(Updated 20250815) CLASSIFICATION (When filled in): Unclassified

CLASSIFICATION (When filled in): Unclassified PREVIOUS EDITION IS OBSOLETE. Page 1 of 7DD FORM 254, APR 2018

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:

August 31, 2028

The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 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

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED (See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

Secret

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

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N0016426Q0196

DUE DATE (YYYYMMDD)

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

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20260421

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No Yes 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? No Yes If yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of:

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

a. NAME, ADDRESS, AND ZIP CODE K&L Microwave LLC 2250 Northwood Drive Salisbury MD 21801

b. CAGE CODE

50140

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

HANOVER FIELD OFFICE 1 (M-HAN1)

7556 Teague Road, Suite 580 Hanover, MD 21076 dcsa.midatlantic.region-is.mbx.hanover-field-office-1@mail.mil / 410-689-2270

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)

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

a. LOCATION(S) (For actual performance, see instructions.)

K&L Microwave LLC 2250 Northwood Drive Salisbury MD 21801

b. CAGE CODE (If applicable, see Instructions.)

50140

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

HANOVER FIELD OFFICE 1 (M-HAN1)

7556 Teague Road, Suite 580 Hanover, MD 21076 dcsa.midatlantic.region-is.mbx.hanover-field-office-1@mail.mil / 410-689-2270

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

Request to purchase the P/N's 6DRZ21-00011, 6DRZ21-00012, and 6DRZ21-00013 Ceramic Filters to repair EA-18G FLEET assets. Depot is not able to meet its requirements and provide RFI assets to the fleet.

CLIN: 0001, PN: 6DRZ21-00011, Ceramic Filter, QTY 11 CLIN: 0002, PN: 6DRZ21-00012, Ceramic Filter, QTY 11 CLIN: 0003, PN: 6DRZ21-00013, Ceramic Filter, QTY 11 CLIN: 0004, PN: Service, 107 THERMAL SHOCK MICO-IBS, QTY 1 AU, $940.00 CLIN: 0005, PN: Service, 112 SEAL MICROMINIATURES-IBS, QTY 1 AU, $627.00 Total estimated cost: $160,792.00

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10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA

g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

h. FOREIGN GOVERNMENT INFORMATION

d. FORMERLY RESTRICTED DATA

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

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.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See 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)

DIRECT THROUGH (Specify below)

NSWC Crane Commanding Officer, Attn: PAO 300 Highway 361, Crane, Indiana 47522

Public Release Authority:

Abagail A. Harmon - Public Affairs Officer 812-381-5041 abagail.a.harmon.civ@us.navy.mil

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.)

For Solicitation Contracts: This DD254 is for solicitation purposes only; therefore, it must be returned to NSWC Crane to be updated upon contract award before the contract DD254 can be issued to the contractor.

Mandatory Training Requirements: The Government requires contractors who require NMCI accounts to participate in certain mandatory training requirements. The COR will notify the contractor of mandatory training as requirements arise during performance. It is the responsibility of the contractor to ensure these training requirements are met and properly reported to the COR. Mandatory initial and annual refresher training includes, but is not limited to, Active Shooter, Antiterrorism Level 1, Combating Trafficking in Persons (CTIP), Controlled Unclassified Information (CUI), Counterintelligence (CI) Awareness, NAVSEA Derivative Classification, Classified Information Custodian, Information Assurance/Cyber Awareness, North Atlantic Treaty Organization (NATO), Operations Security (OPSEC), Physical Security (PHYSEC), Privacy Act and Personally Identifiable Information (PII) training. All security violations involving classified national security information must be reported to the NSWC Crane Activity Security Manager.

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Item 10.j., Controlled Unclassified Information, and Item 11.l., Receive, Store, or Generate Controlled Unclassified Information (CUI).

1. DoDI 5200.48, Controlled Unclassified Information (CUI). All CUI information may not be transmitted via unprotected systems, unless fully encrypted using Department of Defense (DoD) Public Key Infrastructure (PKI), or an approved DoD External Certificate Authority, per DoDI 8520.02, Public Key Infrastructure and Public Key Enabling. CUI shall not be released to the public without written approval from the GCA per the Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.204-7000. All CUI-associated with this contract must be safeguarded to prevent unauthorized public disclosure. CUI such as For Official Use Only (FOUO), Security Classification Guides (SCGs), and other technical information with Distribution Statements B, C, D, E, or F are not authorized for public release and cannot be placed on a publicly-accessible website or webserver.

