONTRACTING OFFICER

FORMCHECKBOX

f. OTHERS AS NECESSARY

e. SIGNATURE

DD FORM 254 Reverse