OPERATIONS_SECURITY_(OPSEC)_QUESTIONNAIRE.pdf

CUI (when filled in)

Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility Tracking Number

Operations Security (OPSEC)

Assessment Questionnaire for Contracts v - .22 • .3 Completing this form will help determine if the contractor could be exposed to, use, or produce, U.S.

Government critical information (Cl), and determine if the contract needs an OP SEC plan.

la. NAME OF PHNSY&IMF REQUIRING ACTIVITY REPRESENTATIVE lb. CODE i le. PHONE OR IP EXTENSION Stacie Young Smith 987 x5445

2. SELECT REQUESTING CONTRACT TYPE - CLASSIFIED CONTRACT UNCLASSIFIED CONTRACT

EXISTING or EXTENDING CONTRACT - YES NO IF YES, PLACE PREVIOUS TRACKING NUMBER HERE

3a. NAME OF ASSIGNED CONTRACT REPRESENTATIVE 3b. EMAIL ADDRESS

Jeffrey Philipp jeffrey.philipp@navy.mil

4. NAME OF CONTRACTING OFFICE OR GOVERNMENT CONTRACTING ACTIVITY (GCA)

Pearl Harbor Naval Shipyard IZJ NAVFAC Other GCA

3c. PHONE or IP EXTENSION NO

5. TODAY'S DATE 3/7/2022 6. PERFORMANCE START DATE 7. PERFORMANCE END DATE

App lic abi lity and DoD Requirement

This form is only completed by Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility (PHNSY&IMF) (UIC

32253) requiring activity representative requesting contract work on board PHNSY&IMF. When submitting a requirement for a contract, this questionnaire shall be completed prior to solicitation or sole source award by the requirement activity representative, with the assistance from the assigned contracting representative or Government Contracting Activity

(GCA).

The requiring activity representative, assigned contracting representative or GCA must work with the PHNSY&IMF OPSEC

PM to identify the scope of work to be performed and determine security provisions for Critical Information (Cl) if disclosed in the Statement of Work (SOW), Request for Proposal (RFP) or Performance Work Statement (PWS).

Before the contracting representative submits to the supporting contracting company, the OPSEC PM is required to conduct an OPSEC review of the SOW, RFP or PWS prior to the release to contract bidders. As a publicly released document, the SOW, RFP or PWS may reveal Cl or indicators of Cl.

What is an OPSEC Security Plan?

An OPSEC Plan is used to identify and monitor a contractor's OPSEC activities during the performance of a contract. It is intended to be a living document that will require periodic updates throughout the life of the contract. The OPSEC plan;

(l)Describes the OPSEC environment to include identification of Cl, the OPSEC threat and vulnerabilities an adversary might exploit to acquire Cl, (2) Documents the OPSEC risk analysis, (3) Identifies proposed and actual OPSEC measures,(4)Defines and assigns specific OPSEC responsibilities and ties the OPSEC Plan to the contractor's corporate

OPSEC Program, and (5) Serves as a repository of the OPSEC history of the contract.

If an OPSEC plan is determined, the requirement activity representative, assigned contract representative or GCA will forward the PHNSY&IMF's OPSEC Plan to the potential awardee by encrypted email, through Department of Defense Safe

(DoD Safe) Secure Access File Exchange (https://safe.apps.mil). After award but prior to availability start date, the OPSEC plan must be signed by the Prime contractor and forwarded back to the assigned contracting official or the requirement activity representative by encrypted email. In other cases, the contractor may only simply be required to receive the basic

OPSEC contract requirements, which means no OPSEC Plan is required.

Controlled by: DoN, PHNSY&IMF

Controlled by: Code 1122, OPSEC Program M anager

CUI Category: OPSEC

LDC: DL ONLY

POC: Angelo McDuffie, 808-473-8000 ext.3327

Ass essment Questionnaire for Contracts

CUI (when filled in)