2. Any CUI provided to contractor personnel must be marked per DoDI 5200.48. All emails containing such information or attachments shall be protected per DFARS 252.204-7012 per NIST SP-800-171, Revision 2. All transmissions to personal email accounts (e.g., AOL, Yahoo, Hotmail, Comcast, etc.) and posting on social media websites (e.g., Facebook, Instagram, Twitter, LinkedIn, etc.) are prohibited.

Destroy or sanitize all CUI associated with this contract by any of the following approved methods: crosscut shredder; certified commercial destruction vendor; central destruction facility; incineration; chemical decomposition; pulverizing, disintegration; or methods approved for classified destruction; or methods per DFARS 252.204-7012.

3. Contractors receiving, transmitting, or accessing CUI technical information on or through its contractor information system(s) must safeguard the information to avoid compromise, including but not limited to disclosure of information to unauthorized persons, unauthorized modification, destruction, or loss of an object, or the copying of information to unauthorized media, as required per DFARS Subpart 204.73 and Clauses 204.7304 and 252.204-7012. Contractors shall report to the DoD each cyber incident that affects unclassified controlled technical information resident on or transiting contractor information systems per DFARS Clause 204.7304 and 252.204-7012.

Detailed reporting criteria and requirements are set forth in Clause 252.204-7012, Safeguarding of Unclassified Controlled Technical Information. NIST Special Publication 800-171 will be used as the Risk Management Framework for Protecting CUI and Controlled Defense Information in Nonfederal Systems and Organizations for this contract.

Item 11.c., Receive, Store, and Generate Classified Information or Material.

The contractor requires access to classified source data up to and including the level identified in Item 1.a. of this DD Form 254. Classified material generated in support of this contract shall be classified per the source material of the Navy Security Classification Guidance, which will be provided by the GCA. Automated Information Systems (AIS) must be certified and accredited by the Cognizant Security Agency (CSA) prior to processing classified information.

Item 11.j., Have Operations Security (OPSEC) Requirements.

The contractor shall protect critical information associated with this contract to prevent unauthorized disclosure. The NSWC Crane Critical Information and Indicators List (CIIL), NSWC Crane Notice 3070, Critical Information and Indicators List, is identified under separate cover. The contractor must adhere to NAVSEAINST 3070.2, Naval Sea Systems Command Operations Security Policy;

NSWCCRANEINST 3070.1, NSWC Crane Command Operations Security Policy; and NSWC Crane Note 3070, Critical Information List.

See Item 14 as well.

a. Performance under this contract requires the contractor to adhere to OPSEC requirements. OPSEC requirements are additional to the requirements of 32 CFR Part 117. These OPSEC requirements shall be imposed on subcontractors without written consent from the NSWC Crane OPSEC Program Manager. The contractor shall assign an OPSEC point of contact for this contract at no additional cost to the U.S. Government. This individual may be the Facility Security Officer (FSO).

b. During the period of this contract, the contractor may be exposed to, use, or produce, NSWC Crane Critical Information (CI) and/or observables and indicators which may lead to discovery of CI. NSWC Crane CI will not be distributed to unauthorized third parties, including foreign governments, or companies under Foreign Ownership, Control, or Influence (FOCI).

c. Communications and electronic emails shall be encrypted and protected when containing NSWC Crane CI per guidance provided for Item 11.l. of this DD Form 254. The transfer of unclassified technical data to and from the government or other associated activities must be accomplished via encrypted email per NIST SP 800-171 or DoD SAFE at https://safe.apps.mil/ or DoD Intelligence Information System (DoDIIS) One-Way Transfer (DOT) https://dots.dodiis.mil/webtransfer/#/. *Not approved for U-NNPI.*

d. 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. Components/systems outside storage, staging, and test areas shall be shielded/obscured from public view wherever physically possible.

