Mod 02_Atch_03_DD 254 PLAN N61340-25-R-0006 - Saudi MH-60R TOFT.pdf
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- Solicitation number
- N6134025R0006
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DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of
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:
June 30, 2025 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"
| CurrentPage: |
| PageCount: |
| Select classification from drop-down list.: Unclassified |
| Enter serial number.: |
| a. Facility clearance level. Select one.: 2 |
| b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4 |
| Select for "original.": 0 |
| Select for "original.": 1 |
| Enter prime contract number.: Planning Document-Not Valid for Performance |
| Select for "revised.": 0 |
| Select for "revised.": 0 |
| Enter subcontract number.: |
| Select for "final.": 1 |
| Select for "final.": 0 |
| Enter solicitation or other number.: N61340-25-R-0006 |
| Enter due date in format YYYYMMDD.: |
| Enter date in format YYYYMMDD.: 20240904 |
| Enter revision number.: |
| Enter date in format YYYYMMDD.: |
| Enter final specification.: |
| Enter date in format YYYYMMDD.: |
| Select for "no.": 1 |
| Select for "no.": 1 |
| Select for "no.": 0 |
| Select for "no.": 1 |
| Select for "yes.": 0 |
| Select for "yes.": 0 |
| Select for "yes.": 1 |
| Select for "yes.": 0 |
| Enter preceding contract number.: |
| Enter contractor's request date in format YYYYMMDD.: |
| Enter period.: |
| Enter typed name of certifying official (last, first, middle initial).: |
********TBD**********
***REQUEST FOR PROPOSAL***
** NOT VALID FOR PERFORMANCE**
Enter typed name of certifying official (last, first, middle initial).:
***SEE BLOCK 13***
| Enter typed name of certifying official (last, first, middle initial).: MALAGUTI, ALEX |
| Enter CAGE code of the prime contractor.: |
| Enter cognizant security office(s) (Name, Address, ZIP Code, Telephone required; Email Address optional).: Defense Counterintelligence and Security Agency |
| Select to add row to locations.: |
| Select to remove last row from locations.: |
| Select to delete all signatures.: |
| Enter location(s).: Jubail Naval Air Base |
Jubail, Kingdom of Saudi Arabia Enter general unclassified description of this procurement.: Foreign Military Sales (FMS) Case # SR-P-SBU. Provide technology refresh and systems upgrade for the Royal Saudi Naval Force's (RSNF) Tactical Operational Flight Trainer (TOFT)
Technical Point of Contact (TPOC)/Program Manager(PM):
Daniel P. Loth NAWCTSD, Orlando Tel: 407-380-4838 Email: daniel.p.loth.civ@us.navy.mil
| Select for "a. CONTRACTOR.": 0 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "a. CONTRACTOR.": 1 |
| Select for "f. OTHER AS NECESSARY.": 0 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "f. OTHER AS NECESSARY.": 1 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "b. SUBCONTRACTOR.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 0 |
| Select for "c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 1 |
| Select for "h. REQUIRE A COMSEC ACCOUNT.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 0 |
| Select for "d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION.": 1 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "i. HAVE A TEMPEST REQUIREMENT.": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (1) Sensitive Compartmented Information (SCI).": 0 |
| Select for "e. NATIONAL INTELLIGENCE INFORMATION: - (2) Non-SCI.": 0 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS.": 1 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Select for "k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE.": 0 |
| Enter infomration for "other.": Additional Information See Block 13 |
| Enter infomration for "other.": TPOC, PM, ISR |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 0 |
| Select for "e. ADMINISTRATIVE CONTRACTING OFFICER.": 1 |
| Select for "l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED INFORMATION (CUI). .": 1 |
| Select for "m.OTHER.": 1 |
| Select for "direct.": 0 |
| Select for ": 1 |
| Enter specification for "through".: Contract Industry FSO, PRG MGR (Blk 9) and ISR (Blk 17a). NAVAIR FORM 5720.10 must be completed/attached. Cont Blk13 |
| Enter public release authority.: NAWCTSD Public Affairs Office at Naval Air Warfare Center Training Systems Division,12211 Science Drive Orlando, FL 32826 |
| Select to add signature.: |
| Select to remove last signature.: |
| text: DD 254 dated 20240904 - Solicitation #N61340-25-R-0006- Planning Document-Not Valid For Performance |
Block 7.a: The Prime contractor is responsible for issuing required DD 254 to each subcontractors.
Block 10.h: Foreign Government Information (FGI) is not releasable to contractor employees who have not received a final security clearance at the appropriate level.
- Written concurrence of the Industrial Security Representative (ISR) is required prior to subcontracting.
Block 10.j and 11.l: Controlled Unclassified Information (CUI) including Legacy FOUO and Covered Defense Information (meeting the definition of DFARS Clause 252.204–7012 Safeguarding covered defense information and cyber incident reporting) generated and/or provided under this contract shall be marked and safeguarded as specified in DoD Instruction 5200.48 "Controlled Unclassified Information (CUI)" available at https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/520048p.pdf **********************************************CONTINUES******************************************************
CONTINUATION ITEM 13-DD 254 dated 20240904 - Solicitation #N61340-25-R-0006- Planning Document-Not Valid For Performance
Cont. Block 10.j:
- Any product containing Covered Defense Information (CDI) shall be assigned the appropriate distribution statement using the criteria set forth in DoDI 5230.24 (Distribution Statements on Technical Documents); and have this statement displayed per DoDI 5230.24, Enclosures 3-4 available at https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/523024p.pdf
- All Covered Defense Information (CDI), Legacy FOUO, and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption.
