Attachment J-1 - DD254.pdf

(Updated 20250815) CLASSIFICATION (When filled in): Unclassified

CLASSIFICATION (When filled in): Unclassified PREVIOUS EDITION IS OBSOLETE. Page 1 of 5DD 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.)

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August 31, 2028

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RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N5523626R0007

DUE DATE (YYYYMMDD)

20260911

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

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.N5523622F3000

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

TBD

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

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)

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.)

SOUTHWEST REGIONAL MAINTENANCE CENTER

3755 Brinser St, Suite 1 San Diego, CA 92136

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Southwest Regional Maintenance Center (SWRMC), has primary mission responsibilities to provide direct support to Type Commanders and their U.S. Navy fleet assets. SWRMC provides waterfront Fleet Technical Assistance (FTA), assessments, techniques, and training associated with the operation, installation, maintenance, repair, and readiness of shipboard equipment and systems. Using Information Technology (IT) and leveraging specialized experiences of the Command’s personnel and contracting resources, SWRMC has implemented various programs to increase the reliability and maintainability of shipboard Hull, Mechanical, and Electrical (HM&E) systems. This process involves dedicated field technical support, enhanced availability planning, emergent systematic technical and repair assistance, automated maintenance techniques, and documentation and procedures in accordance with defined Navy maintenance philosophies and systematic program management oversight.

PREVIOUS EDITION IS OBSOLETE. Page 2 of 5DD 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 GOVERNMENT 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.)

SIPERNET

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 DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

Insider Threat

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) Public Release Authority:

Public Affairs Officer, (619) 556-6661 E-Mail: stephanie.m.higgins9.civ@us.navy.mil

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.)

1. Clarification on NATO Access (Ref Block 10g & SOW 1.5.5):

This contract does NOT authorize access to NATO information. While the SOW mentions a NATO awareness briefing as a general prerequisite for SIPRNET accounts, the contractor is not authorized to access, process, or generate NATO classified material.

2. Items 10.j & 11.l: Controlled Unclassified Information (CUI) Handling & Protection:

• 1. Safeguarding & IT Systems: All Controlled Unclassified Information (CUI) provided to or generated by the contractor shall be handled, marked, stored, and disseminated in accordance with DoD Instruction 5200.48. To comply, the contractor shall adhere to DFARS Clause 252.204-7012 and implement the security controls specified in NIST SP 800-171. The contractor must develop and maintain a System Security Plan (SSP) and be prepared to provide it to the Government upon request. All cyber incidents involving CUI must be

PREVIOUS EDITION IS OBSOLETE. Page 3 of 5DD FORM 254, APR 2018 reported to the DoD via the DIBNet portal. [REF: DoDI 5200.48; NIST SP 800-171; DFARS 252.204-7012]

• 2. Transmission: Transfer of CUI must be accomplished via encrypted email or other approved methods like DoD SAFE (safe.apps.mil).

CUI shall not be posted on publicly accessible web-servers or transmitted over the Internet unless encrypted using FIPS 140-2 validated modules. [REF: DoDI 8170.01]

• 3. Prohibited Transmissions: Transmissions of CUI to personal email accounts (e.g., Gmail, Yahoo) and posting on social media websites (e.g., Facebook, X/Twitter, LinkedIn) are strictly prohibited. [REF: DoDI 8170.01; DoDI 5400.17]

• 4. Destruction: Upon contract completion, the contractor shall destroy all CUI in accordance with ISOO Notice 2019-03 or by any method approved for the destruction of classified information. [REF: DoDI 5200.48; ISOO Notice 2019-03]

3. Item 10.k: SIPRNET Access (On-Site Only) & Derivative Classification:

Contractor personnel are authorized access to SIPRNET only at Government-owned facilities when a valid need-to-know is established.

The contractor is prohibited from establishing a SIPRNET connection at their own facility.

• All personnel accessing SIPRNET must possess a final SECRET clearance (verifiable in DISS).

• Derivative Classification Training: In accordance with 32 CFR Part 117 (NISPOM) and the SECDEF Memorandum, Derivative Classification Training (dated 31 Jan 2019), all contractor personnel designated as derivative classifiers—including any personnel requiring SIPRNet access—shall complete initial and annual refresher derivative classification training, as well as any mandatory annual Department of the Navy (DON) specific training.

• Per 32 CFR § 117.7 and § 117.12, the contractor's Facility Security Officer (FSO) is strictly responsible for administering, tracking, and maintaining the official records for this requirement. Evidence of training completion shall be maintained by the FSO and provided upon request to the Government Contracting Activity (GCA) and the Defense Counterintelligence and Security Agency (DCSA) for compliance audits and network access validation. Failure to maintain current annual training shall result in the immediate suspension of the individual's derivative classification authority and classified network access.

4. ITEM 11 CONTINUED: PERFORMANCE REQUIREMENTS

• 11.a (Access at Government Facilities): Contractor personnel shall adhere to the local security policies of the host facility. The contractor is prohibited from removing any classified information from the host facility unless specifically authorized in writing by the Government Contracting Activity (GCA) and reflected in the contract.

• 11.j (OPSEC Program): The contractor shall adhere to all applicable Operations Security (OPSEC) measures defined in DoD Directive

5205.02. All personnel must protect SWRMC Critical Information and Indicators (CII) as defined in SWRMCNOTE 5510 as of December 6, 2025.

