ATT_6_-_DD_254.pdf

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DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of AEM LiveCycle Designer

DD FORM 254, APR 2018

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:

October 31, 2020 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 List of Attachments [2] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) NUWCDIVNPT CIL.pdf NUWCDIVNPTINST 3070.1B Operations Security.pdf

Classified or unclassified technical papers to be presented at a classified symposium must be approved by the NUWCDIVNPT Contracting Officer's Representative (COR) prior to the presentation.

Security classification guides and controlled unclassified information (CUI) (e.g., FOUO, distribution statement controlled) is 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 NUWCDIVNPT Code 00.

Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to the NUWCDIVNPT Code 1051 SCO identified in Block 17 of this form.

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 biennial 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.

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.

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

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

Forward a copy of subcontractor DD-254s issued under this contract to the official shown in Block 17 of this DD-254.

All security related issues, requests, or incidents pertaining to this contract shall be submitted in writing by the contractor’s Facility Security Officer (FSO) to the individual identified in Block 17 of this DD-254. The contractor shall abide by other reporting requirements outlined in the NISPOM.

The Contractor must submit a request for sharing of classified and other sensitive information between prime contracts in writing to the NUWCDIVNPT Information, Industrial Security Code 1051 at NPT_INFOINDUSEC.fct@navy.mil. Each request must reference contract number Nxxxx-xx-x-xxxx, 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 biennial 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.

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.

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

The contractor must provide a copy of subcontractor DD 254s issued under this contract to the official shown in Item 17 of this DD254.

CLASSIFIED AND UNCLASSIFIED TECHNICAL INFORMATION GENERATED UNDER THIS CONTRACT SHALL BE ASSIGNED A DISTRIBUTION STATEMENT BEFORE DISCLOSURE/DISTRIBUTION. CONSULT THE APPROPRIATE CLASSIFICATION GUIDE OR THE CONTRACTING OFFICER'S REPRESENTATIVE (COR)/TECHNICAL DEPARTMENT ACQUISITION ADVOCATE (TDAA) FOR INFORMATION ON APPLYING THE CORRECT DISTRIBUTION STATEMENT.

SECURITY CLASSIFICATION GUIDES (OPNAVINST 5513 SERIES) AND CONTROLLED UNCLASSIFIED INFORMATION (CUI) (E.G., FOUO, DISTRIBUTION STATEMENT CONTROLLED) 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 NAVSEA (SEA 00D).

THE FOLLOWING SECURITY CLASSIFICATION GUIDES APPLY TO THIS CONTRACT AND WILL BE FORWARDED UPON REQUEST: 05-037.2, Submarine Warfare Matters (CONFIDENTIAL), 03-038.3, Submarine Technology, Nuclear and Conventional, 05-090.3, Submarine Technology for New Design Nuclear Powered Attack Submarines Commencing with Seawolf Class (SSN-21), 05-142.1, Submarine Technology for OHIO Class Submarines Converted for Strike and Special Operations, 05-180, Navy Unmanned Undersea Vehicle (UUV), 15-06.2, Dry Deck Shelter (DDS)

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 COVERS REQUIREMENTS FOR HANDLING FOUO.

BLOCK 11.C. - THE CONTRACTOR REQUIRES ACCESS TO CLASSIFIED SOURCE DATA UP TO AND INCLUDING (SECRET, AND CONFIDENTIAL) IN SUPPORT OF THE WORK EFFORT. CLASSIFIED MATERIAL GENERATED IN SUPPORT OF THIS CONTRACT SHALL BE CLASSIFIED IN ACCORDANCE WITH THE SOURCE MATERIAL USED OF THE NAVY SECURITY CLASSIFICATION GUIDANCE, WHICH WILL BE PROVIDED BY THE NUWCDIVNPT INFORMATION SECURITY SPECIALIST (ISS). AUTOMATED INFORMATION SYSTEMS (AIS) MUST BE CERTIFIED AND ACCREDITED BY THE COGNIZANT SECURITY AGENCY (CSA) PRIOR TO PROCESSING CLASSIFIED INFORMATION FROM NAVSEA.

11(j): The Contractor shall protect critical information associated with this contract to prevent unauthorized disclosure. The NUWC Division Newport (NUWCDIVNPT) Critical Information List, Ser 105/103 of April 05, 2017 (FOUO) is identified under separate cover.