e. NSWC Crane CI shall not be publicly disclosed in corporate wide newsletters, trade magazines, displays, intranet pages, or public-facing websites. Any media, available in the public domain, shall undergo public release authorization identified in Item 12 of this DD Form 254.

f. Any attempt by unauthorized third parties to solicit, obtain, photograph, or record, or; incidents of loss/compromise and electronic spillage of government classified or CI-related to this contract must be immediately reported to the FSO, Defense Counterintelligence and

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Security Agency (DCSA), and/or the Naval Criminal Investigative Service (NCIS), and the NSWC Crane Security Contracting Officer (SCO). All instances of loss or compromise of CUI shall be reported per requirements of DFARS 252.204-7012(c).

g. Off-base contractors shall be OPSEC briefed by their assigned FSO. On-base contractors shall participate in initial and annual refresher OPSEC awareness training hosted via the government Total Workforce Management Services (TWMS) database.

h. For specific OPSEC requirements, Critical Information and Indicators Lists (CIILs), and assistance, contact the NSWC Crane OPSEC team at cran_opsec@us.navy.mil.

Item 11.l., Receive, Store, or Generate Controlled Unclassified Information (CUI).

Refer to Item 11.j., Have Operations Security (OPSEC) Requirements, above. Legacy information from existing documents (e.g., Technical Manuals) marked “For Official Use Only” or “FOUO” that are used to create new documents/correspondence, shall follow the minimum marking requirements of DoDI 5200.48, Section 3, paragraph 3.4.a, and include the acronym “CUI” in the banner and footer of the document.

Additional Guidance: (ADD TO ALL DD FORMS 254)

1. Contractor performance shall be per 32 CFR Part 117, NISPOM, and DFARS 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting, 48 CFR 52.204-2, Security Requirements, and NIST Special Publication 800-171. The contractor shall limit requests for Personnel (Security) Clearances (PCL) to the minimal number of personnel for operational efficiency, consistent with contractual obligations and other requirements of 32 CFR Part 117, NISPOM.

2. This DD Form 254 and 32 CFR Part 117, NISPOM, are part of the contract. The contractor agrees to provide and maintain a system of security controls within its own organization according to the NISPOM. All contractor personnel will obtain and maintain the appropriate level of security clearance eligibility or access as required to perform on the level of tasking assigned. Access to classified information will be limited by the access level showing in Defense Information Security System (DISS) or subsequent system of record and need-to-know.

All classified information shall be handled per approved security practices and procedures. Contractor personnel in contact with classified documentation, information, and/or equipment shall have the proper level of access showing in DISS or the subsequent system of record and have a need-to-know.

3. Per DFARS Clause 252.204-7000:

a. The contractor shall not release to anyone outside the contractor’s organization any unclassified information, regardless of medium (e.g., film, tape, document), pertaining to any part of this contract or any program related to this contract, unless—

(1) The Contracting Officer has given prior written approval;

(2) The information is otherwise in the public domain before the date of release; or

(3) The information results from or arises during the performance of a project that involves no covered defense information (as defined in DFARS Clause 252.204-7012) and has been scoped and negotiated by the contracting activity with the contractor and research performer and determined in writing by the contracting officer to be fundamental research (which by definition cannot involve any covered defense information), per National Security Decision Directive 189, National Policy on the Transfer of Scientific, Technical and Engineering Information, in effect on the date of contract award and the Under Secretary of Defense (Acquisition, Technology, and Logistics) memoranda on Fundamental Research, dated May 24, 2010, and on Contracted Fundamental Research, dated June 26, 2008 (available at DFARS PGI 204.4 (DFARS/PGI view)).

b. Requests for approval under paragraph a.(1) above shall identify the specific information to be released, the medium to be used, and the purpose for the release. The contractor shall submit its request to the Contracting Officer at least 10 business days before the proposed date for release.

c. The contractor agrees to include a similar requirement, including this paragraph (c), in each subcontract under this contract.

d. Subcontractors shall submit requests for authorization to release through the prime contractor to the Contracting Officer.

NOTE: This clause shall also be made available to subcontractors.

4. All classified information received is the property of the U.S. Government. Any classified information generated in the performance of this contract shall be classified according to the markings shown on the source material as well as the applicable Security Classification Guide (SCG). In the event of a discrepancy between source material and the SCG, the SCG shall prevail. Classified information shall be processed for appropriate disposition per 32 CFR Part 117, NISPOM, Section 117.15.(i).

