Attachment (4) - DD254 - N6134020R0037_rev1.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PREVIOUS EDITION IS OBSOLETE.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:

October 31, 2020 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.)

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

****REQUEST FOR PROPOSAL****

****NOT VALID FOR PERFORMANCE****

Name: *****MULTIPLE LOCATIONS*****

***SEE BLOCK 13***

Number Street City, State ZIP Code

(xxx) 123-4567

*****MULTIPLE LOCATIONS*****

***SEE BLOCK 13***

Block9: This procurement will convert and modernize learning content for Sailor 2025 Ready Relevant Learning of the Navy enlisted ratings: Fire Control Technician (FT), Master at Arms (MA), Aviation Structural Mechanic (AM), Electronics Technician Navigation, Submarines (ETV), Mineman (MN), Information Systems Technician (IT), and Aviation Machinist’s Mate (AD) to support accession training and support the broader goal of improving transfer of training to the operational work environment.

Technical Point of Contact (TPOC): Program Manager (PM):

Larry Beach Eric Smith NAWCTSD Orlando NAWCTSD Orlando Tel: (407) 380-8568 Tel: (407) 380-4322 Email: larry.beach@navy.mil Email: eric.p.smith3@navy.mil

Block 7.a: The Prime contractor is responsible for issuing required DD 254 to each subcontractors.

Block 8.a: Actual Performance Location:

1) Contractor's Facility See Blocks 6.a-c

*********************************************CONTINUES*******************************************************

CONTINUATION - DD 254 ITEM 13 - SOLICITATION # N6134019R0022 - Request for Proposal - Not Valid For Performance

Block 10.e.(2): Access to Non-SCI Intelligence information, specifically Secret/NOFORN required for performance. Contractor shall comply with Naval Air Warfare Center Aircraft Division Scientific and Technical Intelligence Liaison Officer Memo of 03 MAR 09 (attached).

Blocks 10.j and 11.l: Controlled Unclassified Information/For Official Use Only information generated and/or provided under this contract shall be marked and safeguarded as specified in DoDM 5200.01 (DoD Information Security Program: Controlled Unclassified Information (CUI)) Vol. 4 (enclosure 3 pages 11-18) available at http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/520001_vol4.pdf

All For Official Use Only (FOUO) and program sensitive data transmitted and safeguarded via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting FOUO, over non-secure e-mail (e.g. not connected to the Navy Marine Corps Intranet through Broadband Unclassified Remote Access System / Virtual Private network), those transmissions are encrypted using Department of Defense Public Key Infrastructure (PKI), or an approved DoD External Certificate Authority, in accordance with Public Key Infrastructure & Public Key Enabling, DoDI 8520.02, 24 May 2011.

All controlled unclassified and classified technical information shall be appropriately marked with distribution statements as specified in DoDI 5230.24 (Distribution Statements on Technical Documents) http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/523024p.pdf?ver=2017-11-01-154045-003

Any classified information generated in the performance of this contract shall be classified according to the markings shown on the source material.

NATO: This contract does not require access to NATO classified information and there is not a need to know for NATO classified information. To facilitate potential access to NATO classified information, to include NATO accredited SIPRnet terminals, all DoD military, civilian, and contractor personnel who are briefed on their responsibilities for protecting U.S. classified military information, shall also be briefed on the requirements for protecting NATO information, per Deputy Under Secretary of Defense Policy Security Memo of 5 Dec 01. Written concurrence of the Contracting Officer/Technical Point of Contact, required prior to subcontracting.

Block 11.c: Information Systems (IS) shall be protected in accordance with DoDI 8510.0, Information Assurance Strategy/Cybersecurity Strategy, 5220.22-M, National Industrial Security Operating Manual (NISPOM) and Security Classification Guides. Contractor shall incorporate security procedures to mitigate risks associated with wireless devices in areas where employees are working with classified information and/or where classified discussions may be held. Such countermeasures may range from ensuring wireless devices are turned off or not used in classified areas to, in some cases, not permitting devices in the area. Contractor will reference the appropriate security classification guidance when generating or deriving classified material or hardware. All classified information received or generated will be properly stored and handled according to the marking on the material. All classified information received or generated is the property of the U.S. Government. At the termination or expiration of this contract, the U.S. Government will be contacted for proper disposition instructions.

Block 11.j: The contractor shall develop, implement and maintain a facility level OPSEC Program to protect critical information to be used at the facility during the performance of this contract. Contract data requirements list (CDRL) and data item description (DID - DI- MGMT- 80934C) are a component of the contract. A Draft OPSEC Plan must be submitted to 12211 Science Drive Orlando FL 32826 (NAWCTSD ORLANDO), within 90 days of contract award. A Final OPSEC Plan is due 45 days from the date that the Draft OPSEC Plan is approved.

*********************************************CONTINUES*******************************************************

CONTINUATION - DD 254 ITEM 13 - SOLICITATION # N6134019R0022 - Request for Proposal - Not Valid For Performance

Block 11.m: Additional Information.

-Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposia must be submitted to government sponsor for approval prior to presentation. Unclassified material submitted for public release (that is not to be presented at classified symposia) shall be forwarded for review prior to release as stated in item 12 above.

-Contractors shall comply with security procedure and all additional OPSEC security plans and requirements in effect at all Government sites visited and where work to take place as listed in Block 8.

-The Prime Contractor shall be responsible for subcontractor implementation of the OPSEC Program requirements for this contract.

-Determination of need-to-know in connection with a classified visit is the responsibility of the individual/host who will disclose the classified information.

-Reproduced classified material shall bear identical classification markings as the original.

-All contractor personnel shall comply with DoD Security Agreement (DD Form 441), as well as the National Industrial Security Program Operating Manual (NISPOM), DoD 5220.22-M.

-Contractors shall perform work in accordance with Statement of Work.

-The contract is for knowledge capture and analysis for Sailor 2025. Estimated date of contract completion is 31 December, 2022.

Block 12: Transmissions by non-secure facsimile or E-mail is NOT authorized by Prime or subcontractor(s).

****************************************NO FURTHER ENTRIES**************************************************

12211 Science Drive Orlando, FL 32826-3275 Address: Naval Air Warfare Center Training Systems Division (NAWCTSD) 12211 Science Drive Orlando, FL 32826-3275