J-7 DD254 Form (PDF) Solicitation N6247022R2005.pdf

CLASSIFICATION (When filled in): Unclassified

PREVIOUS EDITION IS OBSOLETE. Page 1 of 3DD FORM 254, APR 2018

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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N62470-22-R-0005

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20240212

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

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

4. IS THIS A FOLLOW-ON CONTRACT? No Yes 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? No Yes 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

To Be Determined

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

(Name, Address, ZIP Code, Telephone required; Email Address optional)

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)

a. NAME, ADDRESS, AND ZIP CODE

To Be Determined

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO)

(Name, Address, ZIP Code, Telephone required; Email Address optional)

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

a. LOCATION(S) (For actual performance, see instructions.)

See block #13 for actual performance locations

b. CAGE CODE

(If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Solicitation DD Form 254 for the Base Operating Services Contract for Camp Lemonnier located in Djibouti.

PREVIOUS EDITION IS OBSOLETE. Page 2 of 3DD FORM 254, APR 2018

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

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA

g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT THROUGH (Specify below)

Commander, Naval Facilities Engineering Systems Command, Atlantic

Public Release Authority:

Public Affairs Office

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.)

a. The Official DD Form 254 will be issued to the contractor at the time of award. In order to be eligible for award, your firm must possess an active SECRET Facility Clearance / No Safeguarding Capability required. The contract solicitation will detail the process to provide the proof of SECRET Facility Clearance for verification by the NAVFAC Atlantic Security Office. Please provide a letter on your company letterhead that provides the company name, address and your Cage Number to the NAVFAC Atlantic Security Office.

b. Item#8a: Access to classified information is only authorized at NAVFAC Facilities, US Navy / U.S. Marine Corps Commands/ Installations, or other DOD activities as directed by the Contracting Officer.

c. Contractor personnel must meet all applicable Navy investigation and fingerprint requirements to be issued a CAC badge. Contact the NAVFAC LANT Security Office at 757-322-8116/8044/8115 to obtain CAC badge assistance.

d. All contractor personnel who require access to SECRET information as stated for positions listed in the Solicitation Annexes must be a US Citizen and they shall possess, at a minimum, a DOD Industrial Personnel Security Clearance of at least SECRET based on a T3/T3R or higher investigation. Contractor personnel who require access to only CUI must be a US Citizen and have a current T3/T3R or higher investigation or have a T3 (No access) submitted by the NAVFAC Atlantic Security Office and favorably adjudicated for CUI access.

e. The contractor shall strictly adhere to the security guidance stated in the National Industrial Security Program Operating Manual

PREVIOUS EDITION IS OBSOLETE. Page 3 of 3DD FORM 254, APR 2018

(NISPOM), DOD 5220.22-M to ensure the proper safeguarding of information. If required, Classification guidance will be obtained by NAVFAC Atlantic from the appropriate Original Classification Authority (OCA) and provided to the contractor.

f. Contractor personnel must work with Security Office at Camp Lemonnier, Djibouti to obtain DBIDS ID badges for contractor personnel who do not require a Common Access Card (CAC). Contact the NAVFAC LANT Security Office at 757-322-8116/8044/8115 for assistance in obtaining DBIDS ID badges. Contractor must maintain a current list of personnel that have been issued DBIDS or CACs.

g. Contractor personnel must complete OPSEC, INFOSEC Security Awareness and Counterintelligence Awareness training annually.

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

Commander, Naval Facilities Engineering Systems Command, Atlantic 6506 Hampton Blvd, Norfolk, VA 23508

NAME & TITLE OF REVIEWING OFFICIAL

Steven K. Anderson Contracting Officer for Security Matters

SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.

No Yes 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)

a. GCA NAME

COMNAVFACSYSCOM Atlantic

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

N62470

c. ADDRESS (Include ZIP Code)

Commander, Naval Facilities Engineering Systems Command, Atlantic 6506 Hampton Boulevard Norfolk, VA 23508

d. POC NAME

Forehand-Hughes, Amber L.

e. POC TELEPHONE (Include Area Code)

+1 (757) 322-8336

f. EMAIL ADDRESS (See Instructions) amber.l.forehand-hughes.civ@us.navy.mil

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

Anderson, Steven K.

b. TITLE

Contracting Officer for Security Matters

c. ADDRESS (Include ZIP Code)

Commander, Naval Facilities Engineering Systems Command, Atlantic 6506 Hampton Boulevard, Norfolk, VA 23508

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N62470

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

TBD

f. TELEPHONE (Include Area Code)

+1 (757) 322-8115

g. EMAIL ADDRESS (See Instructions) steven.k.anderson3.civ@us.navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20240212

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

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. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

ANDERSON.STEV

EN.K.1255414344

Digitally signed by

ANDERSON.STEVEN.K.125541

Date: 2024.02.12 15:20:59 -05'00'

ANDERS

ON.STEV

EN.K.125

5414344

Digitally signed by

ANDERSON.ST

EVEN.K.125541

Date: 2024.02.12 15:21:16 -05'00'