Attachment_J.1_-_DD_254.pdf

Contract #

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE Page 1 of 2

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 (YYYYMMDD)

20161107

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs) Revision No. Date (YYYYMMDD)

c. SOLICITATION OR OTHER NUMBER Due Date (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases) Date (YYYYMMDD)

4. IS THIS 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 X NO 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)

FOR SOLICITATION PURPOSES ONLY. NOT

VALID FOR ACTUAL CONTRACT. UPON

AWARD, CONTACT NSWC PCD SECURITY

WITH CONTRACTOR & CAGE CODE FOR

COMPLETION OF FORM

TBD

DEFENSE SECURITY SERVICE (COGNIZANT

OFFICE)

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

ADAPTIVE PERSISTENT AWARENESS SYSTEMS AND PROGRAM SUPPORT

10. THIS CONTRACT 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

e. INTELLIGENCE INFORMATION

e. PERFORM SERVICES ONLY

(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)

X

k. OTHER (Specify)

Contract #

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE Page 2 of 2

12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to the 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 release shall be submitted for approval prior to release.

Direct 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 (Publ ic Affairs)* for review.

*In the case of non-DoD User Agencies, requests for disclosures 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 DD Form 254 for this contract. Performance of this contract will require contractor access to national security information classified up to and including SECRET level. This contract will NOT require the contractor to receive/generate or storage of classified information.

Security Classification Guides are the overarching authority for the classification of data and distribution limitation statements for information associated/generated with this contractual effort.

Distribution statements and warning notices shall be applied to technical documents and electronic media generated under this effort, in accordance with applicable security classification guide or as identified by the Government.

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.

IT-1 DUTIES. Contractor employees whose duties require them to be designated as an IT-I, (e.g., member of the Cyber Security Workforce and designation as an IAT2 or IAT3, or an IAM) require Top Secret eligibility.

ECD: Five years from contract award NSWC PCD Technical POC: Ms. Nikki Simmons, (850) 234-4557

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 identified the additional requirements. Provide a copy of the requirements to the cognizant security office. Use item 13 if additional space is needed.)

Yes X No

15. INSPECTIONS: Elements of this contract are outside the inspection responsibility of the cognizant security office. (If Yes, explain and identify specific areas of elements carved out and the activity responsible for inspection. Use item 13 if additional space is needed.)

Yes X No

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 b. TITLE c. TELEPHONE (Include Area Code)

L. E. SOKOLOSKI Contracting Officer’s Security Representative (COSR) (850) 235-5891

d. Address (Include Zip Code) 17. REQUIRED DISTRIBUTION

COMMANDING OFFICER

NAVAL SURFACE WARFARE CENTER, PANAMA CITY

DIVISION

110 VERNON AVENUE

PANAMA CITY FL 32407-7001

X a. CONTRACTOR b SUBCONTRACTOR.

X c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

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

X e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHERS AS NECESSARY (See Item 13 Above)