Attachment 1 _DD 254.pdf

CLASSIFICATION (When filled in): Unclassified

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DD 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:

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

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

N63394-22-R-0003

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20210716

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. N00178-14-D-7878-L601.

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

****FOR SOLICITATION PURPOSES ONLY; NOT

VALID FOR CONTRACT AWARD****

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 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

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

PROVIDE INSTALLATION SERVICES, ALTERATION AND INSTALLATION TEAM (AIT) SUPPORT SERVICES TO THE SHIP

DEFENSE AND EXPEDITIONARY WARFARE DEPARTMENT ISEA MISSION.

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DD 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 DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

SEE BLOCK 13

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)

Naval Surface Warfare Center (NSWC), Port Hueneme Division (PHD), L03, 4363 Missile Way, Port Hueneme, CA 93043-4307

Public Release Authority:

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.)

Access to classified information is not required to respond to this solicitation. All responses shall be unclassified. ***THIS DD254 IS FOR SOLICITATION PURPOSES ONLY; THEREFORE, IT MUST BE RETURNED TO SECURITY, CODE 10S1, TO BE UPDATED WITH A CONTRACT NUMBER UPON CONTRACT AWARD BEFORE THE CONTRACT DD254 CAN BE ISSUED TO THE

CONTRACTOR.***

Applicable Security Classifications Guides:

5513.3 SCG ID# 03-005.07 MK31 Guided Missile Weapon System (GMWS) Rolling Airframe Missile (RAM) Security Classification Guide, Unclassified, dated July 31, 2019 and subsequent revisions

5513.3 SCG ID# 03-140.1Nato Seasparrow Surface Missile System (MK57 MOD 9) Security Classification Guide (SCG), Unclassified, dated April, 09, 2002 and subsequent revisions.

5513.3 SCG ID# 03-134-3- Ship Self Defense System (SSDS) MK w/Open Architecture (OA) for LPD-17, LHD-1, LHA-6, LSD-41, CVN-68, and CVN-78 Class Ships, Unclassified, dated April 11, 2011 and subsequent revisions Directed Energy (DE) Security Classification Guide (SCG), Unclassified, dated February, 02, 2018 and subsequent revisions.

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Directed Energy Weapons (DEWS) Technology Security Classification Guide (SCG), Unclassified, dated January, 31, 2018 and subsequent revisions.

5513.3 SCG ID# 08-079.5 AN/SPQ-9B Anti-Ship Missile Defense (ASMD) Radar Security Classification Guide (SCG), Unclassified

- Item 8a: NSWC PHD MISSILE WAY PORT HUENEME, CA 93041; Also Private Shipyards; Shore Sites, Depots, and Training Facilities; US Coast Guard Vessels and Facilities Self Defense Test Ship; FMS Sites (United States Regional Allies) and Ships; other locations as identified pew SOW, TDL, TI, or other contractual authorization.

- Item 10(j), 11(l) : All Controlled Unclassified Information associated with this contract must be safeguarded to prevent unauthorized public disclosure. CUI such as FOUO, SCG, and other technical information with Distribution Statements B, C, D, E or F are not authorized for public release and cannot be placed on a publicly accessible web site or web server. All emails containing such information or attachments, shall be protected per NIST SP-800-171, or subsequent revisions. All transmissions to personal email accounts (AOL, Yahoo, Hotmail, Comcast, etc.) and posting on social media websites (Facebook, Instagram, Twitter, LinkedIn, etc.) are prohibited.

Destroy all CUI associated with this contract by any of the following approved methods: A cross-cut shredder; a certified commercial destruction vendor; a central destruction facility; incineration; chemical decomposition; pulverizing, disintegration; or Controlled Unclassified Information (CUI) shall be protected in accordance with DoDI 5200.48 Controlled Unclassified Information dated March 6, 2020 (which canceled and replaced DoD M-5200.01 Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI) dated 2/24/2012.) It is emphasized that CUI information may not be transmitted via unprotected systems, e.g., the internet, unless fully encrypted to current DoD standards

Contractor employees who do not require access to classified information in performance of this contract but are assigned to sensitive national security duties, require access to sensitive information, or those that for other reasons require a fitness or trustworthiness determination shall be processed for the appropriate background investigation through the Naval Surface Warfare Center Port Hueneme Division (NSWC PHD) Personnel Security Office for a Non- NISP investigation. Point of contact is the Personnel Security Specialist,

(805) 228-7196.

