Radio RFI NDA (1).pdf

CUI

Request for Information Non-Disclosure Agreement

CUI Page 1 of 2

Name: Grade/Rank:

Job Title: Organization:

Request for Information:

1. I acknowledge I have requested access to the Request for Information (RFI) indicated above. I am knowledgeable of 41 U.S.C. 2101-2107 and FAR 3.104. I am aware that unauthorized disclosure of Government Furnished Information could damage the integrity of a future procurement and that the transmission or revelation of such information to unauthorized persons could subject me to prosecution under 41 U.S.C. 2101-2107 or under other applicable laws.

2. I do solemnly swear or affirm that I will not divulge, publish, or reveal by word, conduct, or any other means, such information or knowledge, except as necessary to do so in the performance of my official duties related to preparing a response to this RFI and in accordance with the laws of the United States, unless specifically authorized in writing in each and every case by a duly authorized representative of the United States Government. I take this obligation freely, without any mental reservation or purpose of evasion and in the absence of duress. "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 whistle blower 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." 5 USC 2302(b)(13).

3. I acknowledge that the information I receive will be given only to persons specifically granted access to the RFI and may not be further divulged without specific prior written approval from an authorized individual.

4. If, at any time during the RFI process, my participation might result in a real, apparent, possible, or potential conflict of interest, I will immediately report the circumstances to the Contracting Officer.

5. All personnel are requested to check the applicable block(s):

I have submitted a current OGE Form 450, Executive Branch Confidential Financial Disclosure Report, as required by DoDD 5500.07, Standards of Conduct.

I am not required to submit an OGE Form 450.

I have submitted a current OGE Form 278, Public Financial Disclosure Report, as required by DoDD 5500.07, Standards of Conduct.

I am not required to submit an OGE Form 278.

I am a non-government employee. I am signing this non-disclosure agreement that precludes me from divulging any of the GFI provided to me for the purposes of this RFI.

Signature Date