DD254_1300339715.doc

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Q Band Travelling Wave Tube Amplifier Module (Sole Source)
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N66604-14-R-0044
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DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort. If additional guidance is needed contact the Contracting Officers Representative (COR) listed below.)

1. CLEARANCE AND SAFEGUARDING

a. FACILITY CLEARANCE REQUIRED

SECRET

b. LEVEL OF SAFEGUARDING REQUIRED

NONE

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

a. PRIME CONTRACT NUMBER

a. ORIGINAL (Complete date in all cases)
Date (YYMMDD)

X

130320

b. SUBCONTRACT NUMBER

b. REVISED (Supersedes all previous specs)
Revision No.
Date (YYMMDD)
c. SOLICITATION OR OTHER NUMBER
Due Date (YYMMDD)
c. FINAL (Complete item 5 in all cases)
Date (YYMMDD)
X
1300339715

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 identified classified material is authorized for the period of

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

L-3 COMMUNICATIONS ELECTRON TECHNOLOGIES, INC.

P.O. BOX 2999

TORRANCE, CA 90505-5104

73293
DEFENSE SECURITY SERVICE

10801 WALKER STREET, SUITE 240

CYPRESS, CA 90630

7. SUBCONTRACTOR

a. NAME, ADDRESS, AND ZIP CODE
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

8. ACTUAL PERFORMANCE

a. LOCATION
b. CAGE CODE
c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

9. GENERAL IDENTIFICATION OF THIS PROCUREMENT

SUBMARINE HIGH DATA RATE (SUBHDR) ANTENNA TRAVELING WAVE TUBE (TWT) NEW FABRICATION AND EVALUATION OF FAILED TWT’S.

10. CONTRACTOR WILL REQUIRE ACCESS TO:
YES
NO
11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL:
YES
NO
a.
COMMUNICATIONS SECURITY (COMSEC) INFORMATION
X
a.
HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT ANOTHER CONTRACTOR’S FACILITY OR A GOVERNMENT ACTIVITY
X
b.
RESTRICTED DATA
X
b.
RECEIVED CLASSIFIED DOCUMENTS ONLY

X

c.
CRITICAL NUCLEAR WEAPON DESIGN INFORMATION
X
c.
RECEIVE AND GENERATE CLASSIFIED MATERIAL

X

d.
FORMERLY RESTRICTED DATA
X
d.
FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

X

e.
INTELLIGENCE INFORMATION:
X
e.
PERFORM SERVICES ONLY
X

(1) Sensitive Compartmented Information (SCI)

X
f.
HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE THE U.S., PUERTO RICO, U.S. POSSESSIONS AND TRUST TERRITORIES

X

(2) Non‑SCI

X
g.
BE AUTHORIZED TO USE THE SERVICES OF DEFENSE TECHNICAL INFORMATION CENTER (DTIC) OR OTHER SECONDARY DISTRIBUTION CENTER

X

f.
SPECIAL ACCESS INFORMATION
X
h.
REQUIRE A COMSEC ACCOUNT

X

g.
NATO INFORMATION
X
i.
HAVE TEMPEST REQUIREMENTS

X

h.
FOREIGN GOVERNMENT INFORMATION
X
j.
HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

X

i.
LIMITED DISSEMINATION INFORMATION
X
k.
BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

X

j.
FOR OFFICIAL USE ONLY INFORMATION
X
l.
OTHER (Specify)
k.
OTHER(Specify)

DD Form 254, DEC 1999 Previous edition is obsolete

NUWCDIVNPT V3.0

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

Through (Specify):

NONE AUTHORIZED

to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs) for review.

In the case of non‑DOD User Agencies, requests for disclosure shall be submitted to that agency.

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 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. Add additional pages as needed to provide complete guidance.)

BLOCK 11.e. CONTRACT IS FOR ENGINEERING SERVICES. CLASSIFICATION MARKINGS ON THE MATERIAL TO BE FURNISHED WILL PROVIDE THE CLASSIFICATION GUIDANCE FOR PERFORMANCE OF THIS CONTRACT.

UNCLASSIFIED TECHNICAL INFORMATION GENERATED UNDER THIS CONTRACT SHALL BE ASSIGNED A DISTRIBUTION STATEMENT BEFORE DISCLOSURE/DISTRIBUTION. CONSULT THE CONTRACTING OFFICER'S REPRESENTATIVE (COR)/TECHNICAL OPERATIONS MANAGER (TOM) OR APPROPRIATE CLASSIFICATION GUIDE FOR INFORMATION ON APPLYING THE CORRECT DISTRIBUTION STATEMENT.

PERSONNEL ACCESSING CLASSIFIED INFORMATION IN THE PERFORMANCE OF THIS CONTRACT NEED ONLY POSSESS A SECURITY CLEARANCE AT THE LEVEL OF CLASSIFICATION NECESSARY TO ACCOMPLISH THE TASK. THE HIGHEST LEVEL OF CLASSIFICATION FOR THIS CONTRACT IS SECRET.

BLOCK 10.j. DoD M-5200.01 VOLUME 4, DoD INFORMATION SECURITY PROGRAM: CONTROLLED UNCLASSIFIED INFORMATION (CUI) OF 2/24/2012.

BLOCK 13 CONTINUED ON NEXT PAGE

ESTIMATED COMPLETION DATE
COGNIZANT COR/PROGRAM MANAGER, NAME, CODE, TEL. NO. & EMAIL
TBD
KEVIN M. FONSECA, CODE 3411, (401) 832-3898

14. Additional Security Requirements. Requirements, in addition to ISM 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.

Yes
X
No

Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed.)

15. Inspections. Elements of this contract are outside the inspection 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.)

Yes
X
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
b. TITLE
c. TELEPHONE (Include Area Code) & EMAIL
STEPHANIE D. MCNEIL
Contracting Officer
401-832-5535
d. ADDRESS (Include Zip Code)
17. REQUIRED DISTRIBUTION

Naval Undersea Warfare Center Division, Newport

Code 1153, B-80

1176 Howell St., Newport, RI 02841

X
a. CONTRACTOR

b. SUBCONTRACTOR

X
c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

X
e. ADMINISTRATIVE CONTRACTING OFFICER
X
f. OTHERS AS NECESSARY

DD Form 254 (BACK), DEC 1999

NUWCDIVNPT V1.0

BLOCK 13 (CONTINUED)

IT IS THE CONTRACTING OFFICER’S REPRESENTATIVE (COR)/TECHNICAL OPERATIONS MANAGER (TOM)/TASK MANAGER RESPONSIBILITY TO NOTIFY THE SECURITY OFFICE OF ANY CHANGES REQUIRED ON THIS DD 254.

THE PRIME CONTRACTOR IS RESPONSIBLE FOR SENDING A COPY OF ALL SUBCONTRACTOR

DD 254’S ISSUED UNDER THIS CONTRACT TO THE INDIVIDUAL LISTED IN BLOCK 16.a..

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