11(j) Continued: 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, therefore, the Contractor may not impose OPSEC requirements on its subcontractors unless NUWCDIVNPT 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).

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

11(j) Continued: Intra-office communications and electronic emails shall be encrypted and protected when containing NUWCDIVNPT's CI. The transfer of unclassified technical data to and from the government or other associated activities must be accomplished via encrypted email or AMRDEC SAFE https://safe.amrdec.army.mil/safe/ only.

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.

11(j) Continued: NUWCDIVNPT'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 NAVSEA/NUWCDIVNPT Public Release Authority listed in Item 12 of this DD Form 254.

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 and Defense Security Service and/or the Naval Criminal Investigative Service, and the NUWCDIVNPT Information, Industrial, and Operations Security POCs identified on this DD-254. Questions concerning these requirements shall be directed to the NUWCDIVNPT Information, Industrial, and Operations Security POCs.

ALL DERIVATIVELY CLASSIFIED DOCUMENTS CREATED IN SUPPORT OF THIS CONTRACT SHALL BE MARKED USING THE SOURCE DOCUMENT/SECURITY CLASSIFICATION GUIDE, AND DOD MANUAL 5200.01, DOD INFORMATION SECURITY PROGRAM, VOLUMES 1-4.

IT IS THE CONTRACTING OFFICER’S REPRESENTATIVE (COR)/TECHNICAL DEPARTMENT ACQUISITION ADVOCATE (TDAA) 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 17.a.

CLASSIFIED OR UNCLASSIFIED TECHNICAL PAPERS TO BE PRESENTED AT A CLASSIFIED SYMPOSIUM MUST BE APPROVED BY THE NAVSEAHQ CONTRACTING OFFICER'S REPRESENTATIVE (COR) PRIOR TO THE PRESENTATION.

CONTRACTOR MUST SUBMIT A REQUEST FOR SHARING OF CLASSIFIED AND OTHER SENSITIVE INFORMATION BETWEEN PRIME CONTRACTS IN WRITING TO THE NUWCDIVNPT ISS IDENTIFIED IN BLOCK 16 OF THIS FORM.

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 BIENNIAL 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.

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.

ALL CLASSIFIED INFORMATION INVOLVED IN SECURITY INCIDENTS SHALL BE RETAINED AND PROVIDED TO THE CERTIFYING OFFICIAL IN BLOCK 17 OF THIS DD-254 FOR CLASSIFICATION REVIEW.

ALL REPORTS OF CONTRACTOR SECURITY VIOLATIONS ASSOCIATED WITH THIS CONTRACT SHALL BE SENT BY THE DSS FIELD OFFICE DIRECTLY TO THE CERTIFYING OFFICIAL IN BLOCK 17 OF THIS DD-254.

FORWARD A COPY OF SUBCONTRACTOR DD-254S ISSUED UNDER THIS CONTRACT TO THE OFFICIAL SHOWN IN BLOCK 17 OF THIS DD-254

ALL SECURITY RELATED REQUESTS PERTAINING TO THIS CONTRACT SHALL BE SUBMITTED IN WRITING BY THE CONTRACTOR’S FACILITY SECURITY OFFICER (FSO) TO THE INDIVIDUAL IDENTIFIED IN BLOCK 16 OF THIS DD-254.

SECURITY OFFICER (FSO) ON THE PRIME CONTRACT IS AUTHORIZED TO FLOW DOWN ACCESS TO EACH SUBCONTRACTOR. IT IS THE PRIME CONTRACTOR FSO'S RESPONSIBILITY TO ENSURE THAT ALL SUBCONTRACTORS HAVE THE APPROPRIATE ACCESS LEVELS. IT IS ALSO THE PRIME CONTRACTOR FSO'S RESPONSIBILITY TO ENSURE THAT THEY HAVE DOCUMENTED PAPERWORK FOR EACH SUBCONTRACT. IF THE CURRENT PRIME CONTRACTOR FSO IS REPLACED, IT IS THE RESPONSIBILITY OF THE NEW FSO TO INFORM THE NAVAL UNDERSEA WARFARE CENTER DIVISION, NEWPORT, RI IN WRITING TO SECURITY AND THE COR/TDAA.

THE PROGRAM SPONSOR FOR THIS CONTRACT IS: HARVEY, NICOLE/CODE 4022/ TEL: 401-832-7663/EMAIL: nicole.m.harvey@navy.mil

Newport RI, 02841