ATTACHMENT 4 DD254.pdf
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- N6449823R4004
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CLASSIFICATION (When filled in): Unclassified
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PREVIOUS EDITION IS OBSOLETE. Page 1 of 5DD 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
Confidential
2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)
a. PRIME CONTRACT NUMBER (See instructions.)
b. SUBCONTRACT NUMBER
c. SOLICITATION OR OTHER NUMBER
N6449823R4004
DUE DATE (YYYYMMDD)
3. THIS SPECIFICATION IS: (X and complete as applicable.)
a. ORIGINAL (Complete date in all cases.)
DATE (YYYYMMDD)
20220513
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.N64498-18-D-4017
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
COMPETITIVE
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.)
CONUS and OCONUS
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
This requirement is for NSWCPD Divisions 41 and 43, which are responsible for Auxiliary Machinery Systems, and Hull, Sail, and Machinery Systems. Engineering and technical services for Divs 41 and 43 equipment to include: prototype engineering; design, development, build, and testing; technology insertion; performance specifications; performance and data analysis; system fault tree analysis;
system safety analysis; system integration; installation support; computer programming and software engineering; software verification and validation; ILS document preparation and system training. Follow on to 41/43 MAC (N64498-18-D-4017).
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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.)
FOUO, NNPI, U-NNPI, NOFORN
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)
NO PUBLIC RELEASE IS AUTHORIZED. C.O, NSWCPD,
5001 S. Broad Street, Phila, PA 19112
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.)
Security Classification Guidance is as follows:
An Active SECRET Facility Clearance (FCL) is required for performance on this contract. The contractor must have a Safeguarding Level of CONFIDENTIAL.”
Item 1(a): All contractor personnel assigned to this contract and performing its required services on site as reflected in Item 8 of this DD254 shall be United States citizens and possess a personnel security clearance at the SECRET level. Interim SECRET clearances are acceptable.
Item: 10(k) 1. (U) Security Controls on the Dissemination of NNPI Received or Generated Under NAVSEA Contracts 12/1/2011.
Item: 10(k) 2. (U) OPNAVINST, N9210.3 Safeguarding of Naval Nuclear Propulsion Information (NNPI) 6/7/2010.
Item: 10(k) 3. (C-RD) CG-RN-1, REV.3, CHANGES 1-20, DOE-DOD SCG for the NNPI which includes Interpretive Guidance Bulletins
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1-19; applicable non-RD sections only.
Item: 10(k) 4. Processing of NNPI on non-federal IT systems requires NAVSEA 08 authorization per OPNAVINST N9210.3, using the procedures identified in NAVSEA ltr 08B/19-03823, dated 2 August 2019.
Item: 10(k) 5. The contractor must provide a copy of subcontractor DD254s issued under this contract, where NNPI is shared, to NAVSEA 08 Security, via the official shown in Block 17 of this DD-254.
Item: 10(k) 5. The contractor must provide a copy of subcontractor DD254s issued under this contract, where U-NNPI is shared, to NSWCPD Industrial and Operations Security (Code 1051) and NAVSEA 08, for information.
Item: 10(k) 6. The contractor must maintain a current Certification of eligibility from the Defense Logistics Agency, Joint Certification Office for access to export-controlled Controlled Unclassified Information (CUI), which includes U-NNPI. DD Form 2345, Militarily Critical Technical Data Agreement, applies.
Item: 10(j). All Controlled Unclassified Information associated with this contract must be protected per the guidance provided for Item 11(l) of this DD Form 254. During working hours, reasonable steps shall be taken to minimize the risk of access by unauthorized personnel.
After working hours, CUI information must be stored in locked containers, desks, or cabinets.
Item: 11(b). Classified information will be safeguarded in accordance with the classification guidance identified in the source material.
Item: 11(e). This contract is for maintenance and engineering services for the associated cleared facilities specified on this DD form 254.
Item: 11(j). The Contractor shall utilize the NSWCPD Critical Information List, to help identify and protect critical information associated with this contract.
Item: 11(j). Continued: During the period of this contract, the Contractor may be exposed to, use, or produce, NSWCPD Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. NSWCPD’s CI will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI).
Item: 11(j). Continued: 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: 11(j). Continued: NSWCPD’s 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 NSWCPD Public Release Authority listed in Item 12 of this DD Form 254.
Item: 11(j). Continued: 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 program must be immediately reported to the Facility Security Officer, Defense Counterintelligence & Security Agency and/or the Naval Criminal Investigative Service, and the NSWCPD Operations Security (Code 1051). Questions concerning these requirements shall be directed to the NSWCPD Industrial and Operations Security Code 1051).
Item: 11(j). Continued: Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of 37 CFR Part 117, National Industrial Security Program Operating Manual, therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NSWCPD approves the OPSEC requirements.
