Attachment_J.1_UnsignedDD254.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

DD FORM 254, APR 2018

NEEDS DD67

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.)

OMB No. 0704-0567 OMB approval expires:

May 31, 2022 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

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

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

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

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)

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

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

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.)

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)

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.)

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

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, 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 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.

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.)

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

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.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification

WASHINGTON D.C.

NORFOLK, VA

SAN DIEGO, CA

Location: FT LAUDERDALE, FL

EGLIN AIR FORCE BASE, FL

PENSACOLA, FL

CAMP PENDLETON, CA

CAMP LEJEUNE, NC

Contractor shall be required to access national security information up to the TOP SECRET level at Government Facilities. Contractor SHALL NOT be required to generate or store classified information at the Contractor Facility.

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

In the event contract performance exceeds the scope of classification guidance provided herein, contact the official in block 17 for additional guidance.

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.

Release of Information to foreign nationals is only authorized with the written approval of the DoD office with controlling authority over the information. 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.

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 in Block 12.

Contractor Couriers.

Contractors designating cleared employees as couriers, hand-carriers, and escorts shall ensure they are briefed on their responsibilities to safeguard classified information in accordance with DoD 5220.22-M.

Item 10.a. Communications Security (COMSEC)/Electronic Key Management System (EKMS).

The following conditions of release apply to communications security (COMSEC) access required in connection with performance:

(1) Contractor personnel who are granted access to COMSEC material must be U.S. citizens and receive a COMSEC briefing. Contract briefs will be provided by the Naval Surface Warfare Center, Panama City Division (NSWC PCD) Electronic Key Management Systems Manager. Such access must be controlled on a strict need-to-know basis.

(2) COMSEC access may be provided to U.S. contractor personnel to:

(a) Install, maintain, or operate COMSEC equipment for the U.S. Government.

(b) Participate in the design, planning, production, training, installation, maintenance, operation, logistical support, integration, modification, testing or study of COMSEC material or techniques.

(c) Electronically communicate classified national security information in a cryptographically secure manner or unclassified national security information by COMSEC protected means.

(3) COMSEC material does not become the property of the contractor. Only with prior authorization from the Naval Communications Security Material System (NCMS) may the contractor retain such material.

(4) Open public display, discussion, publication, presentation of U.S. Government COMSEC material and information at non-governmental symposia meetings, or for other non-official purposes is prohibited.

(5) External viewing or other exposure which might afford opportunity for tampering or internal examination is prohibited.

(6) Photographs, drawings, or descriptive information for press release or private use is prohibited.

(7) U.S. cryptographic equipment inventory information, as well as the systems and manner in which each particular equipment is used, is for official use only. Publication or release of any related COMSEC information by any means, by the commercial firm, without prior approval of the Government agency is prohibited.

(8) Contractors who maintain government cryptographic equipment, telephone security (TSEC) must receive formal NSA-approved training on such equipment.

(9) Contractors will maintain records allowing them to furnish, on demand, the names of individuals with access to COMSEC material in their custody.

Item 10.g. NATO Information. NATO classified and unclassified information are governed by USSAN 1-07 and will be handled accordingly. NATO information will retain its classification or an equivalent U.S. classification will be applied, if necessary.

Item 10.j. and 11.l. Controlled Unclassified Information (CUI). Refer to DoD M-5200.01 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) of 2/24/2012, available at http://www.esd.whs.mil/DD/dod-issuances/ for protection of CUI.

Item 11.j. Operations Security (OPSEC). Contractor shall comply with the NSWC PCD OPSEC Plan.

PANAMA CITY, FL 32407-7001

Address: COMMANDING OFFICER (NSWC PCD)

110 VERNON AVENUE

PANAMA CITY FL 32407-7001