J-11_-_DD-254.pdf
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- Interior Decking Support
- Solicitation number
- N50054-16-R-0007
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J-11 - DD From 254, DOD Contract Security Classification Specification
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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.
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 classifiection 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
--See Contract CONTINUATION PAGE OF
| DD254 Fillable with Security Page and Electronic Signature |
| ddform 254 cont |
| ddform254cont1 |
| ddform254cont2 |
| a_FACILITY_CLEARANCE_REQU: CONFIDENTIAL |
| b_LEVEL_OF_SAFEGUARDING_R: NONE |
| FillText1: Off |
| a_PRIME_CONTRACT_NUMBER: |
| FillText3: Off |
| b_SUBCONTRACT_NUMBER: |
| FillText5: Yes |
| c_SOLICITATION_OR_OTHER_N: N50054-16-R-0007 |
| DUE_DATE_YYYYMMDD: 20161012 |
| 3_A: Off |
| DATE_YYYYMMDD: |
| 3_B: Off |
| REVISION_NO: |
| DATE_YYYYMMDD1: |
| 3_C: Off |
| DATE_YYYYMMDD2: |
| 4_Yes: Off |
| 4_No: Off |
| YES1: |
| 5_Yes: Off |
| 5_No: Off |
| FillText12: |
| FillText11: |
| a_NAME_ADDRESS_AND_ZIP_CO: |
| b_CAGE_CODE: |
| c_COGNIZANT_SECURITY_OFFI: |
| a_NAME_ADDRESS_AND_ZIP_C1: |
| b_CAGE_CODE1: |
| c_COGNIZANT_SECURITY_OFF1: |
| a_LOCATION: |
US NAVAL INSTALLATIONS AND PRIVATE CONTRACTOR FACILITIES IN THE HAMPTON ROADS AREA
| b_CAGE_CODE2: |
| c_COGNIZANT_SECURITY_OFF2: |
| 9_GENERAL_IDENTIFICATION: DECKING WORK FOR US NAVAL VESSELS |
| a_COMMUNICATIONS_SECURIT1: Off |
| a_COMMUNICATIONS_SECURIT2: Yes |
| b_RESTRICTED_DATA1: Yes |
| b_RESTRICTED_DATA2: Off |
| c_CRITICAL_NUCLEAR_WEAPO1: Off |
| c_CRITICAL_NUCLEAR_WEAPO2: Yes |
| d_FORMERLY_RESTRICTED_DA1: Yes |
| d_FORMERLY_RESTRICTED_DA2: Off |
| 1_Sensitive_Compartmente1: Off |
| 1_Sensitive_Compartmente2: Yes |
| 2_NonSCI1: Off |
| 2_NonSCI2: Yes |
| f_SPECIAL_ACCESS_INFORMA1: Off |
| f_SPECIAL_ACCESS_INFORMA2: Yes |
| g_NATO_INFORMATION1: Off |
| g_NATO_INFORMATION2: Yes |
| h_FOREIGN_GOVERNMENT_INF1: Off |
| h_FOREIGN_GOVERNMENT_INF2: Yes |
| i_LIMITED_DISSEMINATION_1: Off |
| i_LIMITED_DISSEMINATION_2: Yes |
| j_FOR_OFFICIAL_USE_ONLY_I: Off |
| j_FOR_OFFICIAL_USE_ONLY_1: Yes |
| k_OTHER_Specify: Off |
| k_OTHER_Specify1: Off |
| other1: |
| a_COMMUNICATIONS_SECURIT3: Yes |
| a_COMMUNICATIONS_SECURIT4: Off |
| b_RESTRICTED_DATA3: Off |
| b_RESTRICTED_DATA4: Yes |
| c_CRITICAL_NUCLEAR_WEAPO3: Off |
| c_CRITICAL_NUCLEAR_WEAPO4: Yes |
| d_FORMERLY_RESTRICTED_DA3: Off |
| d_FORMERLY_RESTRICTED_DA4: Yes |
| e_INTELLIGENCE_INFORMATI3: Off |
| e_INTELLIGENCE_INFORMATI4: Yes |
| 1_Sensitive_Compartmente3: Off |
| 1_Sensitive_Compartmente4: Yes |
| 2_NonSCI3: Off |
| 2_NonSCI4: Yes |
| f_SPECIAL_ACCESS_INFORMA3: Off |
| f_SPECIAL_ACCESS_INFORMA4: Yes |
| g_NATO_INFORMATION3: Off |
| g_NATO_INFORMATION4: Yes |
| h_FOREIGN_GOVERNMENT_INF3: Off |
| h_FOREIGN_GOVERNMENT_INF4: Yes |
| i_LIMITED_DISSEMINATION_3: Off |
| i_LIMITED_DISSEMINATION_4: Yes |
| FillText13: Off |
| FillText14: Off |
| 1_OTHER_Specify: |
| 12_Public_Release_Direct: Off |
| 12_Public_Release_Through: Through. |
| release: Commanding Officer MARMC |
9727 Avionics Loop Norfolk, Virginia 23511
| 13_Rules: |
| 13_2: |
| security: This DD-254 is being submitted for SOLICITATION purpose only, once award is made, MARMC Security will issue an award DD-254 |
- Classification, declassification and downgrading shall be in accordance with OPNAVINST 5513.3B.
