J.12_Non-Disclosure_Agreement.docx

DTFH6116R00015

Attachment J.12

NON-DISCLOSURE AGREEMENT – CONTRACTOR PERSONNEL

I, the undersigned, certify that I will not discuss or reveal any information concerning the following to anyone who is not a Federal Highway Administration (FHWA) employee with a need to know, or an approved FHWA contractor employee* involved in the following:

Any technical and / or program information concerning current and future work, work statements, plans, reports; any procurement sensitive information, including contractor proposals, and proprietary information of other Contractors under any FHWA contracts and agreements; information on Government programs and initiatives , including all confidential and proprietary data and information of the Federal Government, and specifically, any work related to this contract, ____________________, and more specifically as related to work being performed under this contract for the ____________________ and / or its customers.

I certify that such information and data will not be shared , copied, discussed, or shown to anyone who is not a FHWA employee or an approved FHWA contractor employee* and will be used exclusively and internally for the FHWA ____________________.

I certify that no one other than a FHWA employee with a need to know will receive access to the information and data described above unless they have signed this Non-Disclosure Agreement and submitted the signed agreement to the FHWA Contracting Officer with cognizance over FHWA Contract number ____________________.

In addition, I fully realize that any breach by me of my obligation to safeguard and not to disclose to unauthorized persons any information made available to me concerning the above items may result in appropriate disciplinary action, provided for by law or regulation, being taken against me by duly constituted authority.

Any questions regarding this document shall be immediately addressed to the FHWA Contracting Officer.

Print Name: ____________________________________________ Print Firm Name: ____________________________________________ Working Under FHWA Contract No. ____________________________________________ entitled “____________________________________________” Signature: ____________________________________________ Date: ____________________ *Denotes contractor employee(s) previously approved to participate on related FHWA ____________________________________________ work, programs and initiatives by the FHWA Contracting Officer.

Note: These provisions are consistent with and do not supersede , conflict with, or otherwise alter the employee obligations, rights, or liabilities created by existing statute or Executive Order relating to (1) classified information, (2) communications to Congress, (3) the reporting to an Inspector General of a violation of any law, rule, or regulation, or mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety, or (4) any other whistleblower protection. The definitions, requirements, obligations, rights, sanctions, and liabilities created by controlling Executive Orders and statutory provisions are incorporated into this agreement and are controlling.