Attachment 4 - NDA - 70Z03826QJ0000082.pdf

This is a DHS Form 11000-6 Non-Disclosure Agreement that establishes the terms and conditions for conditional access to sensitive government information. The form is executed by individuals, officials, employees, consultants, or subcontractors seeking access to Protected Critical Infrastructure Information (PCII), Sensitive Security Information (SSI), or Other Sensitive but Unclassified (SBU) information owned by the Department of Homeland Security.

The agreement requires signatories to comply with all applicable laws, regulations, and procedures governing each information category. Specifically, PCII access is governed by the Critical Infrastructure Information Act of 2002 and 6 CFR Part 29; SSI access is regulated under 49 CFR Part 1520; and SBU information is subject to various Executive Orders and Acts of Congress related to national defense and foreign policy. Signatories acknowledge receipt of security induction, understand their responsibilities for protecting information from unauthorized disclosure, and agree to surrender all materials upon completion of their engagement. The agreement prohibits disclosure without proper authority, alteration of markings on sensitive documents, and requires prompt reporting of any security violations. Violations may result in cancellation of access privileges and potential administrative, disciplinary, civil, or criminal action. The agreement remains in effect during the period of conditional access and indefinitely thereafter unless released in writing by an authorized DHS representative. The form includes signature blocks for the signatory and a witness, along with acknowledgment of the signer's authority to enter into the agreement and confirmation that all referenced laws and regulations have been made available for review.