Attachment 5- DD254.pdf
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- Cyber Mission Systems, Kitting, and Supplies
- Solicitation number
- N65236-16-R-0036
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UNCLASSIFIED / FOR OFFICIAL USE ONLY
DEPARTMENT OF DEFENSE
CONTRACT SECURITY CLASSIFICATION SPECIFICATION
(The requirements of DoD Industrial Security Manual apply to all security aspects of this effort)
1. CLEARANCE AND SAFEGUARDING
a. FACILITY CLEARANCE REQUIRED
TOP SECRET
b. LEVEL OF SAFEGUARDING REQUIRED
SECRET
2. THIS SPECIFICATION IS FOR: (X and complete as applicable) 3. THIS SPECIFICATION IS: (X and complete as applicable)
a. PRIME CONTRACT NUMBER
TBD
X
a. ORIGINAL (Complete date in all cases) Date (YYYYMMDD)
20170502
b. SUBCONTRACT NUMBER
b. REVISED (Supersedes all previous specs) Revision No.
Date (YYYYMMDD)
c. SOLICITATION OR OTHER NUMBER N65236-16-R-0036
Due Date (YYMMDD) 06/30/2017
c. FINAL (Complete item 5 in all cases) Date (YYYYMMDD)
4. IS THIS A FOLLOW-ON CONTRACT?
YES X NO. 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?
YES X NO. 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
THIS DD254 IS FOR SOLICITATION PURPOSES ONLY.
A PRIME CONTRACT DD254 WILL BE PROVIDED UPON
CONTRACT AWARD.
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)
7. SUBCONTRACTOR
a. NAME, ADDRESS, AND ZIP CODE
8. ACTUAL PERFORMANCE
a. LOCATION
See Block 13
9. GENERAL IDENTIFICATION OF THIS PROCUREMENT - Provides oversight and review, systems engineering test and evaluation, technical, logistics acquisition, sustainment, and management support services. The scope of this contract covers the entire spectrum of outcomes associated with the full life-cycle of systems.
10. THIS CONTRACT WILL REQUIRE ACCESS TO:
YES
NO
11. IN PERFORMING THIS CONTRACT, THE
CONTRACTOR WILL:
YES
NO
a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION
a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER
CONTRACTOR'S FACILITY OR A GOVERNMENT ACTIVITY
b. RESTRICTED DATA
b. RECEIVE CLASSIFIED DOCUMENTS ONLY
c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
c. RECEIVE AND GENERATE CLASSIFIED MATERIAL
d. FORMERLY RESTRICTED DATA
d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE
e. INTELLIGENCE INFORMATION
e. PERFORM SERVICES ONLY
(1) Sensitive Compartmented Information (SCI)
f. HAVE ACCESS TO U.S. GOVERNMENT CLASSIFIED INFORMATION
OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST
TERRITORIES
(2) Non-SCI
g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL
INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION
CENTER
f. SPECIAL ACCESS INFORMATION
h. REQUIRE A COMSEC ACCOUNT
g. NATO INFORMATION
i. HAVE TEMPEST REQUIREMENTS
h. FOREIGN GOVERNMENT INFORMATION X
j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS
i. LIMITED DISSEMINATION INFORMATION
X k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE
j. FOR OFFICIAL USE ONLY INFORMATION
l. OTHER (Specify) See Attached Documents
k. OTHER (Specify) NIPR, SIPR, NSA Net, DoD networks, DD Form 254, DEC 1999 IRC 018IS-17 TBD / Solicitation N65236-16-R-0036 / Page 1 of 2
12. PUBLIC RELEASE. Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release ( ) Direct ( X) Through (Specify) No public release of information is authorized without liaison with the SPAWARSYSCEN Atlantic COR/CRM (Jeremy McNeer, 55A00 – 843-218-3557, jeremy.mcneer@navy.mi), Public Affairs Office (PAO) and the Special Security Officer (Code 87100).
NO RELEASE OF SCI INFORMATION IS AUTHORIZED.
13. SECURITY GUIDANCE. The security classification guidance needed for this classified 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 or 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 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. Add additional pages as needed to provide complete guidance.)
Security classification guidance for this contract is the DoD National Industrial Security Program Operating Manual (NISPOM), DoD 5220.22m.
• All SCI security guidance will be provided by the On-site Government SSO.
• All SCI “Visit Requests” will have the need to know certified by the COR/CRM prior to processing by the SPAWAR Special Security Officer.
