I, _______________________________ (insert Contractor Employee name), as an employee of _______________________________ (insert Contractor Company name), a contractor acting under contract to the U.S. General Services Administration (GSA), Technology Transformation Service, Office of Acquisition, in administering an unclassified and/or classified system support for these activities, pursuant to Task Order Number _________________________ (insert contract number), agree not to disclose to any individual business entity or anyone within _______________________________________________ (insert Contractor Company name) or outside of the company who has not signed a nondisclosure agreement for the purposes of performing this Task Order: any sensitive, proprietary or source selection information contained in or accessible through the any of the systems covered under this Task Order. Proprietary information/data will be handled in accordance with Government regulations.
I understand that information/data I may be aware of, or possess, as a result of my assignment under this contract may be considered sensitive or proprietary by GSA and their clients. The contractor's responsibility for proper use and protection from unauthorized disclosure of sensitive, proprietary and source selection information is described in Federal Acquisition Regulation (FAR) section 3.104-5(b). Pursuant to FAR 3.104-5, I agree not to appropriate such information for my own use or the use or benefit of any third party, or to release or discuss such information for my own use or to release it to or discuss it with third parties unless specifically authorized in writing to do so, as provided above.
I have a continuing obligation not to disclose sensitive, proprietary, or source selection information to any person or legal entity unless that person or legal entity is authorized by the head of the agency or the contracting agency or the Contracting Officer to receive such information. I understand violations of this agreement are subject to administrative, civil and criminal sanctions.
As a representative of my organization, I hereby certify that, to the best of my knowledge and belief, no facts exist relevant to any past, present or currently planned interest or activity (financial, contractual, personal, organizational or otherwise) which relate to the proposed work; and bear on whether I have (or the organization has) a possible conflict of interest with respect to (1) being able to render impartial, technically sound, and objective assistance or advice; or (2) being given an unfair competitive advantage.
These provisions are further consistent with and do not supersede, conflict with, or otherwise alter the employee obligations, rights, or liabilities created by Executive Order No. 13526 (75 Fed. Reg. 707), or any successor thereto; section 7211 of title 5, United States Code (governing disclosures to Congress); section 1034 of title 10, United States Code, as amended by the Military Whistleblower Protection Act (governing disclosure to Congress by members of the military); section 2302(b)(8) of title 5, United States Codes, as amended by the Whistleblower Protection Act of 1989 (governing disclosures of illegality, waste, fraud, abuse or public health or safety threats); the Intelligence Identities Protection Act of 1982 (50 U.S.C. 421 et seq.) (governing disclosures that could expose confidential Government agents); sections 7(c) and 8H of the Inspector General Act of 1978 (5 U.S.C. App.) (relating to disclosures to an inspector general, the inspectors general of the Intelligence Community. and Congress); section 103H(g)(3) of the National Security Act of 1947 (50 U.S.C. 403-3h(g)(3) (relating to disclosures to the inspector general of the Intelligence Community); sections 17(d)(5) and 17(e)(3) of the Central Intelligence Agency Act of 1949 (50 U.S.C. 403g(d)(5) and 403q(e)(3)) (relating to disclosures to the Inspector General of the Central Intelligence Agency and Congress); and the statutes which protect against disclosure that may compromise the national security, including sections 641, 793, 794, 798, and 952 of title 18, United States Code, and section 4(b) of the Subversive Activities Act of 1950 (50 U.S.C. 783(b)).
I UNDERSTAND THAT MAKING A FALSE, FICTITIOUS, OR FRAUDULENT STATEMENT TO THE UNITED STATES GOVERNMENT MAY RENDER ME SUBJECT TO PROSECUTION UNDER TITLE 18, UNITED STATES CODE, and SECTION 1001.
| Item | Please fill out here |
|---|---|
| Signature of Contractor Employee | ________________________________________ |
| Name of Contractor Employee | ________________________________________ |
| Title of Contractor Employee | ________________________________________ |
| Employee Email Address | ________________________________________ |
| Employee Telephone Number | ________________________________________ |