RFP Attachment 2 DD Form 254 April 2018.pdf

PDF 67 KB Posted Mar 3, 2022

Attached to: Commander, Naval Forces Japan (CNFJ) / Commander, Navy Region Japan (CNRJ) Information Technology (IT) and Communications Services Contract
Solicitation number: HC1019-22-R-0002
Issued by: Defense Information Systems Agency

About this file

Written by GovTribe AI · Dec 28, 2023

This document contains a Department of Defense Contract Security Classification Specification (DD Form 254) and details of a related federal contract opportunity. The DD Form 254 specifies security requirements for a firm fixed price information technology and communications services contract supporting Commander, Naval Forces Japan and Commander, Navy Region Japan. Classified access is required to perform contract duties involving classified systems and materials. The solicitation is set aside for 8(a) small businesses and seeks proposals due by April 4, 2022 to provide IT and communications services for the period of June 30, 2022 through June 29, 2023, with four one-year option periods. The incumbent contractor is Premier Solutions HI, LLC. A DD Form 254 and security clearance are required for work involving this classified contract.

View the file

Other files

File	Type	Posted
RFP Attachment 3 CLIN Pricing Worksheet AMD0001.xlsx	XLSX spreadsheet	Mar 29, 2022
HC1019-22-R-0002 AMD0001.pdf	PDF	Mar 29, 2022
RFP Attachment 7 Question and Answers 28 MAR 2022.xlsx	XLSX spreadsheet	Mar 29, 2022
RFP Attachment 1 QASP.docx	DOCX document	Mar 3, 2022
RFP Attachment 3 CLIN Pricing Worksheet.xlsx	XLSX spreadsheet	Mar 3, 2022
RFP Attachment 4 BVTO Eval Table w No PP.docx	DOCX document	Mar 3, 2022
HC1019-22-R-0002.pdf	PDF	Mar 3, 2022
RFP Attachment 5 Questions Template.xlsx	XLSX spreadsheet	Mar 3, 2022

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

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:

May 31, 2022 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.)

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form)

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

CurrentPage:

PageCount:

Classification:

SerialNum:

a. Facility clearance level. Select one.: 1

b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4

Choose Yes or No: 1

Prime:

Choose Yes or No: 0

Sub:

Choose Yes or No: 0

Soli:

DueDate:

dateA:

RevisionNum:

dateB:

Final:

dateC:

No: 0

No: 1

No: 0

No: 1

Yes: 1

Yes: 0

Yes: 1

Yes: 0

Enter your name here.: HC1019-17-C-0001

ReqDated:

Enter your name here.:

Name: Jennifer Peters

Cage:

CSO: DEFENSE SECURITY SERVICE

11770 BERNARDO PLAZA CT, SUITE 213

SAN DIEGO, CA 92128-2426

CSO: Mr. Sean K. Spears

DSN: 315-243-2068

Email: sean.spears@fe.navy.mil

PSC 473 BOX 12

FPO, AP 96349-0012

CSO: Mr. Johnnie Brown

DSN: 315-243-3266

Email: johnnie.brown@fe.navy.mil

PSC 473 BOX 1

FPO AP 96349

CSO: LT Ryan Johnson

DSN: 315-634-9028

Email: ryan.johnson@fe.navy.mil PSC 480 Box 710

FPO AP 96370

CSO: Mrs. Kathleen Justice

DSN: 315-252-2407

E-mail: kathleen.justice@fe.navy.mil

PSC 476 BOX 1

FPO AP 96322, BLDG 80

CSO: Mr. Edward Harris

DSN: 315-264-4431

Email: edward.harris@fe.navy.mil PSC 477, Box 9

FPO AP 96306

CSO: ETC Bryce Brown

DSN: 315-226-2047

Email: bryce.brown@fe.navy.mil

PSC 76 UNIT 5048

APO AP 96319-5000

CSO: CWO2 Jesus Lemus-martinez

DSN: 315-370-4100

E-mail: jesus.lemus-martinez@fe.navy.mil PSC 466 Box 2

FPO AP 96595-0002

CSO: Mr. Angel Rivera

DSN: 315-421-2304

Email: angel.l.rivera@fe.navy.mil

PSC 470 BOX 2100

FPO AP 96534

addrow:

Removerow:

Click to delete a row:

Location: Commander, Naval Forces Japan (CNFJ)/

Commander, Navy Region Japan (CNRJ), Information Technology (N6)

PSC 473 BOX 12

FPO, AP 96349-0012

Location: Commander Fleet Activities Yokosuka, Japan (N6)

PSC 473 BOX 1

FPO AP 96349

Location: Commander Fleet Activities Okinawa, Japan (N6) Bldg 3554, Bldg 1100, Bldg 3574 PSC 480 Box 710

