N6660423Q0047 DD254 Redacted.pdf

CLASSIFICATION (When fi/led·in): Uriclassified

DEPARTMENT OF DEFENSE QMB No. 0,704-055 7

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements ofihe National Industrial Secun'ty-Program (NISP) apply lo all security aspects of/his eifottinvofving classified information.)

0MB approval expires:

June so, 2025

Toe public ·reporting t>urdon for this•col.lecuon otinfbmiatlon." 0704.:0:567·, is estimated .to .avenige·70 minulvs per respons.e', including lhe•fjme'forre·,,;a,,,;ng iiisln.ic�ons. searclllng:exisilng data $0Ul'l:8S, .9a\hering· and maintaining (he data needed. and comple�ng and re.viewing tbe collecilon.'of ;'nfoanati<in, Send .comments regarding !his burde,ves�male .or ·any .other aspect of. ihis COl)ection of inlomiation, inciud.ing' suggesUons,for reducing Ille burden, lo•lhe Departmenl of Defense, Wllshlngjon Headquarters Services, al-wl'ls:mc-alox.esd.mbx.dd,dod•nformatiorKJillaclions@m.ail.miL Resporiden1,r.should.be. �w,ue that ·no!Withstan.dirig anyo111er pr,qvisfonof I.aw. no peison.shalH,e subieol·1o any penaltyforfa'iling tocomply wilh a e<>llection ofinfoana!lonlfltdoes not·diSplay:a·currenil)i.valid.OMBcontrol number.

RETURN COMPLETED fORM AS DIRECTED IN Ti-IE INSTRlJCTIONS,

1. CLEARANCE AND SAFEGUARblNG

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See /nstn.iciions}

b. LEVEL OF SAFEGUARDING FOR CLASSiFIED INFORMATION/

MATERIAL.REQUIRED AT CONTRACTOR FACILITY

TQp.Secrct None (See instructions)

2. THIS SPECIFICATION IS FOR: (X imd complete as applicable.) 3. THIS SPECIFICATION IS.: . (X arid complete as applicable.}

a. PRIME CONTRACT NUMBER (See insiructions.)

[g]

DATE (YYYYMMDD)

a� ORIGINAL (Complete date In al/ case.s.)

b. SUBCONTRACT NUMBER b.. REVISED (Superse<les all preili9us specifications.)

·~--□ , , . .. ,� .. ,.,,.,.,-,-·,.-, -~--�-�--·-·····-�--··-··�·-·�-·-·-~----··'· "'�••'""M-�,O -• -~-��••"•""-•••""M-�,0-• -~•-�=-••"•

..... □ -· ·~·~·-REVISIOfll•No. -----···· ......... ,_, ·-· ·~·~·--··· ........... DATE-(YYYYMMDD)·

c. SOLICITATION OR OTHER NUMBER DUE DATE(YYYYMMDDJ

[gJ N666Q4�23.�Q-0Q47. □ C. FJNAL(Comp/ele.1/em 5/n a// cases.) DATE (YYYYMMDD)

4. rs THIS A FOLLOW-ON CONTRACT? jg! No OYes If yes, complete /he following:

Classified material rec.eived or generated under /Preceding ContractNumber) is transferred. to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? lg] Ni> OYes. If yes, C-Omple(e: the following.' ln �sponse to the. coritractor's request dated , retention of the classified material is authorized to·r the period of:

6.CONTRAC:TOR (Include Commercial and Govemm.int Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE b .. CAGECODE c. COGNIZANT SECURITY OFFICE($) (CSO) Competitive Solicitation: This DD Form254 is for (Name., Add,r,ss, ZIP Code, Telephone required; Emal/Address optional)

Bidding Purposes Only A certified DD Fonn 254 will be provided �pon Contract Award.

· Not Valid' for ContractPerformance

7. SUBCONTRACTQR(S) (Cllck tiuttori if you ch!)ose ro .add or lisfthe subcontracto'rs.

� b11t will still require a separate DD Form 254 issued by a.prime contractor.lo each subcontractor}

a. NAME, ADDRESS, AND ZIP CODE b.CAGE CODE c,COGNIZANT SECURITY OFFICE(S) (CSO)

NIA

. (Name: Address, ZiP Code, Te/ephdnerequired,'.Email Address optional)

NIA

NIA

8. ACTUAL PERFORMANCE (Cl/ck button. to. addmore locahons.)

a. LOCA TION(S) (For aciualperformance, see fnstiuctions.) ti.CAGE CODE c. CQGNIZANTSECURITV OFFICE(S) (CSO) NUWCDJVNPT {If app/ica�le.

