APPROVED (PRAS-497) PdM TSW - Annex A - TLS-EAB_Compliance_Cert.DOCX

NOTE: DOCUMENT WILL BE CUI//OPSEC WHEN COMPLETED

ANNEX A - TERRESTRIAL LAYER SYSTEM (TLS) ECHELONS ABOVE BRIGADE (EAB)

PROJECT MANAGER ELECTRONIC WARFARE & CYBER

TECHNICAL DOCUMENTATION ACCESS COMPLIANCE CERTIFICATION

THIS CERTIFICATION of COMPLIANCE is made effective the [_____] day of [________________,] [20__].

IN WITNESS TO:

The US Army, Program Executive Office for Intelligence, Electronic Warfare and Sensors (PEO IEWS), Project Manager, Electronic Warfare & Cyber (the “Owner”)

FROM:

(the “Vendor”)

1. The Vendor certifies it will protect all technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 et seq) or the Export Administration Act of 1979, as amended Title 50, USC, App 2401, et seq. in alignment with DoD Directive 5230.25.

2. The Vendor certifies it is a U.S. Owned and Operated Business.

3. The Vendor certifies it is not a Foreign Controlled U.S. Owned and Operated Business.

4. The Vendor certifies it is not a Foreign Affiliated U.S. Owned and Operated Business.

5. The Vendor certifies it is not a U.S. subsidiary of a Foreign Business.

6. The Vendor certifies it is not a Foreign Owned or Foreign Affiliated Business.

7. The Vendor certifies ALL personnel to be given access to PM EW&C technical documentation are U.S. Citizens. Foreign Nationals are exempt from participation, all associated technical documentation shall NOT be SEEN or DISCUSSED with any non-U.S. Citizens.

8. The Vendor certifies, that if it pursues access to classified information, ALL personnel to be given access to PM EW&C Classified technical documentation hold appropriate clearance levels; Social Security Numbers will be supplied so clearances can be validated.

9. The Vendor certifies it has signed a Non-Disclosure Agreement and will abide by the terms therein, a copy has been provided to PM EW&C.

10. Within one hundred eighty (180) calendar days of receipt of the technical documentation, the Vendor shall destroy all printed and electronic copies of the documentation provided by the Government and all derivative products, to include unclassified and classified information. The Vendor shall certify via letter to the PM EW&C that:

a. this destruction has been completed,

b. the method used for destruction (e.g., shredding or incineration of printed copies, purging of electronic media, wiping of storage), and

c. provide a complete list of the personnel that had accessed to the technical documentation prior to destruction.

IN WITNESS WHEREOF, the Vendor certifies it complies with the herein stated requirements as of the date specific on page 1:

(the “Vendor”)

BY: [________________________]

Signature/Date: [________________________]

Position: [________________________]

Distribution Statement A: Approved for Public Release. Distribution is Unlimited. U.S. Army PdM TSW PRAS-497

NOTE: DOCUMENT WILL BE CUI//OPSEC WHEN COMPLETED