-- Item 11f. Access to U.S. classified information may be required in various locations (United States Regional Allies). DoD components are responsible for providing the day-to-day oversight and management of contractors collocated with and supporting government customers. Security officers on-board the designated ships and installations will maintain control of the classified information and conduct security inspections if required. Additional locations may be required, as identified per SOW, TI, TO, TDL or other contractual authorization.

- Item 11j(1): The Contractor shall follow and protect critical information associated with this contract to prevent unauthorized disclosure.

The NSWC PHD Critical Information and Indicators List (CIIL) is located in the OPSEC Instruction, NSWCPHDINST 3432.1C Operations Security of 30May2018, Updating to NSWCPHDINST 3070.2 series.

- Item 11j(2): Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NSWC PHD approves the OPSEC requirements. The contractor shall assign an OPSEC point of contact for this contract at no additional cost to the Government. This individual may be the Facility Security Officer (FSO).

- Item 11j(3): During the period of this contract, the Contractor may be exposed to, use, or produce, NSWC PHD Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. NSWC PHD CI will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI).

- Item 11j(4): Assembled large components/systems being transported to and from testing areas, other production or government facilities (whether or not on public roadways) shall be in an enclosed van trailer or covered flatbed trailer. Component/System outside storage, staging, and test areas shall be shielded/obscured from public view wherever physically possible.

- Item 11j(5): NSWC PHD CI shall not be publicized in corporate wide newsletters, trade magazines, displays, intranet pages or public facing websites. Media requests related to this project shall be directed to NSWC PHD Public Release Authority listed in Item 12 of this DD Form 254.

- Item 11j(6): Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise of government Classified or CI, Business Sensitive, Company Proprietary information related to this or other programs must be immediately reported to the Facility Security Officer and Defense Counterintelligence and Security Agency and/or the Naval Criminal Investigative Service, and the NSWC PHD Industrial Security Department.

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- Item 11j(7): For specific OPSEC requirements, Critical Information and Indicators Lists (CIILs) and assistance contact the respective government program manager or COR.

- Item 11j(8): Employee completion of initial and annual OPSEC fundamentals training or company (e.g., FSO) providing an OPSEC Orientation training brief. (Mandatory if contractors will be accessing government IT systems/networks)

- Item 11m. OTHER:

• Per NISPOM update 117.13(d)(5), Return of Classified Materials effective 24 February 2021 contractors must return all classified material to the government at the end of the contract. Contractors must coordinate the return of materials with their designated COR.

• Contract Couriers: Facility Security Officer (FSO) will provide required courier briefings to employees authorized to courier classified information for this contract. FSO will provide NSWC PHD security office a list of personnel authorized and briefed to courier classified material. This list will be reconciled and forwarded to the security office as changes occur.

• Personnel designated as derivative classifiers shall receive derivative classification training prior to access from the contractor's Facility Security Officer (FSO). The FSO shall ensure personnel receive initial and annual training during the life of this contract. Evidence of completion, training certificates or equivalent, shall be provided to the Information Assurance Manager no later than the individual's due date.

• Contractors responsible for unauthorized disclosure of PII may be held accountable for any costs associated with breach mitigation, including those incurred as a result of having to notify personnel.

• Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NSWC PHD Contracting Officer’s Representative prior to the presentation in conjunction with the sponsoring program office (information owner).

• Security classification guides and controlled unclassified information (CUI) are not authorized for public release; therefore, they cannot be posted on a publicly accessible web-server or transmitted over the internet unless appropriately encrypted. Request for public release cannot be transmitted via the internet until the contractor receives final approval from NSWC PHD Public Affairs.

• Contractor must submit a request for sharing of classified and other sensitive information between prime contractors in writing to the certifying official identified in Block 17(a) of this form for approval.

• All security related issues, incidents, or requests pertaining to this contract shall be presented in writing by the contractor's Facility Security Officer (FSO) to the individual identified in block 17(a) of this DD254. The contractor shall abide by other reporting requirements outlined in the NISPOM.

• All reports of contractor security violations associated with this contract shall be mailed by the Cognizant DSS field office directly to the certifying official in Block 17 of this DD Form 254.