�ee lnst(Ueli<ins:)

(Name, Add,ress, ZIP Code, Telephone required; Email Address op/ional)

NUWCDIVNPT

l 176 Howell Street Newport,RI 02841

U76 Howell Street Newport, RI 02841

9. GENERAL.UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The Contractorsha\l gather specialized information from a wide variety of sources, both internal and e.xtemal in order for the Goverrirnent to develop national and international USW strategies and plans.

PoP anticipated end date: 29 December 2024 .

DO FORM 254, APR2018 PREVIOUS EDfflON IS OBSOLETE:

CLASSIFICATION (When filled in): Unclassified

CLASSIFICATION (When filled In): Unclassified

. All classified dat.a and hardware shall .be prqtected LA. w; Part 1 \ 7 of Title 32. Code of Feder<1I Regulations (CFR), A!l contract personnel sha]\ have a favorably adjudicated background investigation or interim clearance granted per established DoD personnel security reqµirements for routine and priviJeg(:d access to. governmentinformation systems and physic�! access to facilities and locations supporting tile contract. · · · ·

Classified or unclassified technical papers to be presented at a classifiedsymposium·shall be.approved by the NUWCDJVNPT <:ontracting Officer's Representative (COR) pdor to the presentation.

Security classification guides and controlled unclassified information (CUI) (e,g., legacy FOUO, distribution statcmentccintrolled) are not authorized for pµbl ic release; therefore, they c(!nnot be posted on·a publfoly accessible wel,-server or transmitted over the internet \Jnless appropriately encrypted. Request for public release cannot be:transmitted vi11 the internet until the contractor receives final approval from NUWCDIVNPT Code 00.

All reports of contractor security. violations associated with ibis contract .shall be sentby the DCSA field office directly to NlJWCDIVNPT Industrial Security Team at riuwc...:.npt_indsec3.fct@navy.mil.

All security related issues, requests, or incidents; pertainingto this contract, shall be submitted in writing by the contractor's Facility Security Officer (PS◊) to NUWCDIVNPTlndustrial Security Team at nuwc_npt_indsecffct@navy.mil. The ccmtractor shall abide by . other reporting requirements outlined in Part 117 of Title 32, CFR.

All classified information involvedjn security incidents shaUbe retained and a synopsis of the incident shall be provided to the NUWCDIVNPT Industrial �ecurityTeam atnuwc_npt_indse¢3.fot@navy.mil for review.

· The Contractor shall submit a letter ofrequest, on company letterhead, for sharing ofc!assified and other sensitive information or data between prime contrac:ts tqJhe: .. NUWCDIVNPl' Industrial Security Team atnuwc.:...nptjndsec3,fct@navy.mil. Each request shallreference contract numberN66604�23-Q�_D047 (to be:: updated upon award) to identify the sped fie information fonvhich approval is being sought,a jusfrfication for needing to share the information, the name of other contractor and its contract number under which the requested information will.be .shared.

The Contractor shall submit a fot:ter of request, on compa11y letter, to flow dowri secur:ity access to NUWCDIVNPT Industrial Security team at nuwc;.. npt_indsec3.fct@navy.mil. Each request shall reference contract number (to be updated upon award) to identify the specific information for. which approval is being sought, ajustification for needing to share the information, the name of other contracto�, CJ\GECode, and the subcontracim1mber.

The contractor shall provide a copy of subcontractor DD254s issued under this contract to NUWCDIVNPT Industrial Security Team at

· nuw�_npt_indsec3 .fot@navy.mil .

Personnel designated as derivative Classifiers shall receive derivative classification training prior to access frorrf the contractor's. Facility Security Officer• (FSO): The FSQ shall ensure personnel receive initial and biennial training during the life.of this. contract Evidence of completion, training certificates or equivalept, shall be provided to thefofonnatiori Asstirance Manager rio later than the individual's due date.

All classifi ed documents shall be destroyed using a National Security Agency {NSA) approved high· security crosscut shre.dder listed on the NSA/CSS _evaluated products 1 ist(EPL) for high security crosscut . paper shredders, or other . approved method for destroying . classi ficd information.