- The Contractor shall ensure that when transmitting CUI/Legacy FOUO/CDI 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 available at https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/852002p.pdf.
- All information/material received and/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.a: All classified information/material shall be provided by the contractor facility or Government Contracting Activity (GCA) and safeguarded at the approved actual performance site.
Block 11.f: The contractor shall require access to classified at Jubail Naval Air Base, Jubail, Saudi Arabia in performance of this contract.
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.
- Within 90 Days of Contract Award - A DRAFT OPSEC Plan must be submitted to:
12211 Science Drive Orlando FL 32826 (NAWCTSD ORLANDO)
- 45 Days from Draft OPSEC Plan approved date - A FINAL OPSEC Plan is due and must be submitted to:
12211 Science Drive Orlando FL 32826 (NAWCTSD ORLANDO)
-The Prime Contractor shall be responsible for subcontractor implementation of the OPSEC Program requirements for this contract.
Block 11.m: Additional Information.
-Security Classification Guide (SCG): The following SCG apply to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative as Government Furnished Information (GFI) and shall be executed by the Contractor without obligation to modify this DD Form 254.
SECNAV-M 5510.36 - SCG ID # 02-235.4, MH-60R Multi-Mission Helicopter (MMH) - dtd 08 JUN 2020
-International Traffic and Arms Regulation - The contractor shall ensure that foreign persons, as defined under section 120.16 of the International Traffic and Arms Regulation (ITAR) (22 CFR, Parts 120 – 130), are not given access to U.S. Government controlled unclassified information, sensitive information, defense articles, defense services, or technical data, as defined in the ITAR, Part 120, without proper issuance of an export license from the U.S. Government authority.
-Supply Chain Risk Management (SCRM) For National Security Systems - The Contractor shall mitigate supply chain risk in the provision of supplies and services to the Government per FAR 252.239-7018, Supply Chain Risk, and CNSSD -505, Supply Chain Risk Management (SCRM). The contractor shall, implement a process for managing supply chain risk by identifying susceptibilities, vulnerabilities, and threats throughout the supply chain and developing mitigation strategies to combat those threats whether presented by the supplier, the supplied product and its subcomponents, or the supply chain (e.g., initial production, packaging, handling, storage, transport, mission operation, and disposal.
**********************************************CONTINUES******************************************************
CONTINUATION ITEM 13-DD 254 dated 20240904 - Solicitation #N61340-25-R-0006- Planning Document-Not Valid For Performance
Cont. Block 11.m: Additional Information.
-Government-Issued Personal Identification Credentials - The contractor and subcontractor(s) (when applicable) shall:
Account for all forms of U.S Government-provided identification credentials (CACs and/or U.S. Government-issued badges) issued to the contractor or their employees in connection with contract performance.
Have in place an established and enforced “out-processing” policy for employees that leave the company, including suspension of account access, CAC/ID Badges turn in.
Ensure that out-processed employees receive debriefings on the need to maintain confidentiality of U.S. Government Controlled Unclassified Information.
-Personnel Security - The Contractor shall report to the NAWCTSD Security Office adverse or derogatory information pertaining to on-site CSS personnel (when applicable) or contractor personnel in direct support of this contract. Examples:
Domestic Violence, Other Violent or Sexual Crime arrest or self-report Contractor personnel receive revocation of an Interim or denial for the issuance of a CAC until final adjudication Denial or suspension of clearance occurs for a contractor employee Contractor employee receives a final denial of eligibility for a security clearance
-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.
-Notification concerning instances of possible loss, compromise and electronic spillage of classified or controlled unclassified information shall be sent to the COR, TPOC, and Government Security Office immediately upon discovery and/or no later than 72 hours of discovery.
-Determination of need-to-know in connection with a classified visit is the responsibility of the individual/host who will disclose the classified information.
-The contractor shall not release any classified information to a "Non U.S. Citizen" or persons holding “Reciprocal Clearances" without written authorization from this activity.
-All contractor personnel shall comply with DoD Security Agreement (DD Form 441), as well as 32 CFR Part 117 (NISPOM rule) and DoDM 5220.32 Volume 1, National Industrial Security Program: Industrial Security Procedures for Government Activities.
-Contractors shall perform work in accordance with Statement of Work (SOW) 240042.
Block 12: Transmissions shall be made by encrypted email, password protection or DOD SAFE.
****************************************NO FURTHER ENTRIES**************************************************
| Click on this button to attach a file(s).: |
| rep: |
| Enter signature.: |
| Explain and identify specific areas and government activity responsible for inspections.: OPSEC Plan in CONTRACT |
Source Code Management Plan (SCMP) in CONTRACT
| Enter GCA name.: NAWCTSD Orlando |
| Enter AAC of the contracting office.: N61340 |
| Enter AAC of the contracting office.: N61340 |
| Enter address (include zip code).: Naval Air Warfare Center Training Systems Division (NAWCTSD), Orlando |
12211 Science Drive Orlando, FL 32826-3275 Enter address (include zip code).: Naval Air Warfare Center Training Systems Division (NAWCTSD) 12211 Science Drive Orlando, FL 32826-3275
| Enter POC name.: Jeannice Machado |
| Enter telephone number (include area code).: 4073804735 |
| Enter telephone number (include area code).: 4073808243 |
| Enter email address.: jeannice.m.machado.civ@us.navy.mil |
| Enter email address.: alex.malaguti.civ@us.navy.mil |
| Enter title.: Industrial Security Representative (ISR) |
| Enter the datesigned in format YYYYMMDD.: 20241002 |
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