FPO AP 96370

Location: Commander Fleet Activities Sasebo, Japan (N6) Bldg 200, Bldg 80, Bldg 100, Bldg 320

PSC 476 BOX 133

FPO AP 96322

Location: Naval Air Facility Atsugi, Japan (N6) Bldg 1524, Bldg 206, Bldg 949 Bldg 22, Bldg 1342, Bldg 183 PSC 477, Box 9

FPO AP 96306

Location: Naval Air Facility Misawa, Japan (N6) Bldg 980, Bldg 970, Bldg 971

PSC 76 UNIT 5048

APO AP 96319-5000

Location: Naval Support Facility Diego Garcia (N6)

NAVSUPPFAC DGAR

Bldg 136, Bldg 251, Bldg 914, Bldg 4057 PSC 466 Box 2

FPO AP 96595-0002

Location: Singapore Area Coordinator (N6) Bldg 7-4 PSC 470 Box 2100

FPO AP, 96534

Block9: IT Services Contract (PWS Based) supporting the Commander, Naval Forces Japan (CNFJ) / Commander, Navy Region Japan (CNRJ) Assistant Chief of Staff (ACOS) for C4I (N6), CNRJ Chief Information Officer (CIO) and Information Technology Department at the Region and Installations.

Contract is for IT services, including operation and maintenance for systems which classified material is stored/briefed on. Classified access is also required for Cybersecurity personnel when there are classified spillages.

a: 1

f: 0

f: 1

f: 0

b: 0

g: 1

g: 0

c: 0

c: 1

h: 1

h: 0

d: 0

i: 0

SCI: 1

NonSCI: 0

j: 0

k: 0

Enter your name here.: MAY BE ISSUED DD 2501 IF REQUIRED TO TRANSPORT CLASSIFIED MATERIALS WITHIN AOR.

e: 1

l: 0

m: 1

direct: 0

thru: 1

Enter your name here.: Any release of information must be forwarded to N6 CIO and forwarded to PA office for review and approval of release.

PublicAuthority: CNFJ/CNRJ N6, John Starnes

AddSig:

RemoveSig:

text: The contractor will only access classified material at Government facilities. Classified information/materials/access may be required to perform duties. Workers must have current, valid/favorable investigation and security clearance eligibility equal or higher of the access level required to perform their duties and responsibilities. Contractor must meet the personnel security standards as outlined in Intelligence Community Directive 704 before being granted access to sensitive compartmented information. All classified work to be performed, reviewed and or disseminated must be done so in accordance with local policy, security clearance guides, SECNAV, NISP and DoD standards. Performance limitations that require protection found in information and materials stored in secure areas received and processed in open storage areas will be accessed on a strictly need to know basis. Workers not eligible to participate in classified activities will be denied access to spaces until access is permitted.

Workers must meet training and education requirements to accomplish their duties in accordance with establish regulations.

Data generated that warrants classification will be classified in accordance with USPACOM Instruction 0301.8 Security Classification Guide.

Classified systems, hardware and materials required to complete contractual agreement will be furnished and stored in secure areas when available as required.

Any subcontractors participating in classified areas must meet eligibility requirements for access prior to arrival.

When reportable actions occur that require incident reporting in accordance with DoD Instruction of the 13 Adjudicative Guidelines that effect access to Sensitive, Classified information; Command Security Manager must be notified immediately.

All personnel entering secure areas are subject to inspection of devices, bags and containers. Reporting of foreign travel outside of Japan should be reported to COR and Security Manager. Travel to restricted areas requires the same level of approval as members of the command personnel working in restricted areas.

Click on this button to attach a file(s).:

rep: John Starnes, Alternate Contracting Officer's Representative

rep: Sean K. Spears, Security Manager

Sig:

Enter your name here.: Contract requires: visit request submitted via Defense Information System for Security (DISS) for contract duration person summary must have access annotated, appropriate IT level and Non-Disclosure Agreement on record. Additional training requirements are to be met: Initial, Annual and Refresher Briefings: Operations Security , NATO, Derivative Classification, Annual Security, Courier (if applicable), Foreign Travel, Anti-Terrorism, and Counterintelligence & Insider Awareness.

GCAName: DITCO-Pacific/PL72

AAC: HC1019

Address:

477 Essex Street Bldg 77, Suite 180 Joint Base Pearl Harbor-Hickam 96860 Address: COMNAVFORJAPAN, N6 PSC 473 Box 12

FPO AP 96349-0012

POCName: Tanya D. Buttner

Phone: 8087869344

Phone: 3152437906

Email: tanya.d.buttner.civ@mail.mil

Email: jennifer.peters@fe.navy.mil

Title: Contracting Officer Representative (COR)

Enter the date using the format DD-Mon-YYYY:

File details come from the government source that posted it. Updated Mar 3, 2022.