• 11.m (Insider Threat Program (InTP) Compliance): In accordance with Department of Defense Instruction (DoDI) 5205.16, Section 2.4, the contractor must establish and maintain an InTP. The contractor shall strictly adhere to the uniform Insider Threat Federal Acquisition Regulation (FAR) / Defense Federal Acquisition Regulation Supplement (DFARS) clause(s) (e.g., FAR 52.204-2 for classified or DFARS 252.204-7012 for Controlled Unclassified Information (CUI)) incorporated into the foundational contract. Furthermore, the contractor must execute all personnel reliability, incident reporting, and training requirements detailed in the Statement of Work (SOW). The contractor shall promptly report any relevant insider threat indicators affecting Southwest Regional Maintenance Center (SWRMC) missions to the Government Contracting Activity (GCA) and flow down these requirements to all applicable subcontractors (If any).

5. ITEM 12 CONTINUED: PUBLIC RELEASE & SYMPOSIA PRESENTATIONS

• Symposia: Classified or unclassified technical papers to be presented at a classified or unclassified symposium must be approved by the SWRMC Contracting Office prior to the presentation. [REF: 32 CFR Part 117; DoDI 5230.24]

• Media & Internet Release: Media requests shall be directed to the Public Release Authority in Item 12. Requests for public release require final approval from SWRMC prior to transmission. [REF: DoDI 5230.09]

6. Physical Access (CAC/Badging) & Personnel Security:

Contractor personnel requiring a Common Access Card (CAC) must be verified by the COR and sponsored via the Mission Partner Identity Credential Access Management (MP ICAM) system. All CACs are subject to re-verification every 180 days. Issuance and retention of a CAC is strictly contingent upon maintaining both a favorable security eligibility status AND a current background investigation (in-scope

PREVIOUS EDITION IS OBSOLETE. Page 4 of 5DD FORM 254, APR 2018 or active enrollment in the Continuous Evaluation (CE) program, reflected in DISS). The contractor's Facility Security Officer (FSO) is solely responsible for monitoring DISS. Failure to maintain a current investigation or CE enrollment may result in the immediate revocation of the employee's CAC and all facility/system access.

7. Logical Access (SAAR-N for NIPRNET/SIPRNET):

Personnel requiring logical access to Navy IT systems must complete a System Authorization Access Request-Navy (SAAR-N, OPNAV 5239/14) form. The contractor employee and their Government Sponsor shall complete Parts I and II, then submit to the SWRMC Personnel Security Office for Part III (Clearance Validation). The Security Office will forward the SAAR-N to the SWRMC IT Department for account creation. For SIPRNET access, personnel will be contacted directly for SIPRNET token issuance.

8. Mandatory Training:

The contractor is responsible for tracking and ensuring their employees complete all mandatory annual training. Required training includes, but is not limited to:

• DOD Cyber Awareness Challenge

• DON Annual Privacy Training

• DoD Mandatory CUI Training

• SWRMC Annual Security Refresher & OPSEC Briefing

• NCIS Counter-Intelligence Awareness Briefing

• DON Records Management Training

• DON Derivative Classification (If SIPRNET access is required)

9. Debriefing & Revocation:

The contractor must immediately report the termination, resignation, or reassignment of any employee to the COR. Upon employee departure or contract completion, the contractor shall ensure all logical access accounts (including NIPRNET, SIPRNET, and SAAR-N authorized accounts) are revoked and all physical credentials (CACs, facility badges, SIPRNET tokens) are returned to the issuing office.

10. ADMINISTRATIVE & REPORTING REQUIREMENTS:

• Incident Reporting: All cyber incidents involving CUI must be reported via the DIBNet portal. Any attempts by unauthorized parties to solicit information or incidents of loss/compromise must be immediately reported to the FSO, DCSA, NCIS, and SWRMC Information, Industrial, and Operations Security Division (SWRMC Code 1110). [REF: DFARS 252.204-7012; 32 CFR Part 117]

• The program sponsor for this contract is: (Melisa Aguon /Southwest Regional Maintenance Center/melisa.m.aguon.civ@us.navy.mil, PH:

(619) 705-7065)

• The Security POC for this contract is: (Milton Connery /Southwest Regional Maintenance Center/milton.connery.civ@us.navy.mil PH:

(619) 556-1176)

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)

NAME & TITLE OF REVIEWING OFFICIAL

Albert Weyant OPSEC Program Manager

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.)

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.)

WEYANT.ALBERT

.CURTIS.JR.102117

Digitally signed by

WEYANT.ALBERT.CURTIS.JR.

1021176792 Date: 2026.08.20 08:27:10 -07'00'

PREVIOUS EDITION IS OBSOLETE. Page 5 of 5DD FORM 254, APR 2018

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

a. GCA NAME

Southwest Regional Maintenance Center

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

c. ADDRESS (Include ZIP Code) Southwest Regional Maintenance Center 3755 Brinser St, Suite 1 San Diego, CA 92136-5205

d. POC NAME

Melisa Aguon

e. POC TELEPHONE (Include Area Code)

+1 (619) 708-7065

f. EMAIL ADDRESS (See Instructions) melisa.m.aguon.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)

Connery, Milton G.

b. TITLE

Assistant Activity Security Manager

c. ADDRESS (Include ZIP Code) Southwest Regional Maintenance Center 3755 Brinser St, Suite 1 San Diego, CA 92136-5205

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N55236

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

TBD

f. TELEPHONE (Include Area Code)

+1 (619) 556-1176

g. EMAIL ADDRESS (See Instructions) milton.connery.civ@us.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.)

CONNERY.

MILTON.III.

1167787203

Digitally signed by

CONNERY.MIL

TON.III.116778

Date: 2026.08.20 09:05:41 -07'00'