JL-2_Department_of_Defense_Contract_Security_Classification_Specification_Amendment_0009_190816.pdf

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SAMPLE

PREVIOUS EDITION IS OBSOLETE.

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DD FORM 254, MAY 2019

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:

20220531 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 whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

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

1) Various Naval Base Guam (NBG) Activities

2) Andersen Air Force Base (AAFB)

3) Bldg 100 Complex, NBG, Santa Rita GU

Tele: (671) 339-1148; Email: jee-eun.blanton@fe.navy.mil

Naval Base Guam (NBG) Port Operations: Ref Annex 0600000: Assigned contractor personnel requiring access to classified material, SIPRNET access, as specifically required in performance of their duties, shall have a SECRET security clearance.

Item 10j. For Official Use Only/Controlled Unclassified Information: The contractor is responsible for handling and protection of FOUO markings when generated and disseminated by the Government, and is required to apply FOUO markings when extracting FOUO information from such material. Refer to DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) for protection guidance.

Item 11e. Equipment Maintenance Services: Some contract work is for equipment maintenance on equipment in secured areas where classified information is present. Actual knowledge of, generation, or production of classified information is not required for performance of the contract. Cleared personnel are required to perform this service because visual or aural access to classified information cannot be precluded by escorting personnel. Any classification guidance will be provided by the using activity.

Item 11j. Have Operations Security (OPSEC) requirements: Contractor assigned at the supported locations will comply with Operations Security (OPSEC) IAW DoD, Component and local sponsoring activity's procedures.

Item 11m.

(1) NBG: To perform classified work as specifically authorized in performance of their duties in support of Port Operations, Ordnance Operations; authorized access to piers, wharves, Naval Magazine, and other restricted areas as specifically authorized in performance of their duties.

(2) Shall monitor and control access into restricted, secured and controlled areas under their responsibility and ensure individuals are appropriately cleared and applicable security clearances verified before authorizing entry into the areas.

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a. Annual AA&E screening will be completed in accordance with OPNAVINST 8023.24C and OPNAVINST 5530.13C; and documented on OPNAV 5530/1 (REV. JAN 2018) form and maintained in contractor qualification records.

b. The contractor shall have a physical security plan for each annex that addresses prevention of unauthorized access to personnel, equipment, secured spaces, storage areas, and to safeguard them against espionage, sabotage, terrorism, damage, and criminal activity. Annexes that work with classified information, equipment, cargo, etc., shall address handling, transporting, storing and protecting of classified assets.

SECURITY POINTS OF CONTACT (POCs):

NAVFAC: Erin Kelly, erin.kelly@fe.navy.mil; tele: 671-349-2983 AAFB: Security Manager: Chris Brown; chris.brown.9@us.af.mil; tele: 671-366-5108

The Contracting Officer Representative (COR) for this contract is Mr. Tsukasa Santos; tele: 671-333-5331; email: tsukasa.santos@fe.navy.mil ///////////////////////////////////////////////////////////////////LAST ITEM/////////////////////////////////////////////////////////////////////////////////////////////////////////////////////

FPO AP 96540-2937