Attachment_J.1_DD_Form_254.pdf

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

SECRET

b. LEVEL OF SAFEGUARDING REQUIRED

NONE

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

a. PRIME CONTRACT NUMBER

X a. ORIGINAL (Complete date in all cases)

Date (YYMMDD)

20151119

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs)

Revision No.

c. SOLICITATION OR OTHER NUMBER

Due Date (YYMMDD)

c. FINAL (Complete Item 5 in all cases)

4. IS THIS A FOLLOW-ON CONTRACT? X YES NO. If Yes, complete the following:

Classified material received or generated under N00178-04-D-4061-HR02 (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS THE FINAL DD FORM 254? YES X 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

FOR SOLICITATION PURPOSES ONLY. NOT VALID

FOR ACTUAL CONTRACT. UPON AWARD, CONTACT

NSWC PCD SECURITY WITH CONTRACTOR & CAGE

CODE FOR COMPLETION OF FORM

b. CAGE CODE

TBD

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

DEFENSE SECURITY SERVICE (COGNIZANT

OFFICE)

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE

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

8. ACTUAL PERFORMANCE

a. LOCATION

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

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

LANDING CRAFT, AIR CUSHION (LCAC) MAINTENANCE, MODIFICATION, REPAIR, TRIAL AND EXPEDITIONARY

WARFARE PROGRAM SUPPORT

10. CONTRACTOR WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: YES NO

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION X a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR'S

FACILITY OR A GOVERNMENT ACTIVITY X

b. RESTRICTED DATA X b. RECEIVE CLASSIFIED DOCUMENTS ONLY X

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION X c. RECEIVE AND GENERATE CLASSIFIED MATERIAL X

d. FORMERLY RESTRICTED DATA X d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE X

e. INTELLIGENCE INFORMATION e. PERFORM SERVICES ONLY X

(1) Sensitive Compartmented Information (SCI) X f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES X

(2) Non-SCI X g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION

CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER X

f. SPECIAL ACCESS INFORMATION X h. REQUIRE A COMSEC ACCOUNT X

g. NATO INFORMATION X i. HAVE TEMPEST REQUIREMENTS X

h. FOREIGN GOVERNMENT INFORMATION X j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS X

i. LIMITED DISSEMINATION INFORMATION X k. BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE X

j. FOR OFFICIAL USE ONLY INFORMATION X

l. OTHER (Specify)

k. OTHER (Specify)

DD FORM 254, DEC 90 (EG) Previous editions are 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

Direct X Through (Specify)

Technical Point of Contact, Naval Surface Warfare Center, Panama City Division (NSWC PCD) 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.)

This is the basic form DD 254 for this contract.

Performance of this contract will require contractor to access national security information classified up to the SECRET level. Generation and storage of classified information will not take place at the contractor facility.

When classified information is disclosed through review of documents, the classification markings in the document will provide the classification notification. When classified information is disclosed during discussions, contractor personnel will be advised of the classification involved.

In the event contract performance exceeds the scope of classification guidance provided herein, contact the official in block 16 for additional guidance.

ECD: Five years from award

NSWC PCD Technical POC: Joe Bray (850) 234-4411 and/or Glenn Campbell (850) 235-5166

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract. (If Yes, identify the Yes X No 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.)

15. INSPECTIONS. Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas Yes X No or elements carved out and the activity responsible for inspections. Use Item 13 if additional space is required.)

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

S. ARCENEAUX

b. TITLE

CONTRACTING OFFICER'S SECURITY

REPRESENTATIVE

c. TELEPHONE (Include Area Code)

(850) 234-4327

d. ADDRESS (Include Zip Code)

COMMANDING OFFICER

NAVAL SURFACE WARFARE CENTER, PANAMA CITY

DIVISION

110 VERNON AVENUE

PANAMA CITY FL 32407-7001

17. REQUIRED DISTRIBUTION

X 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

X

e. SIGNATURE

X

DD Form 254 Reverse, DEC 90

This is part of DD Form 254, dated 19 November 2015, for Contract No: XXXXX-XX-X-XXXX with NAME

OF COMPANY.

Blocks 13 and 14 (cont’d)

Technical papers, either classified or unclassified, which the contractor may wish to present at government-sponsored classified or limited attendance symposia must be submitted through the NSWC PCD Technical POC to initiate the process. Approval must be granted prior to contractor presentation.

Information on this contract is not releasable to foreign nationals or personnel processing “Reciprocal” clearance without the written approval of NSWC PCD Security. The only exceptions to this requirement are a visit of a foreign national duly authorized by the DOD through established channels or if authorized under ITAR.

Access to Navy ships, to Navy or commercial shipyards where such ships or facilities are located is subject to the requirements of Title 32, CFR 765.5

The Prime Contractor shall:

(1) Forward copies of DD254s provided to subcontractors to the Naval Surface Warfare Center Panama City Division (NSWC PCD), ATTN: Security.

(2) Direct the subcontractor to obtain approval, through the prime contractor, for the public release of information received or generated by the sub through the prime contractor.

(3) Submit the subcontractor’s request for public release through the technical point of contact identified on the DD 254.