5. SCGs and CUI (e.g., FOUO, distribution statement controlled) are not authorized for public release; therefore, they cannot be posted on a publicly-accessible webserver or transmitted over the internet unless appropriately encrypted per guidance provided for Item 11.l. of this DD Form 254. Request for public release cannot be transmitted via the internet until the contractor receives final approval from NSWC Crane PAO listed in Item 12.

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6. All classified information is the Property of the U.S. Government. As such, all questions and concerns about downgrading or the declassification of classified information shall be forwarded to the NSWC Crane Security Contracting Officer (SCO) for review and consideration. Contracting companies are not permitted to make downgrading or declassification decisions for classified information at any time.

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

8. All contractor requests for sharing of classified and other sensitive information between prime contracts must be forwarded in writing to the NSWC Crane SCO.

9. 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.

10. Cleared DoD contractors shall not release intelligence to any of their components or employees not directly engaged in providing services under the contract or other binding agreement or to another contractor (including subcontractors) without the consent of the releasing command.

11. Cleared DoD contractors who employ foreign nationals or immigrant aliens shall obtain approval from the Director, ONI (ONI-5), before releasing intelligence to them, whether or not there is a Limited Access Authorization in place.

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

13. All reports of contractor security violations associated with this contract shall be sent to the DCSA Field Office directly by the certifying official in Item 17 of this DD Form 254.

14. 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 Item 17 of this DD Form 254. The contractor shall abide by other reporting requirements outlined in 32 CFR Part 117, NISPOM.

15. Copies of all subcontract DD Forms 254 shall be provided to the NSWC Crane SCO.

16. Per 32 CFR Part 117, NISPOM, Section 117.15.(h)(2), the FSO on the Prime Contract is authorized to flow down access to each subcontractor. It is the Prime Contractor FSO’s responsibility to ensure all subcontractors have the appropriate access levels. It is also the Prime Contractor FSO’s responsibility to ensure 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 NSWC Crane SCO and the COR in writing.

17. Personnel designated as derivative classifiers shall receive Derivative Classification Training prior to access from the contractor’s FSO. The FSO shall ensure personnel receive initial and annual training. Contractor personnel must complete Initial and Annual Sensitive Compartmented Information, Intelligence Oversight, and Derivative Classification Training during the life of this contract. Evidence of completion (training certificates or equivalent) shall be provided to the Information Security Program Manager (ISPM) and NSWC Crane Special Security Officer (SSO) no later than the individual’s due date.

18. Visit requests to activities, other than those listed in the Statement of Work or this DD Form 254 shall have “need-to-know” certified by the Program Manager. All requests shall contain the information required by 32 CFR Part 117, NISPOM, and shall not exceed a 12-month period. All visit requests to Military Installations for classified or unclassified visits from subcontractors will be sent via the Prime Contractor who will certify the need-to know.

19. All U.S. Government badges issued under this contract will be returned immediately to the NSWC Crane Activity Security Manager or COR upon termination of contract or individual termination. When an individual contractor is terminated, for any reason, it is the responsibility of the FSO to immediately notify the Activity Security Manager, 300 Hwy 361, Bldg 2, Crane, IN 47522. Failure to comply could result in the suspension of all contractor proximity key and new technology accounts.

20. If additional contracting requirements exist where retention of classified information by the contractor facility is required, a written request to retain material for a period but not to exceed 2 years is required to the individuals listed in Items 16 and 17. Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the contractor will return all classified information to the source from which received unless retention or other disposition instructions are authorized by NSWC Crane.

