Attachment 4 - DHS Form 11000-6 Non-Disclosure Agreement - 70Z03826QJ0000257.pdf

This is a Department of Homeland Security Non-Disclosure Agreement (DHS Form 11000-6) for contract 70Z03826QJ0000257. The form is a template designed for individuals, officials, employees, consultants, or subcontractors to acknowledge conditional access to sensitive government information in three primary categories: Protected Critical Infrastructure Information (PCII), Sensitive Security Information (SSI), and Other Sensitive but Unclassified (SBU) information.

The agreement establishes binding obligations for signatories to comply with all applicable laws, regulations, and directives governing the protection and safeguarding of each information category. Key requirements include: maintaining proper security protocols to prevent unauthorized disclosure or access; reporting any security violations, loss, theft, or misuse to appropriate officials; not altering or removing information markings; surrendering all materials upon completion of engagement; and assigning all royalties and emoluments from unauthorized disclosure to the U.S. Government. Signatories acknowledge receipt of security induction, understand their responsibilities, and agree that violations may result in cancellation of access, administrative action, disciplinary measures, or criminal prosecution. The agreement remains in effect during the entire period of conditional access and thereafter, and does not supersede other secrecy agreements or whistleblower protections. The form requires signatures from both the authorized entity and a witness, along with typed names, government/business addresses, and telephone numbers.