Block 8. (Actual Place of Performance): SPAWARSYSCEN Atlantic, Joint Base Charleston SC: Tidewater, VA; SPAWARSYSCEN Atlantic, U.S. Fleet Forces Command: NCR; SPAWARSYSCEN Atlantic: USSOCOM Tampa FL: MARCORSYSCOM Quantico VA: NAVAIRSYSCOM Patuxent River MD; SPAWARSYSCOM San Diego CA; SPAWARSYSCEN Pacific San Diego CA; NAVSEASYSCOM Washington DC; Naval Submarine Base New London CT; Joint Expeditionary Base Little Creek VA; Naval Station Norfolk VA; Naval Submarine Base Kings Bay GA; Naval Base Kitsap WA; Naval Air Station Jacksonville FL; Naval Station Pearl Harbor HI; Naval Station Ingleside TX; Atlantic Undersea Test and Evaluation Center West Palm Beach, FL;
USAG Kelley Barracks, Stuttgart, Germany; Panzer Barracks, Stuttgart, Germany; Patch Barracks, Stuttgart, Germany; NAS Sigonella Italy; NAVSTA Rota, Spain, CNIC; NSA Souda Bay, Crete, Greece, CNIC; NSA Gaeta, Italy, CNIC; NSA Bahrain; Camp Lemonnier, Djibouti; NSA Naples, Italy; U.S. Fleet Forces Command - Tidewater, Norfolk VA; U.S. Fleet Cyber Command Washington, DC; CNE - Naples Italy; CNE - Gaeta Italy; CNE - Souda Bay Greece;
CNE - Rota Spain; AFRICOM Stuttgart, Germany; AFRICOM; Molesworth, UK; EUCOM Stuttgart, Germany. USNO Washington, DC; USNO Colorado Springs, CO; USNO Flagstaff, AZ; USNO St. Louis, MO; NAVSEASYSCOM, U.S. Fleet Cyber Command; PAX River, MD; NAVAIRSYSCOM: San Diego, CA; NIOC Norfolk, NCTAMS DET HR: Pearl Harbor, HI; NIOC Hawaii, NCTAMS PAC: NIOC Yokosuka Sasebo, Japan: Bahrain; COMNAVCENT and/or C5F: Djibouti; CJTF HOA: Guantanamo Bay; US Naval Station: Suitland, MD and/or Washington DC; ONI (Office of Naval Intelligence): Fallon, NV;
NSAWC: Various US Naval Platforms: Goodfellow AFB, TX; Marine Corps Base Cherry Point, NC; Marine Corps Base Camp Lejeune, NC; Marine Corps Base Camp Pendleton CA; Marine Corps Base, Yuma, Arizona; Marine Corps Base, 29 Palms, CA; Marine Corps Base, Quantico, VA; MARFORES, New Orleans, LA; Naval Base, Norfolk, VA; Marine Corps Air Station Miramar, CA; MARFORPAC, Hawaii; Marine Corps Air Station, Iwakuni, Japan;
MARFOREUR, Stuttgart, Germany; MARFORAF, Stuttgart, Germany; Camp Hansen, Japan; Goodfellow AFB, San Angelo, TX; MCEITS Data Center, Kansas City, MO; DISA DECC, Mechanicsburg, PA; MWTC, Bridgeport, CA; MCLB, Barstow, CA; MCRD Parris Island, SC; MCRD, San Diego, CA; MCLB, Albany, GA; MCLB Blount Island, Jacksonville, FL; MCAS New River, Jacksonville, NC; MCAS, Beaufort, SC; Marine Corps Base, Kaneohe Bay HI; Marine Corps Network Operations and; Security Center (MCNOSC) located in Quantico, VA Hurlbert Field AAF, FL Cannon AFB, NM; McChord AFB, WA; Ft Bragg, NC; Nellis AFB, NV; RAF Mildenhall, England; Kadena AB, Okinawa, Japan; NAS Sigonella, Italy; Andersen AFB, Guam; Ft Meade, MD; Hanover, MD; Panama City, FL; Fort Walton Beach, FL; Chantilly, VA; Virginia Beach, VA; and the following countries: Afghanistan; Australia; Indonesia; Kuwait;
Malaysia; Norway; Philippines; Republic of Korea; Thailand; Turkey, all Navy ship classes
SUBCONTRACTOR IS NOT AUTHORIZED TO WORK ON TS/SCI INFORMATION UNTIL SSO NAVY APPROVAL HAS BEEN GRANTED. ONCE SSO
NAVY APPROVAL HAS BEEN GRANTED, AN APPROVED DD254 WILL BE ISSUED.
14. ADDITIONAL SECURITY REQUIREMENTS. Requirements in addition to NISPOM requirements, 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 cognizant security office. Use item 13 if additional space is needed.)
This contract requires access to SCI information in accordance with DoDM 5105.21 Vols 1-3. It requires additional security protection measures not contained in the NISPOM and will be provided by the on-site Government SSO.
(X) Yes ( ) No
15. INSPECTIONS. Elements of this contract are outside the responsibility of the cognizant security office.
(If yes, explain and identify specific areas or elements carved out and the activity responsible for inspections. Use item 13 if additional space is needed.)
DSS is relieved of security inspection responsibilities for the SCI portion of this contract. The SSO Navy has overall security cognizance for SCI Information under this contract.
(X) Yes ( ) No
16. CERTIFICATION AND SIGNATURE. 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.
a. TYPED NAME OF CERTIFYING OFFICIAL
Inez Streuber
b. TITLE
SCI Contracts Security Representative
c. TELEPHONE (Include area code)
(843) 218-4447
d. ADDRESS (Include Zip Code)
SPAWAR Systems Center, Atlantic (Attn: Code 87100) PO Box 190022 North Charleston, SC 2941909022
17. REQUIRED DISTRIBUTION
a. CONTRACTOR
b. SUBCONTRACTOR
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR
e. SIGNATURE
d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION
e. ADMINISTRATIVE CONTRACTING OFFICER
f. OTHERS AS NECESSARY
DD Form 254 (BACK), DEC 99 IRC 018IS-17 TBD / Solicitation N65236-16-R-0036 / Page 2 of 2
| 2017-05-09T06:39:34-0400 | |
| STREUBER.VIRGINIA.I.1103096290 |
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