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21. Per FAR Clause 52.204-2, Security Requirements.

a. This clause applies to the extent that this contract involves access to information classified “Confidential,” “Secret,” or “Top Secret.”

b. The contractor shall comply with the DD Form 441, Security Agreement, including 32 CFR Part 117, National Industrial Security Program Operating Manual (NISPOM); and any revisions to that manual, notice of which has been furnished to the contractor.

c. If subsequent to the date of this contract, the security classification or security requirements under this contract are changed by the U.S. Government and if the changes cause an increase or decrease in security costs or otherwise affect any other term or condition of this contract, the contract shall be subject to an equitable adjustment as if the changes were directed under the Changes clause of this contract.

d. The contractor agrees to insert terms that conform substantially to the language of this clause, including this paragraph.

e. The Security Classification Guides (SCGs) listed in Item 13 or subsequent revisions apply to this contract. Subsequent revisions shall be provided by the Government Contracting Activity as Government-Furnished Information (GFI) and shall be executed by the contractor at no additional cost to the U.S. Government.

f. Contractor employees occupying “sensitive positions” requiring access to classified information or CUI, whether embedded within the command or working from another location, require, at a minimum, a favorably-adjudicated Tier 3 background investigation providing national security eligibility or an interim (temporary) national security eligibility, commensurate with contract requirements, prior to being afforded access to classified information or CUI. Additionally, contractor employees who require regular/authorized use of the Navy- Marine Corps Internet (NMCI), Navy Enterprise Resource Planning System (ERP), or Research, Development, Test, and Evaluation (RDT&E) System, require a Tier 3 background investigation.

g. Title 5, Code of Federal Regulations, Part 1400 and Part 731, establishes the requirements for agencies to evaluate covered positions for a position sensitivity and position risk designation that accurately reflects the duties and responsibilities of those positions. If contractor duties involve unclassified information (e.g., private, controlled unclassified, or proprietary information) significant to national security and the degree of potential for compromise or damage is “significant or serious,” then a Tier 3 background investigation is required. Significant or Serious Damage is defined as “limited access to and control over unclassified information, which may include private, proprietary or other controlled unclassified information, but only where the unauthorized disclosure of that information could cause significant or serious damage to national security.”

SECURITY CLASSIFICATION GUIDANCE. The following Security Classification Guides (SCGs) apply to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer Security Representative (as applicable) as Government-Furnished Information (GFI) and shall be executed by the contractor without obligation to modify this DD Form 254:

No security classification guides currently exist for this contract. Classified information generated in support of this contract must be marked per the source material provided. Contracting authority will provide security classification guidance on-site for the services to be performed.

SOLICITATION.

This DD Form 254 is for solicitation purposes only; therefore, it must be returned to the NSWC Crane Industrial Security (INDUSEC) Program Security Contracting Officer to be updated before the contract DD Form 254 can be issued to the contractor.

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

NAME & TITLE OF REVIEWING OFFICIAL

Lucas A. Sympson NSWC Crane OPSEC Manager

SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes 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.)

As indicated in Item 11.j. and Item 13, OPSEC requirements are imposed on this task and provides specific guidance. These OPSEC requirements shall be imposed on subcontractors without written consent from the NSWC Crane OPSEC Program Manager. These requirements shall not be imposed at an additional cost to the government.

15. INSPECTIONS

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

No Yes

SYMPSON.LUCAS.

ALAN.1391795068

Digitally signed by

SYMPSON.LUCAS.ALAN.13917

95068 Date: 2026.07.06 08:29:37 -04'00'

PREVIOUS EDITION IS OBSOLETE. Page 7 of 7DD FORM 254, APR 2018

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)

a. GCA NAME

NSWC Crane

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

N00164

c. ADDRESS (Include ZIP Code) NSWC Crane 300 Highway 361 Crane, Indiana 47522

d. POC NAME

Cody Coulter

e. POC TELEPHONE (Include Area Code)

+1 (812) 854-4896

f. EMAIL ADDRESS (See Instructions)

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.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

Sanders, Travis W.

b. TITLE

Security Contracting Officer

c. ADDRESS (Include ZIP Code) NSWC Crane 300 Highway 361 Crane, Indiana 47522

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N00164

e. CAGE CODE OF THE PRIME CONTRACTOR (See Instructions.)

50140

f. TELEPHONE (Include Area Code)

+1 (948) 245-1268

g. EMAIL ADDRESS (See Instructions) travis.w.sanders.civ@us.navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20260706

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

SANDER

S.TRAVI

S.W.1082 031010

Digitally signed by

SANDERS.TRA

VIS.W.1082031

Date: 2026.07.06 13:34:20 -04'00'