• All classified information involved in security incidents shall be retained and provided to the certifying official in Block 17(a) of this DD Form 254 for classification review.

• All classified paper documents destroyed by shredding must be done using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders. Destruction may also be accomplished by other approved methods for destruction of classified information.

• In addition to the reporting requirements directed by the NISPOM, the contactor will provide a concurrent report if loss or compromise of classified information to the certifying official in Block 17 of this form and the Site Director, (Attn: Security Manager).

• All security aspects of this contract fall under the cognizance of NSWC PHD. Security POCs: David Haugland, Security Manager, Code 105, (805) 228-6163; Christine Hansen, Deputy Security Manager, Code 105, (805)228-0234; Lillian Dent, Security Specialist, Code 1051,

(805) 228-5348, Lillian.dent@navy.mil at the address in Block 17.

On-Site Contractors:

1. Contractor employees must check out with NSWC PHD Security when departing NSWC PHD at the end of employment with their company or firm, end of procurement, when transferred to a different procurement, or upon being denied access to Government materials or information. The contractor shall return the items listed below to the custody of PHD NSWC Security Office, Bldg. 1380 or the local site security manager listed below.

• Common Access Cards (CACs), except issued to retired military personnel and retired civil servants on that basis.

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• Pass/passes, except those issued to retired military personnel and retired civil servants on that basis.

2. Contractor personnel shall comply with all DoD, DoN, NAVSEA, NSWC PHD local Navy installation, and PHD NSWC security instructions, policies, procedures and guidance as they apply to the contractor. This includes all training requirements outlined in the NSWC PHD Security Manual. Contractor is required to return all government furnished equipment and government furnished material to the government at the end of this contract.

NSWC PHD site Security Managers:

NSWC PHD ARDEL Facility: Samuel (Glenn) McIntyre; samuel.mcintyre@navy.mil; (808) 335-4612 NSWC PHD Detachment White Sands: Janna Koenig; janna.koenig@navy.mil; (575) 678-6050 NSWC PHD Mayport; Patrick Delly; patrick.delly@navy.mil; (912) 573-4250 NSWC PHD San Diego; Millie Ann Watson; millie.watson@navy.mil; (619) 556 -9194 NSWC PHD Virginia; Marvin Abuan; marvin.g.abuan@navy.mil; (757) 492-5064

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

Access to OPSEC has been reviewed and authorized NAME & TITLE OF REVIEWING OFFICIAL

Emily Dykes OPSEC Program Officer

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.)

OPSEC requirements are imposed on this task. Refer to Item: 13 of this DD Form 254 for applicable guidance. These OPSEC requirements cannot be imposed on subcontractors without written consent from the NSWC PHD OPSEC Program Manager. A written request by the Prime Contractor to the GCA Contracting Officer is required for the flow down of information to a subcontractor for OPSEC. These requirements shall not be imposed at an additional cost to the government.

If the contractor is working aboard NSWC PHD, they will utilize NSWCPHDINST 3432.1C Operations Security, Updating to NSWCPHDINST 3070.2 series.

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

Naval Surface Warfare Center Port Hueneme

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

c. ADDRESS (Include ZIP Code)

COMMANDING OFFICER, NSWC PHD

4363 MISSILE WAY PORT HUENEME,

CA 93043

d. POC NAME

Jacqueline Medina

e. POC TELEPHONE (Include Area Code)

+1 (805) 228-5947

f. EMAIL ADDRESS (See Instructions) jacqueline.medina@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)

Hansen Christine

b. TITLE

Contracting Officer's Security Representative

c. ADDRESS (Include ZIP Code)

COMMANDING OFFICER, NSWC PHD

4363 MISSILE WAY, CODE 1051

PORT HUENEME, CA 93043

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N63394

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

f. TELEPHONE (Include Area Code)

+1 (805) 228-0234

g. EMAIL ADDRESS (See Instructions) christine.r.hansen@navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20210716

DYKES.EMILY.M

ARIE.1563149716

Digitally signed by

DYKES.EMILY.MARIE.156314

Date: 2021.06.28 08:48:13 -07'00'

HANSEN.C

HRISTINE.

RENEE.116

8692567

Digitally signed by

HANSEN.CHRI

STINE.RENEE.

1168692567 Date: 2021.07.16 12:22:03 -07'00'

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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.)