ATT_02_DISP_PA_PWS_ATT_5_AcknowledgeHB_11282017.docx

ATTACHMENT 2 PWS (ATTACHMENT 5 TO PWS)

ACKNOWLEDGMENT

INFORMATION DISCLOSURE PENALTIES AND NONDISCLOSURE AGREEMENT

1. I hereby certify that I shall not release to anyone not authorized to perform on this contract any information, regardless of medium (e.g., film, tape, photos, documents, etc.), pertaining to any part of this contract unless:

a. The Contracting Officer has given prior written approval; or

b. The information is otherwise in the public domain before the date of release.

2. You are subject to restrictions on the disclosure of sensitive and confidential information. Restrictions and penalties are set forth in the

a. Freedom of Information Act (5 U.S.C.552)

b. Privacy Act (5 U.S.C. 552a)

c. National Security Information (18 U.S.C. 798) & Atomic Energy Act of 1954 (42 U.S.C.2274)

d. Internal Revenue Code 641,7213(a), 7213A, 7431, 3571

e. IRS Publication 1075 (September 2016) Exhibit 4: IRC SEC, 7213 UNAUTHORIZED DISCLOSURE OF INFORMATION; and Exhibit 5: IRC SEC. 7431 CIVIL DAMAGES FOR UNAUTHORIZED DISCLOSURE OF RETURNS AND RETURN INFORMATION

3. PROTECTION OF CONTROLLED UNCLASSIFIED INFORMATION

a. During the course of performance of this contract, I may have access to information and communications considered sensitive by NARA, including Controlled Unclassified Information (CUI). This includes but is not limited to sensitive Personally Identifiable Information (PII), taxpayer information, and information which may be considered proprietary by other contractors.

b. I hereby certify that I shall preserve the confidentiality of all such information and communications and shall not, in any circumstances, copy, disclose, dissemination, or use any such information or communications for any purposes without the prior written approval of the Contracting Officer other than as required in the performance of this contract.

c. I understand that I may not disclose any information extracted from a tax return itself including the taxpayers name, mailing address or Social Security Number. Nor may I disclose any information extracted from a tax return itself or information collected and maintained by the Internal Revenue Service about the tax affairs of any person/business or source other than the taxpayer. I acknowledge receipt of the IRS DISCLOSURE AWARENESS POCKET GUIDE for Contractors.

d. My failure to abide by the terms of this provision shall be grounds for my immediate removal in accordance with the terms of this contract.

e. I shall follow all established security safeguards for the protection of all such information and communications.

f. The details of any safeguards that may be revealed to me by NARA in the course of performance of this contract shall not be published or disclosed in any manner without the Contracting Officer's express written consent.

4. I certify that I have been informed that all records stored in the Federal Records Center, including future accessions, contain sensitive information, which is treated as Controlled Unclassified Information, and are privileged in nature.

5. I understand that I may neither communicate nor transmit to any unauthorized persons, copies of, information from, or originals of, records stored in the records center. I further understand that I may not utilize any documents or records in the custody of this Center for other than official purposes.

6. I understand that concealing, removing, mutilating, obliterating, or destroying a record is a Federal offense punishable by a fine of not more than $10,000 or imprisonment of not more than ten years or both (18 U.S.C. 641).

7. I understand that failure on my part, willfully or through negligence, to adhere to the above restrictions may subject me to disciplinary action.

8. I understand I am personally accountable for all reference request forms; CIPS, OF-, IRS forms 2958 or 2275 or equivalent, Charge Out Forms, including Permanent Withdrawal or NARA Forms 13116 assigned to me.

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