- Access to US Navy Ships or work areas where classified work is performed or commercial ship yards where such ships are located is subject to the requirements of NAVSEAINST 5500.3C. An approved access control plan must be on file with MARMC Security code 1123
- References: NAVSEA Standard Items, local work templates 042-05: General Requirements for work on Submarines 042-07: Nuclear Powered Ships/Nuclear Support Ships Special Requirements
-Security Requirements: Statement of Work Section C A: All personnel accessing the ship from Aerial platform or Gangways must have a Final Confidential Security Clearance.
B: may require access to Confidential drawings to perform work on Submarines and Aircraft Carriers.
C. As per HQ l-2-0003, Facility Security Clearance (NAVSEA) (SEP-1990), (a) No award will be made to any offeror which does not possess a facility security clearance issued by the Defense Investigative Service at the Confidential level. Naval Sea Systems Command will initiate appropriate security clearance action for any apparent successful offeror which does not already possess such clearance. The Government is not obligated to delay award pending security clearance of any offeror.
NNPI/RD requirement: "Post mission data and mission reviews may contain TS/SCI, NNPI or RD information require the contractor to have these accesses.
| 14_Yes: Off |
| 14_No: No |
| addit_sec: |
| 15_Yes: Off |
| 15_No: No |
| Inspections: |
| a_TYPED_NAME_OF_CERTIFYIN: John I. Johnson |
| b_TITLE: Contracting Officer Security Representitive |
| c_TELEPHONE_Include_Area: 757-443-3872 ext.1141 |
| d_ADDRESS_Include_Zip_Cod: Commanding Officer MARMC |
9727 Avionics Loop Norfolk, Virginia 23511
| e_SIGNATURE: | |
| FillText21: Yes | |
| FillText22: Off | |
| FillText23: Yes | |
| 2015-11-11T11:38:28-0500 | |
| JOHNSON.JOHN.IVEY.1046586871 |
| FillText24: Off |
| FillText25: Yes |
| FillText26: Yes |
| f_OTHERS_AS_NECESSARY: |
| Reset: |
| FillText15: |
| FillText16: |
| 13_cont2: Classified or unclassified technical papers to be presented at a classified symposium must be approved by the MARMC Contracting Officer's Representative prior to the presentation. |
-Security classification guides (OPNAVINST 5513 series) and controlled unclassified information (e.g., FOUO, distribution statement controlled) are not authorized for public release; therefore, they cannot be posted on a publicly accessible web-server or transmitted over the internet unless appropriately encrypted. Request for public release cannot be transmitted via the internet until the contractor receives final approval from MARMC
-Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to MARMCA Security Office identified in Block 16 of this form for approval.
“An Active CONFIDENTIAL Facility Clearance (FCL) is required for performance on this contract. There are no safeguarding requirements required.”
Item 1(a): "All contractor personnel accessing classified information or material associated with and/or performing work relative to the resultant contract must be United States citizens and shall have and maintain at a minimum a final (Inset CONFIDENTIAL or SECRET) security clearance at time of contract award. "
Various locations as identified by the Program Manager and approved by the COR. A copy of this DD form 254 will be provided to the Cognizant Security Office (CSO) by those locations identified by the Program Manager prior to the contractor's arrival. For those locations identified by the Program Manger that are contractor's facilities, the Program Manager must forward the contractor's facility CAGE code for vetting by MARMC prior to access to classified.
-All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.
-All reports of contractor security violations associated with this contract shall be mailed by the Cognizant DSS field office directly to the certifying official in Block 16 of this DD254.
-All classified information involved in security incidents shall be retained and provided to the certifying official in Block 16 (a) of this DD 254 for classification review.
-Forward a copy of subcontractor DD 254s issued under this contract to the official shown in item 16a of this DD254.
-All security related requests pertaining to this contract shall be submitted in writing by the contractor’s Facility Security Officer (FSO) to the individual identified in Block 16(a) of this DD254.
-The program sponsor for this contract is: (John Johnson MARMC COSR 757-443-3872ext1141 or john.i.johnson@navy.mil
| solic_con2: N50054-16-R-0007 |
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| Text2: 1 |
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| Text7: 1 |
| Text8: 1 |
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