The contractor shall adhere fo NUWDIVNPT Security Manuals, Instructions, Directives, and Standard Operating Procedures . (SOP) while working onboard NJJWCDIVNPT, NUWCDIVNPT Fadlities onboard NA VSTANPT, or any NUWDIVNPT Detachment

---------------------- . -Sections 10 and l 1 State1ncntsc-- ·------------------------- Item 1 Oe (1): This task requires access.to TS/SCI by tontractorpersorineL NUWCDIVNPT SSO has exclusive security responsibility for all SCI classified.material released to. the· contractor: ·DefenseCbunterinte\ligence& Security Agency{DCSA).is relieved from security/ inspe¢tion responsibilities fot all SCI inateri al,. but .retains responsibility for all other classified material. The CSA for. SCI material is Office of Naval Intelligence.

lterri I0e (I): Jntelligence.Infonnation,TS/SCI: SCI requirements are hereby authorized. Questions regarding Item 1 Oc (I) and requests for retention or release of intelligence shall be thru the Office of Naval lntelligerice NUWCDIVNPT SSO.

·oo FORM 254, APR 2018 PREVIOUSEDITION iSOBSQLETE..

CLASSIFICATION (When filled in); Unclassified

CLASSIFICATION (When filled in): Unc]assitied lnfonnation tctJ and/or observables and tl)d1c;atorswh1ch may lead to discovery or LL NUWCUI 'Nr I s Cl w11J not.be distributed .to · unauthorized third parties, including foreign govemme1,1ts, or c:ompanies under Foreign Ownership, Control, or Influence (FOCI).

ll(j) Continued: CUI porrespondence transmitted internally on the contractols unclassified networks or information systems, and externally, shall be protected per NIST sp..:800-171, Protecting Contrqlled Unclassifi.ed Information in Non°foderal. Systems and Organizations:

1 1 (j) Continued: Assembled large components/systems being transported to and from testing areas, other production or government facilities (whether or not on pubHc roadways) shall be in an enclosed van trailer or covered flatbed trailer. Ccimponent/System outside storage, staging; and test areas shall be shielded/obscured from public view wherever physically possible.

1 1 (i) Continued: NUWCDIVNPT's. CI shal l 11ot be publicized in corporate wide.newsletters, trade magazines, displays, irtfranet. pages or public facing �ebsites. Media requests related to this project shall be directed to NA VSEA/NUWCDIVNPT Public Release Authority listed in Item 12 of this DD Form 2.54;

l l(j).Continued: Any attempt by unauthorized third parties 1o solicit, obtain, :photograph; or record, or; incidents ofloss/comprcimise of government Classified orCI, Business Sensitive, Company Proprietary information related to.this or other Naval Undersea Warfare Center

·· ·~·--program;mustbe,immediatelYT�Ported--to·the··Fadlity·_Security~ortk:eraiiclDefefiseSi::'cufity '.Se'fi.iiC'if'aficlToflfie"NavalCffminaC- ... --- --- ----- - Investigative Service, and the NUWCDIVNPT Infollllation, lndustrial, and Operations Security POCs .identified on this DD�254.

Questions concerning these requirements. shall be d.ir�cted toJht! NL.JWCDIVNPT Information, Industrial, and Operaiions Security POCs.

Item l ll: Legacy information from existing documents (e,g . .Technical Manuals)marked For Official.Use Only or FOUO, that is used tQ create a new document/correspondence, shall follow the 1riil)imum. marking requirements ofDoDl 5200.48, Section 3; paragraph 3.4.a, and include the acronym "CUi" in the. banner and footer of the document. Nqnfederal information systems Storing and processing CUI shall be protected per NIST SP-800- 1 7 1 , or subsequent revisions, ancl/or 1 acc.ordance With DFARS clause 252.204�7012 .. All transmissions to personal eiitail accounts (AQL, Yahoo, Hotmail, Comcast, etc.)ancl posting on social media websites (Facebciok, Instagritin,Twitter, LihkedTn, etc.) are prohibited. Destroy all Ct.JI associated with this contract by any ofthe following.approved methods: A crosiHut

· shredder; a certified commercial destruction vendor; a central destruction facility; incin'eration; chemical decomposition; pulverizing, disintegration; or method� approved for classified destruction.

List of Attachments (All Files Must.be attached Prior to Signing, i:e,, for any digital signature onlhe iorm) Ch 12 NUWCDIVNPT SECMAN 2019 SIGNATURE

NUWCDIVNPT CIL 201.90405

NAME & TITLE OF REVIEWING OFFICIAL

D

See Navy SCI Addendum for security guidarice.

n,�

Intelligence information request requirements are imposed fotthis contract under section lO(e) and are reflected in Item l3 of this DD Fonn 254,

14. ADDITIO,NAL SECURITY ijEQUIREMENTS

NAME & TITLE OF REVIEWING OFFICIAL

NAME &. TITLE OF REVIEWING OFFICIAL

Requirements, in additiori to N iSPOM requirements for classified information, are established for this contract.