Item: 11(l). Legacy information from existing documents (e.g. Technical Manuals) marked For Official Use Only or FOUO, that is used to create a new document/correspondence, shall follow the minimum marking requirements of DoDI 5200.48, Section 3, paragraph 3.4.a, and include the acronym "CUI" in the banner and footer of the document. Nonfederal information systems storing and processing CUI shall be protected per NIST SP-800-171 Revision 2, 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 methods approved for classified destruction.
Item: 11(l). continued: U-NNPI CUI must be protected in accordance with OPNAVINST N9210.3 and may not be stored or processed on Non-federal AIS without written authorization of NAVSEA 08, Naval Reactors.
Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NSWCPD Contracting Officer's Representative (COR) in concert with NSWCPD Code 1051 and PAO prior to the presentation.
The Contractor must submit a request for sharing of classified and other sensitive information between prime contracts and subcontractors in writing to the COR and NSWCPD Industrial and Operations Security (Code 1051.). Each request must reference contract number identify the specific information for which approval is being sought, a justification for needing to share the information, the name of other contractor and its contract number under which the requested information will be shared.
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 refresher training during the life of this contract.
Evidence of completion, training certificates or equivalent, shall be provided to the Information System Security Manager (ISSM) no later
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PREVIOUS EDITION IS OBSOLETE. Page 4 of 5DD FORM 254, APR 2018 than the individual's due date.
All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list (EPL) for high security crosscut paper shredders, or other approved method for destroying classified information.
Copies of preliminary inquiry or investigative reports of security incidents involving classified information shall be scanned and forwarded to the NSWCPD Industrial Security, code 1051 The contractor must also provide a copy of the subcontractor DD 254s issued under this contract to the COR and the Industrial Security Specialist, code 1051.
This DD254 is for solicitation purposes only; therefore, it must be returned to certify official in block 17 of this form to be updated with a contract number upon contract award before the contract DD254 can be issued to the contractor.
List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)
Operations Security (OPSEC) requirements for this contract are reflected in Item 13 of the DD Form 254 under section 11(j)
NAME & TITLE OF REVIEWING OFFICIAL
Vincent S Garcia, ADMIN Tech/Spec
SIGNATURE
Items 10(k): Access to NNPI (UNNPI and NNPI NSI ) is authorized for this contract. Processing of NNPI on IT systems requires authorization of SEA08.
NAME & TITLE OF REVIEWING OFFICIAL
Bonnie R. Hilton (08) Program Manager, Security Oversight
SIGNATURE
NAME & TITLE OF REVIEWING OFFICIAL 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 NSWCPD OPSEC Program Manager. These requirements shall not be imposed at an additional cost to the government.
Item: 10(k)NNPI: Access to NNPI is required for this contract; (U) OPNAVINST, N9210.3 Safeguarding of Naval Nuclear Propulsion Information (NNPI) 6/7/2010 applies.
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.)
Item: 10(k)NNPI: NAVSEA 08 maintains authority to inspect for protection of NNPI (Unclassified and NSI)
16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)
a. GCA NAME
NSWCPD
b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)
N64498
c. ADDRESS (Include ZIP Code)
NSWCPD, 5001 S. Broad Street, Building 4, Philadelphia PA 19112
d. POC NAME
John Crum
e. POC TELEPHONE (Include Area Code)
+1 (215) 897-2880
f. EMAIL ADDRESS (See Instructions) john.crum1@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.
GARCIA.VINCE
NT.S.1155811982
Digitally signed by
GARCIA.VINCENT.S.11558119
Date: 2022.02.25 08:41:52 -05'00'
HILTON.BONNIE.
RENA.1265731747
Digitally signed by
HILTON.BONNIE.RENA.12657
31747 Date: 2022.05.13 09:30:42 -04'00'
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PREVIOUS EDITION IS OBSOLETE. Page 5 of 5DD FORM 254, APR 2018
a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)
BRUNSON, LOUISE R
b. TITLE
Security Contracting Officer
c. ADDRESS (Include ZIP Code)
NSWCPD, 4700 S. Broad St., Code 1051, Building 29, Philadelphia PA 19112
d. AAC OF THE CONTRACTING OFFICE (See Instructions)
N64498
e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)
f. TELEPHONE (Include Area Code)
+1 (215) 897-2031
g. EMAIL ADDRESS (See Instructions) louise.r.brunson.civ@us.navy.mil
h. SIGNATURE
i. DATE SIGNED (See Instructions)
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.)
Code 1051
SEA 08
BRUNS
ON.LOU
ISE.R.12
43837878
Digitally signed by
BRUNSON.LO
UISE.R.1243837
Date: 2022.10.03 11:02:39 -04'00'
File details come from the government source that posted it. Updated .