D No IXJ Yes If Yes,. Identify /he pertinent contracfualclausesin .the contract document itself, · or provide en appropriate statement .w/iich identifies the adrfltional requirements, Provide a copy of the requirements lo the. CSO, The field will expand a� text is aiJiied 'oryj;il can a/so use item 13, When removing any expanded textarea, use delete key or backspace.key, then Click out of/he text fieliJ for it to sh/ink aftet the tax/has been deleted.

(See ins/ructions for additional guidance br /Jse of .thfi fillab/e-PDF,j

Item I 0e(2): Special security controls are contained in DoD 5105.21 Vol 1 -3 and the STILO clause qfthe Prime Contract.

Item I lj: Operations Security (OPSEC) requirements are imposed for this contract under section 1 1 G) andare reflepted in Item J 3 of this DD Form 254. The cohttactdr shall not impose additional security requirements including OP�ECon its subcontractor without written approval from the NUWCDIVNPT OPSEC P'rogram Manager identified on this DD Form 254. These additional security requirements shall

. . not be afan additional cosno the.govenimenL · · · ·

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of)he CSO.

0 No � Yes If Yes, explain end identify specific areas ;ind government {lclivity responsible for inspections. The field will expand as teit is.added oryoi, can also use 1iem

13. When removing any expande-d texi .:iroa. use delete key or backspace key, then click outof the iext field for it to shrink alter fhe tex /.has been deleied, (See instructions for addillonai guidance or use of the fillable PDF.)

DD FORM 254, APR 2018 PREV!OUS EDITION IS OBSOLETE

CLASSiFICATiON (When fifledin): Unclassi f ied . Page s.of 6

CLASSIFICATiON (Whenfilled in): Unclassified Hem I 0e (I): SCl: Tins task requires access .to TS/SClbY contractor personnel, N UWCDlV Nl' 1 sso has exclusive security responsibihty for all SCI classified material released to the contractor. DCSA is relieved from security/inspection responsibiliti1;,s for aH SCI material, but retains resportsibility for all other classified material. The CSA for SCI materiai is MSI'.l-:2.

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT {POC)

a. GC:A NAME c. ADDRESS (Include ZiP Code)

NU\VCDIVNPT

d.PO.C NAME

COR identified in section G of contract Naval Undersea Warfare Centef, Newport

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

N66604

17. CERTIFICATION AND SIGNATURES

t 176 Howell Street Newport, RI 02841

e. POC TELEPH.ONE (Include Area Code)

J. EMAIL ADDRESS.(Sae Instructions)

Security regu1rements stated herein are complete and adequatefor safeguarding the classified iriforniation to be �!eased or generated under this classified effort All quesUons shall be referred fothecifficial namedbelo'II'. Upon digitally signing Item 17h, no changes can be made as the forTT1 will be locked .

.•.. a.TYPED:NAME_.OF CERTIFYING.OFFICIAL (Last Firsf;;Middle /nitialj ...... d. AAC OF THE CONTRACTING OFFICE. . . h. SIGNATURE (See Jnsiruqionsj

. ' . . ·-· .... ·- (See instn.ictidns) ·

. Clarke� Caitlin; A N66604 · \tally signed

··• by . .

l-----'---------------------+-------,---,--------1

b. TITLE

Security Contracting Officer•

c. ADDRESS (Include ZIP Code)

NUWCDIVNPT

1176 Howell Street.

Newport; RI 02841

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

J:gj a. CONTRACTOR

□ b. SUBCONTRACTOR l'v'I c. COGNIZANT SECURITY OFFICE FOR PRIME AND k0.1 SUBCONTRACTO.R

□·. d. U:S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

rzl e. AOMINISTRA TIVE CONTRACTING OFFICER

e. CAGE CODE OF THE PRIME CONTRACTOR · (See lnstructiims.)

f. TELEPHONE (Include Are;, Code)

g. EM/llLADDRESS (See Instructionsii I

i. DA.TE SIGNED (See Instructions)

K7i f. OTHER AS 1-jECESSARY (lfm?_re room1s �eeded, conlinuein Uem 13oton � add1t1onalpage 1fnece�sary.)

COR

sso

STILO

DD FORM 254, APR 2018•. PREVIQUS EDITION !SOBSOLETE .. Page 6 of6

CLASSIFICATION (When filled in): Unclassified